dezpkjh jkt; chek fuxe ekwmyk glirkkyk E.S.I. CORPORATION MODEL HOSPITAL PBX

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1 dezpkjh jkt; chek fuxe ekwmyk glirkkyk E.S.I. CORPORATION MODEL HOSPITAL PBX bamflvz;y,sfj;k] Qst& II jke njckj] p.mhx< INDUSTRIAL AREA, PHASE-II, RAMDARBAR,CHANDIGARH (AN ISO 9001:2015 CERTIFIED HOSPITAL) FAX fpurk ls eqfdr Website : - esicmh_chd@yahoo.com No:172 /U-16/17/11/17/DENTAL/ESIH-CHD Date:- 07/02/2018 E-TENDER NOTICE E-tender inquiry form for Denture and Capping of teeth/bridge work in respect of patients referred by the ESIC Model Hospital, Indl Area, Phase-2, Ram Darbar, Chandigarh. E-tender under two bid system through 'e' procurement solution are invited by Medical Superintendent ESIC Model Hospital, Chandigarh. The tender will be valid for two years extendable for another one year based on satisfactory services. The conditions of contract which will govern the contract made, are contained in the tender form. E-Tender Schedule Sr. no Name of item EMD (Rs.) Date of availability of E-tender document from Last date and time for online submission of the Tender Last date and time of submission of the sealed envelope Date and time of opening of online tender and tender box. 1 Empanelment for Denture and Capping of teeth/bridge work /- 20/02/ /03/2018 up to 01-00PM 14/03/2018 up to 01-00PM 14/03/2018 up to 02-30PM Note- In case it happens to be a holiday then tenders shall be opened on the next working day at the same time. Tender documents are available online from 20/02/2018 at and Any corrigendum to this letter will be notified through the aforesaid websites only All the bidders are requested to periodically check the websites for any additional information. Medical superintendent reserves the right to accept any tender in full or in part, or to reject any or all tenders at any time without assigning any reason thereof. (Medical Superintendent)

2 Bidders have to deposit the EMD as per details mentioned below in the form of Demand Draft/Pay Order in favour of ESIC Fund Account No.-1,ESIC Model Hospital, Chandigarh. The interested tenderers should upload their technical & financial bids in chronological order with scanned copies of all relevant certificates,documents etc., duly signed on the e-tender portal latest by 20/02/2018 up to 1:00pm. In addition to e-tender which has to be filed online,the bidder are also required to submit hard copy of the following documents:- 1.Envelop A :Containing Earnest Money Deposit(EMD) in the form of Demand Draft/ Pay Order in favour of ESIC Fund Account No.1, payable at Chandigarh. 2.Envelop B :Containing Technical Bid. 3.Envelop C:Containing Financial Bid/Price Bid. All the above three envelops should be submitted in a sealed envelope superscribed Tender for Empanelment of Denture and Capping of teeth/bridge. Sealed envelope should be dropped in the tender box kept in administrative block at ESIC Model Hospital, Chandigarh on or before closing date & time i.e 14/03/2018 up to 1:00pm.Tenders received after the specified date & time shall be summarily rejected. Proof of postage/courier won t be considered as a claim for timely submission of tender. The technical bids will be opened online on 14/03/2018 at 2:30pm. Tender box will also be opened on 14/03/2018 at 2:30pm. Bidders or their authorized representative (with authority letter) can attend the opening. In case 14/03/2018 is declared a holiday, bids will be opened on next working day at the same time & venue. Bid without Demand Draft/Pay Order of EMD will be summarily rejected. Medical superintendent reserves the right to accept any tender in full or in part, to reject any or all tenders at any time without assigning any reason thereof. (Medical-superintendent)

3 fpurk ls eqfdr dezpkjh jkt; chek fuxe ekwmyk glirkkyk E.S.I. CORPORATION MODEL HOSPITAL PBX bamflvz;y,sfj;k] Qst& II jke njckj] p.mhx< INDUSTRIAL AREA, PHASE-II, RAMDARBAR,CHANDIGARH (AN ISO 9001:2015 CERTIFIED HOSPITAL) FAX Website : - esicmh_chd@yahoo.com No. 172/D-14/13/10/08/ESIH Chd. Date:- 07/02/2018 Important Instructions for Bidders regarding Online Payment All bidders/contractors are required to procure Class-IIIB Digital Signature Certificate (DSC) with Both DSC Components i.e. Signing & Encryption to participate in the E-Tenders. Bidders should get Registered at Bidders should add the below mentioned sites under Internet Explorer Tools Internet Options Security Trusted Sites Sites of Internet Explorer : Also, Bidders need to select Use TLS 1.1 and Use TLS 1.2 under Internet Explorer Tools Internet Options Advanced Tab Security. Bidder needs to submit Bid Processing Fee charges of Rs. 2495/- (non-refundable) in favour of M/s. C1 India Pvt. Ltd., payable at New Delhi via Online Payment Modes such as Debit Card, Credit Card or Net Banking for participating in the Tender. Bidders can contact our Helpdesk at

4 fpurk ls eqfdr dezpkjh jkt; chek fuxe ekwmyk glirkkyk E.S.I. CORPORATION MODEL HOSPITAL PBX bamflvz;y,sfj;k] Qst& II jke njckj] p.mhx< INDUSTRIAL AREA, PHASE-II, RAMDARBAR,CHANDIGARH (AN ISO 9001:2015 CERTIFIED HOSPITAL) FAX Website : - esicmh_chd@yahoo.com GENERAL TERMS AND CODNITIONS 1. SIGNING OF TENDER Individuals signing tender or other documents connected with the contract must specify:- i. Whether signing as a "Sole Proprietor" of the firm or his attorney. ii. Whether signing as a "Registered Active Partner" of the firm or his attorney. iii. Whether signing for the firm "Per Procurationem." iv. In the case of companies and firms registered under the Indian Partnership Act the capacity in which signing, e. g. Secretary, Manager, Partner etc. or their attorney and produce copy of document, empowering him to do so, if called upon to do so. 2. Authority of person signing document: A person signing the tender Form or any documents forming part of the contract on behalf of another shall produce the proof that he has authority to bind such other and if, on inquiry, it appears that the person so, signing had no authority to do so, the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh may without prejudice to other Civil and criminal remedies cancel contract and held the signatory liable for all cost and damages. 3. SUBLETTING OF CONTRACT: The Contractor shall not sublet, transfer or assign the contract or any part thereof. In the event of the contractor contravening this condition the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh, be entitled to place the contract elsewhere on the contractors account at his risk and the contractor shall be liable for any loss or damage which Medical Superintendent, E.S.I.C Model Hospital, Chandigarh may sustain in consequence of arising out of such replacing of the contract. 4. ASSISTANCE TO CONTRACTOR: The Contractor shall not be entitled to assistance from the purchaser either in the procurement of raw materials required for the fulfillment of the contract or in arranging transport facilities. 5. EARNEST MONEY: In the event of withdrawal/revocation of e-tender before the date specified for acceptance, the Earnest Money shall stand forfeited. a) Earnest Money of Rs.25000/- (Rs/- Twenty five thousand Only) must be deposited either through Banker's cheque or Demand Draft in favour of "ESIC fund Account No.1" payable at Chandigarh enclosed in a separate envelope mentioned as EMD. Tenders without EMD will not be considered. b) In case selected, the successful tender will have to deposit a security of Rs-50,000 /- The deposited EMD amount of Rs-25000/- will be adjusted towards security deposit. c) EMD of unsuccessful tenderer will be returned after the finalization of the contract. d) The tenderer shall sign a Pre-Receipt as per Annexure - D to facilitate it.

5 e) EMD of the firm will be forfeited in case the firm does not accept the offer after finalization of tender. 6. SECURITY DEPOSIT: If the contractor is called upon by the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh to deposit Security amount of Rs.50000/-and the contractor fail to deposit the security within period specified, the offer will be invalid and EMD will be forfeited. 7. Recovery of sum due:- Whenever any claim for the payment of a sum of money arises out of or under this contract against the empanelled centre, ESIC Model Hospital, Chandigarh shall be entitled to recover such sum by appropriating, in part or whole the security deposited by the contractor or from subsequent bills. 8. Insolvency and Breach of Contract: The Medical Superintendent, E.S.I.C Model Hospital, Chandigarh may at any time by notice in writing summarily terminate the contract without compensation to the contractor in any of the following events, that is to say:- (i) If the contractor being an individual or if firm, any partner in the contractor's firm, shall at any time be adjudge insolvent or shall have a receiving order or orders for administration of his estate made against him or shall take any proceedings for liquidation or composition under any insolvency Act for the time being in force or shall make any conveyance or assignment of this effects or enter into any arrangements or composition with his creditors or suspend payment or if the firm be dissolved under Partnership Act, or (ii) If the contractor being a company shall pass a resolution or the courts shall make an order for the liquidation of the affairs or a receiver or Manager on behalf of the debenture holder shall be appointed or circumstances shall have arisen which entitles the court or debenture holders to appoint a receiver or Manager, or (iii) If the contractor commits any breach of this contract not herein specifically proved for: Provided always that such determination shall not prejudice any right of action or remedy which shall have accrued or shall accrue thereafter to the purchaser and provided also that the contractor shall be liable to pay the purchaser for any extra expenditure he is thereby put to but shall not be entitled to any gain on repurchased. 9. Arbitration :- In the event of any question, dispute or difference arising under these conditions or any special conditions of contract, or in connection with this contract, except as to any matter the decision of which is specially provided for by these on the special conditions the same shall be referred to the sole arbitration of the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh or some other person appointed by him. It will be no objection that the arbitrator is a Government servant, that he had to deal with the matter to which the contract relates for that is the course of his duties as a Government Servant he had expressed views on all or any of the arbitration dispute or difference. The award of the arbitrator shall be final and binding on the parties to the contract. It is a term of the contract:- (a) If the arbitrator be the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh (i) In the event of his being transferred or vacating his office by resignation or otherwise, it shall be lawful for his successor in-office either to proceed with the reference himself or to appoint another person as arbitrator: or (ii) In the event of his becoming unable to act, for any reason it shall be lawful for Medical Superintendent, E.S.I.C Model Hospital, Chandigarh to appoint another person as arbitrator (b) If the arbitrator be a person appointed by the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh

6 In the event of his dying, neglecting or refusing to act, being unable to act, for any reasons it shall be lawful for the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh either to proceed with the reference himself or to appoint another person as arbitrator in place of the outgoing arbitrator. It is further a term of this contract that no person other than the Director General, Employees" State Insurance Corporation or the person appointed by him should act as arbitrator and that, if for any reason that is not possible, the matter is not to be referred to arbitrator at all. Upon every and such reference, the assessment of the costs incidental to the reference and award respectively shall be in the discretion of the arbitrator. Subject as aforesaid the Arbitrator Act, 1940 and the rules there under and any statutory modifications thereof for the time being in force shall be deemed to apply to the arbitrator proceedings under this clause. Work under the contract shall, if reasonably possible, continue during the arbitration proceeding and no payment due to payable by the purchaser shall be withheld on account of proceedings:- The venue of arbitration shall be Chandigarh. In this clause the expression " the Director General, Employees' State Insurance Corporation means the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh Scheme for the time being and who is for the time being the administrative head of the Employees' State Insurance Corporation, whether in addition or otherwise. For the purpose of the contract including arbitrator proceedings there under, the Medical Superintendent, E.S.I.C Model Hospital, Chandigarh shall be entitled to exercise all the rights and Powers of the purchaser. 10. Fraud and Corruption The Bidders, Suppliers, Contractors and Consultants, observe the highest standard of ethics during the procurement and execution of such Contracts. In pursuit of this; (a) defines, for the purposes of this provision, the terms set forth below as follows: (i) corrupt practice means the offering, giving, receiving, or soliciting, directly or indirectly, of anything of value to influence the action of a public official in the procurement process or in contract execution.; (ii) fraudulent practice means a misrepresentation or omission of facts in order to influence a (iii) procurement process or the execution of a contract; (iv) collusive practice means a scheme or arrangement between two or more Bidders, with or without the knowledge of the borrower, designed to establish bid prices at artificial, non competitive levels; and (iv) coercive practice means harming or threatening to harm, directly or indirectly, person or their property to influence their participation in the procurement process or affect to execution of a contract. (b) will reject a proposal for award if it determines that the Bidder recommended for award has, directly or through an agent, engaged in corrupt, fraudulent, collusive or coercive practice in competing for the Contract in question. 11. Location of Clinic/centre The centre should probably be housed on ground floor & in case of its location on other floors of multi storied building there should be a working lift so that old aged or physically challenged patients may not face any difficulty. The centre should be located in the tricity (Chandigarh/Panchkula/Mohali).

7 TERMS AND CONDITIONS FOR RATE CONTRACT FOR DENTURE AND CAPPING OF TEETH/BRIDGE WORK 1. Specifications in respect of denture and capping of teeth/bridge work exists at Annexure A & Terms and conditions Annexure B. 2. The tenderer should also submit an undertaking on letter head duly stamped and signed along with date that the terms and conditions of the tender are acceptable. 3. The Rate Contract will be valid for Two years from the date of issue of award letter of the tender. The duration of said contract can be extended for another one years if Medical Superintendent, E.S.I.C. Model Hospital, Chandigarh. desires so at the same terms and conditions. 4. Tender should be typed. The rates should be quoted in figures as well as in words. In case of any discrepancy in words and figures, that item will not be considered. Rates should be in whole numbers and not in fraction and decimals. 5. Deviation in terms and conditions in any form will not be acceptable at any stage. 6. The tenderer should also submit an undertaking on letter head duly signed and stamped along with date that the rates quoted for procedures for capping of teeth/ bridge work and Dentures are not being charged to any other organization at a rate lower than being quoted here. 7. The tenderer should submit an Undertaking on letter head duly signed and stamped along with date that the firm is not blacklisted in any Govt. Organization/Institution. 8. Any complaint in capping of teeth and Denture should be rendered by the empaneled dental surgeon free of cost for at least two years after delivering services to the patient. 9. The empaneled treating Dental Surgeon should be registered with the Dental Council of India.(Attach proof of valid registration). 10. Sample of the quoted items must be submitted by the eligible tenderer as and when informed by E.S.I.C MH, Ramdarbar, Chandigarh with in ten days from the date of issue of the letter for evaluation. 11. Facility of the Dentist who have applied will be inspected by committee/officers deputed by Medical Superintendent ESIC Model Hospital, Chandigarh The Tenderer will honour the reference slip issued by the MS office of the concerned hospital. 13. All the papers in tender form must be completely signed along with terms and conditions. 14. Government levies if any, may be mentioned separately. 15. Specifications for denture and capping of teeth/ bridge work exist in Annexure A and Annexure B. 16. IF ANY OF THE DOCUMENT MENTIONED IN THE CHECK LIST IS NOT ATTACHED BY THE TENDERER IN PREQUALIFICATION BID THE TENDER SHALL BE REJECTED. 17. All the disputes relating to the tender inquiry and rate contract shall be subject to territorial jurisdiction of courts at Chandigarh Only. 18. The Medical Superintendent, E.S.I.C Model Hospital, Chandigarh reserves the right to inspect the facility at any point of time during the entire period of the rate contract. 19. The Medical Superintendent, E.S.I.C Model Hospital, Chandigarh has the right to accept or reject any or all the tenders without assigning any reason /reasons thereof and have the right to place order on one or more firms. 20. The Medical Superintendent, E.S.I.C Model Hospital, Chandigarh, has the right to empanel more than one Centre/ Doctor to ensure better services in the Interest of the patients.

8 IMPORTANT NOTICE REGARDING BILLS PROCESSING The parties shall abide by the following undertakings in addition to ESIC Policy and standard Operating Procedures, the clauses mentioned in the Memorandum of agreement with ESIC Model Hospital and for the purpose of bill processing: A. The empanelled hospital shall acknowledge the referral from ESIS/ESIC Hospital/institution online. B. The empanelled hospital on admission of an ESI Hospital/institution Beneficiary shall intimate online to BPA the complete details of the patient, proposed line of treatment, proposed duration of treatment with clinical history within 24 hours of admission. C. After the patient is discharged, the hospital will upload the claim related documents as per SOP and ESIC policy viz Referral letter, bills, Lab reports, Discharge Summary, Doctors report, indoor papers etc to BPA through the web based application within seven (7) working days. D. The hard copies of the claim will be delivered/ dispatched to the concerned referring ESI Hospital/ institution within seven (7) working days but not later than 30days. E. The empanelled hospital shall submit all the medical reports in digital form as well as in physical form as per ESIC policy and SOP. F. The empanelled hospital agrees that the actual processing shall start when physical copies of the bills submitted by the empanelled hospitals to the concerned referring ESIC/ESIS Hospital, are verified by them on behalf of respective ESIC/ESIS Hospital. Counting of days shall start from such date for the purpose of TAT. In case of query raised on the bills the TAT for the purpose of BPA shall start from the date of reply to the last query raised by the Tie-up Hospital. G. in case of absence of certain physical documents, the Need More Information (NMI) status will be raised by the Verifier of the respective ESIC/ESIC Hospital, BPA or Medical processing team of respective ESIC Hospital/SMC office to the empanelled hospital/diagnostic centre for the missing/ambiguous physical documents (as per SOP). Empanelled hospitals/diagnostic centers shall have to submit the clarification/information inter-alia for all bills returned online at any level under Need for more info category (NMI), within 15 days failing which these claims will be processed by the respective levels and BPA on the basis of available documents without any further intimation and such bills/claims will be closed not to be opened further. H. The BPA will audit the medical claims of the ESI Hospital/institution Beneficiaries in respect of the treatment taken by them in the empanelled hospital and make recommendations for onward payment to ESIC Hospital/SMC office in a time bound manner within a period of 10 days from the date of submission of bills in physical format or reply to last query, whichever is later. I. The empanelled hospitals shall have the necessary IT infrastructure for interaction with BPA such as Desktop PC with inter net connectivity features, High speed High resolution multi page Document Scanner, Printer ETC. J. In case of some mistakes in the scrutiny of claims recommendations thereto by BPA resulting in excess payment to the empanelled hospital by ESIC Hospital the excess amount shall be recovered from the future bills of the empanelled hospital. K. Subject to BPA rendering bills-processing services as per terms and conditions of the agreement, the empanelled hospitals/diagnostice centres/claimants shall pay to the BPA, the service fees and service tax/gst/any other tax by any name called as applicable on per claim basis, as detailed below, through ESIC. L. The amount deducted towards fee and service tax/gst/any other tax by any name called from the payable claims of hospitals/diagnostic centers shall be forwarded by ESIC to BPA simultaneously along with the payments to empanelled hospital through ECS or any other mode of money transfer, as decided by ESIC. M. The processing fee admissible to BPA will be at the rate of 2% of the claimed amount of the bill submitted by the empanelled Hospital/Diagnostic center (and not on the approved amount) and service

9 tax/gst/any other tax by any name thereon. The minimum admissible amount shall be Rs (, which will be payable extra) and maximum of Rs. 750/- (exclusive of service tax/gst/any other tax by any name, which will be payable extra) per individual bill/claim. The fee shall be auto-calculated by the software and prompted to the ESI Hospital/SMC office by the system at the time of generation of settlement ID. N. The fee shall also mean to include any additional payment of service tax/gst/any other tax by any name called as applicable on such fee amount admissible to BPA. O. If the claim is rejected or results in to non payment to the empanelled hospital/diagnostic center, ESIC Hospital/SMC office shall recover the service charge and service tax/gst/any other tax by any name due to the BPA from the subsequent claims of the respective empanelled hospital/diagnostic center and shall pay to the account of the BPA. P. MEDICAL AUDIT OF BILLS: There shall be continuous medical audits of the services provided/claims raised by the empanelled hospital by ESIC/BPA.

10 CHECK LIST OF DOCUMENTS S.No. Particulars Page No. 1. Bidder profile mentioning Name, registered address, telephone number, bank detail (RTGS,IFSC code etc.), PAN No., total numbers of employees with qualification, Equipments list, area etc. 2. Proof of business/shop in tricity (Chandigarh/Panchkula/Mohali) 3. Annual accounts for the last two years i.e & A) Financial year /assessment year B) Financial year /assessment year containing balance sheet profit and loss accounts duly certified by Chartered Accountant (Annual turnover of the bidder should not be less than 25 lacs) C) Copy of tax audit report/certificate of CA for taxation as applicable as per income tax law for above two financial years. 4. Self attested photocopy of latest and valid GST registration certificate & vat receipt/sales tax clearance certificate /GST receipt (up to 30/06/17 & thereafter) 5. Affidavit on non judicial stamp paper duly signed and stamped along with date for each of the following (i) That terms and conditions of the tender are acceptable in complete (ii) That the firm is not black listed in any government organisation/institution. (iii) That the rates quoted for procedures for capping of teeth /bridge work and dentures are not being charged to any other organisation at a rate lower than being quoted here (iv) That will atttend to the complaint regarding dentures supplied and capping of teeth/bridge work done by the firm to the patients satisfactorily, free of cost for at least two years after delivering the dentures and procedure done for capping of teeth/bridge work to the patient. 6. Proof of valid registration with Dental Council of India for both dental surgeons. 7. (a) If any of the document mentioned above in the checklist is not attached by the tenderer in technical bid the tender shall be summarily rejected. (b) If the tenderer has not quoted for all the items as per table I (technical bid) the tender shall be rejected. Medical Superintendent, E.S.I.C Model Hospital, Chandigarh

11 ANNEXURE - A SPECIFICATIONS OF THE DENTURE TO BE PROVIDED i) Complete denture ii) Partial Denture The denture material should consist of heat cure High Impact Resin fibre of modified veined type acrylic material which gives the tinge of the underlying and adjacent mucosa. There should be no porosity present in the denture. Teeth should be of standard quality. It should be of good quality resin and teeth should be available in all sizes, shapes and shades with proper anatomical contouring. SPECIFICATION OF CAPPING OF TEETH/BRIDGE WORK 1. The need for the crown/bridge to be discerned by the refereeing Dentist. 2. Cutting/preparation of crown and bridge work will be performed by the empaneled Dentist. 3. The Impression material for the crown/bridge will be rubber base material and casting in the Dye stone material. 4. Crowns to be made up of Porcelain fused to Metal (PMF). 5. In case of Porcelain - VITA SHADED to be used.

12 ANNEXURE - B TERMS AND CONDITIONS 1. The treating Dental Surgeon must be registered with Dental Council of India. 2. The treating Dental Surgeon must have at least 5 years experience. 3. Any crown and bridge complaint must be rendered by the concerned Dental Surgeon free of cost at least 2 years after fixing to the patient. 4. The Dental clinics must have minimum of Two Dental Chairs along with two Dental Surgeon lab facilities and adequate staff.

13 ANNEXURE-C DENTAL TREATMENT PERFORMA NAME OF IP/IW NAME OF THE PATIENT RELATION INSURANCE NO DISPENSARY DATE OF REFERAL Sr. No. Date of visit of the Patient Signature beneficiary of Signature Treating doctor of Procedure/ treatment DATE OF COMPLETION OF PROCEDURE I HERE BY CERTIFY THAT THE ABOVE MENTIONED WORK HAS BEEN COMPLETED AS PER PRESCRIPTION FROM ESI HOSPITAL ON DATED IN CASE OF ANY COMPLAINT IN ABOVE PROCEDURE / PROSTHESIS SERVICES WILL BE RENDERED BY ME FREE OF COST FOR A PERIOD OF TWO YEARS FROM THE DATE OF COMPLETION OF PROCEDURE / PROSTHESIS. SIGNATURE OF TREATING DENTIST WITH STAMP MY TREATMENT OF DENTURE/CAPPING HAS BEEN COMPLETED. SIGNATURE OF INSURED PERSON

14 ANNEXURE D PRE-RECEIPT Received Rs. 25,000/- (Rs. Twenty five Thousand Only) towards refund of earnest money vide Ch. No. dated in respect of tender for Denture and Capping of Teeth/Bridge work published in newspaper dated. (Signature of the Bidder with stamp) REVENUE STAMP

15 TABLE-I TECHNICAL BID SR. NO. PROCEDURE : QUOTED (Yes/No) DEVIATION IF ANY 1 For Removable Denture (i) (ii) Complete Denture Partial Denture For First Tooth For additional teeth 2 For Capping of teeth/bridge work (i) Porcelain fused to Metal (PFM) Crown/Bridge work SIGNATURE WITH STAMP

16 TABLE-II PRICE/FINANCIAL BID (ENCLOSED IN SEPARATE ENVELOP) SR. NO. PROCEDURE : Price per unit in words Price per unit in figure 1 For Removable Denture (i) (ii) Complete Denture Partial Denture For First Tooth For additional teeth 2 For Capping of teeth/bridge work (I) Porcelain fused to Metal (PFM) Crown/Bridge work a) Price should be exclusive of GST/any other taxes. b) L1 will be decided on the basis of lowest rates quoted for each of the above. c) Price should be quoted in whole numbers & not in decimal/fraction d) Rates quoted should not exceed CGHS rates in respect of procedure wherever CGHS rates are available. SIGNATURE WITH STAMP