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PO No. CL-SGO-2025-04782

Surgical Services Procurement — Santiago, Chile

Purchase Order Number: CL-SGO-2025-04782
Date of Issue: 14 June 2025
Required Service Date: 03 July 2025
Place of Performance: Santiago, Chile — Hospital Clínico Universidad de Chile, Santiago Metropolitan Region
Currency: Chilean Peso (CLP)
Governing Jurisdiction: Republic of Chile, Santiago Metropolitan Region

Purchasing Entity (Buyer)

Name: Hospital Clínico Universidad de Chile

Address: Independencia 1027, Santiago, Chile

RUT: 80.000.000-0

Contact: Procurement Department, Ext. 4421

Email: [email protected]

Service Provider (Seller)

Name: Dr. Alejandro R. Fuentes, M.D., FACS

Specialty: Cardiothoracic Surgeon

Address: Av. Providencia 1250, Of. 804, Santiago, Chile

RUT: 12.345.678-9

Medical License: Nº 18.452, Colegio de Cirujanos de Chile

Contact: +56 2 2345 6789

This Purchase Order is issued by the Hospital Clínico Universidad de Chile, located in Santiago, Chile, to formally engage the services of a qualified Surgeon for the performance of specialized surgical procedures. The Surgeon, Dr. Alejandro R. Fuentes, is a board-certified Cardiothoracic Surgeon registered with the Colegio de Cirujanos de Chile and holds a valid medical practice license issued by the Superintendencia de Salud de Chile. The Surgeon shall perform all duties in accordance with the clinical protocols established by the purchasing institution and in full compliance with the health regulations of the Republic of Chile, specifically within the Santiago Metropolitan Region.

The engagement of the Surgeon under this Purchase Order is limited to the procedures and dates specified in Section 4 below. The Surgeon shall report to the designated operating theatre at the Hospital Clínico Universidad de Chile, Santiago, Chile, and shall be available for pre-operative consultations, the surgical procedure itself, and post-operative follow-up as outlined herein.

Item Description of Service Quantity Unit Price (CLP) Total (CLP)
01 Pre-operative patient evaluation and surgical planning consultation by the Surgeon at the Santiago facility 1 185.000 185.000
02 Coronary Artery Bypass Graft (CABG) surgery performed by the Surgeon in Operating Theatre 3, Santiago, Chile 1 2.850.000 2.850.000
03 Intra-operative supervision and direct surgical execution by the Surgeon (estimated 4-hour procedure) 1 1.200.000 1.200.000
04 Post-operative intensive care monitoring and Surgeon-led wound assessment (Days 1–5) 5 95.000 475.000
05 Post-operative follow-up consultation by the Surgeon at the Santiago clinic (Week 2 and Week 6) 2 120.000 240.000
06 Emergency on-call availability of the Surgeon for 30 days post-discharge, Santiago, Chile 1 350.000 350.000
GRAND TOTAL (CLP) 5.300.000

All prices are expressed in Chilean Pesos (CLP) and are inclusive of the Surgeon's professional fee. Applicable IVA (19%) shall be added as a separate line item on the final invoice. Total including IVA: CLP 6.307.000.

  1. Payment Terms: Payment shall be made within thirty (30) calendar days from the date of receipt of a valid invoice from the Surgeon. Payment shall be processed via bank transfer to the account designated by the Surgeon, domiciled in Santiago, Chile.
  2. Performance Location: All surgical and clinical services under this Purchase Order shall be performed exclusively at the Hospital Clínico Universidad de Chile, Santiago, Chile, or at such other facility within the Santiago Metropolitan Region as mutually agreed in writing.
  3. Surgeon Qualifications: The Surgeon warrants that he holds a current, unrestricted medical license to practice surgery in Chile, is registered with the Colegio de Cirujanos de Chile, and maintains professional liability insurance with a minimum coverage of CLP 500.000.000, valid throughout the duration of this Purchase Order.
  4. Compliance with Chilean Law: This Purchase Order and all services rendered hereunder shall be governed by and construed in accordance with the laws of the Republic of Chile. Any disputes arising from this Purchase Order shall be resolved in the competent courts of Santiago, Chile.
  5. Confidentiality: The Surgeon shall maintain strict confidentiality regarding all patient information in accordance with Chilean Law No. 20.587 on the Right to Personal Privacy and the regulations of the Superintendencia de Salud.
  6. Cancellation and Modification: Either party may cancel or modify this Purchase Order with a minimum of seven (7) business days' written notice. In the event of cancellation by the purchasing entity after the Surgeon has commenced pre-operative preparation, a cancellation fee of 25% of the total Purchase Order value shall apply.
  7. Force Majeure: Neither party shall be liable for failure to perform obligations under this Purchase Order due to events beyond reasonable control, including but not limited to natural disasters, pandemics, or government-mandated closures affecting healthcare facilities in Santiago, Chile.
  8. Warranty of Service: The Surgeon warrants that all surgical procedures shall be performed with the degree of skill, care, and diligence expected of a reasonably competent Cardiothoracic Surgeon practicing in Santiago, Chile, in accordance with internationally recognized surgical standards.

By signing below, both parties acknowledge and agree to all terms, conditions, and obligations set forth in this Purchase Order. This document constitutes a binding agreement for the procurement of surgical services by the designated Surgeon in Santiago, Chile, effective from the date of the last signature.

For the Purchasing Entity

Director of Procurement

Hospital Clínico Universidad de Chile

Santiago, Chile

Date: _______________

For the Surgeon / Service Provider

Dr. Alejandro R. Fuentes, M.D., FACS

Cardiothoracic Surgeon

Santiago, Chile

Date: _______________

This Purchase Order (CL-SGO-2025-04782) is a controlled document issued by the Procurement Department of Hospital Clínico Universidad de Chile, Santiago, Chile. Unauthorized reproduction or distribution of this Purchase Order is prohibited. For inquiries regarding this Purchase Order or the Surgeon engagement, please contact the Procurement Department at [email protected] or +56 2 2345 6700. This document is valid for a period of ninety (90) days from the date of issue. All references to "Santiago, Chile" in this Purchase Order refer to the Santiago Metropolitan Region of the Republic of Chile.

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