OFFIGE OF THE CHIEF DISTRICT MEDICAL & PUBLIC HELATH OFFICER' GANJAM, BERHAMPUR. e-mail Address :[email protected], Phone No.0680-2225383 No. 1 1 9.1\ /EC-vl.veh.Estt 12021-22 Dtd. Ct6 tog l2O21 Cond.05l2021-22
Sealed Tenders are invited for disposal of the following 33 (Thirty three Nos. ) of out of service EMAS Ambulance (108) lying at different places of this district. lntending Tenders may obtain Tender Paper containing the terms & conditions mentioned below. The lntending Tenders may inspect the concerned 33 (Thirty three Nos.) of out of service EMAS Ambulances (108) are to be disposed off in the basis of "As is where is condition with outstanding Tax liabilities". The Sealed Tender will be received at this office by Speed Post / Regd.Post. up to O5.OO p.M by 01-09-2021 and to be opened on 03-09-2021 at 11.00 AM in the Conference Hall of the NHM (OanjamlBertrampur in CDM &PHO premises in presence of the Tenderers or their authorised representatives and will be fina ised on the same day and of any of vill not be bar to open the tender. ,^hiaf Flialli a1 Health ;64rt$ffi{ EMAS AMBULANCE (108) :- SI, NO Vehicle Reqn. No. tnstitution where the vehicle i6 available (Location) 1 oD-02-E-4430 City Hospital -Berhampur 2 oD-02-E-4431 CHC-Diqapahandi oD-02-E-4432 Keshpur Fire station, Keshapur 4 oD-o2-E4434 CHC -Belqam 5 oD-02-E-4435 CHC - Buquda o oD-02-E-4436 CHC - Belaquntha 7 oD-02-E-4437 Hiniilicut Block Office-Hiniilicut 8 oD-02-E-4438 cHC - Chikiti 9 oD-02-E-4481 CHC - Dharakote' 10 oD-02-E-4482 CHC - Sorada lt oD-02-E-4483 CHC - Purushottampur 12 oD-02-E-4484 Kanisi Block office-Konisi 13 oD-02-E-4485 CHC - Adapada 14 oD-02-E-5183 CHC - Kukudakhandi '15 oD-02-E-5184 CHC - Polosara 16 oD-02-E-5186 CHC - Patrapur 17 oD-02-E-5187 Sub-Divisional Hospital -Bhanjanagar 18 oD-02-E-5188 CHC - Jaqannathprasad '19 oD-02-E-5189 CHC - Sherqada 20 oD-02-E-5190 CHC - Kodala 21 oD-02-E-5192 Sub-Divisional Hospital Aska 22 oD-02-E-5'193 CHC - Kabisuryanaqar 23 oD-02-E-5194 PHC(N)-Rumbha 24 oD-02-E-5'195 CHC - Kholikote 25 oD-02-E-5196 CHC - Gobara 26 oD-02-E-5197 Sub-Divisional Hospital - Chatrapur 27 oD-02-E-5198 PHC(N)- Ganiam 28 oD-02-J-3258 Sub-Divisional Hospital-Aska 29 oD-02-J-3310 CHC - Kholikote 30 oD-02-J-33'17 Hiniilicut Block Office-Hiniilicut 31 oD-02-J-3610 Sub-Divisional Hospital Bhanjanagar 32 oD-02-E-5191 MKCG Medical Hospital ,BerhamPur 33 oD-02-J-3619 CHC - Polosara Terms & conditions :-
1) lnterested parties having varid GST registration certificate, pAN card, card submit AADHAR their offering prices for ,"ni.u individuaily in .a"r"o The cover contains tender and other""*'"n rerevant documenti " *iil-D"r"no"or"r. Draft towards Tender Document Fees & EMD should u" "rong"prop"rry as per AnnexureJ to be superscribed as ANNEXURE_t. ""J"J 2) Offering price shoutd b"-:y-gTill"gln proto-r* prescribed asev vrrvrrgiven atqr Annexure_ . ll to be superscribed as ANNEXURE_2. ^rr 3) Annexure 1 & 2 shourd be put ..TENDER into another enverop superscribed in Bord capitar ICttErS NOTICE FOR DISPOSA. Or OUr OF SERVIGE EMAS AMBULANCE (108)". shourd reach to chief Distrrct Medicar & pubric Hearth Officer, Ganjam, Near Gate Bazar Square, eerhampui, oJi"n?z6ooor ui, sp""a PegL/ Reqd. post only. 4) tender paper shourd reach Ilr" ratest by o1togr2o21 by E:00 p.M to this office. The tender received after schedured oat6 ano time wiil be not be undersigned considered. The _ will not responsible for any postal delay. 5) ln the event of the date oeing decrareJ as iotioay by Govt. the due date of submission of bids and openinglf-U9 bids will be next working days. 6) The.. price quoted should e1-cfuAing CSf. fl"i""l"ry appricabre GST wi, be at the time of sare of vehicle wh'ich wiil be borne oi *,Jioa"r. 7) The disposar of vehicre shail ;ns be strictty on rs WHERE rs BASTS" and no guarantee or certificate of its worthiness or quarity wiil Department. oe giv;n by this 8) The condition of the vehicres can be inspected physicaily between 09_0g_202,r to 3,,l-08-2021 between office hours. 9) The.intending bidders shail have to deposit Rs.1.000/- (Rupees one Thousand gly)^gtty as_Tender.p.ln-gr Co_s1in snale oi Demand (MlscEt Draft in favor of ZSS J ANEous), A/c No. 302494622'aa payaute at Bernampuir,,ini"n be nonrefundable. .u,"tt 10)The tender shourd be accompanied by earnest moley for Rs.2,000/- (Rupees Thousand Two onry) each for out of service EMAS emburance rba money l' iit!-"rrn"rt can be deposited by Bank Draft in favour of ZSS No. 30249462288 payable lMrsiEr-r-qiiiouir, ruc , _. at Berhampur. 11)The bank draft shourd be attached with the proforma retter fairing which quotation sharr not the be considered at ail. rf the highest tenoerei 7 successrut tenderer accepted byahe competent authority rjn thiJDepartment faiis to oeposit the sare price within the presciibed time rimit, his earnest money wiil be forfeited. ln case the offer is withdrawn by any tenderei, *,e earnest money deposited by him shall be forfeited. 12)Tender Document Fees & EMD amount is payabre by means ZSS (MISCELLANEOUS), of DD in favour of A/C No. SOii'ieZzAe payabte at Berhampur. g'yr"t by cheque / cash sha, not be iccepted). offers received Tender Document without Fees & EMD amount snari-not be considered Department. ai air ilv tnis '13)The successfut bidderwill O9 t_o_{eposit the total bid amount Demand Draft in 11yir9_{ by means of favour of zss lrursceliateousl, A/C No. 30249462288 Berhampur ' , , .. p?y3bt"_ within Seven working days of awaid ot ttre coniraci. 14)EMD of "lthe successfur bidder(s) wirr oe ieieJsed onry after rearization of sare proceed amount. Earnest m.oney Deposit of the bidders wno rair to rronourlire oio in prescribed time rimit shail stand forfeited. No iepresentation in this regard shail be entertained by this Department. EMD wi, not be ,o;r.tea i,itnJ s"re Amount.accepted by CDM &.pHO, "rorni Ganjam EMD of t,OlaJerisl .iaff U" released only after successful completion of the .il" pro""."."r"""""t 1 5)EMD of unsuccessful tenderers shall be returned within three weeks of the award of contract to successful party. 16)lf any successful bidder refuses to take any one of the auctioned vehicle finalised in the tender against the bidder, then the total EMD submitted by the concerned bidder is to be forfeited. 17)The delivery of the sold vehicle will be arranged only after the successful bidder submits documentary evidence in support of residential status (Ration card/ Voters ldentity card/AADHAR card/ Driving Licence) in case of indlvidual and Regishation Certificate in case of firms etc.) '18)The sold vehicle will be removed by the successful bidder(s) within 07 (seven) days of depositing the money at their own expenses. No assistance / transportation will be provided by cDM & pHo, Ganjam. permission to take out the disposed vehicles from respective premises will not be allowed on Govt. holidays/Saturdays and Sundays. 19)The successful bidder will also be responsible for getting the Registration certificate of the vehicle transferred in his name at his own iost expe-ditiotrsly. This office will not be responsible for any lapse on his part in this regard. 20)The bidder is required to reveal his full name /name of the authorizld signatory of the firm, full postal address, telephone number & mobile number. 2'l)Disputes, if any, shall be subject to jurisdiction in the court of Berhampur, Ganjam only. 22)lf the highest quoting firm fails to honour the bid fully or partially; the contract will be cancelled & its EMD forfeited. ln such an event, an opportunify shall be given to the next highest quoting eligible tenderer (H-2 quoting party) to complete the bid provided it is prepared to accept the prices offered by the H-1 party. ln case of any dispute, decision of CDM & PHO, Ganjam shall be final. 23)Tenderlng form should be ink signed by the authorized signatory only. photocopy or unsigned tender or tender not signed by authorized signatory shall be rejected. 24)Tendering firm shall alone be responsible for furnishing any false oi wrong information and the consequences or loss thereof. 25)ln case price offered by more than a party for any vehicle will be same, the vehicle will be disposed of by way of lottery or bidder amongst the party offering equal price. 26)Tender document can be downloaded from the Departmental website: https://geliqrn riic-in . 27)CDM & PHO, Ganjam reserves the right to reject all or any tender in whole without assigning any reasons thereof. Ll
Ghief V* Heatth No. 1l*91 rzozt Dtd @6 th.August-2021
Copy forwarded to the Dist. Medl. Officer (Medl. Services)_cum- Superintendent, DHH, Ganjam, Berhampur / DPHO / ADPHO(FW) ADPHO (VBD) /ADPHO(DC)/ADPHO(TB) / DPM (NHM)-Ganjam for information with iequest to please attach the Notice in their Notice Board for wide publicity. Copy forwarded to the all the Super.intendent, SDH / CHC / PHC(New) o1 Ganjam district for information with request tr: please attach the Notjpg in their Notice Board for wide publicity. Ghief District i&Heatth ruo. l.2B&: rzozr Dtd.the. O6 th.August-2021
Copy submitted to Director of Family Welfare(Odisha) Bhubaneswar for information and necessary action with reference to DFW(o) letter memo No.1076 /N & T -lx-1 5 t2020 Dtd. 1 2-02-2021 . Copy submitted to Mission Director NHM (Odisha) Bhubaneswar for information and necessary action with reference to DFW(O) letter memo No.OSH & FWS/PTC/71912021 Dtd.21-01-2021 addressed to all Coilectors & DMs.
Chief District Health ,2021 No. 'l LBJ-.3 Dtd. th.August-2021
Copy with a copy of Sealed Tender Notice forwarded to ttre RTO-Ganjam Chatrapur for favor of kind information and necessary action. ( t ,/ Chief District Health Offi
No.--_-- ll 8a]c Do21 Dtd.the. ei.6 th.August- 021
Copy with a copy of Sealed Tender Notice submitted to the Collector and District Magistrate, Ganjam, Chatrapur for favor of kind information and
Chief District Medi 4>! aeafthOfficer, er.-oD*6** o@ @ q*LL - ArLp" r*Tp-,p*^t
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1513. Registration number of the vehicle : OD02E4430
1514. Make & Model of the vehicle : Tata Winger Ambulance
1515. Year of purchase and received :1-137120L3
1516. Cost ofthe vehicle : 1058838.54
1517. Period of service rendered : 2579
1518. Kilometers run: 468867
1519. Amount spent on repair & kilometer run in the last three years : 3L6879 Km - 1629083
1520. Whether there was any major damage tc the vehicle if so, when: No Major damages
152L. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 285511
For Ziqitza Health Care Lirlited ( >l^^)^ .'-' r'--- Proi?ct Hcad-Odisha Signature of the officer in charge of the vehicle
With sea I fiobu/'or ce- co&e) D BLS GfrN 260 6E Bc\-Se Llocc-ti,ot) -7 Ol"5or-palc.ne0 CHC-
PROFORMA FOR CONDEMNATION OF THE VEHICLE
L315. Registration number of the vehicle : OD02E4431
1316. Make & Model of the vehicle : Tata Winger Ambulance
13!-t. Year of purchase and received :L/28/2O13
1318. Cost ofthe vehicle : 1058838.54
1319. Period of service rendered : 2546
1320. Kilometers run : 398275
132L. Amount spent on repair & kilometer run in the last three years : 195530 Km - 1342810
1322. Whether there was any major damage to the vehicle if so, when: No Major damages
1,323. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling: Overhauling or Replaced not Done
For Ziqitza Health Care Llmltert o^ I pdi.?rr&?6frrn--' Signature of the officer in charge of the vehicle With seal N 26 e- Co -> 0 F.Ls & R Y (n3) ft-rnrauL a-rrc 'Qs \__---,/ hcxsulsa-uti-on, )(e5'q2Lur F''tg- St'&t C'O
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1351. Registration number of the vehicle : ODO2E4432
1.352. Make & Model of the vehicle : Tata Winger Ambulance
1353. Yearof purchaseand received :L/28/2O!3
1354. Cost of the vehicle : 1058838.54
L355. Period of service rendered :2449
1356. Kilometers run : 384529
1357. Amount spent on repair & kilometer run in the last three years : L59748 Km - t 652848
1358. Whether there was any major damage to the vehicle if so, when: No Major damages
1359. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 631
For Ziqitza Health Care Limtted
With seal Ar"nbu2e-rrc-e- Cn&e -> oDLScnN 2f6 Bc"szLlcqkzor) + belLaryan-> 6,ylc @
PROFORMA FOR CONDEMNATION OF THE VEHICLE t2-19. Registration number of the vehicle : ODO2E4434
1280. Make & Model of the vehicle : Tata Winger Ambulance
1281. Yearof purchaseand received :L/28/2O73
!282. Cost ofthe vehicle : 1058838.54
1283. Periodofservicerendered :2450
1284. Kilometers run : 304351
1285. Amount spent on repair & kilometer run in the last three years : 7562L4Km-1268321
1286. Whether there was any major damage to the vehicle if so, when: 428L!
L287. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
For Ziqitza ft^^-t-Hcalth Care L,nited
s i g n a t u re , re" of t h e ve h ic te "ili,"lt#reslq?i'8fr With sea I hrnbul,arrce ca&p-*> aDLS &nN261 Wsz Locqtiott -) Bi-tqtuler. cHC
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1324. Registration number of the vehicle : OD02E4435
L325. Make & Model of the vehicle : Tata Winger Ambulance
1,326. Year of purchase and received : t/28120t3
1,327. Cost of the vehicle : 1058838.54
1,328. Period of service rendered : 2459
1,329. Kilometers run : 405190
1330. Amount spent on repair & kilometer run in the last three years : 188032Km-t537275
1331. Whether there was any major damage to the vehicle if so, when: No Major damages t332. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 65290
For Ziqitra Health Care Llmited a)^ ( ri#;5.i:ooiri- Signature of the officer in charge of the vehicle
With sea I Arnbu-L,atyz, Co&e--> CBLS hfiNzAZ @ Bcga LOcaHtoa -l be-lr&%utn*{^cr Cl)L @
1342. Registration number of the vehicle : OD02E4436
1343. Make & Model of the vehicle : Tata Winger Ambulance
L344. Year of purchase and received : L/28/2013
1345. Cost of the vehicle : 1058838.54
1346. Period of service rendered : 2492
1347. Kilometers run : 655025
1,348. Amount spent on repair & kilometer run in the last three years : 408845Km-{539685
1349. Whether there was any major damage to the vehicle if so, when: 43315
1350. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 373277
For Ziqitza Hcalth Care Limited
With sea I (n r) A:rnbu/-,a-noe- Co&e- -> 0l3LS AnV2fl .{-'.... Bc-se- Loca-tLoa + HZrr))LicuA BLocq o-f-f,) cq
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1288. Registration number of the vehicle : ODO2E4437
1289. Make & Model of the vehicle : Tata Winger Ambulance
1290. Year of purchase and received :Ll28l2OL3
1291,. Cost of the vehicle : 1058838.54
1292. Period of service rendered : 2553
1293. Kilometers run : 283152
1294. Amount spent on repair & kilometer run in the last three years : 154887 Km - 1308392
1295. Whether there was any major damage to the vehicle if so, when: No Major damages
1296. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 38294
For Ziqitza Health Care Ltmited ^/1 /)")4r u\- Frojec{ ^Headodisha - Signature of the officer in charge of the vehicle
With sea I r\' 265 fio r\au-lrcun &- Locle--) O BLS Crtr g>a-Se- Lo ceA\ott ) Cl*l\<\t\ CHC
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1360. Registration number of the vehicle : OD02E4438
1361. Make & Model of the vehicle : Tata Winger Ambulance
1362. Year of purchase and received :7128120]3
1363. Cost of the vehicle : 1058838.54
1,364. Period of service rendered : 2600
1365. Kilometers run : 335046
1366. Amount spent on repair & kilometer run in the last three years : t73268Km-1357352
1367. Whether there was any major damage to the vehicle if so, when: No Major damages
1368. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 42552
For Ziqitza Hcalth Care Limited
Signature cif the officer in charge of the vehicle With seal CnJb, -> OBLS G]FN262=- Arrrrbu.fl,curc?- (D't/ ba-s<- Loaa-tzca + tharctKate- CHc @
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1333. Registration number of the vehicle : OD02E4481
L334. Make & Model of the vehicle : Tata Winger Ambulance
1335. Year of purchase and received :7/28/201.3
1336. Cost ofthe vehicle : 1058838.54
1337. Period of service rendered : 2552
1338. Kilometers run : 335288
1339. Amount spent on repair & kilometer run in the last three years : 155430 Km -\347749
1340. Whether there was any major damage to the vehicle if so, when: 43395
134L. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 137649
For Ziqika Health Care Limited
Pl6,J6ct Hcad.Odisha Signature of the officer in charge of the vehicle
With sea I frfibuc-Aa"-y\cz- Co&e -> O t) L I Gfr N 25q buse- Larc,tio-fi -l Soto&a- c]c
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1306. Registration number of the vehicle : ODO2E4482
1307. Make & Model of the vehicle : Tata Winger Ambulance
1308. Year of purchase and received : U28/20L3
1309. Cost ofthe vehicle : 1058838.54
1-310. Period of servlce rendered : 2595
13LL. Kilometers run : 490718
1312. Amount spent on repair & kilometer run in the last three years : 233966Km-t494350
1313. Whether there was any major damage to the vehicle if so, when: No Major damages
13L4. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : L30726
For Ziqitza Health Car? Limitcd \J-t,-^-'\-0 pftiject Head.Odisha Signature of the officer in charge of the vehicle
With sea I -t 0 PiLSqnN 253 fr.rnbu-t a-nLe coJo @ @ Yba-se- LocatZon -l Pultt so*tamVu'r 6pa V
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1297. Registration number of the vehicle : OD02E4483
1298. Make & Model of the vehicle : Tata Winger Ambulance
1299. Year of purchase and received :Ll3ll2oL3
1300. Cost of the vehicle : 1058838.54
1301. Period of service rendered : 2479
1302. Kilometers run : 293410
1303. Amount spent on repair & kilometer run in the last three years : 112153 Km - 1332015
1304. Whether there was any major damage to the vehicle if so, when: 43230
1305. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 49L3L
With seal ^ G4. -WLg 6,+n ^ @ U* 1",J,* ,f.,",yhq*^nr@,o l"rA *rL, PROFORMA FOR CONDEMNATION OF THE VEHICLE CWu'') 1369. Registration number of the vehicle : OD02E4484
1,370. Make & Model of the vehicle : Tata Winger Ambulance
137'J". Year of purchase and received :7128/2013
1372. Cost of the vehicle : 1058838.54
1373. Periodofservicerendered :2511
1374. Kilometers run : 356219
1375. Amount spent on repair & kilometer run in the last three years : L97525Km-t508000
L376. Whether there was any major damage to the vehicle if so, when: No Major damages
1377. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
For Ziqitza Health Care Llmlted !\-- o^d/'va '\/\--'-'
s i g n a tu re Brf[1iLH3lf, #l]f, .r.,. rge of th e ve h icte
With sea I q- I'q,LSG\FN 25t firnbu-0,an co'!P'-7 r rdra- Locct-l io n -> f\c,ttce-pc'-atct 5dC @
pRoroRun roR coruoruruattoru or tHr vrntctr
\270. Registration number of the vehicle : OD02E4485
121I. Make & Model of the vehicle : Tata Winger Ambulance
12-/2. Year of purchase and received :7/28120L3
1273. Cost of the vehicle : 1058838.54
1274. Period of service rendered : 2580
1275. Kilometers run : 364021
1276. Amount spent on repair & kilometer run in the last three years : 179397Km-{455179
1217. Whether there was any major damage to the vehicle if so, when: No Major damages
1278. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 824L2
"'''o*H::i':'.["
sisnature f[d€3tr38;9f,',t1]urrg" of the vehicte "f With sea I z @ g h.n!.r^c. t, 4, bhLqqNqtl Wh*u L,ua** erc-t
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1396. Registration number of the vehicle : OD02E5183
1397. Make & Model of the vehicle : Tata Winger Ambulance
1398. Year of purchase and received :2/2712073
1399. Cost of the vehicle : 1058838.54
1400. Period of service rendered : 2496
L40L. Kilometers run : 308857
L402. Amount spent on repair & kilometer run in the last three years : L72673Km-1405959
L403. Whether there was any major damage to the vehicle if so, when: No Major damages
L404. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
For Ziqitza tle.lth Care LimitEd lJi-*zr--nl
s i g n a t u re f l,ttll rr.s" of th e ve h i ct e "i{H8tL?tr%f With sea I /iA b^L l,uLq, .ril,Ycne, L*ta 0W E+N Lf<
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1450. Registration number of the vehicle : OD02E5184
L45L. Make & Model of the vehicle : Tata Winger Ambulance
L452. Yearof purchaseand received :2126/2013
1453. Cost of the vehicle : 1058838.54
1,454. Period of service rendered : 2608
1,455. Kilometers run : 400403
1456. Amount spent on repair & kilometer run in the last three years : 213893 Km - 1453416
L457. Whether there was any major damage to the vehicle if so, when: 4320L
L458. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
For Ziqita Health Care Limited Ad Signature of the officer in charge of the vehicle
With sea I t ". (q n brek^' fuk;,. wc-/ hd*, &1a - UrLi q+r{ e-bt
PROFORMA FOR CONDEMNATION OF THE VEHICLE
L44L. Registration number of the vehicle : OD02E5185
1-442. Make & Model of the vehicle : Tata Winger Ambulance
1.443. Year of purchase and received : L/3L/2OL3
1.444. Cost of the vehicle : 1058838.54
1,445. Period of service rendered:2584
L446. Kilometers run : 311139
1.447. Amount spent on repair & kilometer run in the last three years : 155119Km-{357619
L448. Whether there was any major damage to the vehicle if so, when: No Major damages
L449. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling: Overhauling or Replaced not Done
For Ziqitza Health Care Llmitcd 9^""^^- signature ?h"[1]#f.%diqff'&lrrgu of the vehicte "f With sea I ^ Cadq - WLg q*N - A+B @ b*V;" ' bl*+*u. h':' n pRoFoRMAFoRcoNpEMNAIoNoFTHEVEHtcLE b*
L477. Registration number of the vehicle : OD02E5187
1-478. Make & Model of the vehicle : Tata Winger Ambulance
L479. Year of purchase and received :212612073
1480. Cost ofthe vehicle : 1058838.54 t48L. Period of service rendered : 2453
1.482. Kilometers run: 524L72
L483. Amount spent on repair & kilometer run in the last three years : 255266Km-{766370
1,484. Whether there was any major damage to the vehicle if so, when: No Major damages
L485. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 159808
For Ziqitra Health Care Limited n" 0 V- i-1 r\-.--l,,\- Prdiect Head.Odish. Signature ofthe officer in charge ofthe vehicle
With sea I A.|"lo",z- CaAa --t 0bL9 qN u+ Boro lrc^ff'^ --r 6,y"'* 0A c,++ C.-
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1378. Registration number of the vehicle : OD02E5188
1379. Make & Model of the vehicle : Tata Winger Ambulance
1380. Year of purchase and received : L/31/ZOL3
1381. Cost ofthe vehicle : 1058838.54
1,382. Period of service rendered : 2537
1383. Kilometers run : 405255
1384. Amount spent on repair & kilometer run in the last three years : ?O21LOKm-<419621
1385. Whether there was any major damage to the vehicle if so, when: 43155
1386. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
Fot Ziqtt l Herlth Cara Limitrd
signature ffift*#ilrge orthe vehicre
With sea I
:
,l
I I ,rrrE qft* Ww^,^ blt- *r^Vlgoto-@yw @
1459. Registration number of the vehicle : OD02E51g9
1.460. Make & Model of the vehicle : Tata Winger Ambulance
L46L. Year of purchase and received : U3Ll2Ol3
'J_462. Cost ofthe vehicle : 1058838.54
7463. Period of service rendered : 2515
1,464. Kilometers run : 348534
1,465. Amount spent on repair & kilometer run in the last three years : 151325Km-t413380
1,466. Whether there was any major damage to the vehicle if so, when: No Major damages
1,467. . Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 4309g
For ZiqlEa Hcalah Care Limited h^*A_ signature Jidtfrts B??ft8pin+tharge of the vehicte With seal wLgq$ L++- ,\ W- (*L) W*" Y"r"h'n - F.4Ja'@@
1.468. Registration number of the vehicle : OD02E5190
1,469. Make & Model of the vehicle : Tata Winger Ambulance
1.470. Year of purchase and received : Ll3LlZOl3
7471. Cost of the vehicle : 1058838.54
7472. Period of service rendered : 2464
1,473. Kilometers run : 439803
1,474. Amount spent on repair & kilometer run in the last three years : 205133Km-{401499
7475. whether there was any major damage to the vehicre if so, when: No Major damages
1,476. - Whether engine was overhauled of replaced, if so, when & kilometers run after overhauring : overhauring or Repraced not Done
For Zigitze Health Care Llmited a Cel"Y 9ttv9 q4,1*o --..--...--.---- .lL^ L.)- - lrsw 0(c, 6
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1495. Registration number of the vehicle : OD02E5192
1,496. Make & Model of the vehicle : Tata Winger Ambulance
L497. Yearof purchaseand received :2126120L3
1498. Cost of the vehicle : 1058838.54
1499. Period of service rendered : 2586
1500. Kilometers run'. 42O4O7
1501. Amount spent on repair & kilometer run in the last three years : 205138 Km -\367447
1,502. Whether there was any major damage to the vehicle if so, when: 4339s
1503. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
For Ziqitza Heelth Care Limitad n^ I Hlarft;:odi.n; Signature of the officer in charge of the vehicle
With sea I @ ebet-- l'% 9 A$r-L{? W* l*"h. Vi- A^r"f Y ct<- PROFORMA FOR CONDEMNATION OF THE VEHICLE
L432. Registration number of the vehicle : OD02E5193
1433. Make & Model of the vehicle : Tata Winger Ambulance
L434. Year of pu rchase a nd received : Ll31l2OL3
1435. Cost of the vehicle : 1058838.54
L436. Period of service rendered : 2553
\437. Kilometers run: 440272
L438. Amount spent on repair & kilometer run in the last three years : 245035 Km - 1485856
1439. Whether there was any major damage to the vehicle if so, when: No Major damages
!440.' Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
Llmltcd For Ziqitza HealthAl--A- Care signature f,%Sffi.Tflf,'Tn'.rr" of the vehicle "f With seal @) 0a.to-Y- bhL, q,rN t&1 Dar, 0"*h ,- ^ Q*rt^, uq,
PROFORMA FOR CONDEMNATION OF THE VEHICLE
1,41,4. Registration number of the vehicle : OD02E5194
1,415. Make & Model of the vehicle : Tata Winger Ambulance
1,4t6. Yearof purchaseand received :2126120L3
L417. Cost ofthe vehicle : 1058838.54
1,418. Period of service rendered : 2609
1419. Kilometers run : 399642
1,420. Amount spent on repair & kilometer run in the last three years : 2L7LO2Km-{290885
7421,. Whether there was any major damage to the vehicle if so, when: No Major damages
L422: Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done
For Zlqltza Health Care Limited
Signature of the officer in charge of the vehicle With seal @ a4e dqv q ++'t g-t2_ h,o\ru 4 tq,q); f-rb-, e*<)
PROFORMA FOR CONDEMNATION OF THE VE
1,423. Registration number of the vehicle : OD02E5195
1,424. Make & Model of the vehicle : Tata Winger Ambulance
1425. Year of purchase and received : 1.|3L/ZOL3
1,426. Cost of the vehicle : 1058838.54
1427. Periodofservice rendered :2G06
1,428. Kilometers run: 474L90
Amount 1,429. spent on repair & kilometer run in the last three years : 24L683Km-t468796
1,430. Whether there was any major damage to the vehicle if so, when: No Major damages
1,43L. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 101003
Signature of ftueotrfitt*Qflidlfurge of the vehicle With seal (1tNL$I \,rn"Ao, 1388. Make & Model of the vehicle : Tata Winger Ambulance 1389. Year of purchase and received :2/2612013 1390. Cost of the vehicle : 1058838.54 1391. Period of service rendered : 2561 1392. Kilometers run'. 437448 1393. Amount spent on repair & kilometer run in the last three years : 218939 Km - 1500233 1394. Whether there was any major damage to the vehicle if so, when: 43089 1395. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done For Ziqilza Health Care Limii3d With sea I 6a) C 6pX ryL9qwL'nv A*ilX,^ @ PROFORMA FOR CONDEMNATION OF THE VEHICLE 1,486. Registration number of the vehicle : OD02E5197 1,487. Make & Model of the vehicle : Tata Winger Ambulance 1488. Year of purchase and received : Ll3Ll2OL3 1489. Cost of the vehicle : 1058838.54 L490. Period of service rendered : 2483 1.491,. Kilometers run : 305276 L492. Amount spent on repair & kilometer run in the last three years : L67739 Km - 1454432 1,493. Whether there was any major damage to the vehicle if so, when: No Major damages 1,494. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 53094 Fot Ziqltza Health Care Limir::d E,ui.**, Signature of the officer in charge of the vehicle With seal -\'l ry'- I ' ft"Jd+,,. AJI.,[%L1 Cnfrii{ - . L+o Vw- Itub - *j1,^Pr+c 0 Noetl) PROFORMA FOR CONDEMNATION OF THE VEHICLE 1405. Registration number of the vehicle : OD02E5198 1406. Make & Model of the vehicle : Tata Winger Ambulance 1407. Year of purchase and received :2126/2073 1408. Cost ofthe vehlcle : 1058838.54 L409. Period of service rendered : 2611 L410. Kilometers run: 29L477 1,411,. Amount spent on repair & kilometer run in the last three years : 1,58618Km-t263119 14L2. Whether there was any major damage to the vehicle if so, when: 43483 L413. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling: Overhauling or Replaced not Done For Ziqitra Health Care Llmited With sea I firntarrZarrce-Co&a -l oFLScqBN 11+ Bc.-=eLAcPEooa -i fr PROFORMA FOR CONDEMNATION OF THE VEHICLE 1243. Registration number of the vehicle : OD02J3258 1244. Make & Model of the vehicle : Tata Winger Ambulance L245. Yearof purchase and received :812712013 1246. Cost ofthe vehicle : 1058838.54 1247. Period of service rendered : 2437 1248. Kilometers run : 391841 1l;24g.Amountspentonrepair&kilometerruninthelastthreeyears: 2O759OKm-1342599 1t25O.Whethertherewasanymajordamagetothevehicleifso,when: 43389 1251. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done For Ziqitsa Herlth Care Llmtted o^ L signature "flfttffifltt,t.rge of the vehicle With sea I Srnb u-Q,cr.nce Ca &e -'l oFI-SGFN IIg Bcr-aer L0crtt)n6 -) v e-LTKotz cw PROFORMA FOR CONDEMNATION OF THE VEHICLE 121,6. Registration number of the vehicle : OD02J3310 L217. Make & Model of the vehicle : Tata Winger Ambulance 121,8. Yearof purchaseand received :8/27/20ll 1219. Cost ofthe vehicle : 1058838.54 1220. Period of service rendered : 2377 L22L. Kilometers 440598 1222. Amount spent on repair & kilometer run in the last three years : 234367 Km - t 461919 1223. Whether there was any major damage to the vehicle if so, when: No Major damages 1224. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done ForZCitrrff:I: g h8h.,g" s i n a t u re 'nttttotlf#a?{fi of t h e ve h ic Ie "f With seal Ar^nbuder cz Cp&a-I 0nL5 cqHN25-T Q9 Ba,6e- LAcqliott -) H?n1)Lictef BUacK (*t1cz PROFORMA FOR CONDEMNATION OF THE VEHICLE 1261.. Registration number of the vehicle : OD02J3317 1262. Make & Model of the vehicle : Tata Winger Ambulance 1263. Year of purchase and received :812712oL3 1264. Cost ofthe vehicle : 1058838.54 L265. Periodofservicerendered :2392 1266. Kilometers run : 298400 1267. Amount spent on repair & kilometer run in the last three years : 746LO2 Km - 1245279 1268. Whether there was any major damage to the vehicle if so, when: No Major damages !269. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done For Ziqitra llealth Care a--*-t-Lim[ed h i c s i s n a t u re [tt"trltm'.0"+++ c h a rge of t h e ve le With sea I A PROFORMA FOR CONDEMNATION OF THE VEHICLE r20t. Registration number of the vehicle : OD02J3610 1208. Make & Model of the vehicle : Tata Winger Ambulance L209. Year of purchase and received :812712ot3 L2L0. Cost of the vehicle : 1,058838.54 121,1,. Period of service rendered : 2353 !21,2. Kilometers run : 522191 1,213. Amount spent on repair & kilometer run in the last three years : 27OO3OKm-t704454 121,4. Whether there was any ntajor damage to the vehicle if so, when: No Major damages 121,5. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : 106588 For Ziqitza Health Care Limited With seal a1 ,/ PROFORMA FOR CONDEMNATION OF THE VEHICLE 1504. Registration number of the vehicle : OD02E5191 1505. Make & Model of the vehicle : Tata Winger Ambulance 1506. Year of purchase and received :2/26/2073 \507. Cost of the vehicle : 1058838.54 1508. Period of service rendered : 25.14 1509. Kifometers run: 414525 1510. Amount spent on repair & kilometer run in the last three years : L26733Km-t411596 1511". Whether there was any major damage to the vehicle if so, when: No Major damages L5L2. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : LO7894 For Zioitza'n^0 Health Care Limited >/."'\."^J\- Pdfffi g s i n a t u re LH6?F;.o"dltlli .r,. rg e of t h e ve h i c le With seal Arnb,io-n cz Cocic--t ORLS&ftI0115 f)c,-;e- Loc.a-ha-n ) Pc:Losotq ctJc @ PROFORMA FOR CONDEMNATION OF THE VEHICLE 1225. Registration number of the vehicle : OD02J3619 1226. Make & Model of the vehicle : Tata Winger Ambulance 1221. Yearof purchase and received :8127/2013 1228. Cost of the vehicle : 1058838.54 1229. Periodofservicerendered :2251 1230. Kilometers run : 381087 123L. Amount spent on repair & kilometer run in the last three years : 183004Km-{504736 1,232. Whether there was any major damage to the vehicle if so, when: No Major damages 1233. Whether engine was overhauled of replaced, if so, when & kilometers run after overhauling : Overhauling or Replaced not Done For Ziqitza Health Care Limited ( )^ ), )<4--T ,--r,- \-- piiojeciHcad.0dish: Signature ofthe officer in tharge ofthe vehicle With seal -_- \, Annexure.l PROFORMA FOR SUBMISSION OF DOCUMENT FOR OFFERING PRICE FOR DrsPosAL oF ouT oF SERVICE EMAS AMBULANCE ({08) REFERRTNG TO ' NoTrcE No. 1,18.2C. DtD.o6tost2o21 1,. Name of the Bidder (in capital letters) 2. Add ress* 3. Name ofthe a uthorised signatory (in capital letters) 4. Telephone number of authorized Signatory/ Organization. 5. GSTIN(Photo Copy to be Attached). 6. PAN (Photo Copy to be Attached). 7. AAdhar No (Photo Copy to be Attached). 8. Draft number and date of the Tender Paper cost of Rs.1,000/-. 9. Draft number & date of OUT OF SERVICE EMAS AMBULANCE the EMD Deposit of {. (108) (in word _ _ Nos. Amount {. Amount in Words -(Address should be complete and supported with proof (self aftested copies of ration card, registration certificate, voters l. Card). The bidder should always be available for receiving communications at the given address). 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