SUBJECT : INVITATION FOR NEGOTIATED PROCUREMENT

November 27, 2020

SUBJECT : INVITATION FOR NEGOTIATED PROCUREMENT

Under Bids and Awards Committee (BAC) Resolution No. 2020-0664A dated November 06, 2020, BAC

approved to procure through Alternative Method of Procurement-Negotiated Procurement (Emergency

Cases) under Republic Act No. 11494 or Bayanihan to Recover as One Act (Bayanihan 2) for the utilization of

the BatMc’s Bayanihan to Heal as One Act Funds for Various Medical Equipment Under Bayanihan to Heal

as One Act or RA 11469 per Department of Health issued Department Order No. 2020-0190 dated May 05,

2020, amounting to, as follows:.

EQUIPMENT QTY UNIT PRICE (Php) TOTAL AMOUNT(Php)

Supply and Delivery of Video Laryngoscope (Anesthesia)

FOUR (4)SETS

2,000,000.00

8,000,000.00

In view of the foregoing, BAC invites your company to participate in the negotiation of the aforementioned

project procurement in accordance with Section 53.2 of the Implementing Rules and Regulations (IRR) of

Republic Act (R.A.) No. 9184, otherwise known as the “Government Procurement Reform Act.” For more

details on this project, please refer to the attached Schedule of Requirements and Technical Specifications

(Annexes).

Should you wish to join in this endeavor, kindly submit the complete set of your Official Proposal until

12:00pm of December 03, 2020 through Electronic Mail (email) at [email protected]

For further information, please feel free to contact the BAC Secretariat at (043) 740-8303 local 1129.

Please note that Batangas Medical Center reserves the right to accept or reject any offer, to annul the

negotiation process, and reject all offers at any time prior to contract award, without thereby incurring any

liability to the affected firms.

(Sgd.) ELIZABETH V. PALINES,MD,FPPS,FCNSP,FPNA

Chairperson

Hospital Bids and Awards Committee

ITEMPROCURING ENTITY

Specification as Technical Offer

BIDDER’S OFFER


STATEMENT OF

COMPLIANCE

Video Laryngoscope

Set

Quantity: 4

Total ABC: EIGHT MILLION PESOS ONLY

(PHP 8,000,000.00)

Technical Specifications:

- Monitor for Complementary Metal Oxide

Semiconductor (CMOS) Endoscopes

- Monitor with at least 1280 x 800- pixel

resolution, two camera inputs, a USB and

HDMI post, optimized user interface, video

and image capture in real time on SD card (at

least 64 gb), playback of recorded video clips

and still images, data transfer from SD card

to USB flash drive

- rechargeable Li-on batteries

- total of at least 12 blades that can be

divided into the 4 sets (at least 3 blades per

set) designed with CMOS technology,

optimized system interface, documentation

of images and video sequences capable.

Must include at least the following blades:

• Blade for difficult intubation (quantity: 1

pediatric, 1 adult)

• Miller 0 (quantity: 2)


• Macintosh 2 (quantity: 2)



- Connecting Cable, length 200-250 cm, to

connect blade to monitor

- Rollable stand for monitor with anti-static

castors

ANNEX B

Republic of the Philippines

Department of Health

TECHNICAL SPECIFICATIONSNEGOTIATED PROCUREMENT-EMERGENCY CASE

Video Laryngoscope Set



BIDDER’S OFFER


STATEMENT OF

COMPLIANCE

Physical Description:

- Monitor is 5-10" with two camera inputs, a

USB and HDMI post, optimized user interface

- Splash proof, suitable for wipe disinfection,

shock resistant

- total of at least 12 blades that can be

divided into the 4 sets (at least 3 blades per

set) designed with CMOS technology,

optimized system interface, documentation

of images and video sequences capable.

Must include at least the following blades:

• Blade for difficult intubation (quantity: 1

pediatric, 1 adult)








- Stand for monitor: rollable, height 100-150

cm, with antistatic castors, crossbar for

positioning the monitor, with tray

Utility Requirements:

- Power supply 110 – 240 VAC, 50/60 Hz.

Power adoptor for EU, UK, USA and

Australia.

- With rechargeable Li-Ion batteries

Accessories, Consumables, Spare Parts,

Other Component:



- Stand for monitor: rollable, height 100-150

cm, with antistatic castors, crossbar for

positioning the monitor, with tray

Environmental Requirements:

Mobile:

Mobile

Delivery:

Within 120 days from receipt of purchase

order

Training, Installation & Utilization:

Training after delivery to all end-users

Warranty:

1 year on parts and service



BIDDER’S OFFER


STATEMENT OF

COMPLIANCE

Documentation:

User manual in English

Safety & Standards :

ISO Standard

BAC Chairman

Name and Signature of Authorized Representative

Sgd. ELIZABETH V. PALINES MD,FPPS,FCNS,PFPNA

Annex C

Omnibus Sworn Statement

For the Conduct of Procurement Activities under Republic Act. No. 11494 or the

Bayanihan to Recover as One Act

REPUBLIC OF THE PHILIPPINES )

CITY/MUNICIPALITY OF ) S.S.

A F F I D A V I T

I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address

of Affiant], after having been duly sworn in accordance with law, do hereby depose and state

that:

1. Select one, delete the other:

If a sole proprietorship: I am the sole proprietor or authorized representative of [Name of

Bidder] with office address at [address of Bidder];

If a partnership, corporation, cooperative, or joint venture: I am the duly authorized and

designated representative of [Name of Bidder] with office address at [address of Bidder];

2. Select one, delete the other:

If a sole proprietorship: As the owner and sole proprietor, or authorized representative of

[Name of Bidder], I have full power and authority to do, execute and perform any and all

acts necessary to participate, submit the bid and o sign and execute the ensuing contract

for [Name of the Project] of the [Name of the Procuring Entity], as shown in the

attached duly notarized Special Power of Attorney;

If a partnership, corporation, cooperative, or joint venture: I am granted full power and

authority to do, execute and perform any and all acts necessary to participate, submit the

bid, and to sign and execute he ensuing contract for [Name of the Project] of the [Name

of the Procuring Entity] as shown in the attached [state title of attached document

showing proof of authorization (e.g., duly notarized Secretary’s Certificate,

Board/Partnership Resolution, or Special Power of Attorney, whichever is applicable:)];

issued by the corporation or the members of the joint venture)];

3. [Name of Bidder] is not “blacklisted” or barred from bidding by the Government of the

Philippines or any of its agencies, offices, corporations, of Local Government Units,

foreign government/foreign or international financing institution whose blacklisting rules

have been recognized by the Government Procurement Policy Board;

4. Each of the documents submitted in satisfaction of the bidding requirements is an

authentic copy of the original, complete, and all statements and information provided

therein are true and correct;

5. [Name of Bidder] is authorizing the Head of Procuring Entity or its duly authorized

representative(s) to verify all the documents submitted;

6. Select one, delete the rest:

If a sole proprietorship: The Owner or sole proprietor is not related to the Head of the

Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical

Working Group, and the BAC Secretariat, the head of the Project Management Office of

the end-user unit, and the project consultants by consanguinity or affinity up to the third

civil degree;

If a partnership or cooperative: None of the officers and members of [Name of Bidder] is

related to the Head of the Procuring Entity, members of the Bids and Awards Committee

(BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project

Management Office or the end-user unit, and the project consultants by consanguinity or

affinity up to the third civil degree;

If a corporation or joint venture: None of the officers, directors, and controlling

stockholders of [Name of Bidder] is related to the Head of the Procuring Entity, members

of the Bids and Awards Committee (BAC), the Technical Working Group, and the BAC

Secretariat, the head of the Project Management Office or the end-user unit, and the

project consultants by consanguinity or affinity up to the third civil degree;

7. [Name of Bidder] complies with existing labor laws and standards;

8. [Name of Bidder] is aware of and has undertaken the following responsibilities as a

Bidder in compliance with the Philippine Bidding Documents, which includes:

a. Carefully examine all of the Bidding Documents;

b. Acknowledge all conditions, local or otherwise, affecting the implementation of

the Contract;

c. Made an estimate of the facilities available and needed for the contract to be bid,

if any; and

d. Inquire or secure Supplemental/Bid Bulletin(s) issued for the [Name of the

Project]; and

9. [Name of Bidder] did not give or pay directly or indirectly, any commission, amount, fee,

or any form of consideration, pecuniary or otherwise, to any person or official, personnel

or representative of the government in relation to any procurement project or activity.

10. In case advance payment was made or given, failure to perform or deliver any of the

obligations and undertakings in the contract shall be sufficient grounds to constitute

criminal liability for Swindling (Estafa) or the commission of fraud with unfaithfulness or

abuse of confidence through misappropriating or converting any payment received by a

person or entity under an obligation involving the duty to deliver certain goods or

services, to the prejudice of the public and the government of the Philippines pursuant to

Article 315 of Act No. 3815 s. 1930, as amended, or the Revised Penal Code

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ____, 20___ at

_____________________, Philippines.

[Bidder’s Representative/Authorized Signatory

[JURAT]

Annex D

Financial Proposal Form

[Date]

DR. ELIZABETH V. PALINES Chairperson Hospital Bids and Awards Committee

Dear Dr. Palines:

The undersigned offer to provide the supplies for [Title of Project] in accordance with your

Negotiation Documents dated [insert date] and our Legal/Technical Requirements. Our

attached Financial Proposal is for the sum of [amount(s) in words and figures].

Our Financial Proposal shall be binding upon us subject to the modifications resulting from

Contract negotiations, up to expiration of the bid validity period of one hundred twenty (120)

calendar days from the date of the opening of proposals/offers.

We confirm that we have read, understood and accept the contents of the Negotiation

Documents, Terms of Reference (TOR), the provisions relating to the eligibility of Supplier

and the applicable guidelines for the procurement rules of the government of the Philippines,

and other attachments and inclusions included in the Negotiation Documents sent to us.

We understand you are not bound to accept any offer you receive.

Sincerely yours,

[Signature]

[Name of Authorized Signatory]

[Name of Firm]

[Address]

SN NO. ITEM DESCRIPTION UNIT QUANTITY UNIT COSTTOTAL ABC

(PHP)UNIT COST

TOTAL COST

(PHP)

SUPPLY AND DELIVERY

OF VIDEO

LARYNGOSCOPE SET

set 4 2,000,000.00 8,000,000.00

Annex E

Name and Signature

of Authorized Representative

(Sgd.)ELIZABETH V. PALINES,MD,FPPS,FCNSP,FPNA

BATANGAS MEDICAL CENTER

FINANCIAL PROPOSALNEGOTIATED PROCUREMENT-EMERGENCY CASE

VIDEO LARYNGOSCOPE SET

PROCURING ENTITY DESCRIPTION BIDDERS OFFER

TOTAL BID AMOUNT

BAC CHAIRMAN