Province Of Iloilo Tender

Description Price Schedule / Bid Tender Name Of Bidder: _____________________________________________ Bid No.: Adh-22-1275-b(rebid) Complete Bid / Partial Bid 1 2 3 4 5 6 7 8 9 10 11 12 Item Description Quantity Unit Estimated Unit Cost Brand Name (indicate Model Number If Equipment) (indicate N/a If No Brand) Unit Price Per Item Transportation And All Other Costs Incidental To Delivery, Per Item Sales And Other Taxes Payable If Contract Is Awarded, Per Item Cost Of Incidental Services, If Applicable, Per Item Total Unit Price (col 7+8+9+10) Total Price Delivered Final Destination (col 11) X (col 3) 1 Amiodarone (as Hydrochloride) 50mg/ml, 3ml Ampul (iv) 10 Ampule ₱321.25 2 Bupivacaine (as Hydrochloride) 0.5% 4ml Ampul (spinal) With 8% Dextrose 50 Ampule ₱350.00 3 Chlorphenamine (chlopheniramine) (as Maleate) 10mg/ml, 1ml Ampul/vial (im,iv) 200 Ampule ₱12.00 4 Dexamethasone 5mg/ml, 1ml Ampul (im, Iv) (as Sodium Phosphate) 1000 Ampule ₱104.89 5 Digoxin 250 Micrograms/ml, 2ml Ampul (im,iv) 50 Ampule ₱210.00 6 Diphenhydramine (as Hydrochloride) 50mg/ml, 1ml Ampul (im, Iv) 200 Ampule ₱79.20 7 Gentamicin (as Sulfate) 40mg/ml, 2ml Ampul/vial (im, Iv) 1000 Ampule ₱15.00 8 Hydralazine (as Hydrochloride) 20mg/ml, 1ml Ampul (im, Iv) 500 Ampule ₱180.00 9 Isoflurane 100ml Bottle 20 Bottle ₱1,852.00 10 Ketorolac (as Tromethamol) 30mg/ml, 1ml Ampul (im,iv) 100 Ampule ₱47.50 11 Lidocaine (as Hydrochloride) 2% (20mg/ml) 5ml Ampul/vial (im,iv) 500 Ampule ₱36.63 12 Metoclopramide 5mg/ml, 2ml Ampul (im, Iv) (as Base And As Hydrochloride) 1000 Ampule ₱15.00 13 Nicardipine (as Hydrochloride) 1mg/ml, 2ml Ampul (iv) 10 Ampule ₱419.85 14 Oxytocin (synthetic) 10 Iu/ml, 1ml Ampul (im, Iv) 200 Ampule ₱44.98 15 Paracetamol 150mg/ml, 2ml Ampule Solution For Injection (im,iv) 500 Ampule ₱14.80 16 Phytomenadione (phytonadione, Vitamin K1) 10mg/ml, 1ml Ampul (im,iv,sc) (as Mixed Micelle) 500 Ampule ₱48.77 17 Propofol 10mg/ml, 20ml Ampul (iv) 10 Ampule ₱380.00 18 Ranitidine (as Hydrochloride) 25mg/ml, 2ml Ampul/vial (im,iv,iv Indusion) 1000 Ampule ₱33.00 19 Tetanus Toxoid 0.5ml Ampul (im) 200 Ampule ₱108.00 20 Tramadol (as Hydrochloride) 50mg/ml, 1ml Ampul (im,iv,sc) 1000 Ampule ₱38.00 21 Verapamil (as Hydrochloride) 2.5mg/ml, 2ml Ampul (iv) 10 Ampule ₱127.94 22 Vitamin B1 B6 B12 100mg B1 + 100mg B6 + 1mg B12 Per 3ml Ampul (iv) 10 Ampule ₱150.00 23 Adenosine 3mg/ml, 2ml Vial (iv) 20 Vial ₱1,820.00 Abc: Five Hundred Fifteen Thousand Six Pesos And Forty Centavos (php515,006.40) _______________________________________________ Name Of Establishment ______________________________________________ Signature Over Printed Name Of Proprietor Or Authorized Representative