City Of La Carlota Tender

Description City Government Of La Carlota Standard Form Number: Sf-good-59 Revised On: May 24, 2004 Standard Form Title: Request For Quotation Date: ______________ Quotation No.________ Company Name Address Please Quote Your Lowest Price On The Item/s Listed Below, Subject To The General Conditions On The Last Page, Starting The Shortest Time Of Delivery And Submit Your Quotation Duly Signed By Your Representative Not Later Than _______________________________________ In The Return Envelope Attached Herewith. (sgd.) Rommel R. Sabig City Health Officer/bac Chairman Note: 1. All Entries Must Be Typewritten 2. Delivery Period Within _____________ Calendar Days. 3. Warranty Shall Be For A Period Of Six(6) Months For Supplies & Materials, One (1) Year For Equipment, From Date Of Acceptance By The Procuring Entity. 4. Price Validity Shall Be For A Period Of _____________ Calendar Days. 5. G-eps Registration Certificate Shall Be Attached Upon Submission Of The Quotation. 6. Bidders Shall Submit Original Brochures Showing Certificatyions Of The Product Being Offered. Item No. Item & Description Qty. Unit Price 1 Montelukast 10mg/tab 100/box 2 Boxes P 2 Sinopret Forte Tab 100/box 2 Boxes 3 Betahistine Hydrochloride 16mg/tab 30/box 1 Box 4 Cloxacillin 500mg/cap 100/box 3 Boxes 5 Paracetamol 325mg/tab 100/box 35 Boxes 6 Paracetamol 500mg/tab 100/box 35 Boxes 7 Loperamide 2mg/cap 100/box 35 Boxes 8 Dicycloverine 10mg/tab 100/box 35 Boxes 9 Omeprazole 40mg/tab 100/box 1 Box 10 Mefenamic Acid 500mg/cap 100/box 35 Boxes 11 Mefenamic Acid 250mg/cap 100/box 4 Boxes 12 Symdex D 25mg/2mg/325mg/tab 100/box 6 Boxes 13 Paracetamol Syrup 250mg/5ml 60ml/bot 50 Bots 14 Algina 500mg/213mg/325mg Suspension 100 Sachet/box 1 Box 15 Kremil S 178/233/30mg Tab 100/box 2 Boxes 16 Amoxicillin 500mg Cap 100/box 6 Boxes 17 Clonidine 75mcg Tab 100/box 1 Box 18 Amlodipine 5mg Tab 100/box 5 Boxes 19 Amlodipine 10mg Tab 100/box 5 Boxes 20 Lozartan 50mg Tab 100/box 5 Boxes 21 Acetylceistine 600mg Sachet 10 Sachet/box 6 Boxes 22 Acetylceistine 200mg Sachet 10 Sachet/box 6 Boxes 23 Ceterizine 2mg Tab 100/box 6 Boxes 24 Loratadine 10mg Tab 100/box 5 Boxes 25 Diphenhydramine 25mg Cap 100/box 2 Boxes P 26 Vitamin B Complex Tab 100/box 6 Boxes 27 Omega Pain Killer 30ml/bot 30 Bots 28 Omega Pain Killer Spray 50ml/bot 15 Bots 29 Mupirocin Cream 50 Tubes 30 Hyclens Spray 45 Bots 31 Micropore Tape 2 Inch 1 Box 32 Eye Mo-moisturizing 10 Bots 33 Eye Mo-red Eye 10 Bots 34 Salonpas Patch 20/carton 2 Boxes 35 Betadine Mouth 60ml 8 Bots 36 Betadine Mouth 120ml 10 Bots 37 Elastic Bandage 2 Inchx5 Yards 15 Pcs 38 Elastic Bandage 4 Inchx5 Yards 10 Pcs 39 Band Aid Plaster 40 Boxes 40 Gauze Pad 4x4 6 Boxes 41 Medicine Box/tool 2 Pcs 42 Accu Check Active Strips 4 Pcs 43 Accu Check Active Glucometer 1 Pc 44 Pulse Oximeter 3 Pcs 45 First Aid Kit 357 15 Pcs X-x-x-x-x Brand And Model : ________________________ Delivery Period : ________________________ Warranty : ________________________ Price Validity : ________________________ Name Of The Procuring Entity Project Reference Number Name Of The Project Location Of The Project After Having Carefully Read And Accepted Your General Conditions, I/we Quote You On The Item At Prices Noted Above. _________________________ Printed Name / Signature _________________________ Tel. No. / Cellphone No. ________________________ Date