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: April 15, 2024 Rfq No.: 24-04-0232 Name Of Supplier (business Name): ________________________________________ Address: ______________________________________________________________ Tin: _______________________ Contact No.: _________________________ The Adh, Through The Bids And Awards Committee (bac), Intends To Procure Drugs & Medicines, With Pr No. 2024-03-0385 & 2024-03-0379. The Drugs & Medicines Shall Be Procured Through The Alternative Mode Of Procurement In Accordance With Ra No. 9184 As Reflected In Bac Resolution No. Svp 04-15-01. 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. 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. 24-04-0232 Page 1 Of 5 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 Rfq No. 24-04-0232 Page 2 Of 5 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 Lot 1 – For The Use Of Allen District Hospital. (e-cart Use) Regulated Drugs And Medicines (e-cart Use) 5 Ampule Morphine 10mg/ml 1ml Ampule 87.92 439.60 100 Ampule Ephedrine Sulfate 5%, 1ml 104.50 10,450.00 Lot 2 – For The Use Of Allen District Hospital. (e-cart Use) Regulated Drugs And Medicines (e-cart Use) 10 Amp/s Amiodarone,150mg/3ml 717.20 7,172.00 10 Amp/s Atracurium,10mg/ml,2.5ml Solution For Injection 355.88 3,558.80 30 Amp/s Bupivacaine 0.5% Isobaric,10ml/polyamp(with Duration Of Action Of At Least 3 Hours) 2,085.77 62,573.10 30 Amp/s Bupivacaine 0.5% Heavy,4ml(spinal) (sensorcaine) 816.29 24,488.70 30 Vial/s Calcium Gluconate 10%, 10ml Ampule 142.77 4,283.10 72 Bot/s Cetirizine,1mg/ml,60ml Suspension 85.05 6,123.60 200 Tab/s Chloramphenicol,500mg 45.00 9,000.00 50 Amp/s Diazepam 10mg/ml, 2ml, Ampule 366.54 18,327.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-04-0232 Page 3 Of 5 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 20 Amp/s Haloperidol 50mg /ml 1,491.70 29,834.00 20 Bot/s Isoflurane,100ml Volatile Liquid For Inhalation Bottle 6,048.10 120,962.00 10 Amp/s Pethidine (meperidine)50mg/ml,2ml Solution For Injection 611.31 6,113.10 10 Amp/s Midazolam 5mg/ml,1ml Ampule 264.17 2,641.70 30 Amp/s Nalbuphine 10mg/ml,1ml Solution For Injection Ampule (supplier With S4 License) 285.22 8,556.60 300 Tab/s Olanzapine,10mg 62.76 18,828.00 10 Amp/s Phenobarbital 120mg/ml,1ml 881.38 8,813.80 50 Tab/s Phenobarbital 30mg 4.30 215.00 10 Amp/s Phenytoin 50mg/ml, 2ml, Ampule 1,276.79 12,767.90 20 Cap/s Phenytoin 100mg 55.10 1,102.00 10 Vial/s Suxamethonium (succinylcholine),20mg/ml,10ml Solution For Injection Vial 652.12 6,521.20 10 Ampule Fentanyl 50mcg/amp, 2ml 421.34 4,213.40 10 Ampule Ketamine 50mg/ml 1,891.47 18,914.70 10 Amp/s Verapamil,2.5mg/ml,2ml 268.67 2,686.70 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-04-0232 Page 4 Of 5 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 100 Amp/s Aminophyline 25mg/ml, 10ml 75.90 7,590.00 10 Amp/s Propofol,10mg/ml,20ml 558.38 5,583.80 5 Bottle/s Sevoflurane,250ml Volatile Liquid For Inhalation Bottle 12,332.15 61,660.75 10 Amps Terbutaline Sulfate,2.5mg/ml,30ml 216.20 2,162.00 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. 24-04-0232 Page 5 Of 5 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023