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Republic of the Philippines
MUNICIPALITY OF KAPALONG
Province of Davao del Norte
                            
  Quotation No.  20170587
  PR  No. 100-17-07-0654
          Date   7/27/2017
          Page   1/3
               
Sir/Madam:       Requesitioning Office: MAYORS OFFICE
           
PURSUANT TO THE PERTINENT PROVISION OF REPUBLIC ACT NO. 9184 AND IT'S IMPLEMENTING RULES AND
REGULATIONS, PLEASE QUOTE YOUR UNIT, TOTAL AND GRAND/LOT PRICE OF THE ITEMS LISTED HEREUNDER,
WHICH THE MUNICIPALITY OF KAPALONG, DAVAO DEL NORTE DESIRES TO PURCHASE. SHOULD THE BIDS AND  
AWARDS COMMITTEE FIND YOUR PRICE REASONABLE, RESPONSIVE AND LOWEST IN THE MARKET, YOU WILL 
BE OFFICIALLY NOTIFIED AS TO THE DATE OF DELIVERY. IN CASE THERE IS A FAILURE OF DELIVERY AND/OR 
LATE DELIVERIES, LIQUIDATED DAMAGES SHALL BE IMPOSED AND BE CHARGED AGAINST YOUR PRESENT OR
FUTURE TRANSACTIONS.        
Item  Qty. Unit Description ABC Unit  Total  Remarks &
No.         Price Price Date of Delivery
1 100 bots. Amoxicillin Drops 35.00      
2 100 bots. Carbocistine Drops 30.00      
3 50 bots. Paracetamol Drops 25.00      
4 100 bots. Ambroxol Drops 35.00      
5 100 bots. Phenypropanolamine Drops 30.00      
6 100 bots. carbocistine Syrup (60ml.) 40.00      
7 50 bots. Cefalexin Syrup (60ml.) 45.00      
8 100 bots. Decycloverine (60ml) 25.00      
9 100 bots. Amoxicillin (250ml.) 45.00      
      Cont. next page        
          SUPPLIERS MUST SPECIFY/INDICATE        
          BRAND NAMES UPON QUOTATION        
        (SGD.) Dr. ALFREDO A. LACERONA
        BAC-Chairperson
I HEREBY CERTIFY:          
  1) THE ABOVE PRICES OF THE ITEMS HEREIN DESCRIBED ARE CURRENT AND VALID FOR 60 DAYS FROM DATE  
  OF THE OPENING OF CANVASS.        
  2) IN CASE THE MUNICIPALITY OF KAPALONG, DAVAO DEL NORTE WILL OFFICIALLY NOTIFY THAT THE ITEMS WILL BE
  PRODUCED FROM MY/OUR ESTABLISHMENT, THE STOCKS ARE READILY AVAILABLE OFF THE SHELF.
               
NAME OF ESTABLISHMENT:          
ADDRESS:          
TEL. NO.:            
          SIGNATURE
               
          PRINTED NAME
CANVASS BY: ___________________________        
      Signature Over Printed Name   POSITION
      1        
               
Republic of the Philippines
MUNICIPALITY OF KAPALONG
Province of Davao del Norte
  Quotation No.  20170587
  PR  No. 100-17-07-0654
          Date   7/27/2017
          Page   1/3
               
Sir/Madam:       Requesitioning Office: MAYORS OFFICE
           
PURSUANT TO THE PERTINENT PROVISION OF REPUBLIC ACT NO. 9184 AND IT'S IMPLEMENTING RULES AND
REGULATIONS, PLEASE QUOTE YOUR UNIT, TOTAL AND GRAND/LOT PRICE OF THE ITMES LISTED HEREUNDER,
WHICH THE MUNICIPALITY OF KAPALONG, DAVAO DEL NORTE DESIRES TO PURCHASE. SHOULD THE BIDS AND  
AWARDS COMMITTEE FIND YOUR PRICE REASONABLE, RESPONSIVE AND LOWEST IN THE MARKET, YOU WILL 
BE OFFICIALLY NOTIFIED AS TO THE DATE OF DELIVERY. IN CASE THERE IS A FAILURE OF DELIVERY AND/OR 
LATE DELIVERIES, LIQUIDATED DAMAGES SHALL BE IMPOSED AND BE CHARGED AGAINST YOUR PRESENT OR
FUTURE TRANSACTIONS.        
Item  Qty. Unit Description ABC Unit  Total  Remarks &
No.         Price Price Date of Delivery
10 100 bots. T/s Forte(60ml) 45.00      
11 100 bots. Metronidazole (60ml) 30.00      
12 100 bots. Vita Zicn Drops 40.00      
13 100 bots. Aluminum Hydroxide + mag. 35.00      
14 50 bots. Amboxol (60 ML.) 40.00      
15 100 bots. Metronidazole (100ml) 35.00      
16 30 bots. Erythromycin 200/5Ml 65.00       
17 50 bots. D5LR 99.00      
18 50 bots. Plain LR 99.00      
19 50 bots D5-03 99.00      
      Cont next page        
          SUPPLIERS MUST SPECIFY/INDICATE              
          BRAND NAMES UPON QUOTATION              
          (SGD.) Dr. ALFREDO A. LACERONA
          BAC-Chairperson
I HEREBY CERTIFY:          
  1) THE ABOVE PRICES OF THE ITEMS HEREIN DESCRIBED ARE CURRENT AND VALID FOR 60 DAYS FROM DATE  
  OF THE OPENING OF CANVASS.        
  2) IN CASE THE MUNICIPALITY OF KAPALONG, DAVAO DEL NORTE WILL OFFICIALLY NOTIFY THAT THE ITEMS WILL BE
  PRODUCED FROM MY/OUR ESTABLISHMENT, THE STOCKS ARE READILY AVAILABLE OFF THE SHELF.
               
NAME OF ESTABLISHMENT:          
ADDRESS:          
TEL. NO.:            
          SIGNATURE
               
          PRINTED NAME
CANVASS BY: ___________________________        
      Signature Over Printed Name   POSITION
               
      2        
Republic of the Philippines
MUNICIPALITY OF KAPALONG
Province of Davao del Norte
                            
  Quotation No.  20170587
  PR  No. 100-17-07-0654
          Date   7/27/2017
          Page   1/3
               
Sir/Madam:       Requesitioning Office: MAYORS OFFICE
           
PURSUANT TO THE PERTINENT PROVISION OF REPUBLIC ACT NO. 9184 AND IT'S IMPLEMENTING RULES AND
REGULATIONS, PLEASE QUOTE YOUR UNIT, TOTAL AND GRAND/LOT PRICE OF THE ITMES LISTED HEREUNDER,
WHICH THE MUNICIPALITY OF KAPALONG, DAVAO DEL NORTE DESIRES TO PURCHASE. SHOULD THE BIDS AND  
AWARDS COMMITTEE FIND YOUR PRICE REASONABLE, RESPONSIVE AND LOWEST IN THE MARKET, YOU WILL 
BE OFFICIALLY NOTIFIED AS TO THE DATE OF DELIVERY. IN CASE THERE IS A FAILURE OF DELIVERY AND/OR 
LATE DELIVERIES, LIQUIDATED DAMAGES SHALL BE IMPOSED AND BE CHARGED AGAINST YOUR PRESENT OR
FUTURE TRANSACTIONS.        
               
Item  Qty. Unit Description ABC Unit  Total  Remarks &
No.         Price Price Date of Delivery
20 50 bots PNSS 99.00      
21 50 bots D51MB 99.00      
22 50 box IV Cannula (G-18 50 pcs) 65.00      
23 100 box IV Cannula (G-20 100 pcs.) 65.00      
24 50 box IV Cannula (G-22 50pcs.) 65.00      
25 50 box IV Cannula (G-24 50 pcs.) 65.00      
26 50 AMP BIO T.T 100.00      
27 3 AMP Tetagam HTIG 1,300.00      
      Total Approved Budget Contract 99,850.00      
          SUPPLIERS MUST SPECIFY/INDICATE              
          BRAND NAMES UPON QUOTATION              
          (SGD.) Dr. ALFREDO A. LACERONA
          BAC-Chairperson
I HEREBY CERTIFY:          
  1) THE ABOVE PRICES OF THE ITEMS HEREIN DESCRIBED ARE CURRENT AND VALID FOR 60 DAYS FROM DATE  
  OF THE OPENING OF CANVASS.        
  2) IN CASE THE MUNICIPALITY OF KAPALONG, DAVAO DEL NORTE WILL OFFICIALLY NOTIFY THAT THE ITEMS WILL BE
  PRODUCED FROM MY/OUR ESTABLISHMENT, THE STOCKS ARE READILY AVAILABLE OFF THE SHELF.
               
NAME OF ESTABLISHMENT:          
ADDRESS:          
TEL. NO.:            
          SIGNATURE
               
          PRINTED NAME
CANVASS BY: ___________________________        
      Signature Over Printed Name   POSITION
               
      3