Purchase of Medical Supplies & Laboratory Instrument 2024-09-1122 Request for Quotation (RFQ)   Reference Number 11361903   Procuring Entity PROVINCE OF NORTHERN SAMAR   Title Purchase of Medical Supplies & Laboratory Instrument 2024-09-1122   Area of Delivery Northern Samar   Printable Version Solicitation Number: NS-2024-09-1122 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 169,890.00 Delivery Period: 30 Day/s Client Agency: Contact Person: Oliver Ted Castillo Orsolino Admin officer Capitol Site, Brgy. Dalakit Catarman Northern Samar Philippines 6400 63-055-5002342 63-055-5002342 pgnsbac1@gmail.com Status Active Associated Components Order Bid Supplements 0 Document Request List 3 Date Published 16/10/2024 Last Updated / Time 16/10/2024 12:00 AM Closing Date / Time 21/10/2024 9:00 AM Description Republic of the Philippines PROVINCE OF NORTHERN SAMAR Catarman, Northern Samar BIDS AND AWARDS COMMITTEE REQUEST FOR QUOTATION Date: October 14, 2024 RFQ No.: 24-10-0701 Name of Supplier (Business Name): ________________________________________ Address: ______________________________________________________________ TIN: _______________________ Contact No.: _________________________ The NSPH, through the Bids and Awards Committee (BAC), intends to procure Medical Supplies and Laboratory Instrument, with PR No. 2024-09-1122. The Medical Supplies and Laboratory Instrument shall be procured through the alternative mode of procurement in accordance with RA No. 9184 as reflected in BAC Resolution No. SVP-10-14-01. Suppliers of known qualifications are invited to submit their quotation/proposal, signed by you or your duly authorized representative not later than____________, subject to the Terms and Conditions provided in this RFQ. The contract shall be awarded to the supplier with the lowest and responsive quotation. The following documents are required to be submitted along with the quotation/proposal: 1. Mayor’s/Business Permit 2. Philgeps Reg. No. 3. Omnibus Sworn Statement 4. License To Operate Open quotations may be submitted, manually or through email at the address and contact numbers indicated below. For queries you may contact us at 500-2342 or email address at pgnsbac1@gmail.com. DR. JOSE LUIS A. ACOMPAÑADO BAC Chairman RFQ No. 24-10-0701 Page 1 of 3 PGNS-BAC-005-FM Rev.00 Effectivity Date: July 17, 2023 RFQ No. 24-10-0701 Page 2 of 3 PGNS-BAC-005-FM Rev.00 Effectivity Date: July 17, 2023 General Instructions: (1) Accomplish the RFQ completely and accurately. (2) Alteration of this form in any way is not allowed. (3) Failure to comply with any of the technical specifications required will disqualify your quotation. (4) Failure to follow these instructions will disqualify your quotation. After having carefully read and accepted the Terms and Conditions, I/we submit my/our quotation/s for the items as follows: Qty. Unit Item Description/Technical Specifications Approved Budget for the Contract Quotation/Offer Unit Price Total Price Unit Price Total Price Brand / Model 1 Pc Blood Leak Detector V4 17,810.00 17,810.00 4 Pack O-Ring 9.3 x 2.4, 5pcs/pack 2,050.00 8,200.00 1 Pc Cover Complete+ 2,520.00 2,520.00 10 Pc Filter (ABPM Module) 1,450.00 14,500.00 1 Pc Single Holder, Big 1,070.00 1,070.00 1 Pc Dialyzer Coupling, Red Ver.2 5,960.00 5,960.00 1 Pc Dialyzer Coupling, Blue Ver.2 5,960.00 5,960.00 2 Pack Membrane for Balance Chamber, 2pcs/pack 8,440.00 16,880.00 1 Pc Pump Body 32,730.00 32,730.00 5 Pack Filter 4.6Mm (Dialysate/Degassing), 5pcs/pack 5,400.00 27,000.00 2 Pc PE Tube 4x1 (Deep stick) 1,200.00 2,400.00 5 Pc ABPM Cuff 5,350.00 26,750.00 1 Pc Cover for Blood Pump 8,110.00 8,110.00 Terms of condition: The winning bidder shall consult with the end-user prior to delivery. WARRANTY. The supplier guarantees replacement within two (2) years period reckon from acceptance of deliveries. Remarks: _________________________________________________________________ _________________________________________________________________ MAILYN V. BALLETA _____________________________ Canvasser Proprietor/Authorized Representative (Signature over printed name) TERMS AND CONDITIONS 1. Bidders shall provide correct and accurate information as required in this form. 2. The price quotation/s shall be valid for a period of 60 calendar days from the date of submission. 3. The price quotation/s, to be denominated in Philippine Peso shall include all taxes, duties, and/or levies payable. 4. All quotations which exceeds the Approved Budget for the Contract shall be rejected. 5. The award of contract shall be made to the lowest quotation which complies with the technical specifications, and other terms and conditions stated herein. 6. Any alterations, interlineations, or overwriting shall not be allowed including the terms and conditions of RFQ. 7. The item/s shall be delivered within _30_ calendar days from receipt of the purchase order. 8. The Provincial Government of Northern Samar shall have the right to inspect and/or test the goods to confirm their conformity to the technical specifications. 9. Warranty Security for a minimum period of three months, in the case of expendable supplies, or a minimum period of one year in the case of semi-/non-expendable supplies, after acceptance by the procuring entity of the delivered supplies or specified warranty condition by the end-user. 10. For drugs, medicines and medical supplier, in compliance with COA Circular No. 2023-004 the following documents are the additional documentary requirements upon delivery of drugs and medicines and medical supplies, to wit: 1. Certificate of Product Registration (CPR) 2. Certificate of Good Manufacturing Practices (CGMP) 3. Batch Release certificate 4. Certificate as authorized distributor/supplier. Liquidated damages equivalent to one tenth of one percent (0.1%) of the value of the goods not delivered within the prescribed delivery period shall be imposed per day of delay. The PGNS shall rescind the contract once the cumulative amount of liquidated damages reaches ten percent (10%) of the amount of the contract, without prejudice to other courses of action and remedies that the PGNS may take. RFQ No. 24-10-0701 Page 3 of 3 PGNS-BAC-005-FM Rev.00 Effectivity Date: July 17, 2023 Line Items Item No. Product/Service Name Description Quantity UOM Budget (PHP) 1 Medical Supplies & Laboratory Instrument Blood Leak Detector V4 1 Piece 17,810.00 2 Medical Supplies & Laboratory Instrument O-Ring 9.3 x 2.4, 5pcs/pack 4 Pack 8,200.00 3 Medical Supplies & Laboratory Instrument Cover Complete+ 1 Piece 2,520.00 4 Medical Supplies & Laboratory Instrument Filter (ABPM Module) 10 Piece 14,500.00 5 Medical Supplies & Laboratory Instrument Single Holder, Big 1 Piece 1,070.00 6 Medical Supplies & Laboratory Instrument Dialyzer Coupling, Red Ver.2 1 Piece 5,960.00 7 Medical Supplies & Laboratory Instrument Dialyzer Coupling, Blue Ver.2 1 Piece 5,960.00 8 Medical Supplies & Laboratory Instrument Membrane for Balance Chamber, 2pcs/pack 2 Pack 16,880.00 9 Medical Supplies & Laboratory Instrument Pump Body 1 Piece 32,730.00 10 Medical Supplies & Laboratory Instrument Filter 4.6Mm (Dialysate/Degassing), 5pcs/pack 5 Pack 27,000.00 11 Medical Supplies & Laboratory Instrument PE Tube 4x1 (Deep stick) 2 Piece 2,400.00 12 Medical Supplies & Laboratory Instrument ABPM Cuff 5 Piece 26,750.00 13 Medical Supplies & Laboratory Instrument Cover for Blood Pump 1 Piece 8,110.00 Created by Oliver Ted Castillo Orsolino Date Created 15/10/2024 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.       PROVINCE OF NORTHERN SAMAR