LBE Form No.
7
ANNUAL SUPPLIES PROCUREMENT PROGRAM
FISCAL YEAR 2020
Municipality SAN JOSE
Function/Project/Activity For Medical, Dental and Laboratory Supplies for COVID19 Preparedness
Department/Office Municipal Health Office
Fund Medical Dental and Laboratory Supplies Expenses
QUANTITY COST ALLOTMENT BY QUARTER
ITE 1 2 3 4
M PARTICULARS
NO. ON QUAR QUARTE QUARTE
PRO POSED UNIT TOTAL QUAR-TER
HAND -TER R R
Test Kits 5,000 1,800.00 9,000,000.00 9,000,000.00
DISPOSABLE PPE 1,400 7,500.00 10,500,000.00 10,500,000.00
Boots 200 1,500.00 300,000.00 300,000.00
Tent with Clear Plastic Cover 3 10,000.00 30,000.00 30,000.00
Food Grade Disinfectant for Human 200 1,500.00 300,000.00 300,000.00
Thermal Thermometer 40 9,900.00 396,000.00 396,000.00
Plastic Face Shield 100 650.00 65,000.00 65,000.00
Disinfectant tablets 500 1,500.00 750,000.00 750,000.00
Face Mask (N95 20's) 600 250.00 150,000.00 150,000.00
Hand Liquid Soap (500 ml.) 100 262.50 26,250.00 26,250.00
Sterile Gloves Size 6 1/2 20 1,500.00 30,000.00 30,000.00
Sterile Gloves Size 7 20 1,500.00 30,000.00 30,000.00
Sterile Gloves Size 7 1/2 20 1,500.00 30,000.00 30,000.00
Sterile Gloves Size 8 20 1,500.00 30,000.00 30,000.00
70% Isopropyl Alcohol (500ml) 500 395.00 197,500.00 197,500.00
Clean Gloves (Disposable) (Non-Powdered) Small 20 750.00 15,000.00 15,000.00
Disinfectant Spray (340 g., Violet / Orange) 20 504.00 10,080.00 10,080.00
Sterilizing Solution (5 Liters) 5 2,500.00 12,500.00 12,500.00
Face Mask (Disposable 3 Ply w/ Earloop 50's) 200000 42.00 8,400,000.00 8,400,000.00
Lysol Spray 20 500.00 10,000.00 10,000.00
yellow trash bags 50 100.00 5,000.00 5,000.00
plastic bottle sprayer 400 50.00 20,000.00 20,000.00
Permanent marker 100 50.00 5,000.00 5,000.00
Cryo pen 100 50.00 5,000.00 5,000.00
Paracetamol Syrup 20 80.00 1,600.00 1,600.00
Co-amoxiclav Suspencion 50 550.00 27,500.00 27,500.00
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate)
500 mg Amoxicillin (as trihydrate) + 125 mg potassium 1,000 54.00 54,000.00 54,000.00
Clavulanate per tablet
Multivitamins (for adult) capsule 41,800 7.40 309,320.00 309,320.00
Multivitamins per 5 ml 60 ml syrup 1,400 85.00 119,000.00 119,000.00
Oral Rehydration Salts (ORS 75-replacement) 20.5 g
5,000 29.00 145,000.00 145,000.00
sachet
Paracetamol 500mg tablet 32,100 2.50 80,250.00 80,250.00
Salbutamol Nebule 20,000 0.23 4,600.00 4,600.00
Azithromycin tablet 100 350.00 35,000.00 35,000.00
Ascorbic Acid (Vitamin C) 100mg/ml 15 ml oral drops 1,000 14.14 14,140.00 14,140.00
Ascorbic Acid (Vitamin C) syrup 500 75.00 37,500.00 37,500.00
Ascorbic Acid (Vitamin C) 500mg tablet 25,000 6.50 162,500.00 162,500.00
TOTALS 31,307,740.00 31,307,740.00
QUANTITY COST ALLOTMENT BY QUARTER
ITE 1 2 3 4
M PARTICULARS
NO. ON QUAR QUARTE QUARTE
PRO POSED UNIT TOTAL QUAR-TER
HAND -TER R R
Reserve for changes in requirements
Total Appropriations
Prepared by: Recommended by: Approved by:
ERMA V. GONDA
RUFO R. LUNA, M.D. BAC-TWG HON. VALENTINO R. PATRON
Department Head Municipal Mayor
Styro
Cold dogs
gauze
ziplock
31,307,740.00
LBE Form No. 7
ANNUAL SUPPLIES PROCUREMENT PROGRAM
FISCAL YEAR 2020
Municipality SAN JOSE
Function/Project/Activity For Medical, Dental and Laboratory Supplies for COVID19 Preparedness
Department/Office Municipal Health Office
Fund Medical Dental and Laboratory Supplies Expenses
QUANTITY COST ALLOTMENT BY QUARTER
ITE 1 2 3 4
M PARTICULARS
NO. ON PROPOS QUAR QUARTE QUARTE
UNIT TOTAL QUAR-TER
HAND ED -TER R R
Test Kits 100 1,800.00 180,000.00 180,000.00
DISPOSABLE PPE 1,050 2,600.00 2,730,000.00 2,730,000.00
Inclusive of:
1pc Coverall with hood
2 KN95 respirator mask
2 Goggles
1 Surgical Gown
Infrared Thermal Gun Thermometer 30 5,500.00 165,000.00 165,000.00
Plastic Face Shield 300 250.00 75,000.00 75,000.00
Face Mask (N95 20's) 500 250.00 125,000.00 125,000.00
Face Mask (Disposable 3 Ply w/ Earloop 50's) 5500 20.00 110,000.00 110,000.00
Goggles 200 250.00 50,000.00 50,000.00
TOTALS 3,435,000.00 3,435,000.00
Reserve for changes in requirements
Total Appropriations
Prepared by: Recommended by: Approved by:
ERMA V. GONDA
RUFO R. LUNA, M.D. BAC-TWG HON. VALENTINO R. PATRON
Department Head Municipal Mayor
3,435,000.00
Computation of PPE for 50 patients for 3 weeks
1 physician per 8 hours 1 x 3 shifts 3 x
4 nurses per 8 hours 4 x 3 shifts 12 x
2 security personnel per 8 hours 2 x 3 shifts 6 x
1 maintenance per 8 hours 1 x 3 shifts 3 x
1 food handler per 8 hours 1 x 3 shifts 3 x
Total
567 for human resouce
330 10 per barangay
100 for med tech and assistant
50 for transport of specimen and patients
1047 TOTAL
21 days 63
21 days 252
21 days 126
21 days 63
21 days 63
Total 567
LBE Form No. 7
ANNUAL SUPPLIES PROCUREMENT PROGRAM
FISCAL YEAR 2020
Municipality SAN JOSE
Function/Project/Activity For Medical, Dental and Laboratory Supplies for COVID19 Preparedness
Department/Office Municipal Health Office
Fund Medical Dental and Laboratory Supplies Expenses
QUANTITY COST ALLOTMENT BY QUARTER
ITE 1 2 3 4
M PARTICULARS
NO. ON PROPOS QUAR QUARTE QUARTE
UNIT TOTAL QUAR-TER
HAND ED -TER R R
Test Kits 39 1,800.00 70,200.00 70,200.00
DISPOSABLE PPE 819 2,600.00 2,129,400.00 2,129,400.00
Inclusive of:
1pc Coverall with hood
2 KN95 respirator mask
2 Goggles
1 Surgical Gown
Sterile Gloves Size 6 1/2 13 1,500.00 19,500.00 19,500.00
Face Mask (N95 20's) 200 250.00 50,000.00 50,000.00
Face Mask (Disposable 3 Ply w/ Earloop 50's) 1000 20.00 20,000.00 20,000.00
Goggles 200 250.00 50,000.00 50,000.00
TOTALS 2,339,100.00 2,339,100.00
Reserve for changes in requirements
Total Appropriations
Prepared by: Recommended by: Approved by:
ERMA V. GONDA
RUFO R. LUNA, M.D. BAC-TWG HON. VALENTINO R. PATRON
Department Head Municipal Mayor
2,339,100.00
Computation of PPE for 13 patients for 3 weeks
1 physician per 8 hours 1 x 3 shifts 3 x 21 days 63
4 nurses/midwives per 8 hours 4 x 3 shifts 12 x 21 days 252
4 bhws per 8 hours 4 x 3 shifts 12 x 21 days 252
2 security personnel per 8 hours 2 x 3 shifts 6 x 21 days 126
1 maintenance per 8 hours 1 x 3 shifts 3 x 21 days 63
1 food handler per 8 hours 1 x 3 shifts 3 x 21 days 63
Total 819
567 for human resouce
330 10 per barangay
100 for med tech and assistant
50 for transport of specimen and patients
1047 TOTAL
LBE Form No. 7
ANNUAL SUPPLIES PROCUREMENT PROGRAM
FISCAL YEAR 2020
Municipality SAN JOSE
Function/Project/Activity For Medical, Dental and Laboratory Supplies for COVID19 Preparedness
Department/Office Municipal Health Office
Fund Drugs and Medicines Expenses
QUANTITY COST ALLOTMENT BY QUARTER
ITE 1 2 3 4
M PARTICULARS
NO. ON PROPOS QUAR QUARTE QUARTE
UNIT TOTAL QUAR-TER
HAND ED -TER R R
Paracetamol Syrup 39 80.00 3,120.00 3,120.00
Co-amoxiclav Suspencion 26 550.00 14,300.00 14,300.00
Co-Amoxiclav (Amoxicillin + Potassium Clavulanate)
500 mg Amoxicillin (as trihydrate) + 125 mg potassium 273 54.00 14,742.00 14,742.00
Clavulanate per tablet
Multivitamins (for adult) capsule 100 7.40 740.00 740.00
Multivitamins per 5 ml 60 ml syrup 13 85.00 1,105.00 1,105.00
Oral Rehydration Salts (ORS 75-replacement) 20.5 g
130 29.00 3,770.00 3,770.00
sachet
Paracetamol 500mg tablet 200 2.50 500.00 500.00
Salbutamol Nebule 200 0.23 46.00 46.00
Azithromycin tablet 100 350.00 35,000.00 35,000.00
Ascorbic Acid (Vitamin C) 100mg/ml 15 ml oral drops 26 14.14 367.64 367.64
Ascorbic Acid (Vitamin C) syrup 26 75.00 1,950.00 1,950.00
Ascorbic Acid (Vitamin C) 500mg tablet 300 6.50 1,950.00 1,950.00
TOTALS 77,590.64 77,590.64
Reserve for changes in requirements
Total Appropriations
Prepared by: Recommended by: Approved by:
ERMA V. GONDA
RUFO R. LUNA, M.D. BAC-TWG HON. VALENTINO R. PATRON
Department Head Municipal Mayor
Styro
Cold dogs
gauze
ziplock
77,590.64
