Annex-A

TERMS OF REFERENCE FOR INSTITUTIONAL CONTRACT (above US$ 2,500)

Title of the assignment Installation, commissioning and maintenance of Liquid Medical Oxygen (VIE) System in 30 selected hospitals of to improve oxygen supply for management of COVID patients

Purpose Hiring engineering technical company qualified to provide site assessment, design and site supervision services, including safety compliance and quality assurance for the Installation, commissioning and maintenance of Liquid Medical Oxygen (VIE) System in 30 selected hospitals of Bangladesh to improve oxygen supply for management of COVID patients.

Location , Chottogram, , , Chadpur, Feni, Noakhali, Rangamati, Madaripur, Shariatpur, Narshingdi, , , Netrokona, , , Rangpur, Kurigram, , Panchagar, , , Naogaon, Joypurhat, , , Satkhira, , Sunamganjof Bangladesh. Estimated Duration Total project duration is 06 months from the signing of contract - 4 months for the installation, commissioning of LMO system - 6 months for operations, preventive and repair maintenance

1. Background

WHO declared Covid19 a worldwide pandemic on 11th March 20201 while Bangladesh reported its’ first positive case on 8th March. There were 52,445 confirmed cases of COVID-19 in Bangladesh as of 2 June 2020, of whom 11,120 persons have recovered and 709 died.

Till date all have reported confirmed Covid-19 cases and the country has been categorized as Cluster of cases with Dhaka City being the worst affected followed by Chattagram, Narayanganj, Comilla, Munshiganj, , Noakhali, Kishorganj, Coxs’ Bazar etc. These districts along with their adjacent districts are now regarded as the epicenters of the COVID in Bangladesh. Given the unprecedented nature of SARS-COV-2, the virus that causes COVID-9 disease, any district might become the new epicenter and pose a great risk for overwhelming the health facilities/hospitals with COVID cases.

While most people with COVID-19 develop only mild illness, approximately 14% develop severe disease that requires hospitalization and oxygen support, and 5% require admission to an intensive care unit 2. Most of the severe and critical COVID cases would require high flow oxygen support and the requirement

1 a) Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta bio-medica: Atenei Parmensis. 2020;91(1):157-60. b) Spinelli A, Pellino G. COVID-19 pandemic: perspectives on an unfolding crisis. Br J Surg. 2020;10. 2 Surveillances V. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19)—China, 2020. China CDC Weekly. 2020;2(8):113-22

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In alignment with the National Preparedness and response Plan and as one of the strategic priority for COVID case management, DGHS has already assessed the facilities in terms of oxygen capacity and developed a plan for further strengthening the oxygen supply system in all designated hospitals who will be managing COVID/Non-COVID cases. As per the expert opinion from the relevant technical agency who are operating in Bangladesh, establishing a new LMO system may take 4 weeks time while installation of a PSA (Pressure Swing Adsorption) oxygen generation system may take more than 7-8 weeks time and depends on timely offshore procurement, shipment, clearance etc. In the context of current situation and urgency, DGHS has prepared a list of facilities for installation of Liquid medical oxygen (LMO) system and also increasing capacity of the existing LMO system with extended outlets to surge the oxygen supply capacity of all hospitals within shortest possible time period. A circular in this regard has also been dispatched from the Ministry of Health for immediate installation of LMO system and increase capacity of the existing LMO system in selected hospitals on a priority basis.

UNICEF steered an analysis and projection of oxygen requirement by different level of facilities in March 2020 and conducted policy advocacy for immediate strengthen of oxygen capacity in all designated hospitals, which prompted the DGHS, MOHFW and other partners to take affirmative actions in this regard, which also positioned UNICEF as a trusted development partner to manage and implement Oxygen supply system through a third party technical agency.

2. Objectives, Purpose and Expected Results

Objectives and Purpose of Assignment – The objective of this project aims to improve the capacity of the health facilities for management of COVID-19 cases through upgradation of Oxygen supply system as per national management protocol. Within the framework of Bangladesh National Preparedness and Response Plan (BNPRP), UNICEF is looking at hiring an engineering technical company qualified to provide site assessment, design and site supervision services, including safety compliance and quality assurance for the Installation, commissioning and maintenance of Liquid Medical Oxygen (VIE) System in selected hospitals of Bangladesh to improve oxygen supply for management of COVID patients.

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Specific services under this assignment are as follows: ▪ Initial Site assessment, including physical structural analysis; ▪ Building design (including mechanical, electrical, plumbing and safety); ▪ Detail Technical Specifications in compliance with MOHFW’s guidelines; ▪ Safety and regulation compliance plan; ▪ Permitting; ▪ Installation, Testing & Commissioning of Liquid Medical Oxygen (VIE) System including extended medical gas distribution channel and outlets; ▪ Site supervision and quality assurance ▪ Preventive maintenance, trouble shooting, repair-maintenance ▪ Operational plan including shared responsibility with hospitals in terms of oxygen storage, replenishment and reserve supply etc.

3. Description of Assignment

Scope of Work – The technical agency will coordinate with DGHS, NEMMU, PWD, UNICEF and other concerned agencies for the installation of new Liquid Medical Oxygen (VIE) System in ten (10) hospitals and strengthening capacity of existing LMO system with extended pipeline and gas outlets in ten (10) hospitals as per the list underneath as per the guidelines and specifications set by the DGHS/MOHFW.

Description of tasks:

a. Initial Site assessment, Physical structural analysis; Detail Technical Specifications in compliance with MOHFW’s guidelines, detail design (including mechanical, electrical, plumbing and safety); Prepare detail Project Implementation Plan along with detail site-based workplan and Team mobilization plan and BOQ; b. Prepare Safety and regulatory compliance plan and ensure its’ compliance in accordance with the government’s regulatory requirement, relevant codes and as per the standard industrial practices and standards; c. Carry-out physical works for the installation of Liquid Medical Oxygen (VIE) System in accordance with all applicable local codes, standards, rules, regulations, and laws including, but not limited to, the codes and standards referenced in the detail agreed Specification (to be annexed); d. Installation, Testing & Commissioning of Liquid Medical Oxygen (VIE) System and strengthening capacity of existing LMO system with extended pipeline and gas outlets ( O2, Air, Vacuum for ICU beds and only O2 for Non-ICU beds as per DGHS requirement list) in total 30 Hospitals in two phases as per the list provided underneath and in accordance with all applicable local codes, standards, rules, regulations, and laws including, but not limited to, the codes and standards referenced in the detail agreed Specification (to be annexed);

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e. Develop detail operations, maintenance and site supervision and quality assurance plan which includes but not limited to adequate supply chain with measure and control devices for periodic check for purity, pressure and consistency of oxygen;

Based on information shared by Director Hospitals of DGHS, there are 81 hospitals that require new liquid oxygen system and/or expansion the existing system (list provided in Annex. Of this, thirty hospitals have been selected (table 1 and Annex A.1) where UNICEF will be providing support under this agreement. The remaining will be supported by the government.

In First Phase: ▪ 5 District Hospitals for installation (with the required civil works) of new Liquid Oxygen System and outlets for 10 ICU beds (O2, Air, Vacuum) and 40 Non-ICU beds (only O2) ▪ 10 Medical college Hospitals for expansion (with the required civil works)of existing Liquid Medical oxygen system and installation of outlets for 10 ICU beds (O2, Air and vacuum) and 90 Non-ICU beds (only O2)

In Second Phase: ▪ 14 District Hospitals for installation (with the required civil works) of new Liquid Oxygen System and outlets for 10 ICU beds (O2, Air, Vacuum) and 40 Non-ICU beds (only O2) 01 Medical College Hospitals for expansion (with the required civil works) of existing Liquid Medical oxygen system and installation of outlets for 10 ICU beds (O2, Air and vacuum) and 90 Non-ICU beds (only O2) **However, the final numbers of outlets at the District and Medical College Hospitals would be determined following the site assessment by the implementing agencies and in consultation with DGHS and concerned parties. ** Filling of the oxygen will be done by the supplier during the installation of the Liquid medical Oxygen system in designated hospitals. After that Ministry of Health will ensure the oxygen supply for refiling of Liquid Medical Oxygen tank (VIE) as rental basis or any other provisions as per existing mechanism followed by the hospitals under the MOHFW.

It may be noted that considering that this project is critical for the COVID19 response the implementation of the LMOs and its expansion at the shortest possible time in the hospitals referred below would be the key factor.

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Table: List of Hospitals for liquid Medical Oxygen system

Proposed Facilities for Proposed Facilities for UNICEF UNICEF Existing Outlets Extension of Outlets proposed PHASE-I PHASE-II List o 15 Hospitals 15 Hospitals Facility Facilities Division District Name Facility Name Sl # with LMO Installation of Installation of system ICU Installation Installation of ICU Non-ICU Liquid Medical Liquid Medical of Extended Extended Oxygen Oxygen outlet outlet (LMO)System (LMO)System O2 CA4 VAC O2 CA4 VAC O2 CA4 VAC Barisal Sher-E-Bangla Medical College 1 Barisal Barishal 1 Hospital Yes 300 25 300 10 10 10 90 Patuakhali 2 Hospital 1 10 10 10 40 3 Brahmanbaria District Hospital 1 10 10 10 40 4 Chadpur District Hospital 1 10 10 10 40 5 Chattragram Medical College Hospital Yes 500 100 500 1 10 10 10 90 6 Comilla Medical College Hospital Yes 200 20 200 1 10 10 10 90 7 Feni District Hospital 1 10 10 10 40 8 Noakhali District Hospital 1 10 10 10 40 Rangamati District 9 Rangamati District Hospital 1 10 10 10 40 Sir Salimullah Medical College & Mitford 1 Dhaka 10 Hospital Yes 100 20 100 10 10 10 90 11 Mugda Medical College Hospital Yes 250 30 250 1 10 10 10 90 12 Madaripur District Hospital 1 10 10 10 40 13 Narayanganj 300 bed District Hospital 1 10 10 10 40 14 Narsingdi District Hospital 1 10 10 10 40 15 Shariatpur District Hospital 1 10 10 10 40 16 Jessore General Hospital No 1 10 10 10 40 Khulna 17 Khulna Medical College Hospital Yes 300 20 300 1 10 10 10 90 18 Satkhira District Hospital 1 10 10 10 40 MymensinghMymensingh District 19 Mymensingh Medical college Yes 400 30 400 1 10 10 10 90 20 Netrokona District Hospital 1 10 10 10 40 Shaheed Ziaur Rahman Medical College 1 Rajshahi District 21 Hospital, Bogra Yes 100 100 100 10 10 10 90 22 Joypurhat District Hospital 1 10 10 10 40 23 Naogaon District Hospital 1 10 10 10 40 24 Pabna 250 bed district hospital 1 10 10 10 40 25 Rajshahi Medical College Hospital Yes 1 10 10 10 90 M. Abdur Rahim Medical College Hospital, 1 Rangpur Dinajpur District 26 Dinajpur Yes 400 60 400 10 10 10 90 27 Kurigram 250 bed District Hospital 1 10 10 10 40 28 Rangpur Medical College Hospital Yes 400 30 400 1 10 10 10 90 29 Moulvibazar District Hospital 1 10 10 10 40 30 Sunamganj District Hospital 1 10 10 10 40 Total 11 5 10 14 1

4. Deliverables

Deliverables Items covered/Included Time frame

1. Inception report along - Review existing national guidelines, 15 Days with detail site specifications, codes and regulations assessment, specifications, - Consultation meeting with DGHS, MOHFW, design, safety compliance NEMMU, PWD, World Bank, UNCEF and other and work-plan relevant partners to finalize the detail scope of work based on national specifications

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- Initial Site assessment, physical structural analysis; Building design (including mechanical, electrical, plumbing and safety); - Permitting - Prepare detail Project Implementation Plan along with detail site-based workplan and Team mobilization plan along with BOQ - Prepare Safety and regulatory compliance plan and ensure its’ compliance in accordance with the government’s regulatory requirement, relevant codes and as per the standard industrial practices and standards

2 Activity report on - Carry-out physical works for the installation of 1.5 months completion of Installation, Liquid Medical Oxygen (VIE) System in Testing & Commissioning accordance with all applicable local codes, of oxygen supply system in standards, rules, regulations, and laws including, 15 hospitals but not limited to, the codes and standards referenced in the detail agreed Specification (to be annexed); - Installation, Testing & Commissioning of new Liquid Medical Oxygen (VIE) System in 5 hospitals and expansion of existing LMO system in 10 hospitals along with increase Oxygen storage capacity and specified numbers of outlets (mentioned in description of assignment) and in accordance with all applicable local codes, standards, rules, regulations, and laws including, but not limited to, the codes and standards referenced in the detail agreed Specification (to be annexed);

3 Completion report of - Carry-out physical works for the installation of 2 Months Installation, Testing & Liquid Medical Oxygen (VIE) System in Commissioning of oxygen accordance with all applicable local codes, supply system in 15 standards, rules, regulations, and laws including, hospitals but not limited to, the codes and standards referenced in the detail agreed Specification (to be annexed); - Installation, Testing & Commissioning of new Liquid Medical Oxygen (VIE) System in 14 hospitals and expansion of existing LMO system

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in 01 hospitals with specified numbers of outlets (mentioned in description of assignment) and in accordance with all applicable local codes, standards, rules, regulations, and laws including, but not limited to, the codes and standards referenced in the detail agreed Specification (to be annexed);

4 Activity report on - Develop detail operations, maintenance and site 2 Months operations, Site supervision and quality assurance plan supervision and quality - Establish system for adequate supply chain and assurance visits and storage of oxygen in collaboration with facilities maintenance of the - Place adequate measure and control devices for oxygen supply system periodic quality check for purity, pressure and consistency etc. for oxygen supply Submission of Final project - After sales services including periodic completion report (weekly/monthly) site supervision and quality assurance visit - Periodic preventive maintenance, trouble shooting and repair

5. Reporting requirements

a. Inception report which includes Initial Site assessment, Physical structural analysis; Detail Technical Specifications in compliance with MOHFW’s guidelines, detail design (including mechanical, electrical, plumbing and safety); Safety compliance; Permitting; Team mobilization and Project Implementation Plan along with detail site-based workplan; Detail operations, maintenance and site supervision and quality assurance plan; b. Activity report on completion of Installation, physical works Testing & Commissioning of oxygen supply system in 15 hospitals (1st Phase); c. Completion report of Installation, Physical works, Testing & Commissioning of oxygen supply system in 15 hospitals (2nd Phase); d. Activity report on operations, Site supervision and quality assurance visits and maintenance of the oxygen supply system e. Submission of final project completion report;

6. Payment Schedule ▪ First payment- 20%: - Upon submission 1st deliverable of inception report which includes Initial Site assessment, physical structural analysis; Building design (including mechanical, electrical, plumbing and safety); Permitting; prepare BOQ; team mobilization plan and Project Implementation Plan along with quarterly workplan;

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▪ Second payment for phase-1 - Upon submission of 2nd deliverable with an activity report on completion of Installation, Testing & Commissioning of oxygen supply system in phase-1 hospitals; Retention - 5% of the above payment will be retained and will be released 6 months after successful operation of the system.

▪ Third payment for phase-2 - Upon submission of 3rd deliverable with an activity report on completion of Installation, Testing & Commissioning of oxygen supply system in phase-2 hospitals; Retention - 5% of the above payment will be retained and will be released 6 months after successful operation of the system.

▪ Fourth payment - Two Quarterly payments on successful completion of the operation and maintenance of LMO and its expansion implemented by the Contractor in phase-1 or phase-2 of the project. - Submission of final project completion report to be submitted with second quarterly report;

7. Qualification requirement of the company/institution/organization

• Qualified agency or institute should have minimum 7 years of experience in establishing large scale Oxygen generation and supply system for secondary and tertiary level hospitals; • Should have proven track record and expert team for installation of large scale oxygen plant, Liquid Medical Oxygen system, distribution system, commissioning, quality assurance, safety compliance and maintenance; • Should have a local setup/representative with adequate work experience in establishing/ facilitating large scale Oxygen supply system for medical hospitals. The local representation is required for international companies site assessment, supervision and monitoring of the works at the project site, from the beginning to handover of the project. • Similar work experiences with the Ministry of Health, Government of Bangladesh would be an added advantage.

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8. Evaluation Process and Method

EVALUATION CRITERIA FOR TECHNICAL PROPOSAL

CATEGORY POINTS

METHODOLOGY AND DETAILED TIMELINE (50) * Understanding of, and responsiveness to the requirements in the ToR; * Understanding of scope, objectives and completeness of response; * Quality of the proposed approach and methodology; Suitability of the approach: To 20 what extent the methodology is designed in response to the needs of the TOR; a) Technical specification of Liquid Medical Oxygen plant; b) Overall proposed technical suitability of the expansion;

* Quality of proposed implementation plan, i.e how the bidder will undertake each 30 task, and time-schedules; * Timelines proposed must be detailed and realistic; ORGANISATIONAL CAPACITY and PROPOSED TEAM (30) * Professional expertise of the firm/company/organization, knowledge and experience 25 with similar projects, contracts, clients and implementation assignments of big and medium sized Liquid Medical Oxygen (LMO) plant, expansion of LMO facilities and its operation and maintenance. * Details of a local representative who will be overseeing the works at the project site, from the beginning to handover of the project.

* Team leader: Relevant experience, qualifications, and position with firm; 5 * Team members - Relevant experience, skills & competencies; * Organization of the team and roles & responsibilities;

TOTAL MARKS 30

For this RFP, the Technical Proposal has a total score of 80 points. Bidders must score minimum of 56 points to be considered technically compliant and in order, for the Financial Proposals to be opened. Financial proposal has a total score of 20 points.

The final selection of the bidder will be based on a quality and cost basis as specified in the Request for Proposal (RFP).

9. UNICEF reserves the right to award the contract as an outcome of this bid to one or multiple companies/organizations/firms for implementation and also split the number of hospitals for expansion and/or new LMO plants between various companies/organization/firms based its assessment while awarding the contracts. Bidder’s are requested to take into account the above while preparing their technical and financial proposals.

Annex -1: List of Hospitals for Liquid medical Oxygen (VIE) system Annex-2: Specifications of MOHFW/DGHS

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