Tribal Welfare Department _ 8 MMUs _ RFP _ 2nd Phase _Service Provider Selection _ 2017-18 RFP Ref No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018

REQUEST FOR PROPOSALS (QUALITY cum COST BASED SELECTION)

BY

SCHEDULED TRIBE WELFARE DEPARTMENT GOVERNMENT OF

FOR SELECTION OF SERVICE PROVIDERES FOR PROVIDING 08 MOBILE MEDICAL UNIT SERVICES

(DIRECTOR, SCHEDULED TRIBE WELFARE DEPARTMENT Ref: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018 # 34, LOTUS, 1st FLOOR, RACE COURSE ROAD, BENGALURU Email: [email protected] Website: tw.kar.nic.in Ph: 91 80 22261787)

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DISCLAIMER

This Request for Proposal (RFP) No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017- 18, Dated:26-03-2018, has been issued by The Director, Scheduled Tribe WelfareDepartment, Government of Karnataka for inviting proposals from interested Service Providers for implementing 08 Mobile Medical Unit Services in 5 Districts of Karnataka, for a period of three years, on such terms and conditions set forth in this RFP Document. It is hereby certified that; this RFP is not an agreement and is not an offer or invitation by the Client to any prospective Service Provider. The purpose of this RFP is to provide interested parties, with information to assist the parties in preparation of their proposals, and for submission of the same, to be considered for selection as the Service Provider. This RFP Document does not purport to contain all the information any prospective Service Provider may require. This RFP Document may not be appropriate for each prospective Service Provider, and it is not possible for the Client or any of its representatives to consider the investment objectives, financial situation and needs of each Service Provider who reads or uses this RFP Document, some Service Providers may have a better knowledge of the proposed service than others. Each prospective Service Provider should take up his own investigations and analysis and shall check the accuracy, reliability and completeness of the information in this RFP Document and obtain independent advice from appropriate sources. The Client or its representatives shall make no representation or warranty and shall not incur any liability under any law, statue, rules or regulations as to the accuracy, reliability or completeness of this RFP Document. The Client, may in its absolute discretion, but without under any obligation to do so, may update, amend, supplement or relax any condition / information in this RFP Document.

The Director Scheduled Tribe Welfare Department, Government of Karnataka (Authorized Representative)

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CONTENTS

SECTION DESCRIPTION PAGE NO

Section I Letter of Invitation 04-10 11-21 Section II Information to Service Providers (ITC)

Data Sheet – ITC 22-33 34-44 Section III Technical Proposal

Section IV Financial Proposal 45-50

Section V Terms of Reference

Section VI Contract for MMU Services

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SECTION I LETTER OF INVITATION

The Director Schedule Tribe Welfare Department # 34, LOTUS, 1st Floor, Race Course Road, Bengaluru Email: [email protected] Website: tw.kar.nic.in Ph: 91 80 22261787)

No: STWD / TSP/ CR / 21 / 8MMUs / Ph-2 / RFP / 2017-18 Date: 26-03-2018

Sir / Madam,

Subject: Request for submission of Proposal / s for Providing 08 Mobile Medical Unit Services in five Districts for three years. Reference: 1. Approval of Budget under Special Central Assistance to Tribal Sub Scheme (SCA to TSS), Program to start 16 Mobile Medical Units in selected villages / hamlets / hadis / tribal settlements of five districts of Karnataka from 2017-18. 2. Government Order No: Sa Ka Ee487PaVaYo 2017, Bengaluru, dated: 24.01.2018. 3. Request for Proposals in e-Procurement Portal of GoK, vide Ref No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018

With reference to the above subject, to address the Primary Health Care needs of Scheduled Tribe population living in villages / hamlets / settlements / hadis which are

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Tribal Welfare Department _ 8 MMUs _ RFP _ 2nd Phase _Service Provider Selection _ 2017-18 RFP Ref No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018 inaccessible, difficult to reach areas, as per the above ref (1), Government of has approved Budget under Tribal Sub Plan under Special Central Grant for Scheduled Tribe Development Program to start 16 Mobile Medical Units the above ref (2) a GO has been issued by Social Welfare Department, Government of Karnataka to start 16 MMUs and has released Rs 800 lakh for one year. As per the above ref (1) &(2) approvals, the Director of Scheduled Tribe Welfare Department has invited proposals from interested Service Providers to provide 08 MMUs in the 2nd Phase in , Chikkamagaluru,

Dakshina , and Shivamogga districts of Karnataka State. Background: To improve the wellbeing of tribal population of the State,Government of Karnataka has been providing various services to bring them into the main stream. To improve their socio-economic status, improvement in their health status is of prime importance. Hence, it has been decided to ensure minimum health needs of tribal population living in villages / hamlets / settlements / hadis which are in remote hilly areas, areas which are inaccessible due to inadequate transportation facilities, areas which are far off from health facilities and other such areas. In the 2st Phase it has been decided to ensure Primary Health Care Services through eight Mobile Medical Unit Services at the door steps of tribal population in selected areas of Udupi, Chikkamagaluru,, Uttara Kannada and Shivamogga districts.

Objectives:

 To enumerate all the tribal population in MMU operation areas, conduct a Baseline Survey to assess the disease burden, health seeking behaviour, awareness of health programs, nutritional status, sanitation & hygiene, and other parameters on status of health.  To ensure minimum Primary Health Care Services, with emphasis on Mother & Child Health Care, Communicable Diseases, screening for Non-Communicable Diseases, early diagnosis, treatment and follow-up of NCD diseases like

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Diabetes, Hypertension, Epilepsy, Chronic Bronchitis, Chronic Bronchial Asthma, Chronic Arthritis, Acid Peptic Disease, Gastritis, etc.,  To reduce the disease burden in the identified villages.  To create awareness regarding communicable and non-communicable diseases and their prevention through IEC activities.  To reduce Out of Pocket Expenditure on Health of the target population.  To create awareness of State & National Health Programs, and improvement in utilization of Health Services.  To improve health service seeking behaviour and promote community participation for health.

Scope of Work: MMUs in Tribal areas have been envisaged to reach the unreached for providing basic health care services, assess the disease burden, prepare an action plan for ensuring Primary Health Care Services for preventive, promotive and curative services, main emphasis shall be early diagnosis and prompt treatment and to bring a change in health seeking behaviour. The Program shall be implemented through Public Private Partnership. The Selected Service Providers shall make all capital investments, hire & train the staff, and the staff shall visit the identified villages in the stipulated MMU with the requisite medicines & consumables on fixed days and timings. The service provider shall be paid the monthly operating expenses as per the Contract. For each MMU Service, tentative 50 service locations have been identified by the Client, the Service Provider after signing of the contract shall visit all the locations and shall enumerate all the population of the identified service points, conduct a Baseline Survey, assess the disease burden and health seeking behaviour, prepare an action plan to visit the target population for MMU Services every week, including the route maps and timings of visit. Every MMU should provide at least 4-5 hours of health services every day, taking into consideration the actual travel time required for each day, and the clinic timings should

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Tribal Welfare Department _ 8 MMUs _ RFP _ 2nd Phase _Service Provider Selection _ 2017-18 RFP Ref No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018 be planned as per the need of the local population. The Service Provider must provide MMU Services with the stipulated vehicle, manpower, equipment, drugs and specified diagnostic facilities as described in the relevant sections of this RFP. The Service Provider must develop a suitable methodology, work plan, monitoring mechanism with appropriate indicators to meet the objectives of MMU Services.

The Scope of work for the Service Providers for this assignment are as under: 1. Shall procure a new vehicle, fabricate, and equip the MMU as per the Technical Specifications. 2. As per the terrain and location of MMU Service areas, if it is found that the specified vehicle is not suitable to reach the target population, the Service Provider may propose for an additional transport (e.g. a four-wheel drive LMV) to reach those tribal locations. 3. After signing of the Contract, the Service Provider shall visit all the tentative MMU Service locations, enumerate all the tribal population, prepare an electronic database, conduct a Baseline Survey, and based on the Baseline Survey findings shall prepare an action plan for Primary Health Care Services, with an emphasis on MCH, Communicable & Non-Communicable diseases and other services, based on the cultural and socio-economic status and practices of the local population, including an appropriate route map, timings of visit. 4. After a Detailed Action Plan has been submitted after the Baseline Survey, the Client in consultation with the Service Provider shall approve the locations, spots, timings, and day of visit to the villages / tribal settlements / hadis / hamlets along with the route maps and Key Performance Indicators, SLAs & Penalty Clauses. 5. Shall hire the requisite staff, shall provide the necessary training and manage them. 6. Shall ensure timely supply of Drugs & Consumables, Stationeries, and other Logistics essential for uninterrupted MMU Services. 7. Shall ensure that the vehicle is maintained as per the schedule and shall ensure POL for uninterrupted service.

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8. Shall ensure uninterrupted services by ensuring substitute staff whenever regular staff are on leave or on unauthorized absence, if the regular MMU doctor goes on leave or goes on unauthorized absence, a substitute MBBS / AYUSH doctor shall be provided, till a regular staff is appointed. 9. Shall provide Promotive, Preventive and Curative RCH, Communicable and Non- Communicable Services in the MMU Service areas. 10. Shall visit the stipulated villages as per the agreed time schedule and provide MMU Services. 11. Shall create awareness about health services / facilities available at various health institutions and shall increase utilization of health services by the villagers. 12. Shall develop and use a Disease Summary & Disease Algorithm for providing on the spot Medical Services for the local population and to update Electronic Health Records of the local population served by the MMU. The said Disease Summary & Disease Algorithm shall assist the MMU staff for on the spot diagnosis & treatment and completion of Health Records of the population served by the MMU. 13. The Service Provider shall have or tie up with an appropriate Service Provider for Tele-Medicine Facility for consultation / to advise the MMU Staff and to facilitate MMU Services and directions for ensuring physical examination, investigations and treatment of the target population. 14. Shall develop reporting Formats for the proposed reporting system, including online reporting formats. 15. Shall develop Monitoring Indicators for MMU Services and shall monitor them andtake corrective actions for streamlining the services. 16. Shall facilitate implementation of all National, State Health Programs and schemes of Tribal Welfare Department in MMU Service villages. 17. Shall install GPS in the MMUs and shall monitor the movement of the MMU as per the agreed Route Map and shall share the link to the GPS Monitoring with the Client and its representatives.

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18. Shall assist the District / Taluk Health Authorities in implementation of National & State Health Programs in the stipulated MMU Villages.

Out of the Service Providers who have uploaded their Proposals, one Service Provider shall be selected for providing 8 MMU Services in the stipulated Taluks of the five districts. The selection shall be through QCBS method as per KTPP Act 1999 & Rules 2000, and other procedures described in this RFP. The Service Provider shall submit their Proposal as per Format 5.

The RFP includes the following documents:

Section I: Letter of Invitation. Section II: Conditions for Submitting the Proposals. Section III: Information to the Service Providers & Data Sheet. Section IV: Technical Proposal Standard Forms. Section V: Financial Proposal Standard Form. Section V: Standard Form of Contract.

The method of selection shall be through Quality cum Cost Based Selection (QCBS) as per KTPP Act 1999 & Rules 2000.

Yours sincerely,

Director, Scheduled Tribe Welfare Department (Authorized Signatory)

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Section II

Conditions for Submitting the Proposals

Service Providers fulfilling the following conditions are eligible to submit their Proposals:

1. The Service Provider / Consortium Partners should be in existence since 1st April 2012 or earlier. Copies of Registration of such firms should be uploaded along with the RFP.

2. The Service Provider / Consortium Partners should have achieved an average Turnover of Rs 250 lakh during the last three Financial Years (2014-15, 2015-16 and 2016-17). Turnover Certificate issued by a Chartered Accountant with his / her signature, name, address of the firm and Registration Number should be uploaded (as per Format 1)

3. The Service Provider / Consortium Partners should have executed at least twoMobile Medical Units*for any State Government in India / Government of India / Public Sector Undertaking / Corporate Social Responsibility for at least 12 months during the last five years (i.e., from 1st April 2012 to 31st March 2017). The relevant Work Order and Satisfactory Completion Certificate (as per Format 2) issued by the Client or any of its Representatives should be uploaded along with the RFP.

4. The Service Provider / Consortium Partners should upload an Affidavit / s as per Format 3, sworn before a Notary.

5. The Consortium Partners should upload a Consortium Agreement (Consortium Partnership shall be between not more than two partners) as per Format 4.

6. The Service Partner / Consortium Partners should have filed their IT Returns for the last 3 Assessment years (2015-16, 2016-17 and 2017-18) and it should be uploaded along with the RFP.

*Mobile Medical Unit Service means, providing at least Primary Health Care Services like clinical examination, minimum laboratory tests and treatment with distribution of drugs. Is should also include screening, diagnosis, treatment & follow-up for Non-Communicable Diseases. The said MMU Service should have been provided by visiting designated village / area in a specified vehicle with medical equipment on specified dates, with a doctor and other Para-Medical Staff.

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Section III A. INFORMATION TO THE SERVICE PROVIDERS

1 INTRODUCTION 1.1 The Client named in the “Data Sheet” shall select a MMU Service Provider for providing 8 MMU Services, from amongst the Service Providers who have submitted / uploaded their Proposals, in accordance with the method of selection indicated in the Data Sheet. 1.2 The Service Providers are invited to submit a Technical Proposal and a Financial Proposal, as specified in the Data Sheet for the Assignment named in the Data Sheet. The Proposal will be the basis for contract negotiations and ultimately for a signed contract with the selected Service Provider. 1.3 The Assignment shall be implemented in accordance with the phasing indicated in the Data Sheet. When the Assignment includes several phases, the performance of the Service Provider under each phase must be to the Client‟s satisfaction before work begins on the next phase (Refer Clause 1.3 of Data Sheet). 1.4 The Service Providers must familiarize themselves with local conditions and take them into account in preparing their Proposals. To obtain first- hand information on the Assignment and on the local conditions, Service Providers are encouraged to attend the Pre-Proposal conference as specified in the Data Sheet. Attending the Pre-Proposal conference is optional. The ServiceProvider‟s representative should contact the officials named in the Data Sheet, to inform about their participation in the Pre- Proposal Meeting, to allow them to make appropriate arrangements (Refer Clause 1.4 of Data Sheet). 1.5 The Client will provide the inputs specified in the Date Sheet, assist the firm in obtaining permits needed to carry out the service, and make available

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relevant project data and reports (Refer Clause 1.5 of Data Sheet). 1.6 Please note that (i) the costs of preparing the proposal and of negotiating the contract, including a visit to the Client, are not reimbursable as a direct cost of the Assignment; and (ii) the Client is not bound to accept any of the Proposals submitted. 1.7 Government of Karnataka (GoK) expects Service Providers to provide professional, objective, and impartial advice and always hold the Client‟s interest paramount, without any consideration for future work, and strictly avoid conflicts with other assignments or their own corporate interests. Service Providers shall not be hired for any assignment that would conflict with their prior or current obligations to other clients, or that may place them in a position of not being able to carry out the assignment in the best interest of the Client

1.7.1 Without limitation on the generality of this rule, Service Providers or any of their affiliates shall not be hired for any assignment which, by its nature, may conflict with another assignment of the Service Providers.

1.7.2 As pointed out in para. 1.7.1 above, Service Providers may be hired for downstream work, when continuity is essential, it will be the exclusive decision of the Client to have the downstream assignment carried out, and if it is carried out, which Service Provider to be hired for the purpose (Refer Clause 1.3 of Data Sheet).

1.8 It is GOK‟s policy to require that Service Providers observe the highest standard of ethics during the execution of such contracts. In pursuance of this policy, GOK: (a) defines, for the purposes of this provision, the terms set forth below as follows:

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(i) “corrupt practice” means the offering, giving, receiving, or soliciting of anything of value to influence the action of a public official in the selection process or in contract execution; and

(ii) “fraudulent practice” means a misrepresentation of facts to influence a selection process or the execution of a contract to the detriment of GOK and includes collusive practices among Service Providers (prior to or after submission of proposals) designed to establish prices at artificial, non-competitive levels and to deprive GOK of the benefits of free and open competition.

(b) will reject a proposal for award if it determines that the firm recommended for award has engaged in corrupt or fraudulent activities in competing for the contract in question;

(c) will declare a firm ineligible, either indefinitely or for a stated period, if it at any time determines that the firm has engaged in corrupt or fraudulent practices in competing for, or in executing, a GOK-financed contract; and

(d) Will have the right to require that, GOK to inspect Service Provider‟s accounts and records relating to the performance of the contract and to have them audited by auditors appointed by GOK

1.9 Service Providers shall not be under a declaration of ineligibility for corrupt and fraudulent practices issued by GOK in accordance with the above sub para 1.8 (c)

1.10 Service Providers shall be aware of the provision on fraud and corruption stated in the standard contract under the clause indicated in the Data

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Sheet.

2 CLARIFICATION AND AMENDMENT OF RFP DOCUMENTS 2.1 Service Providers may request a clarification of any item of the RFP document up to the number of days indicated in the Data Sheet before the Proposal submission date. Any request for clarification must be sent in writing by electronic mail to the Client‟s address indicated in the Data Sheet. The Client will respond by electronic mail to such requests and will send copies of the response (including an explanation of the query but without identifying the source of inquiry) to all invited Service Providers who intend to submit proposals. (Refer Clause 2.1 of Data Sheet)

2.2 At any time before the submission of Proposals, the Client may, for any reason, whether at its own initiative or in response to a clarification requested by an invited firm, modify the RFP documents by amendment. Any amendment shall be issued in writing through addenda. Addenda shall be sent by mail, cable, telex, facsimile, or electronic mail to all invited Service Providers and will be binding on them. The Client may at its discretion extend the deadline for the submission of Proposals. (Refer Clause 2.2 of Data Sheet)

3 PREPARATION OF PROPOSAL 3.1 Service Providers are requested to submit a Proposal written in English language

Technical Proposal 3.2 In preparing the Technical Proposal, Service Providers are expected to examine the documents comprising this RFP in detail. Material deficiencies in providing the information requested may result in rejection of Proposal 3.3 While preparing the Technical Proposal, Service Providers should give

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attention to the following: (i) If a Service Provider considers that it does not have all the expertise for the Assignment, it may obtain a full range of expertise by associating with individual Service Provider(s) and/or other Service Provider or entities in a joint venture or sub-consultancy, as appropriate. Service Providers may associate with the other Service Providers invited for this Assignment only with approval of the Client as indicated in the Data Sheet. Service Providers must obtain the approval of the client to enter into a Joint Venture with Service Providers not invited for this assignment. [Refer Clause 3.3 (i) of Data Sheet] (ii) For assignments on a staff-time basis, the estimated number of key professional staff-months is given in the Data Sheet. The proposal shall, however, be based on the number of key professional staff- months estimated by the firm [Refer Clause 3.3 (ii) of Data Sheet] (iii) It is desirable that most of the key professional staff proposed be permanent employees of the firm or has an extended and stable working relation with it. (iv) Proposed key Professional Staff must have the minimum qualification and experience indicated in the Data Sheet. [Refer Clause 3.3 (iv) Data Sheet] (v) Alternative key professional staff shall not be proposed, and only one curriculum vitae (CV) shall be submitted for each position (Refer Clause 3.3 (v) of Data Sheet. (vi) Reports to be issued by the Service Providers as part of this assignment must be in English. It is mandatory that the firm‟s personnel have working and speaking knowledge of Kannada language 3.4 The Technical Proposal should provide the following information using the

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attached Standard Forms (Section III): (i) A brief description of the Service Provider‟s organization and an outline of recent experience on assignments (Section 3B) of a similar nature. For each assignment, the outline should indicate, inter alia, the profiles and names of the staff provided, duration of the assignment, contract amount, and firm‟s involvement (ii) Any comment or suggestion on the Terms of Reference and on the data, a list of services, and facilities to be provided by the Client (Section 3C). (iii) A description of the methodology and work plan for performing the assignment. (iv) The list of the proposed staff team by specialty, the tasks that would be assigned to each staff team member, and their timing (Section 3E) (v) CVs recently signed by the proposed key professional staff and the authorized representative (Section 3F) should be uploaded as part of the Technical Proposal. Key information should include number of years working for the firm/entity, and degree of responsibility held in various assignments, during the last ten years. (vi) Estimates of the total staff effort (professional and support staff; staff time) to be provided to carry out the Assignment, supported by Bar Chart diagrams showing the time proposed for each key professional staff member. (Section 3E and 3 G) (vii) A detailed description of the proposed methodology, staffing, work plan and monitoring of the assignment. (vii) Any additional information requested in the Data Sheet. 3.5 The Technical Proposal shall not include any financial information, if so the Proposal shall be rejected.

Financial Proposal

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3.6 In preparing the Financial Proposal, Service Providers are expected to consider the requirements and conditions of the RFP documents. The Financial Proposal should follow Standard Forms [(Section 4 (B) & (C)]. It lists all costs associated with the Assignment, including (a) remuneration for staff, and (b) reimbursable such as subsistence (per diem), transportation (State, District and local, for mobilization), services and equipment (vehicles, office equipment, furniture, and supplies), office rent, insurance, printing of documents, surveys; and training, if it is a major component of the assignment. If appropriate, these costs should be broken down by activity 3.7 Service Providers shall express the price of their services in Indian Rupees. 3.8 The Data Sheet indicates how long the proposals must remain valid after the submission date. During this period, the Service Provider is expected to keep available the key professional staff proposed for the assignment. The Client will make its best effort to complete negotiations within this period. If the Client wishes to extend the validity period of the proposals, the Service Providers who do not agree have the right not to extend the validity of their proposals. (Refer to Clause 3.8 of Data Sheet). 4 SUBMISSION, RECEIPT, AND OPENING OF PROPOSALS 4.1 The original Proposal (Technical Proposal and Financial Proposal; see para 1.2) shall be prepared in indelible ink. It shall contain no inter-lineation or overwriting, except as necessary to correct errors made by the firm itself. Any such corrections must be initialed by the person or persons who sign(s) the Proposals. 4.2 An authorized representative of the Service Provider should initial all pages of the Proposal. The representative‟s authorization should be confirmed by a written power of attorney accompanying the Proposal. (Refer Clause 4.2 of Data Sheet)

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4.3 For each Proposal, the Service Provider shall prepare the number of copies indicated in the Data Sheet. Each Technical Proposal and Financial Proposal should be marked “Original” or “Copy” as appropriate. If there are any discrepancies between the original and the copies of the Proposal, the original governs. (Refer to Clause 4.3 of the Data Sheet). 4.4 The original and all copies of the Technical Proposal shall be placed in a sealed envelope clearly marked “Technical Proposal,” and the original and all copies of the Financial Proposal in a sealed envelope clearly marked “Financial Proposal” and warning: “Do Not Open with the Technical Proposal.” Both envelopes shall be placed into an outer envelope and sealed. This outer envelope shall bear the submission address and other information indicated in the Data Sheet and clearly marked, “DO NOT OPEN, EXCEPT IN PRESENCE OF THE EVALUATION COMMITTEE.” (Refer to Clause 4.4 of the Data Sheet). 4.5 The completed Technical and Financial Proposal must be delivered at the submission address on or before the time and date stated in the Data Sheet. Any Proposal received after the closing time for submission of proposals shall be returned unopened. (Refer Clause 4.5 of Data Sheet) 4.6 After the deadline for submission of proposals the Technical Proposal shall be opened immediately by the evaluation committee. The Financial Proposal shall remain sealed and deposited with the Client until all submitted proposals are opened publicly (Refer Clause 4.6 of Data Sheet). 5 PROPOSAL EVALUATION General 5.1 From the time the proposals are opened to the time the contract is awarded, if any Service Provider wishes to contact the Client on any matter related to its proposal, it should do so in writing at the address indicated in the Data Sheet. Any effort by the firm to influence the Client in the Client‟s

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proposal evaluation, proposal comparison or contract award decisions may result in the rejection of the Service Provider‟s proposal. (Refer Clause 5.1 of Data Sheet). 5.2 Evaluators of Technical Proposals shall have no access to the Financial Proposals until the technical evaluation, including its approval by competent authority is obtained.

Evaluation of Technical Proposals 5.3 The evaluation committee appointed by the Client, and each of its members individually, evaluates the proposals based on their responsiveness to the Terms of Reference, applying the evaluation criteria, sub-criteria and point system specified in the Data Sheet. Each responsive proposal will be given a technical score (St). A proposal shall be rejected at this stage if it does not respond to important aspects of the Terms of Reference or if it fails to achieve the minimum technical score indicated in the Data Sheet. (Refer Clause 5.3 of Data Sheet)

Public Opening and Evaluation of Financial Proposals and Ranking

5.4 After the evaluation of quality is completed, the Client will notify those Service Providers whose proposals did not meet the minimum qualifying mark or were considered non-responsive to the RFP and Terms of Reference, indicating that their Financial Proposals shall not be opened. The Client will simultaneously notify the Service Providers that have secured the minimum qualifying mark, indicating the date and time set for opening the Financial Proposals.

5.5 The Financial Proposals shall be opened publicly in the presence of the Service Providers‟ representatives who choose to attend. The name of the Service Provider, the quality scores, and the proposed prices shall be read aloud and recorded when the Financial Proposals are opened. The Client will prepare minutes of the public opening

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(Ref Clause 5.5 of Data Sheet)

5.6 The evaluation committee will determine whether the Financial Proposals are complete, (i.e., whether they have costed all items of the corresponding Technical Proposals, if not, the Client will cost them and add their cost to the initial price), correct any computational errors.

5.7 The lowest Financial Proposal (Fm) will be given a Financial Score (Sf) of 100 points. The financial scores (Sf) of other financial proposals will be computed as indicated in the Data Sheet. Proposals will be ranked according to their combined Technical (St) and Financial (Sf) scores using the weights (T = the weight given to the Technical Proposal; P = the weight given to the Financial Proposal; T+P= 1) indicated in the Data Sheet: S = St X T % + Sf X P %. The Service Provider achieving the highest combined Technical and Financial scores will be invited for negotiations.

6 NEGOTIATION 6.1 Negotiations will be held at the address indicated in the Data Sheet. The aim isto reach agreement on all points and sing a contract.

6.2 Negotiations will include a discussion of the Technical Proposal, the proposed methodology (work plan), staffing and any suggestions made by the firm to improve the Terms of Reference. The Client and Service Provider will then work out final Terms of Reference, staffing, and bar charts indicating activities, staff, periods in the field and in the home office, staff-months, logistics, and reporting. The agreed work plan and final Terms of Reference will then be incorporated in the “Description of Services” and form part of the contract. Special attention will be paid to getting the most the Service Provider can offer within the available budget and by clearly defining the inputs required from the Client to ensure satisfactory implementation of the Assignment.

6.1 Unless there are exceptional reasons, the financial negotiations will involve neither the remuneration rates for the staff (no breakdown of fees) nor other proposed unit

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rates. 6.2 Having selected the Service Provider based on among other things, an evaluation of proposed key professional staff, the Client expects to negotiate a contract based on the experts named in the Proposal. Before contract negotiations, the Service Provider shall assure that the staff proposed shall be available. The Client will not consider substitutions during contract negotiations unless both parties agree that undue delay in the selection process makes such substitution unavoidable or that such changes are critical to meet the objectives of the assignment. If this is not the case and if it is found that key staff was offered in the proposal without confirming their availability, the Proposal / s of such Service Provider shall be rejected.

6.3 The negotiations will conclude with a review of the draft form of the contract. To complete negotiations the Client and the Service Provider will initial the agreed contract. If negotiations fail, the Client shall invite the firm whose Financial Proposal is the next lowest, to negotiate a contract.

7. AWARD OF CONTRACT

7.1 The contract will be awarded following negotiations. After negotiations are completed, the Client will promptly notify other Service Providers on the shortlist that they were unsuccessful and return the Financial Proposal of those Service Providers who did not pass the Technical Evaluation.

7.2 The Service Provider is expected to commence the Assignment on the date and at the location specified in the Data Sheet

8. CONFIDENTIALITY Information relating to evaluation of proposals and recommendations concerning awards shall not be disclosed to the Service Providers who submitted the proposals or to other persons not officially concerned with the process, until the winning Service Provider has been notified that it has been awarded the contract

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DATA SHEET Information to Service Providers Clause Particulars Information 1.1 The name of the Director, Scheduled Tribe Welfare Department, Government of Client: Karnataka

1.2 A Technical and The Proposal shall consist of a Technical and a Financial Proposal a Financial as per the Terms & Conditions of the Request for Proposal, for Proposals are providing 8 Mobile Medical Unit Services in fivedistricts of required: Karnataka State for threeyears. 1.3 The Assignment The Assignment is not phased. is phased: 1.4 Pre-Proposal There shall be no Pre-Proposal Conference, but the Prospective Conference / Service Providers can upload their queries on any area of the RFP, Meeting up to 17:00 Hours up to 30th March 2018. The Client shall upload the replies to the queries in the e-Procurement Portal. All queries from the Service Providers should be uploaded in the e- Procurement Portal, and no other means of submission of queries is allowed. 1.5 The Client will i. Clarifications / Corrigendum for Queries raised within the provide the stipulated time. following inputs: i. Details of villages to be covered by the MMUs ii. Training / Orientation regarding implementation of MMU

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Services iii. Any other appropriate clarifications, orders / directions. 2.1 Clarifications and Service Providers can request clarifications regarding RFP amendments of Document up to 17:00 Hours up to 30th March 2018, request for RFP Documents all clarifications should uploaded in the e-Procurement Portal of Government of Karnataka within the stipulated. The Client shall upload clarifications/ addendum / corrigendum to the queries in the e-Procurement Portal of GoK and shall not reply by any other means. 2.2 Modifications to Any modifications to the RFP and / or extension of time for the RFP or submission of RFP shall be through an addendum / extension of time corrigendum, and it shall be uploaded in the e-Procurement for submission of Portal of GOK only, and it shall be binding on all the Service RFP. Providers who wish to submit their Proposals. 3.3 (i) Association with Service Providers can submit their Proposals either as a other Service standalone Service Provider or as Consortium Partners. Providers for Consortium Partnership shall not be between more than two expertise for the partners. Assignments. 3.3 (ii) The estimated 6 X 36 Months for each MMU. number of Key- 1 MBBS Doctor cum Team Leader, 1 Staff Nurse, 1 Pharmacist Processional cum Administrative Assistant, 1 Lab Technician, 1 Junior Health Staff Month is Assistant Female [Staff Nurse / Jr Health Assistant (Female)] and 1 Driver cum Attender.

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3.3 (iv) Minimum Qualification & Sl. No. Staff* Minimum Qualification Experience Experience of 1 Doctor: Min MBBS with Karnataka Minimum one-year experience upper age limit Medical Council Registration of working for any Government MMU Staff* of 65 years (as (for Doctors of other states, or Private Hospital / Clinic / on 31stMarch KMC Registration should be Govt or Private Medical College 2018) ensured before starting MMU or in a Mobile Medical Unit for Services in Karnataka) any State Government /GoI / PSU. 2 Staff Nurse: Minimum GNM with Minimum one-year experience upper age limit registration in Karnataka of working for any Government of 50 years (as State Nursing Council, or Private Hospital / Clinic / on 31stMarch Candidates of other States Govt or Private Medical College 2018) shall register with KNC before or in a Mobile Medical Unit for starting MMU Services. any State Government /GoI / PSU. 3 Pharmacist: Minimum Diploma in Minimum one-year experience upper age limit Pharmacy with registration in of working for any Government of 65 years (as Karnataka State Pharmacy or Private Hospital / Clinic / on 31st March Council. Candidates of other Govt or Private Medical College 2018) States shall register with or in a Mobile Medical Unit for Karnataka Pharmacy Council any State Government /GoI / before starting MMU PSU. Services. 4 Lab Technician: DMLT from any institution Minimum one-year experience upper age limit recognized by Para Medical of working for any Government of 50 years (as Board of Karnataka / Other or Private Hospital / Clinic / on 31stMarch State Governments Govt or Private Medical College 2018) or in a Mobile Medical Unit for any State Government /GoI / PSU. 5 Junior Health ANM Course form any ANM Minimum one-year experience Assistant Training Centres of of working for any Government Female: upper Government of Karnataka or or Private Hospital / Clinic / age limit of 50 any ANM Training Centre or Govt or Private Medical College years (as on School recognized by or in a Mobile Medical Unit for 31st Mar 2018) Karnataka State Nursing any State Government /GoI / Council or any other State PSU. Government and registration with Karnataka State Nursing Council. Candidates of other States shall register with KNC before starting MMU Services. 6 Driver-cum Min SSLC / 10th Pass with Minimum 3 years‟ experience in Attender: upper valid Driving License for drivingPage a 24 Transport of 149 Vehicle for agelimit of 50 Driving a Transport Vehicle any Government Department /

years (as on issued by a Competent Private Transport Company / 31stMarch 2018). Authority in India. Private Company.

*A Physical Fitness Certificate, certifying that the concerned Tribal Welfare Department _ 8 MMUs _ RFP _ 2nd Phase _Service Provider Selection _ 2017-18 RFP Ref No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018

3.3 (v) C Vs The Service Provider should propose staff for each position of all the MMUs, but CVs shall be submitted within 6 weeks of Award of Contract.

3.8 Validity of the Up to 120 days, after the last day for uploading the Proposals into Proposal: the e-Procurement Portal. 4.2 Original Power of Technically Qualifying Service Providers will be intimated over e- Attorney & mail and the status will also be uploaded in the e-Procurement Affidavit / s Portal, such Service Providers should submit the Original Power of Attorney and Original Affidavit as per Format 3 as per RFP Document to the Client [Director, Scheduled Tribe Welfare Department], within the specified date & time before opening of the Financial Proposals. The Client shall not be held responsible for any loss of documents during transit. 4.3 Uploading the A Technical Proposal and the Financial Quote should be uploaded / Proposal submitted as per the Terms & Conditions of the RFP in the e- Procurement Portal of Government of Karnataka (GOK). 4.4 Preparation of A Technical Proposal, Financial Quote and Break-down of Cost the Proposals. shall be prepared and uploaded / submitted as per the Terms & Conditions of the RFP. 4.5 Uploading of Technical Proposal and Financial Quote should be uploaded before Technical and the stipulated date in the e-Procurement Portal of GOK Financial https://eproc.karnataka.gov.in Proposals  The Lumpsum Financial Price that shall be quoted for one year in the e-Procurement Portal while submitting the Proposals shall be considered for Financial Proposal Evaluation and for deciding the successful Service Provider in this Tender.  However, for Contract Management, the Breakdown of Cost is essential. Hence, the Service Providers shall workout a detailed, breakup of the costs for one year, which shall not

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exceed the Lumpsum Price quoted in the e-Procurement Portal. The Breakdown of Costs shall be prepared in the Format specified in the RFP.  For the 2nd year, the Contract Price shall be the Cost quoted for the 1st year plus 7.5 % hike over the 1st year Contract Price, and for the third year, the Contract Price shall be the revised contract price of the 2nd year plus 7.5 % hike over the revised 2nd year Contract Price.  Technically Qualifying Service Providers shall be intimated by e-mail and over phones to be present for opening of the Financial Proposals. On the day & time specified for opening of Financial Proposals, Technically Qualifying Service Providers shall attend the opening of the Financial Proposal, with the Original Power of Attorney and Affidavits uploaded in the e-Procurement Portal.  On the day of opening of the Financial Proposals, Technically Qualifying Service Providers shall submit, to the Chairman of the RFP Evaluation Committee, in a sealed envelope the Breakdown of Cost of the Lumpsum Price quoted in the e-Procurement Portal. After receipt of the sealed envelope of the Breakdown of costs from Technically Qualifying Service Providers, Financial Proposals of such Service Providers shall be opened, and Total of the Breakdown of Cost will be compared with the prices quoted in the e-Procurement Portal. If there is any discrepancy in the total amount in the e-Procurement Portal Price and of the Breakdown of Costs, the total quoted in the e-Procurement Portal shall prevail. Last Date and Time for 9th April 2018 before 17: 00 hours. uploading of the Opening of Financial Bids: shall be intimated. Proposals by the Service 4.6 Providers

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Opening of Technical Proposals by On 11th April 2018 at 17:15 hours. the Client Opening of Financial Shall be intimated Proposals 5.1 Name, Address 1. Director, Scheduled Tribe Welfare Department. and Contact No: 34, LOTUS, 1st Floor, Race Course Road, Bengaluru Details of the Email: [email protected] Website: tw.kar.nic.in Client and its Ph: 91 80 22261787 Officials:

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5.3 The number of 1. Specific experience of the Service Provider related to Points to be the Assignment (20 Points) given under each Previous *Experience (A Satisfactory Completion Certificate of the evaluation issued by the respective Clients should be uploaded for criteria are: consideration of the claim). Please Note: that Projects / Assignments / Programs / Schemes implemented for any State Government / Government of India / Public Sector Undertaking shall be considered for evaluation of previous experience. Sl (Maximum Evaluation Criteria No 100 Marks) a Nutrition Program / Non-Communicable 5 Marks Diseases / Communicable Diseases Program / Behaviour Change Communication in the field of Health, Nutrition, Women & Child Program, other than that implemented as part of Mobile Medical Unit Service for a minimum period of 12 months during the previous 6 years (From 1stApril 2012 to 31st

March2018) b Experience of Providing MMU Services to 5 Marks any State Government / Government of India / Public Sector Undertaking / CSR for a minimum period of 12 continuous months (from 1stApril 2012 to 31st March2018).  2 MMUs 2 Marks

 3 to 5 MMUs 3 Marks

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 6 to 9 MMUs 4 Marks  10 or More MMUs 5 Marks

c Preventive, Promotive and Curative 5 Marks services, at or below PHC level, for Pregnant Women, Lactating Mothers, Child Care / Adolescent Girls, other than that provided as part ofMMU Services, during the previous 5 years (1stApril 2012 to 31st March2018) d Experience of implementing / having 5 Marks implemented Telemedicine Nodes for a minimum period of one year (from 01- 04-2012 up to 31st March 2018) for any State Govt/ UT / Central government / MNC / Corporate Sector Minimum 10 Nodes 2 Marks 11 to 20 Nodes 3 Marks 21 to 25 Nodes 4Marks >25 Nodes 5 Marks 2. Adequacy of the Proposed Work Plan and Methodology in responding to the TOR (Maximum 50 Points) a Work Plan 5 Marks b Methodology: adequacy of the proposed 20 Marks Methodology in responding to the TOR. c Conducting Baseline Survey for 5 Marks Developing Key Performance Indicators and Monitoring & Evaluation Plan with

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appropriate Indicators. d Reporting Formats for all types of MMU 5 Marks services e Developing Electronic Health Records 5 Marks for MMU Services f Developed & used Disease Algorithm & 10 Marks Disease Summary for facilitating Clinical Services for a minimum period of 12 months for any State Government / GoI / PSU (to be demonstrated during PPT) 3. Qualification and Competence of Key Staff with minimum Experience (Max 24 Points) a MMU Doctors cum Team Leaders 8 Marks (8 Doctors to be proposed) Experience of working for any State Government / GoI / PSUs / Govt or Pvt Medical Colleges / Private Hospitals or Nursing Homes / Mobile Medical Units  24 - 36 months 4 Marks  More than 36 months 8 Marks

b Staff Nurses- 4 Marks 4 Marks (8 SNs to be proposed) Experience of working for any State Government / GoI / PSUs / Govt or Pvt Medical Colleges / Private Hospitals or Nursing Homes / Mobile Medical Units  24 - 36months 2 Marks  More than 36 months 4 Marks

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c Pharmacists -4 Marks 4 Marks (8 SNs to be proposed) Experience of working for any State Government / GoI / PSUs / Govt or Pvt Medical Colleges / Private Hospitals or Nursing Homes / Mobile Medical Units  24 - 36months 2 Marks  More than 36 months 4 Marks d ANMs- 4 Marks 4 Marks (8 ANMs to be proposed) Experience of working for any State Government / GoI / PSUs / Govt or Pvt Medical Colleges / Private Hospitals or Nursing Homes / Mobile Medical Units  24 - 36months 2 Marks  More than 36 months 4 Marks e Lab Technicians- 4 Marks 4 Marks (8 LTs to be proposed) Experience of working for any State Government / GoI / PSUs / Govt or Pvt Medical Colleges / Private Hospitals or Nursing Homes / Mobile Medical Units  24 - 36months 2 Marks  More than 36 months 4 Marks 4. Power Point Presentation 6 Marks Maximum Time allowed 30 minutes. (To present / demonstrate Technical Capacity like Past experience, Work Plan & Methodology, Telemedicine, Disease

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Summary & Disease Algorithm, Baseline Survey Plan, Reporting, Monitoring, etc.,)

5.5 Opening of The Client will open Financial Proposals in the e-Procurement

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Financial Portal, of those Service Providers whose Technical Proposals have Proposal obtained the minimum Technical Score (70 out of 100 Marks).

The minimum Technical Score required to pass and to be eligible for opening of the Financial Bid is 70 (Seventy) Points. The method of selection is Quality cum Cost Based Selection (QCBS) as per KTPP Act 1999 & Rules 2000. The Formula for determining the Financial Score is the following: [Sf = 100 x Fm/F, in which Sf is the financial score, Fm is the lowest price, and F the price of the proposal under consideration] The weights that would be given to the Technical and Financial Proposals would be: T (Technical) = 0.75, and P (Financial) = 0.25 (Technical Weightage 75 % and Financial Weightage 25 %). Maximum Weightage (F) = 1.0 (Technical 0.75 + Financial 0.25)

The Service Provider obtaining the Maximum Weightage (combined Technical & Financial scores) in the Package will be called for Negotiation and Signing of the Contract.

Negotiation will be held by the Evaluation Committee under the Chairmanship of the Director, Scheduled Tribe Welfare Department Address for Negotiation is: Office of the Director, Scheduled Tribe Welfare Department # 34, LOTUS, 1st Floor, Race Course Road, Bengaluru

th The Assignment is expected to commence from 15 March 2018.

Sincerely,

Director, Scheduled Tribe Welfare Department Authorized Representative

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SECTION IV

TECHNICAL PROPOSAL - STANDARD FORMS

Section Form 3 A. Technical Proposal Submission Form

3 B. Service Provider‟s References.

3 C. Comments and Suggestions on the Terms of Reference and on Data, Services, and facilities to be provided by the Client.

3 D. Description of the Methodology and Work Plan for performing the Assignment.

3 E. Team Composition and Task Assignment.

3 F. Format of Curriculum Vitae of the proposed Key Professional Staff.

3 G. Time Schedule for Professional Personnel.

3 H. Activity (Work) Schedule.

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3 A. Technical Proposal Submission Form

From, …………………………………………………. ………………………………………………….. (Name and Address of the Service Provider)

To, Directorate of Health & Family Welfare Services, Ananda Rao Circle, Bengaluru-560009

Madam / Sir, Subject: Selecting Service Providers for Providing 08 MMU Services in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga

Districts Reference: 1. Your Invitation for submission of Proposals for selection of Service Providers for providing 8 MMU Services, vide RFP No:STWD / TSP / CR / 21 /8 MMUs / Ph-2 / RFP / 2017- 18,Dated:26/03/2018. 2 Submission of our Technical Proposal for Providing 8 MMU Services in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga District.

With reference to the above subject and reference you have requested us to submit a Proposal for selecting a Service Providers for providing 08 MMU Services in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga Districts. In response to your invitation for submission of a Proposal, we have uploaded our Technical & Financial Proposals in the e-Procurement Portal of GOK for providing 8 MMU Services in the said districts. Hence, kindly consider our Proposal for selecting us as a Service Provider for providing 8 MMU Services.

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If negotiations are held during the period of validity of the Proposal, we agree to negotiate on the Terms of Reference of the Proposal. Our Proposal is binding on us and subject to modifications resulting from contract negotiations. We understand that you are not bound to accept any Proposal you receive.

We remain,

Your sincerely Date: Place: Authorized Signatory Name & Title of the Signatory

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3B Service Provider‟s References Relevant Services carried out in the Last Five Years (1st April 2012 to 31st March 2017) that best illustrates Qualifications

Using the format below, provide information on each reference assignment for which your firm was legally contracted:

Assignment Name: Country: Location within the Country: Key Professional Staff provided by your Firm/entity (profiles): Name of the Client: No of Staff: Address: No of Staff-Months; duration of assignment Start Date Completion Date: Approx. Value of Services (in lakh Rs): (Month/Year): (Month/Year):

Name of the Associated Service Providers, if No of Months of Key Professional staff, any: provided by Associated Service Providers:

Name of Senior Staff (Project Director/Coordinator, Team Leader) involved and functions performed: Description of the Project:

Description of actual services provided by your staff:

Authorized Signatory Name & Title of the Signatory 3C Comments & Suggestions of Service Providers on the TOR and on Data,

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Services and Facilities to be provided by the Client

On the Terms of Reference:

1. ……………………………………………………………………………………….. 2. ………………………………………………………………………………………... 3. ………………………………………………………………………………………… 4. ………………………………………………………………………………………. 5. ………………………………………………………………………………………….

On the Data, Services and facilities to be provided by the Client:

1. ……………………………………………………………………………………….. 2. ………………………………………………………………………………………... 3. ………………………………………………………………………………………… 4. ………………………………………………………………………………………… 5. ………………………………………………………………………………………….

Authorized Signatory Name & Title of the Signatory

3D Describe the following for providing Mobile Medical Unit Services:

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 Methodology (20 Marks)

 Work Plan (5 Marks)

 Conducting Baseline Survey for Developing performance indicators and

Monitoring & Evaluation Plan and appropriate Indicators. Developing

Reporting Mechanism with requisite Formats for all MMU Services, including

Online Reporting Formats / Electronic Health Records, Demographic & Health

Data Base of all villagers of MMU Villages for real time updating of Service

Delivery and reports with the assistance of Biometrics & real-time generation

of reports (5 Marks)

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3E. TEAM COMPOSITION & TASK ASSIGNMENTS

Sl No Name Position Task 1 Doctor 2 Staff Nurse 3 Pharmacist 4 Lab Technician 5 Junior Health Assistant (Female) 6 Driver

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3F. Format of Curriculum Vitae (CV) for Proposed Key Professional Staff (CVs, supporting documents and Photo to be submitted by the Service Provider to the Client within 6 weeks of signing of the Contract)

Proposed Position: Name of the Staff: Profession: Date of Birth: Years with the Firm / Entity: Membership in Professional Societies: Detailed Task Assignment: Key Qualification: Employment Record: (Starting with the present position, list in reverse order of every employment held along with dates, locations, names of employing organizations, title held and locations of assignments) Language (for each language, indicate proficiency for reading, writing and speaking):

Please Affix a Self-Attested Recent Passport Photograph for each Position

Affix a Self-Attested Recent Photograph

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A Self-Declaration Certificate by each Staff and counter-signed by the Service Provider should be submitted along with the RFP in the Self-Declaration Format as provided as under: Self-Declaration Certificate for Curriculum Vitae

This is to certify that I ……………………………………………., the undersigned, certify that to the best of my knowledge and belief that the data provided in my Curriculum Vitae, describes me and my qualifications and work experience. I have given my consent to work as a …………………………………… (Doctor / Staff Nurse / Pharmacist / Lab Technician / Junior Health Assistant Female (ANM) / Driver) in the Mobile Medical Unit, likely to be operated by ……………………………………………… in any of the five districts, (Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga districts) as specified in the RFP Document No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Dated: 26-03-2018.

Signature: ……………………………… Name: …………………………………. Counter Signed by

Signature: Authorized Representative (of the Service Provider)

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3G. Time Schedule for MMU Staff

Sl No Name Position Activities Months (in the form of Gantt Chart) * 1 2 3 36 Months

Signature: …………………………. (Authorized Representative) Full Name: …………………………. Title: ………………………………….

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3H. Activity (Work) Schedule A. Planning & Field Activity Sl No Item of Activity Month-wise Activity for the entire Assignment (in the form of Gantt Chart) 1 1st 2nd 3rd 4th 5th 6th 36th 2 3 4 5

B. Completion & Submission of Reports Sl No Types of Reports Date / Schedule

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Section IV Financial Proposal – Standard Forms

A.Financial Proposal Submission Form

B. Summary of Costs

C. Breakdown of Costs

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4A Financial Proposal Submission Form

From, …………………………………………. …………………………………………. (Name and Address of the Service Provider)

To, The Director Scheduled Tribe Welfare Department, Government of Karnataka.

Madam / Sir, Subject: Submission of Financial Proposal for Providing 8 MMU Services in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga Districts. Reference: 1. Your Invitation for submission of Proposals for selection of Service Providers for providing 8 MMU Services, vide RFP No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Dated: 26/03/2018. 2. Submission of our Technical Proposal for Providing 8 MMU Services in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga Districts.

With reference to the above subject and reference, you had invited Proposals to select Service Providers for providing 8 MMU Services for Phase -2 in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga districts, in response to your invitation for submission of a Proposal, we have uploaded our Technical Proposal in the e-Procurement Portal of GOK, in addition we have also submitted our Financial Proposals in the e-Procurement Portal of GOK,

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Our Financial Proposal for 8 MMUs of Phase-2 of Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamoggadistrict for the 1st year (12 months) is Rs…… lakh (Rupees in words). The details of the Costing and Break-up of the costs are provided in Section IV B & IV C and shall be submitted on the day of opening of Financial Proposal, if we qualify technically. Our Financial Proposal shall be binding upon us, subject to modifications resulting from Contract Negotiations, up to expiration of validity of the Proposal. We undertake that, in competing for (and, if the award is made to us, in executing) the above Contract, we strictly observe the laws against fraud and corruption in force in India, namely “Prevention of Corruption Act 1988”. We understand that you are not bound to accept any Proposal you receive.

We remain,

Your sincerely Date: Place: Authorized Signatory Name & Title of the Signatory

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4B Summary of Costs*

No of Amount Sl No Year Unit Cost / No of Months Units (Rs in lakh) MMU / Month (Rs in lakh) 1 First Year 2 Second Year 3 Third Year Total Cost*

*To be quoted in the e-Procurement Portal as the Financial Proposal.

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4C Break-down of Costs

I. Remuneration of Staff Sl Position No of Salary / month No of No of Amount No Units (Rs) months MMUs (Rs)

1 Doctor 1 12 2 Staff Nurse 1 12 3 Pharmacist 1 12 4 ANM 1 12 5 Lab Technician 1 12 6 Driver 1 12 Total

II. Logistics Sl No Costing Head Unit Cost No of No of Amount (lakh Rs) months Units (lakh Rs) 1 MMU Vehicle Renting / Hiring 12 Cost (including POL & Monthly Maintenance) 2 MMU Equipment & Furniture 12 Charges 3 Drugs & Consumables 12 Procurement 4 Office Rent 12 5 Water & Electricity Charges for 12 Office 6 Office Contingency (including 12 Reporting & Printing) 7 Mobile Phone & Internet 12 Charges 8 IEC Charges 12 9 Monthly GPS Charges 12 (Installation & tracking to be done by the Service Provider,

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the Client shall pay monthly operating expenses 10 Monthly Tele Medicine Charges 12 (Consultation Charges) 11 All Soft ware maintenance 12 Charges (maintenance of Electronic Health Records, Reporting System, Disease Algorithm & Disease Summary and others) 12 TA & DA for Staff to attend 12 Meetings Total 12

Total for First Year (12 months)

Sl No Budget Head Amount (in lakh Rs) 1 Human Resource 2 Logistics Total 3 Institutional Overhead (……. %) Final Total with IOH

Unit Cost / MMU / Month for 1st Year is ……………………… lakh Rs

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DESCRIPTION OF SERVICES

OPERATING MOBILE MEDICAL UNITS

I. BACKGROUND

Introduction: To improve the wellbeing of tribal population of the State,Government of Karnataka has been providing various services to bring them into the main stream. To improve their socio-economic status, improvement in their health status is of prime importance. Hence, it has been decided to ensure minimum health needs of tribal population living in villages / hamlets / settlements / hadis which are in remote hilly areas, areas which are inaccessible due to inadequate transportation facilities, areas which are far off from health facilities and other such areas. In the 2ndPhase it has been decided to ensure Primary Health Care Services through eight Mobile Medical Unit Services at the door steps of tribal population in selected areas of Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga districts.

Objectives:

 To enumerate all the tribal population in MMU operation areas, conduct a Baseline Survey to assess the disease burden, health seeking behaviour, awareness of health programs, nutritional status, sanitation & hygiene, and other parameters on status of health.  To ensure minimum Primary Health Care Services, with emphasis on Mother & Child Health Care, Communicable Diseases, screening for Non-Communicable Diseases, early diagnosis, treatment and follow-up of NCD diseases like Diabetes, Hypertension, Epilepsy, Chronic Bronchitis, Chronic Bronchial Asthma, Chronic Arthritis, Acid Peptic Disease, Gastritis, etc.,  To reduce the disease burden in the identified villages.  To create awareness regarding communicable and non-communicable diseases and their prevention through IEC activities.

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 To reduce Out of Pocket Expenditure on Health of the target population.  To create awareness of State & National Health Programs, and improvement in utilization of Health Services.  To improve health service seeking behaviour and community participation.

III. SCOPE OF SERVICES

MMUs in Tribal areas have been envisaged to reach the unreached, for providing health services, assess the disease burden, prepare an action plan for ensuring Primary Health Care Services to provide preventive, promotive and curative services. The main objectives would be early diagnosis and prompt treatment and to bring a change in health seeking behaviour. The Program shall be implemented through Public Private Partnership. The Selected Service Providers shall make all capital investments, hire & train the staff, and the staff shall visit the identified villages in the stipulated MMU with the requisite medicines & consumables on fixed days and timings. The MMU Service shall be a completely out sourced service. The service provider shall be paid the monthly operating expenses as per the Contract. For each MMU Service, tentative 50 service locations have been identified by the Client, the Service Provider after signing of the contract shall visit all the locations and shall enumerate all the population of the identified service points, conduct a Baseline Survey, discover the disease burden and health seeking behaviour, prepare an action plan to visit the target population for MMU Services, from Monday to Saturdays every week, including the route maps and timings of visit. Every MMU should provide at least 4-5 hours of health services every day, taking into consideration the actual travel time required for each day, and the clinic timings should be planned as per the need of the local population. The Service Provider must provide MMU Services with the stipulated vehicle, manpower, equipment, drugs and specified diagnostic facilities as described in the relevant sections of this RFP. The Service Provider

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The Scope of work for the Service Providers for this assignment are as under: 1. Shall procure a new vehicle, fabricate, and equip the MMU as per the Technical Specifications. 2. As per the terrain and location of MMU Service areas, if it is found that the specified vehicle is not suitable to reach the target population, the Service Provider may propose for an additional transport (e.g. a four-wheel drive LMV) to reach those tribal locations. 3. After signing of the Contract, the Service Provider shall visit all the tentative MMU Service locations, enumerate all the tribal population, prepare an electronic database, conduct a Baseline Survey, and based on the Baseline Survey findings shall prepare an action plan for Primary Health Care Services, with an emphasis on MCH, Communicable & Non-Communicable diseases and other services, based on the cultural and socio-economic status and practices of the local population, including an appropriate route map, timings of visit, etc., 4. After a Detailed Action Plan has been submitted after the Baseline Survey, the Client in consultation with the Service Provider shall approve the locations, spots, timings, and day of visit to the villages / tribal settlements / hadis / hamlets along with the route maps and Key Performance Indicators, SLAs & Penalty Clauses. 5. Shall hire the requisite staff, shall provide the necessary training and manage them. 6. Shall ensure timely supply of Drugs & Consumables, Stationeries, and other Logistics essential for uninterrupted MMU Services. 7. Shall ensure that the vehicle is maintained as per the schedule and shall ensure POL for uninterrupted service. 8. Shall ensure uninterrupted services by ensuring substitute staff whenever regular staff are on leave or on unauthorized absence for ensuring uninterrupted services, if the regular MMU doctor goes on leave or goes on unauthorized absence, a substitute

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MBBS / AYUSH doctor shall be provided, and should not exceed more than fifteen days at a stretch, 9. Shall provide Promotive, Preventive and Curative RCH, Communicable and Non- Communicable Services in the MMU Service areas. 10. Shall visit the stipulated villages as per the agreed time schedule and provide MMU Services. 11. Shall create awareness about health services / facilities available at various health institutions and shall increase utilization of health services by the villagers. 12. Shall develop reporting Formats for the proposed reporting system, including online reporting formats. 13. Shall ensure bio-metrics attendance of staff, real-time updating of reporting formats and generation of reports. 14. Shall develop Monitoring Indicators for MMU Services and shall monitor them and shall take corrective actions for streamlining the services. 15. Shall facilitate implementation of all National and State Health Programs in MMU Service villages. 16. Shall install GPS in the MMUs and shall monitor the movement of the MMU as per the agreed Route Map and shall share the link to the GPS Monitoring with the Client and its representatives. 17. Shall assist the District / Taluk Health Authorities in implementation of National & State Health Programs in the stipulated MMU Villages.

IV. The MMU

The MMU shall consist of a specified vehicle with interior fabrication & exterior designing, and it shall be equipped with necessary equipment & furniture. The MMU shall be stocked with adequate Medicines, Consumables and Lab Reagents & Test Kits for treating day to day Out Patients, implementing National & State Programs and for identifying and treating Non-Communicable Diseases. The MMU shall have a MBBS

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Tribal Welfare Department _ 8 MMUs _ RFP _ 2nd Phase _Service Provider Selection _ 2017-18 RFP Ref No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018 doctor, a Staff Nurses, a Pharmacist, a Lab Technician, a Driver and an ANM / Junior Health Assistant (Female) for providing Preventive, Promotive and Curative Services.

The Technical Specifications of the MMU Vehicle to be provided for each Taluk by the Service Provider is as follows:

The vehicle should be OEM (Original Equipment Manufacturer) Integral VanregisteredasperCMVR Act. Integral Van means a vehicle with integrated pilot and patient compartments separated by a partition. The integral van shall not allow dust or water (rain / road splash) with all doors and windows closed

Sl No Part Technical Specification 1 Engine: Direct Injection Diesel Engine – 4 Cylinder, 4 Stroke, Turbo-charged with inter-cooled and improved version 2 Emission Norms: Compliant with Bharath State IV and above. 3 Capacity: 2000 cc and above 4 Maximum Output: Minimum 75 Kw 5 Minimum Torque: 225 Nm @ 1750-2200 RPM 6 Body Dimensions: (i) Overall length: 4350 - 6000 mm (ii)Overall width: 1900 - 1200 mm (iii) Overall height: 2500 - 2800 mm 7 Ground Clearance: 190-220 mm 8 Floor Loading Height: 800 ± 50 mm 9 Steering: Power Steering. 10 Suspension With Anti-Roll Bar 12 Electrical System: 1 No, 12 v Batteries, 75 AH. 13 Alternator: Minimum of 90 amps @ 13.5 volts. 12 Fuel Tank Capacity: Adequate for travelling a minimum of 400 Kms without refueling. 13 Patient Compartment: A separate Compartment with seating capacity for

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9 Adults, including the driver, A Patient examination table, Facility for outreach minimal Lab Tests, Oxygen cylinder, drip stand, stretcher, Cupboards for Medicines, Consumables, reagents, Bins for Biomedical Waste Disposal and other items to run MMU Services.

The Clinic Compartment of the Mobile Medical Unit shall be fabricated as under:  1 Floor Loading Height The finished floor (loading) height shall be800 mm ± 50mm to ensure that one person should be able to load / unload the supplied fully loaded Mobile Medical Unit Cot into the Mobile Medical Unit seamlessly without the requirement of physical lifting of the cot at any end. 2 Patient Compartment The patient compartment must have all six sides, one partition, two side walls and one rear wall (doors) and roof and floor and should not be accessible to dust and water (rain or road splashes) with all doors and windows closed. Volume to accommodate medical equipment and medical racks: minimum 9.5 Cubic Meters Patient compartment volumetric space shall be sufficient in size to transport the occupants and accommodate / store all equipment & fitments as specified. The length of the patient compartment measured from partition to the inside edge of the rear loading door at the floor level shall be at least 3100mm. The minimum width of the compartment shall be not less than 1500mm and should provide 50 ± 15 cm clear aisle walkway between the Patient Examination Table with stretcher to be stored below the Patient Examination table when not in use (non-centred) position. The patient compartment shall provide at least 180 cm height over the primary patient

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area, measured from floor to ceiling panels. An access window between Driver‟s Cabin and Patient Compartment should be provided at appropriate location for visual checks and voice communication between the cabin and patient compartment. This window should be latch able from the patient cabin side and should be transparent, shatter proof and shall have adjustable opening. Complete interior panelling of the sidewalls, partition between patient cabin and driver cabin, roof (of both patient and driver cabin) & back door panels should made from long life superior quality Fibre Reinforced Polymer (FRP) The FRP wherever used, should have the following characteristics:  Thickness – minimum 4.0 mm for FRP  Inbuilt colour  Fire retardant as per IS - 6746 of 1988 or latest  Should meet lamination standard IS - 10192 or latest There should be PUF / PU min. 12 mm thick or thermocol min. 40mm thick or equivalent insulation for reduction of heat and noise within the patient compartment. The insulating material should be non-toxic, non- settling type, vermin proof, mild dew proof and non-hygroscopic. Sufficient reinforcement for holding the wall mounted equipment securely while in transit should be built into the side walls. Unobstructed access & full functionality of the fittings / equipment as required for optimal patient care must be ensured in this compartment. Adequate provision for storage of medicines / consumables / equipment should be made by providing lockable cabinets & drawers. These should be made of fire retardant material, in sync with the Mobile Medical Unit‟s internal look and feel. The drawers should be on steel guide ways & provided with ball socket locks to arrest the

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drawers opening during motion of MMU. The floor should be finished with minimum 2mm thick two component PU coating with anti-scratch treatment or 2mm thick Anti-skid PVC vinyl matting or FRP with Anti-skid coating. The complete interior should be edgeless and suitable for easy cleaning / scientific fumigation / treatment of disinfectants. The MMU interiors should be designed with care to avoid injuries by fall of equipment or cylinder on persons inside the Mobile Medical Unit in case of turmoil due to bad road conditions. Upholstered padding / cushions shall be provided at the upper interior areas of the door frames. Similar padding / cushions also shall be furnished at other areas that may can cause injury. The finish of internal & external patient / driver cabin should meet CMVR requirements of external projection. Door: There shall be a „two leaves‟ divided rear door at the rear end of the patient compartment for entry and exit of personnel as well as loading and unloading of the Mobile Medical Unit cot. This door shall be 115 ± 2 Cm in height with 110 ± 2 Cm in width and the door opening should be side-ways. Each door should be hinged at least at two places and should have firm latching provision. It shall be capable of being positively restrained in the open position. A “Door-Open” warning device shall signal (indicate in the cabin) when doors are not closed. Each door shall have effective compression or overlapping seals to prevent leakage of exhaust fumes, dust, water, and air. The dual doors should open out to 270° When the patient compartment doors are not 270 degrees opening, a red light or reflector, minimum 7.6-cm (3-in.) diameter, shall be installed, one on the interior surface of the side of each rear door. The reflectors shall be so positioned as to provide maximum visibility

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when the doors are in the fully open position. The opening of the door should be possible from inside and outside always. Under no condition, during travel mode, this door should open. The doors of the patient‟s compartment shall be fitted with a security system which enables the following:  lock and unlock from inside without use of a key;  lock and unlock from outside with use of a key;  unlock from the outside using a key when the door is locked from the inside Windows: In the patient‟s compartment, there shall be a minimum of two full width fixed windows, one on each door leaf. There shall be one openable (sliding / tilting/ roll down) window on each side wall. The windows on the rear doors and side walls should be fitted with toughened tinted glass and should be positioned and screened to ensure patient‟s privacy. Squad bench i. should be installed along the left hand (on LH wheel hump) wall end with open table top Seat from inside. The top seat to be mounted on the reinforcement given to squad bench. ii. A minimum 70mm thick, 50 or higher density Foam Cushion to be provided for the seat on 10 mm ply wood for comfort, the same should be upholstered at top, bottom and side of the seat with nonabsorbent rexin of silver gray color. iii. Squad bench to be made of Fiber Reinforced plastic (FRP) (min 4 mm) outside and with the mild steel (MS) with angular 4 mm thick frame

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reinforced within as per drawing, to carry 450 kg weight and to be painted with high quality, washable, enamel paint. Two compartments at equal distance to be made in squad bench for storage of rescue tools. iv. Dimensions of the bench: Length = 1830mm, Width=500mm. Height = 470mm. v. The inner box area should be covered with the 4mm thick black colour Heaton sheet properly glued to the inner surface and squad bench and floor joints to be sealed with silicon paste sealant to prevent water seepage into the storage area.

vi. Five suitably placed good quality seat belts to be provided with proper reinforcement on top and bottom of the squad bench. viii. Back rest with 25mm thick high- density cushions to be provided on 10 mm ply wood with a height of 250mm and equal length of squad bench with proper reinforcement. ix. A stopper (car bonnet type) to be provided for holding the squad bench in opening position at rear end (from entrance side) of the squad bench with proper reinforcement. x. Mounting to be provided for Suction Apparatus in between the medical cabinet and squad bench to secure with Velcro strip. xi. Provision to be made for 230 V AC with Combination of 5 & 15 AMPS power socket and 12V DC Socket also to be provided at a height of 300mm from the floor. Grab Rail made of stainless steel pipe with proper support / fixing, for ease in entering shall be installed in the ceiling. Minimum two IV hooks / holders to be provided at suitable

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locations to ensure proper patient care. A washbasin with foot-operated tap should be provided at a suitable location. A fresh water tank of minimum 10litres capacity for the wash basin with provision for easy refilling should be installed. There should be a soap dispenser and tissue dispenser provided near the washbasin. A reliable, robust & easy to use Sterillium / Bactorub / equivalent alcohol-based hand rub dispenser supporting standard off the shelf bottles of minimum 500ml capacity should be provided at a suitable location which should be within easy reach of the doctor/paramedic. Concealed portable dust bins, with appropriate colours as per Biomedical Waste Management Rules 2016, for segregation, collection and disposal of Bio-Medical Waste, with spring loaded lids should be provided at suitable locations. A “2-way intercom phone” to enable easy communication between the patient & driver cabin should be provided. This instrument should be in the patient compartment at a location within the easy reach of the doctor/paramedic. The instrument in the driver cabin should be located at an optimal location. These instruments should have adequate restrains not to dislodge / fall during travel. A battery powered „thermo-electric cooler cum warmer‟ of minimum 12litres capacity and capable of running on 12 volts DC should be provided at a suitable place. This should allow for a temperature control from approx. - 5°C to + 60°C at +25°C ambient, controlled with two thermostats and should be secured firmly to ensure it doesn‟t move in the patient cabin during travel. One multipurpose fire extinguisher of ABC Type (ISI marked & conforming to BIS: 13849-1993 or latest) duly filled, of capacity and quantity as per the provisions of Central Motor Vehicle Rules 1989 should be provided

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in patient‟s compartment, at appropriate location, where it is easily visible and symbolized. All fitments /equipment /outlets / switches / storage spaces, etc in the patient compartment should be permanently & clearly labelled in English. The font used should be easily readable and in contrasting colour of the background. 3 Volume to accommodate medical equipment Minimum of 9.5 cubic meters. and medical racks. 4 Vehicle Exterior The exterior finish should be clear without any dents or blemishes. There Should be minimum gaps between body parts, doors etc. 5 Footboard / Stepwell Should be provided appropriately provided, if the patient compartment is 250-400mm high above the ground. The Step should have transverse length equivalent to the door opening. If there is more than one step, the steps should be equidistant. The steps shall not be located or exposed to the interior of the Mobile Medical Unit, even when the rear door is closed. The step tread shall have clear depth of 15 ± 2 Cm. 6 Driver Compartment One bucket seat for driver and a bench type seat with back rest for assistants (all TRIMS, DOOR HANDLES & FLOOR MATS to be provided in the pilot compartment). The driver compartment should be designed to provide for easy ingress and egress of the occupants. 7 Accessories Spare wheel, vehicle tool kit etc. 8 Vehicle Standard / Certificated of Compliance Should be as per the ARAI (Automotive Research Association of India) Standards. The vehicles shall fully comply with the stipulated requirements enforced by Government of India i.e. Central Motor Vehicle Rules (CMVR) (latest) as applicable. A certificate of compliance to CMVR, road worthiness, test certificate and type test certificates (including performance, safety, stability aspects etc.) for the proposed vehicle form ARAI shall be furnished by Service Provider.

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9 General Criteria The manufacturer must take a modular approach suitable for Air-conditioned Mobile Medical Units with stretcher cum trolley. Finished version of the Mobile Medical Unit will have to have adequate space in the patient cabin, where apart from positioning of the patients is comfortable, several medical communication equipment that need to be fixed beside the patient. The Mobile Medical Unit shall be suitable for continuous running operation under prevailing environment and road conditions in rural areas of Karnataka. 10 Battery Life & Warranty Bidder to specify – as per manufacturer specifications. 11 Oxygen Delivery System The MMU shall have piped medical oxygen system (manifold) capable of storing and supplying medical grade oxygen. The manifold should have oxygen cylinders of B or D size only manufactured as per IS:7285, BIS- certified and approved by the Chief Controller of Explosives, Government of India, Nagpur (minimum one D & one B type cylinder or two D type cylinders.) These cylinders should be changeable from outside the patient compartment and a cylinder changing wrench should be housed at an appropriate location. These cylinders should be individually connected to a pressure regulator each in such a way that one-cylinder acts on duty and the other as a stand-by. Both these regulators should reduce the cylinder pressure to a static outlet pressure of 4.12 bars / 60 psi and should include a safety relief valve and a locking mechanism to prevent settings from being inadvertently changed. It should maintain accurate readings and calibrations during Mobile Medical Unit operation and not be affected by the temperature conditions.

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Changing from one cylinder to the other should not affect the distribution pressure in any way and this change over should occur with manual or automatic operation of single valve. The inlet port of the regulator should be connected to both the cylinders in parallel using two nos. of ball vales, allowing any of the cylinders to be in line or of line with the cylinder at any point of time without closing the individual cylinder valves. The patient cabin must have a display panel for oxygen supply status. The display panel should be certified for use with Medical Oxygen and should have three individual display windows to constantly indicate the pressure level of both the cylinders as well as the distribution pressure level. The digital displays should show the actual pressure measured by three individual digital pressure sensors as per the pressure level under monitoring (one each for both the cylinders and one for the line pressure).

The connections of the high-pressure regulator, isolation valve, high & line pressure sensors, high-pressure connecting hose from cylinder to high-pressure regulator, low-pressure hose from the outlet of the high- pressure regulator to the terminal outlet block should be connected to each other using high pressure flexible connectors. There should be no welded joints in the entire connection assembly of the oxygen distribution system. The manifold should be so designed that it shall ensure proper fixation of cylinders during travel and should ensure easy cylinder changing and positioning. There should not be any electrical

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connection in near vicinity or inside the oxygen cylinder housing, except pressure regulator integrated with flow control valve. Minimum one oxygen outlet for the primary patient, flush with right side wall or fitted flush on an outlet panel board near the primary patient‟s head end (distance between patient head and oxygen / air outlets to be less than 89 cm) to be provided for Oxygen therapy through flow meter. This outlet station shall be appropriately labelled, and colour coded as per IS standards to indicate their use with medical grade oxygen. Oxygen outlet stations shall be installed with sufficient vertical space to accommodate attachment of flow meters, humidifiers, and nebulizers. There shall also be sufficient horizontal clearance to prevent interference with the suction inlet quick-disconnect if any and equipment directly attached thereto. The oxygen outlets should be universal in design to be able to accommodate the probe of the oxygen flow-meter and the probe of the driving gas hose of the ventilator directly in one single action without any intermediate connectors and adapters. A door for the Trolley to be cut (as per drawing) and fabricated with bonnet type locking with an opening lever in the driver compartment (with MS reinforced FRP) ii) The Door opening lever should be below the driver seat with flexible wire cage which is firm and flexible without steep bend en-route. iii) The Cylinder compartment should be properly sealed from all sides along with the Door side to protect

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and avoid any chances of dust entering this compartment. Rubber beading to be provided on compartment (door seating area). iv) This trolley should be designed with M.S. angle frames 40‟‟ x 4‟‟ to hold two D Type Oxygen cylinders (each could independently be taken out), under medicine cabinet securely with a toggle clamp for fastening, Safety lock to be provided to prevent accidental opening of toggle clamp. Reliable and durable locking/unlocking the trolley and cylinders on trolley with auto locking provision to be provided. Oxygen cylinder covering brackets top and bottom should be riveted with asbestos material for cylinder grip to avoid movement and noise in running v) High Pressure Tubing: 280 bar/ 4060 psi test pressure, with male /female (5/8 inches) bull nose Brass connectors (Only Drop forged brass connectors to be used) at both the ends, to connect it from the oxygen cylinder to the pressure regulator inside the patient cabin; 2 No‟s each of 2 meters length; vi) Preset Pressure Gauge cum two stages Regulator, with static outlet pressure, first stage of 20 bars/290psi and second stage of 4.12 bars/ 60 psi. Double safety valve type 2 No‟s each. vii) Humidifier Bottle: Poly Carbonate Bowl with metal Cap and T type inlet outlet nipples - 2 nos. All the connectors should be of chrome plated on brass material. viii) Flow Meter: Brass with chrome plated body, Poly carbonate tube, to regulate the flow from 0 to 15 liters per mint. It should be a back pressure compensated.

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ix) Humidifiers should be mounted @1100mm height from the floor on RH side wall in front of the wooden cabinet. x) Same (used for flooring) Vinyl sheet to be fixed on the oxygen compartment flooring and side walls. xi) Three plus one (3+1) four ports of Brass 3/8 inches nipple in size be provided in complete one assembly (One set) on a common rectangular Brass Tube (Rail) with two Needle Valves at both the ends.

12 Air Conditioning of the Clinic Portion of the The AC unit should be Roof MMU Mounted Parallel Flow Condenser (Length- minimum 712 MM X Width 635 MM X Thickness 26 MM) – Subros / Carrier or Equivalent with Fiber cowl, with Double Cooling Fans. The gas used for Air conditioning should be environment friendly as per International regulatory requirements. The engine idling rpm should be so designed and tuned to fulfil the requirements of AC Unit.  Only casting A / C compressor mounting brackets to be used. Welding compressor mounting brackets are not allowed  Double blower type Cooling Coil of reputed / renowned Indian Brands

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should be used.  With engine driven compressor 10S17of Subros / TM16 / Sanden SD 7:  With 50mm ducts (ports) on the ceiling, in two rows to have eight delivery ports (four each row), of the patient cabin, with flaps to cover the ports,  Digital microprocessor- based temperature controller should be provided with fully automatic PCB based power supply.  With all windows & doors closed, the system shouldbe suitable for Heat Load to draw heat from 10 cubic meter volume, (to bring down temp from 40° Celsius to 16°to 20° Celsius in 5 minutes).  Condenser fan should be cover with FRP and front with aluminum mesh. To ensure proper ventilation in case of AC failure, two superior quality speed regulated roof / wall mounted fans be provided in the patient compartment to

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ensure adequate air flow.

13 Siren / Public Address System A high-quality combination electronic siren with integrated Public Addressing System of minimum 100W (PMPO) shall be provided. The siren‟s controls should have full range volume control and should permit the following sounds: Manual, Wail, and Yelp. The siren sweep rate should be 10-18 cycles per minute (Mobile Medical Unit mode). The microphone should be of a noise-cancelling type. Siren/Speakers shall not protrude beyond the face of the bumper or bumper guards if provided in there. The control panel for this system should be fixed at a suitable location in the driver compartment 14 Exterior Special Lighting and Illumination In addition to the signalling and lighting requirements as per the CMVR, the Mobile Medical Unit should have the following lighting fitments (12V):  LED based flashing lights with top blue lens having minimum four LED flashers visible on both sides of the Mobile Medical Unit (integrated or enclosed in a light bar) mounted on the roof top. The LED flashers should flash cyclically using appropriate flashers.  At least two LED flashers &

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one spot lamp on both sides of the Mobile Medical Unit as well as two flashers & a rear loading lamp on the rear wall of the Mobile Medical Unit mounted at the highest position feasible. (The rear loading light shall automatically be activated when rear doors are opened.) 15 Interior Patient Compartment Illumination There should be diffused flicker free automotive grade (12V, minimum 4000° Kelvin) lighting in the patient compartment. All interior lighting shall be flush mounted and should not get loose or fall during vehicle movement or vibration. Normal white illumination within the patient compartment without outside ambient light shall not be less than 160 Lux (lx) when measured along the centreline of the clear floor; and 376 lx on at least 90% of the surface area of the primary patient cot. At least one patient compartment light and rear loading lamp shall be automatically activated when the patient compartment rear doors 16 Electrical System There shall be two independent forward electrical circuits in the Mobile Medical Unit: the OEM-Base Vehicle Circuit and the non- OEM electrical circuit. At no point shall the forward OEM base vehicle circuit be tampered with to provide for any non-OEM electrical load requirements. Each Mobile Medical Unit should have additional „supplementary battery(s)‟ sufficient enough to power the non-OEM electrical load requirements of the homologated vehicle. These batteries should be located at a suitable location outside the patient compartment and should be automatically charged by the vehicle alternator while the vehicle is on and via 220V external AC supply if connected when stationary. The

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alternator of the base vehicle should be suitably augmented to ensure the same and it should also provide required output for continuous operation. An appropriate battery charger / inverter should be provided to enable charging of the supplementary batteries via external 220V AC supply whenever connected and to fulfil AC load requirements of the Mobile Medical Unit if any. A recessed external charge port with spring loaded lid suitable for connecting the external 220V AC power supply should be provided on the exterior of the vehicle at a suitable place. A 10 Meter length, three (3) core, 10 gauge / equivalent charging wire with high quality male three pin ends to be provided. This wire should be housed at a suitable and easily accessible location in the Mobile Medical Unit. There should be a cut-off switch provided at a suitable location outside the patient cabin to isolate the non-OEM forward electrical circuit. This circuit breaker should be labelled and housed at an easily accessible location while also ensuring protection against accidental switching off. There should be short-circuiting as well as overload protection through fuses / Mini-Circuit Breakers (MCB) for different segmented electrical installations in the non-OEM electrical circuit. The fuse rating should be mentioned on each fuse and three numbers of each fuse should be housed in the fuse box cover or at an appropriate place. Adequate AC / DC power receptacles / connections should be provided in the patient

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compartment to simultaneously power all the equipment‟s & fitments asked for in this document. The mountings of all electrical outlets shall be sturdy enough to handle wire/plug pressure and vibrations during transit. There should be at least one free automotive grade 12V DC receptacle provided in the patient & driver compartment each at an easily accessible location. All switches, connectors, end-wiring should be rated to carry out minimum 125 % of their maximum ampere load. All wiring should confirm to ISI2645 specification. The wiring shall be permanently colour coded or marked the entire length of the wire for identification with easily readable numbers and letters, or both, and routed in conduit. When cables are supplied by a component manufacturer to interconnect system components, these cables need not be continuously colour coded/identified. They shall be coded/ identified at the termination or interconnection points. All added wiring shall be in accessible, enclosed, protected locations and kept at least 15 cm (6 in.) away from exhaust system components. Except for those on large wires, such as battery cables, terminals shall be machine crimped to the wiring. A ratchet type hand crimper may be used where it is not possible to use a large machine crimper. Battery cable terminals, component terminals and connectors exposed to the ambient shall be coated with terminal corrosion preventive compound. Electrical panels that are accessible to accidental contact shall have a protective cover, shield, and so forth, to prevent shorts that can result in injury, fire, or damage to the electrical system. Electrical wiring and components shall not terminate in the oxygen storage compartment except for the oxygen-controlled solenoid, compartment light, and switch plunger or

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trigger device. Wiring necessarily passing through an oxygen compartment shall be routed in a metallic conduit. 17 Exterior Body Colour Complete body exterior should be uniform white in colour 18 Comprehensive User Manual/s written in Layout Drawings, Operating Manuals, etc., simple English with detailed parts description, operating instructions, service contact numbers, etc for the Base Vehicle, Patient / Driver Compartment Equipment, Fittings, etc shall be provided. These should be printed on high quality paper and housed in water- resistant pouches. Laminated sheets, clearly showing the Patient and Driver Cabin Layout with location of equipment, fittings, switches, consumables, etc suitably depicted should be fixed in the patient and driver cabin at suitable locations. Laminated sheet showing the non-OEM electrical wiring diagram complete with location of various fuses and circuit breakers should be displayed in the vehicle at a suitable location. Sample drawing showing the layout of patient cabin. This drawing is indicative of an ideal Mobile Medical Unit layout and the bidders should adhere to this guidance in consonance with the above detailed specifications about the location and positioning of various medical equipment & patient care ergonomics while adapting the remaining fitments to their vehicle dimensions. Any dimension/fitment/equipment depicted in the sample drawing and not asked for in this tender document maybe ignored. The bidders MUST provide 2D / 3D rendered basic drawings for all types of quoted Mobile Medical Units showing location of various components, sub- assemblies for structure, interior layouts, fitment of oxygen cylinders, layout of

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doctor‟s chair, attendant chairs, wash basin, cabinets, Inverter, medical equipment, etc along with the technical bid. The technical bid evaluation committee reserves the right to ask for appropriate changes in the patient compartment layout if not found suitable 19 A standard quality LED/Digital clock to be Clock provided in the patient compartment. It should have a minimum Letter (font) Size of 50 to have better visibility. 20 i. Half Safety metal guard. Screw Roof / Wall mounted fans mounting with brushless Oscillating, 200 mm fan blade, operated by DC 12V in 2 nos. in the Patient compartment, ii. One fan (same as above) in Pilot Compartment. 21 One 200 mm brushless 230Volts Exhaust fan Exhaust Fan to be mounted to partition between Pilot and Mobile Medical Unit compartment, to pump ambient air into the patient compartment 22 Front and rear rubber mud flaps to be Mud Flaps provided 23 White retro reflecting tape to be fixed for front Reflectors bumper-complete length Red retro reflecting tape on rear door bottom- complete length Yellow retro reflecting taping to be fixed on LH and RH side of the complete length of the body as per RTA rules and regulations. (2 inch in size retro reflecting tape should be used)

(i)The Service Provider may use its own MMU Vehicle or hire a MMU Vehicle of specified Technical Specifications, in case the Vehicle is hired from a third party, it should compulsorily meet the specified Technical Specifications and should be certified as described above. The Technical Specifications Certificate along with the Rental Agreement entered between the owner of the Vehicle and the Service Provider along with copies of the Registration Certificate of the Vehicle, valid Tax

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Paid Certificate and Third-Party Insurance Certificate for the Contract Period attested by a Gazetted Officer should be submitted to the Client, before the hired MMU Vehicle is put into use for MMU Services in the respective Taluk.

(ii) The MMU vehicle / hired MMU Vehicle should have been registered with the RTO / ARTO on or after 1st April 2018, and the Technical Specifications should be certified by the RTO / ARTO, before it is being put into use for MMU Services. (iii)The MMU Vehicle before putting into use in the respective villages / area should be fully equipped with the List of Equipment and Furniture (Annexure - 2) along with facilities for Mobile Lab Services.

(iv) The MMU Vehicle should have sufficient stock of all Medicines and Consumables at all time, as per MMU Drug List (Annexure - 3) to treat patients for a minimum period of 15 days, and it should be replenished regularly.

(v)The exterior designing of the MMU Service shall have the following logo both in English & Kannada, along with the picture of the Honourable Chief Minister and Honourable Social Welfare Minister of Karnataka State (appropriate photos of the Honourable CM & HM shall be provided at the time of Award of Contract) as under:

¸ÀAZÁj DgÉÆÃUÀå WÀlPÀ ¸ÉêÉUÀ¼ÀÄ ¥Àj²µÀ× ¥ÀAUÀqÀUÀ¼À PÀ¯Áåt E¯ÁSÉ ¸ÀA¥ÀÆtð GavÀ ¸ÉÃªÉ ¤UÀ¢vÀ vÁ®ÆèPÀÄ: ………………………………………………… ¦.¦.¦. CrAiÀÄ°è ¤ªÀð»¸ÀĪÀªÀgÀÄ: ……………………………………… zÀÆgÀÄUÀ½UÉ: ¤zÉÃð±ÀPÀgÀÄ, ¥Àj²µÀ× ¥ÀAUÀqÀUÀ¼À PÀ¯Áåt E¯ÁSÉAiÀĪÀjUÉ PÀgÉ ªÀiÁr zÀÆ.ªÁ. ¸ÀASÉå:080 22261787

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Mobile Medical Unit Services Scheduled Tribe Welfare Department Totally Free Service MMU Service Taluk: ………………………. Operated under PPP by: ……………………...... For Complaints: Please Call The Director, Scheduled Tribe Welfare Department Ph No: 080 22261787

V. KEY DELIVERABLE The MMU Service Provider shall offer free of costs for all people the following services: 1. Curative Services for common illnesses and chronic illness 2. First Aid 3. Referral Services 4. Family Planning Services 5. Antenatal and Postnatal Care 6. Immunization services 7. Counselling on all matters, including HIV/AIDS 8. Implementation of National Health Programs 9. Health Education Activities and Environmental Sanitation. 10. Minimum routine laboratory investigations. 11. Assessment of Nutritional status & Nutritional Education 12. Management of Bio Medical Waste (collection, storage and disposal). 13. Extensive health related IEC activities and other services.

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14. Collection of samples and transport to Designated Microscopic Center / Designated Labs for Services like examination for AFB, Blood smear for Malaria Parasite, etc., 15. Diagnosis and regular treatment of all chronic illnesses like diabetes mellitus, hypertension, chronic diseases, epilepsy, chronic arthritis, acid peptic diseases and others free of cost. 16. Inform the local community, regarding the timing and venue of the Mobile Medical Unit. 17. Shift any emergency patient to the nearest appropriate Government Hospital during their visits to the village and maintain the record with detail address and the cause of emergency in the register and log book of the vehicle. 18. The Service Provider shall develop and use the Disease Summary & Disease Algorithm in all the MMUs to facilitate accurate and timely delivery of Health Services, faster disposal of cases and updating of health records. 19. The Service Provider shall maintain Telemedicine facilities with adequate Health Resource personnel to advise the Doctors / Medical Staff of MMUs to facilitate clinical examination, investigations, treatment and follow-up. The Service Provider shall ensure that linking facility for the Telemedicine Nodes / Centre and the MMU is established for facilitating Health Services. The Service Provider shall ensure the specified Smart Phone, Tablets, Head Phones and Internet connections are installed in all the MMUs. 20. The Service Provider shall:  Shall make alternate arrangement of staff, if any staff goes on leave or is on unauthorized absence.  Shall attend the periodical meetings organized by Client or its Representatives at Taluk, District and State Levels, as and when called, with a progress report and required information, represented by the competent authority of the Service Provider.

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 Shall ensue that health services provided by them will comply with the standard quality of care and other agreed norms established by Department of Health & Family Welfare, Government of Karnataka.  Shall participate in H&FW Department activities such as National Immunization Days. In addition, the Service Provider shall respond appropriately to epidemics, other emergencies, and carry out other such activities that the Client is responsible for.  Shall pay careful attention to the needs of patients and communities and ensure that they utilize the MMU Services and are satisfied with the health services that shall be provided.  Collect data and reportthem as per the guidelines provided by the Client.  Appointment qualified and trained staff for MMU Services.  The Service Provider must procure new Vehicle as per the approved Technical Specifications, hiring and monthly maintenance and POL charges shall be reimbursed by the Client to the Service Provider.  All payments to the Service Provider shall be on reimbursement basis only and no advances shall be paid by the client.  The outreach services shall be run by the Service Provider only and no sub- contracting shall be allowed.  During periods when the vehicle is out of order, the Service Provider shall make alternate arrangements to ensure uninterrupted services.  The Service Provider shall develop Health Records of all patients /beneficiaries served by its MMU in all the villages.  The Service Provider shall conduct a Baseline Survey in all the villages and shall develop Baseline Indicators, and Performance Indicators for 6, 12, 18, 24, 30 and 36 months.  The Service Provider shall develop a complete data base of all the villagers of all the MMU villages and shall be used for providing all services, for real-time

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reporting of services, real-time updating of all Health Records, Logistics of MMU Service, etc.,  The MMU Service Provider shall develop appropriate Biometrics enabled Attendance of Staff at the MMU villages, both on entering and leaving the villages, and it shall become the basis for payment for the Service Provider by the client and by the Service Provider for payment of staff salary and other emoluments.  The Service Provider shall assist the Client in installing GPS & Tablet in the MMU and with the appropriate Smart Phone (to be specified by the Client) and shall assist in monitoring of movement of the MMU during the entire Contract Period.

VII. Area of Operation

In the villages / area as specified in Format 6

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VIII. REPORTING SYSTEM

 Monthly reports in prescribed formats should be submitted by the Team Leader / MO every month to the Taluk Health Officer, District Health & Family Welfare and Deputy Director, Emergency Response Service.  The Service Provider shall also ensure that its staff enter all data online as and when the services are provided to ensure Real-time monitoring and generation of reports.  Meetings to review all Mobile Medical Units will be held every month by the District Tribal Welfare Officer and District Health & Family Welfare Officer and quarterly at State level under the Chairmanship of the Director, Scheduled Tribe Welfare Department.  IX. PAYMENT SCHEDULE: All payments to the Service Provider will be on reimbursement basis

Sl. No. Contract Value Service and Deliverables for payment 1. Monthly Payment in equal It shall be lumpsum payment based on installments submission of Monthly Reports, monthly invoices and satisfactory MMU Services Certification by the concerned Taluk Health Officer and Taluk Tribal Welfare Officer. At the end of Financial Year, the Service Provider shall get MMU Accounts audited by a Registered Chartered Accountant and shall submit an Utilization Certificate to the Client / its Representatives.

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The Accounts of MMU Service is subject to Auditing by the Client or its Representatives / AG.

X. Review Committee

At the State Level: The following Committee at the State level shall review the functioning of MMU Services in the State once in a quarter or as and when required.

Designation Status Director, Scheduled Tribe Welfare Department Chairperson Director, Health & Family Welfare Services Vice-Chairperson Deputy-Director, Tribal Welfare Department Member Deputy Director, Emergency Response Service & Member Community Monitoring, Directorate of Health & Family Welfare Services Assistant Director, Scheduled Tribe Welfare Department Member

At the District Level: The following Committee at the District level shall review the functioning of MMU Services once a month (during the 1st Week) or as and when required.

Designation Status Chief Executive Officer, Zilla Panchayat Chairperson District Tribal Welfare Officer Vice-Chairperson District Health & Family Welfare Officer Member Taluk Tribal Welfare Officers of MMU Implementing Taluks Members Taluk Health Officers of MMU Implementing Taluks Members

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At the Taluk Levels, the Taluk Tribal Welfare Officer and the Taluk Health Officer shall review the functioning of MMUs once a month (during the last week of every month) and send the progress report and satisfactory implementation certificate to the District Tribal Welfare Officer for his recommendations, to be sent to the State Level.

XI Job Responsibilities of MMU Staff

(i) Doctor: He / she will be the Team Leader of the MMU, he / she will ensure coordination between staff of MMU and will be responsible for uninterrupted service delivery to the identified villages. The following are the Job Responsibilities of the Doctor:  Will ensure that the MMU Vehicle is clean, timely serviced and daily mandatory checks are performed by the driver.  Will ensure that the stipulated Diesel and other Lubricants are filled up.  Will ensure that the MMU is equipped with all approved equipment.  Will ensure that the MMU has adequate stock of MMU Drugs & Consumables sufficient to treat patients for a minimum of 15 days.  Will place timely indent of essential drugs & consumables to the Management.  Will ensure that all drugs from Management and District Ware House of Health & Family Welfare Department is received on time, taken into stock, issued to the Pharmacist and dispensed as per the need.  Will ensure that all Staff of the MMU arrive at the Office and prepare themselves for the visit.  Will ensure that the MMU with all necessary arrangements will depart in time and will reach the designated spot in the village at least 15 minutes in advance.

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 Shall ensure that the MMU Staff, including him / her shall punch in / log in within the stipulated time in the Bio-Metrics installed in the MMU both in the morning and afternoon. Similarly, all staff of the MMU shall punch-out / log off at the stipulated time both in the afternoon and evening. The Bio-Metrics attendance shall be the basis for making payment to the Service Provider / enforcing the Penalty Clause.  The Service Provider shall install GPS in the MMU and monitor the movement of MMU in the Taluk / District, and shall a provide a link to the Taluk / District Tribal Welfare Officers and the State Level Tribal Welfare Officers (to the Client and its Representatives)  Will ensure that the MMU Staff compulsorily wear the uniform, are neatly dressed / groomed and courteous to the patients and public.  Will ensure that all necessary arrangements are made at the spot and the services are commenced at the designated service spots within the agreed time.  Will ensure that the patients are registered, examined, subjected to necessary lab investigations, counselled, treated and provided necessary medicines and are regularly followed up.  Will ensure that all emergency cases are provided adequate first aid and referred to the nearest appropriate health facility in time.  Will ensure that all relevant registers and forms are filled up and timely reports are generated.  Will ensure that timely field activities are carried out by the ANM, relevant registers are filled up and data updated on HMIS & MCTS of Health & Family Welfare Department, by obtaining user Id & Password.  Will conduct weekly meeting of the Staff on all Saturday afternoons, will attend all meetings called by the Client or its Representatives.

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 Will submit weekly and monthly report to the Taluk & District Tribal WelfareOfficers and shall update all records for online generation of Reports.  Will resolve all conflict between the staff and the staff & the public.  Will write daily work dairy and submit it along with the monthly reports and ensure that all staff of the MMU regularly write their work dairy and submit to him on time.  Will prepare the annual report of the MMU for the Management.  Will perform any other MMU Services entrusted by both the Client.

(ii) Staff Nurse: He / she will be responsible for assisting the Doctor and other staff of the MMU for proving all MMUServices to the patients in the identified villages / Service locations.  Will ensure that the necessary linen, equipment, instruments are taken into stock and the relevant stock registers are maintained and regularly updated.  Will prepare a Check-list of equipment, instruments, furniture, dressings, and other items regularly required for MMU Services and ensure that these are taken to and from the villages.  Will sterilize / autoclave the necessary instruments, dressings and linen necessary for MMU services.  Will wear white Chudidaar / White Saree & Blouse, black shoes& socks while on MMU duty, and shall be well groomed.  Will wear the Name Plate while on duty.  Will lay the tables, instruments and equipment at the service points in the villages.  Will register all the patients in the OPD Register

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 Will record height, weight, Blood Pressure, and assist the doctor in medical examination of patients.  Will assist the doctor and the MMU Staff in providing urgent and effective treatment to the patients in times of emergencies / epidemics / disease outbreaks.  Will assist the doctor in providing ANC, PNC, Family Planning and Counselling Services.  Will assist the doctor in medical examination of 0-6 years‟ children, particularly severely underweight and Severely Acute Malnourished Children.  Will participate in all National & State Programs.  Will counsel all Pregnant Women on necessity of ANC & PNC check-ups, prophylaxis and treatment of Anaemia, its complications, danger signs of pregnancy and motivate them for institutional deliveries.  Will inform Pregnant Women about free referral transport (about „108‟ Janani Suraksha Vahini, Nagu-Magu), Thayi Card, FRUs, Janani Suraksha Yojane, Janani Shishu Suraksha Yojane, Madilu, Prasoothi Aaraike, Thayi-Bhagya and Thayi Bhagya Plus and all Services of Social Welfare & Tribal Welfare Departments.  Will line list all High-Risk Pregnancies, village-wise, and in consultation with their family members and the doctor will plan their medical examination and safe delivery in the FRUs.  Will assist the Lab Technician in collection of Urine, Sputum and Blood samples for Lab Investigations.  Will behave cordially with other MMU Staff, the patients & their attenders and the public.

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 Will ensure that Bio-Medical Waste is segregated, handled and disposed of in accordance to Bio-Medical Waste Management Rules 2016.  Will assist the Doctor in writing the prescriptions, dispensing drugs and will counsel the patients on use of the medicines regarding its dosage and time of consumption and the side effects of drugs.  Will prepare the drugs indent for the MMU based on the patient load and ensure that they are received by the Pharmacist from the Management.  Will assist the Pharmacist, Lab Technician and the ANM in preparing monthly & quarterly reports.  Will write his / her daily work-dairy and submit the same to the Doctor within 2nd Working Day of the month.  Will arrive for duty on time and will not go on unauthorized leave.  Will perform any other duties assigned by the doctor / management / the Tribal Welfare Officer.

(iii) Pharmacist He / she will be responsible for indenting, receipt, taking into stock, issuing of drugs and maintenance of all registers and preparing drug reports. He / she will also act as Administrative Assistant to the Doctor.  Shall register all patients / beneficiaries who approach the MMU for Services and shall update all online entries and all online reporting formats. The Pharmacist shall be solely responsible for filling up / entering all MMU data, reporting formats and generation of all types of reports. The MO of the MMU shall guide and supervise the job responsibilities of the Pharmacist.  Will prepare timely monthly indent of drugs & consumables of the MMU.

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 Will receive monthly indent of drugs from the Management of the Service Provider and shall take them into stock. Prepare Stock Certificates, get it signed by the Doctor and send it back to the Management.  Will register all patients attending the OPD of the MMU and keep details of New & Old OPD.  Will dispense the drugs prescribed by the doctor and will retain the prescription slips and will account for the drugs dispensed in the village-wise Drugs Dispensing Register.  Will take all vaccines received by the ANM into a separate Vaccine Register.  Will issue Consumables to the Staff Nurse, ANM and the Lab Technician after approval from the doctor and maintain the details in the Consumables Register.  Will provide all Program Guidelines and counsel the staff in understanding the same and shall handhold them in discharging their duties.  Will keep tab on short expiring drugs and will get them replaced and will take due care so that expired drugs are not distributed to the patients.  Will explain to the patients about the side effects of the drugs and bring it to the immediate notice of the doctor, if any untoward reactions are observed in patients after consuming the medicines.  Will counsel the patients and their attenders about the dosage, time of consumption and precautions to be taken while taking / providing medicines.  Will maintain up to date Stock Register of all medicines and Consumables and prepare Monthly / Quarterly / Annual Reports of

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drugs utilized, monthly balance of drugs, number of patients treated and disease-wise statistics of the MMU.  Will assist the Lab Technician in collection of Blood Smears for MP, Sputum Smears for TB and other tests.  Will wear Name Plate on duty and shall be well groomed.  Will assist the Doctor and the Management in preparing all reports of the MMU.  Will maintain Stock Register of all MMU Equipment, Furniture and Drugs Stock Register.  Will behave cordially with other MMU staff, patients and their attenders and the Community.  Will arrive for duty on time and shall not go on unauthorized leave.  Will write his / her daily work-dairy and submit the same to the Doctor within 2nd Working Day of the month.  Will perform any other duties assigned by the doctor / management / Client or itsRepresentatives.

(iv) Lab Technician

He / she will be responsible for overall maintenance of Lab Equipment and Consumables and ensuring Lab Services, collection of samples and preparation of reports.  He / she will place monthly indent for Lab Consumables, receive them from the Pharmacist, take them into his Sub-Stock Register and utilize them.  Conduct Lab Tests based on the tests advised by the doctor or the Staff Nurse and will maintain village-wise, name-wise and date- wise tests conducted / samples collected / samples referred and the results obtained.

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 Will take all Lab Equipment, Furniture and Consumables into stock and will be responsible for the same.  Will prepare month-wise, village-wise Lab Tests Conducted and the Results thereof.  Will wear protective gears while performing the tests and will follow universal precautions for the safety of himself and the patients.  Will ensure that Bio-Medical Waste is segregated, handled and disposed of in accordance to Bio-Medical Waste Management Rules 2016.  Will wear white apron and shoes and will be well groomed.  Will behave cordially with other MMU staff, patients and their attenders and the Community.  Will assist the MMU staff in conducting Lab Tests / collection of samples at times of emergencies, epidemics and outbreaks of diseases.  Will perform any other duties assigned by the doctor / management / the 1st Party or its representatives.  Will write his / her daily work-dairy and submit the same to the Doctor within 2nd Working Day of the month.  Will arrive for duty on time and will not go on unauthorized leave.

(v) Axillary Nurse Mid-wife / Junior Health Assistant (Female)

She will be responsible for Promotive, Preventive and certain Curative functions of the Community by providing house to house visits. She will concentrate mainly on RCH functions  Will arrive for duty on time and will not go on unauthorized leave  Will wear white Chudidar / White Saree & Blouse, black shoes& socks while on MMU duty and well groomed

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 In all the MMU villages she will visit all the houses and provide all RCH Field Services.  She will conduct Eligible Couple Survey in all the MMU villages.  She will register all ANC, PNC, 0-5 years‟ Children and Adolescent Girls.  She will Provide a minimum of 4 ANC Visits, 100 / 200 IFA Tablets and TT immunization to Pregnant Women.  Will counsel all Pregnant Women on necessity of ANC & PNC check-ups, prophylaxis and treatment of Anaemia, its complications, danger signs of pregnancy and motivate them for institutional deliveries.  Will inform Pregnant Women about free referral transport (about „108‟ Janani Suraksha Vahini, Nagu-Magu), Thayi Card, FRUs, Janani Suraksha Yojane, Janani Shishu Suraksha Yojane, Madilu, Prasoothi Aaraike, Thayi-Bhagya and Thayi Bhagya Plus, All Tribal Welfare / Social Welfare Department Programs & Schemes.  Will line list all High-Risk Pregnancies, village-wise and in consultation with their family members and the doctor will plan their medical examination and safe delivery in the FRUs.  Will issue Thayi Cards, if they have not been issued by the Regular ANM and will register them on HMIS and will assist the PHC Medical Officer in updating MCTS.  She will coordinate with Anganwadi Worker and ASHA in delivering services in the village.  Will counsel Pregnant Women on early initiation of Breast Feeding, Exclusive Breast Feeding and Complimentary Feeding of her infant.

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 Will assist the Lab Technician in collection of Urine, and Blood samples for Lab Investigations like Hb %, Blood Grouping & Rh Typing.  Will behave cordially with other MMU Staff, the patients & their attenders and the public.  Will maintain RCH Register for all the villages.  Will conduct Monthly Immunization Camp in all the MMU villages / assist the regular ANM in conducting Immunization Camps.  Will write her daily work-dairy and submit the same to the Doctor within 2nd Working Day of the month.  Will arrive for duty on time and will not go on unauthorized leave.  Will perform Active Surveillance for Malaria by collecting Blood Smears of fever cases.  Will conduct Source Reduction Activities for Dengue, Chikungunuya, Malaria along with Anganwadi Worker, ASHA and Junior Health Assistant Male.  Will counsel the beneficiaries about Family Planning Methods, will provide contraceptives for spacing methods like Oral Contraceptive Pills, Condoms and counsel about Comprehensive Abortion Care (CAC) and refer the pregnant women for CAC Services.  Will perform any other duties assigned by the doctor / management / the 1st Party or its representatives.  Will write his / her daily work-dairy and submit the same to the Doctor within 2nd Working Day of the month.  Will arrive for duty on time and will not go on unauthorized leave.

(vi) Driver The driver will be responsible for upkeep of the MMU Vehicle, Safe driving and will also act as the attender of the MMU.

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 The Driver should wear Khaki Shirt & Pant as uniform and should wear Black / Brown socks & shoes and shall be well groomed.  He should ensure that the MMU Vehicle is equipped with a spare wheel along with requisite tube and tyre, Jack & Rod, First Aid Kit, Tool Kit, and Certified Copies of Vehicle Documents and Insurance copy  The MMU Vehicle should be cleaned and disinfected every day before starting the journey.

 The driver of the MMU should mandatorily check level of engine oil, brake fluid, engine coolant, wheel air pressure, battery fluid level, and braking system. A daily Job Chart for the mandatory checks should be maintained in the MMU Vehicle and should be made available for verification by the MMU Doctor / the Management / the Second Party.

 The driver should ensure that the MMU Vehicle should have a minimum of 3/4th Tank full of Diesel in the Diesel Tank before start of Journey every day  The driver of the Vehicle should daily update the Log Book of the MMU Vehicle daily, and it should be always available in the Vehicle  The driver should drive the vehicle carefully to avoid any accidents and ensure that the MMU visits the villages 15 to 20 minutes in advance of the scheduled time.

 The driver will also act as the Attender of the MMU, He will assist the MMU in loading and unloading Furniture, Equipment Drugs and Consumables to and from the vehicle.

 The driver will also be responsible for the cleanliness of the MMU Store / Office.

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 The driver will be responsible for controlling the crowd and the patients at the villages.

 The driver will also be responsible for the safety of the MMU in the villages.

 Will behave cordially with other MMU staff, patients and their attenders and the Community.  Will arrive for duty on time and will not go on unauthorized leave.  The driver shall not smoke or consume alcohol or addicted to any other substances.

XII. PERFORMANCE APPRAISAL

Performance shall be assessed against a set of indicators developed based on Baseline Survey conducted at the start of MMU Services. Performance shall be appraised after every six months, and the contracts shall be renewed based on the targets achieved as per the agreed performance indicators and satisfactory services that shall be delivered by the Service Providers.

XII. Duration of MMU Contract:

The MMU Contract shall be for three years from ...... At the end of each year, performance appraisal of the Service Provider shall be conducted, upon satisfactory appraisal and achievement of targets / indicators by the Service Provider, the 2nd year Budget shall be released to the Service Provider.

XIII Deliverables by the MMU Service Provider

i. Will hire MMU Staff, Train and put them in to MMU Services within the stipulated time. ii. Will undertake a Baseline Survey and will develop Baseline Data and will set Performance Indicators at the end of 6, 12, 18, 24, 30 and 36 months. iii. Will submit an Inception Report within 30 days of start of MMU Services.

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iv. Will procure / hire MMU Vehicle as per the Technical Specifications within the stipulated time and will submit Technical Specification Certificate issued by the Chief Transport Officer of the 1st Party or RTO / ARTO to the 1st Party. v. Will procure MMU Equipment as per Appendix 1 C (v) and shall install them in the MMU before the MMU is put into use in the field. vi. Will provide daily MMU Services in the stipulated villages at stipulated timings. vii. Will provide free treatment, permissible lab services and adequate drugs to all the patients availing MMU Services. viii. Will make alternate arrangement of MMU Staff, whenever their regular staff go on leave / unauthorized absence. ix. Will make alternate arrangements of MMU Vehicle of the stipulated Technical Specifications, whenever the Regular MMU Vehicle breaks down / under repair / under service. x. Will submit all mandatory Reports within the stipulated time to all the concerned. xi. Will regularly monitor the services, its staff, logistics and conduct internal progress reviews for uninterrupted services and for improvement in quality services. xii. Will ensure that their staff behave cordially with the Public and address any grievance by the staff or the public at the earliest. xiii. Will attend al meetings called by the Client or its representatives at the Taluk or District. xiv. Will submit the Reports, Invoices, SOE and UC in time to enable timely payment. xv. Will rectify any deviations / complaints observed by the Client or received from the Public within a maximum of fifteen days.

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xvi. Will replace any MMU Staff within a maximum of fifteen days, for any acts of misconduct by the staff. xvii. Will conduct an evaluation of Performance Indicators at the end of 6, 12, 18 and 24 months and will submit an Evaluation Report to the Client within one month at each interval. xviii. Will maintain all relevant Records, Work Diaries of Staff, Treatment Records of Patients / villages, Invoices, Vouchers, SOE, UC, Procurement Files, Log Book of MMU Vehicle, Surveys conducted, and any other records generated during MMU Services, and shall make them available for inspection by the Client or its Representatives. xix. Shall perform any other duties entrusted by the Client.

a) Monitoring:

Monitoring by the Client The following Officials of the Client shall monitor the MMU Services:

a. At PHC level: The Medical Officer will monitor the MMU Services in the villages of the PHC area. He / she will give surprise visits to the villages on the day of MMU visits and will supervise the MMU Services. He / she will also interact with the Staff of MMU and the villagers and will facilitate quality services. MO will also address any grievances at his level or interact with the Management of the Service Provider for addressing the issues. He will report to the Taluk Tribal Welfare Officer for action at Taluk level. b. At Taluk level: The Taluk Tribal Welfare Officer and the Taluk Health Officerand theirsupervisory staff will monitor the MMU Services in the Taluk. He / she will give surprise visits to the villages on the day of MMU visits and will supervise the MMU Services. He / she will also interact with the Staff of MMU and the villagers and will facilitate quality services. THO will also

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address any grievances at his level or interact with the Management of the Service Provider for addressing the issues. THO shall review the progress of MMU Services on last Saturdays of every month. He /she shall report to the District Project Management Officer for action at District level.

c. At the District level: The District Tribal Welfare Officer and District Health & Family Welfare Officer shall monitor the MMU Services in the district. They shall give surprise visits to the villages on the day of MMU visits and will supervise the MMU Services. They shall also interact with the Staff of MMU and the villagers and will facilitate quality services. They shall also address any grievances at their level or interact with the Management of the Service

Provider for addressing the issues. d. At the State level:

The Officers of the Tribal Welfare Department and Deputy Director, Community Monitoring / Emergency Response Service of Health & Family Welfare Department shall monitor MMU Services from the State level. They shall give surprise visits to the villages on the day of MMU visits and shall supervise the MMU Services, interact with the Staff of MMU and the villagers and will facilitate quality services.

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Annexure- 2

List of MMU Equipment & Furniture

Equipment / Furniture Quantity Microscope with Light source (Binocular) 1

Sterilizer 38 cms with electric drums 1

Dressing Drum (11x9) 2

Weighing Machines Adults Simple 1

Weighing Machines Baby Simple 1

Stethoscope 2

B.P. Apparatus 2

Hemoglobin meter (Manual) 1

Centrifuge machine (mini) 1

Micro typing Centrifuge 1

Nebulizer 1

Ambu bag Adult 2

Ambu bag Pediatric 2

Torch & spot light 1

Glucometer 1

Refrigerator (capacity 50 to 60 liters) 1

Needle cutter (manually operated) 1

Laboratory table- Portable 1

1 laptop 1

Laser Printer 1

Broadband Internet Data Card 1

Digital camera 1

Speaker 2

Amplifier 1

Water Purifier 1

Foldable Half Bench 2 Foldable seats for staff 4

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Colour Coded Waste Collecting bins 4 Stool 4

Cot 1

Examination table 1

Brackets for Oxygen Cylinder with adjustable straps 2

Detachable stretcher 1

Hooks for an intravenous bottle 4

Chairs 5

Transfusion Bottle Hook 2

Fire Extinguisher 1

Height Measurement Instrument 1

Stainless Steel Cabinet 3

Extension box 2

Screen (for privacy) 2

Emergency light 2

Soap Container 3

Towel Holder 2

Semi-Auto Haematologyanalyser (3 part) 1

Test tubes 1

Auto pipettes 1

Auto scope 1

Examination Torch 2

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Appendix – 1 C (iii)

Approved List of MMU Drugs & Consumables*

Quantity / Quantity for month the Sl No Name of Medicine / Consumables assignment period

1 Inj. Atropine Sulphate 0.6 mg

2 Inj. Calcium Gluconate 10% 3 Inj. Theophylline 50.6 mg+Etophyllin 4 Inj. Dexamethasone 2mg / ml 5 Inj. Oxytocin 6 Inj. Sodium Bicarbonate 705mg 7 Inj. Clorpheraminemaleate (CPM) 8 Inj. Adrenaline 1mg 9 Inj. Lignocaine 2% 10 Inj. Diazepam 11 Inj. Anti - Snake Venom serum 12 Inj. Frusemide 13 Tab. Amlodipine 5mg 14 Tab. Roxithromycin 150mg 15 Tab. Erythromycin 250mg 16 Tab. Ciprofloxacin 250 mg 17 Tab. Norfloxacin 400mg 18 Tab. Furazolidine 19 Furazoline Syp. Bottles 20 Metronidazole tab (400mg) 21 Metronidazole tab (200mg) 22 Cap. Amoxicillin 250 mg 23 Syp. Amoxicillin 250 mg 24 Tab Septran SS 25 Sofracort Eye + ear drops 26 Soframycin Ointment 27 Syp. Ampicillin 28 Amoxicillin Syp 29 Ampicillin caps (250 mg) 30 Ciprofloxacin & Tinidazole tab 31 Sy. Cotrimazole

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32 Sy. Furazolidine 60ml 33 Tab. Furazolidine 100mg 34 Tab. Metronidazole 200mg 35 Whitfield's ointment 36 Griseofulvin tab 37 Fluconazole Tab 38 Miconazole Tab 39 Tab. Griseofulvin 125 mg 40 Tab. Multivitamin 41 Tab/Cap Iron Folic Acid(SR) 42 Tab / Cap iron Folic Acid (SR) 43 Tab. Vit B Complex 44 Tab. Calcium carbonate 45 Tab. Etophyllin & Theophylline SR 46 Albendazole syp. 47 Albendazole tab. 48 Amitriptyline tab 49 Omeprazole cap 50 Metoclopramide 51 Hydrochlorothiazide 52 Lasix tab 53 Amlodipine tab 54 Paracetamol tab 55 Phenobarbitone tablet 56 Prednisolone tablet 57 Ranitidine tablet 58 Salbutamol tab 59 Sorbitrate 60 CPM tab. 61 Diclofenac+ Dicyclomine tab. 62 Diclofenac SR tab. 63 Diclofenac tab 64 Dicyclomine tab. 65 Antacid tab 66 Ibuprofen tab. 67 Aspirin tab 68 Asthalin Respiratory solution 69 Atenolol tab 70 B-Complex tab 71 Betamethasone ointment 72 Calamine lotion

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73 Calcium Tab 74 Carbamazepine tab. 75 Amlodipine tab. 76 Tab. Albendazole 400mg 77 Sy. Paracetamol 60ml 78 Tab. Paracetamol 500mg 79 Tab. Cetirizine 10mg 80 Urine Dip sticks 81 Tab. Diclofenac sodium 50mg 82 Cap. Omeprazole 20 mg 83 Inj. Ondansetron 2mg/ml 84 ORS powder 27.5gm WHO Formula 85 Gama Benzene Hexachloride 1% w/w lotion 86 Framycetin Sulphate BP 15mg(1.5%) 87 Povidone - Iodine-Ointment 88 Cream. Miconazole 89 Ciprofloxacin eye drop 90 Gentamycin eye/ear drop 91 Tab. Clotrimazole 100 mg (Vaginal Pessary) 92 Normal Saline 500ml 93 Dextrose 5% 500ml 94 I.V. Dextrose in normal Saline 500ml 95 Ringer lactate 500 ml 96 Povidone Iodine Solution 500ml 97 Denatured spirit 98 Surgical gloves 99 Scalp Vein set 100 Kidney tray (Plastic) 12" 101 Scapel Blade 102 Cotton roll 500 gm 103 Rolled bandages 104 Paper Adhesive tape 105 Elastic crepe bandages Non - sterile 10 cm 106 Sterile water for injection 107 Disposable Syringes - 2cc, 5cc 108 IV set 109 Disposable Needle -22G, 24G,23G 110 Tourniquet 111 Collection bulbs-EDTA, PLAIN 112 Lancet needles 113 Pregnancy test Card

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114 Multi Uri sticks 115 Widal test kit 116 Urine routine - Albumin / Sugar strips 117 Any other essential Drug / Consumable

*The Service Provider / Service Provider shall make an estimate of the quantity of drugs & consumables required for one month and for the entire Assignment Period, based on the population of the villages likely to be serviced by all the MMUs in the Package. The Service Providers should quote their price for the drugs based on the estimate made by them. However, this estimate is for evaluation purpose only. The Service Provider / Service Providers shall be reimbursed the actual expenditure incurred for drugs & consumables in the previous month. In case drugs & consumables are made available by the Client, the Service Providers shall not buy them and will not be entitled for reimbursement.

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CONTRACT FOR MOBILE MEDICAL UNIT SERVICES

This CONTRACT (hereinafter called the “Contract”) is made on …………. Day of ………………………… 2018 between Tribal Welfare Department, Government of Karnataka represented by the Director Scheduled Tribe Welfare Department on the one hand, (hereinafter called the “Client”) and on the other hand ………………………………………………… represented by its, President / Secretary / Trustee, ……………………………………………………. (hereinafter called the Service Provider).

WHEREAS

a. The Client has requested the Service Provider to provide 8 MMU Services in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga Districts as defined in the General Conditions of Contract attached to this Contact (hereinafter called as “Mobile Medical Unit Services”). b. The Service Provider having represented to the Client that they have the required professional skills, and personnel and technical resources, have agreed to provide the Services on the terms and conditions set forth in this Contract;

NOW THEREFORE the Parties hereto hereby agree as follows:

1. The following documents attached hereto shall be deemed to form an integral of this Contract: a. The General Conditions of Contract (hereinafter called “GC”) b. The Special Conditions of Contract (hereinafter called “SC”) c. The following Appendices: i. Description of Services ii. Contract Price & Break-down of Price iii. List of MMU Villages, Taluks and Districts iv. Technical Specifications of MMU Vehicle and Equipment. v. List of MMU Equipment

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vi. List of MMU Drugs vii. Affidavit signed by the Service Provider viii. Clarifications issued to the queries received for the uploaded RFP.

2. The mutual rights and obligations of the Client and the Service Provider are set forth in the Contract. (a) The Service Provider shall carry out the Services in accordance with the provisions of the Contract; and (b) The Client shall make payments to the Service Provider in accordance with the provisions of the Contract.

IN WITNESS WHEREOF, the Parties hereto have caused this Contract to be signed in their respective names as of the day and year first above written.

FOR AND BEHALF OF

[Scheduled Tribe Welfare Department, Government of Karnataka]

Represented By

The Director, Scheduled Tribe Welfare Department

(Authorized Representative)

AND

[………………………………………………

………………………………………………]

Represented By

......

(Authorized Representative)

Witness:

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1...... 2......

II. GENERAL CONDITIONS OF CONTRACT

1. GENERAL PROVISIONS 1.1. Definitions Unless the context otherwise requires, the following terms whenever used in this Contract have the following meanings: a. “Applicable Law” means the laws and any other instruments having the force of law in India, as they may be issued and in force from time to time. b. “Contract” means the Contract signed by the Parties, to which these General Conditions of Contract are attached, together with all the documents listed in Clause 1 of such signed Contract; c. “Effective Date” means the date on which this Contract comes into force and effect pursuant to Clause GC 2.1 d. “Contract Price” means the price to be paid for the performance of the Services, in accordance with Clause 6; e. “GC” means these General Conditions of Contract; f. “Government” means the Government of Karnataka; g. “Local Currency” means Indian Rupees; h. “Party” means the Client or the Service Provider and Parties means both; i. “Personnel” means persons hired by the Service Providers as employees and assigned to the performance of the Services or any part thereof; and „Key Personnel‟ means the personnel referred to in Clause GC 4,2 (a)

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j. “SC” means the Special Conditions of Contract by which these General Conditions of Contract may be amended or supplemented; k. “Services” means the work to be performed by the Service Provider pursuant to this Contract as described in Appendix 1 C (i) and l. “Third Party” means any person or entity other than the Government, the Client or the Service Provider.

1.2. Law Governing the Contract This Contract, its meaning and interpretation, and the relation between the Parties shall be governed by the Applicable Law.

1.3. Language The Contract shall be executed in English language, which shall be the binding and controlling language for all matters relating to the meaning or interpretation of this Contract. 1.4. Notices Any notice, request made pursuant to this Contract shall be in writing and shall be deemed to have been made when delivered in person to an authorized representative of the Party to whom the communication is addressed, or when sent by registered mail, telex, facsimile or electronic mail to such Party at the addressed specified in SC. 1.5. Location The Services shall be performed at such locations as are specified in Appendix 1 C (i) and, where the location of a task is not specified, at such locations in Karnataka, as the Client may approve. 1.6. Authorized Representatives Any action required or permitted to be taken, and any document required or permitted to be executed, under this Contract by the Client

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or the Service Providers may be taken or executed by the officials specified in the SC. 1.7. Taxes and Duties The Service Provider and their Personnel shall pay such taxes, duties, fees and other impositions as may be levied under the Applicable Law, the amount of which is deemed to have been included in the Contract Price.

2. Commencement, Completion, Modifications and Termination of Contract 2.1. Effectiveness of Contract This Contract shall come into effect on the date the Contract is signed by both Parties or such other later date as may be stated in the SC. 2.2. Commencement of Services The Service Provider shall begin carrying out the Services within fifteen (15) days after the date the Contract becomes effective, or at such other date as may be specified in the SC. 2.3. Expiration of Contract Unless terminated earlier pursuant to Clause 2.7, this Contract shall terminate at the end of such time after the Effective Date as is specified in the SC. 2.4. Modification Modifications of the terms and conditions of this Contract, including any modification of scope of the Services or of the Contract Price, may only be made by written agreement between the Parties. 2.5. Force Majeure 2.5.1. Definition For the purposes of this Contract, “Force Majeure” means an event which is beyond the reasonable control of a Party, and which makes a Party‟s performance of its obligations under the Contract

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impossible or so impractical as to be considered impossible under the circumstances. 2.5.2. No Breach of Contract The failure of a Party to fulfil any of its obligations under the contract shall not be considered to be a breach of, or default under this Contract insofar as such inability arises from an event or Force Majeure, provided that the Party affected by such an event (a) has taken all reasonable precautions, due care and reasonable alternative measures in order to carry out the terms and conditions of this Contract, and (b) has informed the other Party as soon as possible about the occurrence of such an event. 2.5.3. Extension of Time Any period within which a Party shall, pursuant to this Contract, complete any action or task, shall be extended for a period equal to the time during which such Party was unable to perform such action because of Force Majeure. 2.5.4. Payments During their period of their inability to perform the Services because of an event of Force Majeure, the Service Provider shall be entitled to continue to be paid under the terms of this Contract, as well as to be reimbursed for additional costs reasonably and necessarily incurred by them during such period for the purposes of the Services and in reactivating the Service after the end of such period. 2.6. Suspension The Client may by written notice of suspension to the Service Provider, suspend all payments to the Service Provider hereunder if the Service Provider fails to perform any of their obligations under this Contract, including the carrying out of the Services, provided that such notice of

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suspension (i) shall specify the nature of the failure, and (ii) shall request the Service Provider to remedy such failure within a period not exceeding fifteen (15) days after receipt by the Service Provider of such notice of suspension. 2.7. Termination 2.7.1. By the Client The Client may terminate this Contract, by not less than thirty (30) days‟ written notice of termination to the Service Provider, to be given after the occurrence of any of the events specified in paragraphs (a) through (d) of this Clause 2.7.1 and sixty (60) days‟ in the case of event referred to in (e): (a) If the Service Provider do not remedy a failure in the performance of their obligation under the Contract, within thirty (30) days of receipt after notified or within such further period as the Client may have subsequently approved in writing; (b) If the Service Provider becomes insolvent or bankrupt; (c) If, as the result of Force Majeure, the Service Provider is unable to perform a material portion of the Services for a period of not less than sixty (60) days; or (d) If the Service Provider, in the judgement of the Client has engaged in corrupt or fraudulent practices in selection process or in contract execution. For this Clause: “Corrupt Practice” means the offering, giving, receiving or soliciting of anything of value to influence the action of a public official in contract execution. “Fraudulent Practice” means misrepresentation of facts while executing the contract.

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(e) If the Client, in its sole discretion and of any reason whatsoever, decides to terminate this Contract. 2.7.2. By the Service Provider The Service Provider may terminate this Contract, by not less than thirty (30) days‟ written notice to the Client, such notice to be given after the occurrence of any of the events specified in paragraphs (a) through (c) of this Clause 2.7.2: (a) If the Client fails to pay any monies due to the Service Provider pursuant to this Contract and not subject to dispute pursuant to Clause 7 hereof within forty-five (45) days after receiving written notice from the Service Provider that such payment is overdue; (b) If the Client is in material breach of its obligations pursuant to this Contract and has not remedied the same within sixty (60) days (or such longer periods as the Service Provider may have subsequently approved in writing) following the receipt by the Client of the Service Provider‟s notice specifying such breach; (c) If, as the result of Force Majeure, the Service Provider is unable to perform a material portion of the Services for a period of not less than sixty (60) days. 2.7.3. Cessation of Rights and Obligations Upon termination of this Contract pursuant to Clause GC 2.7, or upon expiration of this Contract pursuant to Clause 2.3, all rights and obligations of the Parties hereunder shall cease, except: (i) Such rights and obligations as may have accrued on the date of termination of expiration; (ii) The obligation of confidentiality set forth in Clause GC 3.3 hereof; (iii) Any right which a Party may have under the Applicable Law. 2.7.4. Cessation of Services

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Upon termination of this Contract by notice of either Party to the other pursuant to Clause GC 2.7.1 or GC 2.7.2 hereof, the Service Provider shall, immediately upon dispatch or receipt of such notice, take all necessary steps to bring the Services to a close in a prompt and orderly manner and shall make every reasonable effort to keep expenditures for this purpose to a minimum. With respect to documents prepared by the Service Provider and equipment and materials furnished by the Client, the Service Provider shall proceed as provided, respectively, by Clause GC 3.7 and GC 3.8. 2.7.5. Payment upon Termination Upon termination of this Contract pursuant to Clauses 2.7.1 or 2.7.2, the Client shall make the following payments to the Service Providers: (a) Remuneration pursuant to Clause 6 for services satisfactorily performed prior to the effective date of termination; (b) Except in the case of termination pursuant to paragraphs (a) and (b) of Clause 2.7.1, reimbursement of any reasonable cost incident to the prompt and orderly termination of the Contract. 3. Obligations of the Service Provider: 3.1. General The Service Provider shall perform the Services and carry out their obligations hereunder with all due diligence, efficiency and economy, in accordance with generally accepted professional techniques and practices, and shall observe sound management practices, and employ appropriate advanced technology and safe methods. The Service Provider shall always act, in respect of any matter relating to this Contract or to the Services, as faithful advisers to the Client, and shall always support and safeguard the Client‟s legitimate interests in any dealings with third parties.

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3.2. Conflict of Interests 3.2.1. Service Provider not to benefit from Commissions, Discounts, etc., The remuneration of the Service Provider pursuant to Clause 6 shall constitute the Service Provider‟s sole remuneration in connection with this Contract or the Services, and the Service Provider shall not accept for their own benefit any trade commission, discount or similar payment in connection with activities pursuant to this Contract o to the Services or in the discharge of their obligations under this Contract, and the Service Provider shall use their best efforts to ensure that the Personnel shall not receive any such additional remuneration.

3.2.2. Procurement Rules of Funding Agencies If the Service Provider, as part of the Services, have the responsibility of advising the Client on the procurement of goods, works or services, the Service Provider shall comply with any applicable procurement guidelines of the funding agencies and shall always exercise such responsibility in the interest of the Client. Any discounts or commission obtained by the Service Provider in the exercise of such procurement responsibility shall be for the account of the Client. (Refer SCC 3.2.2)

3.2.3. Service Provider not to engage in certain activities The Service Provider agrees that, during the term of this Contract and after its termination, the Service Provider, shall be disqualified from providing goods, works or services (other than the services and any continuation thereof) for any project resulting from or closely related to the Services. 3.2.4. Prohibition of Conflicting Activities

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Neither the Service Provider nor his Personnel shall engage, either directly or indirectly, in any of the following activities: (a) During the term of this Contract, any business or professional activities in the State which would conflict with the activities assigned to them under this Contract; or (b) After the termination of this Contract, such other activities as may be specified in the SC. 3.3. Confidentiality The Service Provider and their Personnel shall not, either during the term or within two (2) years after the expiration of this Contract, disclose any proprietary or confidential information relating to the Project, the Services, this Contract, or the Client‟s business or operations without the prior written consent of the Client. 3.4. Insurance to be taken out by the Service Provider The Service Provider (a) shall take out and maintain, at their own cost but on terms and conditions approved by the Client, insurance against the risks, and of the coverage, as shall be specified in the SC; and (b) at the Client‟s request, shall provide evidence to the Client showing that such insurance has been taken out and maintained and that the Current premiums have been paid. 3.5. Service Provider‟s Actions Requiring Client‟s Approval The Service Provider shall obtain the Client‟s prior approval in writing before taking any of the following actions: (a) Entering into a sub-contract for the performance of any part of the Services. (b) Appointing such members of the Personnel not listed by name in Appendix 1 C (i) (Personnel of MMU), and (c) Any other action that may be specified in the SC. 3.6. Reporting Obligations

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The Service Provider shall submit to the Taluk Tribal Welfare Officer, District Tribal Welfare Officer and the to the Director Tribal Welfare Department monthly Reports, in the Formats to be finalized at the time of signing of the Contract / after approval of Baseline Report. 3.7. Documents prepared by the Service Provider to be the Property of the Client All Plans, drawings, specifications, designs, reports and other documents and software submitted by the Service Provider in accordance with Clause 3.6 shall become and remain the property of the Client, and the Service Provider shall, not later than upon termination or expiration of the Contract, deliver all such documents and software to the Client, together with a detailed inventory thereof. The Service Provider may retain a copy of such documents and software. Restrictions about future use of these documents, if any, is specified in the SC. 3.8. Equipment and Materials furnished by the Client Equipment and materials made available to the Service Provider by the Client or purchased by the Service Provider with funds provided by the Client shall be the property of the Client and shall be marked accordingly. Upon termination or expiration of this Contract, the Service Provider shall make available to the Client an inventory of such equipment and materials in as is where is condition and return the same to the Client or its officials which shall be notified at the time of handover. 4. Service Provider‟s Personnel 4.1. Description of Personnel The titles, agreed job descriptions, minimum qualification and estimated periods of engagement in the carrying out of the Services of the Service Provider‟s Key Personnel are described in the RFP. The

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Key Personnel listed by title as well as by name along with self- attested Photos shall be approved by the Client. 4.2. Removal and / or Replacement ofPersonnel (a) Except as the Client may otherwise agree, no change shall be made in any of the approved Personnel of the MMU. If, for any reason beyond the reasonable control of the Service Provider, it becomes to replace any of the Personnel, the Service Provider shall forthwith provide as a replacement a person of equivalent or better qualifications. The replaced Personnel‟s qualification, certificates, photos, and an undertaking by the said Personnel to work in the allotted MMU area for the period of Contract should be submitted to the Client within 15 days of replacement, and an Official Memorandum will be issued by the Client for the change in Personnel. (b) If the Client finds that any of the MMU Personnel have (i) committed serious misconduct or has been charged with having committed a criminal action, or (ii) have reasonable cause to be dissatisfied with the performance of any of the Personnel, then the Service Provider shall, at the Client‟s written request specifying the grounds thereof, forthwith provide as a replacement a person with qualification and experience acceptable to the Client. (c) The Service Provider shall have no claim for additional costs arising out of or incidental to any removal and / or replacement of Personnel. 5. Obligation of the Client 5.1. Assistance and Exemptions Unless otherwise specified in the SC, the Client shall use its best efforts to ensure that the Government shall:

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(a) Issue to officials, agents and representatives of the Government all such instructions as may be necessary or appropriate for the prompt and effective implementation of the Services; (b) Assist the Service Provider and the Personnel employed by the Service Provider for any other assistance. 6. Payments to the Service Provider: 6.1. Lump Sum Remuneration The Service Provider‟s total remuneration shall not exceed the Contract Price and shall be a fixed lump sum including all staff costs, printing, communication, travel, accommodation, and the like, and all other costs incurred by the Service Provider in carrying out the Services described, the Contract Price may only be increased above the amounts stated in Clause 6.2 if the Parties have agreed to additional payments in accordance with Clause 2.4. 6.2. Contract Price The Contract Price is set forth in the SC. 6.3. Payment for Additional Services For determining the remuneration due for additional services as may be agreed under Clause 2.4, a breakdown of the lump sum price is provided in Appendix 1 C (ii) 6.4. Terms and Conditions of Payment Payments will be made to the account of the Service Provider through RTGS and according to the payment schedule stated in the SC. The first payment shall be made to the Service Provider only after submission of a Performance Guarantee in the form of Demand Draft / Bank Guarntee in the name of the Client from any of the Nationalized Banks for 5 (five) % of the Contract Value for the period stated in the SC. Any other payment shall be made after the conditions listed in the

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SC for such payment have been met, and the Service Provider has submitted an invoice to the Client specifying the amount due. 7. Settlement of Disputes 7.1. Amicable Settlement The Parties shall use their best efforts to settle amicably all disputes arising out of or about this Contract or its interpretation. 7.2. Dispute Settlement 7.2.1 Any dispute between the Parties as to matters arising pursuant to this Contract that cannot be settled amicably within thirty (30) days after receipt by one Party of the other Party‟s request for such amicable settlement in accordance with the provisions specified in the SC. 7.2.2 In case of Disputes or differences which cannot be settled amicably either Party can appeal to the Additional Chief Secretary / Principal Secretary, Social Welfare Department, Government of Karnataka, within 30 days of the dispute, and the decision of the ACS / Principal Secretary, Social Welfare Department is final. 7.2.3 If either party is not satisfied with the decision of the ACS / Principal Secretary, it can appeal to the Arbitration & Conciliation Center of High Court of Karnataka, and it shall be decided as per Arbitration & Conciliation Center Rules 2012.

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II. SPECIAL CONDITIONS OF CONTRACT

Number of Amendments of, and Supplements to, Clauses in the General Conditions GC Clause of Contract

1.4 Notice shall be deemed to be effective as follows:

(a) In the case of personal delivery or registered mail, on delivery; (b) In the case of telex / e-mail, 24 hours following confirmed transmission; (c) In case of facsimile, 24 hours following confirmed transmission.

The addresses for communication are:

1. The Client # 34, LOTUS, 1st FLOOR, RACE COURSE ROAD, BENGALURU Email: [email protected] Website: tw.kar.nic.in Ph: 91 80 22261787)

2. The Service Provider ………………………………………. Name: ……………………………… Ph No: ……………………………… Mobile No: …………………………. e-mail: ………………………………

1.6 The Authorized Representatives are:

For the Client:

The Directorate, Scheduled Tribe Welfare Department

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# 34, LOTUS, 1st FLOOR, RACE COURSE ROAD, BENGALURU Email: [email protected] Website: tw.kar.nic.in Ph: 91 80 22261787

For the Service Provider:

President / Secretary / Managing Trustee ………………………………………. ……………………………………….. Ph No: ……………………………… Mobile No: …………………………. e-mail: ………………………………

1.7 Taxes and Duties

The Service Provider and the Personnel shall pay taxes, levied under the existing, amended or enacted laws during life of this Contract and the Client shall perform such duties regarding the deduction of such tax as may be lawfully imposed.

2.1 The date in which the Contract shall come into effect is ……. day of …………. 2018. The period of Contract is for three years. 2.2 At the end of each year, the Contract shall be extended for a further period of 12 months with 7.5 % (seven and half percent) hike over the previous year‟s approved Budget, upon satisfactory performance during the previous year and achievement of 95 % of the SLAs and Satisfactory Performance Certification by the District Tribal Welfare officers of the five MMU Service districts. To procure essential Drugs & Consumables, the Service Provider shall be 3.2.2 paid Rs ………………per month per MMU. The Service Provider shall buy Medicines that are approved as per Indian Pharmacopeia and manufactured as per manufacturing license approved by Drugs Controller General of India / State Drugs controller. The Medicines should be

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purchased from the primary manufacturer / their authorized wholesale distributors. In case of emergencies drugs can be purchased locally from the chemists.

3.4 Insurance to be taken out by the Service Provider

The Service Provider shall take the following Insurances:

a. Comprehensive motor vehicle liability insurance for the MMU Vehicle as required under Motor Vehicle Act, 1988, for the period of Contract. b. Client‟s liability and workers‟ compensation insurance in respect of the Personnel of the Service Provider, in accordance with the relevant provisions of the Applicable Law, as well as, with respect to such Personnel, any such life, health, accident, travel or other insurance as may be appropriate; c. Professional Liability Insurance, with a minimum coverage equal to total Contract value for this MMU service.

6.2 The Amount of Contract is Rs ………… (……………in words) for 1st Year and Rs ...... & ...... (Rupees in words) for the 2ndand 3rd Years, if the Contract gets renewed.

6.4 The Account No of the Service Provider is:

Ac No: ………………………….

Type of Account: ………………………….

Bank Name: ………………………………………

Branch: ………………………………………….

Place: …………………………………………….

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IFSC Code: ……………………………………….

Payment Schedule:

Fund Flow Mechanism will be from the State Treasury to the Account of the Service Provider through on-line transfer.

The Service Provider after successfully providing MMU Services for one calendar month (1st Day to the last Day of the calendar month) shall submit an Invoice, a Statement of Expenditure / Quarterly Utilization Certificate along with monthly reports to the Director, Tribal Welfare Department, within 10th of every month, after due verification of the Invoice and Monthly reports and after ascertaining satisfactory performance up to the previous month, shall make payment to the Bank Account of the Service Provider, the eligible funds, within 15th of every month, after drawing the amount from the State Treasury.

At end of yearly Contract Period, the Service Provider shall get the MMU Services and Accounts audited by a Chartered Accountant and submit the Utilization Certificate to the Client within 15 days.

7.2 Dispute Settlement

7.2.1 Any dispute between the Parties as to matters arising pursuant to this Contract that cannot be settled amicably within thirty (30) days after receipt by one Party of the other Party‟s request for such amicable settlement in accordance with the provisions specified in the SC. 7.2.2 In case of Disputes or differences which cannot be settled amicably either Party can appeal to the Principal Secretary, Social Welfare Department, Government of Karnataka, within 30 days of

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the dispute, and the decision of the Principal Secretary, Social Welfare Department is final. 7.2.3 If either party is not satisfied with the decision, it can appeal to the Arbitration & Conciliation Center of High Court of Karnataka, and it shall be decided as per Arbitration & Conciliation Center Rules 2012.

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I. APPENDICES

Format 6: List of MMU Villages, Taluks and Districts

Appendix 1 C (iv)

Technical Specifications of MMU Base Vehicle & Equipment.

Appendix 1 C (v)

List of MMU Equipment

Appendix 1 C (vi)

Approved MMU Drug list

Appendix 1 C (vii)

MMU Reporting Records & Reporting Schedule.

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Format 1 Turnover Certificate*

This is to Certify that, we have audited the Accounts of M/s ……………………., whose Office is located at …………………………………... (Complete address) for the Financial Years 2014-15, 2015-16 and 2016-17, and found that the average Turnover is as under:

Sl No Financial Year Turnover (Rs in lakh)

1 2014-15

2 2015-16

3 2016-17

Date: Signature:

Place: Name: Complete Address:

*Should be submitted for both the Partners, in case of Consortium Partnership.

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Format 2

I. Mobile Medical Unit (MMU) Service Certificate* This is to certify that M/s …………………………………., whose registered Office, situated at …………………………………………………………. (Complete Address of the Service Provider) has executed Mobile Medical

Unit Service* as under:

forwhich

ent date ent

Sl No Sl

Result

provided

satisfactory)

MMU Service

wasprovided.

/ GoI / PSU / PSU / GoI

Terminated / Not

(day/month/year) (day/month/year)

MMU Service was MMUwas Service

commencem

MMU completion date MMU completion

Name of the Client forof Name Client the

(Satiacorily Completed / (SatiacorilyCompleted

whom Service MMU the / SatisfactorilyRunning

State 1 2

Date: Signature: ……………………………….

Place: Name of the Officer: ……………………

Designation: ……………………………. Address & Seal

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II. Experience of Out Reach Health Services, at or below the level of Primary Health Centre

This is to certify that M/s …………………………………., whose registered Office, situated at …………………………………………………………. (Complete Address of the Service Provider) has executed Out Reach Health

Services at or below Primary Health Centre Level* as under:

vice

Ser

forwhich

Service Service

wasprovided.

Sl No Sl

Result

s

Outreach Health OutreachHealth

satisfactory)

Government / Govt Government

wasprovided

completiondate

Terminated / Not

(day/month/year) (day/month/year)

Outreach OutreachService

commencement date commencement

Name of the Client forof Name Client the

whom

Service

(Satiacorily Completed / (SatiacorilyCompleted

of India / PSU ofPSU India / / SatisfactorilyRunning

OutreachHealth

State

1 2

Date: Signature: ……………………………….

Place: Name of the Officer: ……………………

Designation: ……………………………. Address & Seal

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Format 3* (Notarized Affidavit) (On Rs. 100/- stamp paper) Affidavit

1. Regarding RFP issued by Scheduled Tribe Welfare Department, in the e- Procurement Portal of Government of Karnataka, vide Ref No:STWD / TSP / CR / 21 /8 MMUs / Ph-2 / RFP / 2017-18, Date: 26-03-2018, I hereby confirm that we are interested in undertaking the assignment for providing 8 Mobile Medical Unit Services in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga Districts for a period of three years in Karnataka, and any subsequent extensions, that shall be agreed by both the Parties. I have uploaded our Proposal along with the relevant essential documents.

2. Further, I confirm that: i. All the statements, documents, testimonials, certificates, etc., uploaded are genuine and the contents thereof are true;

ii. Any of our personnel, representatives, suppliers, Partner and / or their employees will not directly or indirectly, engage in any activity that may; intervene, interfere and / or influence the procurement process at any stage;

iii. Indemnify and compensate Schedule Tribe Welfare Department, Government of Karnataka from any penalties and costs that may be incurred due to lapse / s on our part including incorrect / misrepresented / forged document or statements;

iv. If our Firm is found contravening this undertaking even after award of contract in our favour, we accept disciplinary action bySchedule Tribe Welfare Department / Government of Karnataka, including rejection of our Proposal, annulment of contract and blacklisting;

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v. Our Firm / Organization has not been blacklisted by any State / Union Territory / Public Sector Undertaking / Government of India.

Date: / /2018 Authorized Person‟s Signature Name & Designation with Seal

Sworn before me

Signature: ……………………….

Name & Address of the Notary *In case of Consortium, both the Partners should submit a Notarized Affidavit / s.

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Format 4 CONSORTIUM AGREEMENT (Should be Sworn before a Notary)

This agreement is made on the ………………… day of …………… 2018, between ……………………………………having its Office at ……………………………………………… (hereby called the Lead Partner) and ……………………………………., having their Offices at ……………………………………………. (hereby called the 2nd Partner)

2. Whereas, during 2017-18, Tribal Welfare Department, Government of Karnataka, (hereby called the „Client‟), has invited Proposals from eligible and interested Service Providers; for providing Mobile Medical Unit Services for 8 Units in Udupi, Uttara Kannada, Dakshina Kannada, Chikkamagaluru and Shivamogga Districts for a period of three years in Karnataka, through RFP No:STWD / TSP / CR / 21 / 8 MMUs / Ph-2 / RFP / 2017-18 Dated: 26-03-2018 in e-Procurement Portal of Karnataka State Government.

3. NOW, I / WE THE UNDERSIGNED, authorized representatives of the Consortium, namely M/s. …………………………………………. having its office at ………………………………., …………………………. and M/s……………. having its office at ……………………………… do agree as follows:

(i) The Purpose of the Consortium Agreement is to supplement and enhance the Technical, Financial and Administrative Capacity of the partners to successfully participate in the bidding process, selection and to enter into contract agreement for execution of 8 Mobile Medical Unit Services for Tribal Welfare Department, GoK, in case the contract is awarded.

(ii) The Ratio of participation of Consortium partners are: (a) Lead Partner (1st Partner) – % (b) 2nd Partner – %

(iii) The Lead Partner is authorized to represent the Consortium in all respects, including submission of RFP, providing clarifications regarding documents, receiving information from the Client, signing of the Contract, receiving payment and any activity relating to this RFP / Contract.

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(iv) All partners shall be jointly and severally responsible for executing the Contract, if awarded.

(v) The Proposal, Bid Security and Performance Security shall be submitted in the name of Consortium.

(vi) The agreement shall come into force from the date of signing of this agreement; and shall be valid till final settlement of payment and discharge of all contractual obligations in case the Contract is awarded to the Consortium. (vii) All expenses involved in preparation and submission of the RFP; and execution of contract, if awarded, shall be borne among the parties in proportion to their participation ratio as explained above, unless otherwise agreed by the parties under separate agreement.

(viii) The profit / loss upon the successful completion of the contract, the Consortium Partners after satisfying all liabilities, including all taxes, fee, income tax, etc., shall be distributed among the parties in proportion to their participation ratio as explained above, unless otherwise agreed by the parties under separate agreement.

(ix) Matters not stipulated in the agreement shall be decided among the parties mutually from time to time. Matters provided under this agreement or any of its terms and conditions may be amended for any additions or deletions with mutual consent of the parties with the prior approval of the Client. Such amendment will be communicated to the Client and shall not affect execution of the Contract, if awarded.

(x) Any dispute relating to or arising out of the agreement will be settled amicably between / among participating parties failing which it shall be referred to arbitration as per the prevailing law.

In WITNESS, WHEREOF, the parities have hereunto set their hands and seals, the day and year first above written.

Signature of the 2nd Partner Signature of the Lead Partner (Name & Address) (Name & Address)

Sworn before a Notary

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Format-5

Service Provider‟s RFP Submission Form To, The Director Schedule Tribe Welfare Department, Government of Karnataka, Bengaluru

Madam / Sir, Subject: Uploading RFP for providing 8 MMU Services under Tribal Welfare Department Reference: Your invitation for submission of RFP in e-Procurement Portal of Government of Karnataka for providing MMU Services. Ref No: STWD / TSP / CR / 21 / 8 MMUs / Ph-2/ RFP / 2017-18, Date: 26-03-2018

Regarding the above subject and reference, I / we have uploaded our RFP in the e- procurement Portal of Government of Karnataka as a standalone Service Provider / Consortium Partnersand confirm our willingness to provide 8 MMU Services in Udupi, Dakshina Kannada, Uttara Kannada, Chikkamagaluru and Shivamogga Districts.

Hence, I / we request you to kindly consider our RFP for selecting us as the service Provider / s for providing 8 MMU Services.

Thanking you Date: …./……./……….. Your sincerely

Place: …………………… Signature of the Applicant (Authorized Signatory)

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Time Line for the Service Provider for MMU Services

T = Day of Award of Contract

Sl No Activity Time 1 Hiring of Temporary Vehicle T + 7 days 2 Recruiting Staff T + 7 days 3 Training of Staff T + 10 days 5 Submission of Baseline Survey Protocol to the T + 10 days Client 6 Starting MMU Services with Temporary Vehicle T + 15 days 7 Completion of Baseline Survey & Submission of 30 days after Report along with Monitoring and Performance approval of Indicators Baseline Survey Protocol 8 Procuring Equipment & Furniture T + 10 days 9 Procuring Drugs & Consumables T + 10 days 10 Procuring New MMU Vehicle T + 15 days 11 Completion of Interior Fabrication & External T +42 days Designing of New MMU Vehicle 12 MMU Service with new Fabricated Vehicle, T + 45 days Trained Staff, Equipment, Drugs & Consumables 13 Availability of Online Reports, including various T + 45 days Reporting Formats 13 Submission of Inception Report T + 50 days 14 Completion of Database of villagers of MMU T + 60 days villages

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Service Level Agreements

Sl No Parameters Threshold 1 Up time of MMUs (MMU available for On all Working days in a services in the stipulated villages for the month stipulated time) 2 Attendance of Staff in MMU villages on all 100 % on all working working days days in a month 3 MMU Reaching villages for Service before 98 % of working days in 9:45 AM in the morning village & 2:15 PM a month. in the afternoon village 4 Punch-in Punch-out of Staff at MMU On all Working days in a villages (through Bio-Metrics) at 10:00 AM month. & 1:00 PM and 2:30 & 5:00 PM 5 MMU Staff in Uniform 100 % of Working days. 6 Availability of Medicines & Consumables Minimum 95 % of Drugs & Consumables of the list to be available on all working days in a month. 7 Updating of Patient / Beneficiary treatment 95 % of Patients / / service records Beneficiaries treated / serviced on all working days in a month. 8 Updating of MMU Records, including 100 % every week. online reporting formats of MMU Service. 10 Screening of villagers for NCDs 95 % the population above 30 years, once in six months. 12 Registration, of all 15-49 women, children 95 & of the target 0-6 years and adolescents 11-18 years population in all MMU and provision of MCH and Adolescent villages. Health Care by MMU Staff. 13 Examination of all Anganwadi Children in 100 % of all the Children all the MMU villages once in 3 months in all MMU villages 14 Weekly review by MMU MO, and updating 100 %

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of all records 15 Submission of Reports & Invoices for 100 % within the payment to the DHO, and Reports to DD stipulated time. CM & EMRI 16 Functioning of GPS: 100 % in all areas of From 8:30 AM to 7:00 PM on all days of MMU Service where the year there is network of the approved Internet Service / Phone Service Provider. 17 Functioning of Disease Algorithm & On all working days of Disease Summary in the MMU (Laptop). the Client from

Penalty Clauses: Sl No Parameters Threshold Penalty 1 Up time of MMUs (MMU On all Working days For each day of available for services in in a month MMU out of the stipulated villages for Service, one day‟s the stipulated time) cost of the monthly remuneration of the Service Provider shall be deducted (e.g. If the monthly payment is Rs 3.00 lakh, Rs 10,000 shall be deducted for each day, the MMU is not available for service. 2 Attendance of Staff in 100 % on all working If any staff absent MMU villages on all days in a month themselves for full working days day, one day‟s salary and for either morning or afternoon duty,

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half a day‟s salary shall be cut from the salary component of the monthly remuneration of the Service Provider. 3 MMU Reaching villages 98 % of working days For every 15 for Service before 9:45 in a month. minutes delay in AM in the morning village reaching the MMU & 2:15 PM in the village by the afternoon village MMU, 1 % of the IOH of the Service Provider shall be deducted. 4 Punch-in Punch-out of On all Working days For every 15 Staff at MMU villages in a month. minutes delay in (through Bio-Metrics) at punching in time, 10:00 AM & 1:00 PM and and for every 10 2:30 & 5:00 PM minutes early punch out by the staff, the Service Provider shall issue a notice to the concerned staff, if the behaviour of the staff repeats for more than 5 times in a month, the Service Provider shall replace the staff with equivalent experience and qualification within the next 30 days.

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6 Availability of Medicines Minimum 95 % of If more than 95 % & Consumables Drugs of the drugs as per &Consumables of the the essential drug list to be available on list is not available all working days in a in the MMU, for month. each day of such deficient supply 3 % of the monthly drug budget shall be deducted from the monthly payment. 7 Updating of Patient / 95 % of Patients / For each week‟s Beneficiary treatment / Beneficiaries treated delay, 1 % of the service records / serviced on all IOH shall be working days in a deducted from the month. monthly payment. 8 Updating of MMU 100 % every week. For each week‟s Records, including online delay, 1 % of the reporting formats of MMU IOH shall be Service. deducted from the monthly payment. 10 Screening of villagers for 95 % the population For each week‟s NCDs above 30 years, once delay, 5 % of the in six months. IOH shall be deducted from the monthly payment. 12 Registration, of all 15-49 95 % of the target If < 90 % of the women, children 0-6 population in all MMU Target population years and adolescents villages. are registered and 11-18 years and provision serviced in a of MCH and Adolescent month, 2 % of the Health Care by MMU IOH per month Staff. shall be deducted, till at least 95 % target is achieved. 13 Examination of all 100 % of all the For every week‟s Anganwadi Children in all Children once in 3 delay, 1 % of the

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the MMU villages months in all MMU monthly IOH shall villages be deducted. 14 Weekly review by MMU 100 % If there are no MO, and updating of all weekly review by records the MO, 5 % of the monthly IOH shall be deducted. 15 Submission of Reports & 100 % within the For week‟s delay, Invoices for payment to stipulated time. 5 % of the monthly the DHO, and Reports to IOH shall be DD CM & EMRI deducted. 16 Functioning of GPS: 100 % in all areas of For every 6 hours From 8:30 AM to 7:00 PM MMU Service where of non-tracking of on all days of the year there is network of the MMU, in a the approved Internet network area, 0.5 Service / Phone % of the monthly Service Provider. Institutional Over Head shall be deducted. After initial 30 hours of non- tracking, for every 6 hours of non- tracking 1 % of the monthly IOH shall be deducted. In a month, if MMU GPS Tracking is not available for more than 7 days in a month, Rs 2,000 shall be deducted for every 6 hours of GPS Non- tracking of the MMU.

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17 Functioning of Disease On all working days For nonfunctioning Algorithm & Disease of the Client from of Disease Summary in the MMU Algorithm (Laptop). &Disease Summary in for more than 30 minutes in any one session of MMU Service, 0.5 % of IOH of one month shall be deducted.

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Format 6

MMU Phase-02 Villages list

Village Total ST Sl.no District Taluk Village Gram Panchayat Population Population 1 Udupi Kundapura YEDTHARE 9627 498 2 Udupi Kundapura Nada NADA 4516 139 3 Udupi Kundapura HEROOR 2588 308 4 Udupi Kundapura Kalthodu KALTHODU 5172 396 5 Udupi Kundapura Thagarasi 3108 222 6 Udupi Kundapura Byndoor BYNDOOR 5245 516 7 Udupi Kundapura Yeljith GOLIHOLE 2539 718 8 Udupi Kundapura Kollur KOLLUR 3265 525 9 Udupi Kundapura Golihole GOLIHOLE 3479 869 10 Udupi Kundapura Jadkal JADKAL 3834 876 11 Udupi Kundapura Mudoor JADKAL 2973 436 12 Udupi Kundapura Hallihole HALLIHOLE 2328 461 13 Udupi Kundapura TALLUR 3801 123 14 Udupi Kundapura Chittoor CHITTOOR 2917 257 15 Udupi Kundapura Hosoor CHITTOOR 2360 188 16 Udupi Kundapura Keradi KERADI 2574 388 17 Udupi Kundapura Bellal KERADI 2780 164 18 Udupi Kundapura Kodladi AJRI 1962 378 19 Udupi Kundapura Ampar AMPAR 4943 174 20 Udupi Kundapura SHANKARANARAYANA 5144 500 21 Udupi Kundapura Siddapur SIDDAPURA 7401 405 22 Udupi Kundapura HALLIHOLE 1410 327 23 Udupi Kundapura Edmoge HOSANGADI 2120 556 24 Udupi Kundapura Hosangadi HOSANGADI 4872 687 25 Udupi Kundapura Machattu AMASEBAILU 2616 141 26 Udupi Kundapura Ulloor 74 SIDDAPURA 3346 182 27 Udupi Kundapura Kulanje SHANKARANARAYANA 1987 505 28 Udupi Kundapura Halady (76) HALADI 2791 186 29 Udupi Kundapura Hengavalli HENGAVALLI 3446 173 30 Udupi Kundapura Rattadi AMASEBAILU 1943 189 31 Udupi Kundapura Amasebailu AMASEBAILU 3034 747 32 Udupi Kundapura Madammakki MADAMMAKKI 1767 183 33 Udupi Udupi Yedthady YEDTHADY 4230 132 34 Udupi Udupi Herady YEDTHADY 2009 627 35 Udupi Udupi Hanehalli HANEHALLI 4206 246 36 Udupi Udupi Heggunje HEGGUNJE 3676 153 37 Udupi Udupi 33 HEGGUNJE 2092 171 38 Udupi Udupi Kadur KADUR 2565 101 39 Udupi Udupi Matpady HANDADY 1927 139 40 Udupi Udupi Chanthar CHANTHAR 5512 483

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41 Udupi Udupi UPPOOR 7823 157 42 Udupi Udupi Havanje HAVANJE 3750 265 43 Udupi Udupi KUNJALU 3609 827 44 Udupi Udupi Neelavar KUNJALU 3480 423 45 Udupi Udupi CHERKADY 6335 1890 46 Udupi Udupi Bellampalli KUKKEHALLI 2168 343 47 Udupi Udupi Kukkehalli KUKKEHALLI 3188 589 48 Udupi Udupi KARJE 1982 506 49 Udupi Udupi Pejamangoor KOKKARNE 4491 233 50 Udupi Udupi 34 Kudi KOKKARNE 3574 202 51 Udupi Udupi Nanchar NALKUR 2691 203 52 Udupi Udupi Kenjoor 38 KALTHUR 2850 294 53 Udupi Udupi 38 Kalthur 38 KALTHUR 1973 391 54 Udupi Udupi Hosoor KARJE 2658 867 55 Udupi Udupi PERDOOR 10957 908 56 Udupi Udupi 41 Shiroor BAIRAMPALLI 2155 185 57 Udupi Udupi Athradi ATHRADI 2863 451 58 Udupi Udupi Anjaru KODIBETTU 4013 564 59 Udupi Udupi BOMMARABETTU 8363 1089 60 Udupi Udupi Kudi (82) KODIBETTU 1593 250 61 Udupi Udupi Hirebettu ATHRADI 2619 569 62 Udupi Udupi Marne MANIPURA 1254 181 63 Udupi Udupi Pernankila KODIBETTU 1841 138 64 Udupi Udupi Belle BELLE 4904 128 65 Udupi Udupi Shirva SHIRVA 13396 424 66 Udupi Udupi Pilar MUDARANGADI 3221 151 67 Udupi Belenje KUCHCHUR 1997 278 68 Udupi Karkala Kuchchur KUCHCHUR 2354 347 69 Udupi Karkala Nadpalu NADPALU 2478 291 70 Udupi Karkala HEBRI 6006 873 71 Udupi Karkala Chara HEBRI 5065 697 72 Udupi Karkala Shivapura SHIVAPURA 4084 513 73 Udupi Karkala Mudrady MUDRADY 4295 317 74 Udupi Karkala MUDRADY 1407 366 75 Udupi Karkala VARANGA 4011 398 76 Udupi Karkala Yellare KADTHALA 1583 301 77 Udupi Karkala Kukkuje KADTHALA 1438 156 78 Udupi Karkala Kadthala KADTHALA 2349 271 79 Udupi Karkala Marne MARNE 7766 709 80 Udupi Karkala Yerlapady YERLAPADY 4712 108 81 Udupi Karkala Hirgana HIRGANA 5019 293 82 Udupi Karkala Hermunde MARNE 1463 125 83 Udupi Karkala Andaru VARANGA 2358 426 84 Udupi Karkala Shirlal SHIRLAL 2251 293 85 Udupi Karkala Kervashe SHIRLAL 3018 272

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86 Udupi Karkala Mala MALA 5998 507 87 Udupi Karkala Kanajaru NEERE 2626 102 88 Udupi Karkala Kowdoor BAILOOR 4206 186 89 Udupi Karkala Palli PALLI 3514 385 90 Udupi Karkala Kallya PALLI 3864 376 91 Udupi Karkala KUKKUNDOOR 13180 374 92 Udupi Karkala Nitte NITTE 12354 249 93 Udupi Karkala Sooda BELMAN 2147 130 94 Udupi Karkala Belman BELMAN 5045 147 95 Udupi Karkala Inna INNA 3523 116 96 Udupi Karkala MUNDKURU 5747 112 97 Udupi Karkala KANTHAVARA 3350 130 98 Udupi Karkala MIYAR 7318 138 99 Udupi Karkala Durga DURGA 3383 494 100 Udupi Karkala Mudar MUDAR 6088 174 101 Udupi Karkala Nooralbettu 2367 112 102 Udupi Karkala Eedu EEDU 5176 133 103 Udupi Karkala Renjala RENJALA 2832 107 1 Chikkamagaluru Sringeri K.Masige BEGAR 286 277 Rushyashringapura 2 Chikkamagaluru Sringeri (Markal) MARKAL ( KIGGA ) 1501 174 3 Chikkamagaluru Sringeri Yedadalli MARKAL ( KIGGA ) 1053 187 4 Chikkamagaluru Sringeri Nemmaru NEMMARU 1045 139 5 Chikkamagaluru Sringeri Gulaganjimane KERE 240 135 6 Chikkamagaluru Sringeri Sheerlu KERE 209 200 7 Chikkamagaluru Sringeri Malanadu NEMMARU 742 401 8 Chikkamagaluru Sringeri Balagere KERE 247 172 9 Chikkamagaluru Sringeri Masige MENASE 888 110 10 Chikkamagaluru Sringeri Halandur MENASE 799 115 11 Chikkamagaluru Koppa Bilagadde SHANUVALLI 1094 105 12 Chikkamagaluru Koppa Belavinakodige BHUYANAKOTE 794 118 MARITHOTLU 13 Chikkamagaluru Koppa Somlapura (ANDHAGARU) 1352 153 14 Chikkamagaluru Koppa Guddethota GUDDETHOTA 1053 127 15 Chikkamagaluru Koppa Huligaradi AGALAGANDI 486 129 16 Chikkamagaluru Koppa Byredevaru GUDDETHOTA 1617 163 17 Chikkamagaluru Koppa Haralane AGALAGANDI 573 215 18 Chikkamagaluru Koppa Megur GUDDETHOTA 531 351 19 Chikkamagaluru Koppa Kallugudde ATTIKUDIGE 1001 333 20 Chikkamagaluru Koppa Bethadakolalu ATTIKUDIGE 982 135 21 Chikkamagaluru Koppa Attikudige ATTIKUDIGE 1108 281 22 Chikkamagaluru Koppa Honnagundi ATTIKUDIGE 1350 147 23 Chikkamagaluru Tarikere Arsikere BELENAHALLI 438 124 24 Chikkamagaluru Tarikere Kesarakoppa HALSUR 573 102 25 Chikkamagaluru Tarikere Jodikodihalli BELENAHALLI 535 124 26 Chikkamagaluru Tarikere A.Rangapura BELENAHALLI 546 94

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27 Chikkamagaluru Tarikere Duglapura SIDDARAHALLI 2208 230 28 Chikkamagaluru Tarikere Chakonahalli BETTADAHALLI 728 193 29 Chikkamagaluru Tarikere Kuntinamadu NERLEKERE 1427 200 30 Chikkamagaluru Tarikere Ittige BELENAHALLI 1090 216 31 Chikkamagaluru Tarikere K.Gollarahalli DODDABOKIKERE 358 193 32 Chikkamagaluru Tarikere Dandoor CHEERANAHALLI 1121 162 33 Chikkamagaluru Tarikere Rangapura KALLENAHALLI 724 345 34 Chikkamagaluru Tarikere Jaldihalli CHIKKANVANGALA 771 126 35 Chikkamagaluru Tarikere Boothanahalli BEGUR 759 456 36 Chikkamagaluru Tarikere Arabala BEGUR 624 221 37 Chikkamagaluru Tarikere Begur BEGUR 827 109 38 Chikkamagaluru Tarikere Heggadehalli BEGUR 407 122 39 Chikkamagaluru Tarikere Udeva UDEVA 2291 486 40 Chikkamagaluru Kadur Kedigere HIRENALLURU 1057 136 41 Chikkamagaluru Kadur Bislere BISLERE 1161 357 42 Chikkamagaluru Kadur Rampura PURA 188 185 43 Chikkamagaluru Kadur Kasuvanahalli SINGATAGERE 1024 168 44 Chikkamagaluru Kadur Somanahalli SOMANAHALLI 2012 433 45 Chikkamagaluru Kadur Devarahalli S.MADAPURA 390 231 46 Chikkamagaluru Kadur B.T.Mallenahalli THIMLAPURA 1277 206 47 Chikkamagaluru Kadur Kundur S.MADAPURA 620 99 48 Chikkamagaluru Kadur Manjihalli BANUR 371 194 49 Chikkamagaluru Mudigere Samse SAMSE 5064 958 50 Chikkamagaluru Mudigere Kalakodu SAMSE 650 212 51 Chikkamagaluru Mudigere Hornadu HORNADU 2568 886 52 Chikkamagaluru Mudigere Thanudi THOTADUR 1484 358 53 Chikkamagaluru Mudigere Thalagodu THOTADUR 927 153 54 Chikkamagaluru Mudigere Kalasa KALASA 11198 1664 55 Chikkamagaluru Mudigere Hemmakki IDKANI 1707 196 56 Chikkamagaluru Mudigere Marasanige MARASANIGE 2679 504 57 Chikkamagaluru Mudigere AramaneThalagur SUNKASALE 543 115 58 Chikkamagaluru Mudigere Hadivoni COOVE 736 177 59 Chikkamagaluru Mudigere Niduvale NIDUVALLI 1506 263 60 Chikkamagaluru Mudigere Heggodlu BANAKAL 678 116 61 Chikkamagaluru Mudigere Kundur KUNDUR 1826 300 62 Chikkamagaluru Mudigere B.Hosahalli B.HOSAHALLI 1772 208 63 Chikkamagaluru Mudigere Taruve TARUVE 1081 232 64 Chikkamagaluru Mudigere Phalguni PHALGUNI 1707 177 65 Chikkamagaluru Mudigere Halekote BIDARAHALLI 1543 215 66 Chikkamagaluru Mudigere Kenjige BIDARAHALLI 448 199 67 Chikkamagaluru Mudigere Hesagal HESAGAL (BELAGOLA) 3237 351 68 Chikkamagaluru Mudigere Malahalli NANDIPURA 374 98 69 Chikkamagaluru Mudigere Kannapura MAKONAHALLI 1302 238 70 Chikkamagaluru Mudigere Lokavalli Estate HALEMUDIGERE 458 120 71 Chikkamagaluru Mudigere Kunnahalli HALEMUDIGERE 1388 579

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72 Chikkamagaluru Mudigere Daradahalli DARADAHALLI 2463 405 73 Chikkamagaluru Mudigere Hoisalalu CHINNIGA 724 236 74 Chikkamagaluru Mudigere Chandrapura CHINNIGA 591 119 75 Chikkamagaluru Mudigere Kammaragodu GONIBEEDU 1495 668 76 Chikkamagaluru Mudigere Kannehalli HANTHURU 480 159 77 Chikkamagaluru Mudigere Bettadamane KIRUGUNDA 727 104 78 Chikkamagaluru Mudigere Udase KIRUGUNDA 867 137 79 Chikkamagaluru Mudigere G.Hosahalli GONIBEEDU 1454 639 80 Chikkamagaluru Mudigere Hegravalli KIRUGUNDA 379 136 1 Dakshina Kannada Bantwal Karpe SANGABETTU 1542 187 2 Dakshina Kannada Bantwal Devasyamudur SARPADY 747 153 3 Dakshina Kannada Bantwal Maninalkur SARAPADI 5106 712 4 Dakshina Kannada Bantwal NARINGANA 6562 119 5 Dakshina Kannada Bantwal Kadeshwalya KADESHWALYA 5026 608 6 Dakshina Kannada Bantwal Peraje MANI 2942 326 7 Dakshina Kannada Bantwal KAROPADY 6188 678 8 Dakshina Kannada Bantwal KANYANA 7650 755 9 Dakshina Kannada Bantwal Peruvai PERUVAI 3062 623 10 Dakshina Kannada Bantwal Manila PERUVAI 3120 477 11 Dakshina Kannada Bantwal ALIKE 5840 874 12 Dakshina Kannada Bantwal Vittalmudnoor VITTALMUDNOOR 4498 559 13 Dakshina Kannada Bantwal KEPU 6166 1499 14 Dakshina Kannada Bantwal PUNACHA 7978 2253 15 Dakshina Kannada Belatangadi Kuthluru 1859 306 16 Dakshina Kannada Belatangadi Badakodi HOSANGADY 1337 339 17 Dakshina Kannada Belatangadi Karimanelu VENOORU 2463 281 18 Dakshina Kannada Belatangadi Navara ALADANGADI 912 105 19 Dakshina Kannada Belatangadi Sulkerimogru ALADANGADI 1196 136 20 Dakshina Kannada Belatangadi Shirlalu SHIRLALU 2336 318 21 Dakshina Kannada Belatangadi Savanalu MELANTHABETTU 1823 292 22 Dakshina Kannada Belatangadi Malavanthige MALAVANTHIGE 3022 477 23 Dakshina Kannada Belatangadi Kadirudyavara MITHABAGILU 3421 476 24 Dakshina Kannada Belatangadi UJIRE 13429 1455 25 Dakshina Kannada Belatangadi Kalamanja NIDGAL(KALMANJA) 3709 310 26 Dakshina Kannada Belatangadi Mundaje MUNDAJE 4259 662 27 Dakshina Kannada Belatangadi NERIYA 6802 857 28 Dakshina Kannada Belatangadi Parenky MADANTHYARU 3411 100 29 Dakshina Kannada Belatangadi Machina MACHINA 5234 417 30 Dakshina Kannada Belatangadi Kaliya KALIAYA 3792 125 31 Dakshina Kannada Belatangadi Kaniyooru KANIYOORU 3922 453 32 Dakshina Kannada Belatangadi Belalu BELALU 4608 431 33 Dakshina Kannada Belatangadi DHARMASTHALA 9818 926 34 Dakshina Kannada Belatangadi Shishila SHISHILA 2090 415 35 Dakshina Kannada Belatangadi Kalanja NIDLE 4988 177 36 Dakshina Kannada Belatangadi Nidle NIDLE 3025 308

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37 Dakshina Kannada Belatangadi PATRAME 2311 165 38 Dakshina Kannada Belatangadi Hathyadka ARASINAMAKKI 2789 186 39 Dakshina Kannada Puttur Padnoor (Rural) BANNURU 2232 140 40 Dakshina Kannada Puttur Kodimbady KODIMBADY 2356 189 41 Dakshina Kannada Puttur Nekkiladi NEKKILADI 4193 583 42 Dakshina Kannada Puttur BAJATHURU 5913 146 43 Dakshina Kannada Puttur Alanthaya GOLITHATTU 1056 347 44 Dakshina Kannada Puttur Nelyadi NELYADI 5504 186 45 Dakshina Kannada Puttur Kowkradi KOWKRADI 4916 134 46 Dakshina Kannada Puttur KOILA 5961 295 47 Dakshina Kannada Puttur Kunthoor PERABE 2541 111 48 Dakshina Kannada Puttur Bilinele BILINELE 3580 135 49 Dakshina Kannada Puttur Savanur SAVANUR 4031 109 50 Dakshina Kannada Puttur Punachpady SAVANUR 1510 145 51 Dakshina Kannada Puttur Palthadi SAVANUR 2838 220 52 Dakshina Kannada Puttur Kadaba KADABA 3596 104 53 Dakshina Kannada Puttur KADABA 5950 276 54 Dakshina Kannada Puttur Balnadu (Rural) BALNADU (RURAL) 4026 819 55 Dakshina Kannada Puttur (Rural) ARYAPU 5980 722 56 Dakshina Kannada Puttur Kuriya ARYAPU 3279 191 57 Dakshina Kannada Puttur NARIMOGRU 6520 355 58 Dakshina Kannada Puttur Shanthigodu NARIMOGRU 3828 237 59 Dakshina Kannada Puttur Sarve MUNDOOR 3640 327 60 Dakshina Kannada Puttur Mundoor MUNDOOR 3024 463 61 Dakshina Kannada Puttur Kedambady KEDAMBADY 3604 217 62 Dakshina Kannada Puttur Olamogru OLAMOGRU 5845 770 63 Dakshina Kannada Puttur Irde BETTAMPADY 2293 631 64 Dakshina Kannada Puttur Panaje PANAJE 3946 960 65 Dakshina Kannada Puttur Bettampady BETTAMPADY 4543 592 66 Dakshina Kannada Puttur Ariyadka ARIYADKA 4194 618 67 Dakshina Kannada Puttur KEDAMBADY 5883 303 68 Dakshina Kannada Puttur Madnooru ARIYADKA 5062 476 69 Dakshina Kannada Puttur Badagannur BADAGANNUR 3109 557 70 Dakshina Kannada Puttur Nidpalli PANAJE 3257 613 71 Dakshina Kannada Puttur Paduvannur BADAGANNUR 3845 509 72 Dakshina Kannada Puttur Nettanigemudnoor NETTANIGEMUDNOOR 8447 690 73 Dakshina Kannada Puttur KOLTHIGE 6095 639 74 Dakshina Kannada Sulya Peruvaje 3011 231 75 Dakshina Kannada Sulya Balila BALILA 1992 144 76 Dakshina Kannada Sulya Bellare BELLARE 5259 113 77 Dakshina Kannada Sulya Kalanja KALANJA 2154 194 78 Dakshina Kannada Sulya Mupperia BALILA 1707 219 79 Dakshina Kannada Sulya AIVARNADU 4814 194 80 Dakshina Kannada Sulya JALSOOR 6623 644 81 Dakshina Kannada Sulya MANDEKOLU 5609 577

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82 Dakshina Kannada Sulya AJJAVARA 6965 679 83 Dakshina Kannada Sulya Amarapadnoor AMARAMUDNUR 2635 555 84 Dakshina Kannada Sulya Amaramudnur AMARAMUDNUR 4052 415 85 Dakshina Kannada Sulya Nellurkembraje NELLURKEMBRAJE 2848 482 86 Dakshina Kannada Sulya UbaradkaMittur UBARADKA MITTUR 3362 283 87 Dakshina Kannada Sulya ALETTY 8229 1466 88 Dakshina Kannada Sulya 2174 165 89 Dakshina Kannada Sulya Aranthodu ARANTHODU 3746 196 90 Dakshina Kannada Sulya Markanja MARKANJA 3436 339 91 Dakshina Kannada Sulya SAMPAJE 5429 112 92 Dakshina Kannada Sulya Yedamangala YEDAMANGALA 3698 310 93 Dakshina Kannada Sulya Aivathoklu PANJA 3453 147 94 Dakshina Kannada Sulya Pambethady KALMADKA 1267 179 95 Dakshina Kannada Sulya Kalmadka KALMADKA 2241 581 96 Dakshina Kannada Sulya Kuthkunja PANJA 1671 245 97 Dakshina Kannada Sulya GUTHIGARU 4211 341 98 Dakshina Kannada Sulya Devachalla DEVACHALLA 3820 239 99 Dakshina Kannada Sulya Nalkooru GUTHIGARU 2525 209 100 Dakshina Kannada Sulya Subramanya SUBRAMANYA 4443 587 1 Uttara Kannada Haliyal Kegdal BHAGVATI 396 197 2 Uttara Kannada Haliyal Bhagawati BHAGVATI 1628 502 3 Uttara Kannada Haliyal Gardolli KESAROLLI 662 526 4 Uttara Kannada Haliyal Gadagera KESAROLLI 169 166 5 Uttara Kannada Haliyal GUNDOLLI 2001 119 6 Uttara Kannada Haliyal Sambrani SAMBRANI 1169 239 7 Uttara Kannada Haliyal Bukkankoppa SAMBRANI 525 157 8 Uttara Kannada Haliyal Adikehosur SAMBRANI 636 300 9 Uttara Kannada Haliyal Tattigeri SAMBRANI 1495 362 10 Uttara Kannada Haliyal Arlwad ARLWAD 2148 119 11 Uttara Kannada Haliyal Madnalli MADNALLI 1141 331 12 Uttara Kannada Haliyal Havagi HAVAGI 2170 110 13 Uttara Kannada Haliyal Tatwanagi TATWANAGI 1594 357 14 Uttara Kannada Haliyal Belwatgi BELWATGI 3267 153 15 Uttara Kannada Haliyal Golehalli NAGASHETTIKOPPA 582 228 16 Uttara Kannada Yellapur Kannadagal KANNIGERI 1934 152 17 Uttara Kannada Yellapur MADNUR 4672 297 18 Uttara Kannada Yellapur Kiravatti KIRWATTI 4506 602 19 Uttara Kannada Yellapur Hosalli KIRWATTI 2609 348 20 Uttara Kannada Yellapur Chikkotti 427 112 21 Uttara Kannada Yellapur Hasanagi HASANGI 800 108 22 Uttara Kannada Yellapur Kerehosalli KAMPLI 318 111 23 Uttara Kannada Yellapur Bilki HASANGI 363 162 24 Uttara Kannada Yellapur Uchageri 965 140 25 Uttara Kannada Yellapur Tarehalli UMMACHAGI 1061 194 26 Uttara Kannada Mundgod Yerebail 1383 351

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27 Uttara Kannada Mundgod Agadi HUNGUND 1828 222 28 Uttara Kannada Mundgod Nandikatta NANDIKATTA 9651 280 29 Uttara Kannada Mundgod Ugginkeri NANDIKATTA 1415 114 30 Uttara Kannada Mundgod Gunjavati GUNJAVATI 848 209 31 Uttara Kannada Mundgod Mainalli GUNJAVATI 4088 374 32 Uttara Kannada Mundgod Indoor INDOOR 4124 415 33 Uttara Kannada Mundgod Hungunda HUNGUND 4195 167 34 Uttara Kannada Mundgod Chowdalli CHOWDALLI 1897 417 35 Uttara Kannada Mundgod Salgaon SALGAON 3474 254 36 Uttara Kannada Mundgod Oralgi PALA 2240 103 37 Uttara Kannada Mundgod Ramapur KODAMBI 1131 256 38 Uttara Kannada Mundgod Kodambi KODAMBI 1713 354 39 Uttara Kannada Mundgod Pala PALA 2968 529 40 Uttara Kannada Mundgod Malgi MALAGI 1825 152 41 Uttara Kannada Mundgod Kop (Gotgudi) MALAGI 716 147 42 Uttara Kannada MAVALLI 17062 269 43 Uttara Kannada Bhatkal KAIKINI 10095 170 44 Uttara Kannada Bhatkal BENGRE 8429 180 45 Uttara Kannada Bhatkal SHIRALI 13899 367 46 Uttara Kannada Bhatkal Koppa KOPPA 3832 1315 47 Uttara Kannada Bhatkal Heble HEBLE 11854 752 48 Uttara Kannada Bhatkal Talgod MAVINAKURVE 1328 116 49 Uttara Kannada Bhatkal Talan MUTTALLI 1391 335 50 Uttara Kannada Bhatkal Belalkhanda MUTTALLI 1621 101 51 Uttara Kannada Bhatkal Kitre MARUKERI 630 478 52 Uttara Kannada Bhatkal Hallyani HADAVALLI 339 204 53 Uttara Kannada Bhatkal Marukeri MARUKERI 1121 639 54 Uttara Kannada Bhatkal Kotkhanda MARUKERI 960 381 55 Uttara Kannada Bhatkal Hadeel KONAR 845 295 56 Uttara Kannada Bhatkal Golibilur YELAVADIKAVOOR 501 103 57 Uttara Kannada Bhatkal Belke BELAKE 4891 274 58 Uttara Kannada Bhatkal Hadlur KONAR 619 423 59 Uttara Kannada Bhatkal Konar KONAR 782 166 60 Uttara Kannada Bhatkal Bilurmane KONAR 287 221 61 Uttara Kannada Bhatkal Kuntavani HADAVALLI 539 203 62 Uttara Kannada Bhatkal Hadavalli HADAVALLI 495 172 63 Uttara Kannada Bhatkal Bese KONAR 160 115 64 Uttara Kannada Bhatkal Nuz BELAKE 689 248 1 Shivamogga Shikaripura Sunnadakoppa Shikaripura 1216 208 2 Shivamogga Shikaripura Bisalahalli Shikaripura 585 135 3 Shivamogga Shikaripura Kawli Shikaripura 1070 171 4 Shivamogga Shikaripura Guddadahosalli Shikaripura 474 234 5 Shivamogga Shikaripura Malooru Shikaripura 2205 52 6 Shivamogga Shikaripura Thalagunda Shikaripura 1892 68 7 Shivamogga Shikaripura Belagavi Shikaripura 3920 195

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8 Shivamogga Shikaripura Kadenandihalli Shikaripura 1848 248 9 Shivamogga Shikaripura Muthagi Shikaripura 1181 156 10 Shivamogga Shikaripura Manchikoppa Shikaripura 2415 58 11 Shivamogga Shikaripura Adaganti Shikaripura 1278 279 12 Shivamogga Shikaripura GuddadaThumminakatte Shikaripura 1490 123 13 Shivamogga Shikaripura Thadagani Shikaripura 1604 201 14 Shivamogga Shikaripura Udugani Shikaripura 3332 136 15 Shivamogga Shikaripura Kuskuru Shikaripura 1471 67 16 Shivamogga Shikaripura Hirejamburu Shikaripura 1758 54 17 Shivamogga Shikaripura Nagihalli Shikaripura 1064 148 18 Shivamogga Shikaripura Ambaragoppa Shikaripura 3012 563 19 Shivamogga Shikaripura Seelavanthanakoppa Shikaripura 639 222 20 Shivamogga Shikaripura Thumrihosuru Shikaripura 813 63 21 Shivamogga Shikaripura Amtekoppa Shikaripura 1222 67 22 Shivamogga Shikaripura Kappanahalli Shikaripura 2565 70 23 Shivamogga Shikaripura Kotipura Shikaripura 894 124 24 Shivamogga Shikaripura Hirekalavathi Shikaripura 450 56 25 Shivamogga Shikaripura Mallapura Shikaripura 998 83 26 Shivamogga Shikaripura Hothanakatte Shikaripura 1284 131 27 Shivamogga Shikaripura Nimbegondi Shikaripura 1488 592 28 Shivamogga Shikaripura Harnahalli Shikaripura 1016 53 29 Shivamogga Shikaripura Mugalagere Shikaripura 2075 223 30 Shivamogga Shikaripura Goddanakoppa Shikaripura 1586 55 31 Shivamogga Shikaripura Nelavagilu Shikaripura 2139 627 32 Shivamogga Shikaripura Baganakatte Shikaripura 1426 335 33 Shivamogga Shikaripura Kittadahalli Shikaripura 2210 142 34 Shivamogga Shikaripura Dindadahalli Shikaripura 1239 72 35 Shivamogga Shikaripura Maravalli Shikaripura 2219 364 36 Shivamogga Shikaripura Dabbanabhyranahalli Shikaripura 1684 66 37 Shivamogga Shikaripura Kenchigondanakoppa Shikaripura 1599 131 38 Shivamogga Shikaripura Muddanahalli Shikaripura 1156 67 39 Shivamogga Shikaripura Huluginakatte Shikaripura 522 76 40 Shivamogga Shikaripura Gogga Shikaripura 1610 113 41 Shivamogga Shikaripura Chowdanayakanakoppa Shikaripura 887 218 42 Shivamogga Shikaripura Guledahalli Shikaripura 1586 433 43 Shivamogga Shikaripura Kaginalli Shikaripura 2277 92 44 Shivamogga Shikaripura Hosuru Shikaripura 2173 236 45 Shivamogga Shikaripura Bhadrapura Shikaripura 1948 703 46 Shivamogga Shikaripura Issuru Shikaripura 4674 331 47 Shivamogga Shikaripura Arasinagere Shikaripura 2096 223 48 Shivamogga Shikaripura Kalmane Shikaripura 4085 834 49 Shivamogga Shikaripura Tharalaghatta Shikaripura 1448 150 50 Shivamogga Shikaripura Yerekatte Shikaripura 481 140 51 Shivamogga Shikaripura Mathighatta Shikaripura 285 150

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Technical Specifications of the Smart Phone /Tablet

Android Phone/Tabletwith Sl. No. Specifications BSNL Sim (GSM / 3G) 01 Network 2G,3G and/or 4G SIM slots Dual SIM Display Minimum 5” (5 inch) Processor Quad Core, 1.2 GHz or Higher GPRS Yes Edge Yes Resolution 480 x 800 Pixels or Higher Multi Touch Yes External Memory Card Slot Yes - Minimum 32GB,expandable up to 64GB Internal Minimum 8 GB RAM Minimum 2 GB Primary Camera Minimum 8 Megapixel Secondary Camera Minimum 2 Megapixel Sound (Alternate types) Yes, vibration, MP3, WAV, ringtones Loudspeaker Yes 3.5 mm Jack Yes Bluetooth Yes Wi-Fi Yes GPS Yes USB Micro USB v 2.0 Messaging SMS (threaded view), MMS, Email, Push Email Browser HTML OS Lollipop 5.0 / Marshmallow 6.0 version & above Battery Removable, Minimum 2500 mAH Certification European Union CE,SAR etc. Logo on the phone to be TWD, Karnataka printed Accessories: Standard Accessories such as Charger, Head Phone, Tempered Glass and Mobile Flip Cover etc. 02 Data plan Monthly BSNL combo pack 01 GB Data and 400 Talk Time or any other BSNL plan with the minimum requirement (1 GB Data and 400 Talk Time) stated. 03 Vehicle tracking  Android compatible application(software)  Provision for Profile (Biometric) based login and biometric based recognition of occupants of the vehicle.  No in app purchases  Should give info about-  Real time location of the vehicle(latitude/longitude)  Can integrate real time image to the location of the device.

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 Distance travelled

Alert on-  Change in the planned location and deviation from the planned route.  Vehicle breakdown/accident  Additional 10 alerts that may be incorporated depending on the requirement of the program.  Further details of the application requirement will be shared with the party at the time of awarding of the tender. 04 MMU Application (Software)  Should have android application for capturing Electronic Health records of patients  The application protocols to be validated by the concern authority  Should be able customize the application as per the requirements of the client in 30 days from the date of award of contract subject to client requirements.  Offline data retrieval facility from the local DB/Tab (At least past one-month records)  Facility to capture the photographs of patients with date time stamp and Lat-Long watermarking (if required) 05 Server Cloud based or a dedicated server to cater to all the above tracking and reporting requirements.

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