RFQ FOR PURCHASE OF MEDICAL SUPPLIES & MEDICINES

Republic of the Philippines Province of Negros Occidental MUNICIPALITY OF MOISES PADILLA Project Reference Number: Name of the Project: Location of the Project: REQUEST FOR QUOTATION Date: Quotation No._______________ Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the shortest time of delivery and submit your quotation duly signed by your representative not later than October 12, 2026, 10:00a.m. in the return envelope attached herewith. LYLE LOVE LOUISE P. LADERA,M.D. MARILOU M. TRESPECES End-user Municipal Treasurer NOTE: 1. ALL ENTRIES MUST BE TYPEWRITTEN 2. DELIVERY PERIOD WITHIN___________ CALENDAR DAYS 3. WARRANTY SHALL BE FOR A PERIOD OF SIX ( 6 ) MONTHS FOR SUPPLIES & MATERIALS, ONE ( 1 ) YEAR FOR EQUIPMENT, FROM DATE OFACCEPTANCE BY THE PROCURING ENTITY 4. PRICE VALIDITY SHALL BE FOR A PERIOD OF _______________ CALENDAR DAYS 5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION 6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATION OF THE PRODUCT BEING OFFERED ITEM NO. ITEM & DESCRIPTION QTY. UNIT UNIT PRICE TOTAL 1 NEBULIZER 5 PCS 2 PULSE OXIMETER 30 PCS 3 GLUCOMETER STRIPS (SINOCARE) 20 BOX 4 AMOXICILLIN 500MG 54 BOX 5 CEFUROXIME 500MG 10'S 20 BOX 6 SALBUTAMOL NEBULE 60 BOX 7 SALBUTAMOL+IPRATROPIUM 50 BOX 8 CO-AMOXICLAV 625MG 14'S 50 BOX 9 RIFAMPICIN+ISONIAZID+PYRAZINAMIDE+ETHAM 60 BOX 10 RIFAMPICIN+ISONIAZID 60 BOX Brand Model: Delivery Period: Warranty: After having carefully read and accepted your General Conditions, I/We quote your on the item Price Validity: at prices noted above. Printed Name/Signature Tel. No./Cellphone No. e-mail address