Republic of the Philippines s28
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Republic of the Philippines OFFICE OF THE OMBUDSMAN Ombudsman Building, Agham Road, North Triangle, Diliman, Quezon City Trunkline: 479-73-00 local 206; TeleFax #: 929-37-59 Email: [email protected] ; [email protected] Website: www.ombudsman.gov.ph
OPEN CANVASS QUOTATION NO.: 2013-0052-APR P.R. NO.: CO-13-12-0023 REMARKS: 1 st Canvass . DATE: April 08, 2013
Gentlemen: Page 1 of 3 pages Please quote your lowest government price for the following items specified below:
Item ABC Qty./ UNIT TOTAL OMBUDSMAN SPECIFICATIONS No. (P) UNIT PRICE PRICE 5,000.00 10 boxes Gloves Nitrile, small, 100’s 1 comply 400.00 50 pcs. Gauze, 12 ply, 4 x 4 2 comply 3,000.00 10 boxes Gloves latex, small, 100’s 3 comply 4,000.00 10 boxes 3 cc Syringe, 23x1, 100’s 4 comply 3,000.00 2 rolls Gauze, 28 x 24 5 comply 2,000.00 5 boxes Micropore 24mm x 5mm, 12’s 6 comply 210.00 3 boxes Face mask, 50’s 7 comply 2,200.00 20 packs Cotton balls, 250’s 8 comply 450.00 50 pcs. Stool container 9 comply 550.00 5 boxes Plastic Strips, 100’s 10 comply x------continued on next page------x Deadline of submission: ______TOTAL: ______Important: 1. Prices and specifications for the bid should be valid for 45 days. 2. DELIVERY PERIOD: 7 WORKING DAYS upon the receipt of the Purchase Order (Please state the number of days of delivery if beyond the required 7 working days.) 3. Term of Payment: CHARGED ACCOUNT, unless specified 4. The total price quoted above is subject to withholding tax and payable check. 5. For NON-ACCREDITED OFFICE OF THE OMBUDSMAN suppliers, please call 929-3759 regarding the accreditation requirements.
______BY THE AUTHORITY OF THE Supplier’s Representative (Print Name) BIDS AND AWARDS COMMITTEE :
______(Sgd.) REME S. FETIZA Signature / Date Director II, FMS Head, BAC Secretariat Canvassed by: Marjorie Hazel G. Rañola Date: ______Republic of the Philippines OFFICE OF THE OMBUDSMAN Ombudsman Building, Agham Road, North Triangle, Diliman, Quezon City Trunkline: 479-73-00 local 206; TeleFax #: 929-37-59 Email: [email protected] ; [email protected] Website: www.ombudsman.gov.ph
OPEN CANVASS QUOTATION NO.: 2013-0052-APR P.R. NO.: CO-13-12-0023 REMARKS: 1 st Canvass . DATE: April 08, 2013
Gentlemen: Page 2 of 3 pages Please quote your lowest government price for the following items specified below:
Item ABC Qty./ UNIT TOTAL OMBUDSMAN SPECIFICATIONS No. (P) UNIT PRICE PRICE 5 boxes 1,125.00 Glass Slide, frosted 11 comply 10 vials 5,000.00 Heparinized Capillary tube 12 comply 3 packs 2,700.00 Yellow Pipette tips 13 comply 10 pcs. 250.00 Tourniquet, flat, elastic 14 comply 5 boxes 1,500.00 Blood auto lancet, 200’s 15 comply 1 pc. 7,000.00 Counting Chamber, Neubauer 16 comply 5 boxes 1,500.00 Needle 25G x 5/8 17 comply Glucose Strips 25’s, compatible with Medi 1 pack 4,000.00 18 Smart glucometer comply 2 bottles 800.00 Hydrogen Peroxide 500 ml 19 comply 30 pcs. 1,500.00 Medicated plaster 20 comply x------continued on next page------x Deadline of submission: ______TOTAL: ______Important: 1. Prices and specifications for the bid should be valid for 45 days. 2. DELIVERY PERIOD: 7 WORKING DAYS upon the receipt of the Purchase Order (Please state the number of days of delivery if beyond the required 7 working days.) 3. Term of Payment: CHARGED ACCOUNT, unless specified 4. The total price quoted above is subject to withholding tax and payable check. 5. For NON-ACCREDITED OFFICE OF THE OMBUDSMAN suppliers, please call 929-3759 regarding the accreditation requirements.
______BY THE AUTHORITY OF THE Supplier’s Representative (Print Name) BIDS AND AWARDS COMMITTEE :
______(Sgd.) REME S. FETIZA Signature / Date Director II, FMS Head, BAC Secretariat Canvassed by: Marjorie Hazel G. Rañola Date: ______Republic of the Philippines OFFICE OF THE OMBUDSMAN Ombudsman Building, Agham Road, North Triangle, Diliman, Quezon City Trunkline: 479-73-00 local 206; TeleFax #: 929-37-59 Email: [email protected] ; [email protected] Website: www.ombudsman.gov.ph
OPEN CANVASS QUOTATION NO.: 2013-0052-APR P.R. NO.: CO-13-12-0023 REMARKS: 1 st Canvass . DATE: April 08, 2013
Gentlemen: Page 3 of 3 pages Please quote your lowest government price for the following items specified below:
Item ABC Qty./ UNIT TOTAL OMBUDSMAN SPECIFICATIONS No. (P) UNIT PRICE PRICE 2 pcs. 200.00 Bulb Aspirator 21 comply 3 packs 4,500.00 Mini Collect EDTA tube 0.5ml, 100’s 22 comply 2 bottles 300.00 Triple Distilled water, 1 liter 23 comply 1 kit 5,000.00 Hematology-Giemsa Stain 24 comply 6 pcs. 1,800.00 Wax sealer 25 comply 3 boxes 450.00 Applicator stick, 500’s 26 comply 5 pcs. 1,500.00 Serological pipet, 10ml 27 comply x------nothing follows------x Deadline of submission: ______TOTAL: ______Important: 1. Prices and specifications for the bid should be valid for 45 days. 2. DELIVERY PERIOD: 7 WORKING DAYS upon the receipt of the Purchase Order (Please state the number of days of delivery if beyond the required 7 working days.) 3. Term of Payment: CHARGED ACCOUNT, unless specified 4. The total price quoted above is subject to withholding tax and payable check. 5. For NON-ACCREDITED OFFICE OF THE OMBUDSMAN suppliers, please call 929-3759 regarding the accreditation requirements.
______BY THE AUTHORITY OF THE Supplier’s Representative (Print Name) BIDS AND AWARDS COMMITTEE :
______(Sgd.) REME S. FETIZA Signature / Date Director II, FMS Head, BAC Secretariat Canvassed by: Marjorie Hazel G. Rañola Date: ______