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 17, 2024 Rfq No.: 24-04-0238 Name Of Supplier (business Name): ________________________________________ Address: ______________________________________________________________ Tin: _______________________ Contact No.: _________________________ The Pho, Through The Bids And Awards Committee (bac), Intends To Procure Drugs & Medicines, With Pr No. 2024-03-0420. 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 04-17-01. 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. 24-04-0238 Page 1 Of 4 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 Rfq No. 24-04-0238 Page 2 Of 4 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 Drugs And Medicines Expenses Antibiotics 12,570 Tablet Pyrazinamide 500mg Tablet 2.65 33,310.50 120 Bottles Pyrazinamide 250mg/5ml, 120ml Suspension 193.48 23,217.60 34,414 Tablet Isoniazid 300mg Tablet 1.00 34,414.00 210 Bottles Isoniazid 200mg/5ml, 120ml Syrup 84.70 17,787.00 12,600 Capsule Rifampicin 450mg Capsule 12.87 162,162.00 210 Bottles Rifampicin 200mg/5ml, 120ml Suspension 320.65 67,336.50 12,500 Tablet Isoniazid+rifampicin 75mg+150mg Tablet 7.26 90,750.00 6,000 Tablet Isoniazid+rifampicin+pyrazinam Ide+ethambutol75mg+150mg+40 0mg+275mg Tablet 7.85 47,100.00 210 Bottles Isoniazid+pyridoxine 20mg/5ml 120ml Suspension 164.09 34,458.90 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-04-0238 Page 3 Of 4 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 Tuberculosis Medication 1,490 Tablet Ethambutol Hydrochloride 300mg Tablet 3.62 5,393.80 12,590 Tablet Ethambutol Hydrochloride 400mg Tablet 3.62 45,575.80 1,000 Tablet Ethambutol Hydrochloride 275mg Tablet 3.30 3,300.00 Vitamins/minerals 4,990 Tablet Ascorbic Acid (vit C)500mg 1.03 5,139.70 4,990 Tablet Vitamin B1+b6+b12 100mg/10mg/50mcg 1.16 5,684.00 Other Drugs & Medicines 20 Vials Purified Protein Derivative Solutions 5 Tu Or 2 Tu Vials 786.50 15,730.00 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. 24-04-0238 Page 4 Of 4 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023