Province Of Northern Samar Tender

Description Rfq No. 24-10-0749 Page 1 Of 12 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: October 28, 2024 Rfq No.: 24-10-0749 Name Of Supplier (business Name): ________________________________________ Address: ______________________________________________________________ Tin: _______________________ Contact No.: _________________________ The Gdh, Through The Bids And Awards Committee (bac), Intends To Procure Medical Supplies And Laboratory Instrument, With Pr No. 2024-09-1152. The Medical Supplies And Laboratory Instrument Shall Be Procured Through The Alternative Mode Of Procurement In Accordance With Ra No. 9184 As Reflected In Bac Resolution No. Svp-10-28-01. 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. 24-10-0749 Page 2 Of 12 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 Supplies Alcohol/hand Sanitizers 50 Bottles Alcohol, Ethyl, 70%, 4liters 500.00 25,000.00 Gloves/gauze/plaster/bandage 25 Boxes Gloves, Non-sterile, Large, Powdered Free, Disposable, 50 Pairs/box 475.00 11,875.00 40 Boxes Gloves, Non-sterile, Medium, Powdered Free, Disposable, 50 Pairs/box 475.00 19,000.00 100 Packs Gauze, Non-sterile 4 X 4, 8ply 28x24 Mesh 100’s/pack 450.00 45,000.00 Personal Protective 500 Boxes Face Mask Surgical 3ply 50s/box 120.00 60,000.00 Blade/needle/syringe 6 Boxes Dental Needle, 27g-short 27gx21mm(0.41x21mm), 100’s/box 700.00 4,200.00 12 Tube Heparinized Capillary Tubes 100pcs / Tube 230.00 2,760.00 25 Pcs Tube Sealant (capillary Tube Sealing Compound)/sealing Wax, 1 Plate, Color White, Chart 1 To 24, 4x12x1.0.1 Kg, 1 Plate, Plastic 400.00 10,000.00 Disinfectant/antiseptic 10 Gallons Povidone Iodine 10% Antiseptic, 4liters 2,500.00 25,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 3 Of 12 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 10 Gallons Povidone Iodine 10% Topical, 4 Liters 2,500.00 25,000.00 Catheter 10 Pcs Suction Catheter Fr 18, 50’s/box, Non-pyrogenic Sterilized By The Ethyleneoxide Gas, Disposable 2,450.00 24,500.00 Other Medical Supplies 10 Boxes 2% Lidocaine 1.8ml W/ Epinephrine Carpule, 50’s/box 3,000.00 30,000.00 20 Boxes Cotton Pledget, Pack Wooden Cotton Applicator, Sterile, 100 Packs/box 570.00 11,400.00 30 Box Cotton Sutures 2-0 Spool, 12’s/box Cotton Thread Spool, 2/0 (12’s) 880.00 26,400.00 1 Unit Ambu Bag, Adult (material Pvc + Pp Bag With Transluscent Mask Oxygen Tube And Reservoir) 4,000.00 4,000.00 1 Unit Ambu Bag, Pediatric (material Pvc + Pp Bag With Transluscent Mask Oxygen Tube And Reservoir) 4,000.00 4,000.00 1 Boxes Endocervical Brush Sterile 100’s Box 2,500.00 2,500.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 4 Of 12 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 2 Pcs Hot Water Bag 1l (rubber Hot Water Bag, Non Leak) 450.00 900.00 10 Pcs Kelly Pad, Rubber, Size: Approx. 50 X 110cm, Tube Dia. X Overall Length 1,500.00 15,000.00 10 Tubes Lubricating Jelly 150g Tube, Sterile 240.00 2,400.00 2 Pcs Rbc Pipettes Latex Tubing, Superior Glass Tubings Red Bead In The Bulb And It Has Marking Of 0.5, 1 And 101., 10pcs/box 2,200.00 4,400.00 3 Pcs Wbc Pipettes White Bead In The Bulb And It Has Marking Of 0.5, 1 And 11. High Grade Industrial Glass, 10pcs/box 2,400.00 7,200.00 4 Pcs Torniquet, Material: Polyester, Size: 400x25mm/15.75x0.98in, With Plastic Buckle 200.00 800.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 5 Of 12 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 2 Unit Aneroid Bp Apparatus Adult – Bp Aneroid Stand Type W/ Wheel Apparatus With At Least Minimum Requirements: Measurement Range: 0-300mmhg Square Shape 145mmx145mm Dial Plastic Caster With Metal Reinforced Base For Stability Inflation Method: Inflation And Air Release By Manual Display: Square Aneroid Scale (0-300mmhg) Cuff Size: 511 X 145 Mm (self Measurement Type Or Nurse Type) Cuff Material: Deluxe Nylon Or Cotton Fabric 360º Swivel For Easy-reading Gradient Adjustable For Easyreading 4-wheel With Brake Wheel Colour: Black The Height Of Aluminum Pole Is Adjustable (with Range Of 90cm-125cm) Metal Basket 12,000.00 24,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 6 Of 12 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 2 Unit Aneroid Bp Apparatus Pediatric – Bp Aneroid Stand Type W/ Wheel Apparatus With At Least Minimum Requirements: Measurement Range: 0-300mmhg Square Shape 145mmx145mm Dial Plastic Caster With Metal Reinforced Base For Stability Inflation Method: Inflation And Air Release By Manual Display: Square Aneroid Scale (0-300mmhg) Cuff Size: 511 X 145 Mm (self Measurement Type Or Nurse Type) Cuff Material: Deluxe Nylon Or Cotton Fabric 360º Swivel For Easy-reading Gradient Adjustable For Easyreading 4-wheel With Brake Wheel Colour: Black The Height Of Aluminum Pole Is Adjustable (with Range Of 90cm-125cm) Metal Basket 12,000.00 24,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 7 Of 12 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 Unit Bp Apparatus Aneroid, For Adult Luminous Guage, Bp Cuff With Inflation Adult & Bulb 1,900.00 9,500.00 5 Unit Bp Apparatus Aneroid, For Pedia Luminous Guage, Bp Cuff With Inflation Pedia & Bulbbp Apparatus, Portable, Pedia 2,200.00 11,000.00 3 Units Cbc Tray, Stainless Steel, With Handle (see Picture @ Last Page) 3,500.00 10,500.00 25 Units Chart Holder 25 Capacity Long, Stainless Steel 1,000.00 25,000.00 1 Units Er Examining Tables – Hamilton Type With At Least Minimum Requirements: With Drawer And Compartment Door, Upholstered Three Section Top, Provided With Stirrup And Sliding Foot Stool. Size: 58 Inc. X 20 Inc. X 34 Inc. 25,000.00 25,000.00 1 Units Fetal Doppler Digital With At Least Minimum Requirements: Colored Lcd; Fhr Measuring Range:50-230 Bpm (beat Per Minute); Probe 3.0 Mhz 40,000.00 40,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 8 Of 12 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 3 Pcs Intubation Kit Content Per Kit: 6 Pcs. Guedel Oral Airway Assorted Size 3 Pcs. Nasoparyngeal Airway Assorted Size 4 Pcs. Tongue Depressor Sterile 10 Pcs. Alcohol Prep Pads 3 Sachet Lubricating Jelly 1 Pc. Facemask Earloop 3ply 1 Pair Gloves Surgical Sterile 1 Roll Micropore Tape 1/2’’ 1 Pc. Rubber Suction 60ml 1 Pc. Airway Bag 4,300.00 12,900.00 1 Units Nebulizer (heavy Duty) At Least With Minimum Requirements: Dimensions: 6.3’’ (w) X 10.5’’ (h) X 10.1’’ (d) Free Air Flow: 12 Ipm Typical Max Pressure: 30 Psig Or Greater Sound Level: 51-55 Dba Warranty: Limited 5 Year Weight: 7.1 Lbs 35,000.00 35,000.00 1 Unit Neurological Hammer, Size: 20x5.1cm, Triangle Type 3,000.00 3,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 9 Of 12 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 Units Newborn Crib / Hospital Bassinet W/ Crib&foam Specifications – With At Least Minimum Requirements: Stainless Baby Bassinet With Stand Single. With Acrylic Baby Bassinet. Frame Is Made Of Stainless Steel, Mounted On Swivel Caster Wheel. Dimensions: Over-all Height H: 30’’ X L:29’’ X W:12’’ 16,000.00 16,000.00 2 Units Newborn Digital Weighing Scale With At Least Minimum Requirements: Indicator: Embedded Capacity: 20 Kg/44 Lb Graduation: 5g ˂ 10kg ˃ 10g 0.01 Lb ˂ 22 Lb ˃ 0.02 Lb Dimensions Overall: 560(w) X 325(d) X 145(h) Mm 22.0(w) X 12.8 (d) X 5.7 (h) Inch Platform: 325(w) X 310(d) X 50(h) Mm 12.8 (w) X 12.2 (d) X 2.0 (h) Inch Removable Tray: 560(w) X 290(d) X 65(h) Mm 22.0 (w) X 11.4 (d) X 2.6 (h) Inch Device Weight: 4.3 Kg (9.5 Lbs) Power Source: Aa Batteries*6, Adapter 30,000.00 60,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 10 Of 12 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 Unit Pulmonary Function Test/peak Expiratory Flow Rate (pefr) Tube Specifications At Least With Minimum Requirements: Reproducibility: Less Than 5% Or 10 L/min Accuracy: +/- 10% Or 20 L/min Interdevice Variability: Less Than 10% Or 20 L/min General System Dimensions: 6.5’’ L X 2.0’’ W X 0.8’’ H In Weight: 3.0 Oz Materials Main Body: Impact-resistant Abs Plastic 3,800.00 19,000.00 3 Unit Pulse Oximeter Fingertip For Adult, At Least With Minimum Requirements Measurement Range│ Spo2: 35%~99%; Pr:30~250 Bpm, Precision │spo2: 70%~99%; ±2%; 35%~69% (unspecified); Pulse Rate: 30~250bpm; ±3, Power Supply │2 X ‘’aaa’’ Alkaline, Pulse Oximeter Finger Type, Lase, Manual, Battery Operated 4,000.00 12,000.00 Remarks: _________________________________________________________________ _________________________________________________________________ Mailyn V. Balleta _____________________________ Canvasser Proprietor/authorized Representative (signature Over Printed Name) Rfq No. 24-10-0749 Page 11 Of 12 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 3 Unit Pulse Oximeter Fingertip For Pedia, At Least With Minimum Requirements Measurement Range│ Spo2: 35%~99%; Pr:30~250 Bpm, Precision │spo2: 70%~99%; ±2%; 35%~69% (unspecified); Pulse Rate: 30~250bpm; ±3, Power Supply │2 X ‘’aaa’’ Alkaline, Pulse Oximeter Finger Type, Lase, Manual, Battery Operated 4,000.00 12,000.00 1 Units Pulse Oximeter Handheld At Least With Minimum Requirements: Specifications: Power: 4x Aaa 1.5v Alkaline Battery Or Rechargeable 1000mah Li Battery Hemoglobin Saturation Display: 35%- 100% Pulse Rate Display: 0-250 Bpm Power Consumption: Smaller Than 80ma(normal) Resolution: Hemoglobin Saturation (spo2): 1% Pulse Rate: 1 Bpm Measurement Accuracy: Hemoglobin Saturation (spo2): 2% (70%-100%); Unspecified(˂70%) Pulse Rate:1 Bpm Low Perfusion Condition ≤0.3% Related Products 23,000.00 23,000.00 10 Pcs Rectal(flexible) Thermometer Digital 400.00 4,000.00 1 Pcs Sample Pot, Stainless Steel 600.00 600.00 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) Rfq No. 24-10-0749 Page 12 Of 12 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-/nonexpendable 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.