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Page 1 of 23 Request for Quotation Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015 John Joseph S. Javier REQUEST FOR INITIAL QUOTATION Date : November 10, 2015 Project Title : Supply and Delivery of Twenty (20) Lots Medicines for Donation ITB No. : 11-13-2015 Approved Budget : Two Million Three Hundred Forty-Six Thousand Fifteen Pesos and 18/100 (PhP 2,346,015.18), VAT Exclusive, Zero Rated Transaction Lot No. Description Total Quantity ABC (VAT Exclusive, Zero Rated Transaction) 1 Supply and Delivery of Amoxicillin capsule 500mg (10 capsules/blister 100 capsules/box) Nine Thousand Seven Hundred Fifty (9,750) capsules Sixteen Thousand Six Hundred Seventy Two Pesos and 50/100 (PHP16,672.50) 2 Supply and Delivery of Ferrous Sulfate 325mg. tablet (10 tablets/blister 100 tablets/box) One Hundred Eight Thousand (108,000) tablets Fifty Nine Thousand Four Hundred Pesos (PhP 59,400.00) 3 Supply and Delivery of Captopril 25mg. tablet (10 tablets/blister 100 tablets/box) Ten Thousand Eight Hundred (10,800) tablets Thirty One Thousand Eight Hundred Sixty Pesos (PhP31,860.00) 4 Supply and Delivery of Co-trimoxazole tablet 800mg/160mg. (10 tablets/blister 100 tablets/box) Fifty Four Thousand (54,000) tablets Seventy One Thousand Two Hundred Eighty Pesos (PhP71,280.00) 5 Supply and Delivery of Clonidine 150mcg. Tablet (10 tablets/blister 100 tablets/box) Five Thousand Four Hundred (5,400) tablets Sixty Three Thousand Six Hundred Twelve Pesos (PhP63,612.00) 6 Supply and Delivery of Lagundi Syrup 300mg/5ml/60ml bottle Five Thousand Four Hundred (5,400) bottles Three Hundred Forty Thousand Nine Hundred Fifty Six Pesos (PhP340,956.00)

REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

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Page 1: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 1 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

REQUEST FOR INITIAL QUOTATION

Date : November 10, 2015

Project Title : Supply and Delivery of Twenty (20) Lots Medicines for Donation

ITB No. : 11-13-2015

Approved Budget

: Two Million Three Hundred Forty-Six Thousand Fifteen Pesos and 18/100 (PhP 2,346,015.18), VAT Exclusive, Zero Rated Transaction

Lot No.

Description Total Quantity ABC (VAT Exclusive,

Zero Rated Transaction)

1

1

Supply and Delivery of Amoxicillin capsule 500mg (10 capsules/blister 100 capsules/box)

Nine Thousand Seven

Hundred Fifty (9,750)

capsules

Sixteen Thousand Six Hundred Seventy Two Pesos and 50/100 (PHP16,672.50)

2 Supply and Delivery of Ferrous Sulfate 325mg. tablet (10 tablets/blister 100 tablets/box)

One Hundred Eight

Thousand (108,000)

tablets

Fifty Nine Thousand Four Hundred Pesos (PhP 59,400.00)

3 Supply and Delivery of Captopril 25mg. tablet (10 tablets/blister 100 tablets/box)

Ten Thousand Eight Hundred

(10,800) tablets

Thirty One Thousand Eight Hundred Sixty Pesos (PhP31,860.00)

4 Supply and Delivery of Co-trimoxazole tablet 800mg/160mg. (10 tablets/blister 100 tablets/box)

Fifty Four Thousand (54,000) tablets

Seventy One Thousand Two Hundred Eighty Pesos (PhP71,280.00)

5 Supply and Delivery of Clonidine 150mcg. Tablet (10 tablets/blister 100 tablets/box)

Five Thousand Four Hundred (5,400) tablets

Sixty Three Thousand Six Hundred Twelve Pesos (PhP63,612.00)

6 Supply and Delivery of Lagundi Syrup 300mg/5ml/60ml bottle

Five Thousand Four Hundred (5,400) bottles

Three Hundred Forty Thousand Nine Hundred Fifty Six Pesos (PhP340,956.00)

Page 2: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 2 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

7 Supply and Delivery of Lagundi tablet 600mg. (10 tablets/blister 100 or 60 tablets/box)

One Hundred Eight

Thousand (108,000) Tablets

Five Hundred Eighty Five Thousand Three Hundred Sixty Pesos (PhP585,360.00)

8 Supply and Delivery of Lagundi Syrup 300mg/5ml/120ml/bot tle

Four Thousand Six Hundred Seventy Four (4,674) bottles

Four Hundred Ninety Eight Thousand Five Hundred Twenty Eight Pesos and 84/100 (PhP498,528.84)

9 Supply and Delivery of Lagundi tablet 300mg. (10 tablets/blister 100 tablets/box)

One Hundred Eight

Thousand (108,000) Tablets

One Hundred Ninety Four Thousand Four Hundred Pesos (PhP194,400.00)

10 Supply and Delivery of Mefenamic Acid tablet 500mg. (10 tablets/blister 100 tablets/box)

Seventy Two Thousand (72,000) tablets

Fifty Eight Thousand Three Hundred Twenty Pesos (PhP58,320.00)

11 Supply and Delivery of Mefenamic Acid tablet 250mg. (10 tablets/blisters 100 tablets/box)

Thirty-Two Thousand Four

Hundred (32,400) tablets

Twenty Thousand Four Hundred Twelve Pesos (PhP20,412.00)

12 Supply and Delivery of Metoprolol tablet 50mg. (10 tablets/blister 100 tablets/box)

Thirty Two Thousand Four

Hundred (32,400) tablets

Twenty Eight Thousand Five Hundred Twelve Pesos (PhP28,512.00)

13 Supply and Delivery of Paracetamol 325mg. tablet (10 tablets/blister 100 tablets/box)

Ten Thousand Eight Hundred

(10,800) tablets

Forty One Thousand Five Hundred Eighty Pesos (PhP41,580.00)

14 Supply and Delivery of Paracetamol 500mg. tablet (10 tablets/blister 100 tablets/box)

Forty-Three Thousand Two

Hundred (43,200) tablets

Fourteen Thousand Six Hundred Eighty Eight Pesos (PhP14,688.00)

15 Supply and Delivery of Paracetamol Drops 100mg/1ml/15ml bottle

One Thousand Six Hundred

Twenty (1,620) bottles

Nineteen Thousand Six Hundred Two Pesos (PhP19,602.00)

Page 3: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 3 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

16 Supply and Delivery of Paracetamol Suspension 125mg/5ml/60ml bottle

One Thousand Six Hundred

Twenty (1,620) bottles

Twenty Thousand Eight Hundred Ninety Eight Pesos (PhP20,898.00)

17 Supply and Delivery of Oral Rehydration Solution tablet (4 tablets/blister 100 tablets/box)

Twenty Seven Thousand (27,000) tablets

One Hundred Fifty Four Thousand One Hundred Seventy Pesos (PhP154,170.00)

18 Supply and Delivery of Salbutamol Syrup 2mg/5ml/60ml bottle

Two Thousand Five Hundred Ninety Two

(2,592) bottles

Thirty Four Thousand Three Hundred Ninety Five Pesos and 84/100 (PhP34,395.84)

19 Supply and Delivery of Salbutamol 2mg. tablet (10 tablets/blister 100 tablets/box)

Fifty-Four Thousand (54,000) tablets

Twenty Five Thousand Nine Hundred Twenty Pesos (PhP25,920.00)

20 Supply and Delivery of Tranexamic Acid 250 mg. tablet (10 tablets/blister 100 tablets/box)

Three Thousand Six

Hundred (3,600) tablets

Sixty Five Thousand Four Hundred Forty Eight Pesos (PhP65,448.00)

Page 4: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 4 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Bidding Fee : Approved Budget for the

Contract

Cost of Bidding Documents

(in Philippine Pesos)

500,000.00 and below 500.00

More than 500,000.00 up to 1 Million 1,000.00

More than 1 Million up to 5 Million 5,000.00

Deadline for Submission of Initial Quotation

:

November 24, 2015 / 2:00 p.m. (Sealed Quotation), Meeting Room 2, PAGCOR House, 1330 Roxas Boulevard, Ermita, Manila .

Opening of Initial Quotation (Sealed)

: November 24, 2015 / 2:00 p.m. onwards

Deadline of Submission of Best and Final Offer

: November 27, 2015 / 10:00 a.m. (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita, Manila . .

Opening of Final Quotation (Best and Final Offer)

: November 27, 2015 / 10:00 a.m. onwards

:

Please address the envelope containing the accomplished RFQ form and required documents to the Bids and Awards Committee (BAC) 3 PAGCOR House 1330 Roxas Boulevard, Ermita, Manila The envelope shall bear the following information in capital letters:

1. Title and reference number of the project; and 2. Name, address and contact details (telephone/cellphone

numbers and/or e-mail address) of the Bidder.

Sir / Madam:

In accordance with the Technical Specifications/Scope of Work and General Conditions for the aforementioned project stated herewith, kindly fill up and submit your lowest quotation on the item/s / services stated below.

Page 5: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 5 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

For any inquiries or clarifications, please contact the Bids and Awards Services Department at telephone numbers: 521-1542 local 223 / 617 / 571 or 404-1338 and look for Alice Jill A. See.

Thank you. (SGD) ALBERTO R. VILLARAMA CHAIRPERSON BIDS AND AWARDS COMMITTEE (BAC) 3

Page 6: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 6 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Dear Mr. Villarama: In accordance with your request, following is our quotation for your requirement: Item

Number Technical Specifications

Offered Technical

Proposal Please fill up each

row with either: “Comply” or “Not

Comply” and indicate the Brand

to be offered Lot No. Description Quantity

1

Supply and Delivery of Amoxicillin capsule 500mg (10 capsules/blister 100 capsules/box)

9,750 capsules

2 Supply and Delivery of Ferrous Sulfate 325mg. tablet (10 tablets/blister 100 tablets/box)

108,000 tablets

3 Supply and Delivery of Captopril 25mg. tablet (10 tablets/blister 100 tablets/box)

10,800 tablets

4 Supply and Delivery of Co-trimoxazole tablet 800mg/160mg. (10 tablets/blister 100 tablets/box)

54,000 tablets

5 Supply and Delivery of Clonidine 150mg. Tablet (10 tablets/blister 100 tablets/box)

5,400 tablets

6 Supply and Delivery of Lagundi Syrup 300mg/5ml/60ml bottle

5,400 bottles

7 Supply and Delivery of Lagundi tablet 600mg. (10 tablets/blister 100 or 60 tablets/box)

108,000 Tablets

8 Supply and Delivery of Lagundi Syrup 300mg/5ml/120ml/bottle

4,674 bottles

9 Supply and Delivery of Lagundi tablet 300mg. (10 tablets/blister 100 tablets/box)

108,000 Tablets

10 Supply and Delivery of Mefenamic Acid tablet 500mg.(10 tablets/blister 100 tablets/box)

72,000 tablets

11 Supply and Delivery of Mefenamic Acid tablet 250mg. (10 tablets/blisters 100 tablets/box)

32,400 tablets

Page 7: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 7 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

12 Supply and Delivery of Metoprolol tablet 50mg. (10 tablets/blister 100 tablets/box)

32,400 tablets

13 Supply and Delivery of Paracetamol 325mg. tablet (10 tablets/blister 100 tablets/box)

10,800 tablets

14 Supply and Delivery of Paracetamol 500mg. tablet (10 tablets/blister 100 tablets/box)

43,200 tablets

15 Supply and Delivery of Paracetamol Drops 100mg/1ml/15ml bottle

1,620 bottles

16 Supply and Delivery of Paracetamol Suspension 125mg/5ml/60ml bottle

1,620 bottles

17 Supply and Delivery of Oral Rehydration Solution tablet (4 tablets/blister 100 tablets/box)

27,000 tablets

18 Supply and Delivery of Salbutamol Syrup 2mg/5ml/60ml bottle

2,592 bottles

19 Supply and Delivery of Salbutamol 2mg. tablet (10 tablets/blister 100 tablets/box)

54,000 tablets

20 Supply and Delivery of Tranexamic Acid 250 mg. tablet (10 tablets/blister 100 tablets/box)

3,600 tablets

Additional Terms and Conditions:

Company’s return policy, medicines expiring within six (6) months shall be as follows: a. returned to the supplier for replacement / exchange of

medicines with eighteen (18) months shelf-life within three (3) months; or

b. refund of said medicines within six (6) months

Medicines should have at least eighteen (18) months shelf-life upon delivery

The bidder must be able to present the following documents during the post-qualification period within three (3) calendar days from receipt of BAC notice:

1. Company’s License to Operate (LTO) from Food and Drug Administration (FDA)

2. Medicine’s Certificate of Product Registration (CPR) from FDA

Page 8: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 8 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

3. Company’s Certificate of Good Manufacturing Practice (CGMP)

4. Certification that the Manufacturer follows the rules and regulations of the FDA pertaining to Adverse Drug Reaction

5. Drug Literature

Item

Number Description Quantity

Delivery Period / Delivery Place

Please fill up each row with either: “Comply” or “Not Comply”

First (1st)

Delivery

Second

(2nd)

Delivery

Third

(3rd))

Delivery

Fourth

(4th)

Delivery

Within

fifteen

(15)

calendar

days

from the

effectivit

y date

specified

in the

Notice to

Proceed

or upon

advice of

the end-

user

Within

Seventy-

Five (75)

calendar

days

from the

effectivit

y date

specified

in the

Notice to

Proceed

or upon

advice of

end-user

Within

One

Hundred

Thirty-

Five

(135)

calendar

days

from the

effectivit

y date

specified

in the

Notice to

Proceed

or upon

advice of

end-user

Within

One

Hundred

Ninety-

Five

(195)

calendar

days

from the

effectivit

y date

specified

in the

Notice to

Proceed

or upon

advice of

end-user

1

1

Supply and Delivery of Amoxicillin capsule 500mg (10 capsules/blister 100 capsules/box)

9,750 capsules

2,438

capsules

2,438

capsules

2,437

capsules

2,437

capsules

2 Supply and Delivery of Ferrous Sulfate 325mg. tablet (10 tablets/blister 100 tablets/box)

108,000 tablets

27,000

tablets

27,000

tablets

27,000

tablets

27,000

tablets

3 Supply and Delivery of Captopril 25mg. tablet (10 tablets/blister 100 tablets/box)

10,800 tablets

2,700

tablets

2,700

tablets

2,700

tablets

2,700

tablets

Page 9: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 9 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

4 Supply and Delivery of Co-trimoxazole tablet 800mg/160mg. (10 tablets/blister 100 tablets/box)

54,000 tablets

13,500

tablets

13,500

tablets

13,500

tablets

13,500

tablets

5 Supply and Delivery of Clonidine 150mcg. Tablet (10 tablets/blister 100 tablets/box)

5,400 tablets

1,350

tablets

1,350

tablets

1,350

tablets

1,350

tablets

6 Supply and Delivery of Lagundi Syrup 300mg/5ml/60ml. bottle

5,400 bottles

1,350

bottles

1,350

bottles

1,350

bottles

1,350

bottles

7 Supply and Delivery of Lagundi tablet 600mg. (10 tablets/blister 100 or 60 tablets/box)

108,000 Tablets

27,000

tablets

27,000

tablets

27,000

tablets

27,000

tablets

8 Supply and Delivery of Lagundi Syrup 300mg/5ml/120ml/bottle

4,674

bottles

1,169

bottles

1,169

bottles

1,168

bottles

1,169

bottles

9 Supply and Delivery of Lagundi tablet 300mg. (10 tablets/blister 100 tablets/box)

108,000 Tablets

27,000

tablets

27,000

tablets

27,000

tablets

27,000

tablets

10 Supply and Delivery of Mefenamic Acid tablet 500mg. (10 tablets/blister 100 tablets/box)

72,000 tablets

18,000

tablets

18,000

tablets

18,000

tablets

18,000

tablets

11 Supply and Delivery of Mefenamic Acid tablet 250mg. (10 tablets/blisters 100 tablets/box)

32,400 tablets

8,100

tablets

8,100

tablets

8,100

tablets

8,100

tablets

12 Supply and Delivery of Metoprolol tablet 50mg. (10 tablets/blister 100 tablets/box)

32,400 tablets

8,100

tablets

8,100

tablets

8,100

tablets

8,100

tablets

13 Supply and Delivery of Paracetamol

10,800 tablets

2,700

tablets

Page 10: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 10 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

325mg. tablet (10 tablets/blister 100 tablets/box)

2,700

tablets 2,700

tablets 2,700

tablets

14 Supply and Delivery of Paracetamol 500mg. tablet (10 tablets/blister 100 tablets/box)

43,200 tablets

10,800

tablets

10,800

tablets

10,800

tablets

10,800

tablets

15 Supply and Delivery of Paracetamol Drops 100mg/1ml/15ml bottle

1,620 bottles

405

bottles

405

bottles

405

bottles

405

bottles

16 Supply and Delivery of Paracetamol Suspension 125mg/5ml/60ml bottle

1,620 bottles

405

bottles

405

bottles

405

bottles

405

bottles

17 Supply and Delivery of Oral Rehydration Solution tablet (4 tablets/blister 100 tablets/box)

27,000 tablets

6,750

tablets

6,750

tablets

6,750

tablets

6,750

tablets

18 Supply and Delivery of Salbutamol Syrup 2mg/5ml/60ml bottle

2,592 bottles

648

bottles

648

bottles

648

bottles

648

bottles

19 Supply and Delivery of Salbutamol 2mg. tablet (10 tablets/blister 100 tablets/box)

54,000 tablets

1,350

tablets

1,350

tablets

1,350

tablets

1,350

tablets

20 Supply and Delivery of Tranexamic Acid 250 mg. tablet (10 tablets/blister 100 tablets/box)

3,600 tablets

900

tablets

900

tablets

900

tablets

900

tablets

Delivery Place: PAGCOR MIA Complex, CRSD Legal Warehouse, MIA Road, Nayong Pilipino Complex, Pasay City 1704

PRICE OFFER (Unit and Total Costs should be rounded off up to two (2) decimal places). Bidders may bid for any or all lots

Page 11: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 11 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

FINANCIAL OFFER / QUOTATION:

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

1 Supply and Delivery of Amoxicillin capsule 500mg (10 capsules/blister 100 capsules/box)

9,750 capsules

PhP PhP

GRAND TOTAL COST FOR LOT 1, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate amount

in words)

2 Supply and Delivery of Ferrous Sulfate 325mg. tablet (10 tablets/blister 100 tablets/box)

108,000 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 2, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

3 Supply and Delivery of Captopril 25mg. tablet (10 tablets/blister 100 tablets/box)

10,800 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 3, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Page 12: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 12 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

4 Supply and Delivery of Co-trimoxazole tablet 800mg/160mg. (10 tablets/blister 100 tablets/box)

54,000 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 4, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

5 Supply and Delivery of Clonidine 150mcg. Tablet (10 tablets/blister 100 tablets/box)

5,400 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 5, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

6 Supply and Delivery of Lagundi Syrup 300mg/5ml/60ml. bottle

5,400 bottles

PhP PhP

GRAND TOTAL COST FOR LOT 6, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Page 13: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 13 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

7 Supply and Delivery of Lagundi tablet 600mg. (10 tablets/blister 100 or 60 tablets/box)

108,000 Tablets

PhP PhP

GRAND TOTAL COST FOR LOT 7, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

8 Supply and Delivery of Lagundi Syrup 300mg/5ml/120ml/bottle

4,674 bottles

PhP PhP

GRAND TOTAL COST FOR LOT 8, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

9 Supply and Delivery of Lagundi tablet 300mg. (10 tablets/blister 100 tablets/box)

108,000 Tablets

PhP PhP

GRAND TOTAL COST FOR LOT 9, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Page 14: REQUEST FOR INITIAL QUOTATION November 10, 2015 · PDF fileNineteen Thousand Six Hundred Two Pesos ... (Sealed Quotation), Meeting Room 2, PAGCOR House 1330 Roxas Boulevard, Ermita,

Page 14 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

10 Supply and Delivery of Mefenamic Acid tablet 500mg. (10 tablets/blister 100 tablets/box)

72,000 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 10, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

11 Supply and Delivery of Mefenamic Acid tablet 250mg. (10 tablets/blisters 100 tablets/box)

32,400 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 11, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

12 Supply and Delivery of Metoprolol tablet 50mg. (10 tablets/blister 100 tablets/box)

32,400 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 12, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

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Page 15 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

13 Supply and Delivery of Paracetamol 325mg. tablet (10 tablets/blister 100 tablets/box)

10,800 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 13, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

14 Supply and Delivery of Paracetamol 500mg. tablet (10 tablets/blister 100 tablets/box)

43,200 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 14, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

15 Supply and Delivery of Paracetamol Drops 100mg/1ml/15ml bottle

1,620 bottles

PhP PhP

GRAND TOTAL COST FOR LOT 15, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

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Page 16 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

16 Supply and Delivery of Paracetamol Suspension 125mg/5ml/60ml bottle

1,620 bottles

PhP PhP

GRAND TOTAL COST FOR LOT 16, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

17 Supply and Delivery of Oral Rehydration Solution tablet (4 tablets/blister 100 tablets/box)

27,000 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 17, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

18 Supply and Delivery of Salbutamol Syrup 2mg/5ml/60ml bottle

2,592 bottles

PhP PhP

GRAND TOTAL COST FOR LOT 18, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

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Page 17 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

19 Supply and Delivery of Salbutamol 2mg. tablet (10 tablets/blister 100 tablets/box)

54,000 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 19, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

Lot No.

Technical Description Quantity Unit Cost VAT Exclusive

Zero Rated Transaction

(Please indicate

amount in words)

Total Cost VAT Exclusive Zero Rated Transaction

(Please indicate

amount in words)

20 Supply and Delivery of Tranexamic Acid 250 mg. tablet (10 tablets/blister 100 tablets/box)

3,600 tablets

PhP PhP

GRAND TOTAL COST FOR LOT 20, VAT Exclusive Zero-Rated Transaction

(Please state amount in words and in figures)

PhP

VALIDITY OF OFFER: Ninety (90) calendar days from the date of opening of the final quotations

Additional Requirements: Upon submission of the quotation, kindly include the following documents: 1. For corporations, partnerships and/or joint ventures, Registration Certificate

from the Securities and Exchange Commission (SEC) or a Certificate of Filing of Amended Articles of Incorporation/Partnership, for sole proprietorship, a Registration Certificate from the Department of Trade and Industry (DTI), or for cooperatives, a Registration Certificate from the Cooperative Development Authority (CDA);

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Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

2. Valid Mayor’s Permit issued by the city or municipality where the principal place of business of the bidder is located;

3. Valid Tax Clearance per Executive Order 398, Series of 2005, as finally

reviewed and approved by the BIR ; 4. Latest Income Tax Returns manually or electronically filed and paid through

the Electronic Filing and Payment System (EFPS) of the BIR per Executive Order (E.O.) 398, Revenue Regulation (R.R.) -3-2005 and Revenue Memorandum Circular (R.M.C.) 16-2005. In case of manually filed and paid tax returns, a certified true copy (CTC) (originally stamped “CTC” and not photocopy or scanned copy) from either SEC or BIR of said tax returns should be submitted; Note: The latest Income Tax Return (ITR) shall be the ITR for the preceding year, whether Calendar or Fiscal.

5. Latest Business Tax Return manually or electronically filed and paid through the EFPS of the BIR per E.O. 398, RR -3-2005 and RMC 16-2005. In case of manually filed and paid tax returns, a certified true copy (CTC) (originally stamped “CTC” and not photocopy or scanned copy) from either SEC or BIR of said tax returns should be submitted; Note: The latest Business Tax Returns shall refer that the VAT or Percentage Tax filed and paid covering the previous (6) months before the date of Submission, Receipts, Opening and Preliminary examination of quotation/offers.

6. Valid Philippine Government and Electronic Procurement System (PhilGEPS) Registration Certificate; and

7. A duly notarized Secretary’s Certificate (in case of corporations, partnerships or joint ventures) or a Special Power of Attorney (in case of Sole Proprietor) attesting that the signatory is the duly authorized and designated representative of the prospective bidder, and granted full power and authority to do, execute and perform any and all acts necessary and/or to represent the prospective bidder in the procurement process.

NOTES: 1. Bidders shall provide correct and accurate information required in this form. 2. Quotations/offers submitted exceeding the Approved Budget for the Contract

shall be rejected. 3. The prices quoted are to be paid in Philippine Currency.

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Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

4. All prices quoted are INCLUSIVE of all applicable duties, government permits, fees, and other charges relative to the acquisition and delivery of items to PAGCOR, but should be VAT-Exclusive, Zero-Rated.

5. For the purpose of standardization of offer/quotations, this RFQ Form will

prevail over all kinds and forms of quotation. In case of price discrepancy over the amounts in words and in figures, the amount in words will prevail.

6. Award of contract shall be made to the lowest calculated offer which complies with the minimum technical specifications and other terms and conditions stated herein.

7. Any interlineations, erasures or overwriting shall be valid only if they are

signed or initiated by you or any of your duly authorized representative/s. 8. PAGCOR shall have the right to inspect and/or to test the goods to confirm

their conformity to the technical specifications. 9. To guarantee the faithful performance of the winning bidder’s obligations, it

shall post a Performance Security prior to the signing of the contract, in accordance with any of the following schedule:

Form of Security Amount in Percentage of Total Contract Price

Cash or cashier’s/manager’s check issued by a Universal or Commercial Bank;

Five Percent (5%)

Bank draft/guarantee or irrevocable letter of credit issued by a Universal or Commercial Bank: Provided, however, that it shall be confirmed or authenticated by a Universal or Commercial Bank, if issued by a foreign bank; or

Surety Bond (which is acceptable to PAGCOR) callable upon demand issued by a surety or insurance company duly certified by the Insurance Commission as authorize to issue such security specific for the contract awarded.

Thirty Percent (30%)

The Performance Security shall remain valid until issuance by the Philippine Amusement and Gaming Corporation (PAGCOR) of the final Certificate of Acceptance.

10. The winning supplier agrees to pay a penalty of at least equal to one-tenth of one percent (1/10 of 1%) of the cost of the unperformed portion for every day of delay, including non-working days (i.e. Saturday and Sunday), legal holidays or special non-working holidays. PAGCOR shall rescind the contract once the cumulative amount of liquidated damages reaches ten percent

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Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

(10%) of the amount of the contract, without prejudice to other courses of action and remedies open to it.

11. Other terms and conditions relative to the project are provided in the attached Annex A (Terms and Conditions) of the Purchase Order.

PROCEDURES: 1. Copies of the Request for Quotations (RFQs) are sent to the bidder’s

respective contact details, either through fax or electronic mail. Bidders can also secure a copy of the RFQs at the PAGCOR’s website, website of the Philippine Government Electronic Procurement System (PhilGEPS) and a bulletin board duly designated by PAGCOR’s Bids and Awards Services Department (BASD).

2. Once the prospective bidders were able to secure a copy of the RFQ or invitation, they are required to submit the accomplished quotation and all of the additional requirements enumerated on the RFQ on the deadline for the submission and receipt of initial quotations and upon payment of the non-refundable bidding fee. Initial quotations are just required to be submitted since these will be discussed lengthily during Negotiations.

3. Bidders, except those who have previously participated in the last two (2)

failed biddings, are required to pay the non-refundable bidding fee not later than the date of the submission of quotation/offer. A copy of the PAGCOR Official Receipt shall be presented as proof of payment.

4. The BAC, through BASD shall not accept any initial offers/quotations unless said prospective bidders have paid the required fees, except when the prospective bidder/s has/have previously participated in the recently conducted public biddings/procurement activities which resulted into a failure. A copy of the PAGCOR Official Receipt shall be presented as proof of payment.

5. Initial quotations, including the initial financial offers, shall be submitted on the

deadline for the Submission and Receipt of Initial Quotations since these will be the basis for the lengthy discussions during Negotiations.

6. The RFQ must be completed without any alterations to their format, and no substitute form shall be accepted. All blank spaces shall be filled in with the information requested.

7. Prospective bidders or their duly authorized representatives are required to

attend the Opening and Preliminary Examination of the sealed Initial Quotations since the BAC shall immediately undertake simultaneous Negotiation with all the bidders invited and attended said activity.

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Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

8. On the date specified for the Opening and Preliminary Examination of the sealed initial quotations, the BAC shall check all of the submitted documents of each bidder against a checklist of required documents to ascertain if they are all present and complying to PAGCOR’s minimum requirements and specifications.

9. On the same date, the BAC shall take note of all the documents and/or

requirements which are missing, incomplete and/or patently insufficient, if any. At the same time, the BAC shall also determine whether there are areas for improvement in the offer/s or quotation/s submitted. Likewise, the BAC shall determine whether the submitted financial offer as indicated in its quotation exceeds the ABC.

10. The BAC shall immediately inform the bidder of the results of the examination. In case one or a number of the necessary documents or requirements is/are missing, incomplete and/or patently insufficient, the BAC shall consequently discuss the same with the concerned bidder during Negotiations.

11. During Negotiations, concerned bidders can negotiate with the BAC on the date for the final submission of the corrected additional documents or requirements and/or lacking documents or requirements, if any, Provided further that the bidders best and final offer shall be submitted on the deadline as agreed upon during Negotiations It is important to reiterate that all of the lacking additional documents or requirements identified during the Negotiations should be submitted also on the deadline for the submission of its best and final offer as agreed upon by the BAC and the participating suppliers.

12. Any changes in the ABC shall not be allowed during negotiations.

13. Technical Specifications/Scope of Work and additional Terms and Conditions of the program/project/activity shall be fully discussed during Negotiations. In case there are changes in the requirements and/or technical specifications made after the consultations/negotiations, these shall be communicated on an equal basis. A Supplemental Bid Bulletin shall then be issued to notify all prospective bidders of the revisions, updates and/or modifications in the RFQ and Draft Annex A (Terms and Conditions) of the Purchase Order/Draft Service Contract. Supplemental/Bid Bulletins are issued not later than seven (7) calendar days before the deadline for the submission and receipt of quotations/offers. Bidders should be responsible for securing copies of the Supplemental/Bid Bulletins at the websites of PAGCOR and the PhilGEPS. Copies of the Supplemental Bid Bulletins are also sent either through fax or electronic mail to all prospective bidders who purchased the RFQ.

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Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

14. Following completion of the Negotiations, PAGCOR shall request all qualified

bidders to submit its best and final offer with respect to all aspects of their proposals on the date announced by the BAC. The best and final financial offer should be the same as or lower than the initial financial offer.

15. During the Submission, Receipt, Opening and Preliminary Examination of the

Best and Final Offer/s, the BAC shall check the submitted best and final offers and other required documents using a non-discretionary pass/fail criteria. The BBAC shall check the submitted documents of each bidder against a checklist of required documents to ascertain if they are all present, using a non-discretionary “pass/fail” criterion. If a bidder submits the required document, it shall be rated “passed” for that particular requirement. In this regard, quotations/offers that fail to include any requirement or are incomplete or patently insufficient shall be considered as “failed”. Otherwise, the BAC shall rate the best and final offer as “passed”.

16. PAGCOR shall select the successful offer on the basis of the best and final

offers submitted by the bidders which in no case should comply with PAGCOR’s minimum requirements. The best and final offers submitted by the prospective bidders shall still be subjected to detailed bid evaluation and post-qualification.

17. The successful offer/quotation must comply with both the technical specifications/requirements; while the best and final financial offer should not exceed the ABC nor higher than the initial financial offer.

18. Award of the contract shall be recommended to the bidder having the Lowest/Single Calculated Responsive Offer/Quotation (the bidder who provided the lowest offer and is responsive to PAGCOR’s minimum requirements).

19. In accordance with Government Procurement Policy Board (GPPB) Circular 06-2005 - Tie-Breaking Method, the BAC shall use a non-discretionary and non-discriminatory measure based on sheer luck or chance, which is “DRAW LOTS,” in the event that two (2) or more bidders have been post-qualified and determined as the bidder having the Lowest Calculated Responsive Offer/Quotation to determine the final bidder having the Lowest Calculated Responsive Offer/Quotation, based on the following procedures:

a) In alphabetical order, the bidders shall pick one rolled paper. b) The lucky bidder who would pick the paper with a

“CONGRATULATIONS” remark shall be declared as the winning bidder having the LCRB and recommended for award of the contract.

20. PAGCOR reserves the right to accept or reject any offer/quotation, and to

annul the procurement process and reject all offers/quotations at any time prior to contract award, without thereby incurring any liability to the affected bidder or bidders.

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Page 23 of 23 Request for Quotation

Negotiated Procurement (Two-Failed Biddings) of the Supply and Delivery of Twenty (20) Lots Medicines for Donation .under ITB No. 11-13-2015

John Joseph S. Javier

BIDDER’S COMMITMENT:

We hereby agree and bind ourselves to the terms and conditions herein specified, to the manner of procurement and evaluation set up by the Bids and Awards Committee (BAC), to the provisions of the Annex A (Terms and Conditions) of the Purchase Order and to the rules and regulations of the Government and PAGCOR. We understand that PAGCOR is not bound to accept the lowest or any bid it may receive.

Very truly yours,

_______________________

Signature over Printed Name

TIN: ____________________

________________________

Position

________________________

Company Represented

TIN: ____________________

Address / Tel. No. / Fax No.

_________________________

___________________________