Ref # 20-02-0243

Kagawaran ng Kalusugan Small Value Procurement

Panlabas na Pagpapaganap
Pampurok ng Tanggapang Pangkalusugan Blg. 6
WESTERN VISAYAS MEDICAL CENTER
Q. Abeto St., Mandurriao, Iloilo City
Fax No.:321-17-97

REQUEST FOR QUOTATION

09/24/2020
Date __________________
You are hereby invited to quote your prices on the articles listed below. Please submit your quotation in a sealed envelope and drop it to the canvass
box located at the BAC Office WVMC, Iloilo City or you may immediately fill out the RFQ & return in a sealed envelope through the bearer on or before
_________________________, 9:00 AM.
We may purchase from you any or all the articles subject to existing rules and regulations governing procurement law in case that your offer would be
most responsive and advantageous to the " WESTERN VISAYAS MEDICAL CENTER ", Iloilo City.
I M P O R T A N T : 1) If you have no actual stock available for immediate delivery, PLEASE QUOTE PRICE , and write the word "NO STOCK"
2) term payment: CHARGED ACCOUNT unless specified
3) Total price quoted above is subject to witholding tax and payable check;
3) The company/supplier must be an Eligible Supplier subject to the submission of the minimum Eligibility Documents as certified by the WVMC BAC
Secretariat
4) Please write the reference number stated above outside your sealed envelope before dropping this RFQ at the BAC Office
By Authority of the Hospital BAC:

MA. VIOLETA C. CALOPEZ, RN,MAN

Chairman, BAC

QTY. UNIT LIST OF ARTICLES AND DESCRIPTION ABC/UNIT Total ABC Quote/UNIT PRICE

Proposed Monthly Periodic Maintenance Service

for (1) Unit Elevator, Kone Brand of Blue Building
relative to the Issuance of Certificate to Operate 64,372.30
1 lot 64,372.30 64,372.30
for the Calendar Year 2020
Php. 6437.23/Month
Effective Date March 1 to December 31, 2020

64,372.30
Purpose: Requested by the HEMU.

1. Please indicate the brand of your product. KONE

2. Please write down your contact numbers (landline and/or cellphone no.) 7/F Pag-ibig Fund WTCI, Mindanao Avenue, Cebu Business Park, Cebu City,6000, (032) 233-5790

KPI, ELEVATORS INC. JOHN REY SAMPIANO

NAME OF COMPANY PRINT NAME & SIGNATURE
Address and Tel. No. Authorized Representative

THIS IS AN ELECTRONIC GENERATED COPY, SIGNATURE OF BIDS AND AWARDS COMMITTEE CHAIRMAN NOT NECESSARY