Government of , Directorate of Health Services, Old Nurses Hostel, Near D.K.S Bhawan, Mantralaya Parisar -492001

Request for Proposal for establishing diagnostic centres in public hospitals / health facilities in the State of Chhattisqarh [As amended after pre-bid meeting held on 19th January, 20131

1 Background

1.1 The Government of Chhattisgarh has adopted a public-private partnership (PPP) policy for the health sector. The over-riding objective of the policy is to utilize the technical, financial and managerial resources available in the private sector for strengthening the quality of services being provided through the public health care network. Outsourcing para- clinical and non-clinical support services at the public health facilities is one of the priority areas under the policy.

1.2 The current RfP is being released to invite proposals for establishing network of diagnostic centres in public hospitals / health facilities across the State, defined as separate lots as follows:

Lot# Description Lot# Description 1 Surguja Division radiology 2 Surguja Division - laboratory services (67 locations) services (67 locations)

3 Bastar Division - radiology 4 Bastar Division - laboratory services (79 locations) services (79 locations)

5 Raipur Division - radiology 6 Raipur Division - laboratory services (144 locations) services (144 locations)

7 Bilaspur Division - radiology 8 Bilaspur Division - laboratory services (89 locations) services (89 locations)

2 The scope of work

2.1 The agency [a single legal entity or a consortium thereof] selected through this RfP shall be required to set up one or more of the following three types of diagnostic centres in the assigned Lot(s):

• Category-A Diagnostic Centres: These are required to be established in 10 identified 100-bedded district hospitals. These are seen as apex centres providing Yl comprehensive range of lab and radiology services.

1 I Page SHRC, January, 2013 • Category-B Diagnostic Centres: These are required to be established at the hospitals / health facilities [50-100 bedded each] situated at the headquarters of the 12 newly created districts, 8 civil hospitals and 46 such Community Health Centres which are being strengthened as First Referral Units1. These are seen as intermediate level centres providing intermediate range of lab and radiology services. • Category-C Diagnostic Centres: These are required to be established at the 103 non-FRU Community Health Centres and 200 such Primary Health Centres which are being strengthened as 24 x 7 PHCs2. These centres will provide the primary range of lab and radiology services.

2.2 The number of facilities in various lots are given in the table below.

Division Number of facilities Category-A Category-B Category-C Total Surguja 2 12 53 67 Bastar 1 13 65 79 Raipur 4 24 116 144 Bilaspur 3 17 69 89 Totral 10 66 303 379

The list of hospitals in category A and B, list of non-free CHCs (category-C) and the number of 24 x 7 PHCs (category-C) are given at Annex-1.

2.3 The minimum lab / radiology services required to be provided at each category of the diagnostic centres will be as given below.

Category- C - Radiology services : Plain X-ray

Category- C - Laboratory services

Clinical Pathology Haematology- Haemoglobin Estimate, TLC, Differential Leucocyte count, bleeding time, clotting time, platelet count, E.S.R., Malaria/Filaria Parasite, Blood grouping, Rh Typing, , Sickelling test (solubility and slide test) Urine Analysis- routine (sugar, albumin, bile salt and bile pigment) and microscopic Stool Analysis- routine and microscopic Microbiology Sputum for AFB

Serology WIDAL test, Pregnancy test, HIV (strip method)

Biochemistry Blood Sugar estimation

1 Availability of Caesarian Section and blood transfusion services are the critical determinants of functionality ofaFRU. 2 Availability of delivery services, round-the-clock, is critical determinant of a "24x7 PHC.

2| Page SHRC, January, 2013 Category- B - Radiology services : USG-Plain

Category -B - Lab services f In addition to lab services available at Category -C lab]

Clinical Pathology Haematology- Complete Haemogram (CBC), Absolute Eosinophil Count, Reticulocyte count, Total RBC count, E.S.R., Peripheral Blood count, Packed cell volume, Sickelling test (electrophoresis) Urine Analysis- Bile Salts, bile Pigment, acetone, specific gravity, Reaction (pH), Sugar Stool Analysis-Stool for Ovacyst (Eh), Culture and Sensitivity, Hanging drop for V. Cholera, Occult blood Semen Analysis-Morphology Count Microbiology Gram Stain for throat swab

Serology ELISA for HIV, HBS AG, RA factor, ASO factor

Histopathology Pap smear Biochemistry Renal function test (RFT), Liver function test (LFT), Lipid profile

Category-A-Radiology services : CT-Scan, USG-Doppler, Echo-cardiography

Category -A - Lab services fin addition to services available at category-B lab]

Clinical Pathology Haematology- LE Cell

Pathology Cytology, Bone Marrow examination, Coagulation Disorders, Thalassemia

Microbiology Culture and sensitivity of blood, sputum, pus, urine, KOH study for fungus, Bacteriological analysis of water by rapid H2S test Serology Coomb's test, Lepto spirosis (Rapid test/ELISA) and HCV

Biochemistry Glucose Tolerance Test, Glycosylated Haemoglobin, Serum Bilirubin, Blood uric acid, Serum calcium, sodium, potassium, Serum phosphorous, serum magnesium, CSF for protein, sugar, Blood gas analysis, Estimation of residual chlorine in water by OT test, Thyroid T3T4TSH, CPK chloride

Notes:

All equipment must be new The CT scan machine shall be at least 16 slice with 0.5 second or less rotation time. The X-ray machine shall be at least of 300 mA specification. Portable sonography machine is not allowed. Upto 25% of category-C centres may be allowed to function as collection centres, provided that the Agency shall submit a list of such centres and obtain prior approval of the government.

3 | Page SHRC, January, 2013 Option to appoint 'concessionaires'

2.4 The Agency may operate the centres directly [i.e. through staff directly contracted by it] or may engage 'concessionaires' to operate the centres on revenue / profit sharing basis. However, in so far as the State Government is concerned, the liability for complying with contractual obligations with regard to the services shall rest with the Agency. The agency will also have to ensure that each centre - directly managed or placed under a 'concessionaire' complies with the manpower and other standards specified in the Nursing Home Act Rules.

Pricing of services

2.5 The fee for various tests shall be fixed with reference to the "rates approved for Non- NABL accredited centre in Delhi under the Central Government Health Services", in the following manner: • Every Applicant / Bidder shall quote its 'discount offered" in its financial bid. Separate discounts can be offered for each Lot. • After the Agency has been selected, it will submit a 'schedule of rates' for the Lots assigned to it in the following format:

SI No. Test / procedure Approved rate for Rate after Rate after non-NABL centre in applying rounding off Delhi (on date of discount / the rate in submission) premium column (4) quoted in to nearest the bid multiple of 5 (D (2) (3) (4) (5)

• The State Government shall issue a notification, taking into account the above information, announcing the schedule of rates applicable for each Lot.

2.6 Revision of rates: The schedule of rates fixed in accordance with the above procedure shall be allowed to be revised as and when the CGHS rates for non-NABL accredited centres are revised.

2.7 Procedure for revision of rates: As and when the CGHS rates are revised, the Agency shall submit a 'revised schedule of rates' in the following format:

SI No. Test / procedure Current rate Revised Rate after CGHS rates rounding off the for non-NABL rate in column (4) accredited to nearest centres in multiple of 5 Delhi (D (2) (3) (4) (5)

4 | P a g e SHRC, January, 2013 2.8 The State Government shall issue a notification, taking into account the above information, announcing the revised schedule of rates applicable for diagnostics services delivered under the PPP project.

2.9 Revised rates shall be notified within 30 working days from the date of submission of the revised schedule of rates and the new rates will be applicable from the date of their notification.

Each centre to be an independent business / cost centre

2.10 Regardless of the choice made by the Agency with regard to mode of operating the centres (that is, directly managed or managed through concessionaires), each centre will have to be established as a separate 'business centre' and will have to have maintain data on key details of its operations.

NABL accreditation

2.11 If the Agency obtains NABL / NABMIS certification /accreditation for a centre, the prices for the concerned lab / radiology centre can be revised with reference to the rates approved for "NABL accredited centre in Delhi under the Central Government Health Services". The revised rates shall be notified as per the procedure mentioned above.

3 Branding

3.0 The Centres to be operated under the PPP shall be popularized by assigning them a unique name. The name for the centres shall be chosen after selection of the Agency / Agencies.

4 Concessions / commitments by the State

4.1 The State Government shall provide, through the Jeevan Deep Samitis of concerned hospital / health centre, space for the lab and radiology centre. The space shall be provided along with a separate electricity meter connection. The payment of electricity charges will have to be borne by the Agency [or the concessionaire appointed by it].

4.2 The Agency will have the freedom to use diagnostic centres to serve 'external' customers.

4.3 The State will offer to the Agency the 'right to first refusal' in expanding the network of diagnostic services beyond those listed in this RfP including the Medical Colleges and District Hospitals which are not included in this RfP.

4.4 The State will notify the revised schedule of rates within 30 working days of submission of the proposal by the Agency.

4.5 The State will also allow the Agency to add X-ray services in future at all the facilities included in this RfP, depending upon the performance of services.

5 | Page SHRC, January, 2013 5 Expected volume of business

5.1 Currently, the availability and quality of diagnostic services is very un-even across the regions and levels of facility. Even so, the past data indicates that the minimum daily OPD would be 50-60 for category-C facilities, 90-100 for category-B facilities and 130-150 for category-A facilities. Using these OPD figures and making certain assumptions about the percentage of cases requiring radiology services (CT-Scan, USG, X-ray) and lab tests, the annual expected number of cases coming from the public facilities themselves will be as presented below.

Number of Annual expected numbers %age OPD cases expected to facilities Ave- (rounded off numbers) Cate- rage require (per facility) Division gory daily OPD CT X- CT USG lab USG X-ray Scan ray tests Scan lab tests A 2 130 1 7 85 950 6,600 80,000 B 12 90 5 75 20,000 2,96,000 Surguja C 53 50 6 60 58,000 5,80,000 Total 67 950 26,600 58,000 9,56,000 A 1 135 1 7 85 500 3,450 42,000 B 13 90 5 75 21,000 3,20,000 Bastar C 65 50 6 60 72,000 7,10,000 Total 79 500 24,450 72,000 10,72,000 A 4 150 1 7 85 2,200 15,000 1,85,000 B 24 100 5 75 44,000 6,50,000 Raipur C 116 60 6 60 1,52,000 15,20,000 Total 144 2,200 59,000 1,52,000 23,55,000 A 3 140 1 7 85 1,500 10,700 1,30,000 B 17 100 5 75 31,000 4,65,000 Bilaspur C 69 60 6 60 90,000 9,00,000 Total 89 1,500 41,700 90,000 14,95,000

It may be noted that the case load will increase substantially over the medium term as the regularity of availability of diagnostic services improves.

Since the State has decided to universalize the coverage of RSBY to include non-BPL families and is designing a plan to incentivize service providers at the public hospitals to increase their share in the RSBY clients, the captive market is likely to grow several fold over the duration of project.

6 | Page SHRC, January, 2013 6 Project period, phasing and expansion

6.1 The State will sign an agreement with the successful bidder for operating the diagnostic services for a period of 10 years which shall be subject to extension / reduction, based on performance, as explained in para 7 below.

6.2 The Agency will have to adhere to the following time lines for establishing and expanding the network:

o CT-Scan : Within 4 months from the date of signing of Agreement, o USG / X-ray : Within 3 month from the date of signing of Agreement. o Pathology lab: Within 2 month from the date of signing of Agreement.

Note: The State Government shall ensure that the physical possession of the space is made available to the Agency within 1 month from the signing of Agreement. In cases where this is not possible (e.g. due to delay in minor repairs or installation of electricity meter), the above preparatory period shall be suitably extended.

7 Payment mechanism, Performance Bonus and Penalty

7.1 The payment for the tests carried out for the following category of patients shall be made by the Jeewan Deep Samiti of the hospital where the lab / diagnostic centre is located:

• Patients being treated under RSBY • Patients being treated under Mukhyamanti Swasthya Bima Yojana (MSBY) • BPL patients under OPD treatment

7.2 For all other cases - non-BPL cases from the hospital and patients referred by the private sector hospitals / doctors, payment shall be made by the person concerned.

7.3 The payment by the Jeevan Deep Samiti will be made on monthly basis on the basis of invoice to be submitted by the lab / diagnostic centre.

7.4 The rates shall be the same for all category of clients.

7.5 Performance standard:

7.5.1 The performance of a lab / diagnostic centre shall be treated as 'satisfactory' if the turn around time is 24 hours or less for routine tests and 4 hours or less in emergency cases in at least 90% of cases. It will be the treating physician who will decide whether a test is to be done on emergency basis.

7.5.3 The performance assessment will be done on an annual basis through a third party performance auditor, based on an audit of the in-and-out data records maintained by the labs / diagnostic centres.

Note: Sickle-cell electrophoresis and culture sensitivity tests may need more time than stipulated above and, therefore, shall not be included while calculating the actual turn around time.

7| Pa SHRC, January, 2013 7.6 Performance bonus and penalty;

7.6.1 If a lab / diagnostic centre exceeds the satisfactory level as defined above, it will be entitled to a performance bonus calculated @5% of amount payable. The bonus amount shall be payable on annual basis after the assessment of the performance by the third party.

7.6.2 If the performance of 90% or more of the labs / diagnostic centres operated by an Agency (selected for a Lot) are rated as 'satisfactory', its contract shall be extended by one year

7.6.3 If a lab / diagnostic centre fails to achieve the 'satisfactory' level as defined above, its monthly payments for the second year shall be reduced @5%. In case it achieves the 'satisfactory' level in year-2, the penalty shall be revoked. Otherwise the penalty amount shall be increase to 10% for the third year.

7.6.4 If more than 25% of labs / diagnostics centres operated by an Agency (selected for a Lot) are found to be below satisfactory level in a year, the contract period of the Agency shall be reduced by one year.

8 Eligibility Criteria for applicants

For Radiology Centres

8.1 The applicant can be a 'for-profit1 or 'not-for-profit' legal entity or a consortium thereof fulfilling the following criteria:

• Having at least 2 years' experience of managing network of radiology centres, having at least 10 such centres on the day of application; AND

• Having a turn over of not less than the amount indicated in the table below in the last three financial years- 2009-10 to 2011-12.

Lot Minimum Average turn over in the last three financial years (Rs lakh) Lot-1 : Surguja 400 Lot-3: Bastar 400 Lot5: Raipur 600 Lot 7: Bilaspur 500

For laboratory centres

8.2 The applicant can be a 'for-profit' or 'not-for-profit' legal entity or a consortium thereof fulfilling the following criteria:

• Having at least 2 years' experience of managing network of laboratories conducting pathology / micro-biology / serology / bio-chemistry tests and having at least 10 such centres on the day of application; AND

• Having a turn over of not less than the amount indicated in the table below in the last three financial years- 2009-10 to 2011-12.

8 | P SHRC, January, 2013 Lot applied for Minimum Average turn over in the last three financial years (Rs lakh) Lot-2: Surguja 200 Lot-4: Bastar 200 Lot-6: Raipur 450 Lot-8: Bilaspur 300

Notes: • In case of consortium, the eligibility criteria will apply to the lead partner of the consortium. • A certificate will be required from the Auditors of the Applicant certifying the average turn-over from the relevant diagnostic services in the last three years. • In case an applicant has applied for 2 or more lots, the financial eligibility shall apply on cumulative basis.

10 Procedure for submitting the proposals

10.1 Separate applications are required to be submitted for each lot.

10.2 The proposals (for each lot applied for) lot are required to be submitted in three separate envelopes as follows:

• Part-A: Proof of eligibility: This will contain the documents in support of eligibility criteria mentioned above. This envelope shall be marked as "Part-A: Proof of Eligibility".

Note: An applicant managing diagnostic centres at government hospitals / health facilities has to submit letter(s) of certificate issued by the client(s) in support of the experience. The template for the certificate is given at attached Form-C. Proposals not accompanied by the letter(s) of certificate are liable to be treated as "not fulfilling proof of eligibility" and may be declared as "non-responsive".

• Part-B: Technical proposal: This will contain (a) a write up detailing the profile of the agency with details of ongoing and completed projects of similar nature with cost, contact details of the clients for the assignments undertaken, (a) the curriculum vitae of the key personnel proposed to be assigned for the project and (b) a write up on the manner in which the agency proposes to carry out the assignment. This envelope shall be marked as "Part-B: Technical Proposal".

• Part-C : Financial proposal : This will contain the discount offered on CGHS rates for non-NABL accredited centre in Delhi.

Note: The envelope containing the Financial Proposal must be clearly marked "Financial Proposal" with a warning "Do Not Open With The Technical Proposal."

9 Pa SHRC, January, 2013 10.3 The three envelopes are to be placed in an outer envelope marked "Application for establishing diagnostic centres - Lot number....". The SHRC / State Government shall not be responsible for misplacement, losing or premature opening if the outer envelope is not sealed and/or marked as stipulated. This circumstance may be the case for rejection of a proposal. If the Financial Proposal is not submitted in a separate sealed envelope duly marked as indicated above, this may constitute grounds for declaring the Proposal as non- responsive.

11 Templates to be used for submitting proposals

11.1 Proposals, prepared and packed in separate envelopes as described above, should be accompanied by a letter of transmittal as per the format given at the attached Form-T.

11.2 The Financial proposal is to be prepared in the format given at the attached Form-F and must be signed by the same person(s) who has/have signed the letter of transmittal.

11.3 Letter(s) of certificate in relation to experience are to be prepared in the format given at Form-C-1 and Letter of certificate from the Auditors in relation to annual average turn-over are to be prepared in Form-C-2.

12 Evaluation Procedure

12.1 Evaluation will be done separately for each lot.

12.2 The proposals shall be evaluated by an Evaluation Team, to be constituted by the State Government, in the following manner:

• Stage-1: Part-A of all proposals for a lot shall be examined to confirm if all eligibility criteria are met. The applicants who fail to meet one or more of the stipulated eligibility criteria shall be declared as 'non-responsive1 and their technical and financial proposals shall not be opened.

• Stage-2: Part-B of all applicants who have crossed Stage-1 successfully shall be opened next and evaluated on the parameters as indicated below:

10 Pa SHRC, January, 2013 Parameter Marks Maximum marks Experience of the Agency in managing network of relevant diagnostic services (radiology centres in respect of lots 1,3,5 and 7 and laboratory services in respect of lots 2,4,6 and 8) Experience of 2 years or more but less than 5 years 10 20 Experience of more than 5 years 15

Experience of more than 5 years with at least 2 years' 20 experience of managing integrated diagnostic centres providing radiology and lab services

Average annual turnover in the last three financial years (assessment will be based on certificate issued by the Auditors Upto 2 times the threshold defined for the concerned 10 lot 20 More than 2 times but less than 3 times the threshold 15 defined for the concerned lot More than 3 times the threshold defined for the 20 concerned lot Number of centres being managed at the time of application (own or managed under PPP mechanism) [ a collection centre is NOT a centre] 20 11-25 centres 10 26-50 centres 15 More than 50 centres 20 Geographical coverage of network of diagnostic centres being managed (own network or network managed under PPP mechanism) 20

At least 2 States 10

3-5 States 15

3 or more States with presence in the State of 20 Chhattisgarh. Quality of the technical proposal as assessed by the Evaluation team 20

Total 100

12.3 Technical proposals scoring less than 50 marks shall be declared as 'non- responsive' and their financial proposals shall not be opened.

12.4 The final scores for an applicant would be weighted average of technical and financial bids, where the technical and financial proposals will be assigned a weight of 70

11 I Pag SHRC, January, 2013 and 30 percent respectively. The scoring system of this 'Quality-and-Cost-Based- Selection(QCBS)1 procedure to be used for obtaining final scores is illustrated below.

Technical proposal Financial proposal Combined score

Score Weighted Bid Weighted Technical Financial Total score amount score = =(score/max (Discount (discount score)*100 Rate) rate / maximum discount) *100

(1) (2) (3) W (5)=(2) * (6)=(4) (7)= (5) + 0.70 0.30 (6)

50 62.50 40 100 43.75 30 73.75

60 75 30 75 52.50 22.50 75.00

70 87 20 50 60.90 15 75.90

80 100 10 25 70 7.50 77.90

13 Other terms and conditions

13.1 Last date; The deadline for submission of the bids is 1700 hours, 10th February, 2013 at the address indicated in the format for transmittal letter.

13.2 Bid Opening schedule: The bid opening dates shall be announced after the last date and will be communicated to all Applicants for the lot. In general, following schedule will be adopted for evaluation:

• Opening of proof of eligibility envelopes: 11:00 AM • Announcement of bidders fulfilling eligibility criteria: 11:30 AM • Opening of technical bids: 12:00 noon • Announcement of results of technical bid evaluation: 4:00 PM • Opening of financial bids: 4:30 PM • Consolidation of results of technical and financial bids and announcement of final scores of evaluation: 5:30 PM

13.3 Single Proposal: A firm / legal entity should submit only one proposal. If a firm / legal entity submits or participates in more than one proposal, all such proposals shall be disqualified.

13.4 A Bid Security of Rs. 1,00,000 (Rupees one lakh only) in the form of Demand Draft from any commercial bank issued in favour of "State Health Resource Centre, Chhattisgarh"

12 Pa SHRC, January, 2013 should accompany the Proposal. Bid Securities of unsuccessful bidders will be returned to them within 30 days of the award of contract.

13.5 A Bid Fee of Rs 25,000 (Rupees Twenty Five Thousand only) ) in the form of Demand Draft from any commercial bank issued in favour of "State Health Resource Centre, Chhattisgarh" should also accompany the Proposal. Bid fee is not refundable.

13.6 In case of deficiency in service delivery or required human resources, penalty will be imposed, which will be decided on a mutual agreement basis at the time of agreement.

13.7 Each page, Form, Annexure and Appendices of the Technical and Financial Proposal must be signed by the Authorised signatory of the firm /legal entity. All blank spaces in the financial proposal must be filled in completely where indicated, either typed or written in ink.

13.8 State Government / SHRC reserve the right to accept or reject one or all application without giving any explanation.

13 | P a g e SHRC, January, 2013 Annex-1

List/ number of hospitals / health facilities where diagnostic services are required to be established

Category A: 10 already functioning District Hospital (100 Beded)

Division District Hospital (100 Beded) Raipur Raipur Dhamatari Mahasamund Kawardha Bilaspur Bilaspur Korba Janjgir Bastar Kanker Surguja Jashpur Koriya

Category B:

8-1: 12 New District Hospital (50-100 Beded):

Division District Hospital (50-100 Beded) Raipur Baled Bemetra Baloda Bajar Gariyabandh Bilaspur Mungeli Bastar Bijapur Narayanpur Dantewada Kondagaon Sukuma Surguja Balrampur Surajpur

B-2: 8 Civil Hospitals:

Division District Name Of Civil Hospital Raipur Kharagarh Supela Bilaspur Raigarh Kharsia (FRU) Janjgir Champa

14 | P a g e SHRC, January, 2013 —i Division District Name Of Civil Hospital Bastar Kanker Pakhanjur (FRU) Surguja Balarampur Wadrafnagar (FRU) Ambikapur Mainpat Jashpur Pathalgaon

B-3: 46 FRU-CHC:

Division District Name Of FRU CHCs Raipur Rajnandgaon Dongargarh Churiya Mohala Chhuikhadan Durg Gundrdehi Dondilohara Dhamdha Raipur Tilda Abhanpur Baloda Bajar Bhatapara Kawardha S. Lohara Pandariya Mahasamund Bagbahra Pithora Saraypali Dhamatari Kurud Nagari Magarload Bilaspur Bilaspur Bilha Gourella Kota Masturi Mungeli Lormi Raigarh Sarangarh Gharghoda Lailunga Janjgir Akaltara Sakti Jaijepur Korba Katghora Kartala

15 | P a g e SHRC, January, 2013 Division District Name Of FRU CHCs Pali Bastar Bastar Bakawand Darbha Kondagaon Keshkal Dantewada Geedam Katekalyan Kanker Charama Bhanupratappur Sarguja Sarguja Udaypur Sitapur Balrampur Rajpur Jashpur Pharsabahar Pathalgaon Koriya Bharatpur Manendragarh

Category C:

C-1: 103 Non-FRU CHCs

Division District Non FRU CMC Raipur Rajnandgaon Ghumka Ambagarh Chowki Manpur Gandai Dongargaon Durg Utai Nikum Patan Navagarh Jheet Balod Dondi DondiLohara Devri Bangalaw Gunderdehi Arjunda Bemetra Thankhamriya Berla Gurur Bierla

SHRC, January, 2013 Division District Non FRU CHC Ahirwara Nawagarh Raipur Dharsiwa Gariyaband Bhatapara Kashdol Nawapara Arang Baloda Bazar Lawan Palari - Simga Bhilaigarh

Gariyaband Fingeshwar Rajim Mainpur Dewbhog Chhura Kawardha Jhalmala Pipariya Bodla Mahasamund Basna Gujra Bilaspur Bilaspur Marwahi Pendra Takhatpur Mungeli Pathariya Raigarh Baramkela Pussore Chaple Tamnar Dharamjaygarh Kapu Janjgir Baloda Dabhra Bamhnidih Baloda Kharod Malkharoda Korba Kathghora Pondiuprora

SHRC, January, 2013 Division District Non FRU CHC Bastar Bastar Tokapal Nangoor Bade Kilepal Bastanar Keshkal LohandiGuda Kondagaon Pharasgaon Makdi Vishrampuri Dhanora Dantewada Kuakonda Sukama Chhindgarh Konta Narayanpur Orchha Kanker Dhaneli Kanhar Narharpur Amoda Durg Kondal Koilibeda Antagarh Koilibeda Bijapur Gangluru Bhairamgarh Usoor Sarguja Sarguja Pratappur Mainpat Lakhanpur Pratappur Batauli Lundra(Dhourpur) Balrampur Ramanujganj Kusmi Shankargarh Surajpur Odgi Vishrampur Jashpur Lodam Bagicha Kansabel Kunkuri Duldula (~

18 SHRC, January, 2013 Division District Non FRU CHC Manora Koriya Sonhat Chirmiri

C-2: 200, 24x7 PHCs

Division District 24x7 PHC Sr. No District 24x7 PHC Raipur Bemetara 1 Bastar Bastar 10 Raipur 5 Kanker 11 Kawardha 9 Narayanpur 2 Mahasamund 12 Kondagaon 6 Dhamtari 10 Bijapur 5 Baloda Bazar 6 Sukma 2 Rajnandgaon 20 Dantewada 4 Gariyaband 5 Sarguja Sarguja 2 Baload 4 Surajpur 11 Durg 3 Koriya 5 Bilaspur Bilaspur 16 Balarampur 4 Mungeli 4 Jashpur 12 Raigarh 16 Total 200 Janjgir Champa 3 Korba 12

19 | P a g e SHRC, January, 2013 Form T

Letter of Transmittal

To, Executive Director, State Health Resource Centre,

1st Floor, Health Training Centre Building, Kalibari, RAIPUR-492 001

Sir,

We, the undersigned, offer to organize the diagnostic services in accordance with your Request for Proposal dated

We are hereby submitting our Proposal in respect of (fill in the lot number and description). The proposal is placed in the attached envelope which three envelopes as follows: • Envelope-1 containing Proof of Eligibility • Envelope-2 containing Technical Proposal • Envelope-3 containing Financial Proposal

We hereby declare that all the information and statements made in this Proposal are true and we accept that any misrepresentation of facts may lead to our disqualification and /or black- listing.

The offer made by us in the Financial Proposal (Form F) are valid till six months from the date of submission of the proposal. We confirm that this proposal will remain binding upon us and may be accepted by you at any time before the expiry date.

We agree to bear all costs incurred by us in connection with the preparation and submission of the proposal and to bear any further pre-contract costs.

We understand that the State is not bound to accept the lowest financial bid or any proposal or to give any reason for award, or for the rejection of any proposal.

We confirm that we have the authority of [Insert Name of the Agency/Firm] to submit the proposal and to negotiate on its behalf.

Yours faithfully,

[ Signature of authorised person(s)]

20 | P a g e SHRC, January, 2013 Form F

FORMAT FOR FINANCIAL BID

Item %age discount offered Lot number applied for

Both in Numeric and in Words. Discount Offered on CGHS rates for non- percent NABL accredited centres in Delhi percent

Signature :

[ These must be the signed by the same person(s) who have signed the letter of transmittal].

21 | P a g e SHRC, January, 2013 Form C-1

Letter of Certificate

To whomsoever it may concern

This is to certify that (name of bidder) is/are currently operating the following number and type of diagnostic centres at government health facilities in the State:

Type of diagnostic Number of centres Main diagnostic Being managed services being being managed services /facilities since (month / year) provided Radiology services at medical college hospital Laboratory services at medical college hospital Radiology services at district hospital Laboratory services at district hospital Radiology services at sub-district hospital / Community Health Centre / Primary Health Centre Radiology services at sub-district hospital / Community Health Centre / Primary Health Centre

Signed

(name of authorized signatory)

Telephone / Mobile number

Email address..,

22 | P a g e SHRC, January, 2013 Form C-2

Letter of Certificate

To whomsoever it may concern

This is to certify that (name of bidder) had the following turn over from their diagnostic services business:

SI. No. Financial year Turnover from diagnostic services business (Rupees) 1 2009-10 2 2010-11 3 2011-12 Average turnover

Signed

(name of authorized signatory of the Auditors

Telephone / Mobile number

Email address..,

23 | P a g e SHRC, January, 2013