Republic of the Philippines s28
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: ;
Website: www.ombudsman.gov.ph
OPEN CANVASS
QUOTATION NO.: 2013-0052-APR
P.R. NO.: CO-13-12-0023
REMARKS: 1st Canvass .
DATE: April 08, 2013
Gentlemen:
Page 1 of 3 pages
Please quote your lowest government price for the following items specified below:
Item No. / ABC(P) / Qty./
UNIT / OMBUDSMAN SPECIFICATIONS / UNIT
PRICE / TOTAL PRICE
1 / 5,000.00 / 10 boxes / Gloves Nitrile, small, 100’s / comply
2 / 400.00 / 50 pcs. / Gauze, 12 ply, 4 x 4 / comply
3 / 3,000.00 / 10 boxes / Gloves latex, small, 100’s / comply
4 / 4,000.00 / 10 boxes / 3 cc Syringe, 23x1, 100’s / comply
5 / 3,000.00 / 2 rolls / Gauze, 28 x 24 / comply
6 / 2,000.00 / 5 boxes / Micropore 24mm x 5mm, 12’s / comply
7 / 210.00 / 3 boxes / Face mask, 50’s / comply
8 / 2,200.00 / 20 packs / Cotton balls, 250’s / comply
9 / 450.00 / 50 pcs. / Stool container / comply
10 / 550.00 / 5 boxes / Plastic Strips, 100’s / comply
x------continued on next page------x
Deadline of submission: ______TOTAL: ______
Important:
- 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: ;
Website: www.ombudsman.gov.ph
OPEN CANVASS
QUOTATION NO.: 2013-0052-APR
P.R. NO.: CO-13-12-0023
REMARKS: 1st Canvass .
DATE: April 08, 2013
Gentlemen:
Page 2 of 3 pages
Please quote your lowest government price for the following items specified below:
Item No. / ABC(P) / Qty./
UNIT / OMBUDSMAN SPECIFICATIONS / UNIT
PRICE / TOTAL PRICE
11 / 5 boxes / 1,125.00 / Glass Slide, frosted / comply
12 / 10 vials / 5,000.00 / Heparinized Capillary tube / comply
13 / 3 packs / 2,700.00 / Yellow Pipette tips / comply
14 / 10 pcs. / 250.00 / Tourniquet, flat, elastic / comply
15 / 5 boxes / 1,500.00 / Blood auto lancet, 200’s / comply
16 / 1 pc. / 7,000.00 / Counting Chamber, Neubauer / comply
17 / 5 boxes / 1,500.00 / Needle 25G x 5/8 / comply
18 / 1 pack / 4,000.00 / Glucose Strips 25’s, compatible with Medi Smart glucometer / comply
19 / 2 bottles / 800.00 / Hydrogen Peroxide 500 ml / comply
20 / 30 pcs. / 1,500.00 / Medicated plaster / comply
x------continued on next page------x
Deadline of submission: ______TOTAL: ______
Important:
- 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: ;
Website: www.ombudsman.gov.ph
OPEN CANVASS
QUOTATION NO.: 2013-0052-APR
P.R. NO.: CO-13-12-0023
REMARKS: 1st Canvass .
DATE: April 08, 2013
Gentlemen:
Page 3 of 3 pages
Please quote your lowest government price for the following items specified below:
Item No. / ABC(P) / Qty./
UNIT / OMBUDSMAN SPECIFICATIONS / UNIT
PRICE / TOTAL PRICE
21 / 2 pcs. / 200.00 / Bulb Aspirator / comply
22 / 3 packs / 4,500.00 / Mini Collect EDTA tube 0.5ml, 100’s / comply
23 / 2 bottles / 300.00 / Triple Distilled water, 1 liter / comply
24 / 1 kit / 5,000.00 / Hematology-Giemsa Stain / comply
25 / 6 pcs. / 1,800.00 / Wax sealer / comply
26 / 3 boxes / 450.00 / Applicator stick, 500’s / comply
27 / 5 pcs. / 1,500.00 / Serological pipet, 10ml / comply
x------nothing follows------x
Deadline of submission: ______TOTAL: ______
Important:
- 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: ______