Municipality Of Sibulan, Negros Oriental Tender

Description Local Government Unit Of Sibulan Project Reference Number ______________________ Negros Oriental Name Of The Project ___________________________ Location Of The Project _________________________ Standard Form Number Sf-good-60 Revised On May 24, 2004 Standard Form Title: Request For Quotation Date _____________________________ Quotation No. _____________________ ________________________________ ________________________________ Please Quote Your Lowest Price On The Item/s Listed Below, Subject To The General Conditions On The Last Page, Stating The Shortest Time Of Delivery And Submit Your Quotation Duly Signed By Your Representative Later Than _________________________ In The Return Envelope Attached Herewith. Jan S. Arco, Rn, Md Procurement Officer Note: 1. All Entries Must Be Typewritten. 2. Delivery Period Within ______ Calendar Days. 3. Warranty Shall Be For A Period Of Six Months For Supplies And Materials, One (1) Year Or Equipment From The Date Of Acceptance By The Procuring Entity. 4. Price Validity Shall Be For A Period Of _______ Calendar Days. 5. G-eps Registration Certification Shall Be Attached Upon Submission Of The Quotation. 6. Bidders Shall Submit Original Brochures Showing Certifications Of The Product Being Offered. Item No. Item Description Qty./unit Unit Price 1 Povidone Iodine (antiseptic) 10% Solution 7/gallon 2 Micropore Plaster 1x10 Inches (3m Green) 4/boxes 3 Gauze Pads 4x4 Ply 20/box 4 Cotton Roll 10/roll 5 70% Ethyl Alcohol 5/gallon 6 Lysol Disinfectant Concentrate 3/gallon 7 Surgical Gloves, 6.5 With Free Powder 10/box 8 Clean Gloves (medium) With Free Powder 5/box 9 Clean Gloves (large) With Free Powder 5/box 10 Umbilical Cord Clamp (brown) 150/piece 11 O2 Cannula (adult) 50/piece 12 O2 Cannula (pedia) 10/piece 13 Ky Jelly (not Water Based) 20/tube 14 Autoclave Tape 10/piece 15 Silk Suture No. 3 8/box 16 Room Thermometer (non-mercurial) 2/piece 17 Surgical Gloves, 7.5 With Free Powder 2/box 18 Surgical Gloves, 7.5 With Free Powder 2/box 19 Sterile Cotton Pledgets 4/box 20 Suction Catheter For Pedia Fr 5 20/piece 21 Lubricant (water Based) 4/tube 22 Oxytocin 10 Units Per Ampule 10/box 23 Vitamin K Ampule 10/box 24 D5lr Or Plain Lr (1 Liter) 5/bottle 25 Plain Nss (1 Liter) 10/bottle 26 Syringes With Needles 1 Cc 3/box 27 Syringes With Needles 3 Cc 3/box 28 Foley Catheter 10/piece 29 Kelly Pad 3/piece 30 Kelly Forceps/curve Or Straight 6/piece 31 Kidney Basin 6/piece 32 Needle Holder (8 Inches) 6/piece 33 Thumb Forcep 6/piece 34 Tissue Forcep (with Teeth) 2/piece 35 Umbilical Cord Scissors 6/piece 36 Bandage Scissors 3/piece Charged To Omoe-medical, Dental And Laboratory Supplies Abc: P105,480.00 Brand And Mode : ________________________ Delivery Period : ________________________ Warranty : ________________________ Price Validity : ________________________ 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./cell Phone No. _________________________________ Canvassed By: Gm Theophilus R. Yayong Date: __________________________