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REQUEST FOR PROPOSAL FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

RFP DOCUMENT

NOT TRANSFERABLE

RFP reference: NRHM/TRB/ Super Speciality/ 540/ 2011-12/32315 Dt. 02.03.12

Last Date of Submission of RFP: 24.03.2012 up to 2.00 P.M

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

OFFICE OF THE MISSION DIRECTOR NATIONAL RURAL HEALTH MISSION, ASSAM


Saikia Commercial Complex, Srinagar Path, Christianbasti, G.S.Road. Guwahati-781005

RFP for Establishment of Super-Speciality Hospital at Amingaon, Kamrup under PPP Mode

RFP reference: NRHM/TRB/ Super Speciality/ 540/ 2011-12/32315 Dt. 02.03.12 Date of commencement of sale of RFP document : Last date for sale of RFP document Date of Pre-bid meeting Closing date & time of receipt of RFP Time and date of opening of Technical Bid Place of opening of RFP. : : : : : 03.02.2012 23.03.2012 13.03.2012 24.03.2012 at 2 PM 24.03.2012 at 3 PM Office of the Mission Director, National Rural Health Mission, Saikia Commercial Complex, Srinagar Path, Christianbasti, G.S Road, Guwahati-781005, Assam. Mission Director, National Rural Health Mission, Saikia Commercial Complex, Srinagar Path, Christianbasti, G.S Road, Guwahati781005, Assam.

Address for Communication

Bid Document issued to M/s . On dated .. against the receipt of Rs 1000.00 (Rupees One Thousand Only) in the form of Bank Draft/ Bankers Cheque, No:.... dated.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

Table of Contents
1 2 Introduction............................................................................................................................................................. 5 Instruction to Bidders: ......................................................................................................................................... 8 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 3 General Instructions: ................................................................................................................................... 8 Eligibility Criteria: ........................................................................................................................................ 8 Departments and services to be provided:........................................................................................... 8 Responsibilities of Bidder to set up and run the Super-speciality Hospital: ............................. 9 Contribution from Govt. of Assam ........................................................................................................ 10 Performance Security............................................................................................................................... 10 Arbitration ................................................................................................................................................... 11 Laws Governing the Contract & Jurisdiction..................................................................................... 11 Other Condition .......................................................................................................................................... 11

Technical Bid (cover A)..................................................................................................................................... 12 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 ITEM 1: Letter for Submission of RFP ................................................................................................. 13 ITEM 2: General Information about the Bidder ............................................................................... 14 ITEM 3: Financial Capability .................................................................................................................. 16 ITEM 4: Overview of Technical Capability......................................................................................... 17 ITEM 5: Brief description about current activities ......................................................................... 18 ITEM 6: List of Services to be provided .............................................................................................. 19 ITEM 7: Details of Manpower to be deployed .................................................................................. 20 ITEM 8: Detailed plan of operation process ...................................................................................... 21 ITEM 9: Details of Civil works to be executed .................................................................................. 22 ITEM 10: Details of Equipment to be installed ................................................................................. 23 ITEM 11: Others ......................................................................................................................................... 24

4 5 6 7

Price Bid (cover B) ............................................................................................................................................. 26 Opening of RFP .................................................................................................................................................... 28 Bid evaluation ...................................................................................................................................................... 29 ANNEXURE............................................................................................................................................................ 30 7.1 Annexure I: Description of the Existing Hospital Building........................................................... 30

7.2 Annexure II: Specification of additional works for Up-gradation of the existing infrastructure ........................................................................................................................................................... 33 7.3 7.4 7.5 Annexure III: List of Essential Equipments. ...................................................................................... 34 Annexure IV: List of Manpower to be deployed............................................................................... 38 Annexure V: Format for Power of Attorney for Signing of Application.................................... 40

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE 7.6 7.7 7.8 7.9 7.10 7.11 Annexure VI: Format for Power of Attorney for Lead Member of Consortium .................... 42 Annexure VII:Format forUndertaking on Fraud and Corruption ............................................... 44 Annexure VIII:Format forNon Conviction Certificate .................................................................... 45 Annexure IX: Format of Price Bid ......................................................................................................... 46 Annexure X: Form of Contract Agreement ........................................................................................ 47 Annexure XI: CGHS Circular..51

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

1 Introduction

Sealed RFPs are invited by the Mission Director, National Rural Health from the intended bidders to participate in a Two Bid (Part-I: Technical Bid & Part-II: Price Bid) System for setting up and operationalising a Super-speciality Hospital in PPP mode in Kamrup District of the State. A newly constructed building having five floors with approximately 9674.60 Sq. m of floor area is proposed to be provided by the State Government for this purpose on a long term lease of 30 years which may be extended on mutual agreement. The aforesaid building shall have space available to accommodate 300 (Three hundred) beds in different wards and 6 (six) numbers of Operation Theatres etc. The details of the space proposed in the said building along with other details of the location etc. are available at Annexure I of RFP document. The Super-speciality hospital shall provide facilities and services in all of the following departments:I. II. III. IV. V. Cardiology Cardio-Thoracic Surgery Neurosurgery Neurology Dialysis Unit

All services shall have to be provided as appearing in the list of services mentioned in CGHS circular S .11011/23/2009-CGHS D.II/Hospital Cell (Part III) dated 17th August 2010 (Annexure XI) for the above mentioned departments. The existing available infrastructure shall have to be upgraded as per the minimum specification detailed in the Annexure II of the RFP document. Further the Super-speciality hospital will have to be equipped with at least all the equipments etc. as detailed in the Annexure III of the RFP document. Also all the minimum man power requirement envisaged for the Super-speciality hospital and annexed at Annexure IV will have to be deployed. In this PPP arrangement, Govt. of Assam will provide a contribution of Rs 22.00 crores in three installments during execution of the project besides the existing building. Existing Civil Works have been valued at Rs. 29.92 crores and the Land Value is Rs. 1.89 crores. The selected bidder shall bear the remaining expenses in setting up the facilities mentioned above and thereafter run the hospital on a day to day basis.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE However, 50% of all Beds (50% in different wards and 50% in ICU/ITU/ICCU etc.) shall have to be charged at a concessional rate which shall be arrived at through bidding herein after referred to as Bidded Rate. The Bidded rate shall be determined through bidding - PartII Price Bid of this RFP process where the bid shall be quoted as the percentage (%) below the CGHS rate existing as on 1ST November 2011. (For example if the bidder wishes to provide 50% of the beds at the rates which are 5% below CGHS rates, he / she shall bid as 5% below) The above mentioned 50% of Hospital Beds (applicable for all department / Specialities / Investigations) will be provided at the Bidded rate to any person notified by the State Govt. who is a permanent resident of Assam belonging to BPL category or who is a State Govt. employee, or is a Freedom Fighter, or is above 70 years of age or is a retired State Govt. employee. The above mentioned 50% hospital beds at the bidded rate shall have to be filled up first. Only after filling of these beds the remaining beds at different rate would be allowed to be filled up. While for the remaining 50% beds the bidder will be free to decide the rates / charges. 50% of all OPD and Diagnostic services should be provided at the bidded rate to any person notified by the State Govt. who is a permanent resident of Assam belonging to BPL category or who is a State Govt. employee, or is a Freedom Fighter, or is above 70 years of age or is a retired State Govt. employee. OPD and Major Diagnostic services shall have to start within three (3) months from the date of signing of the agreement and all services shall have to start within one (1) year from the date of signing of the agreement Persons notified by the State Govt. for availability of facilities at the bidded rate would include any person notified by the State Govt. who is a permanent resident of Assam belonging to BPL category or who is a State Govt. employee, or is a Freedom Fighter, or is above 70 years of age or is a retired State Govt. employee. The qualifying criteria for bidders to participate in this RFP are as follows: Minimum Annual Turnover of Rs. 50.00 crores for last three years. The bidder has at least one existing Super-speciality Hospital in the country having all the Super-specialities mentioned in this RFP i.e Cardiology, Cardio-Thoracic Surgery, Neurosurgery, Neurology, Dialysis Unit. The existing hospital should be in operation for at least 5 years i.e shall have been in operation on or before 1/11/2006

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE Government of Assam reserves the right to accept or reject any RFP and cancel the bidding process at any time without any liability and assigning any reason thereof. The proposals retained after the scrutiny will be considered for the pre-bid meeting and for subsequent process of bidding. The RFP document can be obtained from the Office of the Mission Director, National Rural Health Mission, Saikia Commercial Complex, Srinagar Path, Christianbasti, G.S Road, Guwahati-781005, Assam during working days from 03.03.2012. to 23.03.2012 (10.00 am to 5.00 pm.) The bidding document may also be downloaded from the official website www.nrhmassam.in The price for the RFP document is Rs. 1000.00 (Rupees one thousands only) which should be paid in form of Bank draft as RFP cost (non refundable). RFP document downloaded from the website should be accompanied by a Bank draft of Rs. 1000.00 (Rupees one thousands only) as RFP cost (non refundable). The drafts should be drawn in favour of in favour of State Health Society, Assam payable at Guwahati. All bids must be accompanied by EARNEST MONEY DEPOSIT (EMD) of Rupees Two Lakhs (Rs 2 Lakhs) only in the form of Bank guarantee/Demand Draft/Bankers Cheque from any Indian Nationalized Bank, in favour in favour of State Health Society, Assam payable at Guwahati. EMD submitted in any other form or bids without EMD shall not be accepted. The EMD of the successful bidder shall be retained till completion of the bidding process but shall not carry any interest. If the successful bidder fails to execute the agreement and/ or fails to deposit the performance security within the specified time, or withdraws his bid within the validity period of the bid, the EMD shall be forfeited. The EMD of the unsuccessful bidders will be returned within 30 days after the finalization of the bid.

All RFPs should be submitted to the following address: Office of the Mission Director, National Rural Health Mission, Saikia Commercial Complex, Srinagar Path, Christianbasti, G.S Road, Interested bidder may submit the RFP within 2 PM of 24.03.2012 For any further information please contact: Mission Director, National Rural Health Mission, Assam, and Guwahati at Telephone. (0361) 2340236

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

2 Instruction to Bidders:
2.1 General Instruction:
a. All bidders are required to submit all information in typed/ printed material as per RFP document. b. Details of project(s)/experience should be provided strictly in the format provided in the RFP document (item no 4) along with supporting documents/ evidence for size of the project ,facilities/components, organizations role (owner/developer/operator etc),photographs, accreditations, certifications etc. c. In case of consortium, letter(s) of association/ Memorandum of Understanding (MoU) signed by all members, specifying the Lead Member should be submitted. d. Details of Contact person with address/contact details should be provided) Certified copy of audited annual accounts and annual reports for the last three financial years ended on March 31, 2011, along with an Auditors Certificate specifying the Annual Turnover for relevant financial years should be submitted. e. No bidder, applying individually or as a member of a Consortium, can be member of another Applicant/ Consortium for this RFP. f. Each page of the RFP shall be signed by the duly authorized Signatory of the Applicant (Lead Member in the case of Consortium) and shall be legally binding on all the members of the Consortium

g. Power of Attorney to be provided by other members of a consortium, authorizing the Lead Member to acts, deeds and things as may be necessary in connection with the Consortiums RFP Application for the Project.

2.2 Eligibility Criteria:


The bidder should fulfill all of the following criteria for participation in the bidding process: The bidder should have a minimum Annual Turnover of Rs. 50.00 Crores during the last three financial years i.e. 2008-09, 2009-10, 2010-11. The bidder should have operational (as on 1/11/11) at least one Super-speciality hospital in the country having all the Super-specialities required in this RFP i.e Cardiology, CardioThoracic Surgery, Neurosurgery, Neurology, Dialysis Unit. The existing hospital should be in operation for at least last 5 years i.e in operation on or before 1/11/2006

2.3 Departments and services to be provided:


The Super-speciality hospital shall provide facilities and services in at least all of the following departments:I. II. Cardiology Cardio-Thoracic Surgery Page 8

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE III. IV. V. Neurosurgery Neurology Dialysis Unit

From each department / speciality at least all the services detailed in the CGHS circular S.11011/ 23 /2009-CGHS D.II/Hospital Cell (Part-III) dated 17th August 2010 (Annexure XI) shall have to be provided.

2.4 Successful Bidders will have to sign an agreement with Govt. of Assam covering the following commitments and responsibilities to set up and run the Super-speciality Hospital:
1. From the existing hospital building (Newly Constructed, Details at Annexure I) the successful bidder has to establish a Super-speciality hospital with at least all the above mentioned services / Specialities. 2. In the process of developing the Super-speciality hospital the successful bidder will have to undertake required additional civil works. However all civil works as detailed and specified in the Annexure II shall have to be completed. 3. While making the hospital in the Standard of Super-speciality, the hospital needs to be equipped with different equipments as required. However all the equipments as mentioned in the Annexure III shall have to be provided 4. The entire minimum man power requirement envisaged for the Super-speciality hospital and annexed at Annexure IV will have to be deployed. 5. Not less than 50% of all Beds (50% in different wards and 50% in ICU/ITU/ICCU etc.) shall have to be charged at the Bidded rate. The bidded rate shall be quoted as the percentage (%) below the CGHS rate existing as on 31st October 2011. (For example if the bidder wishes to provide 50% of the beds at the rates which are 5% below CGHS rates, he / she shall bid as 5% below) 6. The above mentioned 50% of Hospital Beds (applicable for all department / Specialities / Investigations) will be provided at the Bidded rate to any person notified by the State Govt. who is a permanent resident of Assam belonging to BPL category or who is a State Govt. employee, or is a Freedom Fighter, or is above 70 years of age or is a retired State Govt. employee. 7. The above mentioned 50% hospital beds at the bidded rate shall have to be filled up first. Only after filling of these beds the remaining beds at different rate would be allowed to be filled up. 8. While for the remaining 50% beds, the bidder will be free to decide the rates / charges. 9. 50% of all OPD and Diagnostic services should be provided at the bidded rate to any person notified by the State Govt. who is a permanent resident of Assam who is either belonging to BPL category or who is a State Govt. employee or is a Freedom Fighter, or is above 70 years of age or is a retired State Govt. employee. 10. OPD and Major Diagnostic services to be started within three (3) months of signing of the agreement and all services to start within one (1) year of signing of the agreement. 11. Computerized records clearly revealing services provided to any person belonging to BPL population of the State, State Govt. employees, Freedom Fighters, Citizens above 70 years of age, Retired State Govt. employee etc should be maintained. Page 9

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE 12. NABL/ISO Certificate to be obtained within 1 year of commence of services. 13. Prior Approval from Govt. of Assam should be taken before accessing funds from outside agencies. 14. All Labour laws including minimum wages, ESI, Provident fund etc and all other laws of the Govt. in force has to be followed. 15. No Govt. Doctors will be allowed to be engaged or provide services in the Super Speciality Hospital except with prior approval of Govt. of Assam in exceptional circumstances. Recruitment of any doctor who has earlier worked in Govt. will be allowed only after a gap of 5 years from the date of leaving the service. 16. Govt. of Assam shall notify a Monitoring Committee which will monitor the execution of commitments made by the successful bidder. The Monitoring Committee will be headed by the senior most Commissioner & Secretary to the Govt. of Assam, Health & FW Dept. , MD NRHM Assam, one reputed medical professional nominated by Govt. of Assam and other member (s) as felt appropriate by Govt. of Assam. The Monitoring Committee will meet once every 6 (six) months to ensure that all the conditions and commitments are being adhered to. 17. Govt. of Assam shall have the right of resumption in case of non-adherence to any commitments mentioned in the agreement or as reported by the monitoring committee after following due process of law. 18. The 50 bedded District Hospital adjacent to the proposed Super Spciality Hospital will continue to be functional and run by the Govt. of Assam.

2.5 Contribution from Govt. of Assam


Govt. of Assam will provide the existing building1 and land2 as a lease for a period of 30 (Thirty) years. Govt. of Assam will provide a contribution of Rs 22.00 crores in three installments during execution of the project besides the existing building. The first installments of Rs 5.00 crores will be paid at the time of signing of Agreement. The next installments of Rs 7.00 crores will be paid on operationalization of OPD Services and procurement and installation of equipment worth Rs 25.00 crores at least. The last installment of Rs 10.00 crores will be paid after operationalization of all the services. The Govt. of Assams contribution shall be used for Civil Works first and then for the purchase of equipments.

2.6 Performance Security


The successful bidder has to submit a performance security of Rs 3.00 crores in form of Bank Guarantee from any Indian Nationalized bank within 15 days of signing of the agreement.

1 2

Existing Civil Works have been valued Rs.29.92 crores The Land Value is Rs. 1.89 crores

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

2.7 Arbitration
Every dispute, difference, or question which may at any time arise between the parties hereto or any person claiming under them, touching or arising out of or in respect of the contract agreement or the subject matter thereof shall be referred to the arbitration of a sole arbitrator nominated by the Chief Secretary to the Govt of Assam and agreed upon between the parties. The person so selected for arbitration shall be of a rank not less than a Commissioner & Secretary to the Govt. of Assam. There shall be no objection if the arbitrator happens to be an employee of Govt. of Assam. The award of the arbitrator shall be final, conclusive and binding on all parties.

2.8 Laws Governing the Contract & Jurisdiction


The agreement shall be governed by the laws in force in India. In the event of any dispute arising out of the RFP such dispute would be governed by the laws in force in India. In the event of any dispute arising out of the RFP such dispute would be subject to the jurisdiction of the Civil Court within the city of Guwahati only.

2.9 Other Condition


As some of the equipment will be purchased from Govt. of Assam share of project, equipment worth Rs 8.4 crores (i.e Govt. of Assam contribution less amount spent in Civil works) will be earmarked in the inventory as Govt. of Assam property. Similar earmarking shall be done in case of equipment procured through additional Govt. of Assam contribution as and when received. All such equipment and building shall remain with Govt. of Assam in case of termination of Agreement.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3 Technical Bid (cover A)


The bidder shall furnish the following items which constitute the Technical Bid in a separate cover, hereinafter called Cover A The items are as follows:

Item No 1 2 3 4 5 6 7 8 9 10 11

Description Letter for Submission of RFP General Information about the Bidder Financial Capability Overview of Technical Capability Brief description about current activities List of Services to be provided Details of Manpower to be deployed Detailed plan of operation Details of Civil Works to be executed Details of Equipment to be installed Others

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.1 ITEM 1:

Letter for Submission of RFP

To be submitted with RFP Application by Applicant (Lead Member in the case of Consortium/JV)

To The Mission Director, National Rural Health Mission, Saikia Commercial Complex, Srinagar Path, Christianbasti, G.S Road, Sub: Submission of RFP for establishment of Super-speciality Hospital at Amingaon, Kamrup Rural under PPP Mode

Sir, With reference to the above Notice Inviting RFP, we have examined and understood the instructions, terms and conditions provided in the RFP document. We hereby enclose our Technical Bid (COVER A) and Price Bid (Cover B) in the prescribed format as mentioned in RFP document. We confirm that we agree with the instructions, terms and conditions provided in the RFP document. The undersigned declares that the statements made and the information provided in the duly completed applications are complete, true, and correct in very detail. We also understand that Department of Health, Govt. of Assam is not bound to accept the offer either in part or in full. If the Department rejects the offer in full or in part, it may do so without assigning any reasons thereof.

Yours faithfully,

Authorized Signatory (Lead Member in case of Consortium) (Name & Designation, seal of the firm)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.2 ITEM 2:

General Information about the Bidder

1. NAME AND LEGAL STATUS OF APPLICANT: Name of Applicant: (Lead Member in the case of Consortium) Legal Status of Applicant: (Natural Person/Company/Non-Profit Trust/ Society/Section 25 Company/ Any Other Specify) 2. WHETHER APPLICANT IS SINGLE ENTITY / CONSORTIUM: Please Specify?
(In case of Consortium, letter(s) of association signed by all members, specifying the Lead Member)

3. CONTACT DETAILS OF APPLICANT (LEAD MEMBER IN CASE OF CONSORTIUM): Name of the Authorized Contact Person Postal Address Telephone Number(s) Mobile No. Fax No. Email ID Website address

4. NAME AND LEGAL STATUS OF OTHER MEMBERS (IN CASE OFCONSORTIUM) (To be filled by each member of the Consortium) Name of Other Member (in the case of Consortium) Legal Status of Other Member (Natural Person/Company/Non-Profit Trust/Society/Section 25 Company/ Any Other Specify) Page 14

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

5. CONTACT DETAILS OF OTHER MEMBERS (IN CASE OF CONSORTIUM): (To be filled by each member of the Consortium) Name of the Authorized Contact Person Postal Address Telephone Number(s) Mobile No. Fax No. Email ID Website

6. ORGANIZATIONAL PROFILES: (For each member of Consortium)

7. CERTIFIED COPY OF CERTIFICATION OF REGISTRATION/ INCORPORATION: (For each member of Consortium)

8. BACKGROUND OF PROMOTERS: (For each member of Consortium)

9. MANAGEMENT STRUCTURE: (For each member of Consortium)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.3 ITEM 3:

Financial Capability

Financial Capability of (of Applicant / Lead Member)

ANNUAL TURNOVER (IN RS.CRORE) FINANCIAL CAPABILITY( FOR LAST 3 Years) 2008-09 2009-10 2010-11

Single Entity Applicant or the Lead Member of Consortium

PLEASE ENCLOSE Certified Copy of Audited Annual Accounts and Annual Reports for the last three Financial Years ended on March 31, 2011, along with the Statutory Auditors statement certifying the Annual Turnover of the applicant.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.4 ITEM 4:

Overview of Technical Capability

Name &Address/( s)of Hospital(s)

Role of Applicant / Date of Member of Start of Consortiu Operation m

Total Beds Major Capacity as Facilities on 1st April Available 2011

Details of Specialists(Ful Ancillary Clinical & ltime) Names & Laboratory Qualification to be Services
mentioned

Note: The Single Entity Applicant or any single member of the Consortium is required to qualify the Technical Capability specified in the Notice Inviting RFP. Role of Applicant or Member of Consortium could be that of owner, or BOT Concessionaire, or operator or any other capacity. Please specify. Submit Project(s)/Experience for providing details of each hospital along with supporting documents/ evidence for size of the project, facilities/components, organizations role (owner/developer/operator etc), photographs, accreditations, certifications etc.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.5 ITEM 5:

Brief description about current activities

PROVIDE A ONE PAGE DESCRIPTION ON CURRENT ACTIVITIES INCLUDING EXPERIENCE AND CAPABILITIES IN MAJOR SUPER SPECIALITY SURGERY/PROCEDURES ETC.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.6 ITEM 6:

List of Services to be provided

(Mention the list of services proposed to be provided from the hospital. All the services as per CGHS Circular shall have to be provided)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.7 ITEM 7:

Details of Manpower to be deployed

(At least all the manpower mentioned in Annexure IV shall have to be necessarily deployed. If any additional manpower is essential for providing the services offered, the same shall have to be provided even if it does not appear in Annexure IV)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.8 ITEM 8:

Detailed plan of operation process

(A write-up to be provided about the detail plan of operation. Maximum two pages)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.9 ITEM 9:

Details of Civil works to be executed

(At least all the civil works as mentioned in Annexure II will have to be necessarily completed)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.10 ITEM 10:

Details of Equipments to be installed

(At least all the equipment mentioned in Annexure III shall have to be necessarily be provided. In addition if any equipment is essential for providing the services offered, the same shall have to be provided even if it does not appear in Annexure III)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

3.11 ITEM 11:

Others

a. Authorization like Power of Attorney or Resolution of the Board for the officer of the company who have signed the RFP document and the bid. b. An undertaking on fraud and corruption as per Annexure VII. c. GRN/TIN and PAN d. NABH / NABL / ISO and other quality certificate issued from competent authority (Copy to be enclosed). e. Non Conviction Certificate as per Annexure VIII.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

All the above documents mentioned under Para 4 i.e. Cover A, to be submitted in a sealed envelope superscripted as RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE -- COVER A and name and address of the bidder.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

4 Price Bid (cover B)


Bid shall be type written and correction, if any, in the bid shall invariably be attested with full signature by the bidder with date, failing which the bid shall be considered ineligible for evaluation. Corrections done with correction fluid shall also be duly attested as per Annexure IX.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE The Cover A and Cover B shall be separately sealed and both these covers shall be put in another sealed cover superscripted as RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP RURAL UNDER PPP MODE and name and address of the bidder & addressed to Office of the Mission Director, National Rural Health Mission, Saikia

Commercial Complex, Srinagar Path, Christianbasti, G.S Road, Guwahati-781005, Assam

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

5 Opening of RFP
Cover A i.e. Technical Bids shall be opened at the office of the RFP inviting agency, on the date and time specified in presence of the intending bidders or their authorized representatives Cover B i.e. the Price Bids of the bidders who meet the eligibility criteria, evaluated based on the details furnished in Cover A shall only be opened and the date and time of opening of Cover B shall be intimated to the eligible/ shortlisted bidders

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

6 Bid evaluation
Bids of all the eligible and technically qualified bidders will be evaluated with reference to the rate quoted as the percentage (%) below the CGHS rate existing as on 1stNovember 2011.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7 ANNEXURE
7.1 Annexure I: Description of the Existing Hospital Building
District Profile: Kamrup district is situated between 25.460 & 26.490 north latitude and between 90.480 & 91.50east longitude. The greater parts of the district consist of wide plains, while the mighty Brahmaputra River takes a steady course from the east to west through the lower portion of the district. The Kamrup district is bounded by: North - Udalguri and Baska district South - Meghalaya East - Darrang district and Kamrup Metropolitan district West - Goalpara district and Nalbari district. Since 2005, the district of Kamrup was sub-divided into Kamrup (Metropolitan) and Kamrup (Rural), the former comprising of the Metropolitan city of Guwahati and the latter the rest of the district. The district headquarter is located at Amingaon, on the northern bank of the river Brahmaputra. The nearest railway station is the Guwahati Railway Station and the distance from district headquarter is 17 kms. The nearest airport is the Lokapriya Gopinath Bordoloi International Airport and the distance from the district headquarter is 12 kms. Location of the Hospital:

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

The Hospital, is Situated on the National Highway 31 opposite of the newly constructed Assam Dental College, Amingaon. Distance of some of the nearest Landmarks is Saraighat Brahmaputra Bridge- 5km, IIT, Guwahati- 2km, Rajiv Gandhi Indoor Stadium, Amingaon- 3 Km, and Police out Post, Gouripur- 4km, CIPET Institution of Plastic Engineering, Changsari- 9 km,etc. MAIN HOSPITAL BUILDING (TOTAL 383 BEDDED) A) TOTAL FLOOR AREA = 9674.60 SQM(104098.70 SQFT)

1. GROUND FLOOR (10 BEDS) PLINTH AREA =1537.00 SQM RAMP AREA = 66.70 SQM PORCH AREA = 51.60 SQM ENT. RAMP = 23.50 SQM

PROVISIONS EMERGENCY WARD = 10 BEDS X-RAY ROOM WITH DARK ROOM ULTRASOUND ROOM, MAMOGRAPHY ROOM MRI ROOM, BLOOD BANK CT SCAN, RECEPTION, SECURITY, OFFICE AREA 10 OPD ROOMS, RADIOLOGIST ROOM, PUBLIC TOILETS EMERGENCY AREA, MINOR OT, AMBULATORY CARE EXAMINATION, DOCTORS DUTY ROOM OFFICE AREA, CENTRAL MANIFOLD FOR GASES

TOTAL AREA =1678.80 SQM

2. FIRST FLOOR (117 BEDS) FLOOR AREA = 1572.00 SQM RAMP AREA = 72.60 SQM TOTAL AREA = 1644.60SQM 3. SECOND FLOOR (108BEDS) FLOOR AREA = 1572.00 SQM RAMP AREA = 72.60 SQM TOTAL AREA = 1644.60SQM

PROVISIONS SURGERY GENERAL WARD MALE & FEMALE ISOLATION WARD, PADAETRIC WARD POST PERTUM WARD PROVISIONS GENERAL MEDICINE MALE & FEMALE WARD POST OPERATIVE SURGERY MALE & FEMALE BURN UNIT, OPHTHALMOLOGY WARD

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE 4. THIRD FLOOR (70 BEDS) FLOOR AREA = 1596.40 SQM RAMP AREA = 72.60 SQM TOTAL AREA = 1669.00SQM PROVISIONS GENERAL MEDICINE MALE & FEMALE WARD OPHTHALMOLOGY MALE & FEMALE POST OPERATIVE, CARDIAC CARE 3 NOS OF OPERATION THEATRES WITH ANCILLIRAY FACALITIES 5. FOURTH FLOOR (37 BEDS) FLOOR AREA = 1545.00 SQM RAMP AREA = 72.60 SQM TOTAL AREA = 1617.60SQM PROVISIONS SINGLE BED CABINS, DAILYSIS WARD PRE OPERATIVE, POST OPERATIVE 3 NOS OF OPERATION THEATRES WITH ANCILLIRAY FACALITIES 6. FIFTH FLOOR (41BEDS) FLOOR AREA = 1420 SQM PROVISIONS SINGLE BED CABIN, SEMI PRIVATE CABIN THORACIC MEDICINE MALE & FEMALE WARD

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.2 Annexure II: Specification of additional works for Up-gradation of the existing infrastructure
1) Dismantling work, partition wall, False ceiling, flooring 2) New Service Block (G+2 RCC Building) for CSSD, Main Panel room, Server room, Chiller room and cooling towers etc. 3) Under ground water tank & Fire tanks 4) ASEB payment for 33 KV line & Load security etc. 5) Fire Hydrant sprinkler system, water supply RO treatment plant, Cooling tower & HVAC etc 6) Administrative furniture 7) Medical gas pipe line, Medical air compressor, vacuum compressor, riser pipe, vacuum medical air etc. 8) Electrical paneling, installation for DG set, Cath lab, MRI, CT Scan etc. including lifts.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.3 Annexure III:

List of Essential/ Major Equipments.

MEDICAL EQUIPMENTS, BEDS, FURNITURES & IT CAPITAL COST FOR 300 BEDDED GUWAHATI HOSPITAL

Description Operating Table - specialty Ceiling Mounted lights[shadow less] Anesthesia Machine Defibrillators - OT Monitors - Invasive + Slave Monitors Invasive Cautery machine High Flash Sterilizer (for instruments) Suction Machines Laparoscopes Heart Lung Machine Microscope neuro Midas Rex Craniotomy Neuro Head Frame Operating instruments Cardiac Pacemakers - Single Pacemakers - Dual Operating instruments Neuro

Total Qty 6 6 6 6 3 3 6 2 6 1 2 1 1 2 2 2 2 2 14 1 2 14 50 5 14 2 1 8 4 1 4 2 35 2 10 2

Floor Price Unit Cost 3,000,000 7,500,000 1,500,000 216,000 900,000 698,200 693,885 400,000 10,100 3,185,296 4,950,000 1,200,000 743,800 700,000 2,000,000 60,000 150,000 2,500,000 2,000,000 1,400,000 250,000 698,200 104,000 170,000 20,473 216,000 1,400,000 2,000,000 350,000 250,000 698,200 173,800 104,000 170,000 20,473 216,000 Total Cost 45,000,000 45,000,000 9,000,000 1,296,000 2,700,000 2,094,600 4,163,310 800,000 60,600 3,185,296 9,900,000 1,200,000 743,800 1,400,000 4,000,000 120,000 300,000 5,000,000 28,000,000 1,400,000 500,000 9,774,800 5,200,000 850,000 286,622 432,000 1,400,000 16,000,000 1,400,000 250,000 2,792,800 347,600 3,640,000 340,000 204,730 432,000 Page 34

Operating Theatres(6)

Ventilators IABP ECG Machines Cardiac ITU Monitors Invasive Syringe Pumps (14 bedded) Infusion Pumps Beds Defibrillators Slow dialysis machine Ventilators BIPAP ECG Machines Monitors Invasive Monitors Non Invasive Syringe Pumps Infusion Pumps Beds Defibrillators

Medical ICU (10bedded)

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE
MEDICAL EQUIPMENTS, BEDS, FURNITURES & IT CAPITAL COST FOR 300 BEDDED GUWAHATI HOSPITAL

Description

Total Qty Unit Cost

Floor Price Total Cost 2,094,600 1,911,800 12,000,000 250,000 286,622 2,080,000 216,000 3,200,000 2,513,400 250,000 1,396,400 695,200 1,040,000 204,730 475,000 69,000 16,000,000 2,800,000 500,000 6,982,000 2,941,000 552,771 5,200,000 8,500,000 432,000 1,955,624 900,000 500,000 1,396,400 1,390,400 204,730 2,080,000 432,000 500,000 1,120,000 432,000 3,500,000 Page 35

Surgical ICU (14 bedded)

Monitors Invasive Monitors Non Invasive Ventilators ECG Machines Beds Syringe Pumps Defibrillators Ventilators High Frequency Ventilators High Neonatal ECG Machines Monitors Invasive Monitors Non Invasive Syringe Pumps Beds Incubators Open Care warmers

3 11 6 1 14 20 1 2 2 1 2 4 10 10 5 2 8 1 2 10 17 27 50 4 2 2 2 2 2 9 10 20 2 2 2 2 1

698,200 173,800 2,000,000 250,000 20,473 104,000 216,000 1,600,000 1,256,700 250,000 698,200 173,800 104,000 20,473 95,000 34,500 2,000,000 1,400,000 250,000 698,200 173,000 20,473 104,000 170,000 216,000 977,812 450,000 250,000 698,200 173,800 20,473 104,000 216,000 250,000 560,000 216,000 3,500,000

NICU (10bedded)

Ventilators IABP ECG Machines Monitors Invasive CCU (27 Monitors Non Invasive bedded) Beds Syringe Pumps Infusion Pumps Defibrillators Ventilators Ventilators - Mobile ECG Machines ER (10 Monitors Invasive bedded) Monitors Non Invasive Beds Syringe Pumps Defibrillators ECG Machines TMT Diagnostic Equipments Defibrillators - Diagnostic Echo & Color Doppler with tissue tracking

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE
MEDICAL EQUIPMENTS, BEDS, FURNITURES & IT CAPITAL COST FOR 300 BEDDED GUWAHATI HOSPITAL

Description Echo & Color Doppler with TEEE Portable Echo Holter USG Endoscopic Endoscopic Equipments Equipments CT 500 mA X Ray Portable X Ray 100 mA C-Arm CR System Radiology accessories MRI machine X-ray View Box Mammography

Total Qty 2 1 1 2 1 1 1 2 2 1 1 1 2 1

Floor Price Unit Cost 4,000,000 552,000 500,000 1,895,000 3,000,000 Total Cost 8,000,000 552,000 500,000 3,790,000 3,000,000

Radiology

20,000,000 1,200,000 112,500 1,225,000 1,600,000 200,000 40,000,000 20,000 1,398,000 5,000,000

20,000,000 1,200,000 225,000 2,450,000 1,600,000 200,000 40,000,000 40,000 1,398,000 5,000,000

Laboratory & Blood bank with All major Equipments component separation Neurology and neurosurge ry Physiother apy

2,700,000 Video EEG with Sleep Lab 1

2,700,000

Physiotherapy equipment 800 Liter Steam Sterilizer 400 Liter Steam Sterilizer ETO Washer Disinfector Ultrasonic Cleaner (60 Ltr) Roller Sealing M/c Drier Cabinet CSSD Work Table SS Storage Racks (SS)& Miscellaneous Cath Lab Pacemakers - Single

1 1 1 1 1 2 1 1 1 1 1 3

125,000

125,000

CSSD

500,000 350,000 8,500,000 2,000,000 600,000 100,000 76,000 50,000 50,000 30,000,000 255,000

500,000 350,000 8,500,000 2,000,000 1,200,000 100,000 76,000 50,000 50,000 30,000,000 180,000 Page 36

Cath-Lab

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE
MEDICAL EQUIPMENTS, BEDS, FURNITURES & IT CAPITAL COST FOR 300 BEDDED GUWAHATI HOSPITAL

Description Pacemakers - Dual Defibrillators - Cath EP System Diagnostic Misc EP ablator Dialysis Stations Monitors Dialysis Chairs Reprocessing Machine RO plant and Related equipments All major Equipments

Total Qty 2 1 1 1 1 10 4 10 1 1 1 1 1 1 1 300

Floor Price Unit Cost 300,000 200,000 4,500,000 1,000,000 800,000 900,000 250,000 300,000 700,000 2,000,000 2,000,000 2,000,000 4,000,000 400,000 5,200,000 2,000,000 5,676,400 7,000 2,000,000 Total Cost 300,000 216,000 4,000,000 1000000 800,000 9,000,000 1,000,000 3,000,000 700,000 2,000,000 2,000,000 2,000,000 4,000,000 400,000 5,200,000 2,000,000 5,676,400 2,282,000 2,000,000 47,55,76,235

Dialysis Unit

Ambulance

Laundry Mortuary Telemedicine IT Hardware and software Others Kitchen Ward Beds Fast tracks screens for critical beds Ward furniture GRAND TOTAL

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.4 Annexure IV:

List of Manpower to be deployed.

Sl No. 1.

Manpower Nurses

Minimum Standards

Total No. 580


(75 / shift for ITUs/CCUs/ICUs, 43 /shift for ward beds, 5 /shift for Dialysis, 3 /shift for cathlab,36 / shift for Operation Theatre, 20 % additional nurses)

2. 3.

Sister-in-charge Sr. Cardiac Surgeon

4.

Jr. Cardiac Surgeon

5.

Sr. Cardiologist

6.

Jr. Cardiologist

7.

Sr. Nephrologists

8.

Jr. Nephrologists

9.

Sr. Neurosurgeon

10.

Jr. Neurosurgeon

11.

Sr. Neurologist

12. 13.

Jr. Neurologist Sr. Urologist

14.

Jr. Urologist

MCH/DNB specialization in Cardiac Surgery/ Equivalent Degree, 5 7 years of work experience after degree MCH/DNB specialization in Cardiac Surgery/ Equivalent Degree DM/DNB specialization in Cardiology / Equivalent Degree, 5 7 years of work experience after degree DM/DNB specialization in Cardiology / Equivalent Degree DM/DNB specialization in Nephrology / Equivalent Degree, 5 7 years of work experience after degree DM/DNB specialization in Nephrology / Equivalent Degree MCH/DNB specialization in Neurosurgery/ Equivalent Degree, 5 7 years of work experience after degree MCH/DNB specialization in Neurosurgery/ Equivalent Degree DM/DNB specialization in Neurology / Equivalent Degree, 5 7 years of work experience after degree DM/DNB specialization in Neurology / Equivalent Degree DM/DNB specialization in Urology / Equivalent Degree, 5 7 years of work experience after degree DM/DNB specialization in

20 1

2 2

2 Page 38

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE Urology / Equivalent Degree DM in Anaesthesia / Fellowship with specialization (cardiac surgery ) / Equivalent Degree, 5 7 years of work experience after degree Intensivist DM in Critical Care / Fellowship in Critical Care / Equivalent Degree, 5 7 years of work experience after degree Other doctors (Resident and Minimum MBBS Degree Junior) Paramedic Admin/ General Staff/ Temporary Staff Anesthetist

15.

16.

17. 18. 19.

60 70 170

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.5 Annexure V: Format for Power of Attorney for Signing of Application


Know all men by these presents, we.. (name of the firm and address of the registered office) do hereby irrevocably constitute, nominate, appoint and authorize Mr. / Ms. (Name), . who is presently employed with us, The Single Entity Applicant / the Lead Member of our Consortium and holding the position of . , as our true and lawful attorney (hereinafter referred to as the Attorney) to do in our name and on our behalf, all such acts, deeds and things as are necessary or required in connection with or incidental to submission of our REQUEST FOR PROPOSAL (RFP) for the Development of Super Specialty Hospital project proposed or being developed by the Department of Health, Government of Assam (GoA) (the Authority) including but not limited to signing and submission of all applications, bids and other documents and writings, participate in Pre-Applications and other conferences and providing information/ responses to the Authority, representing us in all matters before the Authority, signing and execution of all contracts including the Concession Agreement and undertakings consequent to acceptance of our bid, and generally dealing with the Authority in all matters in connection with or relating to or arising out of our bid for the said Project and/ or upon award thereof to us and/or till the entering into of the Concession Agreement with the Authority. AND we hereby agree to ratify and confirm and do hereby ratify and confirm all acts, deeds and things done or caused to be done by our said Attorney pursuant to and in exercise of the powers conferred by this Power of Attorney and that all acts, deeds and things done by our said Attorney in exercise of the powers hereby conferred shall and shall always be deemed to have been done by us. IN WITNESS WHEREOF WE, , THE ABOVE NAMED PRINCIPAL HAVE EXECUTED THIS POWER OF ATTORNEY ON THIS DAY OF ., 20....... For .. (Signature, name, designation and address) Witnesses: 1. 2. Accepted (Signature) (Name, Title and Address of the Attorney) (Notarized)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE Notes: To be executed by the Single Applicant or the Lead Member in case of a Consortium as the case may be. The mode of execution of the Power of Attorney should be in accordance with the procedure, if any, laid down by the applicable law and the charter documents of the executants (s) and when it is so required, the same should be under common seal affixed in accordance with the required procedure. Wherever required, the Applicant should submit for verification the extract of the charter documents and documents such as a board or shareholders resolution/power of attorney in favour of the person executing this Power of Attorney for the delegation of power hereunder on behalf of the Applicant.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.6 Annexure VI: Format for Power of Attorney for Lead Member of Consortium
Whereas the Mission Director, NRHM, Assam (the Authority)has invited applications from interested parties for the Development of Super Speciality Hospital (the Project). Whereas .. (Name of lead member) . and (Name of first and second member) (collectively the Consortium) being Members of the Consortium are interested in bidding for the Project in accordance with the terms and conditions of the REQUEST FOR PROPOSAL document (RFP) Whereas, it is necessary for the Members of the Consortium to designate one of them as the Lead Member with all necessary power and authority to do for and on behalf of the Consortium, all acts, deeds and things as may be necessary in connection with the Consortiums bid for the Project and its execution. NOW, THEREFORE, KNOW ALL MEN BY THESE PRESENTS We, M/s .. (Name of first member) .. having our registered office at.., and M/s. (Name of second member) .. having our registered office at .., (hereinafter collectively referred to as the Principals) do hereby irrevocably designate, nominate, constitute, appoint and authorize M/s. (Name of lead member) .. having its registered office at.., being one of the Members of the Consortium, as the Lead Member and true and lawful attorney of the Consortium (hereinafter referred to as the Attorney). We hereby irrevocably authorize the Attorney (with power to sub-delegate) to conduct all business for and on behalf of the Consortium and any one of us during the bidding process and, in the event the Consortium is awarded the concession/contract, during the execution of the Project and in this regard, to do on our behalf and on behalf of the Consortium, all or any of such acts, deeds or things as are necessary or required or incidental to the pre-qualification of the Consortium and submission of its RFP Application for the Project, including but not limited to signing and submission of all applications, and other documents and writings, participate in bidders and other conferences, respond to queries, submit information/ documents, sign and execute contracts and undertakings consequent to acceptance of the bid of the Consortium and generally to represent the Consortium in all its dealings with the Authority, and/ or any other Government Agency or any person, in all matters in connection with or relating to or arising out of the Consortiums bid for the Project and/ or upon award thereof till the Concession Agreement is entered into with the Authority. AND hereby agree to ratify and confirm and do hereby ratify and confirm all acts, deeds and things done or caused to be done by our said Attorney pursuant to and in exercise REQUEST FOR PROPOSAL Development of Super-speciality Hospital at Kamrup District, Assam on PPP Basis NOTE: No claims related to technical and financial capability etc. shall be solicited without sufficient documentary proof of the powers conferred by this Power of Attorney and that all acts, deeds and things done by our said Attorney in exercise of the powers hereby conferred shall and shall always be deemed to have been done by us/ Consortium.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE IN WITNESS WHEREOF WE THE PRINCIPALS ABOVE NAMED HAVE EXECUTED THIS POWER OF ATTORNEY ON THIS . DAY OF ., 20.....

For .. (Signature) .. (Name & Title)

For .. (Signature) .. (Name & Title) Witnesses: 1. 2. (Executants) (To be executed by all the Members of the Consortium)

Notes: The mode of execution of the Power of Attorney should be in accordance with the procedure, if any, laid down by the applicable law and the charter documents of the executants (s) and when it is so required, the same should be under common seal affixed in accordance with the required procedure. Also, wherever required, the Applicant should submit for verification the extract of the charter documents and documents such as a board or shareholders resolution/power of attorney in favour of the person executing this Power of Attorney for the delegation of power hereunder on behalf of the Applicant.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.7 Annexure VII: Format for Undertaking on fraud and corruption.


We M/s ...do hereby undertake that, in competing for (and, if the award is made to us, in executing) the subject contract for establishment of Superspeciality Hospital at Amingaon, Kamrup Rural under PPP Mode under RFP reference no. ...dt . We shall strictly observe the laws against fraud and corruption in force in the country.

Yours faithfully,

Authorized Signatory (Lead Member in case of Consortium) (Name & Designation, seal of the firm)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.8

Annexure VIII: Format for Non Conviction Certificate.

We M/s having registered office at. hereby declare that there is no vigilance/CBI or court case pending/contemplated against us at the moment.

Yours faithfully,

Authorized Signatory (Lead Member in case of Consortium) (Name & Designation, seal of the firm)

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.9

Annexure IX: Format of Price Bid. PART II: PRICED BID

Note: Bidders are required to quote percentage (above/below/at par) on the Schedule of Rates (on overall basis, as per CGHS Circular). The percentage quoted should be in figures as well as in words.

Name of Work: Establishment of Super Speciality Hospital at Amingoan, Kamrup under PPP
Mode

RFP Reference.

NRHM/TRB/ Super Speciality/ 540/ 2011-12

Our quoted rates for services are .% (In words .... . . Point ................... Percent) .. (high / low / at par)* with respect to the CGHS Schedule of Rates for NABH Accredited Hosp. applicable as 1.11.2011 (Please note that up to two positions after the decimal point shall be considered for evaluation) Service tax and E Cess has not been considered by us.

* Please tick () the appropriate condition.

Yours faithfully,

Authorized Signatory (Lead Member in case of Consortium) (Name & Designation, seal of the firm)

N.B.: To be submitted in a separate sealed envelope (PRICED BID).

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

7.10

Annexure X:

Form of Contract Agreement


AGREEMENT

This agreement is made on this . Of 2011 between Mission Director, NRHM, Assam on behalf of Govt of Assam and having its office at Hengrabari, Guwahati, Assam hereinafter referred to as First Party and M/s, having his office at (which terms included their authorized

representatives, successors, assignees, executers and administrators) hereinafter referred to as Second Party.

The parties hereby agree on the following deliverables: 1. The First Party will provide the existing building (Existing Civil Works have been valued Rs.29.92 crores) and land (The Land Value is Rs. 1.89 crores) as a lease for a period of 30 (Thirty) years. 2. The responsibility of the Second Party shall be to establish a Super-speciality hospital with at least the mentioned services / Specialities as appeared in the RFP from the existing hospital building (Newly Constructed, Details at Annexure I). The Second Party shall bear the remaining expenses in setting up the facilities mentioned and thereafter run the hospital on a day to day basis.

3. In the process of developing the Super-speciality hospital the Second Party will have to undertake required additional civil works. However all civil works as detailed and specified in the Annexure II shall have to be completed. 4. Also all the minimum man power requirement envisaged for the Super-speciality hospital and annexed at Annexure IV will have to be deployed by the Second Party. 5. While making the hospital in the Standard of Super-speciality, the hospital needs to be equipped with different equipments as required. However all the equipments as mentioned in the Annexure III shall have to be provided by the Second Party. 6. Not less than 50% of all Beds (50% in different wards and 50% in ICU/ITU/ICCU etc.) shall have to be charged at the Bidded rate by the Second Party. 7. The above mentioned 50% of Hospital Beds (applicable for all department / Specialities / Investigation) will be provided at the Bidded rate by the Second Party to any person notified by the State Govt. who is a permanent resident of Assam who is either belonging to

Page 47

RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE BPL category or who is a State Govt. employee or is a Freedom Fighter, or is above 70 years of age or is a retired State Govt. employee. 8. The above mentioned 50% hospital beds at the bidded rate shall have to be filled up first. Only after filling of these beds the remaining beds at different rate would be allowed to be filled up. 9. While for the remaining 50% beds, the Second party will be free to decide the rates / charges.

10. 50% of all OPD and Diagnostic services should be provided at the bidded rate to any person notified by the State Govt. who is a permanent resident of Assam who is either belonging to BPL category or who is a State Govt. employee or is a Freedom Fighter, or is above 70 years of age or is a retired State Govt. employee by the Second Party

11. OPD and Major Diagnostic services to be started within three (3) months of signing of this agreement and all services to start within one (1) year.

12. Computerized records clearly revealing services provided to any person belonging to BPL population of the State, State Govt. employees, Freedom Fighters, Citizens above 70 years of age, Retired State Govt. employee etc should be maintained by the Second Part.

13. NABL/ISO Certificate to be obtained within 1 year of commence of services by the Second Party.

14. Prior Approval from the First party should be taken before accessing funds from outside agencies by the Second Party.

15. All Labour laws including minimum wages, ESI, Provident fund etc and all other laws of the Govt. in force has to be followed by the Second party.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE 16. No Govt. Doctors will be allowed to be engaged or provide services in the Super Speciality Hospital except with prior approval of the First party in exceptional circumstances. Recruitment of any doctor who has earlier worked in Govt. will be allowed only after a gap of 5 years from the date of leaving the service.]

17. The First Party shall notify a Monitoring Committee which will monitor the execution of commitments made by the Second Party. The Monitoring Committee will be headed by the senior most Commissioner & Secretary to the Govt. of Assam, Health & FW Dept. , MD NRHM Assam, one reputed medical professional nominated by Govt. of Assam and other member (s) as felt appropriate by Govt. of Assam

18. The First Party shall have the right of resumption in case of non-adherence to any commitments mentioned in this agreement or as reported by the monitoring committee after following due process of law.

19. The 50 bedded District Hospital adjacent to the proposed Super Spciality Hospital will continue to be functional and run by the Govt. of Assam

20. The First Party will provide a contribution of Rs 22.00 crores in three installments over a period of one year during execution of the project besides the existing building. The utilization of funds should be provided by the Second Party. The first installments of Rs 5.00 crores will be paid at the time of signing of Agreement. The next installments of Rs 7.00 crores will be paid on operationalization of OPD Services and procurement and installation of equipment worth Rs 25.00 crores at least. The last installments of Rs 10.00 crores will be paid after operationalization of all the services.`

21. As some of the equipment will be purchased from Govt. of Assam share of project, equipment worth Rs 8.4 crores (i.e Govt. of Assam contribution less amount spent in Civil works) will be earmarked in the inventory as Govt. of Assam property. Similar earmarking shall be done in case of equipment procured through additional Govt. of Assam contribution as and when received. All such equipment and building shall remain with Govt. of Assam in case of termination of Agreement.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE 22. The Second Party has to submit a performance security of Rs 3.00 crores in form of Bank Guarantee from Nationalized bank within 15 days of signing of the agreement

Arbitration
Every dispute, difference, or question which may at any time arise between the parties hereto or any person claiming under them, touching or arising out of or in respect of the contract agreement or the subject matter thereof shall be referred to the arbitration of a sole arbitrator nominated by the Chief Secretary to the Govt of Assam and agreed upon between the parties. The person so selected for arbitration shall be of a rank not less than a Commissioner & Secretary to the Govt. of Assam. There shall be no objection if the arbitrator happens to be an employee of Govt. of Assam. The award of the arbitrator shall be final, conclusive and binding on all parties. JURISDICTION: This Agreement shall be construed and interpreted in accordance with Indian law and the Parties agree to the exclusive jurisdiction of the Guwahati High Court, Assam. First Party Second Party

SIGNED by.. Designation.. Date:

SIGNED by.. Designation.. Date:

Witnesses: 1. 2.

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RFP FOR ESTABLISHMENT OF SUPER-SPECIALITY HOSPITAL AT AMINGAON, KAMRUP UNDER PPP MODE

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