PROCUREMENT OF LABORATORY SUPPLLIES FOR PCH

REQUEST FOR QUOTATION Shopping No : Supplier’s Name : Supplier’s Address : Sir/Madam: Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, starting the shortest time of delivery and submit your quotation duly-signed by your representative not later than October 12, 2026 in the return envelope attached herewith. Purpose: to be used for the PCH Laboratory Blood Chem. ENGR.HARVEY C. JUMAWAN MPDC/BAC Chairperson Item No. Description Quantity Unit Unit Price Total Amount 1. BsBE 200 Creatinine Reagents 1 Box 2. E-Check Control 1 Set 3. HDL Calibrator 1 Set 4. Muliticalibrator 1 Set 5. Normal Control 1 Set 6. Pathologic Control 1 Set 7. Normal Control (Randox) 1 Box 8. Pathologic Control (Randox) 1 Box 9. Zybio HBA1C 5 Box x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x Total: ₱ Brand and Model : ____________________________ Warranty : _______________________ Delivery Period : ____________________________ Price Validity: _______________________ After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above. ____________________________ Printed Name over Signature ____________________________ Contact No. ____________________________ Date: