PROCUREMENT OF MEDICAL EQUIPMENT

REQUEST FOR QUOTATION Small Value Procurement Company Name Address : Please quote your lowest price on the item/s listed below, subject to the Terms and Conditions on the last page, stating the shortest time of delivery and submit your quotation in a sealed envelope duly signed by you/your authorized representative including photocopy of. □ Valid Mayor's Permit □ PhilGEPS Registration No. □ Income Tax Return- For ABC above Php 500,000.00. □ Omnibus Sworn statement - For ABC above Php 50,000.00 and if applicable, Notarized Secretary’s Certificate in case of a corporation, partnership, or cooperative; or Special Power of Attorney of all members of the joint venture giving full power and authority to its officer to sign the OSS and do acts to represent the Bidder. Template may access to this link: https://www.gppb.gov.ph/wp-content/uploads/2025/08/NGPA_Omnibus-Sworn-Statement.pdf on or before time in date of opening 9:00 AM ______________________________. Notes: 1. All entries must be typewritten or legibly written on the prescribed Request for Quotation (RFQ) form. Do not alter the contents of this form in any way. 2. Delivery Schedule is within Fourteen Days (14) calendar days from receipt of Notice to Proceed. 3. In case of any changes, bidders must use or refer to the latest version of the RFQ form, except when the latest version of the RFQ only pertains to deadline extension. 4. All mandatory technical specifications must be complied with. Failure to comply with the mandatory requirements shall render the quotation ineligible/disqualified. 5. Bidders may submit their eligibility documents online thru email at bac@palawan.gov.ph provided that it is in a compressed format, with password, and with attached proof of receipt that the hardcopies of documents were sent on or before the scheduled time and date of the opening. The password shall be provided by the offeror or authorized representative only during the scheduled opening. An electronic copy that cannot be opened or is corrupted, and is not password-protected shall be considered non-responsive and,thus, automatically disqualified. 6. Unsigned and incomplete price quotations shall be considered non-responsive and the concerned price offeror shall be automatically disqualified. 7. Quotations, including documentary requirements, received after the deadline shall not be accepted. 8. The project shall be awarded per lot. Supplier may submit an offer for one (1) or more lots. TO BE FILLED - UP BY THE PROCURING ENTITY TO BE FILLED - UP BY THE SUPPLIER ITEM & DESCRIPTION QTY UNIT UNIT PRICE TOTAL PRICE BRAND LOT 1- DENTAL INSTRUMENT 1 BASIC DENTAL EXTRACTION INSTRUMENT SET WITH DENTAL STAINLESS DRAWER 1 SET Each instrument must be packed individually and labeled by the set contents: The set shall include the following instruments: 1 pc – Mouth Mirror No. 5, mirror head with stainless steel handle 1 pc – Dental Explorer No. 23, Shepherd’s Hook, stainless steel 1 pc – College Cotton Pliers, 15–16 cm (6–6.5 in), serrated tips 1 pc – Aspirating Dental Syringe, 1.8 mL cartridge type, stainless steel 1 pc – Periosteal Elevator Molt No. 9, stainless steel 1 pc – Straight Elevator No. 301S, Small, stainless steel 1 pc – Straight Elevator No. 301L, Large, stainless steel 1 pc – Cryer Elevator No. 11L, Left, stainless steel 1 pc – Cryer Elevator No. 11R, Right, stainless steel 1 pc – Root Tip Pick, straight or curved, approximately 15 cm, stainless steel 1 pc – Upper Universal Extraction Forceps No. 150, stainless steel 1 pc – Lower Universal Extraction Forceps No. 151, stainless steel 1 pc each – Upper Molar Extraction Forceps No. 53R and No. 53L, stainless steel 1 pc – Lower Molar Extraction Forceps No. 17, stainless steel 1 pc – Upper Root Extraction Forceps No. 65, stainless steel 1 pc – Lower Root Extraction Forceps No. 74N, stainless steel 1 pc – Lucas Surgical Curette No. 85 or equivalent, 16–17 cm, stainless steel 1 pc – Hemostat Mosquito Forceps, straight or curved, 12.5–14 cm, stainless steel 1 pc – Tissue Forceps Adson with Teeth, approximately 12 cm, stainless steel 1 pc – Needle Holder Mayo-Hegar, approximately 16 cm, stainless steel 1 pc – Suture Scissors, Spencer or Mayo type, 12–14 cm, stainless steel 1 pc – Iris Scissors, straight or curved, approximately 11.5 cm, stainless steel 1 pc – 4-Drawer Single Stainless Steel Dental Cabinet, minimum size 495 mm (W) × 495 mm (D) × 830 mm (H) LOT 1 TOTAL ABC 521,500.00 LOT 1- DENTAL INSTRUMENT 2 DENTAL INSTRUMENT/SURGERY SET WITH ACCESSORIES (INSTRUMENT TABLE AND TRAY WITH COVER AND INSTRUMENT CABINET) 1 SET Each instrument must be packed individually and labeled by the set contents: The set shall include the following instruments: 1 pc – Extraction Forceps No. 16, cross-serrated gripping surface, ergonomic handle, stainless steel 1 pc – Extraction Forceps No. 17, cross-serrated gripping surface, stainless steel 1 pc – Extraction Forceps No. 18L, cross-serrated gripping surface, stainless steel 1 pc – Extraction Forceps No. 18R, cross-serrated gripping surface, stainless steel 1 pc – Extraction Forceps No. 44, cross-serrated gripping surface, stainless steel 1 pc – Extraction Forceps No. 69, cross-serrated gripping surface, stainless steel 1 pc – Extraction Forceps No. 150, cross-serrated gripping surface, stainless steel 1 pc – Extraction Forceps No. 151, cross-serrated gripping surface, stainless steel 1 pc – Aspirating Syringe, stainless steel, cartridge type, with locking mechanism 1 pc – Minnesota Tongue and Cheek Retractor, stainless steel 1 pc – Bone File, stainless steel 1 pc – Bone Curette, hollow handle, approximately 3 inches, stainless steel 1 pc – Gum Separator, KPT2 pattern, hollow handle, stainless steel 1 pc – Seldin Periosteal Elevator, stainless steel 1 pc – Root Tip Pick, straight, hollow handle, stainless steel 1 pc – Root Tip Pick, left, hollow handle, stainless steel 1 pc – Root Tip Pick, right, hollow handle, stainless steel 1 pc – Blade Handle No. 3, stainless steel 1 pc – Elevator No. 301, hollow handle, stainless steel 1 pc – Elevator No. 304, hollow handle, stainless steel 1 pc – Surgical Mallet, stainless steel 1 pc – Iris Scissors, straight, stainless steel 1 pc – Iris Scissors, curved, stainless steel 1 pc – Adson Tissue Forceps, stainless steel 1 pc – Molt No. 9 Periosteal Elevator, stainless steel 1 pc – Hemostat Mosquito Forceps, straight, stainless steel 1 pc – Periosteal Elevator, double-ended, stainless steel 1 pc – Bone Rongeur, side-cutting, stainless steel 1 pc – Allis Tissue Forceps, stainless steel 1 pc – Needle Holder, stainless steel 1 pc – Apical Elevator, right, hollow handle, stainless steel 1 pc – Apical Elevator, left, hollow handle, stainless steel 1 pc – Cryer Elevator, right, hollow handle, stainless steel 1 pc – Cryer Elevator, left, hollow handle, stainless steel 1 pc – Pediatric Extraction Forceps No. 150SK, stainless steel 1 pc – Pediatric Extraction Forceps No. 151SK, stainless steel 1 pc – Pediatric Extraction Forceps No. 17S, stainless steel 1 pc – Pediatric Extraction Forceps No. 16S, stainless steel 1 pc – Pediatric Extraction Forceps No. 18R, stainless steel 1 pc – Pediatric Extraction Forceps No. 18L, stainless steel LOT 1- DENTAL INSTRUMENT 1 pc – Instrument Cassette, large, suitable for steam sterilization, with locking mechanism 1 pc – Mouth Mirror with Handle No. 5, stainless steel 1 pc – Cotton Pliers with Lock, stainless steel 1 pc – Dental Explorer, hollow handle, stainless steel 1 pc – Spoon Excavator, hollow handle, stainless steel INSTRUMENT TABLE WITH WHEELS (MAYO STAND WITH TRAY (4 WHEELS) STAINLESS) Mayo tray- approximately L:16 x W:12 inches or equivalent, Professional-grade Mayo Stand- Stainless-steel Mayo stand with removable stainless-steel tray, approximately 19 × 13 inches (L × W), adjustable height from approximately 34 to 52 inches, mounted on four (4) smooth-rolling swivel casters with lock, corrosion-resistant and suitable for routine cleaning and disinfection. Tray with Cover- Stainless-steel instrument tray with fitted cover, approximately 14 × 11 × 2.5 inches (L × W × H) or equivalent. INSTRUMENT CABINET 2-DOOR Freestanding medical/dental instrument cabinet, approximately 36 × 18 × 72 inches (W × D × H) or equivalent, with: a. Two (2) swing-type doors with tempered glass viewing panels, each approximately 17 inches wide; b. Three (3) adjustable and removable shelves, each approximately 34 × 16 inches (W × D); c. Two (2) smooth-sliding drawers, each approximately 15–16 × 14–15 × 4–6 inches (W × D × H); d. Two (2) lower enclosed storage compartments, each approximately 17 × 16 × 16–20 inches (W × D × H); e. Corrosion-resistant handles and hardware; and f. Smooth, non-porous, rust-resistant and disinfectant-compatible surfaces. 3 DENTAL PROPHYLAXIS INSTRUMENT SET AND DENTAL RESTORATIVE SET WITH DENTAL INSTRUMENT CABINET 2 SETS DENTAL PROPHYLAXIS INSTRUMENT SET 1 pc – Universal Scaler, hollow handle, stainless steel 1 pc – Periodontal Curette, hollow handle, stainless steel 1 pc – Periodontal Probe, stainless steel 1 set – Gracey Curettes, seven (7) different tip configurations, hollow handle, stainless steel RESTORATIVE INSTRUMENTS 1 pc- Woodson, non-magnetic hollow handle 1 pc- Ash, stainless steel 1 pc- Cement Spatula, stainless steel 1 pc- Articulating paper forceps, straight, stainless steel 1 pc- Anatomic Burnisher, stainless steel 1 pc- Posterior Occlusal Contouring Instrument, stainless steel 1 pc- Anterior Composite Filling Instrument, stainless steel 1 pc- Matrix Band Holder, stainless steel 1 pc- Composite Burnisher, stainless steel 1 pc- Plugger, stainless steel 1 pc- Mouth Mirror with Handle #5, stainless steel 1 pc-Cotton PIier with Lock, staidl Explorer, stainless steel 1 pc- Spoon Excavator, stainless 1 pc- Plasic Filing Instrument, slainless sleel 1 pc- Set of Burs, Round-10 Diamond LOT 1- DENTAL INSTRUMENT INSTRUMENT CABINET DOUBLE- 2 DOOR "Freestanding medical/dental instrument cabinet, constructed of AISI 304 stainless steel or equivalent corrosion-resistant, powder-coated metal, suitable for storage of reusable dental, surgical, medical, and laboratory instruments and supplies. Configuration: a. Two (2) swing-type doors, each approximately 17 inches wide, fitted with tempered glass viewing panels and corrosion-resistant handles with secure closing mechanism; b. Three (3) adjustable and removable shelves, each approximately 34 × 16 inches (W × D), with minimum shelf thickness of 0.75 inch, or equivalent, capable of supporting the intended storage load without permanent deformation; c. Two (2) smooth-sliding drawers, each approximately 15–16 × 14–15 × 4–6 inches (W × D × H), fitted with corrosion-resistant drawer hardware; d. Two (2) lower enclosed storage compartments, each approximately 17 × 16 × 16–20 inches (W × D × H), with hinged doors; e. Three (3) or more shelf positions, with adjustable vertical spacing of approximately 10–14 inches to accommodate dental instrument containers and supplies; and f. All dimensions shall be approximately or equivalent, provided that the cabinet maintains the required storage capacity, structural integrity, accessibility, and functionality. Overall Dimensions: Approximately 36 × 18 × 72 H inches (W x D x H), or equivalent." Finish: Smooth, non-porous, rust-resistant, corrosion-resistant, and compatible with routine cleaning and hospital-grade disinfectants; surfaces shall be free from sharp edges, exposed weld defects, cracks, pits, or other imperfections. Construction: Welded or mechanically secured construction of sufficient rigidity for routine healthcare use. All exposed joints, corners, and surfaces shall be designed to minimize accumulation of dust, moisture, and contaminants. Storage Function: Suitable for organized storage of dental instruments, reusable surgical instruments, dental materials, sterilized supplies, and related medical supplies. REQUIREMENTS FOR ALL DENTAL INSTRUMENTS "Material: Surgical-grade stainless steel manufactured from AISI 420 or higher-grade stainless steel, or equivalent, with appropriate heat treatment and passivation. Construction: Precision drop-forged, corrosion-resistant, reusable surgical instrument with satin/matte finish, free from burrs, pits, cracks, sharp edges, or surface imperfections. Performance: Jaws, hinges, box locks, ratchets, and cutting edges shall be precisely aligned and capable of maintaining functional integrity after repeated clinical use and at least 1,000 steam sterilization cycles. Sterilization Compatibility: Suitable for steam sterilization at 121–134°C without corrosion, discoloration, or loss of mechanical performance." LOT 2- LABORATORY EQUIPMENT 4 BLOOD EXTRACTION CHAIR 1 SET Specifications: Seat Dimensions (W × H × D): Approximately 18.5 × 27.6 × 16.9 inches, or equivalent Overall Dimensions (W × D × H): Approximately 22.1 × 38.2 × 45.3 inches, or equivalent Weight Capacity: Minimum 150- 186 kg safe working load Backrest: Ergonomically contoured with high-density foam cushioning Upholstery: Medical-grade antimicrobial, waterproof, seamless vinyl or PU leather, easy to disinfect Cushion Thickness: Minimum 50 mm high-density foam Frame Material: Heavy-duty powder-coated steel or equivalent corrosion-resistant metal Frame Finish: Scratch-resistant electrostatic powder coating Base: Stable anti-tip construction with non-slip rubber feet Features: The chair shall have: * Adjustable pull-up armrest for venipuncture * Armrest adjustable in height and angle * Padded arm support * Side cabinet/storage compartment * Comfortable seat cushion * Rounded safety edges * Non-slip floor protectors * Suitable for left- or right-arm blood extraction LOT 2 TOTAL ABC 427,500.00 LOT 2- LABORATORY EQUIPMENT 5 DENTAL AUTOCLAVE TABLE TOP STEAM STERILIZER 1 UNIT Specification *Sterilizing Chamber Capacity : 24 liters with chamber size at least Ф270x410mm *Chamber Material : High-quality stainless steel, seamless, corrosion-resistant; *Working Pressure : Minimum 0.22 Mpa *Sterilizing Temperature : 134°C maximum *Temperature Uniformity : ±1°C or better *Sterilization Cycle : Rapid sterilization cycle of approximately 4–6 minutes (excluding heating and drying time) at 134°C *Adjustable Temperature 105-134°C with 0-60 Minute Timer *Power Supply : 220–240 VAC, 60 Hz, single phase *Sterilizing Trays : Three (3) stainless steel sterilizing trays, approximately 340 × 200 × 30 mm each, or equivalent *Steam System : Closed steam-water inner circulation system with no external steam discharge during normal operation *Safety Features: Over-temperature, over-pressure, low-water level protection, automatic air exhaust, and automatic shut-off. *Indicators : Equipped with power and operating indicator lights *End-of-Cycle Notification : Audible alarm or beep upon completion of sterilization cycle *Exterior Housing : Powder-coated steel or stainless steel, corrosion-resistant *Overall Dimensions : Approximately 620 × 480 × 400 mm or equivalent Accessories : "- Complete with three (3) sterilizing trays - Tray rack - Power cord - Drain hose (if applicable) - Operating manual, and basic maintenance tools" LOT 2- LABORATORY EQUIPMENT 6 MICROSCOPE, BINOCULAR WITH DIFFERENTIAL COUNTER 2 UNIT Technical Specifications: "Type: Binocular laboratory microscope with infinity optical system Illumination system: Built-in transmitted LED illumination Focusing System: Coarse/fine focusing system; coarse travel approximately 15 mm; fine adjustment 2.5 µm or finer Revolving Nosepiece: Quadruple revolving nosepiece or better Mechanical Stage: Mechanical X-Y stage; travel approximately 76 mm × 30 mm or better; With specimen holder and specimen position scale Observation Tube: Binocular tube, approximately 30° inclined Interpupillary Distance: Adjustable from approximately 48 mm to 75 mm or wider Eyepiece: 10× wide-field eyepiece, FN approximately 20 or equivalent Objectives: Plan achromatic, anti-fungus objectives: 4×, 10×, 40×, and 100× oil immersion Electrical Requirements: AC 100–240 V, 50/60 Hz Weight: Approximately 5.9 kg or less, or manageable for routine laboratory use Package Inclusions: Diferential Cell Counter, 8-key or 10-key manual type, suitable for WBC differential counting, Immersion oil Dust cover, Power cord, User's manual Regulatory / Technical Documents: Supplier shall submit applicable FDA medical device authorization, FDA License to Operate, official brochure/datasheet, warranty undertaking, after-sales service undertaking, and manufacturer/distributor authorization, as applicable" X-X-X-X-X-X-X-X-X-X-X-X-X-X-X LOT 1 SUB-TOTAL 3 LOT 1 SUB-TOTAL 2 LOT 1 SUB-TOTAL 1 LOT 2 SUB-TOTAL 2 LOT 2 SUB-TOTAL 1 Purpose: For the use of San Vicente District Hospital Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities Purpose: For use of Local Social Integration Program for Former Rebels related activities LOT 2 SUB-TOTAL 1 Office : San Vicente District Hospital GRAND TOTAL After having carefully read and accepted your Terms and Conditions, I/We quote you on the item at prices noted above. Printed Name and Signature Business Address Contact No./Date