Republic of the Philippines

BA-004-0
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Regional Tertiary, Teaching and Training Hospital
Carig, Tuguegarao City, Cagayan
Tel Nos.302-0000 local 219

REQUEST FOR QUOTATION

Date : February 26, 2021
Quotation No. : MD-2021-02-016

Please quote your lowest price on the item/s listed below stating shortest time of delivery and submit your
quotation duly signed by your representative within seven (7) calendar days from the date of receipt hereof.

MARIALISA S. DAUIGOY, MD, MPH, FPAFP

BAC Chairman

Bidder’s Proposal
Quantity Unit Unit Total Cost
Item and Description
Cost
3000 TO 4000 GPD REVERSE OSMOSIS SYSTEM 1 set
(Single Pass/Single Pump System)
Main switch with indicator
Low and High Water Level indicator
Low Inlet Pressure Indicators
Auto and Manual Switches – Every stage has its own auto
and manual switches with the corresponding indicator lamp
which motor is running. These include overload indicators.
Back up System (Automatic) – Pumps are controlled by a 24-
hour timer that switches automatically triggered every 1-hour
(default settings)
Back Up System (Manual), Can be manually triggered in the
event of failure of the main pumps.
RO Inlet Pressure Gauge (oil), 0-350 psi Range
Concentrate pressure gauge (Oil) 0-350 psi Range
RO Pre filter pressure gauge (Oil) 0-100 psi Range
Conductivity Meter (RAW) Unit in (ppm/us/cm)
Conductivity Meter (Feed) unit in (ppm/us/cm)
Conductivity Meter (Product) unit in (ppm/us/cm)
Low and High Pressure Alarm, with indicator lamp
Emergency Stop Switch
Auto Flushing with Indicator lamp

Delivery and installation 1

ABC: Php 625,000.00

PR: DIALYSIS-02-0001

ALL PRICES MUST BE VAT INCLUSIVE

FOR CVMC USE : HEMODIALYSIS UNIT

Brand/ Model : _________________________________________________________
Delivery Date : _________________________________________________________
Price Validity : _________________________________________________________

CAGAYAN VALLEY MEDICAL CENTER

Bids and Awards Committee
Tel. No. (078) 302-0000 loc. 219
Email add.:cvmcbac2020@gmail.com
 Republic of the Philippines
BA-004-0
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Regional Tertiary, Teaching and Training Hospital
Carig, Tuguegarao City, Cagayan
Tel Nos.302-0000 local 219

After having carefully read and accepted your general condition, I/ we quote you on the items and price noted
above.

Please fill in completely:

____________________________ ______________________________
Company Name and Address Authorized Representative
(Signature over Printed Name)

Date: _______________________ ______________________________

Tel No. /CP No. /Fax No.

Buyer/Canvasser:

___________________________
Signature over printed name

Reminders:
1. Fill in all fields LEGIBLY and avoid ERASURES.
2. Provide brochure of your proposal. Demonstration unit MAY be required for evaluation.
3. Attach a copy of the following (updated):
 Mayor’s Permit
 DTI/SEC certificate
 Tax Clearance
 Philgeps registration (for items worth Php 50,000.00 and above)

CAGAYAN VALLEY MEDICAL CENTER

Bids and Awards Committee
Tel. No. (078) 302-0000 loc. 219
Email add.:cvmcbac2020@gmail.com