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TENDER ENQUIRY DOCUMENT FOR Request for Proposal for Knowledge Partnership Program for Tuberculosis Eradication Partnership Proposal for Five Years (2018-2023) in Andhra Pradesh under PPP mode Submission of tender online @ www.tender.apeprocurement.gov.in ANDHRA PRADESH MEDICAL SERVICE INFRASTRUCTURE DEVELOPMENT CORPORATION
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Submission of tender online @ RFP for TB Cases under PPP.pdf · 2018-08-17 · App (99 Dots)/Nikshay based patient tracking system management 2. Sensor based/phone cash back based

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Page 1: Submission of tender online @ RFP for TB Cases under PPP.pdf · 2018-08-17 · App (99 Dots)/Nikshay based patient tracking system management 2. Sensor based/phone cash back based

TENDER ENQUIRY DOCUMENT FOR

Request for Proposal for Knowledge Partnership Program for Tuberculosis

Eradication Partnership Proposal for Five Years (2018-2023) in Andhra Pradesh

under PPP mode

Submission of tender online @ www.tender.apeprocurement.gov.in

ANDHRA PRADESH MEDICAL SERVICE INFRASTRUCTURE DEVELOPMENT

CORPORATION

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SECTION - II

ANDHRA PRADESH MEDICAL SERVICE INFRASTRUCTURE DEVELOPMENT

CORPORATION

Address

Managing Director,

Plot No:09, survey number: 49, IT Park,

Mangalagiri, Guntur District- 522503

URL: www.tender.apeprocurement.gov.in

Email: [email protected]

Telephone Phone: 8978622966

Tender Enquiry No. 9.1/APMSIDC/Equipment /2018-19, Dated: 08.08.2018.

NOTICE INVITING TENDERS

1. Managing Director, Plot No:09, survey number: 49, IT Park, Mangalagiri, Guntur District- 522503

invites sealed tenders from eligible service providers for supply of services as given in Section-

IV of this document for the period of 5 years

2. Schedule of Events

Sl.

No

Description Schedule

1 Date of sale of Tender Enquiry Documents

17.08.2018

2 Website download of Tender Enquiry Document

17.08.2018

3 Closing Date and Time of Receipt of Tender

06.09.2018 before

11.00 A.M.

APMSIDC, Mangalagiri, Guntur District- 522503

4 Time, Date and Venue of Opening of

Technical Tender/ Bid

06.09.2018

11.30 A.M.

APMSIDC, Mangalagiri, Guntur District- 522503

5 Time, Date and Venue of Opening of

Financial Tender/ Bid

06.09.2018

3.30 P.M.

APMSIDC, Mangalagiri, Guntur District- 522503

Note : 1. Amendment issued on queries received for 1st call are also enclosed as a part of this

tender document.

2. For any queries regarding this tender (with amendment to 1st call), please send a mail to

[email protected] on or before 28.08.2018 by 03.00 P.M.

3. Interested bidders may obtain further information about this requirement from the above office

selling the documents. Tender Enquiry Documents can be downloaded online with a processing

fee of Rs. 28,650/- Which is non-refundable fee, in the form of account payee Crossed Demand

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Draft, drawn on a scheduled bank in India, in favour of Managing director, APMSIDC" payable at

Guntur.

4. All prospective bidders may attend the Pre Tender meeting. The venue, date and time are

indicated in Schedule of Events as in Para 2 above.

5. Bidders shall ensure that their tenders, complete in all respects, are uploaded online in

(tender.apeprocurement.gov.in) on or before the closing date and time indicated in the Para 2

above, failing which the tenders will be treated as late tender and rejected. The technical bid of the

uploaded documents must be sent by post/ courier to the above said address on or before the

closing date & time indicated in Para 2 above, failing which the tenders will be treated as late

tender and rejected.

6. In the event of any of the above mentioned dates being declared as a holiday /closed day for

the purchase organisation, the tenders will be sold/received/opened on the next working day at the

appointed time.

7. The Tender Enquiry Documents are not transferable.

10. All Tenders must be accompanied by EMD as mentioned against each item.

Tenders without EMD shall be rejected.

Managing Director

APMSIDC

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INSTRUCTIONS TO BIDDERS

1. GENERAL INSTRUCTIONS

a) The bidder should prepare and submit its offer as per instructions given in this section.

b) The tenders shall be complete with all documents. Those submitted by fax or by email with

attachments shall not be considered.

c) The tenders which are for only a portion of the components of the job /service shall not be

accepted. (The tenders /bids should be for all components of the job /service.)

d) The prices quoted shall be firm and shall include all applicable taxes and duties. This shall be

quoted ONLY ONLINE in the format as per attached Appendix 'F' only.

e) The tenders (technical) shall be submitted (with a covering letter as per Appendix 'E') before the

last date of submission. Late tenders / bids shall not be considered.

2. Inspection of Site and Equipment

The interested bidder may inspect the locations where the services are to be rendered during

10.00 AM TO 5.00 PM on all working days till last date of sale of tender as given in the tender

schedule. The Managing Director, APMSIDC shall not be liable for any expenditure incurred in

such inspection or in the preparation of the bid(s).

3. Earnest Money Deposit (EMD)

a) The tender shall be accompanied by Earnest Money Deposit (EMD) as specified in

the Notice Inviting Tender (NIT) in online only. b) It may be noted that no tendering entity is exempted from deposit of EMD. Tenders

submitted without EMD shall be rejected.

c) The EMD of unsuccessful bidder will be returned to them without any interest, after

conclusion of the resultant contract. The EMD of the successful bidder will be

returned without any interest, after receipt of performance security as per the terms

of contract.

d) EMD of a bidder may be forfeited without prejudice to other rights of the purchaser, if

the bidder withdraws or amends its tender or impairs or derogates from the tender in

any respect within the period of validity of its tender or if it comes to notice that the

information /documents furnished in its tender is incorrect, false, misleading or

forged.

e) In addition to the aforesaid grounds, the successful bidder‟s EMD will also be

forfeited without prejudice to other rights of purchaser, if it fails to furnish the required

performance security within the specified period.

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4. Preparation of Tender

The bids shall be made in SEALED ENVELOPE as follows: I. The envelope shall be marked in

bold letter as "TECHNICAL BID" which shall be sent forwarding letter ("Appendix-E") and shall

include the following:

1) Processing Fee Rs. 28,650/-

2) E.M.D of Rs. 1,00,000/- in online only.

3) Confirmation regarding furnishing Performance Security in case of award of contract.

4) Original tender document duly stamped and signed in each page along with the Forwarding

Letter confirming the performing the assignment as per "Appendix E".

5) Particulars of the bidder as per "Appendix-D"

6) Copy of the Income Tax Returns acknowledgement for last three financial years.

7) Copy of audited accounts statement for the last three financial years

8) Power of attorney in favour of signatory to tender documents and signatory to Manufacturer's

Authorisation letter.

9) Copy of the certificate of registration of GST, EPF, ESI with the appropriate authority valid as on

date of submission of tender documents.

10) A duly notarized declaration from the bidder in the format given in the

"Appendix-H" to the effect that the firm has neither been declared as defaulter or

black-listed by any competent authority of Government of India OR Government of

any State.

11) A statement regarding similar services performed by them in last five years and user's

certificate regarding satisfactory completion of such jobs as per proforma given in "Appendix -C".

II. The Financial proposal shall be uploaded only ONLINE which is inclusive of all taxes & duties

and quoted in the proforma enclosed at "Appendix F" as per scope of work / service to be rendered

under PPP in Andhra Pradesh.

6. Tender Submission

The bidders need to scan and upload the required documents. Such uploaded documents

pertaining to technical bid need to be attached to the tender while submitting the bids on line. The

attested copies of all these uploaded documents of technical bid, signed undertaking of renderer

should be submitted off line to Managing Director, APMSIDC, Mangalagiri, Guntur District- 522503

on or before the last date of submission of bids. The Corporation will consider only the bids

submitted through on-line over the copies of the paper based bids.

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The offer shall contain no interlineations or overwriting except as necessary to correct errors, in

which cases such correction must be initialed by the person or persons signing the tender. In case

of discrepancy in the quoted prices, the price written in words will be taken as valid.

7. Opening of Tenders:

The technical bid will be opened at the time & date specified in the schedule

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EVALUATION OF TENDERS

1. Scrutiny of Tenders

1. The tenders will be scrutinized by the selection committee appointed by the

authority to determine whether they are complete and meet the essential and

important requirements, conditions and whether the bidder is eligible and qualified as

per criteria laid down in the Tender Enquiry Documents. The bids, which do not meet

the aforesaid requirements, are liable to be treated as non-responsive and may be

ignored. The decision of the purchaser as to whether the bidder is eligible and

qualified or not and weather the bid is responsive or not shall be final and binding on

the bidders. Financial bids of only those bidders, who qualify on technical bid, will be

considered and opened.

2. Infirmity / Non-Conformity

The purchaser may waive minor infirmity and/or non-conformity in a tender, provided it does not

constitute any material deviation. The decision of the purchaser as to whether the deviation is

material or not, shall be final and binding on the bidders

3. Bid Clarification

Wherever necessary, the purchaser may, at its discretion, seek clarification from the bidders

seeking response by a specified date. If no response is received by this date, the purchaser shall

evaluate the offer as per available information.

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SECTION - V

1. SCOPE OF THE WORK

Following key performance indicators will be collated, tracked and reviewed monthly on a routine

basis.

Outcome metrics:

(i) Number of persons screened,

(ii) Number of symtpomatics found,

(iii) Number of sputum samples deposited in Labs,

(iv) Number of symptomatics who test positive,

(v) Number of new patients enrolled,

(vi) Total target population served,

(vii) Default percentage,

(viii) Treatment success rate

Quality audit and User Satisfaction

Access and utilisation: Detection as percentage of prevalence

Cost and sustainability: Monthly expenses, Cost per patient, Cost per treatment

center

Achievement of positive health outcomes: Increase in weight between beginning

and end of treatment, Increase in income after treatment

Number of staff trained on technology

2. State TB management and monitoring unit

A State level monitoring unit will be established to coordinate the program. The unit shall have the

core staff of Knowledge Partner. Based on that, it will issue necessary instructions to the field

formations and coordination of regular activities and ensure that the Project in meeting all targets

and milestones.

The following specific tasks shall be the accountability of the knowledge partner:

1. Finalization of strategic model for TB related activity coordination and TB reduction

2. Implementation of partnership model across the state

3. Establishing a baseline and evaluation of results, with clear measurement of

targets on quarterly basis.

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An independent team will evaluate the performance of the project, at the end, to ascertain its

achievements. It will evaluate the project on various parameters, including the following.

1. Reduction in incidence and prevalence of TB in the target area

2. Overall performance of the project and each of its components

3. Assessment of technologies which have emerged in other areas, during the

duration of the Project, and how they can be integrated into this project

Knowledge partner shall be responsible for ensuring implementation, reporting non- compliance by

the health system with specific locations; suggest introduction of global best practices. Effective

Implementation of innovations such as below shall be part of core strategy:

1. App (99 Dots)/Nikshay based patient tracking system management

2. Sensor based/phone cash back based Drug dose compliance management

3. Management of exclusive beds for TB in Teaching Hospitals and District Hospitals

4. Use of Pvt. Sector labs for TB detection against reimbursement at pre-decided rates

5. Use of Public Sector Labs for TB detection for cases of private sector on free-

of - cost basis

6. Creation and Management of TB Mission Pool

7. Management of on information on Drug Reaction due to TB Drugs from

ADR/PvPI reporting centres

8. Inclusion of TB management in NTR-Vaidya Seva (state health assurance) package.

9. Deployment of social sciences personnel/councillors for large facilities

10. Engaging private health professional community for TB diagnosis

11. Alternate models of drug supply

12. Virtual classes for schools, colleges- engagement of virtual media

13. Provision of X-ray /lab vouchers like sodexo for engaging private diagnostic

chains

14. Monitoring of Hiring/Incentivizing of Cured cases for assisting sick

15. TB Dietary package management

16. Engaging health and non-health community functionaries like Dwacra

women for active case identification

17. Supporting state towards betters logistics

18. Ensuring Mandatory X-ray at CHCs for sputum negative at PHCs.

19. Geo-tagging of case clusters

20. Private Drug Sale for TB medications - digitisation and tracking system

Additionally, the knowledge part shall provide technical support to Health

Department in:

21. Setting up of TB detection labs at Ports for Port workers, APSRTC Depots;

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NTPC, Steel Plants, and other similar Public Sector Units Converting all CHCs

into reference centres with RT-PCR based TrueNat diagnostic technology

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SECTION - VI

ELIGIBILITY CRITERIA

a) An institution registered as a University/Society/Trust/NGO/ Company but not an individual or group

of individuals.

b) The applicant must have a minimum of 5 years of experience in implementing and/or supporting

public health programmes at national level.

c) Experience in thematic areas of communicable diseases is mandatory.

d) The applicant/staff (including proposed staff identified below application progress) of applicant

institute must have a minimum of 5 publications in peer-reviewed indexed journals

e) The applicant must be not black-listed by Central/State Government

f) The applicant must have a financial turn-over of Rs.1.00 Crore for past three financial years, with CA

audited balance sheet to be submitted.

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SECTION - VII

TERMS AND CONDITIONS

1. Selection of Awardee:

(i) Only one knowledge partner would be selected under this partnership proposal.

(ii) Applications of only those that qualify the eligibility criteria shall be evaluated for

final selection

(iii) The Program Support cost per quarter spanning 60 months (20 quarters) is

required to be quoted by the applicant agency in „Full amount‟ excluding GST.

(iv) The following documents are required to be submitted along with application form

as given in appendix attached with this proposal:

1. Application Form

2. Status of the Firm / Registration certificate / Memorandum of

association

3. Income Tax Return of past three financial years; service tax

(where applicable) for past three financial years.

4. Balance sheet past three financial years

5. Project Details of work executed in past five years

6. Letters from organizations on behalf of whom program

support/project has been completed with completion certificate

7. Publications in peer-reviewed indexed journals

8. Self- declaration on institutional letter head for non-blacklisting

(v) Payment stages: All payments towards the research project shall be in

accordance with project objectives; which is 3% reduction in tuberculosis

incidence quarter

(vi) Other Terms & Conditions:

1. Selected Partner will make endeavors to procure funding from external donors.

HM&FW Dept. shall support such applications and same to be deducted from the

funds due from HM&FW dept. to avoid double payments for same work.

2. The Information Technology requirement for data analysis and dashboard will be

supported by the selected service provider.

3. The payments/invoice shall be outcome based on quarterly payments. However, in

case in a particular quarter the decline is less than 3% for the quarter, 50%(Fifty

Percent) payments shall be made for the quarter, the balance shall be release after

achieving the cumulative 6% targets over two quarters. The payment in full shall be

made for first quarter for supporting service provider undertake activities, irrespective

of target achieved during the quarter.

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4. Payment of invoices can be made on Monthly basis after 6 months of start of

partnership if the selected partner has been able to achieve desired target reduction

of average 3% per quarter for two quarters.

5. On achievement of 12% average annual decline, an escalation of 5% shall be made

on quarterly invoice value.

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Tuberculosis Eradication Partnership Proposal (2018-2023)

OBJECTIVES:

The aim of the project is to move towards eradication of TB in Andhra Pradesh. The project will achieve 100% detection and at least 85% TSR. TSR will also be verified through triangulation of data from various sources like doctors, labs and program data as well as feedback from patients who are shown as treated by the technology. At the end of the project, Andhra Pradesh will have a substantially reduced incidence and prevalence of TB, similar to developing countries like Singapore and USA than other states in India.

Goal: 3% reduction in TB incidence per quarter in the state of Andhra Pradesh

To achieve the above goal, the objectives would include the following:

1. Establish rigorous active case finding

2. Improve contact investigation of existing open cases of TB

3. Improve counselling and education for patient, his immediate circle and

communities

4. Improve adherence to TB drugs

5. Achieve treatment success rate of at least 85%

6. Ensure disbursement of benefits provided by the Government to patients

including nutrition support

7. Improve mechanism for retrieval of patients who are missing doses.

Background:

TB is also a serious social-economic problem. In India alone, indirect economic loss

is US$23bn annually. Andhra Pradesh has 139730 patients. Of this, 80197 (57%)

were detected in 2017. Out of this, 64669 were detected in the Government and

balance 15528 in the private sector. TB bacteria is mutating into untreatable forms

like MDR/ XDR/ XXDR (also known as TDR) as a result of failure of Public Health

programs, indiscriminate use of antibiotics, inaccurate data and consequently poor

policies and budgeting priorities. Worse still, a patient of MDR (multi-drug resistant

TB) infects.

others with MDR, not normal (drug sensitive TB). This is a serious concern because

TB is highly infectious. Each open case infects 12 others before dying as shown in

the diagram alongside on an average

(http://www.who.int/mediacentre/factsheets/fs104/en/)

MDR TB is caused by a failure to properly treat a patient of normal, naturally occurring

tuberculosis (TB). Why does such a failure happen? The treatment for TB is 6-9

months long. During this period, the patient must approach a DOTS (treatment)

centre about sixty times. The reason is that medicines are mostly not given for home

consumption but have to be swallowed by the patient in the presence of an observer.

This is a critical component of the DOTS therapy recommended by the WHO and

adapted in India. Approaching the DOTS centers so many times over six months is

the root cause. Once patients start feeling better, they stop going to the DOTS centre

and default. It is default that leads to drug-resistance and breeds MDR TB. Similarly,

the default in taking medication for MDR for full 2 years causes XDR TB (Extensively

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drug resistant TB).The only way to prevent MDR and XDR is to ensure zero default,

i.e. no patient should default on treatment of (normal) TB. Common reasons for

default, reported in a study of over 3000 patients, are given below.

` 2. CURRENT RESOURCES

Government infrastructure

The government has built a huge TB infrastructure, meant for all, available to all. There

are adequate number of well equipped hospitals, with TB specialists, medicines and

other facilities, all available for free. Similarly, there are adequate numbers of

diagnostic centres. Unfortunately, treatment centers (DOTS centres) are few and far

between. They are open the usual business hours, when patients have to go to work

to earn food for their families. Therefore patients find it impossible to go every day for

the medicine. The disadvantaged are often intimidated by public hospitals and do not

find anyone to provide love & support.

The three components of the Government model are as follow:

TB Hospitals: Adequate

Government facilities providing comprehensive diagnostics and treatment recommendation

Warehouse for medicine supplies, provided free by government & donors

Diagnostic Centers (DC): Adequate

Sputum tests for initial diagnosis, and subsequent sputum testing

Treatment Centers or DOTS centres: Can be increased with knowledge

partners feedback

Local “last mile” centers, distributing medication and ensuring compliance.

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Nikshay

NIKSHAY is a web based solution for monitoring of TB patients. To monitor RNTCP

effectively, a web enabled and case based monitoring application called NIKSHAY had been

developed by National Informatics Centre (NIC). This is used by health functionaries at

various levels across the country in association with Central TB Division (CTD), Ministry of

Health & Family Welfare. NIKSHAY covers various aspects of controlling TB using

technological innovations.

Existing HR in Andhra Pradesh in TB program:

The following table lists staff currently available in AP‟s TB Control Program.

Staff Positions

Sanction

In position

Vacant

Joint Director &

State TB Officer

1

1

0

District TB Control

Officers

13

8

5

Medical Officer -

TB Control

234

234

0

District Program

Coordinators

13

11

2

DOTS Plus TBHIV

supervisors

13

12

1

STS 234 213 21

STLS 134 124 10

TB Health Visitors 147 106 41

Lab Technicians 611 482 129

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1. Signing of Contract

The purchaser shall issue the Notice for Award of Contract to the successful bidder within

the bid validity period. And the successful bidder will be required to sign and submit the

contract unconditionally within 15 days of receipt of such communication.

2. Modification to Contract

The contract when executed by the parties shall constitute the entire contract between the

parties in connection with the jobs / services and shall be binding upon the parties.

Modification, if any, to the contract shall be in writing and with the consent of the parties.

a) The purchaser reserves the right to accept or reject any bid and to annul the bidding process

and reject all bids at any time prior to award of contract, without there by incurring any

liabilities to the affected Bidder or Bidders or any obligation to inform the affected Bidder or

Bidders of the grounds for the Purchaser's action.

3. Performance Security

a) The successful bidder shall furnish a performance security in the shape of a Bank

Guarantee issued by a Nationalised Bank in favour of Tender Inviting Authority for an

amount equal to 3 months quoted contract value. The Bank guarantee shall be as per

proforma at "Appendix: G" and remain valid for a period, which is six months beyond

the date of expiry of the contract. This shall be submitted within 15 days (minimum) of

receiving of Notice for Award of Contract, failing which the EMD may be forfeited and the

contract may be cancelled.

b) If the firm / contractor violate any of the terms and conditions of contract, the

Performance Security shall be liable for forfeiture, wholly or partly, as decided by the

Purchaser and the contract may also be cancelled.

c) The Purchaser will release the Performance Security without any interest to the firm /

contractor on successful completion of contractual obligations.

4. Compliance of Minimum Wages Act and other statutory requirements

The bidder shall comply with all the provisions of Minimum Wages Act and other applicable

labour laws. The bidder shall also comply with all other statutory provision including but not limited

to provisions regarding medical education and eligibility criteria of human resources used by the

bidder for providing the services, biomedical waste management, bio-safety, occupational and

environmental safety. Legal liability of the services provided by the bidder shall remain with the

service provider but in case of any death the certificate shall be issued by the government doctor.

The Service provider shall maintain confidentiality of medical records and shall make adequate

arrangement for cyber security.

5. Damages for Mishap/Injury

The purchaser shall not be responsible for damages of any kind or for any mishap/ injury/accident

caused to any personnel/property of the bidder while performing duty in the purchaser's /

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consignee's premises. All liabilities, legal or monetary, arising in that eventuality shall be borne by

firm/ contractor.

8. Termination of Contract:

The purchase may terminate the contract, if the successful bidder withdraws its tender after its

acceptance or fails to submit the required Performance Securities for the initial contract and or fails

to fulfill any other contractual obligations. In that event, the purchaser will have the right to

purchase the services from next eligible bidder and the extra expenditure on this account shall be

recoverable from the defaulter. The earnest money and the performance security deposited by the

defaulter shall also be recovered to pay the balance amount of extra expenditure incurred by the

purchaser.

9. Arbitration

a) If dispute or difference of any kind shall arise between the purchaser and the firm/

contractor in connection with or relating to the contract, the parties shall make

every effort to resolve the same amicably by mutual consultations.

b) If the parties fail to resolve their dispute or difference by such mutual

consultations within thirty days of commencement of consultations, then either

the purchaser or the firm/contractor may give notice to the other party of its

intention to commence arbitration, as hereinafter provided. The applicable

arbitration procedure will be as per the Arbitration and Conciliation Act, 1996 of

India. In that event, the dispute or difference shall be referred to the sole

arbitration of an officer to be appointed by the Contracting Authority as

the arbitrator. If the arbitrator to whom the matter is initially referred is transferred

or vacates his office or is unable to act for any reason, he / she shall be replaced by another

person appointed by Contracting Authority to act as Arbitrator. Such person shall be entitled to

proceed with the matter from the stage at which it was left by his predecessor. The award of the

provision that the Arbitrator shall give reasoned award in case the amount of claim in reference

exceeds Rupees One Lac (Rs.1,00,000/-) c) Work under the contract shall, notwithstanding the

existence of any such dispute or difference, continue during arbitration proceedings and no

payment due or payable by the Purchaser or the firm / contractor shall be withheld on account

of such proceedings unless such payments are the direct subject of the arbitration. d)

Reference to arbitration shall be a condition precedent to any other action at law. e) Venue of

Arbitration: The venue of arbitration shall be the place from where the contract has been issued.

10. Applicable Law and Jurisdiction of Court:

The contract shall be governed by and interpreted in accordance with the laws of India for the

time being in force. The Court located at the place of issue of contract shall have jurisdiction to

decide any dispute arising out of in respect of the contract. It is specifically agreed that no other

Court shall have jurisdiction in the matter.

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Application Form (Appendix-I)

Application details

Name of the Applicant:

Financial Due Diligence

Applicant Type:

Company/Society/Trust/NGO/LLP/University)

Address of the Applicant:

Year of Establishment of the Applicant:

Registration Number of the Applicant

Any funding availed in the past from

Government Organizations/States/Govt. of

India

Any funding availed in the past from Non-

Governmental Organizations (national and/or

international)

Banking Details: No Lien Account

Operating Bank Account No.

Bank Branch Address

IFSC

PAN

Comments on the Financial status of the Applicant (keeping in view the following points)

Turnover of the Applicant – Capital of the Applicant - Any legal issues pending as reflected in the annual report/ annual accounts, which will have

adverse impact on Applicant‟s status. - Status of assets mortgaged/hypothecated – Any other Liability

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Appendix - C

Project Details of work executed in past five years

1. Attach users' certificates (in original) regarding satisfactory completion of

assignments.

Sr. No

Assignme

nt

contract No &date

Descript

ion of

work

services

provided

Contract

price of

assignment

Date of

Commenceme

nt

Date of

completion

Was

assignment

satisfactory

completed

Address

of

organizatio

n with

Phone

No.

where

assignment

done

Note: Attach extra sheet for above Performa if required.

Signature ............................................. Name ....................

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APPENDIX -D

PARTICULARS OF THE BIDDER'S COMPANY

(To be submitted by all bidders)

1. Name :

2. Registered Address

3. Phone/Fax/Mail id

4. Type of Organisation :Prop./Partnership/Company/ Consortium/Trust/ Not for Profit Organization

5. Address of Service centres in the region: (a) Total No. of services personnel at the existing

centres: (b) Total No. of locations where organization currently has centres:

6. Number of service personnel:

Name Qualification Experience (Similar Service) (use extra

sheet if necessary)

7. Whether the bidder has NABL/NABH/ISO or any other accreditation? (If yes/ whether

documents attached with techno commercial bid).

8. Registration. Nos.

(a) EPF

(b) ESI

(c) GST

(d) PAN No.

(e) Audited Accounts Statement for past three financial years

(f) Copy of Income Tax Return for past three financial years

(g) Experience certificate of Bidder regarding thematic areas of Maternal and Newborn survival.

9. Brief write-up about the firm / company. (use extra sheet if necessary)

Signature of Bidders Date: Name Place: Office Seal

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APPENDIX -E

Date: .......................

Forwarding Letter for Technical Bid

(To be submitted by all bidders in their letterhead)

To

Managing Director, Mangalagiri, Guntur District- 522503

Sub: Tender for supply of services under Tender No....

Sir, We are submitting, herewith our tender for providing partnership proposal for Knowledge

Partnership Program for Tuberculosis Eradication Partnership Proposal for Five Years (2018-2023)

in Andhra Pradesh under PPP mode.

We are enclosing Receipt No .................................... or Bank Draft/Bankers Cheque

No ........................... , Dated ........................... (amount ............................... ) towards tender

cost/fee (if documents have been downloaded from website) and paid Rs……..

(Amount .............................................. ) online towards Earnest Money Deposit (EMD).

We agree to accept all the terms and condition stipulated in your tender enquiry. We also agree to

submit Performance Security as per ClauseNo.3 of Section VI of Tender Enquiry document. 4. We

agree to keep our offer valid for the period for the period stipulated in your tender enquiry.

Enclosures: 1. 2. 3. 4. 5.

Signature of the Bidder ................................ Seal of the Bidder .........................................

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Appendix - F

FINANCIAL BID

Financial Proposal (to be filled in by the Applicant Agency)

Cost for Program Support per per Month

Weight age for evaluating the Financial Proposal

Cost for Program Support per quarter 50%

Total financial assistance from external funding

agencies being committed by applicant as

assured funding

50%

1. The bidder is expected to deliver the services for a minimum period of five years

2. The bidder has to deposit Performance Security amount equal to 3 months quoted contract

value in form of Irrevocable Bank Guarantee with validity through the duration of the contract.

The prices shall be firm and exclusive of GST.

Signature ................................................. Name ............................................................

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APPENDIX -G Proforma for Bank Guarantee

To Commissioner of Health & FW, Gollapudi, Vijayawada, Amaravati,

WHEREAS ............................................................................... (Name and address of the

Service Provider) (Hereinafter called " the Service provider" has undertaken, in

pursuance of contract No ............................ dated (Herein after "the

contract") to ………………… services. AND WHEREAS it has been stipulated by you in

the said contract that the service provider shall furnish you with a bank guarantee by a nationalized

bank recognized by you for the sum specified therein as security for compliance with its obligations

in accordance with the contract; AND WHEREAS we have agreed to give such a bank guarantee

on behalf of the service provider; NOW THEREFORE we hereby affirm that we are guarantors and

responsible to you, on behalf of the service provider, up to a total

of .............................................................. (Amount of the guarantee in words and

figures), and we undertake to pay you, upon your first written demand declaring the

service provider to be in default under the contract and without cavil or argument,

any sum or sums within the limits of (amount of guarantee) as aforeside, without

your needing to prove or to show grounds or reasons for your demand or the sum

specified therein. We hereby waive the necessity of your demanding the said debt

from the service provider before presenting us with the demand. We further agree

that no change or addition to or other modification of the terms of the contract to be

performed there under or of any of the contract documents which may be made

between you and the service provider shall in any way release us from any liability

under this guarantee and we hereby waive notice of any such change, addition or

modification. This guarantee shall be valid up to 6 months after the contract

termination date ................ (indicate date)

authorized

officer ................................................................

address of the Bank and address of the Branch

(Signature with date of the

the Bank)

. Name and designation of the

................ Seal, name &

officer of

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APPENDIX – H

Declaration By Bidder

I / We ............................................... agree that we shall keep our price valid for a

period of one year from the date of approval. I / We will abide by all the terms &

conditions set forth in the tender documents No .................. / I / We do hereby declare I /

We have not been de- recognized / black listed by any State Govt. / Union Territory / Govt. of India

/ Govt. Organisation / Govt. Health Institutions.

Signature of the bidder: Date :

Name & Address of the Firm: Affidavit

before Executive Magistrate / Notary Public in Rs.100.00 stamp paper.

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CONTRACT FORMAT Contract Form for Providing partnership proposal for

Tuberculosis Eradication in the State of Andhra Pradesh under PPP Mode

.................................................................................................. (Address of the Tender

Inviting Authority/Office issuing the contract) Contract

No. ________________________ dated ___________________ This is in continuation to

this office's Notification for Award of contract No ................... dated . Name & address of

the Service Provider: ..................................................................................................

Reference: (i) Tender Enquiry Document No ............................. Dated ........................ and

subsequent Amendment No .................... , dated ............... (if any), issued by the Tender

Inviting Authority (ii) Service provider's Tender No ............................... Dated ............... and

subsequent communication(s) No ............... Dated .............. (if any), exchanged between

the supplier and the purchaser in connection with this tender. THIS AGREEMENT

made the .................. Day of ............ 2018 between (name of tender inviting authority)

(hereinafter called the Procurer) of one part and ....................... (name of service provider)

(Hereinafter called the Service Provider) of the other part: WHEREAS the Procurer is desirous that

certain services should be provided by the Service Provider, viz, (brief description of services) and

the Procurer has accepted a tender submitted by the

Service Provider for the Services for the sum of .......................... (Contract price in words

and figures) (Hereinafter called the Contract Price), NOW THIS AGREEMENT WITNESSETH AS

FOLLOWS: 1. The following documents shall be deemed to form part of and be read and

constructed as integral part of this Agreement, viz.: (i) Terms and Conditions; (ii) Scope of work;

(iii) Purchaser's Notification of Award. 2. In consideration of the payments to be made by the

Procurer the Service Provider hereby covenants to provide the Knowledge Partnership Program

for Tuberculosis Eradication Partnership Proposal for Five Years (2018-2023) in Andhra

Pradesh under PPP mode in conformity in all respects with the provisions of the Contract.

3. The Procurer hereby covenants to pay the Service Provider in consideration of

the services , the Contract Price or such other sum as may become payable under

the provisions of the Contract at the times and in the manner prescribed in the

Contract. 4. The bank guarantee valid till [(fill the date)] for an amount of Rs. [(fill amount)

equivalent to 3 months quoted contract value] shall be furnished in the prescribed format given in

the TE document, within a period of 15 (fifteen) days of issue of Notice for Award of Contract failing

which the EMD shall be forfeited. 5. Payment terms: The payment will be made against the bills

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raised to the Procurer by the Provider on quarterly basis after satisfactory completion of said

period, duly certified by the designated official. The payment will be made in Indian Rupees. 6.

Paying authority:

_______________________ (name of the Procurer i.e. Office, Authority)

_____________________________ (Signature, name and address of authorised

official) For and on behalf of _____________________

Received and accepted this contract (Signature, name and address of the supplier's executive duly

authorised to sign on behalf of the Provider)

For and on behalf of ____________________________ (Name and address of the

Provider) (Seal of the provider)

Date: ___________________________ Place: ____________________________