Province Of Northern Samar Tender

Description Bids And Awards Committee Request For Quotation Date: August 05, 2024 Rfq No.: 24-08-0563 Name Of Supplier (business Name): ________________________________________ Address: ______________________________________________________________ Tin: _______________________ Contact No.: _________________________ The Pho, Through The Bids And Awards Committee (bac), Intends To Procure Medical Supplies & Laboratory Instrument, With Pr No. 2024-07-0927. The Medical Supplies & Laboratory Instrument Shall Be Procured Through The Alternative Mode Of Procurement In Accordance With Ra No. 9184 As Reflected In Bac Resolution No. Svp-08-05-01. 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 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 30 Kit Complete Set First Aid Kit Alluminum Alloy Medical Box With Handle 2 Absorbent Compress Dressings (5 X 9 Inches) 25 Adhesive Bandages (assorted Sizes), Also Found Within Our Family First Aid Kit 1 Adhesive Cloth Tape (10 Yards X 1 Inch) 5 Antibiotic Ointment Packets (approximately 1 Gram) 5 Antiseptic Wipe Packets 2 Packets Of Aspirin (81 Mg Each) 1 Emergency Blanket 1 Breathing Barrier (with One-way Valve) 1 Instant Cold Compress 2 Pair Of Nonlatex Gloves (size: Large) 2 Hydrocortisone Ointment Packets (approximately 1 Gram Each) 1 3 In. Gauze Roll (roller) Bandage 1 Roller Bandage (4 Inches Wide) 5 3 In. X 3 In. Sterile Gauze Pads 5 Sterile Gauze Pads (4 X 4 Inches) Oral Thermometer (non-mercury/nonglass) 2 Triangular Bandages Tweezers Emergency First Aid Instructions 4,000.00 120,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) 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 15 Unit Digital Weighing Scale Led 1,500.00 22,500.00 9 Unit Bp Apparatus (aneroid Sphygmomanometer And Double Head Stet) 3,000.00 27,000.00 8 Unit Automatic Upper Arm Bp Monitor Bpm Digital 3,000.00 24,000.00 16 Pcs Ice Bag 6inches 200.00 3,200.00 16 Pcs Hot Water Bag Rubber 500ml 200.00 3,200.00 1 Unit Ice Box Cooler Chest Insulated/ice Storage 45l, Heavy Duty 5,000.00 5,000.00 3 Unit Spine Board With Straps 3,705.00 11,115.00 3 Unit Hospital Bed, Complete Set, With Leather Mattress, Iv Pole And Bed 20,000.00 60,000.00 2 Unit Infrared Non-contact Body Thermometer 2,500.00 5,000.00 9 Unit 3n1 Monitoring Set (glucose, Cholesterol And Uric Acid) - Free Strips Of 10pcs For Uric Acid And Glucose, 2pcs For Cholesterol, & 25pcs Lancets - Multifunction Monitoring System - Large Lcd Display - Result In Only 10 Seconds (glucose), 20 Seconds (uric Acid), 150 Seconds (cholesterol) - 200 Glucose, 50 Cholesterol, 50 Uric Acid Test Memory - Meter Identifies The Strips Automatically 3,750.00 33,750.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) 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 4 Unit Nebulizer, Portable 3,000.00 12,000.00 11 Unit Pulse Oximeter 2,500.00 27,500.00 2 Set Reproductive System Model, 1 Male And 1 Female, Life Size 5,000.00 10,000.00 1 Unit Wheelchair, Heavy Duty, Standard Size 9,000.00 9,000.00 1 Unit Surgical Scissor 520.00 520.00 1 Unit Alcohol Dispenser, Wall Mounted 2,500.00 2,500.00 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.