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Details for Supply and Delivery of Hospital Equipment for use of SMDH and OSC, Zambales

PropertyValue
Name:Supply and Delivery of Hospital Equipment for use of SMDH and OSC, Zambales
Description:

Republic of the Philippines


PROVINCE OF ZAMBALES


I B A





Project Reference Number/Purchase Request No..

091 & 079


Location of the Project:

SMDH / OSC



















REQUEST FOR QUOTATION


Date:

March 30, 2017














RFQ No.

079-2017



















Name of Company:

 

 

 

 

 

 

 

 








Address:

 

 

 

 

 

 

 

 








Business Permit No.:

 

 

 

 

 

 

 

 








TIN No.

 

 

 

 

 

 

 

 









Please quote your best offer for the item/s described below, subject to the Terms and Conditions provided at the


dorsal portion of this request for quotation. Submit your quotations duly signed by you or your duly representative


not later than Seven(7) days.











Open quotation may be submitted, manually or through facsimile or email at the address and contact


numbers indicated below.













 






Engr. FRANCISCO D. ARCALA












Provincial Engineer












BAC Chairman




After having carefully read and accepted the Terms and Conditions, I/we submit our quotation/s for


the item/s as follows:











ITEM DESCRIPTION

QUANTITY

Approved

OFFER


PRICE

Compliance

REMARKS


Budget of

with Technical


the

Specifications


(QTY)

Contract

(please check)


Estimate

Yes

No


Unit Cost

Total Cost

QTY

Unit Price

Total Price


For SMDH use.

 

 

 

 

 

 

 

 

 

 

 


1. Hospital Stretcher Cart

2

unit

 

 


 

 

 

 


 


2. Baby Crib with Basinet

3

set

 

 


 

 

 

 


 


3. Baby Basinet


3

piece

 

 


 

 

 

 


 


For OSC use.



 

 

 

 


 

 

 

 


 


1. Bedside Table, Plastic

30

piece

 

 


 

 

 

 


 







 

 


 


 

 

 

 


 


 

 

 

 

 

 

 

TOTAL

557,000.00

 

 

 

 

 

 

 


 









 



 









Signature Over Printed Name



 









 

 

 

 

 

 












Contact Numbers (Landline and/or Cellphone No.)/E-mail Address





















TERMS AND CONDITIONS:







1

Bidders shall provide correct and accurate information required in this form.


 




2

Bidders may quote for any or all the items.






 




3

Price quotation/s must be valid for a period of Thirty (30) calendar days from the date of submission.




4

Price quotation/s, to be denomidated in Philippine peso shall include all taxes, duties and/or levies payable.




5

Quotations exceeding the Approved Budget for the Contract shall be rejected.


 




6

Award of contract shall be made to the lowest quotation (for goods and infrastructure) or,




the highest rated offer (for consulting services) which complies with the minimum technical




specifications and other terms and conditions stated herein.





 




7

Any interlineations, erasures or overwriting shall be valid only if they are signed or initiated




by you or any of your duty authorized representative/s.





 




8

The item/s shall be delivered within ten (10) calendar days from receipt of purchase order.




9

The Provincial Government of Zambales shall have the right   to inspect and/or test the goods to confrim their




confirmity to the technical specifications.






 




10

Liquidated damages equivalent to one tenth of one percent (0.001%) of the value of the goods not




delivered within the prescribed delivery period shall be imposed per day of delay.

 




 

The Provincial Government of Zambales shall rescind the contract once the cumulative amount of liquidated




 

damages reaches ten percent (10%) of the amount contract, without prejudice to other courses of action and




 

remidies open to it.

 

 

 

 

 

 

 

 

 




______________________________________











Signature Over Printed Name/Date/Time













 

 

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