Medicine Request for Quotation (RFQ)   Reference Number 11369419   Procuring Entity CITY OF LA CARLOTA, NEGROS OCCIDENTAL   Title Medicine   Area of Delivery Negros Occidental   Printable Version Solicitation Number: 2024-0315 Trade Agreement: Implementing Rules and Regulations Procurement Mode: Negotiated Procurement - Small Value Procurement (Sec. 53.9) Classification: Goods Category: Drugs and Medicines Approved Budget for the Contract: PHP 397,320.00 Delivery Period: 0 Day/s Client Agency: Contact Person: Dennis Abela Cagalawan Administrative Officer IV San Agustin Street La Carlota City Negros Occidental Philippines 6130 63-34-7351370 lgulacarlota_bacoffice@yahoo.com Status Active Associated Components Order Bid Supplements 0 Document Request List 0 Date Published 17/10/2024 Last Updated / Time 17/10/2024 12:00 AM Closing Date / Time 22/10/2024 1:30 PM Description City Government of La Carlota Standard Form Number: SF-GOOD-59 Revised on: May 24, 2004 Standard Form Title: REQUEST FOR QUOTATION Date: ______________ Quotation No.________ Company Name Address Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, starting the shortest time of delivery and submit your quotation duly signed by your representative not later than _______________________________________ in the return envelope attached herewith. (SGD.) ROMMEL R. SABIG City Health Officer/BAC CHAIRMAN NOTE: 1. ALL ENTRIES MUST BE TYPEWRITTEN 2. DELIVERY PERIOD WITHIN _____________ CALENDAR DAYS. 3. WARRANTY SHALL BE FOR A PERIOD OF SIX(6) MONTHS FOR SUPPLIES & MATERIALS, ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY. 4. PRICE VALIDITY SHALL BE FOR A PERIOD OF _____________ CALENDAR DAYS. 5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION. 6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATYIONS OF THE PRODUCT BEING OFFERED. ITEM NO. ITEM & DESCRIPTION QTY. UNIT PRICE 1 Acetylcysteine 200mg 20 boxes P 2 Acetylcysteine 600mg 30 boxes 3 Amoxicillin 250mg Susp. 60ml 250 bots 4 Amoxicillin 500mg Cap 50 boxes 5 Azithromycin 500mg 3’s 80 boxes 6 Cefalexin 250mg Susp. 60ml 100 bots 7 Cefalexin 500mg Cap 20 boxes 8 Cetirizine 10mg Tab 100’s 20 boxes 9 Cetirizine Syr. 60ml 80 bots 10 Cetirizine Drops 100 bots 11 Ciprofloxacin 500mg tab 100’s 30 boxes 12 Co-amoxiclav 625mg 14’s 50 boxes 13 Co-amoxiclav 457mg Susp. 70ml 50 bots 14 Co-amoxiclav 312mg Susp. 60ml 50 bots 15 Dicycloverine Syr 20 bots 16 Diphenhydramine 50mg caps 100’s 50 boxes 17 LAgundi 300mg 60ml 100 bots 18 LAgundi 600mg 60ml 200 bots 19 Levocetirizine+Montelukast 6 boxes 20 Loratadine 10mg tab 30 boxes 21 Metoclopramide Syr 15 bots 22 Metronidazole 125mg Susp. 60ml 15 boxes 23 Montelukast 10mg tab 100’s 50 boxes 24 Omeprazole 20mg cap 30 boxes 25 Omeprazole 40mg cap 30 boxes 26 ORS Sachet 25’s 50 boxes 27 Paracetamol 500 tab 50 boxes 28 Paracetamol 250mg/5ml susp 100 bots 29 Prednisone 20mg 100’s 30 boxes 30 Salbutamol 2.5mg/ml 2.5ml NEB 20 boxes 31 Salbutamol Syrup 50 bots 32 Salbutamol 2mg tab 50 boxes Brand and Model : ________________________ Delivery Period : ________________________ Warranty : ________________________ Price Validity : ________________________ Name of the Procuring Entity Project Reference Number Name of the Project Location of the Project After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above. _________________________ Printed Name / Signature _________________________ Tel. No. / Cellphone No. ________________________ Date Created by Dennis Abela Cagalawan Date Created 16/10/2024 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.       CITY OF LA CARLOTA, NEGROS OCCIDENTAL