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BIDS AND AWARDS COMMITTEE

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K A L I N G A S T A T E U N I V E R S I T Y B I D S A N D A W A R D S C O M M I T T E E

All BAC members shall be on a “jury duty” type of assignment until issuance of Notice of Award by the HOPE in order to complete the entire procurement process at the earliest possible time - Section 38 of the IRR of RA 9184 Page 1 of 3

Annex B: Bill of Quantities

0 1 2 3 4 5 6 7 8 9 10

No. Item and Description Country of

origin Qty Unit

Unit price

EXW per item

Transportation and Insurance and all other costs incidental

to delivery, per item

Sales and other taxes payable if

Contract is awarded, per item

Cost of Incidental Services, if applicable, per

item

Total Price, per unit

(col 5+6+7+8)

Total Price delivered Final

Destination (col 9) x (col 3) MEDICINES AND SUPPLIES FOR HEALTH SERVICES

1 AMOXICILLIN Trihydrate capsule 500 mg x 100s 40 boxes

2 AMOXICILLIN Trihydrate capsule 250 mg x 100s 10 boxes

3 CLOXACILLIN capsule (Ritemed) 500 mg x 100s 5 boxes

4 CEFALEXIN 500mg capsule x 100's 10 boxes

5 ERYTHROMYCIN tablet 250mg x 100's 2 boxes

6 CHLORAMPHENICOL capsule 500mg x 100's 1 boxes

7 METRONIDAZOLE 500 mg cap x 100”s 2 boxes

8 PARACETAMOL tablet (Biogesic) 5oomg x 500's 4 boxes

9 PARACETAMOL capsule (Alaxan FR 5oomg) 100's 4 boxes

10 MEFENAMIC ACID capsule 250mg x 100's 4 boxes

11 MEFENAMIC ACID capsule 500mg x 100's 10 boxes

12 MEFENAMIC ACID tablet (Dolfenal) 500mg x 100's 6 boxes

13 IBUPROFEN Softgel capsule (Medicol Advance) 400mg x 100's 4 boxes 14 HYOSCINE N-BUTYBROMIDE tablet (Buscopan) 10mg x 120's 6 boxes

15 SALBUTAMOL tablet (RiteMed) 2mg x 100's 2 boxes

16 LAGUNDI tablet (Vitex negundo L) 600mg x 100's 5 boxes

17 CHLORPHENAMINE (Antamin) 4mg x 100's 5 boxes

18 CETIRIZINE DIHCI 10mg x 100's 10 boxes

19 MUPIROCIN (Bactroban Ointment) 5g 5 boxes

20 VITAMIN B1, B6, and B12 (Rhea) 100s 30 bottle

21 VITAMIN C (Rhea Ascorbic Acid) 5oomg x 100's 20 bottle

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K A L I N G A S T A T E U N I V E R S I T Y B I D S A N D A W A R D S C O M M I T T E E

All BAC members shall be on a “jury duty” type of assignment until issuance of Notice of Award by the HOPE in order to complete the entire procurement process at the earliest possible time - Section 38 of the IRR of RA 9184 Page 2 of 3 22 Ibuprufen (Dolan FP) 200 mg/5ml Pediatrica/United lab 10 bottle

23 MULTIVITAMINS-Amino Vita Soft Gel Cap 100's 3 boxes

24 CHLORPHENAMINE MALEATE 10mg x 10amps 4 boxes

25 Chlramphenicol Otic (EAR) DROPS 10 bottle

26 LOSARTAN 50mg x 100's 4 boxes

27 HYDROCORTISONE CREAM 5g 3 tubes

28 CO-AMOXICLAV tablet 375mg x 20's 10 boxes

29 CLARITHROMYCIN 500mg x 100's 2 boxes

30 ALUMINUM HYDROXIDE+ MAGNESIUM HYDROXIDE (Maalox

chewTab) 200mg x 100's 2 boxes

31 CALCIUM CARBONATE tablet 500mg x 50's 4 boxes

32 CEFALEXIN 500mg capsule x 100's 10 boxes

33 LOPERAMIDE capsule 2mg x 100's 4 boxes

34 Dextromethorphan 10 mg 10 boxes

35 Symdex -D-Forte 10 boxes

36 PREDNISON tablet 10 mg x 100's 2 boxes

37 RANITIDINE tablet 150 mg x 100's 5 boxes

38 DIAZEPAM Ampule 5 mg/mL x 5's 2 amps

39 SERUM, ANTI-TETANUS 1500IU/mL Ampule x 10's 2 boxes

40 CLONIDINE 75 mcg 4 boxes

MEDICAL SUPPLIES:

41 3M MICROPORE PLASTER 2.5cm 24 rolls

42 INSYTE (US) gauge 22 4 pieces

43 MEDIPLAST STERILE GAUZE 4"X4"X12 ply 100's 2 boxes

44 ARM SLING 5 pieces

45 ELASTIC BANDAGE 3" 10 pieces

46 MEDIPLAST BAND-AID 5 boxes

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K A L I N G A S T A T E U N I V E R S I T Y B I D S A N D A W A R D S C O M M I T T E E

All BAC members shall be on a “jury duty” type of assignment until issuance of Notice of Award by the HOPE in order to complete the entire procurement process at the earliest possible time - Section 38 of the IRR of RA 9184 Page 3 of 3

47 BLOOD GLUCOSE METER with Strips 2 pcs

48 SANICARE BATHROOM TISSUE 2ply-12 (400 sheets) 50 rolls

49 SANICARE COTTON ABSORBENT ROLL 90g 1 rolls

50 OXYGEN MASK for Adult 5 pieces

51 ICE BAG HEAT and COLD PACK size 6" 6 pieces

52 NASAL CANULA FOR O2 INHALATION 2 boxes

53 INSTRUMENT TRAY WITH COVER 4 pieces

54 Gang CHAIR, 4 seaters, All Steel, with backrest, Chrome Seat &

legs 1 set

55 Oxygen Tank, 55 lbs. – Ht- 89 cm Dm- 48 cm 1 tank

Total Amount in Figures: Php Total Amount in words:

Performance Security: N/A Warranty: Three Months (expendable supplies)

Delivery Period: 15 CD Price Validity: 30 cd

Notation: The Bill of Quantities (BOQ) contains the following parts:

a. BOQ for each Part of the Contract.

b. Summary of Bid Prices for all Parts of the Contract.

After having carefully read and accepted your General Conditions on the Medicines and Supplies for Health Services, I/We hereby offer the price quotations on the items/s above:

________________________________________ _____________________________________

Printed Name/ Signature E-mail Address

________________________________________ _____________________________________

Company Name Contact No.

________________________________________ ____________________________________

Company Address TIN

Referensi

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