PURCHASE OF DRUGS AND MEDICINES FOR MHO

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PURCHASE OF DRUGS AND MEDICINES FOR MHO

Post by btorres4 on Wed Jan 24, 2018 4:17 pm

REQUEST FOR QUOTATION
LGU - DANAO, BOHOL

Standard Form Number:SF-GOOD-60
Revised on: May 24, 2004
Standard Form Title: Request for Quotation

Date : July 06, 2017

Company Name

Address

Please quote your lowest price on the item/s listed below, subject to the General Conditions
on thelast page, stating the shortest time of delivery and submit your quotation duly signed by your
representative not later than July 14, 2017 in the return envelop attached herewith.

MA. LUISA M. CALAPE
Procurement Officer

NOTE: 1. ALL ENTRIES MUST BE TYPEWRITTEN/ HAND WRITING
2. DELIVERY PERIOD WITHIN 10 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 __90___ CALENDAR DAYS
5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE
PRODUCT BEING OFFERED.
ITEM ITEM & DESCRIPTION QTY UNIT PRICE TOTAL
NO. AMOUNT
1 Cephalexin 125mg/5ml x 60ml 80 Btls
2 Cephalexin 500mg x 100 Cap 15 Boxes
3 Amoxicillin 100mg/Drops 100 Btls
4 Amoxicillin 250mg/5ml x 60ml Syrup 125 Btls
5 Amoxicillin 500mg/Cap x 100 25 Boxes
6 Cloxacillin 125mg/5ml x 60ml 75 Btls
7 Mefenamic 50mg/5ml x 600ml Syrup 75 Btls
8 Mefenamic 250mg/Cap x 100 16 Boxes
9 Mefenamic 500mg/Cap x 100 25 Boxes
10 Decloferac Na 50mg x 100 Tab 2 Boxes
11 Paracetamol 100mg/ml Drops 75 Btls
12 Paracetamol 500mg x 100 tab 25 Boxes
13 Chlorphenamine Maleate 2mg/ x 60ml 25 Btls
14 Chlorphenamine Maleate 2mg/tab x 100 3 Boxes
15 Cotrimoxazole 200mg/5ml x 60ml 75 Btls
16 Cotrimoxazole 800mg/tab x100 10 Boxes
17 Metronidazole 125mg/5ml x 60ml 50 Btls
18 Metronidazole 500mg/tab x 100 10 Boxes
19 Ascorbic Acid 500mg/ x 100 4 Boxes
20 Multivitamins Cap x 100 15 Boxes
21 Dicycloverine HCL 2mg/Syrup 75 Btls
22 Dicycloverine HCL 2mg/tab x 100 10 Btls
23 Salbutamol 2mg/5ml x 60ml 75 Btls
24 Salbutamol 2mg/tab x 100 25 Boxes
25 Aluminum Magnesium (Al + MGOH) Susp. 75 Btls
26 Losartan 100mg 25 Boxes
27 Simvastatin 20mg 15 Boxes
28 Amplodipine 10mg 10 Boxes
TOTAL ESMTMATED COST
Brand & Model :
Delivery Period :
Warranty :
Price Validity :
After having carefully read and accepted your General Conditions, I/We quote you on the firm item
at prices noted above.

Pritnted Name/Signature

Tel No. /Cellphone No./e-mail address

Date
avatar
btorres4
Board General
Board General

Female Number of posts : 530
Age : 55
Company/Agency : LGU-DANAO
Occupation/Designation : BAC Secretariat
Registration date : 2012-01-09

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