Purchase Order Ophthalmologist in Brazil São Paulo –Free Word Template Download with AI
Official Procurement Document for Ophthalmological Services and Equipment
Jurisdiction: Brazil São Paulo | Document Reference: PO-BR-SP-2025-00472
Purchase Order No.: PO-BR-SP-2025-00472Date of Issue: 15 June 2025
Valid Until: 15 September 2025
Purchasing Party (Buyer)
Clínica Ocular Paulista Ltda.
Av. Paulista, 1578 – Bela Vista
São Paulo, SP – 01310-200
Brazil
CNPJ: 12.345.678/0001-90
Contact: Dr. Ricardo Almeida, Ophthalmologist
Email: [email protected]
Phone: +55 (11) 3284-7700
Supplier (Seller)
MedEquip Ophthalmics Brasil S.A.
Rua Vergueiro, 2340 – Vila Mariana
São Paulo, SP – 04101-300
Brazil
CNPJ: 98.765.432/0001-15
Contact: Ms. Fernanda Costa, Sales Director
Email: [email protected]
Phone: +55 (11) 5083-2211
This Purchase Order is issued by Clínica Ocular Paulista Ltda. for the procurement of specialized ophthalmological equipment, diagnostic instruments, and recurring consumables required for the daily practice of the Ophthalmologist Dr. Ricardo Almeida and his team at the São Paulo, Brazil facility. All items listed below are subject to the terms and conditions specified in this document.
| Item # | Description | Category | Qty | Unit Price (BRL) | Total (BRL) | Delivery |
|---|---|---|---|---|---|---|
| 01 | Topcon Autorefractometer AR-5100 – Digital refraction device for the Ophthalmologist's diagnostic suite | Diagnostic Equipment | 1 | R$ 48,500.00 | R$ 48,500.00 | 30 days |
| 02 | Zeiss IOLMaster 700 – Optical biometry system for cataract surgery planning by the Ophthalmologist | Surgical Equipment | 1 | R$ 185,000.00 | R$ 185,000.00 | 45 days |
| 03 | Heine Omega 200 Direct Ophthalmoscope – Complete set with 10 interchangeable lenses for retinal examination | Examination Tools | 4 | R$ 3,200.00 | R$ 12,800.00 | 15 days |
| 04 | Optical Phacoemulsification Handpieces – Model OcuLume 3000, sterile single-use, for the Ophthalmologist's surgical procedures | Surgical Consumables | 200 | R$ 185.00 | R$ 37,000.00 | Monthly |
| 05 | Topographic Corneal Mapping Software License – 3-year subscription for the Ophthalmologist's diagnostic workstation | Software / License | 1 | R$ 22,400.00 | R$ 22,400.00 | Immediate |
| 06 | Artificial Intraocular Lenses (IOL) – AcrySof IQ, multifocal, for cataract replacement procedures performed by the Ophthalmologist | Surgical Consumables | 150 | R$ 1,120.00 | R$ 168,000.00 | Monthly |
| 07 | Slit Lamp Biomicroscope – Nidek SL-18D with fundus camera attachment for the Ophthalmologist's anterior segment examination room | Diagnostic Equipment | 2 | R$ 34,750.00 | R$ 69,500.00 | 30 days |
| 08 | Topical Anesthetic Drops – Proparacaine 0.5%, 10ml vials, for pre-procedural use by the Ophthalmologist | Pharmaceutical | 500 | R$ 28.50 | R$ 14,250.00 | Monthly |
| 09 | Patient Eye Charts and Visual Acuity Testing Kit – ANSI/ISO standard, for the Ophthalmologist's consultation rooms in São Paulo | Examination Tools | 6 | R$ 420.00 | R$ 2,520.00 | 15 days |
| 10 | Annual Preventive Maintenance Contract – Covers all ophthalmological diagnostic and surgical equipment installed at the Ophthalmologist's clinic in Brazil São Paulo | Service Contract | 1 | R$ 18,900.00 | R$ 18,900.00 | Annual |
| Subtotal | R$ 579,870.00 |
| ICMS (18% – São Paulo State Tax) | R$ 104,376.60 |
| Freight & Installation (within São Paulo, Brazil) | R$ 8,450.00 |
| Discount (Volume – 3%) | -R$ 17,396.10 |
| GRAND TOTAL (BRL) | R$ 675,300.50 |
Terms and Conditions of this Purchase Order
- Payment Terms: 50% advance payment upon acceptance of this Purchase Order; 40% upon delivery and installation of capital equipment in São Paulo, Brazil; 10% upon successful completion of the 30-day warranty validation period. Monthly consumable orders (Items 04, 06, 08) shall be invoiced on the 5th of each month with payment due within 30 days.
- Delivery Location: All goods shall be delivered to Clínica Ocular Paulista Ltda., Av. Paulista, 1578, Bela Vista, São Paulo, SP – 01310-200, Brazil. The Ophthalmologist's office manager shall sign the delivery receipt upon inspection.
- Warranty: All capital equipment carries a minimum 24-month manufacturer warranty from the date of installation. The Ophthalmologist's clinic is entitled to on-site repair service within 48 hours of reporting a defect during the warranty period.
- Regulatory Compliance: The supplier warrants that all ophthalmological products comply with Brazilian health regulations, ANVISA device registration, and applicable São Paulo municipal health authority requirements. Non-compliant items will be rejected at the Ophthalmologist's discretion without penalty to the buyer.
- Intellectual Property: Software licenses (Item 05) are non-transferable and restricted to use at the Ophthalmologist's São Paulo, Brazil facility only. Unauthorized duplication or transfer is prohibited under Brazilian intellectual property law (Lei 9.609/1998).
- Force Majeure: Neither party shall be liable for delays caused by events beyond reasonable control, including but not limited to natural disasters, government sanctions, or supply chain disruptions affecting the Brazil São Paulo region.
- Governing Law: This Purchase Order shall be governed by and interpreted in accordance with the laws of the Federative Republic of Brazil, with jurisdiction vested in the courts of the city of São Paulo, SP.
- Validity: This Purchase Order remains valid for acceptance until 15 September 2025. After this date, pricing and availability are subject to renegotiation.
Authorized by (Purchasing Party)
Dr. Ricardo Almeida, OphthalmologistClínica Ocular Paulista Ltda.
São Paulo, Brazil
Date: _______________
Accepted by (Supplier)
Ms. Fernanda Costa, Sales DirectorMedEquip Ophthalmics Brasil S.A.
São Paulo, Brazil
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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