baguio.gov.phbaguio.gov.ph/sites/default/files/bac_publi… · XLS file · Web view · 2016-09-09D5NSS 1 liter Diclofenac Tablet 50mg Dicycloverine Sodium tablet 10mg Doxycycline

Republic of the PhilippinesBIDS AND AWARDS COMMITTEE

Baguio City(074) 300-6537/ (074)442-8795

BID FORMCP 16-12 Bidding March 10, 2016Circular Proposal No. Date Prepared

The City Government of Baguio, through its Bids and Awards Committee desires to purchase the articles listed below for delivery withinTwenty (20) calendar days upon receipt of Contract Award.

ITEM QTY UNIT Particulars ABC (Php) Unit Price TOTAL (Php)1 2,100 tab Diclofenac Tablet 50mg 4,200.00 2 7,500 cap Doxycycline Capsule 100mg in blister pack 30,000.00 3 3,000 cap Ferous sulfate + folic acid capsule 20mg/250mg with B- 15,000.00

complex+Vit. A in blister pack4 1,500 bot Ferous sulfate 30mg/5ml syrup 120ml flavored 45,000.00 5 100 tab Furosemide tablet 40mg 200.00 6 300 tab Hexetidne vaginal suppository, 10 mg 15,000.00 7 14 vial Hydrocortisone 100mg vial 1,680.00 8 90 tube Hydrocortisone cream, 15g 9,000.00 9 50 bot Hydrogen Peroxide 120ml 500.00

10 70 tab Hyoscine N-Butyl Bromide 10mg tablet 210.00 11 1,800 tab Ibuprofen tablet 200mg in blister pack 3,600.00 12 14 ampule Ketorolac amp 1ml 490.00 13 2,400 tab Levofoxacin 500mg tablet 48,000.00 14 500 cap Loperamide 2mg capsule 1,000.00 15 1,200 tab Losartan k 50mg tablet 3,600.00 16 600 tab Mebendazole tablet 500mg in blister pack 3,000.00 17 200 bot Mefenamic Acid 50mg/5ml x 60 ml 3,000.00 18 4,000 cap Mefenamic Acid 250mg capsule 500mg in blister pack 8,000.00 19 800 tab Methyldopa Tablet 250mg 3,200.00 20 1,100 tab Metoprolol tablet 50mg 3,300.00 21 4,000 tab Metronidazole tablet 500mg in blister pack 8,000.00 22 35 tube Miconnazole cream 15mg 3,500.00 23 1,200 bot Multivitamins + Iron + Lysine Syrup 120ml 108,000.00 24 5,500 cap Multivitamins + Iron capsule 16,500.00 25 6,000 tab Multivitamins B1, B6, B12 tablet (B-Complex) 18,000.00 26 1,200 sachet Oral Rehydration Salts 5.575g 6,000.00 27 14 tube Oxytetracycline HCI 5mg + Polymyxin B SO4 1000 7,000.00

iu eye Ointment 3.5g28 8 ampule Paracetamol 150mg/ml 2ml amp 120.00 29 1,200 bot Paracetamol Drops 100mg/ml x 10ml flavored 18,000.00 30 2,000 bot Paracetamol Syrup 250mg/5ml x 60 ml flavored 30,000.00

NOTE: EXPIRY DATE SHOULD NOT BE LESS THAN18 MONTHS FROM THE DATE OF DELIVERY

Suppliers are required to indicate the BRAND of their offered items on theBid Form

Winning Supplie/s is/are required to attach copy of Purchase Order (PO)on their Invoice upon delivery.

x-x-x-xPurpose: For drugs and medicine supplies at HSOPR No. 2016-062OBR No. 101-4411-16-03-79

TOTAL ABC 413,100.00 Please refer to attached Bid Instruction for the ELIGIBILITY REQUIREMENTS, TECHNICAL PROPOSAL and FINANCIAL PROPOSAL format.

and Awards Committee shall be at the COA representative, two (2) observers from the private sector and non-governmentagency as well as interested bidders.

ATTY. LETICIA O. CLEMENTEChairperson, Bids & Awards Committee

PLEASE READ CONDITIONS AT THE BACK HEREOF. Non-compliance of any of the provisions thereof will invalidate one's bid/quotation.Bidders shall fill the blank spaces below.Respectfully returned to the Bids and Awards Committee, Baguio, with the prices quoted. All conditions set at the back hereof are hereby accepted.The required good faith deposit is hereby enclosed in the amount of Php ______________________________________ in Cash, check or Surety Bond.My business is ____________________________________________________ which is licensed under Business Permit No./ Mayor's permit No.____________issued

Please refer to the Bid Conditions at the back

Drop your documents in the bidding box located at the City General Services Officel, City Hall, Baguio. The OPENING OF BIDS by the BidsMulti Purpose Hall, City Hall Annex, Baguio City , March 21, 2016 9AM

NAME OF ESTABLISHMENT BIDDER'S SIGNATURE

arb Page 1 of 2 pageRepublic of the Philippines

BIDS AND AWARDS COMMITTEEBaguio City

(074) 300-6537/ (074)442-8795

BID FORMCP 16-12 Bidding March 10, 2016Circular Proposal No. Date Prepared


ITEM QTY UNIT Particulars ABC (Php) Unit Price TOTAL (Php)1 6800 tab Paracetamol Tablet 500mg in blister pack 6,800.00 2 150 bot Permethrin 5% lotion 30ml 18,000.00 3 500 tab Phenylpropanolamine + Paracetamol tablet 325mg/25mg 1,500.00 4 10 bot Povidone Iodine 1% (Oral antiseptic)120ml 1,800.00 5 50 bot Povidone Iodine 10% Antiseptic Solution 15ml 750.00 6 60 bot Povidone Iodine 1% (Oral antiseptic)120ml 3,000.00 7 700 tab Pyrazinamide 400mg/tab 7,000.00 8 530 tab Rifamficin 150mg tab 5,300.00 9 60 nebule Salbutamol + Ipratronium Br nebules 1,200.00

10 580 nebule Salbutamol 1.25mg/2ml Nebules 11,600.00 11 120 bot Salbutamol 1mg/ml nebulizing solution 30ml 2,400.00 12 300 bot Salbutamol Syrup 2mg/5ml x 60ml flavored 4,500.00 13 450 tab Salbutamol tablet 4mg 1,800.00 14 70 tube Silver sulfadiazine cream 15g 7,000.00 15 230 tab Simvastation 20mg tablet 3,450.00 16 15 tube Sodium Fucidate cream 5g 2,250.00 17 110 vial Streptomycin 1gm vial for injection 5,500.00 18 50 bot Water Distilled for injection 50ml 2,000.00 19 280 bot Zinc sulfate 36.96mg/ml 15 drops 12,600.00 20 280 bot Zinc sulfate 55mg/5ml 50ml syrup 16,800.00

sub-total 115,250.00 NOTE: EXPIRY DATE SHOULD NOT BE LESS THAN

18 MONTHS FROM THE DATE OF DELIVERY



x-x-x-xPurpose: For drugs and medicine supplies at HSOPR No. 2016-063OBR No. 101-4411-16-03-81

1 800 bot Lagundi Syrup 300mg/5ml x 120 ml flavored 72,000.00 2 8,000 tab Lagundi Tablet 300mg 12,000.00 3 1,000 tab Sambong Tablet 250mg 1,500.00




Purpose: For Drugs and Medicines Supplies at HSOPR No. 2016-064 sub-total 85,500.00 OBR Bo. 101-4411-16-03-80 TOTAL ABC 613,850.00

Please refer to attached Bid Instruction for the ELIGIBILITY REQUIREMENTS, TECHNICAL PROPOSAL and FINANCIAL PROPOSAL format.


ATTY. LETICIA O. CLEMENTEChairperson, Bids & Awards Committee


Drop your documents in the bidding box located at the City General Services Officel, City Hall, Baguio. The OPENING OF BIDS by the BidsMulti Purpose Hall, City Hall Annex, Baguio City , March 21, 2016 9AM



arb Page 2 of 2


(Goods and Services)Baguio City

Abstract of Bids or quotations under Circular Proposal No. CP 15-30 Bidding date prepared March 26, 2015 and opened on May 25, 2015

Particulars ABC Jousen Trading Co. CEDEMED

ITEM QTY UNIT (Php) Unit Cost Total Cost Unit Cost Total Cost

1 300 sachet Acetycysteine 200mg 6,000.00 No bid No Bid2 2,702 pc Acrinol Plaster Strips 2,702.00 No bid No Bid3 30 bot Aluminum Hydroxide + Magnesium Hydroxide Suspension 600.00 No bid 17.85 535.50

220mg/225mg/5ml x 120ml - 4 2,030 tab Aluminum Hydroxide + Magnesium Hydroxide Tablets 2,030.00 0.75 1,522.50 0.53 1,075.90

220mg/225mg - 5 100 tab Amlodipine 10mg tablet 300.00 1.10 110.00 0.75 75.00 6 1,350 tab Amlodipine 5mg tablet 4,050.00 0.85 1,147.50 0.56 756.00 7 50 cap Amoxicillin 250mg capsule 100.00 No bid 1.90 95.00 8 11,850 tab Amoxicillin Capsule 500mg in blister pack 23,700.00 1.45 17,182.50 1.33 15,760.50 9 755 bot Amoxicillin Drops 100mg/ml x 10ml flavored 18,308.75 14.20 10,721.00 11.64 8,788.20

10 2,182 bot Amoxicillin Suspension, 250mg/5ml x 60ml 52,913.50 17.50 38,185.00 14.64 31,944.48 11 144 bot Ascorbic Acid Syrup 100mg/5ml x 120ml flavored 3,600.00 20.00 2,880.00 16.85 2,426.40 12 150 tab Aspirin Tablets 80mg 300.00 No bid 0.82 123.00 13 660 tab Azithromycin 500mg tab 26,400.00 22.00 14,520.00 28.27 18,658.20 14 52 bot Benzyl Benzoate 120ml 2,600.00 No bid No Bid15 5 tube Bethametasone Ointment, 5g, 1mg-g 500.00 No bid No Bid16 20 tube Burn Ointment 16g/tube 1,600.00 No bid No Bid17 50 tab Captopril 25mg tablet 500.00 No bid 4.99 249.50 18 1,199 bot Cefalexin 100mg/ml drops 35,970.00 16.00 19,184.00 12.61 15,119.39

Sub-Total 182,174.25 105,452.50 95,607.07

Item Award toROWEMA P. GALPO

City Health Services Officer

Page 1/7Republic of the Philippines

BIDS AND AWARDS COMMITTEE(Goods and Services)

Baguio City




19 6,654 cap Cefalexin Monohydrate Capsule 500mg in blister pack 16,635.00 2.05 13,640.70 1.84 12,243.36 20 1,286 bot Cefalexin Monohydrate Suspension 250mg/5ml x 60ml 31,185.50 23.50 30,221.00 19.64 25,257.04 21 1,652 tab Cefixime Tablet 200mg 49,560.00 13.00 21,476.00 11.90 19,658.80 22 700 tab Cefuroxime 500mg tablet 14,000.00 17.00 11,900.00 No Bid23 1,880 tab Cetirizine 10mg tablet 18,800.00 1.20 2,256.00 0.89 1,673.20 24 224 bot Cetirizine 5mg/ml oral solution 60ml 6,720.00 No Bid 28.89 6,471.36 25 15 bot Chloramphenicol Eye Drops 5mg/ml x 10ml 1,500.00 No Bid No Bid26 506 bot Chloramphenicol Palmitate Suspension 125mg/5ml x 60 ml 35,420.00 21.00 10,626.00 17.85 9,032.10

flavored - 27 759 bot Chlorpheniramine 2mg/5ml 60ml suspension 18,975.00 12.00 9,108.00 10.11 7,673.49 28 1,925 tab Chlorpheniramine Maleate Tablet 4mg 2,406.25 0.30 577.50 0.39 750.75 29 680 cap Chloramphenicol Capsule 500mg in blister pack 1,700.00 No Bid 2.42 1,645.60 30 3,200 tab Ciprofloxacin 500mg tab 16,000.00 1.55 4,960.00 1.40 4,480.00 31 326 bot Clarithromycin 125mg/5ml 60ml 16,300.00 No Bid No Bid32 680 tab Clarithromycin 500mg tablet 10,200.00 12.15 8,262.00 11.25 7,650.00 33 250 tab Clindamycin 300mg tablet 2,500.00 2.75 687.50 3.49 872.50 34 1,850 tab Clonidine 75mg tab 37,000.00 No Bid No Bid35 200 tab Clopidogrel 75mg tablet 4,000.00 2.75 550.00 8.86 1,772.00 36 120 tab Clotrimazole 500mg vaginal tablet 2,400.00 No Bid No Bid37 5,000 cap Cloxacillin Na Capsule 500mg in blister pack 18,750.00 No Bid 2.08 10,400.00

Sub-Total 304,051.75 114,264.70 109,580.20





Baguio City




38 1,000 bot Cloxacillin Na Suspension 125mg/5ml x 60ml flavored 24,250.00 18.25 18,250.00 13.69 13,690.00 39 96 bot Co-Amociclav 250mg+62.5ml 60ml susp 9,600.00 No Bid No Bid40 1,320 tab Co-Amociclav 625mg tablet 19,800.00 No Bid 10.72 14,150.40 41 1225 tab Colchicine 500mcg tablet 6,125.00 2.70 3,307.50 1.42 1,739.50 42 5,000 tab Cotrimaxazole Tablet 800mg/160mg in blister pack 6,250.00 1.15 5,750.00 0.99 4,950.00 43 897 bot Cotrimaxazole Suspension 200mg/40mg/5ml x 60ml flavored 17,940.00 12.10 10,853.70 10.10 9,059.70 44 1,287 bot Cotrimaxazole Suspension 400mg/80mg/5ml x 60ml flavored 32,175.00 17.15 22,072.05 14.28 18,378.36 45 1 bot D5 LRS 1 liter 100.00 90.00 90.00 No Bid46 1 bot D5NSS 1 liter 100.00 90.00 90.00 No Bid47 1,840 tab Diclofenac Tablet 50mg 7,360.00 1.00 1,840.00 0.44 809.60 48 525 tab Dicycloverine Sodium tablet 10mg 1,050.00 0.25 131.25 0.22 115.50 49 5,000 cap Doxycycline Capsule 100mg in blister pack 30,000.00 1.00 5,000.00 0.88 4,400.00 50 32 vial Epinephrine HCI 0.1% injection 640.00 No Bid No Bid51 607 bot Erythromycin Ethylsuccinate Suspension 200mg/5ml x 30,350.00 37.50 22,762.50 31.54 19,144.78

60ml flavored - 52 1,750 tab Erythromycin Ethylsuccinate Tablet 500mg 17,500.00 3.60 6,300.00 3.34 5,845.00 53 50 tab Ethambutol tablet 1,500.00 No Bid No Bid54 60,000 tab Ferous sulfate + folic acid tablet 180,000.00 2.00 120,000.00 0.58 34,800.00 55 310 bot Ferous sulfate 0.6ml x 15ml 7,750.00 12.20 3,782.00 9.88 3,062.80 56 1,420 bot Ferous sulfate 30mg/5ml syrup 120ml 42,600.00 No Bid No Bid

Sub-Total 435,090.00 220,229.00 130,145.64





Baguio City




57 100,000 cap Ferous sulfate + folic acid capsule 20mg/250mg with B- 500,000.00 No Bid No Bidcomplex+Vit. A in blister pack -

58 100 tab Furosemide tablet 40mg 1,000.00 No Bid 0.80 80.00 59 18 bot Gentamycin eye drops 1,800.00 80.00 1,440.00 No Bid60 500 tab Hexetidne vaginal suppository 25,000.00 No Bid No Bid61 262 tube Hydrocortisone cream, 15g 26,200.00 No Bid No Bid62 86 bot Hydrogen Peroxide 120ml 860.00 No Bid 8.94 768.84 63 9 tab Hyoscine N-Butyl Bromide 10mg tablet 18.00 No Bid No Bid64 4 bot Hyoscine N-Butyl Bromide 20mg/ml amp 80.00 No Bid No Bid65 161 bot Ibuprofen 100mg/5ml x 60 ml syrup 8,050.00 No Bid 25.00 4,025.00 66 3,540 tab Ibuprofen tablet 200mg in blister pack 4,425.00 No Bid 0.44 1,557.60 67 50 tab INH 300mg/tab 1,000.00 No Bid No Bid


x-x-x-xPurpose: For drugs and medicine supplies at HSO

PR No. 2015-100OBR No. 101-4411-15-04-145

Sub-Total 568,433.00 1,440.00 6,431.44

Item Award to

ROWEMA P. GALPOCity Health Services Officer



Baguio City




1 350 tab Cat II Continuation rif150+INH75mg+eth275mg tab 5,250.00 No Bid No Bid2 210 tab Cat II Intensive Rif150mg+INH75mg+PZA400mg+ 4,200.00 No Bid No Bid

Etham275 tab - 3 20 vial Hepatitis B Vaccine, Recombinant, 10mg/5ml vial 26,000.00 No Bid No Bid4 80 box Lodociane HCL 2% and Epinepherine injection 1:100000 96,000.00 1,110.00 88,800.00 No Bid

1.8ml cartriges vacuum packed sterile solution 50 - cartriges per tin -

5 500 tab Losartan 50mg tablet 2,500.00 1.80 900.00 1.87 935.00 6 2 bot LRS 1 liter 200.00 90.00 180.00 No Bid7 562 bot Mefenamic Acid 50mg/5ml x 60 ml 28,100.00 12.00 6,744.00 10.11 5,681.82 8 330 cap Mefenamic Acid 250mg capsule 990.00 0.60 198.00 No Bid9 2,160 tab Methyldopa Tablet 125mg 21,600.00 2.50 5,400.00 No Bid

10 10 ampuleMethylergometrine ampule 200 mcg 100.00 No Bid No Bid11 10 tab Methylergometrine tablet 125mg 50.00 No Bid No Bid12 8,460 tab Metoprolol tablet 50mg 42,300.00 0.90 7,614.00 0.69 5,837.40 13 544 bot Metronidazole Suspension 125mg/5ml x 60ml flavored 13,192.00 14.50 7,888.00 11.19 6,087.36 14 12,455 tab Metronidazole tablet 500mg in blister pack 15,568.75 0.75 9,341.25 0.58 7,223.90 15 12 tube Miconnazole cream 15mg 1,200.00 No Bid No Bid16 5,000 cap Multivitamins + Iron capsule 25,000.00 1.15 5,750.00 1.00 5,000.00 17 1,066 bot Multivitamins + Iron Syrup 120ml 106,600.00 No Bid 27.37 29,176.42

Sub-Total 388,850.75 132,815.25 59,941.90





Baguio City




18 850 bot Multivitamins Syrup 120ml with lysine 51,000.00 53.00 45,050.00 47.61 40,468.50 19 6,620 tab Multivitamins B1, B6, B12 tablet (B-Complex) 26,480.00 0.70 4,634.00 0.57 3,773.40 20 449 tube Mupirocin cream, 15g 44,900.00 No Bid No Bid21 300 tab Ofloxacin 400mg tab 3,000.00 3.75 1,125.00 3.45 1,035.00 22 11,200 sachet Oral Rehydration Salts 67,200.00 0.90 10,080.00 2.71 30,352.00 23 14 tube Oxytetracycline HCI 5mg + Polymyxin B SO4 1000 10,500.00 No Bid No Bid

iu eye Ointment 3.5g - 24 2,278 bot Paracetamol Drops 100mg/ml x 10ml flavored 45,560.00 16.00 36,448.00 9.22 21,003.16 25 14 tab Paracetamol Suppository 12mg 140.00 No Bid No Bid26 3,670 bot Paracetamol Syrup 250mg/5ml x 60 ml flavored 66,977.50 12.50 45,875.00 10.71 39,305.70 27 12,800 tab Paracetamol Tablet 500mg in blister pack 9,600.00 0.30 3,840.00 0.24 3,072.00 28 125 bot Permethrin 5% lotion 30ml 12,500.00 No Bid No Bid29 500 tab Phenylpropanolamine + Paracetamol tablet 2,500.00 1.90 950.00 No Bid30 395 bot Povidone Iodine 10% Antiseptic Solution 15ml 9,559.00 17.50 6,912.50 11.90 4,700.50 31 85 bot Povidone Iodine skin antiseptic120ml 4,250.00 No Bid 49.00 4,165.00 32 490 tab Prednisone 5mg tablet 4,900.00 0.70 343.00 No Bid33 50 tab Pyrazinamide 400mg/tab 1,500.00 No Bid No Bid34 1,150 tab Ranitidine HCL tablet 150mg 11,500.00 1.15 1,322.50 0.94 1,081.00 35 50 tab Rifamficin 150mg tab 1,000.00 No Bid No Bid36 1,370 cap Salbutamol + Guiafenesin capsule 6,850.00 1.10 1,507.00 1.00 1,370.00

Sub-Total 379,916.50 158,087.00 150,326.26





Baguio City




37 622 bot Salbutamol + Guiafenesin syrup 60ml 31,100.00 15.15 9,423.30 12.50 7,775.00 38 530 nebule Salbutamol + Ipratronium Br nebules 10,600.00 18.00 9,540.00 No Bid39 38 bot Salbutamol 1mg/ml nebulizing solution 30ml 760.00 No Bid No Bid40 2,122 bot Salbutamol Syrup 2mg/5ml x 60ml flavored 30,769.00 10.00 21,220.00 8.94 18,970.68 41 2,150 tab Salbutamol tablet 4mg 32,250.00 0.45 967.50 0.54 1,161.00 42 750 nebule Salbutamol 1.25mg/2ml Nebules 15,000.00 9.00 6,750.00 No Bid44 2 tube Silver sulfadiazine cream 15g 200.00 No Bid No Bid45 100 tab Simvastation 10mg tablet 1,000.00 1.10 110.00 2.50 250.00 46 41 tube Sodium Fucidate cream 5g 6,150.00 No Bid No Bid47 50 vial Streptomycin 1gm vial for injection 2,500.00 10.00 500.00 No Bid48 802 tube Sulfur ointment 15g 64,160.00 No Bid 63.63 51,031.26 49 100 cap Tranexamic Acid Capsule 500mg 1,000.00 4.00 400.00 6.44 644.00 50 50 bot TST Solution 30,000.00 No Bid No Bid51 104 bot Water Distilled for injection 50ml 4,160.00 35.00 3,640.00 No Bid52 1,990 bot Zinc sulfate 36.96mg/ml 15 drops 99,500.00 No Bid 29.15 58,008.50 53 1,180 bot Zinc sulfate 55mg/5ml 50ml syrup 82,600.00 35.00 41,300.00 25.00 29,500.00


x-x-x-x Sub-Total 411,749.00 93,850.80 167,340.44 Purpose: For drugs and medicine supplies at HSO

PR No. 2015-101 OBR No. 101-4411-15-04-146 OVER-ALL TOTAL 2,670,265.25 826,139.25 719,372.95



Page 7/7


Baguio City(074) 300-6537/ (074)442-8795

BID FORMCP 15-30 Re-Bidding June 22, 2015

Circular Proposal No. Date Prepared


ITEM QTY UNIT Particulars ABC (Php) Unit Price TOTAL (Php)1 300 sachet Acetycysteine 200mg 6,000.00 2 2,702 pc Acrinol Plaster Strips 2,702.00

14 52 bot Benzyl Benzoate 120ml 2,600.00 15 5 tube Bethametasone Ointment, 5g, 1mg-g 500.00 16 20 tube Burn Ointment 16g/tube 1,600.00 25 15 bot Chloramphenicol Eye Drops 5mg/ml x 10ml 1,500.00 31 326 bot Clarithromycin 125mg/5ml 60ml 16,300.00 34 1,850 tab Clonidine 75mg tab 37,000.00 36 120 tab Clotrimazole 500mg vaginal tablet 2,400.00 39 96 bot Co-Amociclav 250mg+62.5ml 60ml susp 9,600.00 50 32 vial Epinephrine HCI 0.1% injection 640.00 53 50 tab Ethambutol tablet 1,500.00 56 1,420 bot Ferous sulfate 30mg/5ml syrup 120ml 42,600.00 57 100,000 cap Ferous sulfate + folic acid capsule 20mg/250mg with B- 500,000.00

complex+Vit. A in blister pack60 500 tab Hexetidne vaginal suppository 25,000.00 61 262 tube Hydrocortisone cream, 15g 26,200.00 63 9 tab Hyoscine N-Butyl Bromide 10mg tablet 18.00 64 4 bot Hyoscine N-Butyl Bromide 20mg/ml amp 80.00 67 50 tab INH 300mg/tab 1,000.00



PR No. 2015-100OBR No. 101-4411-15-04-145

1 350 tab Cat II Continuation rif150+INH75mg+eth275mg tab 5,250.00 2 210 tab Cat II Intensive Rif150mg+INH75mg+PZA400mg+ 4,200.00

Etham275 tab3 20 vial Hepatitis B Vaccine, Recombinant, 10mg/5ml vial 26,000.00

10 10 ampule Methylergometrine ampule 200 mcg 100.00 11 10 tab Methylergometrine tablet 125mg 50.00 15 12 tube Miconnazole cream 15mg 1,200.00 20 449 tube Mupirocin cream, 15g 44,900.00 23 14 tube Oxytetracycline HCI 5mg + Polymyxin B SO4 1000 10,500.00

iu eye Ointment 3.5g25 14 tab Paracetamol Suppository 12mg 140.00 28 125 bot Permethrin 5% lotion 30ml 12,500.00 33 50 tab Pyrazinamide 400mg/tab 1,500.00 35 50 tab Rifamficin 150mg tab 1,000.00

Sub-Total 784,580.00 Please refer to attached Bid Instruction for the ELIGIBILITY REQUIREMENTS, TECHNICAL PROPOSAL and FINANCIAL PROPOSAL format.


ROMEO D. CONCIOChairperson, Bids & Awards Committee



Drop your documents in the bidding box located at the City General Services Officel, City Hall, Baguio. The OPENING OF BIDS by the BidsMulti Purpose Hall, City Hall Annex, Baguio City , July 10, 2015 9AM


arb Page 1 of 2 pageRepublic of the Philippines

BIDS AND AWARDS COMMITTEEBaguio City

(074) 300-6537/ (074)442-8795

BID FORMCP 15-30 Re-Bidding June 22, 2015

Circular Proposal No. Date Prepared


ITEM QTY UNIT Particulars ABC (Php) Unit Price TOTAL (Php)39 38 bot Salbutamol 1mg/ml nebulizing solution 30ml 760.00 44 2 tube Silver sulfadiazine cream 15g 200.00 46 41 tube Sodium Fucidate cream 5g 6,150.00 50 50 bot TST Solution 30,000.00



PR No. 2015-101OBR No. 101-4411-15-04-146

Sub-Total 37,110.00

TOTAL ABC 821,690.00 Please refer to attached Bid Instruction for the ELIGIBILITY REQUIREMENTS, TECHNICAL PROPOSAL and FINANCIAL PROPOSAL format.


ROMEO D. CONCIOChairperson, Bids & Awards Committee

PLEASE READ CONDITIONS AT THE BACK HEREOF. Non-compliance of any of the provisions thereof will invalidate one's bid/quotation.Bidders shall fill the blank spaces below.Respectfully returned to the Bids and Awards Committee, Baguio, with the prices quoted. All conditions set at the back hereof are hereby accepted.The required good faith deposit is hereby enclosed in the amount of Php ______________________________________ in Cash, check or Surety Bond.

Drop your documents in the bidding box located at the City General Services Officel, City Hall, Baguio. The OPENING OF BIDS by the BidsMulti Purpose Hall, City Hall Annex, Baguio City , July 10, 2015 9AM

My business is ____________________________________________________ which is licensed under Business Permit No./ Mayor's permit No.____________issued



arb Page 2 of 2 page

Standard Form No.: SF-GOOD-58 Revised on: May 24, 2004

City Government of Baguio

PURCHASE ORDER

Supplier : JOUSEN TRADING COMPANY P. O. No. 1452-15Address : JA Bldg., Bonuan Catacdang, Dagupan City Date June 17, 2015E-Mail Address : Mode of ProcurementTelephone No. : (075) 653-8155/515-4051 CP No. 15-30 BiddingTIN : 006-016-869-000 P.R No./s: 100 &101Gentlemen: OBR # 145 &146

Please furnish this office the following articles subject to the terms and conditions contained herein.

Place of Delivery: City General Services Office, Baguio Delivery Term Twenty (20) Calendar DaDate of Delivery : Payment Term

upon receipt of Purchase OrderITEM QUANTITY UNIT DESCRIPTION UNIT COST AMOUNT13 660 tab Azithromycin 500mg tab 22.00 Php 14,520.00 22 700 tab Cefuroxime 500mg tablet 17.00 11,900.00 33 250 tab Clindamycin 300mg tablet 2.75 687.50 35 200 tab Clopidogrel 75mg tablet 2.75 550.00 45 1 bot D5 LRS 1 liter 90.00 90.00 46 1 bot D5NSS 1 liter 90.00 90.00 59 18 bot Gentamycin eye drops 80.00 1,440.00

- NOTE: EXPIRY DATE SHOULD NOT BE LESS THAN -

18 MONTHS FROM THE DATE OF DELIVERY - x-x-x-x -

Purpose: For drugs and medicine supplies at HSO - -

PR No. 2015-100 - OBR No. 101-4411-15-04-145 -

- - - -

SUB-TOTAL Php 29,277.50 (Total Amount in Words) One Hundred Fifty-Seven Thousand One Hundred Thirty-Six Pesos Only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for every day of delay shall be imposed.

Very truly yours,

This is to certify that I have read theTERMS and CONDITIONS as contained at theback of this Purchase Order and I concur with all. HON. MAURICIO G. DOMOGANConforme: City Mayor

Signature over printed name of Supplier

arb Date

Standard Form Title: Purchase Order

Page 1 of 2Standard Form No.: SF-GOOD-58 Revised on: May 24, 2004


PURCHASE ORDER

Supplier : JOUSEN TRADING COMPANY P. O. No. 1452-15Address : JA Bldg., Bonuan Catacdang, Dagupan City Date June 17, 2015E-Mail Address : Mode of ProcurementTelephone No. : (075) 653-8155/515-4051 CP No. 15-30 BiddingTIN : 006-016-869-000 P.R No./s: 100 &101Gentlemen: OBR # 145 &146



upon receipt of Purchase OrderITEM QUANTITY UNIT DESCRIPTION UNIT COST AMOUNT

4 80 box Lodociane HCL 2% and Epinepherine injection 1:100000 1,110.00 Php 88,800.00 1.8ml cartriges vacuum packed sterile solution 50 - cartriges per tin -

6 2 bot LRS 1 liter 90.00 180.00 8 330 cap Mefenamic Acid 250mg capsule 0.60 198.00 9 2,160 tab Methyldopa Tablet 125mg 2.50 5,400.00

22 11,200 sachet Oral Rehydration Salts 0.90 10,080.00 29 500 tab Phenylpropanolamine + Paracetamol tablet 1.90 950.00 32 490 tab Prednisone 5mg tablet 0.70 343.00 38 530 nebule Salbutamol + Ipratronium Br nebules 18.00 9,540.00 41 2,150 tab Salbutamol tablet 4mg 0.45 967.50 42 750 nebule Salbutamol 1.25mg/2ml Nebules 9.00 6,750.00 45 100 tab Simvastation 10mg tablet 1.10 110.00 47 50 vial Streptomycin 1gm vial for injection 10.00 500.00 49 100 cap Tranexamic Acid Capsule 500mg 4.00 400.00 51 104 bot Water Distilled for injection 50ml 35.00 3,640.00

NOTE: EXPIRY DATE SHOULD NOT BE LESS THAN - 18 MONTHS FROM THE DATE OF DELIVERY -

PR No. 2015-101/OBR No. 101-4411-15-04-146 SUB-TOTAL 127,858.50 Purpose: For Drugs and Medicine Supplies c/o: HSO OVER ALL TOTAL Php 157,136.00 (Total Amount in Words) One Hundred Fifty-Seven Thousand One Hundred Thirty-Six Pesos Only


Very truly yours,




arb Date Page 2 of 2



PURCHASE ORDER

Supplier : CEDEMED PHARMA DISTRIBUTOR P. O. No. 1451-15Address : Rm. 221 2nd Floor P & C Fernandez Bldg., Perez Blvd., Dagupan City Date June 17, 2015E-Mail Address : Mode of ProcurementTelephone No. : (075) 522-5599/522-5863 CP No. 15-30 BiddingTIN : 100-205-059-000 P.R No./s: 100 &101Gentlemen: OBR # 145 &146




3 30 bot Aluminum Hydroxide + Magnesium Hydroxide Suspension 17.85 Php - 220mg/225mg/5ml x 120ml -

4 2,030 tab Aluminum Hydroxide + Magnesium Hydroxide Tablets 0.53 - 220mg/225mg -

5 100 tab Amlodipine 10mg tablet 0.75 - 6 1,350 tab Amlodipine 5mg tablet 0.56 - 7 50 cap Amoxicillin 250mg capsule 1.90 - 8 11,850 tab Amoxicillin Capsule 500mg in blister pack 1.33 - 9 755 bot Amoxicillin Drops 100mg/ml x 10ml flavored 11.64 -

10 2,182 bot Amoxicillin Suspension, 250mg/5ml x 60ml 14.64 - 11 144 bot Ascorbic Acid Syrup 100mg/5ml x 120ml flavored 16.85 - 12 150 tab Aspirin Tablets 80mg 0.82 - 17 50 tab Captopril 25mg tablet 4.99 - 18 1,199 bot Cefalexin 100mg/ml drops 12.61 - 19 6,654 cap Cefalexin Monohydrate Capsule 500mg in blister pack 1.84 - 20 1,286 bot Cefalexin Monohydrate Suspension 250mg/5ml x 60ml 19.64 - 21 1,652 tab Cefixime Tablet 200mg 11.90 - 23 1,880 tab Cetirizine 10mg tablet 0.89 - 24 224 bot Cetirizine 5mg/ml oral solution 60ml 28.89 -

SUB-TOTAL Php - (Total Amount in Words) Six Hundred Sixty-Five Thousand Six Hundred Sixty-Three Pesos and 25/100


Very truly yours,







PURCHASE ORDER




upon receipt of Purchase OrderITEM QUANTITY UNIT DESCRIPTION UNIT COST AMOUNT26 506 bot Chloramphenicol Palmitate Suspension 125mg/5ml x 60 ml 17.85 Php 9,032.10

flavored - 27 759 bot Chlorpheniramine 2mg/5ml 60ml suspension 10.11 7,673.49 28 1,925 tab Chlorpheniramine Maleate Tablet 4mg 0.39 750.75 29 680 cap Chloramphenicol Capsule 500mg in blister pack 2.42 1,645.60 30 3,200 tab Ciprofloxacin 500mg tab 1.40 4,480.00 32 680 tab Clarithromycin 500mg tablet 11.25 7,650.00 37 5,000 cap Cloxacillin Na Capsule 500mg in blister pack 2.08 10,400.00 38 1,000 bot Cloxacillin Na Suspension 125mg/5ml x 60ml flavored 13.69 13,690.00 40 1,320 tab Co-Amociclav 625mg tablet 10.72 14,150.40 41 1225 tab Colchicine 500mcg tablet 1.42 1,739.50 42 5,000 tab Cotrimaxazole Tablet 800mg/160mg in blister pack 0.99 4,950.00 43 897 bot Cotrimaxazole Suspension 200mg/40mg/5ml x 60ml flavored 10.10 9,059.70 44 1,287 bot Cotrimaxazole Suspension 400mg/80mg/5ml x 60ml flavored 14.28 18,378.36 47 1,840 tab Diclofenac Tablet 50mg 0.44 809.60 48 525 tab Dicycloverine Sodium tablet 10mg 0.22 115.50 49 5,000 cap Doxycycline Capsule 100mg in blister pack 0.88 4,400.00 51 607 bot Erythromycin Ethylsuccinate Suspension 200mg/5ml x 31.54 19,144.78

60ml flavored - SUB-TOTAL Php 128,069.78

(Total Amount in Words) Six Hundred Sixty-Five Thousand Six Hundred Sixty-Three Pesos and 25/100In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one

(1) percent for every day of delay shall be imposed.Very truly yours,







PURCHASE ORDER




upon receipt of Purchase OrderITEM QUANTITY UNIT DESCRIPTION UNIT COST AMOUNT52 1,750 tab Erythromycin Ethylsuccinate Tablet 500mg 3.34 Php 5,845.00 54 60,000 tab Ferous sulfate + folic acid tablet 0.58 34,800.00 55 310 bot Ferous sulfate 0.6ml x 15ml 9.88 3,062.80 58 100 tab Furosemide tablet 40mg 0.80 80.00 62 86 bot Hydrogen Peroxide 120ml 8.94 768.84 65 161 bot Ibuprofen 100mg/5ml x 60 ml syrup 25.00 4,025.00 66 3,540 tab Ibuprofen tablet 200mg in blister pack 0.44 1,557.60




PR No. 2015-100 - OBR No. 101-4411-15-04-145 -

- - - -

SUB-TOTAL Php 50,139.24 (Total Amount in Words) Six Hundred Sixty-Five Thousand Six Hundred Sixty-Three Pesos and 25/100


Very truly yours,







PURCHASE ORDER





5 500 tab Losartan 50mg tablet 1.87 Php 935.00 7 562 bot Mefenamic Acid 50mg/5ml x 60 ml 10.11 5,681.82

12 8,460 tab Metoprolol tablet 50mg 0.69 5,837.40 13 544 bot Metronidazole Suspension 125mg/5ml x 60ml flavored 11.19 6,087.36 14 12,455 tab Metronidazole tablet 500mg in blister pack 0.58 7,223.90 16 5,000 cap Multivitamins + Iron capsule 1.00 5,000.00 17 1,066 bot Multivitamins + Iron Syrup 120ml 27.37 29,176.42 18 850 bot Multivitamins Syrup 120ml with lysine 47.61 40,468.50 19 6,620 tab Multivitamins B1, B6, B12 tablet (B-Complex) 0.57 3,773.40 21 300 tab Ofloxacin 400mg tab 3.45 1,035.00 24 2,278 bot Paracetamol Drops 100mg/ml x 10ml flavored 9.22 21,003.16 26 3,670 bot Paracetamol Syrup 250mg/5ml x 60 ml flavored 10.71 39,305.70 27 12,800 tab Paracetamol Tablet 500mg in blister pack 0.24 3,072.00 30 395 bot Povidone Iodine 10% Antiseptic Solution 15ml 11.90 4,700.50 31 85 bot Povidone Iodine skin antiseptic120ml 49.00 4,165.00 34 1,150 tab Ranitidine HCL tablet 150mg 0.94 1,081.00 36 1,370 cap Salbutamol + Guiafenesin capsule 1.00 1,370.00 37 622 bot Salbutamol + Guiafenesin syrup 60ml 12.50 7,775.00 40 2,122 bot Salbutamol Syrup 2mg/5ml x 60ml flavored 8.94 18,970.68

SUB-TOTAL Php 206,661.84 (Total Amount in Words) Six Hundred Sixty-Five Thousand Six Hundred Sixty-Three Pesos and 25/100


Very truly yours,

This is to certify that I have read theTERMS and CONDITIONS as contained at theback of this Purchase Order and I concur with all. HON. MAURICIO G. DOMOGAN


Conforme: City Mayor





PURCHASE ORDER




upon receipt of Purchase OrderITEM QUANTITY UNIT DESCRIPTION UNIT COST AMOUNT48 802 tube Sulfur ointment 15g 63.63 Php 51,031.26 52 1,990 bot Zinc sulfate 36.96mg/ml 15 drops 29.15 58,008.50 53 1,180 bot Zinc sulfate 55mg/5ml 50ml syrup 25.00 29,500.00




PR No. 2015-101 - OBR No. 101-4411-15-04-146 -

- - - - -

Sub-Total 138,539.76 - -

OVER ALL TOTAL Php 523,410.62 (Total Amount in Words) Six Hundred Sixty-Five Thousand Six Hundred Sixty-Three Pesos and 25/100


Very truly yours,

This is to certify that I have read theTERMS and CONDITIONS as contained at the


back of this Purchase Order and I concur with all. HON. MAURICIO G. DOMOGANConforme: City Mayor



HON. MAURICIO G. DOMOGAN








(Goods and Services)Baguio City

Abstract of Bids or quotations under Circular Proposal No. CP 15-30 Re-Bidding date prepared June 22, 2015 and opened on July 10, 2015

Particulars ABC Zymed Medical

ITEM QTY UNIT (Php) Unit Cost Total Cost

1 300 sachet Acetycysteine 200mg 6,000.00 20.00 6,000.00 2 2,702 pc Acrinol Plaster Strips 2,702.00 1.00 2,702.00 14 52 bot Benzyl Benzoate 120ml 2,600.00 NO BID15 5 tube Bethametasone Ointment, 5g, 1mg-g 500.00 100.00 500.00 16 20 tube Burn Ointment 16g/tube 1,600.00 80.00 1,600.00 25 15 bot Chloramphenicol Eye Drops 5mg/ml x 10ml 1,500.00 100.00 1,500.00 31 326 bot Clarithromycin 125mg/5ml 60ml 16,300.00 NO BID34 1,850 tab Clonidine 75mg tab 37,000.00 20.00 37,000.00 36 120 tab Clotrimazole 500mg vaginal tablet 2,400.00 NO BID39 96 bot Co-Amociclav 250mg+62.5ml 60ml susp 9,600.00 NO BID50 32 vial Epinephrine HCI 0.1% injection 640.00 NO BID53 50 tab Ethambutol tablet 1,500.00 20.00 1,000.00 56 1,420 bot Ferous sulfate 30mg/5ml syrup 120ml 42,600.00 30.00 42,600.00 57 100,000 cap Ferous sulfate + folic acid capsule 20mg/250mg with B- 500,000.00 5.00 500,000.00

complex+Vit. A in blister pack - 60 500 tab Hexetidne vaginal suppository 25,000.00 50.00 25,000.00 61 262 tube Hydrocortisone cream, 15g 26,200.00 100.00 26,200.00 63 9 tab Hyoscine N-Butyl Bromide 10mg tablet 18.00 NO BID64 4 bot Hyoscine N-Butyl Bromide 20mg/ml amp 80.00 NO BID67 50 tab INH 300mg/tab 1,000.00 20.00 1,000.00

Sub-Total 677,240.00 645,102.00 -





Baguio City





Purpose: For drugs and medicine supplies at HSO

PR No. 2015-100OBR No. 101-4411-15-04-145

1 350 tab Cat II Continuation rif150+INH75mg+eth275mg tab 5,250.00 15.00 5,250.00 2 210 tab Cat II Intensive Rif150mg+INH75mg+PZA400mg+ 4,200.00 20.00 4,200.00

Etham275 tab - 3 20 vial Hepatitis B Vaccine, Recombinant, 10mg/5ml vial 26,000.00 1,300.00 26,000.00 10 10 ampule Methylergometrine ampule 200 mcg 100.00 NO BID11 10 tab Methylergometrine tablet 125mg 50.00 NO BID15 12 tube Miconnazole cream 15mg 1,200.00 NO BID20 449 tube Mupirocin cream, 15g 44,900.00 NO BID23 14 tube Oxytetracycline HCI 5mg + Polymyxin B SO4 1000 10,500.00 748.00 10,472.00

iu eye Ointment 3.5g - 25 14 tab Paracetamol Suppository 12mg 140.00 NO BID28 125 bot Permethrin 5% lotion 30ml 12,500.00 100.00 12,500.00

Sub-Total 104,840.00 58,422.00 -





Baguio City




33 50 tab Pyrazinamide 400mg/tab 1,500.00 30.00 1,500.00 35 50 tab Rifamficin 150mg tab 1,000.00 20.00 1,000.00 39 38 bot Salbutamol 1mg/ml nebulizing solution 30ml 760.00 20.00 760.00 44 2 tube Silver sulfadiazine cream 15g 200.00 100.00 200.00 46 41 tube Sodium Fucidate cream 5g 6,150.00 NO BID50 50 bot TST Solution 30,000.00 NO BID



PR No. 2015-101OBR No. 101-4411-15-04-146

Sub-total 39,610.00 3,460.00

TOTAL 821,690.00 706,984.00 -



Page 3/3



PURCHASE ORDERSupplier : ZYMED MEDICAL DISTRIBUTORS P. O. No. 1977-15Address : Lot 9 Pearl St., Irisville Subdivision, Upper Irisan, Baguio CityDate Aug. 12, 2015E-Mail Address : Mode of ProcurementTelephone No. : 442-0830/0908-8953914 CP No. 15-30 Re-BiddingTIN : 154-219-519-000 P.R No./s: 100 &101Gentlemen: OBR # 145 &146


Place of Delivery: City General Services Office, Baguio Delivery Term Twenty (20) Calendar DDate of Delivery : Payment Term


1 300 sachet Acetycysteine 200mg 20.00 Php 6,000.00 2 2,702 pc Acrinol Plaster Strips 1.00 2,702.00 3 5 tube Bethametasone Ointment, 5g, 1mg-g 100.00 500.00 4 20 tube Burn Ointment 16g/tube 80.00 1,600.00

25 15 bot Chloramphenicol Eye Drops 5mg/ml x 10ml 100.00 1,500.00 34 1,850 tab Clonidine 75mg tab 20.00 37,000.00 53 50 tab Ethambutol tablet 20.00 1,000.00 56 1,420 bot Ferous sulfate 30mg/5ml syrup 120ml 30.00 42,600.00 57 100,000 cap Ferous sulfate + folic acid capsule 20mg/250mg with 5.00 500,000.00

B-complex+Vit. A in blister pack - 60 500 tab Hexetidne vaginal suppository 50.00 25,000.00 61 262 tube Hydrocortisone cream, 15g 100.00 26,200.00 67 50 tab INH 300mg/tab 20.00 1,000.00


18 MONTHS FROM THE DATE OF DELIVERY -

Purpose: For drugs and medicine supplies at HSO

PR No. 2015-100 - OBR No. 101-4411-15-04-145 -

- SUB-TOTAL Php 645,102.00

(Total Amount in Words)In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one

(1) percent for every day of delay shall be imposed.Very truly yours,







PURCHASE ORDERSupplier : ZYMED MEDICAL DISTRIBUTORS P. O. No. 1977-15Address : Lot 9 Pearl St., Irisville Subdivision, Upper Irisan, Baguio CityDate Aug. 12, 2015E-Mail Address : Mode of ProcurementTelephone No. : 442-0830/0908-8953914 CP No. 15-30 Re-BiddingTIN : 154-219-519-000 P.R No./s: 100 &101Gentlemen: OBR # 145 &146


Place of Delivery: City General Services Office, Baguio Delivery Term Twenty (20) Calendar DDate of Delivery : Payment Term


1 350 tab Cat II Continuation rif150+INH75mg+eth275mg tab 15.00 Php 5,250.00 2 210 tab Cat II Intensive Rif150mg+INH75mg+PZA400mg+ 20.00 4,200.00

Etham275 tab - 3 20 vial Hepatitis B Vaccine, Recombinant, 10mg/5ml vial 1,300.00 26,000.00

23 14 tube Oxytetracycline HCI 5mg + Polymyxin B SO4 1000 748.00 10,472.00 iu eye Ointment 3.5g -

28 125 bot Permethrin 5% lotion 30ml 100.00 12,500.00 33 50 tab Pyrazinamide 400mg/tab 30.00 1,500.00 35 50 tab Rifamficin 150mg tab 20.00 1,000.00 39 38 bot Salbutamol 1mg/ml nebulizing solution 30ml 20.00 760.00 44 2 tube Silver sulfadiazine cream 15g 100.00 200.00

sub-total 61,882.00



PR No. 2015-101OBR No. 101-4411-15-04-146

SUB-TOTAL Php 706,984.00 (Total Amount in Words) Seven Hundred Six Thousand Nine Hundred Eighty-Four Pesos Only


Very truly yours,





In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one


In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one


Documents

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