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: October 14, 2024 Rfq No.: 24-10-0703 Name Of Supplier (business Name): ________________________________________ Address: ______________________________________________________________ Tin: _______________________ Contact No.: _________________________ The Nsph, Through The Bids And Awards Committee (bac), Intends To Procure Medical Equipment, With Pr No. 2024-09-1183. The Medical Equipment Shall Be Procured Through The Alternative Mode Of Procurement In Accordance With Ra No. 9184 As Reflected In Bac Resolution No. Svp 10-14-01. 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. 24-07-0703 Page 1 Of 11 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 Rfq No. 24-07-0703 Page 2 Of 11 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 Suction Apparatus And Accessories 4 Units A.) Portable Suction Machine With Pump For Ambulance At Least With Minimum Requirements: Power Supply 230-240v /50hz- Vacuum Capacity: 18 Liters/ Mim- Maximum Depressiom: -75kpa ( 563mmhg) 25,000.00 100,000.00 20 Sets B.) Suction Catheteres, Sterile, Non-pyrogenic Sterilized By Ethylene-oxide Gas Fr 5, 8, 12 And 14, 50s/box(set Of 4 Sizes) 3,500.00 70,000.00 Portable Oxygen Equipment/installed 5 Pcs A.) Portable Oxygen Tank(15lbs) With Regulator 5,000.00 25,000.00 24 Pcs B.) Oxygen Mask, Newborn, Silicone 100.00 2,400.00 8 Sets Bag Valve Mask Resuscitator With Rebreather Bag For Adult, Pediatric And Infant (3 Sizes/set) 10,500.00 84,000.00 16 Sets Endotracheal Tubes (pedia And Adult) Atleast Minimum Requirements: Disinfecting Type: Eos, Ensuring Maximum Sterility And Patient Safety. Size Range: Available In Sizes From 3.0 To 5.5mm, Catering To A Wide Range Of Anatomical Needs. 1,000.00 16,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative Rfq No. 24-07-0703 Page 3 Of 11 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 (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 Airways (pedia And Adult) 4 Sets Nebulizer(heavy Duty) With Nebulizer Kit At Least With Minimum Requirements: Dimensions: 6.3" (w) X 10.5" (h) X 10.1" (d) Free Air Flow: 12 Lpm Typical Max Pressure: 30 Psig Or Greater Sound Level: 51-55 Dba Warranty: Limited 5 Year Weight: 7.1 Lbs 35,000.00 140,000.00 5 Sets Laryngoscope Set Pedia With Atleast Minimum Requirements: A-standard Battery Handle B-macintosh Blade # 00 C-macintosh Blade # 0 D-macintosh Blade # 1 10,000.00 50,000.00 5 Sets Laryngoscope Set, Adult With Atleast Minimum Requirements: A-standard Battery Handle B-macintosh Blade # 1 C-macintosh Blade # 2 D-macintosh Blade # 3 10,000.00 50,000.00 10 Pcs Defibrillator Pads-disposable, Adult 6,000.00 60,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative Rfq No. 24-07-0703 Page 4 Of 11 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 (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 5 Pcs Sphygmomanometer, Non Mercurial, Pediatric Cuff 1,900.00 9,500.00 5 Pcs Sphygmomanometer, Non Mercurial, Adult Cuff 1,700.00 8,500.00 1 Unit Aneroid Blood Pressure Sphygmomanometer Desk & Wall Type, Adult 2,000.00 2,000.00 1 Unit Aneroid Blood Pressure Sphygmomanometer Desk & Wall Type, Pedia 2,000.00 2,000.00 1 Unit Aneroid Blood Pressure Sphygmomanometer Desk & Wall Type, Newborn 2,000.00 2,000.00 15 Sets Rigid Cervical Collars, (small, Medium & Large) At Least With Minimum Requirements: Small: 34.3~40.0 Cm Medium: 40.0~46.4 Cm Large 46.4~52.7 Cm Composition: 70% Polyurethane High Density Sponge 20% Polyvinyl 5% Polyester 5% Eva 4,000.00 60,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0703 Page 5 Of 11 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 Immobilization Device 3 Pcs Head Immobilizer, Adult (firm Padding Or Commercial Head) At Least With Minimum Requirements: Colour – Orange Set-with Straps, Base & Pillows. Actual Size: 15″ X 9″ 3,200.00 9,600.00 5 Sets Lower Extremity Traction Devices (arm Slings, Length Size: Pedia - 34", Adult - 38", Material: Adjustable Strap Limb Holder Tie / Adjustable Wrist Limb Strap Material: Cotton, Sponge Minimum Size: Size: Approx. 26 X 8cm/ 10.2 X 3.1 Inch(stretch) Strap Rope Length : Approx. 150 Cm/59.1 Inch Spider Strap, Product Size: 109x60cm/42.91xx23.62 Inch, Material: Polyester) 2,500.00 12,500.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative Rfq No. 24-07-0703 Page 6 Of 11 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023 (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 Joint Above And Joint Below Fracture 5 Pcs Orthopedic (scoop) Stretcher/ Long Back Board With Strap Atleast With Minimum Requirements: Product Size(l- W- H) 2100 * 440 * 60mm Folded Size(l- W- H) 1200 * 440 * 90mm Packing Size(1pcs) 1700 * 460 * 80mm Load Limit ≤159kg N.w 8.5kg G.w 10.2kg 9,200.00 46,000.00 5 Pack Sterile Burn Sheets, 40"x90" 600.00 3,000.00 10 Pcs Triangular Bandage At Least Minimum Requirements: Size: 96cmx 96cm X 136cm 100.00 1,000.00 20 Box Sterile Dressing, 10"x30" Non-woven Wound Sterile Dressing 80pcs/box 2,000.00 40,000.00 5 Box Sterile Dressing, A5ds, 10"x12" Non-woven Wound Sterile Dressing, 40pcs/box 1,800.00 9,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0703 Page 7 Of 11 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 5 Sets Sterile Delivery Kit/set Each Pack Contains;1 X Bowl (500 Ml) 1 X Bowl (1000 Ml) 1 X Cord Clamp 2 X Spencer Wells Artery Forceps Straight (18 Cm) 1 X Placenta Tray 1 X X-ray Detectable Swabs (12 Ply, 22.5 X 22.5 Cm, Taped, Tied 5’s) 1 X Baby Wrap 1 X Mayo Scissors Straight (19 Cm) 1 X Bonney Forceps Toothed (18 Cm) 1 X Mayo Needle Holder (18 Cm) 1 X Umbilical Scissors 2 X Blue Drapes (70 X 90 Cm) 1 X Trolley Cover (100 X 140 Cm)• Single Use. • Latex Free. 10,000.00 50,000.00 10 Pcs Wrap/blanket For Newborn With Atleast With Minimum Requirements: Size: 62*28cm Fit For Baby 0-4 Month Material: 100% Cotton Safe, Light And Secure 390.00 3,900.00 10 Pcs Goggle Eye Protection With Rubber Strap (silicone) (gpt) 400.00 4,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0703 Page 8 Of 11 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 40 Pcs Ppe/isolation Gown, Disposable Ppe 40gsm Non-woven, One Size Fits Alll 460.00 18,400.00 5 Pcs Paramedic Scissors, 7 Inches With Atleast Minimum Requirements: Material: Stainless Steel Blade Surface Matte Dimension; 18.3*9.2cm Net Weight: 65 G 500.00 2,500.00 3 Pcs Hot And Cold Packs, Large With Atleast Minimum Requirements: Size:large(31x17cm) Suitable For Both Cold And Hot Therapy (acceptable Temperature:-20~100°c) Remains Soft And Flexible After Freezing, Even In Temperatures As Low As -20°c Retains Heat Or Coolness For A Minimum Of 45-60 Minutes. Reusable 1,500.00 4,500.00 5 Sets Led Flashlight With Extra Batteries And Bulbs With At Least With Minimum Requirements: Main Material: Aluminum Battery Voltage：4.5v Battery Type：3xaaa Batteries Brightness: 150 Lumens Range: 120m Working Time: 5 Hours Product N.w: 95g Packing: Double Blister 2,500.00 12,500.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0703 Page 9 Of 11 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 5 Pcs Blankets With At Least Minimum Requirements: Material: Polyester Fiber Size: 180*200cm 500.00 2,500.00 15 Pcs Pillow With At Least Minimum Requirements: Size: 50*75cm=20*30 Inches Material: Plush Filling: 100% Pp Cotton 750.00 11,250.00 15 Pcs Towel At Least With Minimum Requirements: Size: 45cmx61cm 250.00 3,750.00 10 Pcs Disposable Emsis Bags, 30pcs/pack With At Least Minimum Requirements: Material: Hdpe,pe Capacity: 1000ml Size: 38cm X 17cm 100.00 1,000.00 5 Pcs Portable Bedpan, Plastic At Least Minimum Requirements: Weight Capacity: 125kg/275lbs 1,400.00 7,000.00 5 Pcs Overhead Grap Rail For Ambulance At Least With Minimum Requirements: Material: Stainless Steel Actual Length: 80 Cm Width: 8.7 Cm Height: 7.7 Cm Weight: 979 G Included Accessories: 1 Grab Bar, 6 Self-tapping Screws And 6 Anchors 1,500.00 7,500.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-07-0703 Page 10 Of 11 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 5 Units Emergency Warning Light System And Sirenblic Address System Supply Voltage: 24 V Dc,lens Colour: Red Mounting Style: Base Mount, Current Type: Ac, Dc ,light Effect: Evs, Flashing Sounder Type: Led Sounder Beacon Decibels At 1 Metre: 95db Bulb Type: Led, Housing Colour: Grey Maximum Decibel: 95db, Ip Rating: Ip66 Number Of Tones: 2, Minimum Temperature: -30°c, Maximum Temperature: +60°c Standards Met: Ce Certified, Culus Listed, Eac Certified, Housing Material: Polycarbonate 12,000.00 60,000.00 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. 24-07-0703 Page 11 Of 11 Pgns-bac-005-fm Rev.00 Effectivity Date: July 17, 2023