Province Of Northern Samar Tender

Description Republic Of The Philippines Province Of Northern Samar Catarman, Northern Samar Bids And Awards Committee Request For Quotation Date: November 18, 2024 Rfq No.: 24-11-0796 Name Of Supplier (business Name): ________________________________________ Address: ______________________________________________________________ Tin: _______________________ Contact No.: _________________________ The Sadh, Through The Bids And Awards Committee (bac), Intends To Procure Medical Supplies And Laboratory Instrument, With Pr No. 2024-09-1196. The Medical Supplies And Laboratory Instrument Shall Be Procured Through The Alternative Mode Of Procurement In Accordance With Ra No. 9184 As Reflected In Bac Resolution No. Svp-11-18-01. Suppliers Of Known Qualifications Are Invited To Submit Their Quotation/proposal, Signed By You Or Your Duly Authorized Representative Not Later Than____________, Subject To The Terms And Conditions Provided In This Rfq. The Contract Shall Be Awarded To The Supplier With The Lowest And Responsive Quotation. The Following Documents Are Required To Be Submitted Along With The Quotation/proposal: 1. Mayor’s/business Permit 2. Philgeps Reg. No. 3. Omnibus Sworn Statement 4. Income Tax Return 5. License To Operate Open Quotations May Be Submitted, Manually Or Through Email At The Address And Contact Numbers Indicated Below. For Queries You May Contact Us At 500-2342 Or Email Address At Pgnsbac1@gmail.com. Dr. Jose Luis A. Acompañado Bac Chairman Rfq No. 24-11-0796 Page 1 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 Rfq No. 24-11-0796 Page 2 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 General Instructions: (1) Accomplish The Rfq Completely And Accurately. (2) Alteration Of This Form In Any Way Is Not Allowed. (3) Failure To Comply With Any Of The Technical Specifications Required Will Disqualify Your Quotation. (4) Failure To Follow These Instructions Will Disqualify Your Quotation. After Having Carefully Read And Accepted The Terms And Conditions, I/we Submit My/our Quotation/s For The Items As Follows: Qty. Unit Item Description/technical Specifications Approved Budget For The Contract Quotation/offer Unit Price Total Price Unit Price Total Price Brand / Model Medical Supplies Alcohol/hand Sanitizers 300 Bottles Alcohol, Ethyl, 70%, 500ml 150.00 45,000.00 280 Bottles Alcohol, Isopropyl 70% Soln. 500ml 150.00 42,000.00 Gloves/gauze/plaster/bandage 20 Rolls Gauze Roll (mesh:28x24),36x100yards 1,000.00 20,000.00 20 Packs Gauze, Non-sterile 4 X 4, 8ply 28x24 Mesh 100’s/pack 450.00 9,000.00 6 Pack Gauze, Non-sterile 2 X 2, 8ply 28x24 Mesh 100’s 450.00 2,700.00 15 Rolls Elastic Bandage, Packaged: (rolled), Size: 3 Inches X 5 Yards 150.00 2,250.00 Personal Protective 1200 Boxes Face Mask Surgical 3ply 50s/box 120.00 144,000.00 Blade/needle/syringe 50 Boxes Disposable Syringe 1cc 100’s/box 600.00 30,000.00 50 Boxes Disposable Syringe 3cc 100’s/box 600.00 30,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-11-0796 Page 3 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 General Instructions: (1) Accomplish The Rfq Completely And Accurately. (2) Alteration Of This Form In Any Way Is Not Allowed. (3) Failure To Comply With Any Of The Technical Specifications Required Will Disqualify Your Quotation. (4) Failure To Follow These Instructions Will Disqualify Your Quotation. After Having Carefully Read And Accepted The Terms And Conditions, I/we Submit My/our Quotation/s For The Items As Follows: Qty. Unit Item Description/technical Specifications Approved Budget For The Contract Quotation/offer Unit Price Total Price Unit Price Total Price Brand / Model Tubes 1 Tube Heparinized Capillary Tubes 100pcs / Tube 230.00 230.00 20 Pcs Nasogastric Tube Fr-18, Sterile 250.00 5,000.00 20 Pcs Nasogastric Tube Fr-20, Sterile 250.00 5,000.00 3 Pcs Tube Sealant (capillary Tube Sealing Compound)/sealing Wax, 1 Plate, Color White, Chart 1 To 24, 4x12x1.0.1 Kg, 1 Plate, Plastic 400.00 1,200.00 Disinfectant 1 Bottles Acetic Acid Solution 10% 500ml 700.00 700.00 12 Can Disinfectant Spray, Aerosol Type, 300-350 Grams 780.00 9,360.00 2 Bottles Hydrogen Peroxide 500ml 6% 20v Solution 450.00 900.00 10 Bottles Hydrogen Peroxide 60ml 3% 10v Solution 90.00 900.00 2 Gallons Pine Scent, Disinfectant Solution, Liquid Color: Red Active Ingredients: Alkyl (50% C14, 40% C12, 10% C16), Dimethyl Benzyl Ammonium Chloride, Octyl Benzyl Dimethyl Ammonium 3,000.00 6,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-11-0796 Page 4 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 General Instructions: (1) Accomplish The Rfq Completely And Accurately. (2) Alteration Of This Form In Any Way Is Not Allowed. (3) Failure To Comply With Any Of The Technical Specifications Required Will Disqualify Your Quotation. (4) Failure To Follow These Instructions Will Disqualify Your Quotation. After Having Carefully Read And Accepted The Terms And Conditions, I/we Submit My/our Quotation/s For The Items As Follows: Qty. Unit Item Description/technical Specifications Approved Budget For The Contract Quotation/offer Unit Price Total Price Unit Price Total Price Brand / Model 2 Gallons Povidone Iodine 10% Antiseptic, 4liters 2,500.00 5,000.00 2 Gallons Povidone Iodine Cleanser 7.5%, 4 Liters 2,500.00 5,000.00 Dental 10 Boxes 2% Lidocaine 1.8ml W/ Epinephrine Carpule, 50’s/box 3,000.00 30,000.00 4 Jar 20% Gel Topical Anesthesia, 32g, Jar 400.00 1,600.00 4 Boxes Disposable Towels/bibs (dental Bibs) 100pcs/box 600.00 2,400.00 8 Bottles /jar Gel Foam / Dental Sponge Haemostatic Sponges 500.00 4,000.00 10 Bottles /jar Lidocaine Topical Ointment 5% 50g (lidocaine, Usp, Mint Flavor) 460.00 4,600.00 12 Bottles Oral Antiseptic 1% Oral Solution, 500ml 1,100.00 13,200.00 Surgical Instruments 2 Pcs Tissue Forceps, Straight, Stainless Steel, 9 Inches 1,600.00 3,200.00 2 Pcs Mayo Scissors, Straight, 8 Inches, Stainless Steel 1,500.00 3,000.00 2 Pcs Metzenbaum Scissors, 8 Inches, Stainless Steel 2,300.00 4,600.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-11-0796 Page 5 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 General Instructions: (1) Accomplish The Rfq Completely And Accurately. (2) Alteration Of This Form In Any Way Is Not Allowed. (3) Failure To Comply With Any Of The Technical Specifications Required Will Disqualify Your Quotation. (4) Failure To Follow These Instructions Will Disqualify Your Quotation. After Having Carefully Read And Accepted The Terms And Conditions, I/we Submit My/our Quotation/s For The Items As Follows: Qty. Unit Item Description/technical Specifications Approved Budget For The Contract Quotation/offer Unit Price Total Price Unit Price Total Price Brand / Model 1 Set Delivery Instrument Set Primigravid At Least With Minimum Requirements Items Included: 1 Mixing/solution Bowl 3 Qt. 2 Iodine Cup 6 Oz. 2 Emesis Basin 12 Oz. 2 Instrument Tray 2 Instrument Tray Cover 2 Rochester-ochsner Forceps Straight 1x2 Teeth 2 Spencer Wells Forceps Straight 2 Spencer Wells Forceps Straight 2 Rampley Sponge Forceps 1 Scalpel Handle #4 2 Javerts Placenta Forceps Serrated Jaws 1 Umbilical Scissors 35,000.00 35,000.00 Other Medical Supplies 10 Rolls Absorbent Cotton 100grams 150.00 1,500.00 12 Rolls Absorbent Cotton 400 Grams, High-absorbent 100% Bleach Cotton, Soft, Compact And Uniform In Size And Weigh 400.00 4,800.00 1 Bottle (0.85%) Normal Salt Solution, 500ml 420.00 420.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-11-0796 Page 6 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 General Instructions: (1) Accomplish The Rfq Completely And Accurately. (2) Alteration Of This Form In Any Way Is Not Allowed. (3) Failure To Comply With Any Of The Technical Specifications Required Will Disqualify Your Quotation. (4) Failure To Follow These Instructions Will Disqualify Your Quotation. After Having Carefully Read And Accepted The Terms And Conditions, I/we Submit My/our Quotation/s For The Items As Follows: Qty. Unit Item Description/technical Specifications Approved Budget For The Contract Quotation/offer Unit Price Total Price Unit Price Total Price Brand / Model 2 Box Abdominal Pad 7’’ X 12’’ Pads/box 250.00 500.00 12 Rolls Autoclave Tape 1x 10 Yard, Latex Free And Lead Free Safer For Staff, Patient And Environment, Autoclavable 135ºc/275ºf Within 2 Minutes 700.00 8,400.00 10 Bottles Baby Powder, 500g, Hypoallergenic, Paraben-free, Normal Skin, Ingredient: Talc And Parfum 250.00 2,500.00 1 Bottle Benedicts Solution Qualitative 500ml 1,950.00 1,950.00 5 Pack Cover Slip, 25mm X 25mm, Thickness: 0.13-0.16mm 100pcs/pack 140.00 700.00 1 Pack Disposable Paper Cups, 12 Oz, 100’s/pack 200.00 200.00 3 Boxes Glass Slides 72pcs/box Thick: 1mm-1.2mm 200.00 600.00 10 Bottles Hand Sanitizer, Antibacterial, Floral Scented, 1000ml 510.00 5,100.00 1 Set Hema-quick Stain Set 500t, 4 Bottles (250ml.) 4,500.00 4,500.00 10 Pcs Ice Cap/bag 11 Inch, Material: Polyester + Pvc 450.00 4,500.00 1 Pcs Immersion Oil 250 Ml 1,800.00 1,800.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-11-0796 Page 7 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 General Instructions: (1) Accomplish The Rfq Completely And Accurately. (2) Alteration Of This Form In Any Way Is Not Allowed. (3) Failure To Comply With Any Of The Technical Specifications Required Will Disqualify Your Quotation. (4) Failure To Follow These Instructions Will Disqualify Your Quotation. After Having Carefully Read And Accepted The Terms And Conditions, I/we Submit My/our Quotation/s For The Items As Follows: Qty. Unit Item Description/technical Specifications Approved Budget For The Contract Quotation/offer Unit Price Total Price Unit Price Total Price Brand / Model 6 Pcs Kelly Pad, Rubber, Size: Approx. 50 X 110cm, Tube Dia. X Overall Length 1,500.00 9,000.00 20 Tubes Lubricating Jelly 150g Tube, Sterile 240.00 4,800.00 30 Piece Medicine Glass, 30ml, Approximately Capacity With Graduations: 1/4 Oz To 1 Oz, 5 Ml To 30 Ml, Tsp To Tbsp. 120.00 3,600.00 1 Bottle Rees & Ecker, 500ml 1,200.00 1,200.00 12 Pack Specimen Cup, 60ml, Sterile, Red Lid, Made Of Plastic, Screw-thread Cups With Calibration Marking, 20 Pcs/pack 570.00 6,840.00 2 Bottles Spirit Of Ammonia 30ml 1,100.00 2,200.00 3 Pcs Sterile Surgical Scrub Brush 200.00 600.00 10 Pcs Torniquet, Material: Polyester, Size: 400x25mm/15.75x0.98in, With Plastic Buckle 200.00 2,000.00 10 Boxes Unground Glass Slides 72pcs/box Thick: 1mm-1.2mm 200.00 2,000.00 2 Pcs Urinal Basin Plastic, Size: 21x10x12.5cm, Capacity: About 1000ml, Lightweight, With Handle Grip Portable 650.00 1,300.00 1 Bottle Wbc Diluting Fluid, 1l 1,000.00 1,000.00 10 Boxes Wooden Cotton Applicator 6’’, Sterile 100/box 560.00 5,600.00 Terms Of Condition: The Winning Bidder Shall Consult With The End-user Prior To Delivery. Warranty. The Supplier Guarantees Replacement Within Two (2) Years Period Reckon From Acceptance Of Deliveries. Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Terms And Conditions 1. Bidders Shall Provide Correct And Accurate Information As Required In This Form. 2. The Price Quotation/s Shall Be Valid For A Period Of 60 Calendar Days From The Date Of Submission. 3. The Price Quotation/s, To Be Denominated In Philippine Peso Shall Include All Taxes, Duties, And/or Levies Payable. 4. All Quotations Which Exceeds The Approved Budget For The Contract Shall Be Rejected. 5. The Award Of Contract Shall Be Made To The Lowest Quotation Which Complies With The Technical Specifications, And Other Terms And Conditions Stated Herein. 6. Any Alterations, Interlineations, Or Overwriting Shall Not Be Allowed Including The Terms And Conditions Of Rfq. 7. The Item/s Shall Be Delivered Within _30_ Calendar Days From Receipt Of The Purchase Order. 8. The Provincial Government Of Northern Samar Shall Have The Right To Inspect And/or Test The Goods To Confirm Their Conformity To The Technical Specifications. 9. Warranty Security For A Minimum Period Of Three Months, In The Case Of Expendable Supplies, Or A Minimum Period Of One Year In The Case Of Semi-/non-expendable Supplies, After Acceptance By The Procuring Entity Of The Delivered Supplies Or Specified Warranty Condition By The End-user. 10. For Drugs, Medicines And Medical Supplier, In Compliance With Coa Circular No. 2023-004 The Following Documents Are The Additional Documentary Requirements Upon Delivery Of Drugs And Medicines And Medical Supplies, To Wit: 1. Certificate Of Product Registration (cpr) 2. Certificate Of Good Manufacturing Practices (cgmp) 3. Batch Release Certificate 4. Certificate As Authorized Distributor/supplier. 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 Pgns Shall Rescind 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 That The Pgns May Take. Rfq No. 24-11-0796 Page 8 Of 8 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023