Talavera General Hospital Tender

Description Request For Quotation Date: February 5, 2025 Rfq No.: 2025-16 Name Of Company: ____________________________________________________________________ Office Address: _______________________________________________________________________ Business Permit No.: _____________________ Valid Until: ______________________________ Tax Id No.: __________________________________________________________________________ Philgeps Reg. No. (required): __________________________________________________________ The Talavera General Hospital, Through Its Bids And Awards Committee (bac), Intends To Apply The Sum Of Two Hundred Fifty Thousand Pesos (php 250,000.00) Being The Approved Budget For The Contract (abc) From Regular Agency Fund For Payments Under The Contract Repair Of Two (2) Unit Anesthesia Machine At Or Complex Through Small Value Procurement Under Sec. 53.9 Of The Republic Act. 9184. Please Submit Your Duly Signed Quotation Addressed To The Bids And Awards Committee (bac) Chairperson And To The Given Address Below, On Or Before February 11, 2025, Tuesday, 5:00pm, Subject To The Compliance With The Terms And Conditions Provided On This Request For Quotation (rfq): Dhonna Sheila A. Baterina, Md, Mha, Fpogs Chairperson, Bids And Awards Committee Talavera General Hospital Maestrang Kikay District, Talavera, Nueva Ecija Tel. No. (044) 940 – 7136 Loc 170 – 171 Email Address: Procurement.tgh@gmail.com Standard Requirements: Document Remarks Mayor’s Permit Or Business Permit In Case Not Yet Available, You May Submit Your Expired 2024 Mayor’s Or Business Permit With The Official Receipt Of Renewal Application. However, A Copy Of Your 2025 Mayor’s Or Business Permit Shall Be Required To Be Submitted After Award Of Contract But Before Payment. Notarized Omnibus Sworn Statement (gppb-prescribed Form) If Unable To Have The Document Notarized, You May Submit A Signed Unnotarized Omnibus Sworn Statement (in The Prescribed Template), Subject To Compliance Therewith After Award Of Contract But Before Payment. Updated Company Profile Submit An Updated Company Profile Together With This Request For Quotation. For Any Clarification, Or Further Information You May Refer To: Liwayway Dg. Pangilinan Administrative Officer V/head Bac Secretary Talavera General Hospital Procurement Office Maestrang Kikay, Maharlika Hi-way, Talavera, Nueva Ecija Telefax: [044] 940-7136 Loc. 170 To 171 Email: Procurement.tgh@gmail.com Note: 1. If A Revised Philgeps Certificate Of Platinum Registration And Membership Is Submitted You Can Disregard The Standard Requirement No. 1 (mayor’s Permit Or Business Permit). _____________¬_______________ Dhonna Sheila A. Baterina, Md, Mha, Fpogs Chairperson, Bids And Awards Committee Philgeps: February 6, 2025 Instructions: Note: Failure To Follow These Instructions Will Disqualify Your Entire Quotation. I. Do Not Alter The Contents Of This Form In Any Way. Ii. The Use Of This Rfq Is Mandatory. In Case Of Any Changes Or Alteration, The Submitted Quotation Shall Be Automatically Rejected. If Another Form Is Used Other Than The Latest Rfq, The Quotation, The Submitted Quotation Shall Be Automatically Rejected. Iii. All Mandatory Technical Specifications Must Be Complied With. Failure To Comply With The Mandatory Requirements Shall Render The Quotation Ineligible/disqualified. Iv. Quotations May Be Submitted Through Electronic Mail At Procurement.tgh@gmail.com. V. Quotations, Including Documentary Requirements, Received After The Deadline Shall Not Be Accepted. For Quotations Submitted Via Electronic Mail, The Date And Time Of Receipt Indicated In The E-mail Shall Be Considered. Terms And Conditions: I. Bidders Shall Provide Correct And Accurate Information Required In This Form. Ii. Any Interlineations, Erasures, Or Overwriting Shall Be Valid Only If They Are Signed Or Initialed By You Or Any Of Your Duly Authorized Representative/s. Iii. Price Quotation/s Of The Winning Bidder Will Be Contract Price/amount Which Is Considered Fixed Price. Iv. Price Quotation/s, To Be Denominated In Philippine Peso, Shall Include All Taxes, Duties, And/or Levies Payable. V. Quotations Exceeding The Approved Budget For The Contract Shall Be Rejected. Vi. In Case Of Two Or More Bidders Are Determined To Have Submitted The Lowest Calculated Quotation/lowest Calculated And Responsive Quotation, The Talavera General Hospital Shall Adopt And Employ “draw Lots/toss Coin” As The Tie-breaking Method To Finally Determine The Single Winning Provider In Accordance With Gppb Circular 06-2005. Vii. Award Of Contract Shall Be Made To The Lowest Quotation Which Complies With The Technical Specifications, Requirements And Other Terms And Conditions Stated Herein. Viii. The Item/s Shall Be Delivered According To The Accepted Offer Of The Bidder. Ix. Item/s Delivered Shall Be Inspected On The Scheduled Date And Time Of The Talavera General Hospital. The Delivery Of The Item/s Shall Be Acknowledged Upon The Delivery To Confirm The Compliance With The Technical Specifications. X. The Procuring Entity May Cancel Or Terminate The Contract At Any Time In Accordance With The Grounds Provided Under Ra No. 9184 And Its 2016 Revised Irr. Xi. The Rfq, Purchase Order (po), And Other Related Documents For The Above-stated Procurement Projects Shall Be Deemed To Form Part Of The Contract. Xii. This Project Will Be Awarded By Line Item Which Will Be Evaluated Per Line Item And The Award Will Be Given To The Lowest Calculated And Responsive Quotation. After Having Carefully Read And Accepted The Instructions And Terms And Conditions, I/we Submit Our Quotation/s For The Item/s As Follows: Technical Specifications # Description Quantity Unit Statement Of Compliance (“comply” Or “not Comply”) Note: Non-compliance With The Minimum Required Specifications Shall Be Rejected. 1 Anesthesia Machine Brand: Drager Model: Fabius Plus Xl Serial No.: Asjb0097 Standard Requirements: • Must Have A Certificate Of Exclusivity And Authorization From Manufacturer Scope Of Work: • Check The Unit • Replacement Of High-pressure Tubing • Replacement Of Safety Valve • Leak Test • Output Verification • Functionality Test 1 Unit 2 Anesthesia Machine Brand: Meditec England Model: Neptune Plus Serial No.: 1909np126 Standard Requirements: • Must Have A Certificate Of Exclusivity And Authorization From Manufacturer Scope Of Work: • Check The Unit • Replacement Of Bellows • Replacement Of Absorber Gasket • Repair Of Main Board • Output Verification • Leak Test • Functionality Test 1 Unit Delivery Requirements - Delivery Within 10 Calendar Days Upon Receipt Of The Purchase Order. Financial Offer: Terms Of Payment: Payment Shall Be Made Within Fifteen (15) Days Upon Completion Of The Project/delivery And Submission Of Billing/invoice And User Acceptance Of The Product. Please Quote Your Best Offer For The Item/s Below. Please Do Not Leave Any Blank Items. Bid Price Form # Items Quantity Unit Abc Per Line Item Unit Cost Total Cost 1 Anesthesia Machine (drager) 1 Unit 115,000.00 2 Anesthesia Machine (meditec England) 1 Unit 135,000.00 Grand Total Name Of Representative Of The Bidder Address Tel. No.: Name Of Company Date