Republic of the Philippines SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao delsur. Bids and Awards Committee on Goods

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Republic of the Philippines SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao delsur Bids and Awards Committee on Goods REQUEST FOR QUOTATION (RFQ) For Procurement of Medical Supplies RFQ No. 246 1. The Surigao del Sur State University (SDSSU)- Main Campus, through the GOP- GAA intends to apply the sum of Three Hundred Ninety Nine Thousand Pesos Only (Php 142,395.00) being the approved Budget for the Contract (ABC) to payments for the Procurement of Medical Supplies for which this Request for Quotation is issued. 1. The SDSSU, hereinafter referred to as the Purchaser now request you to submit price quotation for the supply and delivery of the following: Ite m No. Description Qty. Unit Hospital size Cotton 400 grams 4 4"x4"-8 Ply Gauze 100 pcs/pk 10 One Touch Ultra Test Strips 125 Mefenamic Acid 500 mg. Caps (Generics) packs packs pcs. Amoxycillin 500 mg. Caps (Generics) 1000 capsule Cefalexin 500 mg capsule 500 capsule Ambroxol 30 mg. Tab. (Mucosolvan)) 1000 tablet Salbutamol Bronelid 2 mg. 50 tablets Carbocysteine 500 mg. Capsule 60 ml. Betadine 10% solution 5 bots. Efficascent Oil Extra Strenght 60 ml. 20 bots. Neozep 500 mg. tablet 1000 tablets Erythromycin 500 mg Capsule 200 capsule Kremil-S 500 mg tablet 200 tablets Biogesic 500 mg tablet 1000 tablets

Leukoplast Plaster white surgical tape (10 pieces asorted 4x1.25cm;2x5cm;1x7.5cm) Essentiale Forte 500 mg Diatabs/Loperamide Amlodipine 10 mg. tab BioFlu 500 mg. Stress tablet 500 mg Cotrimoxazole 800 mg caps Dicycloverine tablet 20mg Ascorbic Acid 500 mg Revitaflex (Vit. B-complex) Ferrous Sulfate Metformin Glumet Cetirizine Dihydrocholoride 10mg Lorvazine- Silver Sulphadiazine 1 % Cream- USP Aller - CM tablet Naproxen(Flanax) 500 mg. Capsule Visine Eyedrop (For red eyes) Alaxan FR 500 mg Salbutamol Nebule Rubitussin Liquick 500 mg capsule Losartan 50 mg tablet Metroprolol 50 mg/100mg tablet Ponstan 500 mg. tablet Metronidazole 500 mg. Tablet Tetanus Toxoid Vial 1 tube 500 capsules 85 tablets 100 tablets 125 tablets 2 Pcs. 250 Pcs. 250 pcs. 4 Pcs. 250 capsules 25 nebule 200 capsules 25 tablets 20 tablets 150 tabs 10 vial

Ciprofloxacin 500mg. Caps. Injection syringe size 5ml. Tuberculin syringe (For Skin test) Elastic Bandage Cotton swab/ Buds 100 tips Band Aid Sterile Water (Parenteral) 10ml. Betadine 10% Solution 60 ml. One Touch Sterile Lancet ATS Injection 1,500 "u" D5LR 500 ml. Oxygen Tank Oxygen Cannula (adult) Disposable Gloves size 6 Disposable Masks ALP K2 Sphigmomanometer 70% Rubbing Alcohol 500ml 500 capsules 6 roll 6 packs 100 Pcs. 2 vial 12 Bots. 100 Pcs. 15 ampule 1 Bot. 1 tank 12 Pcs. 1 unit 5 Bot. 3. A set of technical specifications for the above items are provided in Attachment 1. All items listed under the purchasers specifications must be complied on a pass-fail basis. Failure to meet any one of the requirements will result to rejection. 4. Bidding procedures will be conducted in accordance with the provisions of the Implementing Rules and Regulations-A (IRR-A) of Republic Act 9184. 5. It is the intent of the Purchaser to evaluate the quotation for each item separately, and award will be made to the quotation or combination of quotations resulting in the overall lowest cost. Quotation for one or more or all items will be considered. Contract Award will be made to the lowest evaluated quotation (s) meeting purchaser s technical specifications. 6. Quotations must be delivered at the BAC Office of Surigao del Sur State University, Main Campus,Rosario, Tandag. Surigao de Sur not later than 10:00 AM of July 15, 2014 7. Your prices must be quoted in Philippine Peso and must include the unit price and total price, inclusive of all taxes to be paid and other incidental cost to the delivery site if the contract is awarded.

8. All quotations must be typewritten and must be placed in sealed envelope marked PROCUREMENT OF MEDICAL SUPPLIES (RFQ No. 246) 9. Quotations shall be valid for sixty (60) calendar days from the Opening of Bids. 10. The delivery period shall be within sixty (60) calendar days from receipt of the Notice to Proceed (NTP). 11. DELIVERY SITE: Surigao del Sur State University(SDSSU) Main Campus, Rosario, Tandag, Surigao del Sur. 12. The applicable rate for late deliveries is one tenth (1/10) of one percent (1%) of the cost of the unperformed portion for every day of delay. The maximum deduction shall be ten percent (10%) of the amount of contract. Once the cumulative amount of liquidated damages reaches ten percent (10%) of the amount of the contract, the procuring entity shall rescind the contract, without prejudice to other courses of action and remedies open to it. 13. The SDSSU reserves the right to accept or reject any quotation, and to annul the bidding process and reject all quotations at any time prior to Contract award, without thereby incurring any liability to the affected bidder or bidders and to waive any minor defects or infirmities therein and to accept such quotation as may be considered advantageous to the government. 14. The prospective bidder shall submit the following: a. Quotation Form b. Technical Specification c. Certificate of PHIL-GEPS Registration Sgd. BACELEDES R. ESTAL, Ph. D. BAC-Chairman SDSSU-Main Campus

QUOTATION FORM Date: RFQ No. 246 The Chairman The Bids and Award Committee on Goods SDSSU-Main Campus Ite m No. 1) Having examined the subject Request for Quotation including the Technical Specifications, we, the undersigned offer to supply and deliver the following items (with our unit price and total) Description Qty. Unit Unit price Hospital size Cotton 400 grams 4 4"x4"-8 Ply Gauze 100 pcs/pk 10 One Touch Ultra Test Strips 125 Mefenamic Acid 500 mg. Caps (Generics) packs packs pcs. Total Amoxycillin 500 mg. Caps (Generics) 1000 Cefalexin 500 mg capsule 500 Ambroxol 30 mg. Tab. (Mucosolvan)) 1000 Salbutamol Bronelid 2 mg. Carbocysteine 500 mg. Capsule 60 ml. Betadine 10% solution Efficascent Oil Extra Strenght 60 ml. Neozep 500 mg. tablet Erythromycin 500 mg Capsule Kremil-S 500 mg tablet Biogesic 500 mg tablet Leukoplast Plaster white surgical tape (10 pieces asorted 4x1.25cm;2x5cm;1x7.5cm) capsule capsule tablet 50 tablets 5 bots. 20 bots. 1000 tablets 200 capsule 200 tablets 1000 tablets 1 tube

Essentiale Forte 500 mg Diatabs/Loperamide Amlodipine 10 mg. tab BioFlu 500 mg. Stress tablet 500 mg Cotrimoxazole 800 mg caps Dicycloverine tablet 20mg Ascorbic Acid 500 mg Revitaflex (Vit. B-complex) Ferrous Sulfate Metformin Glumet Cetirizine Dihydrocholoride 10mg Lorvazine- Silver Sulphadiazine 1 % Cream-USP Aller - CM tablet Naproxen(Flanax) 500 mg. Capsule Visine Eyedrop (For red eyes) Alaxan FR 500 mg Salbutamol Nebule Rubitussin Liquick 500 mg capsule Losartan 50 mg tablet Metroprolol 50 mg/100mg tablet Ponstan 500 mg. tablet Metronidazole 500 mg. Tablet Tetanus Toxoid Vial Ciprofloxacin 500mg. Caps. 500 capsules 85 tablets 100 tablets 125 tablets 2 Pcs. 250 Pcs. 250 pcs. 4 Pcs. 250 capsules 25 nebule 200 capsules 25 tablets 20 tablets 150 tabs 10 vial 500 capsules

Injection syringe size 5ml. Tuberculin syringe (For Skin test) Elastic Bandage Cotton swab/ Buds 100 tips Band Aid Sterile Water (Parenteral) 10ml. Betadine 10% Solution 60 ml. One Touch Sterile Lancet ATS Injection 1,500 "u" D5LR 500 ml. Oxygen Tank Oxygen Cannula (adult) Disposable Gloves size 6 Disposable Masks ALP K2 Sphigmomanometer 6 roll 6 packs 100 Pcs. 2 vial 12 Bots. 100 Pcs. 15 ampule 1 Bot. 1 tank 12 Pcs. 1 unit 70% Rubbing Alcohol 500ml 5 Bot. Total Quotation 2) We undertake, if our Quotation or Bid is accepted, to deliver the above goods within the sixty (60) days delivery period. 3) We agree to abide by this Quotation/Bid for a period of sixty (60) days after the dated deadline of submission specified in your RFQ. 4) We understand that payment for items delivered will be made to the winning supplier within thirty (30) days after inspection and acceptance of goods delivered. Company Name: Address: Signature Over Printed Name:

Republic of the Philippines SURIGAO DEL SUR STATE UNIVERSITY Rosario, Tandag, Surigao delsur TECHNICAL SPECIFICATIONS Purchaser s Specifications Supplier s Specifications (please state Comply or Not Comply Hospital size Cotton 400 grams 4"x4"-8 Ply Gauze 100 pcs/pack One Touch Ultra Test Strips Mefenamic Acid 500 mg. Caps (Generics) Amoxycillin 500 mg. Caps (Generics) Cefalexin 500 mg capsule Ambroxol 30 mg. Tab. (Mucosolvan)) Salbutamol Bronelid 2 mg. Carbocysteine 500 mg. Capsule 60 ml. Betadine 10% solution Efficascent Oil Extra Strenght 60 ml. Neozep 500 mg. tablet Erythromycin 500 mg Capsule Kremil-S 500 mg tablet Biogesic 500 mg tablet Leukoplast Plaster white surgical tape (10 pieces asorted 4x1.25cm;2x5cm;1x7.5cm) Essentiale Forte 500 mg Diatabs/Loperamide Amlodipine 10 mg. tab

BioFlu 500 mg. Stress tablet 500 mg Cotrimoxazole 800 mg caps Dicycloverine tablet 20mg Ascorbic Acid 500 mg Revitaflex (Vit. B-complex) Ferrous Sulfate Metformin Glumet Cetirizine Dihydrocholoride 10mg Lorvazine- Silver Sulphadiazine 1 % Cream-USP Aller - CM tablet Naproxen(Flanax) 500 mg. Capsule Visine Eyedrop (For red eyes) Alaxan FR 500 mg Salbutamol Nebule Rubitussin Liquick 500 mg capsule Losartan 50 mg tablet Metroprolol 50 mg/100mg tablet Ponstan 500 mg. tablet Metronidazole 500 mg. Tablet Tetanus Toxoid Vial Ciprofloxacin 500mg. Caps. Injection syringe size 5ml. Tuberculin syringe (For Skin test) Elastic Bandage

Cotton swab/ Buds 100 tips Band Aid Sterile Water (Parenteral) 10ml. Betadine 10% Solution 60 ml. One Touch Sterile Lancet ATS Injection 1,500 "u" D5LR 500 ml. Oxygen Tank Oxygen Cannula (adult) Disposable Gloves size 6 Disposable Masks ALP K2 Sphigmomanometer 70% Rubbing Alcohol 500ml