AaN~. ~?4. f-~m1m{f OJ -,U- Q()I~ JtfJlD~ J'k(.)JJ (Designation) .~ ~. ~~ J?SE C GeNZALEs, M.D. JAN Director }& ~ ~ NOTICE OF AWARD

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1 University of the Philippines Manila The Health Sciences Center SPECIAL BIDS AND AWARDS COMMITTEE 8th FIr., CentralBlock Bldg., PGH Taft Avenue, Manila Tel. No LOCAL 3020/3026; NOTICE OF AWARD 09 January 2015 Rm. 701, 7thFloor Cocofed Bldg. 144 Amorsolo St., Tel. No (;849 Dear Sir/Madame: We are happyto notify you that your bid dated 15 December 2014 but awardedon 07 January for the supply of SUPPLY AND INSTALLATION OF C-ARM - SINGLE BID for the Contract Price of equivalent to SIX MILLION THREE HUNDRED SEVENTY SEVEN THOUSAND AND 00/100 PESOS ONLY (php6, ), as correctedand modified in accordancewith the Instructionsto Bidders is hereby accepted. You are hereby required to provide within ten (10) days the performancesecurity in the form of a) Cash/Certified Check, Cashier's Check, Manager's Check, Bank Draft or Irrevocable Letter of Credit confirmed by a reputable local bank at 5% of the total amount of award which amountsto THREE HUNDRED EIGHTEEN mousand EIGHT HUNDRED FIFTY PESOS AND 00/100 ONLY Php ) or b) 30% of the total amount of award in the form of SuretyBond callable upon demand issued by any reputable suretyor insurance companyin the amount of ONE MILLION NINE HUNDRED THIRTEEN THOUSAND ONE HUNDRED AND 00/100 PESOS ONLY (phpl ) to be submittedto the PurchasingOffice, UPM-PGH. Failure to provide the performance security shall constitute sufficient ground for the cancellation of the award and forfeiture of the bid security. ITEM NO. QTY. UNIT ITEM DESCRIPTION UNIT COST TOTAL COST PUR DEPARTMENT OF RADIOLOGY 1. 1 Unit SUPPLY AND INSTALLATION OF C-ARM Brand: SHIMADZU, JAPAN Model: OPESCOPE, ACTENO Brand new, not reconditioned, ready to use PRICE Php6,377, Php6,377, (attached technical specifications) Very truly yours,.~ ~. ~~ J?SE C GeNZALEs, M.D. JAN Director }& ~ ~ conforme~ AaN~. ~?4 (Signature over Printed Name) JtfJlD~ J'k(.)JJ (Designation) OJ -,U- Q()I~ (Date) liga 09jan.15 f-~m1m{f

2 BID NO: PUR UNIT: SUPPLY & INSTALLATION OF C-ARM BID FORM (TECHNICAL SPECIFICATIONS) Required Specifications Offered Specifications References Comments/ EVALUATION {Include Remarks C-ARM C-ARM SHIMADZU OPESCOPE ACTENO Applications: for general surgical procedures; orthopedic procedures; peripheral Applications: for general surgical procedures; orthopedic procedures; neurosurgical procedures; procedures; peripheral procedures; neurosurgical procedures; Fluoroscopy guide for contrast ad interventional procedures Fluoroscopy guide for contrast ad interventional procedures X-RAY GENERATOR X-RAY GENERATOR General: Inverter system General: Inverter system Radiography: Max. tube voltage up to 100 kv or higher; Radiography: Max. tube voltage up to 100 kv; Max. tube current up to 20mA or higher. Max. tube current up to 20mA or higher. See BrochurelProduct Data Max. mas up to 100mAs or higher Max. mas up to 100mAs or higher Fluoroscopy: Max. tube voltage up to 100kV or higher Fluoroscopy: Max. tube VOltageup to 100kV Max. tube current up to 8mA or higher Max. tube current up to 9mA Imaging mode: continuous or pulsed operation Imaging mode: continuous or pulsed operation Power Source: single phase, 220VAC, 60Hz Power Source: single phase, 220VAC, 60Hz X-RAY TUBE ASSEMBLY X-RAY TUBE ASSEMBLY Anode: rotating or stationary; heat storage capacity of Anode: rotating or stationary; heat storage capacity of s..8'och",""~ 100,000HU or higher 100,000HU See BrochurelProdu a Single of Dual Focus: 0.5/1.5mm or smaller Single Focus: 0.6mm See BrochurelPr c ata End-user Signature of Representative GLA' t, Name of Representative NOLI M.'BERNAL Telephone/Faxl Rm th Floor Cocofed Bldg. 144 Amorsolo st / isicomm@jnstrumixonline.com 1 I 1

3 BID NO: PURI UNIT: SUPPLY & INSTALLATION OF C-ARM ADDITIONAL SHEET FOR ADDITIONAL TECHNICAL SPECIFICATIONS (Include / Remarks Collimator: iris collimation; semi-transparent shutters; Collimator: iris collimation; semi-transparent shutters; Semi-transparent slot diaphragm for symmetric style Semi-transparent slot diaphragm for symmetric style Which can be rotated at +/-360 Which can be rotated at +/-360 C-ARM STAND C-ARMSTAND Arc orbitavcircular movement or C-arm rotation: 115 or better Arc orbitavcircular movement or C-arm rotation: 115 Locking system-electromagnetic lock, locking release control Locking system-electromagnetic lock, locking release control C-arm side-inside (C-arm should be free from cable) C-arm side-inside (C-arm should be free from cable) C-arm body width of not more than 80cm for easy door access C-arm body width of not more than OOcmfor easy door access And room transport And room transport See BrochurelProduct Data Left/right wig-wag scan/pivoting on the vertical axis LefVright wig-wag scan/pivoting on the vertical axis See BrochurelProduct Data (or C-arm oscillation/panning movemenvc-arm rotation (or C-arm oscillation/panning movemenvc-arm rotation About the shift axis) About the shift axis) See BrochurelProduct Data Vertical travevup/down movement: 45cm or higher Vertical travevup/down movement: 45cm Horizontal travevback and forth movement (or longitudinal Horizontal travevback and forth movement (or longitudinal See BrochurelProduct Data Displacement); 20cm or higher Displacement); 20cm See BrochurelProduct Data Rotation of the C-arm holder about the horizontal axis (or C-arm Rotation of the C-arm holder about the horizontal axis (or C-arm See BrochurelProduct Data Swivelling); +/-180 or better Swivelling); +/-180 See Broch~;~ Data Focus to image intensifier (II) distance: 90 cm See BrochurelPr t Data Focus to image intensifier (II) distance: 90 cm See Brochur uct Data End-user -~ Signature of Representative, Name of Representative NOLI M. BERNAL INSTRUMIX SUPPLIER. INC. Rm. 701, 7thFloorCocofed Bldg. 144 Amorsolo St. TelephonelFaX/ / / isicomm@instrumixonline.com 2

4 BID NO: PUR UNIT: SUPPLY & INSTALLATION OF C-ARM ADDITIONAL SHEET FOR ADDITIONAL TECHNICAL SPECIFICATIONS (Include / Remarks VIDEO IMAGING SYSTEM VIDEO IMAGING SYSTEM Image Intensifier: dual mode of 6"/9" or bigger in input field size; Image Intensifier: dual mode of 6"/9" in input field size; See BrochurelProduct Data Resolution of 46 Ip/cm or better; CCD camera, 1Mpixels; Resolution of 46Ip/cm; CCD camera, 1Mpixels; Continuous or pulse Continuous or pulse TV camera: high resolution Charge-Coupled Device (CCD); TV camera: high resolution Charge-Coupled Device (CCD); Fluoroscopy mode Fluoroscopy mode Camera: left/right image reversal; 2-15FPS; toplbottom Camera: left/right image reversal; 2-15FPS; top/bottom See BrochurelProduct Data Image reversal; Radiography of 9" cassette; real-time zoning Image reversal; Radiography of 9" cassette; real-time zoning See BrochurelProduct Data Holder. Image rotation; Fluoroscopic image recording; Holder. Image rotation; Fluoroscopic image recording; See BrochurelProduct Data Video signal of 525 or 625 line Video signal of 525 or 625 line VIDEO MONITOR VIDEO MONITOR Diameter with automatic brightness control: 2 sets 19" LCD Diameter with automatic brightness control: 2 sets 19" LCD Monitor; Fluoro Image Display at C-arm touch Panel Control: Monitor; Fluoro Image Display at C-arm touch Panel Control: CD-reader for importing images in DICOM 3 format; DICOM CD-reader for importing images in DICOM 3 format; DICOM See BrochurelProduct Data Capable DICOM Send, DICOM Print, DICOM Worklis~ DICOM Capable DICOM Send, DICOM Print, DICOM Worklist, DICOM See BrochurelProduct Data Query Retrieve, Operating Modes-capable of fluoroscopy with Query Retrieve, Operating Modes-capable of fluoroscopy with last image hold; capable of pulsed-fluoroscopy with last image last image hold; capable of pulsed-fluoroscopy with last image hold-capable of DR. hold-capable of DR. See :ChU~uct Data End-user Signature of Representative (~, Name of Representative NOLI M. BERNAL Telephone/Fax/ 3 Rm. 701, 7thFloor Cocofed Bldg. 144Amorsolo St / / isicomm@jnstrumixonline.com

5 BID NO: PURl UNIT: SUPPLY & INSTALLATION OF C-ARM ADDITIONAL SHEET FOR ADDITIONAL TECHNICAL SPECIFICATIONS Required Specifications Offered Specifications References Comments/ EVALUATION (Include Remarks Documents) inclusion / IMAGE PROCESSING IMAGE PROCESSING See Brochure 1 Image Storage: last image hold, cigital memory capacity of 2000 Image Storage: last image hold, digital memory capacity of 2000 Product Data Images Images IMAGE DISPLAY IMAGE DISPLAY See Brochure 1 Multi-image display annotation; Cyclic display; Remasking Multi-image display annotation; Cyclic display; Remasking Product Data HARDCOPY HARDCOPY Radiographic film capability or thermal paper Radiographic film capability or thermal paper See Brochure 1 Product Data CONTROL SYSTEM CONTROL SYSTEM Entire system is computer controlled; software can be upgraded Entire system is computer controlled; software can be upgraded See Brochure 1 Product Data CONTROL CONSOLE CONTROL CONSOLE Operating parameters; digital display Operating parameters; digital display See Brochure 1 Audible alarm hand exposure switch or button Audible alarm hand exposure switch or button Product Data ACCESSORIES ACCESSORIES X-ray cassette holder: 10" x 12" or bigger X-ray cassette holder: 10" x 12" Sterilization handles and Sterilization cloth covers Sterilization handles and Sterilization cloth covers Product End-user Signature of Representative 7~ Name of Representative Telephone/Faxl 4 See Brrxtot;j) NOLI M. BERNAL INSTRUMIX SUPPLIER. INC. Rm. 701, 7'mFloor Cocofed Bldg. 144 Amorsolo St / isicomm@instrumixonline.com

6 ADDITIONAL SHEETFORADDITIONAL TECHNICAL SPECIFICATIONS BID NO: PURI DATE: 15 DECEMBER2014 UNIT: SUPPLY& INSTALLATION OF C-ARM (Include / Remarks OTHER REQUIREMENTS OTHER REQUIREMENTS Two (2) sets of the following: Two (2) sets of the following: As required > Service and installation manuals > Service and installation manuals As required > Operation and instruction manuals > Operation and instruction manuals As required > Wiring and Schematic diagrams > Wiring and Schematic diagrams As required > Parts listing > Parts listing As required - > Anode cooling chart > Anode cooling chart As required > Tube rating chart > Tube rating chart As required > Pilot lamp > Pilot lamp As required - Provision of ten (10) units of O.Smmlead gowns Disposable transparent sterile covers to fully cover the C-arm Provision of ten (10) units of 0.5mm lead gowns Disposable transparent sterile covers to fully cover the C-arm As required Asrequi~ End-user Signature of Representative ~,. Name of Representative NOLI M. BERNAL Rm t! FloorCocofed Bldg. 144 Amorsolo St. Legaspi Village. Makati City Telephone/Fax/ / / isicomm@instrumixonline.com 5

7 BID NO: PURl UNIT: SUPPLY & INSTALLATION OF C-ARM ADDITIONAL SHEETFOR ADDITIONAL TECHNICAL SPECIFICATIONS (Include / Remarks TERMS AND CONDITIONS: TERMS AND CONDITIONS: 1. Indicate brand, model and country of origin. 1. Indicate brand, model and country of origin. 2. Notarized certificatethat the product is brand new, not 2. Notarized certificate that the product is brand new, not reconditioned including reconditioned including parts and accessories. parts and accessories. 3. Delivery and installation should be done within sixty (60) 3. Delivery and installation is within sixty (60) calendar days commencing on the calendar days commencing on the Jrd working day of notification 3rt!working day of notificationthrough confirmed fax that the approved Purchase through confirmed fax that the approved Purchase Order is Order is already available for pick-up. already available for pick-up. 4. Three (3) years warranty with preventive maintenance for parts 4. Three (3) years warranty with preventive maintenance for parts and service and service after passing the acceptance testing of the Center for after passing the acceptance testing of the Center for Device Regulation, Device Regulation, Radiation Health and Research (CDRRHR) of Department of Health (DOH). Radiation Health and Research (CDRRHR) of Department of Health (DOH). 5. Provide regular quarterly preventive maintenance during the warranty service. 5. Provide regular quarterly preventive maintenance during the warranty service. 6. Provide Operator's & Service's Manual upon delivery. 6. Provide Operator's & Service's Manual upon delivery. 7. The winning bidder will be responsible for the performance 7. The winning bidder will be responsible for the performance testingflicensing, testingflicensing, delivery, installation and commissioningof the delivery, installation and commissioning of the unit. unit. 8. The winning bidder must provide training for maintenance 8. The winning bidder must provide training for maintenance personnel form the personnel form the PGH-OETS. Certification must be submitted. PGH-OETS. Certification must be submitted. - - End-user Signature of Representative ~ / Name of Representative NOLI M. BERNAL Rm. 701! 7th Floor Cocofed Bldg. 144 Amorsolo St. Telephone/Fax/ / isicomm@jnstrumixonline.com 6

8 BID NO: PURl UNIT: SUPPLY & INSTALlATION OF C-ARM ADDITIONAL SHEET FOR ADDITIONAL TECHNICAL SPECIFICATIONS (Include / Remarks 9. Guarantee letter or certificate from the manufacturer and 9. Guarantee letter or certificate from the manufacturer and local local distributor to ensure the availability of spare parts and distributor to ensure the availability of spare parts and accessories for accessories for the next ten (10) years and will not be the next ten (10) years and will not be discontinued for the next five (5) discontinued for the next five (5) years. years. 10. The bidder must submit certification that they have the 10. The bidder must submit certification that they have the capability for capability for corrective and preventive maintenance of the corrective and preventive maintenance of the unit. unit. 11. A notarized certificate of sole distributorship from the 11. A notarized certificate of sole distributorship from the unit unit manufacturer mentioning the name of the Philippine manufacturer mentioning the name of the Philippine representative. representative. 12. A notarized certification of manufacturer guaranteeing 12. A notarized certification of manufacturer guaranteeing delivery of the See attached CertifICation delivery of the equipment and all accessories. equipment and all accessories. 13. The unit should conform to the International 13. The unit should conform to the International Electrotechnical Electrotechnical Commission (IEC) Standards and Commission (IEC) Standards and International Health Enterprise (IHE). International Health Enterprise (IHE). Certificate is Certificate is warranted. warranted. 14. Availability of trained service engineers 24fT with 14. Availability of trained service engineers 24fT with guaranteed uptime guaranteed uptime within 48 hours. within 48 hours. ) End-user Signature of Representative ( ;_,..r, Name of Representative TelephonelFaxl NOLI M. BERNAL INSTRUMIX SUPPLIER. INC. Rm. 701! 7tt!Floor Cocofed Bldg. 144 Amorsolo St. Legaspi Village. Makati City / isicomm@instrumixonline.com 7

9 BID NO: PURl UNIT: SUPPLY & INSTALLATION OF C-ARM ~li'!iii!iiii! user / esen~~ Department01 RadiologyUP#" ADDITIONAL SHEETFOR ADDITIONAL TECHNICAL SPECIFICATIONS (Include / Remarks 15. Notarized certificates of good track records within five to 15. Notarized certificates of good track records within five to ten years ten years from govemment and/or private hospitals within from govemment and/or private hospitals within Metro Manila Metro Manila 16. The bidder must be at least five (5) years In the 16. The bidder must be at least five (5) years In the business as supplier. business as supplier. 17. Provide separate quotation for maintenance, repair and 17. Provide separate quotation for maintenance, repair and replacement See attached Quotation replacement of parts after expiration of warranty. of parts after expiration of warranty. 18. Certification of guaranteed uptime for the machine 18. Certification of guaranteed uptime for the machine offered. The offered. The bidder must submit the original brochure. bidder must submit the original brochure. 19. Must provide a soft copy (compatible with UPM-PGH 19. Must provide a soft copy (compatible with UPM-PGH Operating Operating System) in CD and hard copy of the technical System) in CD and hard copy of the technical specifications. specifications. 20. The bidder is required to submit single bid for the 20. The bidder is required to submit single bid for the item. Two or item. Two or more bids offer is automatically more bids offer is automatically disqualified. disqualified. 21. Compliance with Republic Act No on 21. Compliance with Republic Act No on applicable laws. See attach~ation applicable laws. End-user Signature of Representative L.~ Name of Representative TelephonelFax/ NOLI M. BERNAL Rm. 701, 7t! FloorCocofed Bldg. 144Amorsolo St / isicomm@instrumixonline.com 8