Purchase Order Optometrist in Peru Lima –Free Word Template Download with AI
Optometrist Professional Services & Equipment Procurement
Lima, Peru — Republic of Peru
Buyer (Requisitioning Party)
Clínica Ocular del Pacífico S.A.C.
Av. Javier Prado Este 1245, San Isidro
Lima, Peru
RUC: 20587431296
Contact: Lic. María Fernanda Quispe
Email: [email protected]
Phone: +51 1 445-7823
Supplier (Optometrist Service Provider)
Dr. Ricardo Alva Mendoza, Optometrist
Consultorio Optométrico Alva & Asociados
Jr. Unión 892, Miraflores
Lima, Peru
RUC: 10456789231
Professional License: CO-2019-004521
Email: [email protected]
Phone: +51 1 448-9156
This Purchase Order is issued by Clínica Ocular del Pacífico S.A.C., a registered healthcare facility located in the district of San Isidro, Lima, Peru, to formally request and authorize the procurement of comprehensive Optometrist professional services and associated diagnostic equipment. The Optometrist, Dr. Ricardo Alva Mendoza, is a licensed and certified eye care professional registered with the Colegio de Ópticos de Lima and the Ministry of Health (MINSA) of the Republic of Peru. This Purchase Order governs the terms, conditions, pricing, and delivery schedule for all services and materials specified herein, ensuring full compliance with Peruvian commercial law (Código Civil del Perú) and the regulations established by the Superintendencia Nacional de Aduanas y de Administración Tributaria (SUNAT) for invoicing and tax purposes in Lima, Peru.
| Item # | Description | Qty | Unit Price (PEN) | Total (PEN) |
|---|---|---|---|---|
| 01 | Comprehensive Optometrist Eye Examination & Refraction Assessment (per patient session, including visual acuity testing, retinoscopy, and prescription dispensing) | 120 | 185.00 | 22,200.00 |
| 02 | Optometrist-Performed Corneal Topography & Pachymetry Analysis (advanced diagnostic service for contact lens fitting and pre-surgical evaluation) | 45 | 320.00 | 14,400.00 |
| 03 | Optometrist Supervised Ocular Health Screening Program (quarterly on-site service at the Lima, Peru clinic facility, including tonometry, slit-lamp examination, and fundus photography) | 4 | 8,500.00 | 34,000.00 |
| 04 | Phoropter & Autorefractor Calibration Service by Certified Optometrist (annual maintenance and precision adjustment) | 2 | 2,750.00 | 5,500.00 |
| 05 | Optometrist Continuing Education & Training Workshop (12-hour in-person seminar on advanced pediatric optometry, held in Lima, Peru) | 1 | 6,800.00 | 6,800.00 |
| 06 | Custom Optical Lenses & Frame Fitting by Optometrist (premium aspheric lenses with anti-reflective coating, including professional fitting and adjustment) | 60 | 450.00 | 27,000.00 |
| SUBTOTAL | 110,000.00 | |||
| IGV (18% VAT - Peru) | 19,800.00 | |||
| GRAND TOTAL (PEN) | 129,800.00 | |||
- Acceptance: This Purchase Order shall become a binding agreement upon written acceptance by the Optometrist supplier within five (5) business days of the date of issue. Failure to respond within this period shall constitute a declination of this order.
- Service Delivery: All Optometrist services shall be rendered at the buyer's facility located in San Isidro, Lima, Peru, or at the supplier's registered practice in Miraflores, Lima, Peru, as specified per line item. The Optometrist shall adhere to the clinical protocols established by the Peruvian Ministry of Health (MINSA) and the standards set forth by the Colegio de Ópticos de Lima.
- Payment: Payment shall be made via bank transfer (S/ transfer) to the supplier's registered account within thirty (30) calendar days from the date of receipt of a valid SUNAT-compliant electronic invoice (Factura Electrónica). The Purchase Order number must be referenced on all corresponding invoices.
- Quality Assurance: The Optometrist guarantees that all diagnostic procedures, prescriptions, and fittings shall meet the highest professional standards. Any service found to be substandard shall be re-performed at no additional cost to the buyer within ten (10) business days.
- Confidentiality: All patient data collected during Optometrist examinations shall be handled in strict accordance with Peruvian Law No. 29733 (Ley de Protección de Datos Personales) and the data protection regulations applicable in Lima, Peru.
- Force Majeure: Neither party shall be liable for delays caused by events beyond reasonable control, including but not limited to natural disasters, government-mandated closures, or public health emergencies as declared by the Peruvian government for the region of Lima, Peru.
- Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the Republic of Peru. Any disputes arising herefrom shall be resolved through the competent courts of the judicial district of Lima, Peru.
- Amendments: Any modification to this Purchase Order must be made in writing and signed by both parties. Verbal agreements regarding the scope of Optometrist services shall not be binding.
The Optometrist shall commence services no later than June 25, 2025, and complete all contracted services by September 30, 2025. The quarterly screening program (Item 03) shall be conducted on the first Monday of each quarter at the buyer's facility in Lima, Peru. The Optometrist shall provide a written progress report to the buyer's procurement department at the end of each month detailing completed sessions, patient volume, and any equipment maintenance performed.
For the Buyer:
Clínica Ocular del Pacífico S.A.C.
Gerente de Compras
Lima, Peru
Date: _______________
For the Supplier (Optometrist):
Consultorio Optométrico Alva & Asociados
RUC: 10456789231
Lima, Peru
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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