REQUEST FOR QUOTATION

Republic of the Philippines
Department of Finance
Bureau of Customs
1099 Manila
REQUEST FOR QUOTATION
The Bureau of Customs (BOC), through its Administration Office (Ao), will undertake
a Small Value Procurement for Purchase of Medical and Dental Supplies, in
accordance with the Revised Implementing Rules and Regulations of Republic Act
No. 9184. The details of the project are as follows:
Name of Project
: Purchase of Medical and Dental Supplies
Location
: 2nd Floor, POM Bldg., Port Area, Manila
Approved Budget for the Contract: Php. 400,000.00
C'
'firearIons:
spec
QTY.
DESCRIPTION
10 boxes Metoprolol (Neoblock) 50 rnq. ~
~
boxes Loperamide (Diatabs)
boxes Cefalexin 500 rnq,
boxes Ambroxol Trihvdrate 75 rnq, ,
,..
10 boxes Cetirizine (Zetir)
",.
10 boxes Cinnarizine (Diecinon)
:20 boxes Mefenamic Acid (Metaflam) 500 mo, ~
:20 boxes Amoxicillin (Svncloxil) 500 rnq, ~
:20 boxes Mucobron Forte .10 boxes Hexloeslc Caps.
:20 boxes Neo-bromexan Forte
10 boxes Godex Caps.
40 boxes Bewell C Plus Calcium
10 boxes Benerv-B
20 boxes Bewell C Soduim Ascorbate 500 rnq.
20 boxes Neuroforte-E
20 boxes Medifortan
Evedrops (Tobrarnvcin, Dexamethasone)
5 boxes
Lidocaine 2% Dental Anesthesia 3M
6 cans
Lidocaine ointment USP 5%
3 tubes
Fermine 40 me, Ternporarv fillinq
2 bottles
2 bottles
Eucenol USP liquid
Zinc oxide USP powder
2 bottles
Prophylaxis paste
3 tubes
Polvcarboxvlate cement P/L set
3 bottles
Disposable
paper cups
1000 pcs
Bactidol antiseptic
6 bottles
Nanofill composite fllllnq universal shade
6 tubes
la
la
la
6 pcs
6 pes
3 pes
1 pc
./
Bonding agent
Acid etchant
Celluloid strips
Ultrasonic scaler
Delivery Term: Quarterly
Interested suppliers are required to submit their valid and current Mayor's Permit,
PHILGEPSRegistration Certificate and DTI/ SEC Registration, and duly signed price
quotation form (Annex "A'').
Submission of quotation and eligibility documents is on or before March 11, 2015,
10:00 a.m., at General Services Division (GSD), Ground Floor, OCOM Building, Port
Area, Manila.
Award of contract shall be made to the lowest quotation, which complies with the
minimum description as stated above and other terms and conditions stated in the
price quotation form.
Any interlineations, erasures or overwriting shall be valid only if they are signed or
initialled by the bidder or his/her duly authorized representative/so
The BOC reserves the right to accept or reject any or all quotations and to impose
additional terms and conditions as it may deem proper.
For inquiry, you may contact us at Telefax no. 527-9757
[email protected].
ve
ry
truly ,yours,
rsti
DIMP
Orc-Di
rr
d; ~O. LEJO·
ctor, Administration Office
or email us at
Annex "A"
PRICE QUOTATION
FORM
Date
The Bids and Awards Committee
Bureau of Customs
Port Area, Manila
Sir/Madam:
After having carefully read and accepted the terms and conditions in the Request for
Quotation, hereunder is our quotation/s for the items as follows:
QTY.
10 boxes
10 boxes
10 boxes
10 boxes
10 boxes
10 boxes
20 boxes
20 boxes
20 boxes
10 boxes
20 boxes
10 boxes
40 boxes
10 boxes
20 boxes
20 boxes
20 boxes
5 boxes
6 cans
3 tubes
2 bottles
2 bottles
2 bottles
3 tubes
3 bottles
1000 ocs
6 bottles
6 tubes
6 pcs
6 ocs
3 pcs
1 pc
DESCRIPTION
Metoprolol (Neoblock) 50 mg.
Loperamide (Diatabs)
Cefalexin 500 mq,
Ambroxol Trlhvdrate 75 mq.
Cetirizine (Zetir)
Cinnarizine (Diccinon)
Mefenamic Acid (Metaflam) 500 mq.
Amoxicillin (Syncloxil) 500 me.
Mucobron Forte
Flexigesic Caps.
Neo-bromexan Forte
Godex Caps.
Bewell C Plus Calcium
Benerv-B
Bewell C Soduim Ascorbate 500 rnq.
Neuroforte-E
Medifortan
Eyedrops (Tobramycin, Dexamethasone)
Lidocaine 2% Dental Anesthesia 3M
Lidocaine ointment USP 5%
Fermine 40 mq. Temporary fllllnq
Eugenol USP liquid
Zinc oxide USP powder
Prophylaxis paste
Polycarboxylate cement P/L set
Disposable paper cups
Bactidol antiseptic
Nanofill composite fillino universal shade
Bonding aqent
Acid etchant
Celluloid strips
Ultrasonic scaler
Total amount in words:
The above-quoted
prices are inclusive of all costs and applicable taxes.
Very truly yours,
Name/ Signature of Representative
Name of Company
Mayor's Permit No.
_
PhilGEPS Registration No.
_
(Please submit the photocopies of the above documents upon submission of
quotation)
_