7/24/2019 Request for Quotation Ilocos Regional Hospital

1/1

Republic

of thePhilippines

DE P ART ME NT OFHE A L T H

F I L

OPERATIONS

CENTER

FOR HEA L III DEVE LOPMEN TNO. I

ILOCOS TRAINING ANDRE GIONAL ME DI CAL CE N T E R

I * '

PHIC

Accredited Healthcare Provider

Tel: (072) 607-6418/6422;

Telefax:

(072) 700-3719

607-4490

AS MkA

H

I

A

Request for

Quotation

Date

(Name and Address of Company)

AD-BAC-003-0

September 15. 2015

Quotat ion No. 2015-09-7-j

Please quote your lowest price(price must be inclusive tax)o nthe item/s listed below, subject to the General Condit ions, stating the shortest tim eof

delivery and submit quotation duly

signed

byyour representative andproperly sealed, not later than 7 day&..

1ANUEL

F. QUIRING MD MPA FPCOM FPAMS

y.Medical Center hief I

f

4 | -

ALL ENTRIESMUSTBE TYPEWRITTEN ORWRITTENLEGIBLY. ' S

2. DELIVERY PERIODWITHINFIFTEEN (15)CALENDAR DAYS.

3. WARRANTYSHALL BE FOR A PERIOD OF SIX (6)MONTHSFORSUPPLIES MATERIALS,ONE(1)

YE R

FOR EQUIPMENT,FROMDATE OF ACCEPTANCE.

4. PRICE

VALIDITY SHALL BE FOR A PERIOD OF THIRTY

(30)

CALENDAR DAYS.

5. VALID PHILGEPS REGISTRATION CERTIFICATE SHALL BE ATTACHEDUPON SUBMISSIONOF THE

QUOTATION

(OPTIONAL)

6. BIDDER SHALLSUBMITORIGINALBROCHURES(orCERTIFIED photocopy)SHOWNGCERTIFICATIONS OF THE PRODUCT BEING OFFERED.

7. BIDDER SHALLSUBMITPHOTOCOPY OF MAYOR'SPERMIT,SEC REGISTRATION OR DTI BUSINESS NAMEREGISTRATIONAND BIR REGISTRATION CERTIFICATE

ITEM

NO.

ITEM

DESCRIPTION

QTY/UNIT

UNIT

PRICE

(inclusive of

taxes)

Hauling,

Treatment and Disposal of M501 Syringe

12 metric ton

Approved Budge :P 480,000.00

xxxxxxxxxx nothing

folows

xxxxxxxxxx

HBACResolution No. 119B (NP-SVP) Series of 2015

job

order

Date:

9/8/2015

Brand and Model =

Delivery Period :

Warrant y :

Price

Validity

:

After

having carefully read and accepted your General Co nditions, I/We quote you on the itemat prices noted above.

Printed Name / Signature

Tel. No./Cellphone No./E-mailaddress

Date

Canvassedby:

ENGR. FRANCIS RUPINTA ARCH. MICHAELJUGANAS VIOLETAPADUA

DONNALDRIN

CARINO DANICA BUCCAT MA.CRISFINARAMOS RHEAMAENERONA

Request for Quotation2015