Common Contracts
2 similar Product Evaluation Agreement contracts
PRODUCT EVALUATION AGREEMENT FORM (“PE FORM”)Product Evaluation Agreement • March 17th, 2020
Reference Number (To be filled in by NTFGH) NTFGH-PEF-20-XXXX: _ _ [FOR VENDOR TO FILL IN FROM BELOW ONWARDS] 1.1. Reasons for Trial of Consumables/Implants * Please provide the product family information and advice if they are currently in any existing ALPS GPO and/or NTFGH issued contract. ☐ New☐ Enhancement*☐ Replacement*☐ Extension*☐ State any other reasons: 1.2. Vendor Details Company Name: Contact Person: Contact Telephone: Contact Email: 1.3. Duration of Product Evaluation The duration of product evaluation shall be for a period not exceeding 06 months and with an option to extend for further 03 months. 1.4. Product Sample Details Vendor shall supply at no cost to Ng Teng Fong General Hospital (“NTFGH”) as part of this product evaluation purpose, the samples of the medical products as listed below in Table 1.4.1. Table 1.4.1. Note: Please attach annex if there are more than 05 products to be evaluated.
PRODUCT EVALUATION AGREEMENT FORM (“PE FORM”)Product Evaluation Agreement • February 28th, 2020
S/N Description of Medical Product(s) System Type (for implants) Brand Name Qty Pack Size Lot/Batch Number Expiry Date(min 6 mths)
