hoe 95 Republic of the Philippines Department of Health OFFICE OF THE SECRETARY OE cond a jz} Rial Avene, Sta Cue is Man, hips Qo Tel, No. 71195402, 1-95.08, NTS Fax -29 January 19, 1999 ADMINISTRATIVE ORDER No. 2-4 _s. 1999 + SUBJECT : Guidelines on the Accreditation of Suppliers of Medical Equipment, Parts, Accessories and of Medical Equipment Repair Shops. Pursuant to Department Order No. 257-G s. 1998 the following guidelines are hereby issued. 4. DEFINITION 1.1 ‘Medical Equipment” means radiological, hospital, medical, laboratory and dental equipment and other related health care equipment. ° 1.2 ‘Maintenance Service” means preventive and corrective maintenance that can be offered by the repair shop 1.3. “Accreditation” is an important component in the procurement system of the Department of Health which aims to ensure that only legitimate and qualified suppliers of medical equipment and maintenance service can participate in the bidding for such equipment and services. Department of Health Accreditation will only be given to qualified suppliers of items or services needed by the Department. 1.4 “Blacklisting” means banning of a company from participating in Department of Health biddings. 2. Categorization of Suppliers 2.1. Accreditation shall be categorized by financial capability 2.2 The category of suppliers shall be indicated in the Accreditation Certificate.CLASSIFICATION OF SUPPLIERS BASED ON NETWORTH CLASSIFICATION NETWORTH REQUIREMENT P 50.001 Million - up P 10.001 Million - 50 million P 5.001 Million - 10 million P_ 2.001 Million - § million P41 Million = - 2 million moow> CATEGORY BASED ON TYPE OF EQUIPMENTISERVICE , Radiological Equipment Medical Equipment Hospital Equipment Dental Equipment Radiology/Medical/Hospital/Laboratory/Dental Equipment Accessories Related Health Care Equipment Maintenance Service 3. Minimum Criteria for Accreditation 3.1 At least 60% of the gross sales for the past two (2) years comes from sales of relevant products/services to the private sector (both local and foreign) 3.2 The relevant products being sold by the applicant should have been registered or given a permitllicense to sell by the Bureau of Food and Drugs for non-radiation devices and by the Radiation Health Service for radiation devices. If such a certificate is not available at the time of application, a registration certificate or permit/ license to sell the product in the country of origin and fully authenticated by the Philippine consular office in the country of origin shall be acceptable. 4. Accreditation Process 4.1 Schedule for submission of application are as follows: +* batch : February to not later than 4:00 pm of May 15. 2" batch: July to not later than 4:00 pm of August 16. 4.2 One complete set of supporting documents and application forms shall be accepted by the Secretariat. If supplier wishes to apply for more than one category, the supplier should indicate how much of the networth will be used per category. 4.3 All documents shall be verified from the original.4.4, An application fee of P200.00 per category payable to the Department of Health Cashier Section will be required before an application for accreditation will be acted upon. However, an official receipt issued by DOH is not equivalent to an accreditation certificate. 4.5 All standards and requirements (as listed in Forms 1,2, & 3) shall be complied with before a Certificate of Accreditation is issued. Processing of application shall be completed within forty five (45) days after receipt of complete documents. 4.6. If necessary, actual site visit and verification of the documents submitted shall be done without prior notification of the company. . 4.7 Upon approval of the application, a Certificate of Accreditation shall be prepared. Issuance of certificate will be upon payment to the Department of Health of the accreditation fee of P500.00 per category. 5. Validity of Accreditation Certificate The Accreditation Certificate shall be valid for one (1) year but shall be renewable, subject to review. 6. Blacklisting Blacklisting shall be based on the following criteria: 6.1 failure to deliver product/equipment within the required period. 6.2 failure to replace productequipment within the required period which failed the acceptance testing of the Department of Health 6.3 submission of falsified documents. All Department issuances related to DOH Suppliers Accreditation on Medical Equipment are rescinded by this order and rendered null and void upon approval of this Administrative Order. This order takes effect immediately. \ DR. ALBERTO G. ROMUALDEZ, JR. Secretary of Health [rvCCMEA form No.2 fox is not forsale January 13, 1998 unay be reproduced by anyone Department of Health COMMITTEE N SUPPLIERS’ ACCREDITATION REQUIREMENTS FOR SUPPLIERS’ ACCREDITATION ON MEDICAL EQUIPMENT AND RELATED HEALTH CARE EQUIPMENT |. DOCUMENTS FOR SUBMISSION : Upon application, the applicant for accreditation shall submit one copy of each of the following documents A. Legal and Documentary Requirements 1, For Single Proprietorship a, Mayor’s Permit and pertinent licenses" to include Official Receipt * b. Registration Certificate of Business name from the Department of Trade and industry * 2. For Corporation or Partnership a, Mayor's Permit and pertinent licenses ** to include Official Receipt * b. Certificate of Registration with Securities and Exchange Commission *, Article of Incorporation * (if initial application ), and By-Laws (i initial application) 3, Social Security System (SSS) Clearance * 4, Value Added Tax (VAT) Registration Certificate * 5. Authority for the Department Accreditation Committee or its representatives to verify documents submitted and to conduct ocular inspection without prior notification of the company. 8. Financial Capability 6. Income Tax Return for the last two (2) years duly received by the BIR* 7. Audited financial statement for the last two (2) years duly received by the BIR * C. Service Capability 8. List of product line or items being carried for sale 8. Original brochures of all products/equipment being carried. 10. A copy of the dealership/distributorship agreement with the principal for products/tems being sold authenticated by the Philippine consular office in the country of the manufacturer (for imported goods) * 11. Certificate of availabilty of spare paris 12, Resume of three (3) full time technical personnel qualified to provide installation and maintenance services for the specific product sold 13, Remittance list of Social Security System Premiums for 1998 (SSS 3 and R6 Form )*yuag SJ0KEy feu Jo uonejuaseid ay} 0} yalgns eeyuMUOD ay) Aq peyone! eq Ae PU [eUONIPUCD 2q [EYs AIe041e0 UOREYPaID9e Buy Jo Myplien a4, disday [eIOWO ey Uaseid Pinoys suoyddns ow “Ayedolunw/Ayo euy Aq peseajal u9Eg 194 JOU SEY jNULleq SIOKEW OU) $l ve Uo}ED{UOA 104 sjueuNoop JeUlBL0 jueseud o} - ‘uoneyparsoy sialiddng Jo ayeounio9 $120k shonaid 84 Jo feulBuo su uasaud pue doo e YeNE 'uoReDlidde Jo jemauel 104 : SLON uoneoydde Jo awn 94 78 ( IL) 00°000'000'| d Jo YUONyeU + SLNSWAMINOSY HLMOMLAN WNINININ Ih diysseuysed 40 uonesodoo Joy jauuosied awn ny (G) @NI4 “6L diysioyouidoud Gus soy jauuosied ew ny (@ ) SOL “BL quawisnboy Jomod ue ‘O) ‘( uosied 191009 Jo “OU ‘Ja} pue aweU ‘pIOS swial| Jo ‘Ou ‘sajes $5016 ‘panidcns tonpoid ‘saworsno Jo ssaippe pue ureu aonjou! ) sie@k ( z ) OM 182; 94) 204 panies SJeUUo3snd Ife JO 15M “Lb piovey YORI eBei0s “2 soo -g Supiom -e ‘seee Buimojoj By) Jo Ysee 404 oj04d iU8081 84D “gL ‘seave quadelpe 0} Uonela! u! eaie a6e10}5 pe 2oyo Jo suoisuewip BuIpnyout ‘ued 40014 “GL (wea) uonpedsul aun apin6 01 ) aBe10ys pue aoyjo yo dew uones07 “pL. s esonueld 12D!~ CMEA Form No. 3 Triste _Sotfor sale January 13, 1999 Itmay be iaproduced by anyone Department if Health COMMITTEE ON SUPPLIERS’ ACCREDITATION REQUIREMENTS FOR SUPPLIERS’ ACCREDITATION ON MEDICAL EQUIPMENT MAINTENANCE SERVICE DOCUMENTS FR SUBMISSION : Upon application, the applicant for accreditation shall submit one copy of each of the following documents Legal and Documentary Requirements 4. For Single Proprietorship a. Mayor's Permit ** to include Official Receipt * b. Registration Certificate of business name from the Bureau of Domestic Trade * 2, For Corporation or Partnership a. Mayor's Permit “fo include Official Receipt b. Certificate of Registration with the Securities and Exchange Commission *, Articles of Incorporation ( if initial application ) *, By- Laws (If initial application ) * 8. Financial Capability 3. Income Tax for the last two (2 ) years duly received by the BIR * 4. Audited financial statements for the last two ( 2 ) years duly received by the BIR ™ ©. Service Capability 5. List of equipment that the company can repair / maintain 6. List of test and calibration tools and equipment 7. List of technical staff a. resume with work specialization b. Social Security System remittances for the year 1998, D. Physical Plant! Office 8. Location map of office and storage ( to guide the inspection team ) 8. Floor plan, including dimensions of office and storage area in relation to adjacent areas. 10. One recent photo for each of the following areas a. working area b. office fc. storage area E. Track Record 1. List of major customers served for the last two ( 2 ) years ( include name and address of customers, equipment repair! maintain, name and tel. no of contact person ) imum Requirements 42, Networth of P 500,000.00 NOTE : For renewal of application, attach a copy and present the original of the previous years’ Certificate of Suppliers’ Accreditation * to present original documents for verification ** If Mayor's Permit has not yet been released by the city/municipality, the suppliers should present the Official Receipt. The validity of the accreditation certificate shall be conditional ‘and may be revoked by the committee subject to the presentation of the Mayor's Permit AhCoM Form No. 1 is form isnot forsale. tmay danuary 13, 1999 ‘ie reproduced by anyone Republic of the Philippines Department of Health Manila COMMITTEE ON SUPPLIERS ACCREDITATION Application for Suppliers of Medical Equipment/Maintenance Service NAME OF ESTABLISHMENT. LATEST ADDRESS OF ESTABLISHMENT, LAND LINE TEL. NO. TAXPAYER'S IDENTIFICATION NO. E-MAIL ADDRESS FAX NO. CONTACT PERSON POSITION If Single Proprietorship or Partnership, list the name of owner or partners: If Corporations, list the name of al INCORPORATORS OFFICERS POSITION ‘TYPE OF APPLICATION (NEW () RENEWAL CATEGORY: Hospital Equipment Medical Equipment Radiological Equipment Laboratory Equipment Dental Equipment Hospital/Medical/Radiological/L aboratory/Dental Equipment Accessories Related Health Care Equipment Maintenance Service IIIT Paid up capital Present Networth | HEREBY CERTIFY THAT THE ABOVE INFORMATION AND THE INFORMATION PROVIDED IN ALL THE ATTACHMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. | UNDERSTAND THAT ANY MISREPRESENTATION OR FALSE INFORMATION WILL BE GROUND FOR OUTRIGHT REJECTION OF THE APPLICATION OR REVOCATION OF ACCREDITATION. Proprietor's Signature Res, Cert. No. Issues at Date Issued REPUBLIC OF THE PHILIPPINES ) cITy OF 8s. SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me his/her Residence Certificate indicated above. Doc. 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