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 airman@gensantos.oov.ph/bacosc@yahoo.com

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