REQUEST FOR QUOTATION FOR MEDICAL SUPPLIES Request for Quotation (RFQ)   Reference Number 11345772   Procuring Entity SOUTHERN ISABELA MEDICAL CENTER   Title REQUEST FOR QUOTATION FOR MEDICAL SUPPLIES | PR NO. 2024-10-3153 SERIES 2024   Area of Delivery Isabela   Printable Version Solicitation Number: PR NO. 2024-10-3153 SERIES 2024 Trade Agreement: Implementing Rules and Regulations Procurement Mode: Negotiated Procurement - Small Value Procurement (Sec. 53.9) Classification: Goods Category: Medical Supplies and Laboratory Instrument Approved Budget for the Contract: PHP 928,000.00 Delivery Period: 10 Day/s Client Agency: Contact Person: ALPHONE GANNABAN BUSTO Admin Assistant I (Procurement Staff) Barangay. Rosario Purok 4 Zamora st. Corner Recto Ave. Santiago City Isabela Philippines 3311 63-78-3052002 Ext.12 63-78-3050459 simchobac2022@gmail.com Status Active Associated Components Order Bid Supplements 0 Document Request List 0 Date Published 11/10/2024 Last Updated / Time 11/10/2024 12:00 AM Closing Date / Time 18/10/2024 5:00 PM Description NOTE: ALL NEW SUPPLIER ARE REQUIRED TO SUBMIT THE FOLLOWING DOCUMENT. 1. Mayor's Permit 2. Income/Business Tax Return 3. Philgeps Certificate 4. Notarized Omnibus Sworn Statement 5. PCAB License (for Infrastructure) 6. NFCC (for Infrastructure) 7. Professional License/Curriculum Vitae (for Consulting Services) 8. License to Operate from FDA (for Pharmaceutical products and selected devices) 9. BIR Form 2303 10. SSRS Form NOTE: -REQUEST FOR QUOTATION FORM (CANVASS) IS AVAILABLE AT Associated Components. Should you have queries, email us @ simchobac2022@gmail.com or call 09985313750. Line Items Item No. Product/Service Name Description Quantity UOM Budget (PHP) 1 PR NO. 2024-10-3153 | LINE ITEM NO. 1 DISPOSABLE DRAINAGE CATHETER PIGTAIL SET 20 Set 100,000.00 2 PR NO. 2024-10-3153 | LINE ITEM NO. 2 HEMODIALYSIS CATHETER 11.5FX15CM DOUBLE LUMEN 150 Piece 435,000.00 3 PR NO. 2024-10-3153 | LINE ITEM NO. 3 HEMODIALYSIS CATHETER F12X20CM DOUBLE LUMEN STRAIGHT 30 Piece 93,000.00 4 PR NO. 2024-10-3153 | LINE ITEM NO. 4 PERITONEAL DIALYSIS 15FX63CM CATHETER WITH 2 CUFFS - ADULT 10 Piece 100,000.00 5 PR NO. 2024-10-3153 | LINE ITEM NO. 5 PERITONEAL DIALYSIS-PEDIA 15FX37CM DOUBLE CUFF-STRAIGHT 10 Piece 100,000.00 6 PR NO. 2024-10-3153 | LINE ITEM NO. 6 PERITONEAL DIALYSIS CATHEER - PEDIA 15FX42CM DOUBLE CUFF-STRAIGHT 10 Piece 100,000.00 Created by ALPHONE GANNABAN BUSTO Date Created 10/10/2024 The PhilGEPS team is not responsible for any typographical errors or misinformation presented in the system. PhilGEPS only displays information provided for by its clients, and any queries regarding the postings should be directed to the contact person/s of the concerned party.       SOUTHERN ISABELA MEDICAL CENTER