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Request for quotation (RFQ)
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Stamp of supplier:
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Quotation
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House No. 2, Road Safety Quarters, Old Airport, Sokoto State , NigeriaCompany Name:
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Address:
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Commercial register no.:
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Tel:
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Email: ahsf.tenders@ahsfng.orgEmail:
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All correspondence and documents relating to this RFQ must show this No.:Bank Details:
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Albarka Health Spring Foundation hereby invites you to submit your quotation for the items listed below.
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Terms of payment: (normally within 1 Month upon receipt of goods/Service Completion original air waybill (if applicable) and presentation of copy of PO and original invoice.)
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Mostly within 1 month after completion of service and receive of invoice
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Delivery place and mode of transport (include freight charges when quoting):
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Albarka Health Spring Foundation
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Expected delivery date:
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Submission of Quotation is on:
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Packing / labelling and special instructions:
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Item No.DescriptionUnitQuantityUnit Price including TaxTotal Price including Tax
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1Amitriptyline (25mg)Tablet (500)384
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2Chlorpromazine (100mg)Tablet (1000)384
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3Carbamazepine (200mg)Tablet (1000)64
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4Haloperidol (5mg)Tablet (1000)80
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5Fluoxetine (20mg)Capsule (30)96
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6Tenofovir + Lamivudine + Dolutegravir (TLD) (300mg/300mg/50mg)Capsule (90)80
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7Azithromycin (250mg)Capsule (6)192
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8Ceftriaxone (1g I.v) Pack (1 Vial)192
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9Metronidazole (400mg) Tablet (10)96
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10Benzathine Penicillin (2.4 MU 1M Stat) Vials (10)80
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11Paracetamol (500mg)Tablet (96)384
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12Povidone Iodine (Topical antiseptics) (2litre) 2-lliter Gallon96
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13Tetanus toxoid (0.5ml) Ampoules (50)96
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Total Price
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Please note that RFQ does not constitute a commitment to purchase from your company unless notified officially to you.Supplier are free to describe or attach more detailed specification of quoted items or use an own quotation form indicating all requested information.
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Quotations will be evaluated based on: a) compliance with technical specifications and quality standards b) ability to deliver and meet timeframes as specified c) best quality / price ratio. Also note that the quantity are not limited to that of the RFQs, this is just to have a unit price from suppliers.
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Albarka Spring Health Foundation reserves the right to accept all or part of your offer.This quotation is valid until:
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Logistics and Procurement
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For Albarka Health Spring Foundation: date, name, function, signatureFor Supplier: date, name, function, signature
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