GIE-ANN HUBAHIB
ADMINISTRATIVE ASSISTANT II
B. Rodriguez St.,
Cebu City
Cebu
Philippines 6000
63-32-2532182
63-949-8865871
procurement@vsmmc.doh.gov.ph

Republic of the Philippines
Department of Health
VICENTE SOTTO MEMORIAL MEDICAL CENTER
B. Rodriguez St., Cebu City, 6000
TELEFAX : 2532182/2540057
Email: procurement@vsmmc.doh.gov.ph
(Establishment/Supplier)
.
(Address)

Sir/Madam:

It will be appreciated if you can furnished this Office with the prices of supplies, materials, spare parts
and etc., itemized below which we desire to buy indicating the stock of the same and if they meet the specification
should be delivered to VICENTE SOTTO MEMORIAL MEDICAL CENTER, Cebu City, after the award has been approved
by the Bidding and Award Committee.
Very truly yours,
Date of Opening: at 3:00 PM
PR No. 2023-08-2870 MIRAFLOR F. CATIBUD, MPA
Shopping No.: 842 Head, Procurement Section

QUANTITY UNIT D E S C R I P T I O N BRAND NAME UNIT PRICE

2 KIT EMBOLIZING AGENT LIQUID KIT: 1 PC EMBOLIZING LIQUID MATERIAL, P____________/KIT
1 PC MICROWIRE, 1 PC MICRO CATHETER

PLEASE SUBMIT THE FF. DOCUMENTS:

MAYOR'S PERMIT (SHOPPING/SVP) (3 COPIES)
PROFESSIONAL LICENSE/CV (CONSULTING SERVICES (SVP) (3 COPIES)
PhilGEPS REG. NUMBER (SHOPPING/SVP)
PCAB LICENSE (INFRA.) (SVP)
INCOME BUSINESS TAX RETURN (FOR ABCs P500K) SVP
OMNIBUS SWORN STATEMENT (SVP, ABOVE P50K) SVP
NOTE: ALL TAXES INCLUDED.

Stamp/Print Name of Establishment or Supplier


Signature of Canvasser Signature of Authorized Representative
Over Printed Name Over Printed Name

VSMMC-HSD-PROC-F-10 Rev. 1
15-Jun-18