CEBU SOUTH MEDICAL CENTER Tender

Description Republic Of The Philippines Department Of Health Cebu South Medical Center (dr. Jacinto Velez Sr. Memorial Hospital) San Isidro, Talisay City, Cebu (032)265-5986 Local 144 / 0945-347-3696 procurement@csmc.doh.gov.ph Http://www.csmc.doh.gov.ph “a Phic Accredited And Iso 9001:2015 Certified Healthcare Provider” Request For Quotation Registered Name Of Establishment Date: Mode Of Procurement: March 15, 2024 Negotiated Procurement – Small Value Procurement (section 53.9) Address: Quotation No.: 2024-03-028 Telefax No.: Pr No.: 2024-02-026-hopss Tin: Lbp Acct Name: Lbp Acct No.: ______________________________________ ______________________________________ Deadline For Submission Of Quotation March 19, 2024 5:00 Pm Please Quote Your Lowest Price On The Item/s Listed Below, Subject To The General Terms And Conditions Of The Procuring Entity Hereunder Stated, To Wit: Item No. Unit Item Description Quantity Pe’s Abc Total Abc Unit Price Total Price Remarks 1 Pads Charge Slips-opd (carbonized); Paper Color: White Triplicate Copy: Original Copy, Accounting & File Copy Size: 1/4 Size Of Long Bond Paper Paper Subtance: 20 50 Sets Per Pad Sample Is Attached With Series Number (h00001-h150000) Perforated 3,000 85.00 255,000.00 Total 255,000.00 Standard Terms And Conditions: Delivery Period: Within 15 Working Days From Receipt Of P.o./ntp Supplier Must Submit Together With Its Offer/quotation The Following Documents, Which Must Be Certified True Copies, If Only A Photocopy Of The Original Document: A. Valid Mayor’s Permit/business Permit. B. Valid Philgeps Registration Number (red) Or Certificate (platinum). For Platinum Certificate: All Pages Must Be Attached. If Any Of The Document Uploaded In The Philgeps Website Has Expired, As Shown In The Philgeps Certificate Of Registration, A Valid One Must Be Submitted/attached In The Quotation. C. Omnibus Sworn Statement, In Accordance With Section 25.3 Of The 2016 Revised Irr Of Ra 9184 Accompanied By A Secretary’s Certificate Or Board Resolution, If Corporation/partnership/cooperative Or Special Power Of Attorney, If Sole Proprietorship. Notes/instructions: • For Payment Thru Modified Disbursement System (mds), Landbank Account Is Required. If None, Supplier Will Shoulder The Transaction Cost For Bank Payment Outside Lbp. • All Pages Of This Rfq Must Be Attached. Rfq Must Be Duly Accomplished, Signed And Sealed. • All Attachments That Are Photocopies Must Be Certified True Copies. • Submit Your Quotation/offer To: Atty. Madyll S. Cuadra-robinta Bac Chairperson Through: O Fax : 032-273-8785 Prepared By: Rolando A. Samson O Email : Tdh.canvass@gmail.com Canvasser O Personally Serve To Tdh At The Procurement Office Noted By: Mary Ann G. Lozada Procurement Officer With My Conformity: _______________________________________________________________________ Signature Above Printed Name Of The Supplier’s Authorized Representative Bac Findings Recommended Supplier: Non-responsive & Non-complying Items: _____________________________ Due To: ___________________________________ Above Abc. ___________________________________ Items: ________________________________ ______________________________________ Specifications Not Met. Items: ________________________________ ______________________________________ Others: _______________________________ Items: ________________________________ ______________________________________ No Offer Received Notes: Bids And Awards Committee Atty. Madyll S. Cuadra-robinta, Cese, Fpcha Bac Chairperson Mr. Harby O. Abellanosa, Msn, Rn, Fpsqua, Fpcha, Cese Ms. Donnabelle L. Aranas, Mpa, Fpcha, Cese Bac Vice Chairperson Member Dr. Joannes Paul E. Miranda, Md, Fpba Dr. Maria Christina U. Napuli, Fpsgs, Fpcs Member Member Mr. Willy John V. Delute Member