HealthNetTPo

RFQ No. lJLd:.l ~'i.J LS~ oj.;~ Project:

HealthNet TPO Office Dehburi, Deh Naw, District 3 Street No.5 House No. 144, kabul WVM'.healthnettpo.org Email :farooq@heatthnettpoaf.org Email:khalilmohmmand@hea lthnettpoaf.arr

Ph: 0789880790·078988071 5

AF297M0-2019-229-KBL Laqhman EPHS

ANNEX 1-c Quotation Request Form

I Vendor Name: AU Interested bidders

Dead line: May,:U,1011) at 11:00AJ.A local t ime . De livery Date: One week after signing the PO Delivery Location: HealthNet TPO , laghman New Hospital, Laghman, Afghanistan

Dear Sir/ Madam , Please send/ provide us with your quotation for the following items be low;

Item No. Quantity Unit Procurement Item Company Unit Cost AFN Total Cost AFN

1 130 !piece Chest tube 18g Please provide the quotation in your compa ny letterhead, but 2 100 I piece Chest tube 24g stamp and sign this RFQ for acceptance the terms and

3 130 I piece Clean delivery kit conditions.

A 19 Hi Glinie" l thorrnowot or 5 50 I piece Colostomy bag

6 140 Roll Cotton Roll 400 gram T 1,000 Roll U'i3jj lii1Hdiig i3 4 "!1 4111 8 2,000 Roll Crept bandage 6"x 4m 9 200 I piece Drain Bottle jo 200 lgcll ECG Gel

11 zoo leell ECG Large Size

12 700 Roll Elastic bandage Scm* 5 meter 13 I 100 Roll Gauze bandage by dozen 3"x 4m

14 1,100 Roll Gauze bandage by dozen 4"x 4m 15 100 yard Gauze cloth than of 34" by 20 yard 16 500 J lit!-CC! Gauze pade 20x20 em non sterlal -17 18 000 >ieee Gauze pade 10 x 10 em

18 suo ieee Gauze parafine by box --- --1'9 9 000 pair Glove examination latix All Size 20 6,500 mir Glove examination plastic pocket of 100 21 10,000 piece Infusion set

12 500 , i-.e I V. Canullo No 16

23 500 11tiece IV.Canulla No 18

24 2,000 I p iece I V. Canula G 20 25 2,000 Jiccc IV. Canulla No 22

26 2,000 I piece IV.Canulla No24

27 200 lpack-30 Mask f ace

28 500 I piece Mucus extractor dissposible

29 10 sloution Neubolizer solution 30 200 I piece Naso gastric tube No 10 31 100 I piece Naso gastric t ube No 12

32 30 I piece Naso gastric tube No 14 33 20 I niece Naso gastric tube No 16

34 20 I piece Needel Disposible 18 G 35 20 I piece Needel Disposible 20 G

36 20 I piece Needel Disposible 21 G

37 1,000 I piece Needel Disposible 22 G

38 1,000 >ieee Needel Disposible 24 G

39 1,000 I piece Needle diposible 25 G

40 500 I niece Oxygen catheter 10 No

41 1,000 Roll Plaster of paris large 15cm.x2.7m 42 1,000 Roll Plaster of paris sma l 10cmx1.7m

43 200 I piece Rectal tube 16

44 200 I piece Rectal tube 18

45 300 >ieee Rectal tub 20

46 200 I piece Rectal tub 32

47 60 I piece Scalp vein infusion set 21

-ID uu [ Jll~~~ !Ud iJ VO:III l llfU~IUII ~O:ll!J -----49 70 II i~~~ Spinal needle 18G / - ---50 180 I piece Spinal needle 25G // ~ 51 40 I piece Spinal needle 23G I (!/ c •"'-52 650 I pair Surgical Gloves Strile No6.5 I < ( -53 500 I pair Surgical Gloves Strile No7.5 r-1 ").., ,, .1 .. ~ • #' 54 1,200 I pair Surgical Gloves Strile No 8-8.5 /1 ...... \ 1....:. I· fA. LU IJ /"'/' 55 200 I piece Surgical Hate / \··~\I.C0; b:;'1 I.-56 600 ack-100 Suture catgut Chromic No 0 / \ (-)\'-.. ~ '""'Z.Y/7 57 400 pack-100 Suture catgut Chromic No 1 ~ ;;.....- "', ' -- -- ~ ~ ~ :....---58 400 piece Suture catgut Chromic No 2/0 l ''iJ>I, '-.. /Y.. ~ ,....

~~~ --· ~ 59 100 piece Suture catgut Chromic No 3/0

60 60 piece suture Nylone 1 v t-"

61 30 piece suture Nylone 3/0 p~ \ cl3

62 30 I piece suture Nylone 2/0

63 300 I piece Suture Silk No 2/0

64 130 I piece Suture Vicryl NO .0

65 220 I piece Suture Vicryl N0.1

66 200 I piece Suture Vicril No 2/0

67 70 !piece Suture vicryl 4/0

68 50 I piece Suture vicryl S/0

69 12,000 I piece Syringe Luer disposable Sec with needle

70 10,000 I piece SyringeLuer disposable 10cc with needle

71 1,000 I piece Syringe Luer disposable 20cc

72 200 I piece Syringe disposable 60 cc

73 20 I piece Tornicat

74 20 !piece Tracheal tube 4 No

75 20 I piece Trachealtube 5/0

76 20 I piece Tracheal tube 5.5

II ~0 i p~ece I fllt:helii'I:UI)E! b

78 20 piece Tracheal tube 8.5

79 20 piece Tracheal tube 8/0

80 20 piece Tracheal tube 9

81 300 piece Umblical Clamp unit

82 300 J>iece Urinary Catheter No 6

83 120 piece Urinary catheter No. 10

84 80 Jiece Urinary Catheter No 14

85 50 Jicce Urinary Catheter No 16

06 JJU piece Urinary Catheter No 18

87 200 piece Urinary bag

88 120 )ieee Urinary Catheter No 20

89 80 Jiece Urinary Catheter No 21

90 80 ieee Urinary Catheter No 22 q 1 Jjl._ lliw.. lf, yd I r d4r for J 'i1

f- n 300 1lece X-ray film 8x10

93 300 piece X-ray film 10K12

94 200 1icce X-ray film 12x15

95 200 Jiccc x-ray film 14xl7

96 30 1ier.e X- ray fixer powder 22.51

'II 12 pi•ce X· ray fixer solution SL concent rate 25L

98 12 kit Total Bilirobine Reagent lx315ml Kit

99 ~00 Ba• Blood Bag 100ml + Set

100 1,200 o .. g Blood Bag 250 ml + Set

101 1,600 Bag Blood Bag 500 ml + Set

102 70 kit Blood Grouping reagent Anti A+B+O Kit

103 200 box Blood Lancet 200pcs/Box

104 IS kit Cholestrol Reagent 2x100ml Kit

105 200 box Cover slide lxlOXlOO/box

106 IS kit Createnin Reagent Kit

107 1,000 I piece OROPER PLASTIC WHITE

108 600 tube EOTATube

109 200 tube ESR Tube ( 30 minute )

110 20 sloution GEMZA SOL 500ML Bottle (Merck)

111 900 kit GLUCOMERTER STRIP Acu check

112 2,000 I Piece HBS STREPS by Pes SO

113 4,000 !piece HCV STREPS SO

114 4,000 I piece HIV STREPS SO

115 1,000 box MICROSCOPE SUOES by box 72 Pes

116 17,000 I piece SPECIMEN CONTAINER FOR STOOL

11;r 17,000 itJ IIll~ Ol'liOIMI:irl OONTAirllin ron Umfl[ ( Wllll't:! )

118

119

120

121

122

123

Annex 1. NIA

3,000 I piece

200 kit

80 kit

2,000 kit

500 kit

500 I piece

Required documents for the supplier qualification:

Stick for Mixing ( Stool )

TOXOPLASMOSIS Streps ( By pes )

URIN TEST STRIPS FOR 10 TEST(Combi 10 )

VORL.Test of 30 streps /Box

WIOAL TEST streps ( Pes )

H. Pylori test

The supplier has to submit the following documents along with the quotation ./ 1. Business Licence from Ministry of Commerce or AI SA for pharmaceutical import. / 2. Copy of three years relevant contracts. ~ 3.ProV1dmg of samples for med1cmes and medlCal supplies along Wlth quotat10n 1s essential. C:

1 .._,

4GMPCOPP and Quality Control Documents for drugs are essential. < 1

Prepared by:Phr.Rudaba Faizi ~~ 'J ..cl L "J

S1gnature: -+-' \ ._..

\~\' \& ',_ "-:.'

Date:ZZIOS/2019 ____ _

l

GRAND TOTAL AFN

Terms and Condition Samples: For medicines and medical supplies samples are required to be submited along with the quotation to Kabul office logistics/procurement department for selection no later than the specified date and time mentioned in the current RFQ under the Deadline row on the top left corner. Samples of medical equipment will be inspected in the supplier's showrooms before selection. Payment: The payment will be done 100% after the goods receipt, inspected, quality checked and accepted.

Penalty: For each delayed day in peforming the contract odllgations a specific penalty which is 0.1 % of the total contract value will applied to the supplier's payments.

Tax: 2% tax amount will be deducted from the total cost of the bid price from registered suppliers with AISA or NDC & 7% from unregistered suppliers as Afghanistan government tax law.

Delivery location: All goods to be delivered no later than spi!'Sified period from the date of signing of purchase order.

Please stateifgoodsareavJi lableex-stockorstateproduction timeframe

De livery Time: If the items are not delivered according to the delivery time, HNTPO has the rights to cancel the purchase order.

and the company will be black-listed with HNTPO for future business.

Experience: The company should have at least three years similar experience .

lncoterm: The goods will be delivered under OOP lncoterms 2010 to HNTPO office laghman New Hospital, laghman, Afghanistan.

Inspection: The goods will be inspected according to the specification by HNTPO technical team.

Bid Validity: The bid must be valid for 30 days from the submission date:

Submission Procedure: Please sign the above RFQ and stamp it for final submission to HNTPO office before the deadline.

Accountability: All the bid documenu must be stamped and signed by the authorized representative of the company.

Currency: The bid must be quoted in Afghan Currency.

RlghU: HNTPO has the right to increase , decrease the quantity .

Packing: All goods must be packed for suitable air/sea or road transpor1atlon Including rough handling to fln<~l destln<!tlon

Marktros: All the boxes must be marked with HealthNet TPO delivery add1ess

t..ncuage:AIIdocuments,markingsandlabe1ingshouldappearin English.

NOTE: This is to certify by the supplier that the above terms and conditions are acceptable to us and we have no objection.

Submitted by: Name: __________________________________________________________ __

Jlgll.lUI e. ------------------------------------------------------------

Stamp:

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