Quirino Memorial Medical Center Tender

Description Standard Form Number: Sf-good-60 Revised On: May 24, 2004 Standard Form Title: Request For Quotation Date: Quotation ______________________________ (name Of Company) ______________________________ (address/tel. #) Please Quote Your Lowest Price On The Item/s Listed Below, Subject To The General Conditions Below, Stating The Shortest Time To Delivery And Submit Your Fax/sealed Quotation Duly Signed By Your Representative On Or Before 29 November 2022 At The Procurement Office. Recommending Approval Jan Christpher F. Santos,ptrp,mmhoa Bac Secretariat Chairman Approved By: Dolores D. Alvarez,rph,mpa Bac Chairman 1. All Entries Must Be Typewritten/handwritten And All Required Documents Shall Be Submitted Upon Submission Of Quotation 2. Delivery Period (7) Seven Working Days Upon Receipt Of Purchase Order 3. Shall Submit Valid License To Operate(lto) Issued By Fda 4. Price Validity Shall Be For A Period Of 120 Calendar Days 5. Shall Submit Philgeps Registration Certificate And Mayor/business Permit 6. Shall Submit Certificate Of Product Registration (cpr) And Certificate Of Good Manufacturing Practice (cgmp) For Drugs And Medicine 7. Inclusive Of Value Added Tax (vat) 8. For Drugs/ Medicines Not Previously Used By Qmmc For The Past Two Years, Supplier Shall Submit Samples For Evaluation (good For 7 Patients’ Full Course) Upon Determination As The Lowest Bidder. 9. For I.v. Antimicrobials Such As 2nd And 4th Generation Cephalosporins, Betalactam/betalactamase Inhibitor And Carbapenems Shall Be Compatible W/ Sterile Water 0.9 Nacl, Dextrose 5% Or Combination Of Dextrose 5% And 0.9 Nacl And Stability Upon Dilution Of 6-24 Hours At Room Temperature Or Up To 48 Hours – 7 Days If Refrigerated 10. Certification That The Brand Offered Is Commercially Available In The Market For At Least Two (2) Years 11. For Clopidogrel, Supplier Should Submit Purity Or Stability Study 12. Shall Submit Certificate Of Good Performance (cgp) A. For Old Suppliers, Certificate Of Good Performance (cgp) Covering Transactions For 2019, Signed By The Hope Of Qmmc B. For New Suppliers At Least Two Tertiary Government Or Private Hospital, Signed By The Hope (cgp Transactions Covering 2019); Original Brochure/ Package Insert Or Downloaded From The Internet Or Encryption/imprint Inside The Box As Approved By Fda. Note: Item # Item / Description Qty. Unit Price Total Price Epoetin Alfa (recombinant Human Erythropoietin) 4000 Iu/ 0.4,ml (iv,sc) 1000pfs Brand And Model : _________________________ Delivery Period : _________________________ Warranty : _________________________ Price Validity : _________________________ After Having Carefully Read And Accepted Your General Conditions, I/we Quote You On The Item At Prices Noted Above. _____________________ Printed Name / Signature _____________________ Tel. No. / Cell Phone No. E-mail Address Date: _________________