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Details for Supply and Delivery of Medical Supplies for use of PHO, Iba, Zambales

PropertyValue
Name:Supply and Delivery of Medical Supplies for use of PHO, Iba, Zambales
Description:

Republic of the Philippines

PROVINCE OF ZAMBALES

I B A




Project Reference Number/Purchase Request No..

17-3

Location of the Project:

PHO
















REQUEST FOR QUOTATION

Date:

July 7, 2017













RFQ No.

RFQ 159-2017
















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

7 wa

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 use of PHO


 

 

 


 

 


 

 


1. Control Kit, Easy Lite

2

set

 

 

 

 


 

 


2. Dengue Kit, 25's

1

box

 

 

 

 


 

 


3. Easy Lite, 800ml., Solution Pack

1

set

 

 

 

 


 

 


4. Pregnancy Test Kit

2

box

 

 

 

 


 

 


5. Typing Sera A & B

20

set

 

 

 

 


 

 


6.Urine Strips, 10 Parameters

15

bottle

 

 

 

 


 

 


7. Glucose Strips


300

box

 

 

 

 


 

 


8. Adhesive Cautery Pad

20

piece

 

 

 

 


 

 


Life Sponge-Lapsonge w/X-ray Detection :

 

 

 

 

 

 


 

 


9. Size 12 x 12 x 12

50

piece

 

 

 

 


 

 


10. Size 18 x 18 x 12

50

piece

 

 

 

 


 

 


11. Size 8 x 12 x 12

50

piece

 

 

 

 


 

 


12. Size 8 x 36 x 12

50

piece

 

 

 

 


 

 


13. Surgical Gloves 6.5

10

box

 

 

 

 


 

 


14. Surgical Gloves 7

10

box

 

 

 

 


 

 


15. Surgical Gloves 7.5

10

box

 

 

 

 


 

 


16. Surgical Blade Size 10

10

box

 

 

 

 


 

 


17. Surgical Tape 1", 12 inches

49

box

 

 

 

 


 

 


18. Syringe, 5cc


800

piece

 

 

 

 


 

 


19. Ky Jelly



60

tube

 

 

 

 


 

 


 

 

 

 

629,200.00

 

 

 

 

 

 

 









 

 









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




















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

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