Court Of Appeals Tender

Description Request For Quotation Supply And Delivery Of Various Medicines For The 1st Quarter For The Court Of Appeals Amp-010-25 (svp) Sir/madam: Please Quote Your Best Proposal For The Item/s Described Below Using The Price Quotation Form (see Annex "a"), Subject To Terms And Conditions Stated Herein. Item No. Item Description Approved Budget For The Contract (abc) 1 Acetylcysteine 600mg Mucolytic 10’s ₱7,500.00 2 Amlodipine Besilate 5mg 100’s (scored) Calcium Antagonist/anti-hypertensive ₱28,000.00 3 Amoxicillin Trihydrate 500mg Antibiotic 100’s ₱2,000.00 4 Atorvastatin 40mg 100’s (scored) Treatment Of Hypercholesterolemia ₱30,000.00 5 Azithromycin 500mg Antibiotic 30’s ₱27,000.00 6 Betahistine Mesylate 12 Mg Anti-vertigo 100’s ₱10,500.00 7 Betahistine Hydrochloride 24 Mg Anti-vertigo 100’s ₱19,500.00 8 Bilastine 20mg Anti-allergy 30’s ₱9,000.00 9 Butamirate Citrate 50mg Antitussive 30’s ₱7,500.00 10 Celecoxib 200mg Non-steroidal Anti-inflammatory 100’s ₱4,500.00 11 Ciprofloxacin 500mg Antibiotic 100’s ₱2,000.00 12 Clarithromycin Od 500mg Antibiotic 5’s ₱20,000.00 13 Clindamycin 300mg Antibiotic 100’s ₱4,000.00 14 Clopidogrel 75mg Anti Thrombotic 100’s ₱15,000.00 15 Cloxacillin 500mg Antibiotic 100’s ₱1,000.00 16 Co Amoxiclav 625mg Antibiotic 20’s ₱28,800.00 17 Dapagliflozin 10mg Anti Diabetic 28’s ₱21,000.00 18 Dextromethorphan15mg/ Guaifenesin 50mg/ Chlorphenamine 1mg/ Paracetamol 325mg/ Phenylpropanolamine Hcl 30mg For Cough And Colds 100’s ₱5,100.00 19 Domperidone 10mg Prokinetic 100’s ₱4,500.00 20 Doxycycline 100mg Antibiotic 100’s ₱3,000.00 21 Ebastine 20mg Anti-allergy 50’s ₱10,500.00 22 Ebastine + Betamethasone 10mg/ 500mg – Anti-allergy 50’s ₱7,600.00 23 Empagliflozin + Metformin 12.5/500mg Antidiabetic 30’s ₱30,000.00 24 Esomeprazole 40mg Anti-ulcerant 100’s ₱21,000.00 25 Etoricoxib 60mg Non-steroidal / Anti-inflammatory 30’s ₱27,000.00 26 Febuxostat 40mg For Treatment Of Hyperuricemia 30’s ₱21,000.00 27 Gliclazide Mr 30mg Anti-diabetic 100’s ₱12,000.00 28 Glimepiride 2mg Anti-diabetic 30’s ₱5,100.00 29 Glucosamine Sulfate Powder For Oral Solution 1.5g – Osteoarthritis 30’s ₱27,000.00 30 Glucosamine + Chondroitin Sulfate 500mg/300mg – Osteoarthritis 60’s ₱18,000.00 31 Hyoscine N Butylbromide 10mg Anti Spasmodic 100’s ₱3,000.00 32 Irbesartan 150mg (scored) Angiotensin Ii Antagonist 30’s ₱18,000.00 33 Irbesartan + Amlodipine 150mg/5mg Anti-hypertensive 28’s ₱21,280.00 34 Ketoanalogues + Essential Amino Acids Renal Nutrition Therapy 100’s ₱11,400.00 35 Levofloxacin 500mg Antibiotic 100’s ₱4,400.00 36 Loperamide 2mg Anti-diarrhea 100’s ₱500.00 37 Losartan Potassium 50mg Angiotensin Ii Antagonist 100’s ₱32,500.00 38 Losartan Potassium 100mg Angiotensin Ii Antagonist 100’s ₱3,200.00 39 Losartan Potassium + Amlodipine 100’s 50mg/5mg Angiotensin Ii Antogonist ₱20,400.00 40 Losartan + Hydrochlorothiazide 50mg/12.5mg Angiotensin Ii Receptor Blocker / Diuretic 100’s ₱2,600.00 41 Mefenamic Acid 500mg Analgesic 100’s ₱1,800.00 42 Metformin Hydrochchloride 500mg Anti-diabetic 100’s ₱17,500.00 43 Metformin Hydrochloride 1000mg Xr Anti Diabetic 100’s ₱10,800.00 44 Metoprolol 100mg Beta Adrenoceptor Blocker 100’s ₱1,400.00 45 Metronidazole 500mg Amoebicide / Anti-protozoal 100’s ₱1,500.00 46 Montelukast 10mg Anti Asthmatic 30’s ₱2,400.00 47 Montelukast + Levocetirizine 30’s 10mg/5mg Anti-asthmatic/anti-allergy ₱12,000.00 48 Nebivolol 5mg (scored) Beta Adrenoceptor Blocker 30’s ₱37,500.00 49 Olmesartan + Amlodipine Besilate 40mg/5mg Anti-hypertensive 30’s ₱16,800.00 50 Oral Rehydration Salts Powder 5.575g For Replacement Of Electrolyte Losses 25’s ₱1,300.00 51 Paracetamol 500mg Analgesic 100’s ₱3,500.00 52 Paracetamol + Orphenadrine 650mg +50mg Muscle Relaxant 30’s ₱9,900.00 53 Paracetamol + Tramadol 325mg +37.5mg Analgesic 20’s ₱6,900.00 54 Pioglitazone 30mg Anti-diabetic 30’s ₱19,800.00 55 Plant Extracts Forte – Herbal Ethanolic Mixture – For Acute And Chronic Inflammation Of The Sinuses 20’s ₱14,700.00 56 Racecadotril 100mg Anti-diarrhea 20’s ₱16,500.00 57 Rosuvastatin 20mg (scored) Treatment Of Hypercholesterolemia 30’s ₱90,000.00 58 Sitagliptin + Metformin 50mg/500mg Anti Diabetic 28’s ₱22,400.00 59 Sitagliptin + Metformin 100mg/1g Anti-diabetic 28’s ₱16,800.00 60 Sodium Alginate/sodium Bicarbonate/calcium Carbonate 500mg/267mg/160mg 10ml Antacid 24’s ₱12,000.00 61 Telmisartan 40mg (scored) Angiotensin Ii 30’s ₱13,800.00 62 Teneligliptin 20mg Anti-diabetic 30’s ₱9,000.00 63 Trimetazidine Dihydrochloride Mr 35mg Anti-angina 30’s ₱12,000.00 64 Valsartan + Amlodipine 80mg/5mg Anti-hypertensive 30’s ₱13,800.00 65 Valsartan + Sacubitril 25.7mg/24.3mg Anti-hypertensive 28’s ₱47,600.00 66 Vildagliptin 50mg Anti-diabetic 28’s ₱14,700.00 67 Vildagliptin + Metformin 50mg/500mg Anti-diabetic 30’s ₱22,200.00 *the Abc Is Understood To Be The Ceiling Price; Offers Must Not Exceed The Abc Provided. The Quotation Duly Signed By You Or Your Duly Authorized Representative, Accompanied By Required Forms, Shall Be Submitted Not Later Than February 4, 2025; 11:00 Am At The Address Indicated Below: Atty. Joshua Felino Julian F. Dulce Secretariat, Bids And Awards Committee (bac) 1st Floor, Annex Vi Building Court Of Appeals Ma. Orosa St., Ermita, Manila Bacsecretariat.ca@judiciary.gov.ph Only One (1) Set Of Documents Shall Be Required. To Protect The Integrity Of The Quotation, Bidders Are Encouraged To Submit Their Documents In A Sealed Envelope Or In A Compressed Archived Password-protected Envelope In Case Of Electronic Submission. The Sealed Envelope Shall Contain The Name Of The Contract To Be Bid In Capital Letters And Bear The Name And Address Of The Supplier In Capital Letters. Quotations And Other Documents Required May Either Be Submitted Manually At 3rd Floor Office Of The Bac Secretariat, Centennial Building, Court Of Appeals, Ermita, Manila Or Electronically To Bacsecretariat.ca@judiciary.gov.ph On Or Before The Deadline Of Submission As Stated In This Rfq. In Case Of Modification, It Must Be Done Before The Deadline For The Submission And Receipt Of Quotations And Labelled As A “modification”. The Time Stamped Or Indicated In The Latest Proposal Received Shall Be The Official Time Of Submission. The Bac Shall Assume No Responsibility For The Misplacement Of The Contents Of The Improperly Sealed Or Marked Bid, Or Submission Of Corrupted Files, Or For Its Premature Opening. Late Submission Of Quotations Shall Not Be Accepted And Considered. Sgd. Atty. Arnel D. Macapagal Assistant Clerk Of Court Chairperson, Bids And Awards Committee The Price Quotation Form (annex “a”) Shall Be Submitted On Or Before The Deadline For Submission And Receipt Of Quotation. The Eligibility Requirements May Be Submitted Together With The Price Quotation Form, Or Not Later Than Two (2) Days From Receipt Of Notice From The Bac Secretariat Requiring The Submission Thereof. No Requirements Instruction 1 Price Quotation Form (annex “a”) Must Indicate The Unit And Total Price. Must Indicate The Required Information. Must Be Duly Signed By The Authorized Representative. 2 Mayor’s Permit For The Year 2025 Must Be Valid For The Year 2025. A Recently Expired Mayor’s Permit Together With The Official Receipt As Proof That The Prospective Bidder Has Applied For Renewal Within The Period Prescribed By The Concerned Local Government Unit Shall Be Accepted. 3 Philgeps Registration Number Submit Proof Of Registration (picture Or Screenshot Of Philgeps Registration On The Website) 4 Omnibus Sworn Statement (oss) (annex “b”) And If Applicable, Original Notarized Secretary’s Certificate In Case Of A Corporation, Partnership, Or Cooperative; Special Power Of Attorney In Case Of Sole Proprietorship; Or Original Special Power Of Attorney Of All Members Of The Joint Venture Giving Full Power And Authority To Its Officer To Sign The Oss And Do Acts To Represent The Bidder. The Requirement For The Submission Of The Oss Applies To Items With A Value Of Fifty Thousand Pesos (₱50,000.00) And Above. Ensure That There Are Eleven (11) Declarations. Indicate Required Information. Attach Competent Evidence Of Identification (valid Government-issued Id. The Use Of Cedula Is Not Acceptable). Must Be Duly Notarized And Signed. Terms And Conditions: 1. Bidders Shall Provide Correct And Accurate Information Required In This Form. 2. Any Interlineations, Erasures, Or Overwriting Shall Be Valid Only If They Are Signed Or Initialed By You Or Any Of Your Duly Authorized Representative/s. 3. Price Quotations/s Must Be Valid For A Period Of Forty-five (45) Calendar Days From The Deadline Of Submission. 4. Quotations Exceeding The Abc Or Submitted Beyond The Deadline Shall Be Rejected. 5. Price Quotation/s — To Be Denominated In Philippine Peso — Shall Include All Taxes, Duties, And/or Applicable Discounts, If Any. 6. Award Of Contract Shall Be Made To The Lowest Quotation Which Complies With The Technical Specifications, Requirements And Other Terms And Conditions Stated Herein. 7. In Case Two Or More Bidders Are Determined To Have Submitted The Lowest Calculated And Responsive Quotation, The Court Of Appeals Shall Adopt And Employ “draw Lots” As The Tiebreaking Method To Finally Determine The Winning Bidder In Accordance With Gppb Circular No. 06-2005. 8. The Item/s Shall Be Delivered According To The Accepted Offer Of The Bidder. 9. The Court Of Appeals May Cancel Or Terminate The Contract At Any Time Under Any Of The Grounds Provided Under Ra No. 9184 And Its 2016 Revised Irr. 10. The Rfq, Purchase Order (contract), And Other Related Documents To The Above Stated Procurement Project Shall Be Deemed To Form Part Of The Contract. 11. The Notice Of Award, Letter Order, And Notice To Proceed Are Deemed Received As Of The Date Of Their Transmittal To The Winning Bidder’s Official Email Address. Hence, The Relevant Periods Under Ra No. 9184 And Its Irr, And The Rfq Shall Commence From Receipt Thereof. 12. Liquidated Damages Equivalent To One-tenth Of One Percent (0.1%) Of The Value Of The Goods Not Delivered Within The Prescribed Delivery Period Shall Be Imposed Per Day Of Delay. The Court Of Appeals May Terminate The Contract Once The Cumulative Amount Of Liquidated Damages Reaches Ten Percent (10%) Of The Amount Of The Contract, Without Prejudice To Other Courses Of Action And Remedies Open To It. 13. Payment Shall Be Made After Delivery And Only Upon The Submission Of The Required Supporting Documents, I.e. Delivery Receipt And Sales Invoice Or Official Receipt, By The Supplier, Contractor, Or Consultant Within Thirty (30) Calendar Days. In Case Of Accounts Maintained In Banks Other Than Landbank Of The Philippines, Bank Transfer Fees Shall Be Chargeable Against The Creditor’s Account. 14. For Payment Purposes, The Awarded Service Provider, Supplier, Or Consultant Is Required To Submit A Certified Copy Of Its Tax Clearance Certificate For Final Settlement Of Government Contracts And Bir Certificate Of Registration Or Bir Form 2303 In Accordance With Relevant Revenue Regulations. Annex "a" Price Quotation Form Date: _____________ The Chairperson, Bids And Awards Committee Court Of Appeals Ma. Orosa St., Ermita, Manila Sir: Having Examined The Request For Quotation No. Amp-010-25 (svp) The Receipt Of Which Is Hereby Duly Acknowledged, The Undersigned Offers The “supply And Delivery Of Various Medicines For The 1st Quarter For The Court Of Appeals”, In Conformity With The Said Request For Quotation For The Sums Stated Hereunder: Item No. Item Description Qty Unit Price Total Price 1 Acetylcysteine 600mg Mucolytic 10’s 300 Pcs 2 Amlodipine Besilate 5mg 100’s (scored) Calcium Antagonist/anti-hypertensive 4,000 Pcs 3 Amoxicillin Trihydrate 500mg Antibiotic 100’s 200 Pcs 4 Atorvastatin 40mg 100’s (scored) Treatment Of Hypercholesterolemia 2,000 Pcs 5 Azithromycin 500mg Antibiotic 30’s 300 Pcs 6 Betahistine Mesylate 12 Mg Anti-vertigo 100’s 300 Pcs 7 Betahistine Hydrochloride 24 Mg Anti-vertigo 100’s 300 Pcs 8 Bilastine 20mg Anti-allergy 30’s 300 Pcs 9 Butamirate Citrate 50mg Antitussive 30’s 300 Pcs 10 Celecoxib 200mg Non-steroidal Anti-inflammatory 100’s 300 Pcs 11 Ciprofloxacin 500mg Antibiotic 100’s 100 Pcs 12 Clarithromycin Od 500mg Antibiotic 5’s 200 Pcs 13 Clindamycin 300mg Antibiotic 100’s 100 Pcs 14 Clopidogrel 75mg Anti Thrombotic 100’s 1,500 Pcs 15 Cloxacillin 500mg Antibiotic 100’s 100 Pcs 16 Co Amoxiclav 625mg Antibiotic 20’s 900 Pcs 17 Dapagliflozin 10mg Anti Diabetic 28’s 420 Pcs 18 Dextromethorphan15mg/ Guaifenesin 50mg/ Chlorphenamine 1mg/ Paracetamol 325mg/ Phenylpropanolamine Hcl 30mg For Cough And Colds 100’s 300 Pcs 19 Domperidone 10mg Prokinetic 100’s 300 Pcs 20 Doxycycline 100mg Antibiotic 100’s 200 Pcs 21 Ebastine 20mg Anti-allergy 50’s 300 Pcs 22 Ebastine + Betamethasone 10mg/ 500mg – Anti-allergy 50’s 200 Pcs 23 Empagliflozin + Metformin 12.5/500mg Antidiabetic 30’s 600 Pcs 24 Esomeprazole 40mg Anti-ulcerant 100’s 600 Pcs 25 Etoricoxib 60mg Non-steroidal / Anti-inflammatory 30’s 450 Pcs 26 Febuxostat 40mg For Treatment Of Hyperuricemia 30’s 600 Pcs 27 Gliclazide Mr 30mg Anti-diabetic 100’s 1,200 Pcs 28 Glimepiride 2mg Anti-diabetic 30’s 300 Pcs 29 Glucosamine Sulfate Powder For Oral Solution 1.5g – Osteoarthritis 30’s 450 Pcs 30 Glucosamine + Chondroitin Sulfate 500mg/300mg – Osteoarthritis 60’s 900 Pcs 31 Hyoscine N Butylbromide 10mg Anti Spasmodic 100’s 200 Pcs 32 Irbesartan 150mg (scored) Angiotensin Ii Antagonist 30’s 1,200 Pcs 33 Irbesartan + Amlodipine 150mg/5mg Anti-hypertensive 28’s 560 Pcs 34 Ketoanalogues + Essential Amino Acids Renal Nutrition Therapy 100’s 300 Pcs 35 Levofloxacin 500mg Antibiotic 100’s 200 Pcs 36 Loperamide 2mg Anti-diarrhea 100’s 100 Pcs 37 Losartan Potassium 50mg Angiotensin Ii Antagonist 100’s 2,500 Pcs 38 Losartan Potassium 100mg Angiotensin Ii Antagonist 100’s 200 Pcs 39 Losartan Potassium + Amlodipine 100’s 50mg/5mg Angiotensin Ii Antogonist 1,200 Pcs 40 Losartan + Hydrochlorothiazide 50mg/12.5mg Angiotensin Ii Receptor Blocker / Diuretic 100’s 200 Pcs 41 Mefenamic Acid 500mg Analgesic 100’s 300 Pcs 42 Metformin Hydrochchloride 500mg Anti-diabetic 100’s 2,500 Pcs 43 Metformin Hydrochloride 1000mg Xr Anti Diabetic 100’s 600 Pcs 44 Metoprolol 100mg Beta Adrenoceptor Blocker 100’s 200 Pcs 45 Metronidazole 500mg Amoebicide / Anti-protozoal 100’s 100 Pcs 46 Montelukast 10mg Anti Asthmatic 30’s 200 Pcs 47 Montelukast + Levocetirizine 30’s 10mg/5mg Anti-asthmatic/anti-allergy 600 Pcs 48 Nebivolol 5mg (scored) Beta Adrenoceptor Blocker 30’s 1,500 Pcs 49 Olmesartan + Amlodipine Besilate 40mg/5mg Anti-hypertensive 30’s 600 Pcs 50 Oral Rehydration Salts Powder 5.575g For Replacement Of Electrolyte Losses 25’s 100 Pcs 51 Paracetamol 500mg Analgesic 100’s 500 Pcs 52 Paracetamol + Orphenadrine 650mg +50mg Muscle Relaxant 30’s 450 Pcs 53 Paracetamol + Tramadol 325mg +37.5mg Analgesic 20’s 300 Pcs 54 Pioglitazone 30mg Anti-diabetic 30’s 900 Pcs 55 Plant Extracts Forte – Herbal Ethanolic Mixture – For Acute And Chronic Inflammation Of The Sinuses 20’s 700 Pcs 56 Racecadotril 100mg Anti-diarrhea 20’s 300 Pcs 57 Rosuvastatin 20mg (scored) Treatment Of Hypercholesterolemia 30’s 6,000 Pcs 58 Sitagliptin + Metformin 50mg/500mg Anti Diabetic 28’s 700 Pcs 59 Sitagliptin + Metformin 100mg/1g Anti-diabetic 28’s 280 Pcs 60 Sodium Alginate/sodium Bicarbonate/calcium Carbonate 500mg/267mg/160mg 10ml Antacid 24’s 240 Pcs 61 Telmisartan 40mg (scored) Angiotensin Ii 30’s 600 Pcs 62 Teneligliptin 20mg Anti-diabetic 30’s 300 Pcs 63 Trimetazidine Dihydrochloride Mr 35mg Anti-angina 30’s 1,200 Pcs 64 Valsartan + Amlodipine 80mg/5mg Anti-hypertensive 30’s 600 Pcs 65 Valsartan + Sacubitril 25.7mg/24.3mg Anti-hypertensive 28’s 280 Pcs 66 Vildagliptin 50mg Anti-diabetic 28’s 420 Pcs 67 Vildagliptin + Metformin 50mg/500mg Anti-diabetic 30’s 600 Pcs Total Price In Figures: Total Price In Words: _________________________ Signature Over Printed Name _________________________ Position/designation _________________________ Office Telephone/mobile Nos. _________________________ Email Address After Having Carefully Read And Accepted The Above-mentioned Instructions And Terms And Conditions, I/we Submit Our Quotations For The Items/s As Follows: Technical Specifications Must Comply With The Following Minimum Requirements: Supply And Delivery Of Various Medicines For The 1st Quarter For The Court Of Appeals I. Requirements: The Approved Budget For The Contract (abc), Inclusive Of All Applicable Taxes And Charges For Each Item, Is Indicated Below, And The Supplier Shall Supply And Deliver The Specified Requirements. Item No. Item Description Abc Qty 1 Acetylcysteine 600mg Mucolytic 10’s ₱7,500.00 300 Pcs 2 Amlodipine Besilate 5mg 100’s (scored) Calcium Antagonist/anti-hypertensive ₱28,000.00 4,000 Pcs 3 Amoxicillin Trihydrate 500mg Antibiotic 100’s ₱2,000.00 200 Pcs 4 Atorvastatin 40mg 100’s (scored) Treatment Of Hypercholesterolemia ₱30,000.00 2,000 Pcs 5 Azithromycin 500mg Antibiotic 30’s ₱27,000.00 300 Pcs 6 Betahistine Mesylate 12 Mg Anti-vertigo 100’s ₱10,500.00 300 Pcs 7 Betahistine Hydrochloride 24 Mg Anti-vertigo 100’s ₱19,500.00 300 Pcs 8 Bilastine 20mg Anti-allergy 30’s ₱9,000.00 300 Pcs 9 Butamirate Citrate 50mg Antitussive 30’s ₱7,500.00 300 Pcs 10 Celecoxib 200mg Non-steroidal Anti-inflammatory 100’s ₱4,500.00 300 Pcs 11 Ciprofloxacin 500mg Antibiotic 100’s ₱2,000.00 100 Pcs 12 Clarithromycin Od 500mg Antibiotic 5’s ₱20,000.00 200 Pcs 13 Clindamycin 300mg Antibiotic 100’s ₱4,000.00 100 Pcs 14 Clopidogrel 75mg Anti Thrombotic 100’s ₱15,000.00 1,500 Pcs 15 Cloxacillin 500mg Antibiotic 100’s ₱1,000.00 100 Pcs 16 Co Amoxiclav 625mg Antibiotic 20’s ₱28,800.00 900 Pcs 17 Dapagliflozin 10mg Anti Diabetic 28’s ₱21,000.00 420 Pcs 18 Dextromethorphan15mg/ Guaifenesin 50mg/ Chlorphenamine 1mg/ Paracetamol 325mg/ Phenylpropanolamine Hcl 30mg For Cough And Colds 100’s ₱5,100.00 300 Pcs 19 Domperidone 10mg Prokinetic 100’s ₱4,500.00 300 Pcs 20 Doxycycline 100mg Antibiotic 100’s ₱3,000.00 200 Pcs 21 Ebastine 20mg Anti-allergy 50’s ₱10,500.00 300 Pcs 22 Ebastine + Betamethasone 10mg/ 500mg – Anti-allergy 50’s ₱7,600.00 200 Pcs 23 Empagliflozin + Metformin 12.5/500mg Antidiabetic 30’s ₱30,000.00 600 Pcs 24 Esomeprazole 40mg Anti-ulcerant 100’s ₱21,000.00 600 Pcs 25 Etoricoxib 60mg Non-steroidal / Anti-inflammatory 30’s ₱27,000.00 450 Pcs 26 Febuxostat 40mg For Treatment Of Hyperuricemia 30’s ₱21,000.00 600 Pcs 27 Gliclazide Mr 30mg Anti-diabetic 100’s ₱12,000.00 1,200 Pcs 28 Glimepiride 2mg Anti-diabetic 30’s ₱5,100.00 300 Pcs 29 Glucosamine Sulfate Powder For Oral Solution 1.5g – Osteoarthritis 30’s ₱27,000.00 450 Pcs 30 Glucosamine + Chondroitin Sulfate 500mg/300mg – Osteoarthritis 60’s ₱18,000.00 900 Pcs 31 Hyoscine N Butylbromide 10mg Anti Spasmodic 100’s ₱3,000.00 200 Pcs 32 Irbesartan 150mg (scored) Angiotensin Ii Antagonist 30’s ₱18,000.00 1,200 Pcs 33 Irbesartan + Amlodipine 150mg/5mg Anti-hypertensive 28’s ₱21,280.00 560 Pcs 34 Ketoanalogues + Essential Amino Acids Renal Nutrition Therapy 100’s ₱11,400.00 300 Pcs 35 Levofloxacin 500mg Antibiotic 100’s ₱4,400.00 200 Pcs 36 Loperamide 2mg Anti-diarrhea 100’s ₱500.00 100 Pcs 37 Losartan Potassium 50mg Angiotensin Ii Antagonist 100’s ₱32,500.00 2,500 Pcs 38 Losartan Potassium 100mg Angiotensin Ii Antagonist 100’s ₱3,200.00 200 Pcs 39 Losartan Potassium + Amlodipine 100’s 50mg/5mg Angiotensin Ii Antogonist ₱20,400.00 1,200 Pcs 40 Losartan + Hydrochlorothiazide 50mg/12.5mg Angiotensin Ii Receptor Blocker / Diuretic 100’s ₱2,600.00 200 Pcs 41 Mefenamic Acid 500mg Analgesic 100’s ₱1,800.00 300 Pcs 42 Metformin Hydrochchloride 500mg Anti-diabetic 100’s ₱17,500.00 2,500 Pcs 43 Metformin Hydrochloride 1000mg Xr Anti Diabetic 100’s ₱10,800.00 600 Pcs 44 Metoprolol 100mg Beta Adrenoceptor Blocker 100’s ₱1,400.00 200 Pcs 45 Metronidazole 500mg Amoebicide / Anti-protozoal 100’s ₱1,500.00 100 Pcs 46 Montelukast 10mg Anti Asthmatic 30’s ₱2,400.00 200 Pcs 47 Montelukast + Levocetirizine 30’s 10mg/5mg Anti-asthmatic/anti-allergy ₱12,000.00 600 Pcs 48 Nebivolol 5mg (scored) Beta Adrenoceptor Blocker 30’s ₱37,500.00 1,500 Pcs 49 Olmesartan + Amlodipine Besilate 40mg/5mg Anti-hypertensive 30’s ₱16,800.00 600 Pcs 50 Oral Rehydration Salts Powder 5.575g For Replacement Of Electrolyte Losses 25’s ₱1,300.00 100 Pcs 51 Paracetamol 500mg Analgesic 100’s ₱3,500.00 500 Pcs 52 Paracetamol + Orphenadrine 650mg +50mg Muscle Relaxant 30’s ₱9,900.00 450 Pcs 53 Paracetamol + Tramadol 325mg +37.5mg Analgesic 20’s ₱6,900.00 300 Pcs 54 Pioglitazone 30mg Anti-diabetic 30’s ₱19,800.00 900 Pcs 55 Plant Extracts Forte – Herbal Ethanolic Mixture – For Acute And Chronic Inflammation Of The Sinuses 20’s ₱14,700.00 700 Pcs 56 Racecadotril 100mg Anti-diarrhea 20’s ₱16,500.00 300 Pcs 57 Rosuvastatin 20mg (scored) Treatment Of Hypercholesterolemia 30’s ₱90,000.00 6,000 Pcs 58 Sitagliptin + Metformin 50mg/500mg Anti Diabetic 28’s ₱22,400.00 700 Pcs 59 Sitagliptin + Metformin 100mg/1g Anti-diabetic 28’s ₱16,800.00 280 Pcs 60 Sodium Alginate/sodium Bicarbonate/calcium Carbonate 500mg/267mg/160mg 10ml Antacid 24’s ₱12,000.00 240 Pcs 61 Telmisartan 40mg (scored) Angiotensin Ii 30’s ₱13,800.00 600 Pcs 62 Teneligliptin 20mg Anti-diabetic 30’s ₱9,000.00 300 Pcs 63 Trimetazidine Dihydrochloride Mr 35mg Anti-angina 30’s ₱12,000.00 1,200 Pcs 64 Valsartan + Amlodipine 80mg/5mg Anti-hypertensive 30’s ₱13,800.00 600 Pcs 65 Valsartan + Sacubitril 25.7mg/24.3mg Anti-hypertensive 28’s ₱47,600.00 280 Pcs 66 Vildagliptin 50mg Anti-diabetic 28’s ₱14,700.00 420 Pcs 67 Vildagliptin + Metformin 50mg/500mg Anti-diabetic 30’s ₱22,200.00 600 Pcs Other Requirements To Be Submitted During The Opening Of Bids, Arranged, Numbered, And Tabbed As Enumerated Below: 1. Valid And Current License To Operate Issued By Philippine Food And Drug Administration (fda); 2. Current Certificate Of Good Manufacturing Practice (cgmp) Or Iso Certification Or Dti Certification For Philippine Made Products; 3. Valid And Current Certificate Of Product Registration (cpr) Issued By Fda; 4. The Bidder Shall Submit Any Of The Following Whichever Is Applicable: A. If The Bidder Is A Manufacturer, Certificate That The Bidder Manufactures The Product/item; Or B. If The Bidder Is An Exclusive/authorized Distributor Or Dealer Of The Products/item, Exclusive/authorized Distributor Certificate From The Manufacturer; Or C. If The Bidder Is An Agent Of The Exclusive/authorized Distributor Or Dealer, The Following Must Be Provided: I. Certificate Of Distributor/dealership Agreement By The Manufacturer With The Exclusive/authorized Distributor Or Dealer; And Ii. Certification Or Contract/dealership Agreement Between The Exclusive/authorized Distributor Or Dealer And The Bidder. 5. Electronic Drug Price Monitoring System (edpms) Compliance Certificate Of The Supplier ; 6. Product Recall And Disposal: The Supplier Must Ensure The Quality Of Products And If There Will Be Problems In The Quality, The Supplier Will Recall And Replace The Products Distributed To The Court Of Appeals Based On Guidelines On Product Recall, Fda Circular No. 2016-012; And 7. After Sales: The Supplier Shall Replace The Defective/damaged Drugs And Medicines Due To Delivery Inspection Parts Thereof, Without Costs To The Procuring Entity Within (15 Days) Upon Notice Of Such Defect/damage. Delivery Requirements: Upon Delivery The Following Shall Be Complied With: 1. Shelf Life: Drugs Must Be Fresh Commercial Stock With A Total Shelf Life Of Twenty-four (24) Months From The Date Of Manufacture But Not Less Than Eighteen (18) Months From The Date Of Inspection And Acceptance. Drugs And Medicines Not Consumed Shall Be Replaced Six (6) Months Prior To Expiry By The Supplier Upon Notice From The Procuring Entity Without Additional Cost To The Procuring Entity. In Case Where There Is An Immediate Use/need Of Drugs And Medicines, The Acceptable Shelf Life May Be Less Than The Minimum As Stated Above, Provided That The Remaining Shelf Life Of The Product Shall Not Be Less Than Twelve (12) Months. Provided Further That The Supplier Will Issue A Guarantee Letter Stating That The Remaining Stocks Shall Be Replaced Six (6) Months Before The Expiration Date Without Additional Cost To The Procuring Entity. 2. Packaging Instructions: To Follow Standard Packaging Of The Manufacturer. 3. Labeling Instructions: Standard Labeling As Approved By Pfda Pursuant To Administrative Order (ao) No. 2016- 0008. 4. Other Requirement: The Winning Bidder Shall Provide And Submit The Following Upon Delivery Of Drugs And Medicines: I. A Certified True Copy Of A Valid Certificate Of Analysis From The Manufacturer, Specific To The Batch Of Drugs And Medicines To Be Delivered; And Ii. Batch Notification, Lot Release Certification From Fda, Or Its Equivalent, As Required By Fda For Specific Drugs And Medicines. Ii. Terms Of Payment: Payment Shall Be Made After Delivery And Only Upon The Submission Of The Required Supporting Documents, I.e. Delivery Receipt And Sales Invoice Or Official Receipt, By The Supplier, Contractor, Or Consultant Within Thirty (30) Calendar Days. In Case Of Accounts Maintained In Banks Other Than Landbank Of The Philippines, Bank Transfer Fees Shall Be Chargeable Against The Creditor’s Account. Payment Details: Banking Institution: ________________________________________________ Account Number: __________________________________________________ Account Name (should Be The Exact Account Name As Registered In The Bank): ________________________________________________________________ Bank Branch: _____________________________________________________ Iii. Delivery Address: Court Of Appeals, Ma. Orosa St., Ermita, Manila By Affixing My Signature Below, I Am Confirming Our Compliance With The Technical Specifications/terms Of Reference Stated Above. I Further Certify That Such Compliance Is True And Correct; Otherwise, If Found To Be False Either During The Bid Evaluation Or Post-qualification, The Same Shall Give Rise To Automatic Disqualification Of Our Bid. We Undertake, If Our Quotation Is Accepted, To Perform The Services/deliver The Goods In Accordance With The Schedule Of Requirements And Technical Specifications. Until A Formal Contract Is Prepared And Executed, This Quotation, Together With Your Written Acceptance Thereof And Your Notice Of Award, Shall Be Binding Upon Us. We Understand That You Are Not Bound To Accept The Lowest Or Any Quotation You May Receive. Date Company Name Authorized Representative Name/signature Address Official Contact Number ________________________ Email Address Annex “b” Omnibus Sworn Statement (revised) Republic Of The Philippines ) City/municipality Of ______ ) S.s. Affidavit I, [name Of Affiant], Of Legal Age, [civil Status], [nationality], And Residing At [address Of Affiant], After Having Been Duly Sworn In Accordance With Law, Do Hereby Depose And State That: 1. [select One, Delete The Other:] [if A Sole Proprietorship:] I Am The Sole Proprietor Or Authorized Representative Of [name Of Bidder] With Office Address At [address Of Bidder]; [if A Partnership, Corporation, Cooperative, Or Joint Venture:] I Am The Duly Authorized And Designated Representative Of [name Of Bidder] With Office Address At [address Of Bidder]; 2. [select One, Delete The Other:] [if A Sole Proprietorship:] As The Owner And Sole Proprietor, Or Authorized Representative Of [name Of Bidder], I Have Full Power And Authority To Do, Execute And Perform Any And All Acts Necessary To Participate, Submit The Bid, And To Sign And Execute The Ensuing Contract For [name Of The Project] Of The [name Of The Procuring Entity], As Shown In The Attached Duly Notarized Special Power Of Attorney; [if A Partnership, Corporation, Cooperative, Or Joint Venture:] I Am Granted Full Power And Authority To Do, Execute And Perform Any And All Acts Necessary To Participate, Submit The Bid, And To Sign And Execute The Ensuing Contract For [name Of The Project] Of The [name Of The Procuring Entity], As Shown In The Attached [state Title Of Attached Document Showing Proof Of Authorization (e.g., Duly Notarized Secretary’s Certificate, Board/partnership Resolution, Or Special Power Of Attorney, Whichever Is Applicable;)]; 3. [name Of Bidder] Is Not “blacklisted” Or Barred From Bidding By The Government Of The Philippines Or Any Of Its Agencies, Offices, Corporations, Or Local Government Units, Foreign Government/foreign Or International Financing Institution Whose Blacklisting Rules Have Been Recognized By The Government Procurement Policy Board, By Itself Or By Relation, Membership, Association, Affiliation, Or Controlling Interest With Another Blacklisted Person Or Entity As Defined And Provided For In The Uniform Guidelines On Blacklisting; 4. Each Of The Documents Submitted In Satisfaction Of The Bidding Requirements Is An Authentic Copy Of The Original, Complete, And All Statements And Information Provided Therein Are True And Correct; 5. [name Of Bidder] Is Authorizing The Head Of The Procuring Entity Or Its Duly Authorized Representative(s) To Verify All The Documents Submitted; 6. [select One, Delete The Rest:] [if A Sole Proprietorship:] The Owner Or Sole Proprietor Is Not Related To The Head Of The Procuring Entity, Members Of The Bids And Awards Committee (bac), The Technical Working Group, And The Bac Secretariat, The Head Of The Project Management Office Or The End-user Unit, And The Project Consultants By Consanguinity Or Affinity Up To The Third Civil Degree; [if A Partnership Or Cooperative:] None Of The Officers And Members Of [name Of Bidder] Is Related To The Head Of The Procuring Entity, Members Of The Bids And Awards Committee (bac), The Technical Working Group, And The Bac Secretariat, The Head Of The Project Management Office Or The End-user Unit, And The Project Consultants By Consanguinity Or Affinity Up To The Third Civil Degree; [if A Corporation Or Joint Venture:] None Of The Officers, Directors, And Controlling Stockholders Of [name Of Bidder] Is Related To The Head Of The Procuring Entity, Members Of The Bids And Awards Committee (bac), The Technical Working Group, And The Bac Secretariat, The Head Of The Project Management Office Or The End-user Unit, And The Project Consultants By Consanguinity Or Affinity Up To The Third Civil Degree; 7. [name Of Bidder] Complies With Existing Labor Laws And Standards; 8. [name Of Bidder] Is Aware Of And Has Undertaken The Responsibilities As A Bidder In Compliance With The Philippine Bidding Documents, Which Includes: A. Carefully Examining All Of The Bidding Documents; B. Acknowledging All Conditions, Local Or Otherwise, Affecting The Implementation Of The Contract; C. Making An Estimate Of The Facilities Available And Needed For The Contract To Be Bid, If Any; And D. Inquiring Or Securing Supplemental/bid Bulletin(s) Issued For The [name Of The Project]. 9. [name Of Bidder] Did Not Give Or Pay Directly Or Indirectly, Any Commission, Amount, Fee, Or Any Form Of Consideration, Pecuniary Or Otherwise, To Any Person Or Official, Personnel Or Representative Of The Government In Relation To Any Procurement Project Or Activity; 10. In Case Advance Payment Was Made Or Given, Failure To Perform Or Deliver Any Of The Obligations And Undertakings In The Contract Shall Be Sufficient Grounds To Constitute Criminal Liability For Swindling (estafa) Or The Commission Of Fraud With Unfaithfulness Or Abuse Of Confidence Through Misappropriating Or Converting Any Payment Received By A Person Or Entity Under An Obligation Involving The Duty To Deliver Certain Goods Or Services, To The Prejudice Of The Public And The Government Of The Philippines Pursuant To Article 315 Of Act No. 3815 S. 1930, As Amended, Or The Revised Penal Code; 11. [name Of Bidder] Hereby Assigns The Following Contact Number/s And E-mail Address/es As The Official Telephone/fax Number And Contact Reference Of The Company Where The Ps Bac And Ps Notices May Be Transmitted. Telephone No/s.: ________________________________ Fax No/s.: ________________________________ E-mail Add/s.: ________________________________ Mobile No.: ________________________________ It Is Understood That Notices/s Transmitted In Any Of The Above-stated Telephone/fax Numbers And/or E-mail Address/es Are Deemed Received As Of Its Transmittal And The Reckoning Period For The Reglementary Periods Stated In The Bidding Documents And The 2016 Revised Implementing Rules And Regulations Of Republic Act No. 9184 Shall Commence From Receipt Thereof. In Witness Whereof, I Have Hereunto Set My Hand This __ Day Of ___, 20__ At ____________, Philippines. _____________________________________ Bidder’s Representative/authorized Signatory Subscribed And Sworn To Before Me This ___ Day Of [month] [year] At [place Of Execution], Philippines. Affiant/s Known To Me, And Known To Be The Same Person/s In The Exhibited [insert Type Of Government Identification Card Used*], With His/her Photograph And Signature Appearing Thereon, With No.________________________ Issued On ______________________ At ____________________. Witness My Hand And Seal This ___ Day Of [month] [year]. Name Of Notary Public Serial No. Of Commission ___________ Notary Public For ______ Until _______ Roll Of Attorney's No. _____________ Ptr No. _______ [date Issued], [place Issued] Ibp No. _______ [date Issued], [place Issued] Doc. No. ______ Page No. ______ Book No. _____ Series Of _____. Please See The Attached File.