ESIC MEDICAL COLLEGE HOSPITAL, SANATHNAGAR, - 500038.

(AN ISO 9001:2008 CERTIFIED HOSPITAL)

TENDER FORM FOR PROVIDING MANPOWER ON OUTSOURCING BASIS FOR NURSING AND PARAMEDICAL SERVICES

AT

ESIC MEDICAL COLLEGE HOSPITAL, SANATHNAGAR, HYDERABAD - 500038.

Downloadable free of cost from ESIC website: www.esic.nic.in,https://esictenders.eproc.in

7.

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Signature of the Tenderèr ESIC MEDICAL COLLEGE HOSPITAL # 7-1-634, Survey No. 121/1&2 SANATHNAGAR, HYDERABAD - 500038. (AN ISO 9001-2000 QMS CERTIFIED HOSPITAL)

Tender No. G 07/2017-18

E-TENDER NOTICE Sub:- Tender for Conservancy Services.

****** The Dean, ESIC Medical College Hospital, Sanathnagar, Hyderabad – 500038 invites E-Tenders in two bid system from duly registered / reputed Manpower Service Providers/ Organizations/Agencies capable of providing Nursing Staff, Para-Medical and other Staff to the ESIC Medical College Hospital, Sanathnagar, Hyderabad –500038 in the following categories. The Estimated value of the tender is approx. 10 crores.

The interested tenderers should obtain Class-IIIB Digital Signature Certificates and Register themselves at https://esictenders.eproc.in. Tender documents with related instructions and Helpdesk Contact numbers for the e-tender process are available for viewing on the website of Employees' State Insurance Corporation i.e www.esic.nic.in, https://esictenders.eproc.in.

PRESENT MANPOWER REQUIREMENT:

Manpower Cadre Required S.No (approx) Qualification and Experience

Diploma in General Nursing & Midwifery or Equivalent Staff Nurse 159 qualification for male Nurse.Registered Nurse with 1 Nursing Council.

Social Worker Diploma /Degree in social work from Recg. Institute in 2 2 (Psychiatric) Psychiatry

3 Social Worker (MSW) 2 Diploma /Degree in social work from Recg. Institute

Degree in B.Sc (MLT) with 2 yrs. Exp. / 10+2 with Diploma Blood Bank Technician 5 4 in MLT and 2 yrs. Exp. In blood bank lab tech.

Degree in Science with 2 yrs. Exp. - 10+2 with 3 exp. In recg. ECG Technician 4 5 Institution in hadling ECG

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Signature of the Tenderèr a.10+2 with science 3 year Degree/Diploma training course Physiotherapist 2 in Physiotheraphy from Recg. Institute 6 month intership. 6 b. 2 yr.s exp. in Recg. Institute of handling physiotherapy

10+2 with science 3 yr.s degree/diploma course in Optometrist 1 7 optimetry from regd./recd. Institution

10+2 & 6 months training course in MRT working of Junior M.R.T 4 8 computers /coding /stastics/records.

9 Lab Assistant 9 10+2 with Diploma in MLT

10th, 2 yrs. Diploma in radiology in recg. Insti. 1 yr exp. Jr. Radiographer 8 10 Recog. Hosp.

10th , 2 yrs. Exp in appln. Of plaster in ortho unit of regd. O.T/Plaster Asst. 12 11 /recg. Hospital

12 CSSD Asst. 4 10+2 with 1 yr. exp. In relevent field in recg./regd hospital

Degree in pharmacy/ sr. sec. with diploma in pharmacy & Pharmacist 5 13 regd. Under pharmacy act.

Degree in pharmacy/ sr. sec. with diploma in pharmacy & Pharmacist (Ayurveda) 1 regd. Under pharmacy act. 1 yr exp in ayurvedic medicine 14 handling

10+2 with science, 2 yrs. Dental tech course & regn. With Dental Technician 3 15 Dental council

10th, Elementary knowledge of first aid, 1 yr exp. in Nursing orderly etc., 125 16 handling and dressing wounds in regd. /recg. Hosp.

10th , 2 yrs. Exp in appln. Of plaster in ortho unit of regd. Dresser 3 17 /recg. Hospital

10th+2 yr. exp comprising iroing & operation laudry Laundry Asst. 7 18 machines & dry cleaning plants

356

Place: Hyderabad

Date: 19-09-2017.

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Signature of the Tenderèr 1. The Manpower requirement is approximate and is likely to change. The Agency shall be bound to provide additional manpower or reduce the existing manpower at the direction of the College/Hospital.

2. Minimum Standards/Benchmarks/Qualifications for the services sought are as per Schedule A and age Limit should be 18 years to 60 years.

3. Schedule - B

S.No. Description Schedule

I E-Tender document available at ESIC From dt:04/12/17 to dt:27/12/17 website / e-procurement portal

https://esictenders.eproc.in

II Last date and time for submission of Upto 2:30 P.M on dt:27/12/17 completed Tender forms for both on-line and off-line mode

III Date of pre bid conference 10:30AM on12/12/17

IV Date and Time for Opening of Technical At 10:30AM on dt:28/12/17 Bids of all the departments

The tender document containing eligibility criteria and terms & conditions can be downloaded from the website - www.esic.nic.in, https://esictenders.eproc.in

The Tender document shall consist of:

Tender notice, all enclosed schedules, all annexure, and checklist attached herewith.

The bid security (EMD) of Rs 5,00,000/- should be paid by Demand Draft in favor of “ESI FUND A/C NO.1”payable at Hyderabad unless exempted from payment of EMD as per General financial rules 2017 (as amended)/ESIC Rules.

4. The tender shall be submitted in two separate covers:

· The first sealed cover should be superscripted “Technical Bid” and should contain: (i) Demand Draft of Rs. 5,00,000/-towards bid Security deposit (EMD)/Exemption certificate. (ii) Declaration at Annexure – I.

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Signature of the Tenderèr (iii) The proforma at Annexure –II (Duly Filled in) with all attachments. (iv) The proforma at Annexure-III.

(v) Copies of the following documents should be submitted with the E-Tender:

a. Audited Balance Sheet with profit and loss account for the financial years i.e. 2014-15, 2015-2016,and Provisional Balance Sheet 2016-17 and along with Form 26AS if final audit is not completed. b. GST tax Registration Certificate. c. Certificate of Inc/firm registration certificate. d. Pan card. e. ESIC Registration certificate. f. EPF Registration certificate. g. Labour license from concerned labour office. h. License under contract labour abolition act. i. Any other License/Certificate required for the purpose. j. Work orders of previous Nursing and paramedical services. k. Satisfactory work completion certificates of related work ordes. l. Duly signed tender document.

· The second sealed envelope superscripted “Financial Bid document” should contain only rates which should be quoted on percentage basis for normal duty (As per enclosed format)

The “Technical Bid” and “Financial Bid” are to be kept separately in two envelops and thereafter both the envelopes should be placed in one bigger envelope duly signed shall be dropped in the Tender Box captioned “TENDER FOR ENGAGEMENT OF AGENCY FOR PROVIDING PARA­MEDICAL STAFF” placed in the Chamber of the The Competent Authority, ESIC Medical College Hospital, Sanathnagar, Hyderabad– 500038 within the stipulated date and time. The subject and the address of the agency/ organization must be clearly mentioned on each of the two sealed envelopes. Tenders received after the closing date and time shall not be considered.

5. ELIGIBILITY CRITERIA a. The Tenderer should have minimum 3 (Three) years experience (as on 31-10-2017) for supply of Nursing & Para-Medical staff to Govt. /Reputed Hospitals having minimum 300 bedded capacity.

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Signature of the Tenderèr b. The Tenderer must have an average annual turnover of Rs. 20 Crores during last three financial years i.e 2014-15, 2015-16, 2016-17. c. The tenderer should have undertaken any one of the following work during the last three year period 1-4-2014 to 31-3-2017:

(Estimated value of works – Rs. 10 Crores (Ten crores). i. One work of manpower supply not less than 80% of the work value to be executed. ii. Two works of manpower supply not less than 50% of the work value to be executed. iii. Three works of manpower supply not less than 40% of the work Value to be executed.

D. The Tenderer is required to submit “Satisfactory Work Completion Certificate” in support of their claim of having completed the aforesaid works under Para C above failing which the information furnished regarding the completion of work is liable to be treated as invalid. E. The Tenderer must be registered with the statutory Central and State authority viz., ESI, EPF, Income Tax, GST etc., and should have a valid Labour License for supply of manpower as mentioned in the tender document.

6. 1. OTHER ESSENTIAL QUALIFICATIONS:-

a. The bidder should possess relevant license(s) to perform the contract.

b. The Bidder should not be under declaration of ineligibility for corrupt and fraudulent practices or any other reason whatsoever, or have not been black listed by Govt. of or T.S. State Govt. or any of its agencies including Public Enterprises and/or by any State Govt. or any of its Agencies. His/hers services should not have been terminated by any ESIC/ ESIS or other Govt. institution for unsatisfactory service or non fulfillment of contract conditions.

c. The Bidder should not have been convicted of any offences under any labour Laws.

d. The tenderer should have a place of business preferable in

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Signature of the Tenderèr Hyderabad/ and the complete Postal Address, telephone/Mobile/Fax/E-mail address, etc. should be provided while submitting the completed Tender form. e. All sheets of the bid document to be serialized & signed by the bidder/duly authorized signatory. f. No unwanted documents/ Papers should be enclosed with the bid. All the documents are to be uploaded category wise each in single Pdf file (for eg: Labour license, PAN card, ESI registration, EPF registration, certificate of Inc., etc to be scanned and uploaded ) as given below.

Sl.No Category Documents to be uploaded 1 Registration Labour license, ESI Registration, EPF Certificates Registration, PAN card, GST Registration, Certificate of Inc, etc., 2 Accounts IT Returns, Balance Sheets and Profit and loss Accounts etc., 3 Performance Work orders, Contracts, S.P. Certificates, etc., certificates 4 Tender Tender document downloaded from Documents ESIC/EProc website 5. Annexure All Annexures to tender documents

2) Detailed specifications, Terms and Conditions are given in the tender document which can be downloaded from the ESIC website www.esic.nic.in, https://esictenders.eproc.in free of cost.

3) Quotations should be submitted alongwith D.D. for Rs5,00,000/- Drawn in favour of “ESIC Fund A/c. No.I, payable at Hyderabad towards E.M.D/exemption certificate whichever is applicable.

Sd/- DEAN

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Signature of the Tenderèr Schedule - I

GENERAL TERMS AND CONDITIONS IN RESPECT OFTENDERS FOR MANPOWER SERVICES

1. GENERAL :

The Bidder is expected to examine all instructions, forms, terms and conditions and specifications in the tender document. Failure to furnish complete information as required with reference to the tender document shall result in rejection of the bid.

2. TENDER FORM :

The bidder shall complete the tender form and the appropriate price schedule furnished in the tender documents for the outsourcing services as required by the ESIC Medical College Hospital, Sanathnagar, Hyderabad - 500038.

3. BID PRICES :

i) The bidder shall indicate in the price schedule of the tender document:-

a) The complete price breakup of various components services along with total bid prices in each group/category of the staff as per the hospital’s (i.e. ESIC Medical College Hospital, Sanathnagar, Hyderabad - 500038) requirements. However the payment shall be based on the actual supplies/services approved by the Purchaser and made by the Supplier.

b) Duties, taxes and other statutory payments if any, paid or payable, must be mentioned clearly both on percentage as well as on actuals.

ii) Prices quoted by the bidder shall be fixed during the bidder’s performance of the contract and not subject to variation on any account

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Signature of the Tenderèr except in cases of statutory payments. A bid submitted with an adjustable price quotation will be treated as non-responsive and will be rejected.

iii) All prices must be mentioned both in figures and words. The

bidder must make sure that there is no discrepancy between the two. In case of any discrepancy between the two the interpretation of the Hospital on this account shall be final and binding. If the bidder does not accept the correction of errors as per Hospital’s interpretation, his bid will be rejected.

iv) Arithmetical errors, if any, in any part of the bid will be rectified on the following basis. If there is a discrepancy between the unit price and the total price that is obtained by multiplying the unit price and quantity, the unit price shall prevail and the total shall be corrected. If there is any discrepancy between the figures and words, the price in words will be taken as correct. If the bidder does not accept the correction of errors, the bid shall be rejected.

4. EARNEST MONEY DEPOSIT (E.M.D.) :

i) The bidder shall furnish, as part of his bid an EMD of Rs.5,00,000.00 in the form of a crossed Bank Draft or Pay Order payable to ESI Fund A/C No. 1,” or exemption certificate whichever is applicable. No interest shall be payable by the Hospital on this amount.

ii) Unsuccessful bidder‟s EMD will be returned as early as Possible.

iii) The successful bidder‟s EMD will be discharged upon the bidder signing the contract and furnishing the performance security. iv) The EMD shall be forfeited :

a) If the bidder withdraws his bid during the period of bid Validity specified by the bidder on the tender form; OR b) In case of a successful bidder, if the bidder fails: To sign the

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Signature of the Tenderèr contract and/or to furnish performance security

5. PERIOD OF VALIDITY OF BIDS :

i) Bids shall remain valid for a period of 120 days after the date of tender opening prescribed by the Hospital bid valid for a shorter period shall be rejected by the Hospital as non-responsive.

ii) In exceptional circumstances the Hospital may solicit the bidders consent to an extension of the period of validity. The request and the response thereto shall be made in writing. The EMD provided shall also be suitably extended.

6. PURCHASER’S RIGHT TO ACCEPT OR REJECT ANY BID :

The Hospital reserves the right to accept or reject any bid without assigning any reason at any time prior to award of contract, without thereby incurring any liability to the affected bidder or bidders or any obligations to inform the affected bidder or bidders of the grounds for Hospital’s action.

7. SIGNING OF CONTRACT :

i) At the same time as the Hospital notifies the successful bidder that his bid has been accepted, the Hospital will send the bidder the contract form.

ii) Within 10 days (or within the period if and as extended by the Hospital) of receipt of the contract form, the successful bidder shall sign and date the contract on non-judicial stamp paper of requisite

Denomination and return it to the Hospital. c) Complete qualifications of staff (such as academic and experience details and registration numbers with the local and national bodies) must be mentioned for all the staff being provided. d) The contractor shall provide a list of the workers with their ESI and EPF registration numbers, Bank Account number, Aadhar no. etc in

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Signature of the Tenderèr below format. Sno. Employee Name Aadhar Bank PF/ UAN ESIC Insurance No. A/c No. No. No.

Remarks

8. CORRUPT OR FRADULENT PRACTICES

ESIC Medical College Hospital, Sanathnagar, Hyderabad – 500038 requires that the Hospital as well as bidder/contractors under this contract observe the highest standard of ethics during the procurement and execution of such contracts. In pursuance of this policy, the ESIC Medical College Hospital will reject a proposal for award, if it determines that the bidder recommended for award has engaged in corrupt or fraudulent practices in competing for the contract in question. It will declare a firm ineligible either indefinitely or for a stated period of time for award of the ESIC contract if, at any time it determines that the firm has engaged in corrupt or fraudulent practices in competing for or in executing an ESIC contract.

9. CONTRACT AMENDMENTS :

No variation in or modification of the performance of the contract shall be made except by written amendment signed by the parties.

10. TERMINATION FOR CONVENIENCE :

a. The Hospital, by written notice of 30 days (Thirty days) sent to the Supplier, may terminate the contract, in whole or in part at any time for his convenience.

b. The notice of termination shall specify that termination is for the Hospital’s convenience, the extent to which performance of the Supplier under the contract is terminated and the date upon which such termination becomes effective. Read and Agreed 11 | P a g e

Signature of the Tenderèr

11. RESOLUTION OF DISPUTES: i) In case of a dispute or difference between the Hospital and the Supplier relating to any matter arising out of or connected with this agreement such dispute or difference shall be referred to an arbitrator to be nominated by the The Competent Authority, ESIC Medical College Hospital, Sanathnagar, Hyderabad - 500038. It will be no objection that the arbitrator is an employee of the Corporation; he had expressed his views on all or any of the matters in dispute or difference. The award of the arbitrator shall be final and binding on the parties of this contract. It is the term of this contract that in the event of such arbitrator to whom the matter is originally referred being transferred or vacating his office or being unable to act for time of such transfer or vacation of office or inability to act, the The Competent Authority, ESIC Medical College Hospital, Sanathnagar, Hyderabad – 500038 shall appoint another person to act as an arbitrator in accordance with the terms of this contract. Such arbitrator shall be entitled to proceed with the reference from the stage at which his predecessor left it. It is also term of this contract that no person other than a person appointed by the Competent Authority, ESIC Medical College Hospital, Sanathnagar, Hyderabad - 500038 as aforesaid should act as an arbitrator. ii) Arbitrations and Conciliation Act, 1996, the Rules there under and any statutory modifications or reenactments thereof, shall apply to the arbitration proceedings.

12. RIGHT TO MODIFY OR RELAX:

The Purchaser reserves the right to modify and /or relax any of the terms and conditions of the tender / contract.

Read and Accepted Signature of Tenderer with seal

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Signature of the Tenderèr Schedule-II

SPECIAL TERMS AND CONDITIONS FOR MANPOWER SERVICES

The following special terms and conditions shall apply for providing Para-Medical and other Staff on outsourcing basis in ESIC Medical College Hospital, Sanathnagar, Hyderabad - 500038.

1. The General Terms & Conditions for supply of materials or services to the ESIC Medical College Hospital, Sanathnagar, Hyderabad - 500038 including the Law of contract & Law of agency, will be applicable, as is with the modification that wherever the references used for supplies of Stores etc. should be read to mean “Services”. 2. The Contractor should ensure the Health and Safety measures of the employees. ESIC may also conduct health check up of the staff deployed at regular intervals. A general medical report is to be produced by the contractor in respect of each employee at the time of employment. Including the details of vaccinations for all staff for applicable communicable diseases. 3. The Contractor must employ adult and healthy labour only. Employment of child labour will lead to the termination of the contract. The Contractor shall engage only such workers, whose antecedents have been thoroughly verified, including character and police verification and other formalities. The Contractor shall be fully responsible for the conduct of his staff. 4. It will be the duty of the agency to take a declaration on bond paper from each employee that the employment is temporary in nature and wages will be paid as per minimum wages as Issued by Government.

5. The agency will be responsible for complying with payment of minimum wages as applicable under G.O Ms. No.68, LET&F (Lab.II) Dept., (Issued by Telangana Government) rules, and other benefits including prescribed number of Holiday/Weekly off etc. to its employees deployed in

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Signature of the Tenderèr the Hospital, as per labour Laws in force from time to time. The agency will be responsible to comply with laws related to Social Security such as E.S.I., P.F., Leave Wages and National Holidays as applicable and Service Tax wherever applicable and other Labour Legislations, Pollution Control and such statutory orders by Government/Statutory Authorities/ Municipality which may be in force from time to time.

3. Payment to all engaged employees will have to be made on or before 10th of the succeeding month, delay in salary wages and exploitation of engaged employees shall not be tolerated by ESIC and a penalty of Rs 2,500/- shall be levied per day for delay in payment of salary wages to engaged employees. Said penalty shall be imposed and deducted from the total bill.

(i) Payment to such workers must be made by the Service providers through ECS alone. Under no circumstances payments will be made in cash or any other mode. To ensure this, Service providers will get a Bank account opened for every engaged worker. (ii) The Agency is also required to issue pay slips to all employees every month. (iii) While submitting the bill for the month, the service provider Must enclose the following documents:- a. Proof of payment of wages to workers through ECS. b. Proof of payment of ESIC contribution employee wise. c. Proof of payment of EPF contribution employee wise. d. A certificate that he is complying with all other Statutory Labour Laws including Minimum Wages Act.

Apart from the above details, below pro-forma also tobe submitted by the service provider to the hospital

SN Employee Aadhaar Bank PF / ESIC No. of Total Signature Name No. A/C UAN Insurance days Amount of No. No. No. Paid Employee

Remarks:

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Signature of the Tenderèr

Bills of supplier shall be processed after receiving the satisfactory report from the end users of the services and after submitting the above mentioned pro-forma and statutory details.

4. PAYMENT OF WAGES TO WORKERS AND OTHER STATUTORY DUES SHALL NOT BE LINKED TO PAYMENT OF BILL OF THE CONTRACTOR. THOUGH ENDEAVOUR SHALL BE MADE TO MAKE PAYMENT OF THE BILL PROMPTLY AFTER DUE PROCESSING.

5. The agency will be required to ensure that the deputed personnel come in the uniform and protective covers as prescribed by the Hospital for the persons engaged by him/her for working in this Hospital. Washing & maintenance of these uniforms and protective covers will be borne by the individuals.

6. The Contractor shall deploy only such workers who are physically and mentally fit and certificate to that effect should be enclosed with the bio- data of the workers.

7. The Amount to be deducted towards the advance income tax shall be at the rate applicable.

8. The Hospital authority in the event of any increase-decrease in the requirement of man-power, may advise the contractor accordingly and the contractor is bound to provide man –power as per the changed requirement and he shall be paid proportionately for the changed requirement.

9. The successful tenderer will be required to deposit security money

(Interest free) equivalent to 5% of the Annual value of the contract accepted by the Hospital within such specified period as may be decided by the Hospital and on failure, the offer of contract shall be cancelled without further reference and earnest Money may be forfeited.

ii) The Security money so deposited by the successful bidder will be

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Signature of the Tenderèr retained by the hospital till completion of the contract and will be released thereafter (without interest) on claim, subject to adjustment of any claim of Hospital, arising out of terms & conditions pertaining to the tender.

11. The Contractor will be responsible for such conduct of the persons engaged by him/her in the Hospital, which will be conductive for maintaining the harmonious atmosphere in the Hospital and will be responsible for any undesired Acts & Omissions of such persons. If any person is found to be in disciplined or not performing duties properly in the opinion of Hospital authority, he/she shall be removed and replaced by a suitable person immediately within one day.

12. The contract, if awarded, will be for one year from the date of award subject to continuous satisfactory performance and failure on this aspect by the contractor, the Hospital reserves the right to terminate the contract. This initial period of one year can be extended for such further period at the discretion of the hospital authority, with the existing terms and conditions.

13. The Contractor shall maintain such other records as may be prescribed by ESIC from time to time.

14. The Contractor shall provide a bio-data of all the persons engaged by it for working in the ESIC premises.

15. The agency shall make arrangements to deploy personnel in shifts for round the clock duty on all days including Sundays and Holidays in clinical areas, other areas will be on single shift with no deployment on Holiday. The timing of single shift duties will be specified by the Hospital Authority.

16. The agency should appoint supervisors for monitoring nursing & paramedical staff provided, by agency, round the clock.

17. The supervisors will be responsible for the deployment of the nursing Read and Agreed 16 | P a g e

Signature of the Tenderèr & para–medical staff in shifts and they have to ensure suitable replacement in case of absence of any staff. All the grievances and payment related issues of the nursing & paramedical staff should be addressed by the supervisor only.

18. The successful agency shall have to enter into an agreement with the Hospital and the cost incurred in this connection will be borne by the contractor.

19. The successful bidder shall produce the certificate of License under Contract Labour Regulation and Abolition Act, 1970, within a period of one month from the date of commencement of the contract.

20. The tender application form and related documents along with the earnest money is to be submitted in a sealed cover super scribed as :

“TENDER FOR ENGAGEMENT OFAGENCY FOR PROVIDING PARA­MEDICAL STAFF”for ESIC Medical College Hospital, Sanathnagar Hyderabad” addressed to:

Dean, E.S.I.C. Medical College Hospital, Sanathnagar,Hyderabad – 38.

21. The Hospital authority reserves the right to reject any tender without assigning any reason whatsoever.

22. The contractor/tenderer should quote the rates in financial bid document.

23. As per the Job description, the Staff will be paid not below the Wages for respective categories in accordance with G.O Ms. No.68, LET&F (Lab.II) Dept., (Issued by Telangana Government).

24. The rate on which tender is offered to the successful tenderer, will remain same for the entire period of contract including any extended Read and Agreed 17 | P a g e

Signature of the Tenderèr period, if such be the case, except for the statutory increases under ESI/PF/Minimum Wages etc which will be considered by the Hospital authority to the extent of actual, on submission of claim with documentary proof accompanied by the relevant Govt. Notification/Orders.

25. If the Hospital authority requires additional personnel due to increase in work of otherwise during the currency of the contract, the contractor shall provide such additional man-power at the charges proportionate to the charges payable to the existing man power, and the same amount will be added to the monthly bill of the contractor.

Read and Accepted

Signature of Tenderer

With seal

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Signature of the Tenderèr Annexure-I

(To be submitted in First Envelop)

DECLARATION

I, ______Son/ Daughter /wife of Shri ______Proprietor/ Director, authorized signatory of the Agency/Firm, mentioned above, is competent to sign this declaration and execute this tender document;

2. I have carefully read and understood all the terms and conditions of the tender and undertake to abide to them;

3. The information/ documents furnished along with the above application are true and authentic to the best of my knowledge and belief. I/we, am/ are well aware of the fact that furnishing of any false information/ fabricated document would lead to rejection of my tender at any stage besides liabilities towards prosecution under appropriate law.

Signature of authorized person

Date: Full Name:

Place: Seal

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Signature of the Tenderèr .

ANNEXURE - II (To be submitted in First Envelop)

PROFILE OF THE CONTRACTER / TENDERER Sl. To be filled in by the Particulars No Tenderer

1 Name of the Agency

2 Date of establishment of the agency.

Detailed office address of the Agency with office telephone number, Fax number and Mobile number and the

name of the contact person(s) and email. 3 Whether registered with all concerned Government authorities (PF/ESI etc.) (Copies of all certificate of registration to

be enclosed.) 4 PAN/ TAN Number (Copy to be enclosed) 5 GST Registration Number (Copy to be enclosed) 6

7 Labour Licence (for similar contract) Whether the firm is blacklisted by any Govt. Department or any criminal case is registered against the firm or its owner / partner anywhere in India. Please attached an Affidavit stating that the agency is / has not been black listed by Centre/ State Government/ PSU etc. 8 9 Length of experience in the field 10 Client list as per Annexure III 11 Whether agency profile is attached?

Signature of the Authorised signatory of the Tenderer with seal of the Firm.

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Signature of the Tenderèr ANNEXURE ‘III’ (To be submitted in First Envelop)

Details of the existing contracts

Duration Of The Name And Contract Address Of The From To Organization,

Name,

Designation Details And Telephone Regarding Documentary / Fax The Contract Proof No. Of The In Including Value Of Submitted Sl. Officer Government/ Manpower Contract Vide Page No. Concerned Private Sector Deployed (Rs.) Sl.No.

1 2 3

4

5

Signature of owner / Managing Partner / Director

Date: Name:

Place: Seal

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Signature of the Tenderèr FINANCIAL BID Description Requi Minim Minimum Total Contracto Contract Gross reme um Wages Wages r Profit in or Profit Wages nt basic per per Year % Arrived Sl. wage Month(Ba (Sl No. on Sl. No.(5+7) per sic)(2*3) 4X12 No.5 perso MONTHS) n 1 2 3 4 5 6 7 8 Staff Nurse 159 8329 1324311 15891732 Social Worker 2 (Psychiatric) 11329 22658 271896 Social Worker 2 (MSW) 11329 22658 271896 Blood Bank 5 Technician 11329 56645 679740 ECG Technician 4 11329 45316 543792 Physiotherapist 2 12329 24658 295896 Optometrist 1 8329 8329 99948 Junior M.R.T 4 8329 33316 399792 Lab Assistant 9 6776 60984 731808 Jr. Radiographer 8 11329 90632 1087584 O.T/Plaster Asst. 12 6776 81312 975744 CSSD Asst. 4 6776 27104 325248 Pharmacist 5 11329 56645 679740 Pharmacist 1 (Ayurveda) 11329 11329 135948 Dental Technician 3 11329 33987 407844 Nursing orderly 125 etc., 6776 847000 10164000 Dresser 3 6776 20328 243936 Laundry Asst. 7 6776 47432 569184 Ground Total 356 168604 2814644 33775728

Note:

1. Bonus, Festival wages, Leave Wages or any other expenses will be reimbursed on actual basis if applicable.

2. Statutory payments such as ESI, EPF, Professional Tax will be reimbursed on actual basis.

3. Contractor Profit will be paid at quoted rate of percentage on other allowances wherever applicable in monthly bill.

Signature of Bidder along with Seal

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Signature of the Tenderèr CHECKLIST TO BE SUBMITTED ALONGWITH THE BID

Uploaded (Yes / Page Serial Number Si.No. Particulars No/N/A) EMD /Exemption Certificate as per GFR 2017 1. IT Returns, Balance Sheets and profit and loss Accounts etc., of Fin. Year 2014-15, 2015-16, 2016-17 2. Copy of PAN Card 3. Copy of ESI Registration 4. Copy of EPF Registration 5. Copy of GST Registration 6. Copy of Registration/Incorporation of the Firm/Agency/ Organization. 7. Copy of valid Labour license for engagement of Nursing & Para – Medical Services. 8. Copy of License under contract labour 9. abolition Act Work orders of last 3 years in Nursing 10. ¶- medical services. Satisfactory work completion certificates 11. for related work orders 12. Duly signed tender document 13. Annexure I 14. Annexure II Annexure III 15.

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Signature of the Tenderèr Important Instructions for Bidders regarding Online Payment

All bidders/contractors are required to procure Class-IIIB Digital Signature Certificate (DSC) with Both DSC Components i.e. Signing & Encryption to participate in the E-Tenders.

Bidders should get Registered at https://esictenders.eproc.in.

  Bidders should add the below mentioned sites under Internet Explorer Tools    Internet Options Security Trusted Sites Sites of Internet Explorer:

https://esictenders.eproc.in https://www.tpsl-india.in https://www4.ipg-online.com

 Also, Bidders need to select “Use TLS 1.1 and Use TLS 1.2” under Internet Explorer    Tools Internet Options Advanced Tab Security.

Bidder needs to submit Bid Processing Fee charges of Rs. 2495/- (non-refundable) in favour of M/s. C1 India Pvt. Ltd., payable at New Delhi via Online Payment Modes such as Debit Card, Credit Card or NetBanking for participating in the Tender.

Bidders can contact our Helpdesk at https://esictenders.eproc.in/html/Support.asp

Read and Agreed 24 | P a g e

Signature of the Tenderèr