NEGOTIATED PROCUREMENT (SMALL VALUE PROCUREMENT ) Standard Form No. SF-GOOD-60 Date: February 17, 2021 Revised on May 24, 2004 RFQ No. MM-2021-02-006 Various Suppliers/Contractors San Jose, Antique/Iloilo City Please quote your lowest price on the item/s listed below, subject to the General Conditions stated herein the shortest time of delivery and submit your quotation duly signed by your representative not later than February 24, 2021 at Room 2, 2nd Floor, Integrated Provincial Health Office, Atabay, San Jose, Antique at 2: 00 o' clock p.m. in the return envelope attached herewith. RIC NOEL A. NACIONGAYO, MD, MPA, FPSMS Provincial Health Officer II/BAC Chairman (Procurement Officer) ITEM BRAND QTY UNIT DESCRIPTION UNIT COST TOTAL ABC/UNIT BID PRICE/UNIT TOTAL BID PRICE NO OFFERED Catering Services relative to the conduct of Various Activities of the Provincial Health Office (packed to be delivered at IPH Center) I. Technical Assitance and Monitoring Maternal, Newborn and Oral Health Program (Child and Newborn) March 31 and July 30, 2021 March 31, 2021 1 10 pax am snacks 100.00 1,000.00 special ensaymada, bottled water 350ml, juice in can 330ml. July 30, 2021 2 10 pax am snacks 100.00 1,000.00 royal bibingka (big), bottled water 350ml., juice in can 330ml. II Attendance to Collaborative Meetings of Provincial ISDN for AHDP on April 16, 2021 3 30 pax pm snacks 100.00 3,000.00 special ensaymada, bottled water 350ml, juice in can 330ml. III Updates on Family Planning and Pre-Marriage Counselling on May 19, 2021 4 50 pax am snacks 100.00 5,000.00 baked macaroni with biscocho, four season juice in can 330ml. IV Municipal Maternal Death Review on June 25 and October 22, 2021 June 25, 2021 5 18 pax am snacks 100.00 1,800.00 royal bibingka (big), bottled water 350ml., juice in can 330ml. October 22, 2021 6 17 pax am snacks 100.00 1,700.00 special ensaymada, bottled water 350ml, juice in can 330ml. V Neonated Death Review on July 7, 2021 7 14 pax am snacks 100.00 1,400.00 cheesy spaghetti, bottled water 350ml., juice in can 330ml. 8 14 pax lunch 300.00 4,200.00 rice, fried chicken, pork chop, beef steak, fruit in season, fresh calamansi juice in glass 250ml. 9 14 pax pm snacks 100.00 1,400.00 hamburger, bottled water 350ml, juice in can 330ml. VI Technical Assistance and Monitoring Maternal, Newborn and Oral Health Program (Family Planning) on August 23, 2021 10 25 pax am snacks 100.00 2,500.00 royal bibingka (big), bottled water 350ml., juice in can 330ml. VII School Based Forum on Adolescent and Re- productive Health Batch 1 on September 1, 2021 11 50 pax am snacks 100.00 5,000.00 special ensaymada, bottled water 350ml, juice in can 330ml. VIII School Based Forum on Adolescent and Re- productive Health Batch 2 on September 2, 2021 12 50 pax am snacks 100.00 5,000.00 hamburger, bottled water 350ml, juice in can 330ml. IX School Based Forum on Adolescent and Re- productive Health Batch 3 on September 3, 2021 13 50 pax am snacks 100.00 5,000.00 royal bibingka (big), bottled water 350ml., juice in can 330ml. Note: -buffet food service -caterer should provide utensils and servers in uniform on activites with lunch X Dissemination Forum and Data Quality Check on May 25, 2021 14 11 pax am snacks 100.00 1,100.00 baked macaroni with biscocho, four season juice in can 330ml. 15 11 pax lunch 300.00 3,300.00 rice, sinigang na bangus, fried chicken, fruit salad, fresh buko juice in glass 250ml. 16 11 pax pm snacks 100.00 1,100.00 double layer chicken sandwich, bottled water 350ml., juice in can 330ml. GRAND TOTAL ABC 43,500.00 TOTAL AMOUNT IN WORDS: GRAND TOTAL BID P TERMS/CONDITIONS AND REQUIREMENTS: 1. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY 2. MAYOR'S PERMIT. 3. PhilGEPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION. 4. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATION OF THE PRODUCT BEING OFFERED 5. OMNIBUS SWORN STATEMENT (COA Circular No. 2012-001 (9.2)) 6. BRAND NAME SHOULD BE REFLECTED IN THE BID OFFERED, IN CASE NOT AVAILABLE THE MANUFACTURER'S NAME SHOULD BE STATED. 7. BRING SAMPLE ONCE REQUIRED DURING POST QUALIFICATION/EVALUATION. 8. PARTIAL BID IS NOT ALLOWED. 9. INCOME TAX RETURN (ITR) After having carefully read and accepted your Terms/Conditions and Requirements, I/We quote you on the item prices noted above. Place of Inspection: IPH Center, Atabay, San Jose, Antique Place of Delivery: IPH Center, Atabay, San Jose, Antique Delivery Period: March 31, April 16, May 19, 25, June 25 July 7, 30, August 23, September 1, 2, 3, October 22, 2021 Printed Name/Signature Company's Name Tel. No./Cellphone/E-mail Add. Date.