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 Azithromycin 500mg Tablet 65 Boxes P 2 Cetriaxone 1 Gram Vial 5 Boxes 3 Celecoxib 200mg Capsule 7 Boxes 4 Syphilis Kits 20 Boxes 5 Hiv Kits 30 Boxes 6 Hbsag Kits 8 Boxes 7 10cc Syringe 5 Boxes 8 5cc Syringe 5 Boxes 9 Tubercullin Syringe 5 Boxes 10 Lidocaine Hcl 2% 5ml Nebule 2 Boxes 11 Sterile Water 50ml Nebule 1 Box 12 Lone Folder 200 Pcs 13 Long Bondpaper 10 Reams 14 Short Bond Paper 10 Reams 15 Long Envelope 200 Pcs X-x-x-x-x X-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