Province Of Iloilo Tender

Description Price Schedule / Bid Tender Name Of Bidder: _____________________________________________ Bid No.: Iph-23-1575-b(rebid2) 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 Diazepam 5mg / Ml, 2ml 200 Amp 110.00 2 Midazolam 5mg/ Ml, 1ml 200 Amp 104.89 3 Nalbuphine Hci 10mg / Ml, Ml 200 Amp 165.00 4 Ephedrine Sulfate 50mg / Ml, 1ml 200 Amp 118.00 5 Ketamine 50mg / Ml, 10ml 25 Vial 536.00 6 Fentanyl Citrate 50mcg / Ml, 2ml 50 Amp 199.00 Abc: One Hundred Twenty-two Thousand Nine Hundred Twenty-eight Pesos(php122,928.00). _______________________________________________ Name Of Establishment ______________________________________________ Signature Over Printed Name Of Proprietor Or Authorized Representative