REPUALIf OFTHE PHITIPPINES
GeheralSahtos Clty
CERTIFICATION ON APPROPRIATIONS, FUNDSANO OBLIGATION OF ALLOTMENT
b7'lLz-
, q$9€ra,/.a,/a/r4;'l t
Payee: IRASETH PHARMA INC Obllgatlon No.
03422-0SZt-I00f,r€partm.nt: 4421{)r.lorg. P. Royeca rtospital
Functaon toop/ostputrAforD.ot cl.sr Expenae code Approved Amount:
17,000.00
Clrtifaatlon:
lhereby certi6/ as to theexistrn(e of appropriations forthe €xpenditures in th.arnoun( specifi ed herein:
Ccrtlfcrtlon:
lhereby (eftiry as to the&dhbllity offunds for thaexpandlturE in the amo!ntspeclfled hereln:
rR#,
Iily I
4421
1{HOSPITAL OPERATIONS 8,
MEOICAL SERVICES
DEVELOPMENT)
4/ l / irooE-(Cunent) 5{2{3{m - (Medi(al,Dentaland L.bor.tory
Suppli€s Expenses)
17,000.00
c.rtlffotlon:lher.by certifuthrtthEallotment5 are availabl€ foroblSallon in the amount5pccmad herain:
L"unr"nt
/h/('Total Arnount Requ?stcd: 17,000.00
Amount in Words: Seventeen Thousand Pesos and 00/100 Only
al:l
2,\a- ((- 0?v? \,ru cv
RcqucrtanS
DATE LIQUIDATION OBLIGATION INCREASI
SUBSIDIARY TEDCER
PARTI I:t I LARS/REFERENCE BALANCT
1- '0 5 -0 3s 302 B 20zl
ll txtfl ililltilluflt
'1
1t1
puRcHAsE oF MEDT.AL, DENTAL AND LABoRAT.*" "u"rr3J?3"n8r"ffiGENERAL SANTOS CITY
Republic of the PhiliPPinesGeneralSantos CityCity Mayor's Office
NOTICE TO PROCEED
ALYSSA ZEN P. I-IGUEAuthorized RepresenlativeIRASETH PHARMA INC.77 JM Basa St.,Kalunrpang, Marikina CityMetro Manila, NCR, Flrilippines
Dear Ms. Ligue:
The attached Contract Agreement GFn: 21-05-072 having been approved, noticeis hereby given tc IRASETH PHARMA lNC. that delivery for the PURCHASE OFMEDICAL, DENTAL AND LABORATORY SUPPLIES FOR DJPRH maycommence upon receipt of this notice.
Thus, you are responsible for performing the services under the terms andconditions of the Agreement and in accordance with the lmplementation Schedule.
Please acknowledge receipt and acceptance of this notice by signing both copiesin the space provrded below. Keep one copy and return the other to the LocalGovernment Unit of General Santos City.
Very truly yours,
RONNEL CHUA RIVERACity Mayor
I acknowledge receipt of this Notice
Name of the Bidder's Representative
Authorized Signature
.\d IEN P. UG!:,,.i:1, \.,,]74251
JUN€. 28, 2oz1
wwvv.gersarlos.gov.ph Tel/FaxNo. (083)552-9435
1
C@
IRASETH PHARMA INC.17,000 00G2021-04-
Republic of the PhilippinesOFFICE OF THE CITY MAYOR
General Santos City$lSSlCrJ
SffiPe,yDAMS. ARLENE G. ESTENORState Auditor IVAuditor Team Leader
D IIME
clty luo\-t
Madam:
In compliance to COA Circular No. 96{10, we are forwarding herewith approved ContractAgreement / Contract No. Gfn: 21-05-072 for your appropriate action.
,C 6r oIo
ContractorAmountBAC Reso
Very truly yours,
RONNEL CHUA RIVERACity Mayor
f
Republic of the phitippinesGeneral Santos CityCity Mayor's Office
\
-
HOIIE OF frfNCHAilIPIONs
THIS AGREEMENT made-this
=atE_ day of rulrE 2O2i between theLocAL GoVERNMENT uNrr oFGeNenir_ sAr.rroE-crEFhirippines-ffi inartercalled "the Entitv') of the one part, and TRASETH PHARMA D.d. oi-76gri, gitr,
Philippines (hereinafter callect 'the supprer) or tne otner pani'-'- Y'| I vvert
CONTRACT AGREEMENT
WHEREAS the Entity invited Bids for certain goods and ancillary services, viz.,PURCHASE OF MEDICAL, DENTAL AND LABORATORY SUPPLIES FOR DJPRHand has accepted a Bid by the supplier for the supply of those ooods and services inthe sum of SEVENTEEN THOUSAND PESOS ONLY ( Pl2,000.00 ) (hereinafter cailed"the Contract Price");
NOW THIS AGREEMENT WITNESSETH AS FOLLOWS:
1. ln this Agreement words and expressions shall have the same meanings as arerespectively assigned to them in the Conditions of Contract referred to.
2. The following Cocuments shall be deemed to form and be read and construed aspart of this Agreement, viz.:
(a) the Bid Form and the Price Schedule submitted by the Bidder;
(b)
(c)
(d)
(e)
(f)
the Schedule of Requirements;
the Technical Specifi cations;
the General Conditions of Contract;
the Special Conditions of Contract; and
the Entrty's Notification of Award.
oU
tlYUA IH E CITY AUO\1
A13. ln consideration of the payments to be made by the Entity to the Supplier ashereinafter mentioned, the Supplier hereby covenants with the Entity to provide thegoods and services and to remedy defects therein in conformity in all respects with theprovisions of the Contract
4. The Entity hereby covenants to pay the Supplier in consideration of the provisionof the goods and se^rices and the remedying of defects therein, the Contract Price orsuch other sum as may become payable under the provisions of the contract at the timeand in the manner prescribed by the contract.
GFn . 21-05-072GSC CB# : 21CB-GSC-069Date
DAT
EE': i.
t,l
Republic of the PhilippinesGeneral Santos CityCity Mayor's Office
-
HOMB OF llIE-CHAMPIONS
lN WITNESS hereof, the parties hereunder have caused this Agreement to beexecuted in accordance with the laws of the Republic of the Philippines on the day andyear first above written.
PROCURING ENTITY
RONNEL CHUA (IVERACity Mayor \
ALYSSAAuthorized
N LIGUEntative
Witness Witness
ROD ON . LACAP
Acting City Treasurer Competent Proof of ldentity
ACKNOWLEDGMENT
REPUBLIC OF THE PIIILIPPINESCITY OF GENf,RAL S,\NTOS
Name Competent Proof of ldentityRONNEL C IIA RIVERA LGU l.D. No. 15799
Bf,FORE ME, a Notary Public for and in General Santos City, efrifipjrnils,2o$ M auy of_ 20 _, personal l 1 appeared:
ALYSSA ZEI P. LrGllE Rc tlo. uxvtl"t cLt2Dtq 2.zD5q0c'>
known to me to be one ol the parties who executed the foregoing CONTRACT NO. Gfn:21-05-072, byand between the LOCAL GOVERIYMENT UNIT Gf,NERAL SANTOS CITY and IRASETHPHARMA lNC. the aurhorized representative to this contract for and in behalf of the City Govemmentof General Santos and :rcknowledged to me that he voluntarily aIfixed his signature thereon for thepuposes stated in the insrr ument, and that the same is his fiee and voluntary act and deed.
The instrument consisting of 2 page/s, including the page on which this ledgement is wrinen hasbeen signed by the above-named party and witnesses on each and every hereof.
WITNESS MY HAND ND SEAL.ooc. No. l?tl :
Page No. 29eookNof,; ATTy'-.IN,_rTA
CARLO C. PANCHOY PUB!-II:Series of 2021UNE 3f_" 2O2l
GFn . 21{5472GSC CB# : 2l CB-GSC{69Date:
UNTIL,sliI N.r.ol98
, ]tr \1r ii2OOq:,r011N0,5ff166
i Jr505 tITY65:l-tlir.s':o itr'zu5'B'{{- t5?
:MtLEN0.Yl 000967:Uktq-22
Community Tax Certificate No.ccr20 1 826987683/0 I -05-202 l /GSC
The said party exhibite(l to me his proof of identity bearing his signature and photograph. with hisCommunity tar Certificar c as afore-indicated.
\-t-',
1 1(s)
1.1(i)
1 1(k)
6.2
104
13.4(c)
1 1
173
21.1
The Procuring Entity is LOCAL GOVERNMEN T UNIT OF GENE RAL SANTOS CITYThe Supplier rs IRASETH PHARMA INC.
Special Conditions of Contract
ng Source is LOCAL GOVERNMENT OF GENERAL SANTOS ClTy undernt Appropriation lor 2021 Cy in the amount oi SiveNfeeN THOUSANDNLY ( P17,000.00 )
The Fundithe CurrePESOS O
The Project Site is General ServJces Office, CEO Compound, GeThe addresses are:
Procuring Entity:
1 1(i)
5.1neral Santos City
Local Government Unit - General Santos City2nd Floor, Crty Hall 9500, General Santos CityFacsimile : (+63) 83 552 9435 Telephone Nos. 1+63; 83 5S2 9435Email Address . bac-ch [email protected]/[email protected]
Supplier:
ALYSSA ZEN P. LIGUEAuthori26d RepresentativeIRASETH PHARMA INC.77 JM Basa St.,Ka umpang, Marikina CityMetro Manila NCF Phiti rnes
Upon delivery of the Goods to the Project Site, the Supplier shall notify the Procuring Entityand present the following documents to the Procuring Entity:
(D Original and four copies of the Suppliefs delivery receipuinvoice showing Goods'description, quantity, unit price, and total amount;
(ii) Original and four copies of the Manufac{ure/s and/or Supplieds warranty certificate, ifapplicable;
(iii) Delivery Receipt detailing number and description of items received signed by theauthorized receiving personnel; and
(iv) lnspection and Acceplance Report signed by the Procuring Entity's representative atthe Project Site
The Procuring Entity's Representative at the Project Site is MS. GINA Y. PIGAR-Acting CityGovernment Departnent Head of City General Services Office
tlot applicable"
1\one".
A warranty security shall be required from the contraci awardee for a minimum period of three(3) months, in the case of Expendable Supplies, or a minimum period of one (1) year, in thecase of Non-expendable Supplies, after acceptance by the Procuring Entity of the deliveredsupplies. The obligation for the warranty shall be covered by either retenlion money in anamount equivalent to at least one percent (l%) of every progress payment, or a speclal bank
uarantee uivalent to at least one rcent 1o/o nce.
The period for correction of defects in the warranty period is 7 calendar Days from receipt ofnotification of defects
llo additional provision. "
'No further instructions'1
of the total contract
GCCClause
17.4
NOTICE OF AWARDALYSSA ZEN P. LIGUEAuthorized RepresentativeIRASETH PHARMA INC.UNIT C-30 G/F SOUTH OF MARKET TOWER,BONIFACIO GLOBAL CITY,TAGUTG C|TY 1630
Dear Ms. Sagad:
Pursuant to BAC Resolution No. G2021-04- series of 2021, PURCHASE OFMEDICAL, DENTAL AND LABORATORY SUPPLIES FOR DJPRH awarded to yourfirm in the amounl of SEVENTEEN THOUSAND PESOS ONLY ( P'17,000.00 ) is
equivalent to your bid and to be served within 30 CALENDAR DAYS in accordance withthe request of the LGU of General Santos City.
DESCRIPTION
SOIUSEI I50 MT IIICRO VOTUMEINIC CHAMBER SEIW/ANTI RUN DRY & AUTO PRIME NEEDTE FNEE
ACCESS Y SITE PORT W/PINCH CI.AMP
Please submit all d()cumentary requirements to perfect the contract within ten (10) Calendardays after receipt hereof and signify acceptance of the award by affixing your signalure below.
Very truly yours,
RONNEL CHUA RIVERA
-HOME
OF TIiE-CHAMPIONS
City Mayor I
Accepted:
). L.)
Contractor / thc zed Representative
ItemNo. atv Unit
PC 250
Total Amount inWotds
Unit Co6t Amount
68.00 17,000.00
P17,000.00
Date: .JUNE 29. 2021
Republic of the PhilippinesGeneralSantos CityCity Mayor's Office
**. NOTHTNG FO|.|.OWS *r
SEVENTEEN THOUSAND PESOS ONLY
E9_i! '!(Il9yn by this acceptance that I have fuil knowledge and is obtiged to post aPERFoRttIANcE sEcuRlw in the form of cash, certified check, cashier's, Manage/s
.check,
bank draft or irrevocable letter of credit Bank guarantee and surety bond callable on demandupon signing the contrac{.
I
r0
OFFICIAL RECEIPT No. AH')i0?
Oate:
Received from:
TIN:
Address:
Time:IRASETH PHARMA, INC
0000000000rc
By' ALYSSA ZEN P LIGUE-Authoazed RepresentativeBrgy Kapalalan, Digos City, Davao del Sur
ln payment of the fo|0 !18624d,,7Policy / Bond No. 6t24t202j.6.24t2022lnception
Business Style:
SOA No.612412021
DateclcDAV002 /A0AV262593
Agent's Code
Mode of payment
9Z5.UUPhp
Cash
Check
Banlvoheck No.
Total 925 00
This OR Cancels PR No.
Vatable Sale/Premium
VAT Exempt Sale
zero Rated saleVat Amount
Total Sales
Total Payment
5o0 Pads (50 r 4) 2sm01A - 2750004BIR Authority lo P.inl No 1AU0o02213109Dal6 lssued 08-03-2020 Valid Until0S_02-202 )
,t RCE Pnnllno 696 Tandang soraaver r &!y Mar.nd6ng Bala6, ou€zon cftY
TtN: 11t567-116{00 VAT
Premium
Documentary Stamps
Fire Service Tax
Premium Tax
Local Gov't Tax
Others
Total Sales
Value Added Tax
Tota I
IWithholding Tax
62.50
0.00
000
2.50
300.00
865.00
60.00
925.00
0.00000
000
60.00
865.00
925.00
Total Amount
Checks shall be sidered oremium payment when
Prinleas AccredrlatDn No I 028MP20200000000039Dale ol Accreditalion 03-06-2019
Loose Leai Permil No LLAR-RDO-034-11-2019.00038Oate lssued: Novembe. 19,2019
ONESCashier
K
COMMONWEALTH INSURANCE COMPANYU60 Lev6 Landco pDCp Corporate J p LauarelAve Bajada Oavao Cjty
Te . No : (082) 222-574i to 42 . Fax No. lOB2) 222-5740ernail: inlo@cc com.ph or vistt us at www.cc.com.ph
VAT Reg. TtN 000-445-883-002
rhe sq{rhef€effid twenty-five onty
S t ATEMENT OF ACCOUNT
SOA No. SADAV96639
Please make all checks payable lo: CO,,,IMONWEALTH llisL -At.--. CAMPANY.
Please nole thel payment tot Documentary Stamps Tax, Vat, a /'. 1' ) Tax, Local Ga'refin.,:! iax and olher charges shall not be rclunded as a resuol the cancellation gr endorcement of ihe policy. or, a reclt .:1 oi ihe preniunl c: )e fc' :'.!'./er reason Any and all Civil and / ot adminislratiaclionssisingoutolthistrarsactiorsshs/befiledinpropc,^tt'.sallheCityofMa;ali.Plt,".pinesanly.
COMMON\AIEALTHINSURANC. JOMPAI 'rUnlt 60. Level 6 Landco.PDCP Corporare Cen!, ,,J.P. l. urcl Av.. E, o.v.o CiryT.l. fr., (0a2) 222-5741 ro 42,222.692a I td\.,oemall lnto@clccoh,ph or vtsit ww.(ic.coh.DhTrN 000-445-881-VAT
Bond No. / Endorsement No.
c(13)1624817
Name and Addtess of Assurcd
IRASETH PHARMA, INC.
C harg es
By: ALYSSA ZEN P. LIGUE - A!thorized Represenr:,Brgy. Kapatagan, Digos City, Davao det Sur
'l
ParticulersPrernium
Docunrentary Slamps
VAT / Premium Tax
Local Gov't Tax
0thers
NotarialFee
Service Fee
500.00
62.50
60.00
2.50
0.00
300.00
0.00
Date lssued
lssuing 0tfice
lnception Date
Expiry Date
0bligee
Thursday June 24, 2021
crcoAVcc 2
June 24, 2021
June 24,2022
GENERAL SANTOS CITYCITY MAYOR'S OFF CEPerformarce Bond
3
Type of Bond
Eond Class
Coverages Php 925.00
Amount 5,100.00 5C0 00
NotesAuthorized Signature
E T. IVII Arwriting CIerk
l'...,:ultl Due
GOMMONWFALTH INSURANGE C.\MPANY1oth & 19th Floors, 8DO Plaza,8737 Paseo cle Roxas, ,takatl Clty, PhillPlnes
Bhnch Otlice: lJnit 60, L.vel6 Landco.POCP Coryonto CfnteL
ret. No. (082) 222.st11 t rr. rrl:!;#i'f!!i,::it;3"iil!ilt. n a i I I nlo@c ic.c om. p h or v ls it www. cl c. c1m.p h
TIN 00G115-88|VAT
PERFORMANCE BOND G(13)1624817
IRASETH PHARMA, INC.
By: ALYSSA ZEN P. LTGUE - Authorized RepresentativeBrty. Kapatagan, Digos City, Davao del Sur,
as Principal, and COMMONWEALTH INSURANCE COMPANY duly organEed and existing under and by virlue of the laws of the Phrlrppineswith office at 1oth &19th Floors, BDO Plaza,8137 paseode Roxas, Makafl City, phitippines, as Surety are hetd and firmty bound untothe
GENERAT SANTOS CITY
CITY MAYOR'S OFFICE
in the sum of PESOS
FIVE THOUSAND ONE HUNDREo ONLY (Php 5,100.00), Philippine Currency,
for the payment of which sum, wel and truly to be made, we blnd ourselves, ou. heirs, executors, administrators, successors and assignsjointly and severally, firmly by these presents.
The conditions ol this obligation are as follows
WHEREAS, the above bounded principal entered into a contract with the herein Obligee for the faithful performance tor the BACRESOLUTION NO. G2021-04 SERIES OF 2021; PURCHASE OF MEDICAL, DENTAL AND LABORATORY SUPPLIES FOR DJPRH.
This Bond ls CALLABLE on DEMAND pursuant to the provision ol implementing rules and regulations of RA 9184 and the right toinstitute action on the Penal Bond pursuant to ACT No. 3688 as amended.
PROVIDED, HOWEVER, that the maximum limit of !iability of the Surety hereunder shall in no case exceed the sum of PESOS: FIVETHOUSAND ONE HUNDRED ONLY (Php 5,100.00), Philippine Currency,
WHEREAS, said Contract requires said Principal to give a good and sufficient bond in the above stated sum to secure the flll and faithfulperlorman@ on his part of said Ccntract
NOW THEREFORE, if theprincOal shallwell and truly perform and fulfill alllhe undedakrngs. covenants lerms condit ons. and agreemenlsstipulated in said Contract, then th s obligation shall be null and vord. olherwrse. rt shall remain in fullforce and effect
The liability of the Surety Company under this bond will expre June 24, 2022 and the SURETY does not assurne any responsibility for any
liability incurred or created after sari date, notice of claims against the SURETY must be given to the bonding company nol later thao (10) ten
days from saad expiration date, and failure to do so shall release the SURETY kom all liabilities under thrs bond and shall be a bar to any actron
against it. .
tN WTTNESS WHEREOF, we have set our hands and signed our name al Davao Philippines this 24th d ay of June 2021
COMMONWTrN 000-445-88
BY:
NCE COMPANY
IRASETH PHARMA, INC
Bvi
AL NP
en t ative
IGUE
Branch ManaBer ln My Official Capacity
SIGNED IN THE PRESENCE OI:
RLO
Authorized Re pr
NOT VALID WITHOUT COMPANY'S OFFICIAL RECEIPT
a.j
KNOW ALL MEN BY THESE PRESENTS:
That we,
)
i
ACKNOWLEDGEMENT'^.REPUBLIC OF THE PHILIPPINES )DAVAO Ctry ) s.s G(13)1624817
before me, the undersrgned authority personally appeare
Names
COMMONWEAI,TH INSURANCE COMPANY
MARLO D. MIRANDA
AIYSSA ZEN P. TIGUE
lssued At
MAKATI CITY
DAVAO CITY
lssued On
January 05,2021
.ranuary 05,2021
24lh day of )une 2021
Residence Cer|ficate No
00100642
12351054
th€ individuals named in and who executed lhe foregoing document and acknowredged to me that they executed the same as their free and voluntary actand deed and that of the corporation/s he/she/they ripreienVs for tf," ,""" "na
prrpo"us therern mentioned
lN WITNESS WHEREOF, I have hereunto set my hand, affixed rny notar at seal thrsDAVAO CITY , Philippines.at
24th day of June 2021
REPUBLIC OF THE PHILIPPINES )
DAVAO C|TY ) S.S
MARLO D, MIRANDA . BRANCH MANAGER of the CO[,IiIONWEALTH INSURANCE COMPANY. havingduly sworn, stale and depose that the said COMI\,4ONWEALTH INSURANCE COIUPANY, is a Corporation duly organized and existing under and by vi
of the laws of the Philippines with its principal otfice at Makati City, and duly authorized to execute and furnish Surely Bonds within the said islanc,s, a
that it is actually worth the amount specif ied in the f oregoing undertakings, to wi
FIV!: THOUSAND ONE HUNDRED ONLY (Php 5 lOO OO ),
Philippins Currency ovEr above alljust debts and obligations and property exempt from execution.
Branch Manager ln My Official Capacity
afftant exhtb{ling to me24th day of June 2421SUBSCRIBEO ANO SWORN to before nre thishis/her/their Residence Certificate No
Names
MARI.O O. MIRANDA
Residence Certificate No
12351054
lssued At
OAVAO CITY
lss!ed On
January 05,2021
RODOLFO A. LALIN
NOTARY PUSLIC
Until oecember 31, 2022
Roll of Attorneys No. 22304
PTR No, 4792958C, D.C. 12-04'2020
IBP No. 132494, D.C. 11-11'2020
On ianuary 03,2020Ooc No. 327 Page No. 67 Eook No. Vlll Series of 2021
This is to certify that on thisbefore me:
Ooc No. 325 Pag€ No. 67 Book No. VIt Series Of 2021
RODOLFO A. LALIN
NOTARY PUBTIC
Until O€cember 31, 2022
Roll of Attorneys No. 22304
PTR No. 47929s8c, o.C. 12-04-2020
tBP No. 132494, O.C. 11-11-2020
On ,anuary 03, 2020
COMMONWEALTH INSURANCE COMPANY
2019/O5-R
Republika nq Pilipinas
Kagarr aran ng Palanalapt
ITO AY PATUNAY rl .ing COMMO NWEALTIJ IJVS t'RAJVCE COMPAI,IY
NGf,UNGSOD NG MAKATI.
na lsang panq pI.Iru!14,Y
FIRE. CASUALTY & ST/'RE?Y']
na kompan!.a ng .i,)guro a! nokatugon sa lahiir ng mga karlangang trmakdo ng baras
NliONg XATIBAYAN !{G PACKAMAYXA?ATCYAzuHA}{: nR t"IrI( r'i
!Prn,.l m.kipagnegos\o ng
un ng Seguro na ilrnakda sa lldds h rrggirnB rkitlai:rrrgdalarva ng hatinggabr, ng lkatatlumpu r lsanB
ara$ ng Disyembrc. taong d.rla\r,anB hlx) i dahvampur.isa
maliban kunS a8aj na baq rin o pr$lin nB maJ- makaru\rirang dahilan
Brluos KATUNAYAN NITO. rnilagda ko ang akrng panBnian
i1r ikrn)nriil iinia Opisl ai na Tartrk ng aking Tanggapan
sa Lungsod rrg }lelnlla. Pllprnas. lto a]" ma\ bisir
slmula rka is.r ng En(:ro 20l(i
DT, B. r-1."\_1'( Lt|rtltitsio cr
'\() \(r ltl h!t,!d ,rr
Blg.
ng Ptlipirlas kaugna\. sa gavong mga kompanr:r ng scguro. kung kal.a prnagkakalooban
Repubiic of the philippines
Department of FinanceINSURANCE COMMISSION
1071 United Na tions AvenueMa n ila
B5C i2 20ls
MR. MARIO A. NOCHEPresidentCOMMONWEALTH INSURANCE COMPANY10th, 12th & 19th Floor, BDO Plaza,8737 Paseo de RoxasMakati City
Dear Mr. Noche:
We are sending herewath renewal Lrcense No. 2C19/05-R
Commission rn favor of COMMONWEALTH INSURANCE COMP
issued by this
ANY.
Please acknowledge receipl
Very t you rs,
IS B. FUNADElns ance commissioner
t{ead office; Ilo. Box 35ti9 I\,tanila f^x No. 522- l4-3{ Tcl. Nori, 53-8j-61 to 70 l'vcbsi te: w'r!1{.insu ra n.e.8o1'.ph
Encls. a/s
g
L*d cor..nnrrt unlt ol c.i.rd lo,nor ch,2lc!.clc-oattulcn^sEot EDrcaL oENt l ArD r.alot^toty sut?uEsGE ElAtiAi(IOsCm
BAC Resolution Decloring lowesl Colculoled ond Responsive Bidder qndRecommending ApprovolRESOTUTION No. G2021 -05-26t1
Sede3 ot 2021WHEREAS, the Locol Governmenl Unil ol Generol Sonlos Cily odvertised the lnvitotion toBid for 2l CB-GSC-069 PURCHASE OF MEDICAL, DENIAT AND LABORATORY SUPPLIES in lheLocol Governmenl Unit of Generol Sonlos City websile (www.gensonlos.gov.ph), the G-EPS ond conspicuorrs ploces of lhe premises of the locol Governmenl Unil of GenerolSonlos Cily continucrrsly for Seven (7) colendor doys;
WHEREAS. Two (2) bi<ls offered received by lhe BAC on Februory 23,2021 ond possedthe preliminory exonrinolion of bids;
WHEREAS, the detoiled evoluotion of bids wos conducled on Morch 04,2021 whichresulied in the following:
IRASETH PHARMA INC.
NEXCO MEDICAT ENIERPRISES
WHEREAS, NEXCO MEDICAL ENTERPRISES wos the second lowesl bidder for iiems nos.nos. 15, 16,17 t 18 orrd possed the product evoluotion by the end-user os this produclsore cunently used oi the hospilol ;
WHEREAS, IRASETH PHARMA lNC. wos the Lowest Colculoted bid for item no. '12 butdeclored non-resoongive becouse there is no Cerlificole of Regiskolion submittedduring opening of bid, The bidder wos given (31 colendor doys to file o Molion ofReconsiderotion bul loiled to do it;
WHEREAS. NEXCO MEDICAL ENIERPRISES. wos the Second Lowesl Colculoted bid foritem no. l2 bui decicrred non-resoonsive becouse ihere is no Certificote of Regislrotionsubmitled during olrening of bid. The bidder wos given (3) colendor doys io file oMotion of Reconside,rotion but foiled io do it;
WHEREAS. NEXCO MEDICAI ENTERPRISES wos the Single Colculoted Bidder for item no/s.2 bui declored non-resoonsive since the submilled Cerlificoie of Producl Regisiroiionwos expired ond wos given (3) Three Colendor doys to File o Molion forReconsiderotion (MR) bul foiled to do so;
WHEREAS, NEXCO MEDICAI ENTERPRISES quoted higher lhon ABC for item no/s 4;
WHEREAS, upon post quolificotion or coreful exominotion, volidotion ond verificotion ofoll the eligibility, tecrnicol ond finonciql requirements submitted by the eligible bidderswith the Lowesl Ccl,:uloted Bid os evoluoted by MS. DORIS TIONGCO, RN ond MR.ROTAND RENE GONZALES verified correcl by AITY.ROSENDO A. ROQUE, their bids hovebeen found to be responsive;
NOW, THEREFORE, v/e, the members of the Bids ond Awords Commiltee, herebyRESOLVE os it is hereby RESOLVED:
Lone Bldder for llem No/s.lowesl Bidder for llem
No/s.
10, 12, 15, 16, 17 & l8
2,3,4,6,7,13&20 1.5.8.11.14&19
WHEREAS, in resporrse to the soid odvertisemenls, Two (2) suppliers purchosed biddocumenls;
WHEREAS, IRASETH PHARMA lNC. wos the Lowesl Colculoied Bidder for item nos. 15, 16,17 & '18 bui during pnrducl evoluolion 01 Dr. Jorge P. Royeco Hospilol the ilems offereddid not meel the min mum required specificolions of the end-user;
1
Nome of Bldders
locd_cov.rn|rl.it U,t oa c.rt.rd srir(
:!icEllil.,Hr,?ff, *xI^L ^rrD
L^!or rory iuppuE5
Pre red By:
R IN JD
BAC Resolution Decloring towesl colculoled qnd Responsive Bidder ondRecommending ApprovolREsotu-floN xo. ez6it-A )6,1
' I:Jff"&[:i:L'i:,:H$;i'."1i:Aif ro ro rnesern 'HARMA
,Nc. os ihe
b. To recommerrd ihe "*.:lg_^of
item/s no. 1,3,5,6 7,8, 11,13, 14. 19& 20 toNEXCO MED,.AL ENTERpRtsEs .rln"i.i"icl,lrtr.o ond Responsive Btd;c. To recomme, J the oword.of item/s no. 15, 16,.11 & Ig to NEXCO MEDICA.ENTERPRTSES <r; ihe Second towest iotjdJ ;fu Responsive Bid;
d. To re-bid ilem no/s.4 becouse lhe bidder quoted higher lhon ABC;
" 1"r"ff,:T,-enrj item nols' 9 for rebid becouse the bidder did not submit
f. To recommen,: item no/s.2 & 12 for re_bid becouse the bidder did not submilCPR ond o non.responsive;
To recommend for opprovol/oword by the City MoyorGovernmenl Urrii of Generol Sontos City the foregoing findings.
of lho Locql
Checked BY,
BAC H D - SECREITiIIAT
BAC Vice-Chohperson
N P
BAC Choirperson, d Consulting Services
o RN
lvtR. NZAT
Verified Con
ATTY.]WG HEAD
rRAN ts TENVIITE N. GONZATEZBAC Member
'k<< (
ENGR.GIg{ Y. PIGAR, IAPA
ITY ARB
RONNEL CHUA RIVERA
Ciiy Moyor - Heod of Procuring Eniity
Dote opproved:
cB ber
2
RESOLVED ot the Bids ond Awords CoIrmifiee ffice. 2ndBuilding, Generol Sontos City, lhis lfll aov ot llhl
Floor, Right Wing, City Ho[2021.
1
Standard Form No: SF-GOOD-44
(Revised on August ' ' 2018)
Proiect Reference No.
Name of Project
1 Name of Bidder
2 Rank in the List of Bids
3 Bid Price /.ga - gst',di',{ . co
4 Period of Post-Qualifica
5 Results of Post-Qulif ication
TOCAT GOVERNMENT UNIT OF GENERAT SANTOS
Bids ond Awqrds Committee Technicol Working Group
Post-Qualification Evaluation Report
:4g}- {'oCcr
g<ar-rcal r;r tn,rlJ?lt.rl
It^<
FINDINGSPARTIES
CONSUTTEDR€QUIREMENTS
Eligibility Requirements
Registration Certiticates:1
, .raj^d u ^rrl 3L-^{ t? . ,':t I1-1 PHILGEPS Certificate oi Registration.
(Photocopy)
1.2 SEC Registration/ DTI for Sole proprietorship;
or CDA for Cooperatives
(Photocopy)
t d.dno.. )+a, ?r ,:?,..er1.3 Mayor's/Business Pernl t issued by city or
Municioalitv(Photocopy)
' .oJ-d-,-E\ ' Tu,.t r. e4,rl1.4 Tax Clearance
1.5 Audited financial Statenrents stamped
"received" by BIR or it:, Culy accredited/authorized institutions for the preceding
calendar year which shciuld not be earlier
than two (2)years frorn the date of bid
submission (ohotocoo'/l
Statement of all on-goin8 Govemment & Private
contract, including those awarded but not yet
started (similar or not similar n nature)
3 Statement of Bidder's Single Largest CompletedContract (SCIL)
4 Net Financial Contracting Capacity (NFCC) or a
Committed line of credit (du y issued by universal
or commercial bank)5 Joint Venture Agreement, if rlplicable, or duly
notarized StatementNc-+
6 BID S€curity: 2% of the ABC {Cash, Cashier/
Manager's Check, Bank Guarantee, lrrevocableletter ofcredit confirmed by a Universal orCommercial Bank) shall be valid 120 days from thedate of opening of bid, Bid Securing Declaration.
/ n:4.rl';r.^
7 Technlcal Specifications include:
7.1 Production/ Delivery Schedule - rr<, cr'r^r4o- dl,-<
7.3 After Sales Service '-au-^arL,A^ f(* ly* I a.X"t<>.<c
8 Omnibus Swom Statement by th€ prospective
bidder or lts duly authorired representative shallcontaln the followint:
IITI
IIII
I
II
II
IIt= I
I-.{;
f>r-^:al <;^<,
2
7.2 Manpower Requirem€.nts
/
Republrc of the PhilippinesOFFICE OF THE CITY MAYORGeneral Santos City
SpecialBids and Awards Committee
fThe Manager
Dear Sir/Madarn
Bid/Project Number: f l(D - 6s( - oL/.Project Name: f.r^da.r Dr^l.U -r.rr 4
YltPQrtis responsive and complies with all the requirements and condihons
3. Certificate of PHILGEPS Registration
ArZ O LTO (Dr ugs Distributors, Medical SupplieV Device Distributor, Hazardous Materials
t)
I
After the evaluation prrcess conducted by the committee, you are considered as the Lowest/SingleCalculatedbidder(rcA -_)foritemr' 10, l,?-, lq lL ,1+tlt
9^4+L-t tt^To determine whether th,' bidderprovided under Section 34 of the Revised IRR ofRA 9184, you are given five (5) calendar days fromieceipt hereofto submit thi following:
ZL Latest lncome Tax r \2. Business rax Retums - exQ q - d.^At{ l14ww
Dstributrrrs)
5. 54 for Dingerous Drugs and Regulated Drugs
6. LOT Re[:ase Certificate for Biological Products
&-"01tu7. Batch Cer
t,.I fR c,ri +-^.f-d ,-/r'T& +r-'" t at'**- at, DD? R+l '
Failure to submit the abovo requirernents on time shall be ground for the forfeiture of your bid security
ttncateTltt$gl*lrlovr l!, ltr ,t1 ,l{
and disoualification of the,arvard.
€fLfi +r^ *t,^ ',."
Ol<- ; e/w
Very truly yours,
ENGR NAELJOSf,,PH D.BAC Chairperson
, r.rGiJE, RPhUSPERO, EnP.,75!
Dare: ilirnh ,. 3..\
lfl*\SEH B"l Y-a E^-( ,
8.1 The siSnatory is the duly authorizedrepresentative oI the prospective bidder, andgranted full power anc nuthority to do,executive and perform any and all acts
necessary to participate, submit the bid, and
to sitn and execute the ensuing contractaccompanied by the duly notarized Special
Power of Attorney, Board/ PartneBhip
Resolution, or Secretary s Cenificate
8.2 lt is not blacklisted or barred from bidding bythe GoP or any of its aeencies, offices,corporations, or LGUs, ncluding foreigngovernment/ foreign or rnternational
financing institution whose blacklisting have
been recognized by GPBB.
r,,-*-tcx^a7<l
8.4 lt is authorizing the HOPE or his dulyauthorized representative/s to verify allthe.l.rrlmpnt< ..rrhmitted
8.5 lt complies wit hthe disdosure provision
under Section 47 of the Act, in relation toother oroviri.tns of RA 1019
8.6 lt complies with existinB labor laws andsta ndards
8.7 lt complies with the responsibilities of aprospective or elitible b dder provided in thepBrIc
8.8 lt did not Sive or pay, directly or indirectly,any commision, amount. fee, or any form ofconsideration, pecuniar! or any otehrwise, toany person or olficial, per;onnel orrepresentative ofthe government in relation
to any procurement project or activity.
t 8id proposal in Prescribed Form
tv Other Requirements
a Tax Returns:
-Br ,l.<'<,.lt(a.1 Latest lncome Tax
t,/a.2 Business Tax Returns
bOther Appropriate Licenses; For Drugs &Medicihes
/ /61* odt. 1/t,,1,vtALTo (orugs distributors, Medical supplies/
Device Oistributor, Hazardous Materialsb.1 nictrihrrtnrl
L /b.2 Certificate of Product Regi;tration
AI54 for Dang€rous Orugs and Regulated Drugs
b.3
'it^LTo Release CertifiGte for bilologicalb'4 Prodrat
"r/ib.5 Batch Certificate for antit,i,)tics
I
I I
IIIII
I
-
IrllIIlt
O-St^- )ul
Responsive
furnt Drt f tlt't .-
Findings:
Non responsive
Q$&t^A'/7?
Prepared by:
TWG Me ber
oted by
TWG Head
8.3 Each ofthe documents submitted in
satisfaction of the bidding documents is an
authentic copy of the original, complete, and
all statements and information provided
therein are true and correct,
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Form No: SF-GOOD-43
(R€vised on August 11, 2004)
1.0 Proiectldentification1.1 Procuring EntitY
1.2 Name of the Contract
1.3 Location of the Con'lr act
1.4 Approved Budget o'the Contract
1.5 Method of Procurement
2.0 lnitial Steps in the Bidding Process
BID EVALUATION REPORT
lc0 -\,l" EfIl1
q
{,\Jo,5L($.;
2.1 Date of Pre-Procur€rilent Conference
2.2 lnvitation to ApplY fc r tligibility & to Bid
a Date of First Publication
b Name of NewscaPer
c Date of Final PJblication
d Name of the Nlewspaper
2.3 Letter of lntent {LOl)
a Deadline for the LOI submission
b number of LCI received
2.4 Eligibility Check
a Date of EligibrlltY Check
b Number of El gibility Envelopes received
c Date of Notices sent to bidders
d Motion of Re:onsiderations, if anY
2.5 lssuance of Bidding Documents
a Period of Availability of Bidding
documents
b number of bidding documents issued
2.6 Amendments to biddlng oocuments, if anY
a List of all issue dates
2.7 Pre-bid Conference, if anY.
a Date of Conference
b Date of Minutes sent to bidders
3.0 Submission & Opening of Bics & Preliminary
Examination
3.1 Bid Submission Dealine
a Original Date t{ Time
b Extensioon, if anY
3,2 Bid Openin8 Date & iime
3.3 Minutes of Bid Opening, date sent to bidders
3.4 Numbers of Bids re:aived3.5 Bid Validity Period lDays or Weeks)
a Originally sp€cified
b Extension/Revisions, if any
8rD PRTCES (AS READ OUr)Bid rld 1fi n t.l m
a' (-tl..
e,l$"{wl/) d.; J prx
4.0 Bid Evaluation
Bidder I
) .,1
entifi n Lameyru l,1r(
CO R R ECTI N OF BIDS
)
Bid as Read ( am
Bid as Calcula-t
t0" -l
fu^
OvtrYl)ea'a \"YtqL ,l
Lt!x
t
.w
rr)
Name of Bidder Lone Bid der [owest Bidder for item NosLowest Ca lculated Responsive
Bid
IEittYfll \ioh^ lo
,|.IU:KCI MEOU+ FNT}4d t1
flq'1 \ LO ,,0 Ct1
SUMMARY
tems o uoted Hi gh er tha n ABC
Items lvith no biCrier
Item/s with Same Price Quotation
N9 U..r:
q
I \1"*-4- t..t'6 ftrd
Approved by
oarr. *or f#A. ROQUE . KUSAIN
'*n *t* /no*S ?ttn-o.
frrrvv{ r ^
q
lLila\oll
l6 ll fi qt-<&h iUCD u{bl}Lr1 ^"14il\ -,0 f'€cl/n YnA/d4ap, +nhp t
L - W A)rq^,,1
t0"- Ar)Y
1 t-r E> lru cltv _ latz.;d
lab
Sec Head
!v. lu,1L,,r( ) ,)
2,b,U.7. u,14
Re m a rks:
''krn lD
rq,a
f Lrvln tl -
R marks:
It U ted Hi her than ABC
Items with no bidder
Item s with Sa P rice uotatio
cfr-rl-o
yfd
g t fftfe
Approved by
tWtn, fVi
€
He; atef.
Name of Bidder Lowest'Bidder for item NosLowest Calculated Responsive
Bid
/jt{ i,{rlrtllAr;Iil
1,\ ? II+ g
41
lqid[t^x t fn rhrrr lD (NdL l\,vr,q',/
tot tt"llkr^r' q 4^nF/- 1r tsfi" I ,)
0
V,
III
III
II
Et
JD A
SUMMARY
Lone Bidder
l-r /$'I
ald.{
Il2fir,t1tr 1., L
1t ftlo t a
rV*a
9;4 C
t+.vffiw1.,,e"[a * F**
f.fr('-
lv..rtu CI
t fflrD
Lowest Calculated Responsive
Bid /
{ I>.1 a LUQ-".tf,,
C.ox.dptf pr^t-&{'r{ r-lcrlu@ha'\ t L fAhnyfip,dal$.t"* tfu [rd, utqr. [ou lrngrr{.{.cr.,ri ,,tx.q R p,^td,
6-,nnile LN' a,& fi'tLfi fi'tttt llrqlq": iQ&ts
i [fi.weL.t!.r.r7 4v pile{^e! i-oft t{].cl', hatr, {rri,p.t\A )^,0d
v
v l/dLdt\n t,r t
,JLLorpt ttt:*L+ atrj/ t'Ot0hC. tt t-4,&1. .*4a ]h "0 -trt
II
uoted Hi her than ABC
Items with no bid der
Ite with me Price otation
marks
aluated by:
Nthrwe
*--7ipfro'-'ed by
fl1. lcujprN ATTY. ROSEN DO A. ROQUE
TWG Head 0rt,Ir.t'4^i(\ r
P1,-n4ffitDW
\,{
E
-rilh
SUMMARY
r
Name of Bidder Lone Bidder Lowest Bidder for item Nos.
't ltzr. Pl"rr0r\1A Inc..0 t?G tl LctL\
lt tt1,( L 'I I
'i\.,
f
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