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 Acetylcysteine 200mg 10’s/box 150 Boxes P 2 Acetylcysteine 600mg 20’s 200 Boxes 3 Azithromycin 500mg Tablet’s 3’s 100 Boxes 4 Betahistine 16mg Tablet 100’s 10 Boxes 5 Cefalexin 500mg Cap 100’s 20 Boxes 6 Cefuroxime 500mg Tablet 10’s 30 Boxes 7 Cetrizine Syrup 60ml 200 Boxes 8 Clarithromycin 250mg 60ml 50 Boxes 9 Clindamycin 300mg Capsule 100s 15 Boxes 10 Cloxacillin 500mg Capsule 100’s 30 Boxes 11 Co-amoxiclav 625mg Tablet 14’s 35 Boxes 12 Co-amoxiclav 427mg 70ml Suspension 40 Boxes 13 Multivitamins + Iron Capsule 100’s 30 Boxes 14 Omeprazole 40mg Capsule 100’s 50 Boxes 15 Paracetamol 250mg Suspension 60ml 150 Boxes 16 Salbutamol Syrup 60ml 200 Boxes 17 Salbutamol Nebules 30’s 50 Boxes 18 Vitamin B Complex Tablet 100’s 70 Boxes X-x-x-x-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