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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
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 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 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 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 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 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 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 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 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 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 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 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 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 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
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
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
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);
Page 18 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
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.
Page 19 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. 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
Page 20 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
(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.
Page 21 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
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.
Page 22 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
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.
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.
_________________________
___________________________