Province Of Northern Samar Tender

Description Rfq No. 24-07-0499 Page 1 Of 6 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 Republic Of The Philippines Province Of Northern Samar Catarman, Northern Samar Bids And Awards Committee Request For Quotation Date: July 22, 2024 Rfq No.: 24-07-0499 Name Of Supplier (business Name): ________________________________________ Address: ______________________________________________________________ Tin: _______________________ Contact No.: _________________________ The Svdh, Through The Bids And Awards Committee (bac), Intends To Procure Medical Supplies & Laboratory Instrument, With Pr No. 2024-06-0817. 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-07-22-01. 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. 24-07-0499 Page 2 Of 6 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, Dental And Laboratory Supplies 5 Rolls Gauze Roll (mesh:28×24), 36x100yards 118.75 593.75 Blade/needle/syringe 2 Box Surgical Blade No. 11, Stainless Steel, Sterile 100's/box 1,500.00 3,000.00 1 Box Surgical Blade Holder(scalpel) #3 W/ Surgical Blade #10, 10pcs/box 1,625.00 1,625.00 1 Box Disposable Syringe 10cc, 23 X 1"(0.6 X 25mm), 100's/box 1,425.00 1,425.00 Disinfectant/antiseptic 1 Bottle Hydrogen Peroxide 500ml, 6% 20v Solution 562.50 562.50 Catheter 1 Box Suction Catheter Fr 18, 50's/box 2,437.50 2,437.50 1 Box Nasogastric Tube Catheter Fr 6 (silicon)100 Pcs/box 131.25 131.25 12 Pcs Rubber Catheter, Straight Nonsterile 281.25 3,375.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0499 Page 3 Of 6 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 Devices 1 Unit Instrument Sterilizer ( High Temperature Sterilizer With Removable Stainless Steel Tank, Material: Iron + Stainless Steel, Timer: 60 Min Adjustable, Temperature: 50-200 0c Adjustable ,voltage: Ac220- 240v, Power: 300w, Frequency: 50-620hz 49,500.00 49,500.00 1 Pc Thermometer, Digital, Noncontact Infrared Measuringdistance: 1-5cm Measurement Mode: Body Mode / Scan Mode W/ Calibration Certificate 4,875.00 4,875.00 1 Unit Stethoscope, Adult, Y Tubing Length: 55cm, Y Tubing Diameter: 1cm, Chest Peice Diameter: 5cm, Eartips: Soft, Chestpeice Material: Stainless, Non Chill O Ring 4,375.00 4,375.00 1 Unit Stethoscope, Pedia, Y Tubing Length: 55cm, Y Tubing Diameter: 1cm, Chest Peice Diameter: 5cm, Eartips: Soft, Chestpeice Material: Stainless, Non Chill O Ring 4,375.00 4,375.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0499 Page 4 Of 6 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 Unit Stethoscope, Neonate, Y Tubing Length: 55cm, Y Tubing Diameter: 1cm, Chest Peice Diameter: 5cm, Eartips: Hard, Chestpeice Material: Aluminum, Matalic Chill O Ring 4,875.00 4,875.00 1 Box Pregnancy Test, 100's/box 3,125.00 3,125.00 1 Pc Rectal(flexible) Thermometer Digital Battery Specification: 1 * 1.5v Dc Button Battery (including), Measurement Time: Oral Cavity 60 ± 10 Seconds, Armpit 100 ± 20 Seconds, Measurement Accuracy: ± 0.1 ° C, Lled: 20x7mm, Display Range: 332.0-42.0 ° C, Storage Environment Temperature: -20 ℃ To+55 ℃. 375.00 375.00 Other Medical Supplies 1 Roll Autoclave Tape 1x10 Yard, Latex Free And Lead Free – Safer For Staff, Patients And Environment, Autoclavable:135°c/275f°within 2 Minutes 700.00 700.00 2 Pcs Hot Water Bag 1l (rubber Hot Water Bag, Non Leak) 450.00 900.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0499 Page 5 Of 6 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 Unit Electric Breast Pump Powerful Motor With 10 Levels Of Output Power • Soft And Pleasant To The Breast, Quiet And Discreet • Easy To Assemble, Use And Clean • Light And Compact, Bpa-free, Automatic Storage Of The Last Selected Dispensing Level • Diameter Of The Soft Part Of The Teat 24 Mm • Automatic Shutdown • Lcd Screen 6,675.00 6,675.00 1 Pc Ice Bag 11 Inch, Material: Polyester + Pvc 450.00 450.00 1 Pc Kidney Basin Plastic, 8 Inches 131.25 131.25 1 Pc Tissue Forceps, Straight, Stainless Steel, 9 Inches 443.75 443.75 Ob Instruments 1 Pc Mayo Dissecting Scissors, Straight, 170 Mm (6 3/4"), Chamfered Blades, Blunt/blunt, Non-sterile, Reusable 2,812.50 2,812.50 1 Pc Kelly Hemostatic Forceps, Straight, 140 Mm (5 1/2"), Delicate, Blunt, Non-sterile, Reusable 2,937.50 2,937.50 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) Rfq No. 24-07-0499 Page 6 Of 6 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 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.