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