MEDICAL STORE. Tender No: 212/U-17/12/Empanel.Chemist/M.Store/2018 Date:

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1 1 श रम व र जग रम त र ऱय, भ रतसरक र Ministry of Labor & Employment, Government of India क०र ०ब ०न ०अस पत ऱ,स ह ब ब द, ग जजय ब द, उत तरप रद श ESIC Hospital Sahibabad, Ghaziabad Phone No MEDICAL STORE Tender No: 212/U-17/12/Empanel.Chemist/M.Store/2018 Date: Subject: Invitation of E- tender for Empanelment of Local Chemist for local purchase of Drugs & Dressings and Disposables, under Two Bid System. Last Date &Time of submission: 26/11/2018 up to 1.00 p.m. Date &Time of opening: 26/11/2018 at 2.30 p.m. EMD Amount: Rs.50000/- NOTE: - EMD through Demand Draft, Undertaking on non-judicial stamp paper of Rs.100/- as per Annexure-III and Declaration about authorized signatory as asked in point no. 3 of General Terms and Conditions (signing of tender), must be dropped in Original, in the sealed box kept in Administrative block of ESIC Hospital, Sahibabad, Ghaziabad, U.P., latest by 1:00 p.m. strictly on or before the last date of online submission of technical/financial bids.

2 2 NOTICE INVITING TENDER (NIT) E-TENDER NOTICE FOR EMPANELMENT OF LOCAL CHEMIST FOR USE IN ESIC HOSPITAL, SAHIBABAD, GHAZIABAD, U.P. FOR A PERIOD OF TWO YEARS. Sir(s), The Medical Superintendent, ESIC Hospital, Sahibabad invites E-tenders from eligible local chemist/agency for day to day supply of Drugs/Medicines(Allopathic), Dressings and Disposables in this hospital under two bid system. The Tender Documents comprising the General Terms and Conditions of Contract and the special terms and conditions of contract which will govern any contract made, are available at the website & and Central Govt. Procurement Portal. The bidder shall have to pay Rs.50000/- as EMD shall be deposited by the tenderer through Demand Draft, Pay order OR Banker s Cheque only, Drawn in Favor of ESI Fund A/C No: 1, Payable at SBI Sahibabad, Ghaziabad, to be dropped in the sealed box kept in Administrative block, ESIC Hospital, Sahibabad, Ghaziabad, U.P., latest by 1:00 p.m. on or before the submission of online bids. The interested bidders should upload their bids along with duly signed scanned copies of all the relevant certificates, documents etc. in support of their technical & price bids on the as per schedule attached. Tenderers are requested that, before quoting their rates or sending tender, the tender forms may please be read out thoroughly (line by line) so as to have a clear knowledge of the requirement contained therein, otherwise purchaser will not be held responsible for any error / oversight of his own and the penalties shall be levied for not complying with the requirements stated herein or supply of the required item/services. Tenderers are also requested to submit their bids online along with the complete requisite informations, undertakings, legal certificates etc. well in time before closing the site, failing which requests for extension of due dates of opening, on account of incomplete documentation will not be entertained. MEDICAL SUPERINTENDENT

3 3 IMPORTANT INSTRUCTIONS FOR BIDDERS REGARDING ONLINE PAYMENT 1. 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. 2. Bidders should get registered at 3. 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. 5. 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. 6. Bidders can contact our Helpdesk at:

4 4 MEDICAL STORES INDEX Subject: E- Tender for Empanelment of Local Chemist for local purchase of Drugs,Dressings and Disposables. Sl. N. DESCRIPTION PAGE Nos./ANNEXURES 1. TENDER INVITATION NOTICE Page No ELIGIBILITY CRIETARIA Page No GENERAL TERMS AND CONDITIONS Page No SPECIAL TERMS AND CONDITIONS Page No FORMAT OF PERFORMANCE REPORT Page No. 13 (Annexure-I) 6. CHECK LIST (DOCUMENTS TO BE UPLOADED) Page No. 14 (Annexure-II) 7. UNDERTAKINGS TO BE SUBMITTED ON NON JUDICIAL STAMP PAPER OF Rs.100/- Page No (Annexure-III) 8. FORMAT OF PRICE BID Page No.17 (Annexure-IV) 9. FORMAT OF BANK GUARANTEE Page No.18 (Annexure-V)

5 5 ELIGIBILITY CRITERIA:- 1. Bidders should have a valid retail license for retail of Drugs/Medicines (Allopathic), Dressings and Disposables, issued by Drug Controller Authority of the state for running the chemist shop for various categories of Allopathic drugs as applicable under the provisions of Drug & Cosmetic Act 1940, as on the date of bid opening above, for various categories. The successful bidder will further ensure that their licenses remain valid till the end of Contract period. 2. The bidder must have a continuous experience of 03 (Three) consecutive years as on 31/10/2018, in the business of Local trade of drugs out of which at least one year should be for supply to Government organizations i.e CGHS/ESIC/Defence/PSUs/other autonomous Government organisations. An experience certificate cum performance report should be accompanied with the bid. 3. The tenderer must be located within 15 Km. radius area of this hospital. 4. All the uploaded documents of the offers should be clearly scanned/ legible and should be signed by the authorized signatory. 5. The tenderer Firm/company/agency/sole proprietor should not be declared as black listed and should not have any fraudulent case pending under the Drugs & Cosmetics Act & Rule there under as well as under Drug price control order during last five years. Self-declaration must be furnished in this regard. 6. The tenderer firm/company/agency/sole proprietor must have GST registration certificate. Notarized copy of the same should be uploaded. 7. The tenderer firm/company/agency should have Annual Turnover of Rs.1.0 crore, duly certified by Chartered Accountant along with profit & loss account and income & Expenditure statement of the firm for the last three years. 8. The bidder who quoted for higher discount rates on MRP of Branded or Generic drugs will be considered for selection. 9. No Conviction Certificate in original/photocopy attested by a gazetted officer/public notary issued from State Drug Controller that there is no case pending under the Drugs and Cosmetic Act and Rules there under, as well as under Drug Price Control Order (DPCO) against the firm during last 05 (five)years. No conviction certificate must be issued after

6 6 GENERAL TERMS AND CONDITIONS 1) TENDER SCHEDULE:- Last date and time of submission of tender- 26/11/18 up to 1:00 p.m. Date and time of opening of tender- 26/11/18 at 2:30 p.m. Tender will be opened in the presence of bidders who wish to attend the opening of tenders. 2) PREPARATION OF TENDER:- While uploading, the offers should be signed in full on each and every page, failing which the tender will be liable for rejection. If any item in the schedule is not being tendered for the corresponding space against the item should be defaced by some such words as Not Quoting. In the event of the space on the schedule form being insufficient for the required purpose, additional pages may be added. Each such additional page must be numbered consecutively, bear the tender number and be fully signed by you. In such cases, reference to the additional pages must be in the tender form. If any modification of the schedule is considered necessary, you should communicate the same by means of separate letter sent with the tender. The tenderer shall have to quote for all the schedules of drugs including anti-cancer medicines. 3) SIGNING OF TENDER:- The tender is liable to be ignored if complete information is not given therein or if the particulars and date (if any) asked for the tender are not fully filled in. b) Individuals signed tender or other documents connected with the contract must specify: Whether signing as a Sole Proprietor of the firm or his Attorney? Whether signing as a Registered Active Partner of the firm or his Attorney? NOTE: - In case of unregistered firms, all the members or all Attorneys duly authorized by all of them or the Manager of the firm should sign the tender and subsequent documents. 4) SUBMISSION OF TENDER:- Tenderer are requested to submit the tender in 03 (three) steps separately. (1) EMD for tender of Empanelment of Local Chemist should be SUPERSCRIBED on the top of the envelope. (2) Technical bid should be as per terms & conditions, duly signed by the authorized signatory (on all pages of

7 7 tender document) as well as self-attested (in case of photocopy/scanned of document) supportive document. (3) Price bid for empanelment of local chemist should be uploaded as per Price Format of the tender document separately. 5) OPENING OF TENDER: - 1. The EMD envelope shall be opened first, and then technical Bid of only those bidders who has submitted demand draft towards EMD shall be opened. 2. Then technical bids will be opened as per the schedule in the presence of bidders and will be evaluated by Technical Evaluation committee and shortlist the eligible/technically qualified bidder as per the Terms & conditions of tender document. 3. The price Bid of only those tenderers whose technical bid is fully accepted by the technical evaluation committee shall be opened on any subsequent day under intimation to qualified parties. 6) VALIDITY OF TENDER:- The Bids shall be valid for acceptance for a period of 180 (One hundred and eighty) days from the date of opening of the tender. 7) SELECTION OF ELIGIBLE TENDERER. The technically qualified bidder who has offered maximum discount on MRP will be selected as successful bidder. In case one bidder does not quote maximum discount on MRP in all the categories and in case one bidder quote maximum discount on MRP in one category and other quote maximum discount on MRP in other categories ESIC hospital, Sahibabad reserves the right to give weightage to different category and selection of successful bidder will be done accordingly. The M.S., ESIC Hospital, Sahibabad reserves the right to reject any or all tenders without assigning any reason whatsoever. Also the Medical Superintendent reserves the right to award any or part or full contract to any successful agency (ies) at its discretion and this will be binding on the tenderer. M.S reserves the right to enter into parallel contract simultaneously or at any time during the period of this contract with one or more chemist for one and the same medicine or for different medicines. It is mandatory for bidders to have an Internet connection and an active ID. Bidders should agree to fill all details of medicines against Purchase order received through in Excel format provided by ESIC, when asked for, during the contract period. Bidders should provide their active ID.

8 8 SPECIAL TERMS AND CONDITIONS. A. PERFORMANCE SECURITY (SECURITY DEPOSIT): - On acceptance of the tender, contractor/supplier shall deposit a sum of Rs.500,000/- as security money within the period specified by the Medical Superintendent. The hospital authority shall be entitled to forfeit the security deposit or any part thereof without prejudice to any other remedies provide in the contract or available under the law. The security shall be in the form of Demand Draft/FDR in favor of ESI Fund A/c No -1 payable at SBI Sahibabad. Performance Security can be deposit through Bank Guarantee as per Annexure-V. If contractor fails in fulfilling above mentioned terms and conditions, such failure will constitute a breach of the contract and the MS shall be entitled to make other arrangements at the risk and expense of the contractor/supplier. On due performance and completion of the contract in all respects, the Security Deposit will be returned to the contractor without any interest on presentation of satisfactory performance report from the user unit. Security Deposit will be forfeited in cases of Unsatisfactory Performance Report. B. ACCEPTANCE OF TENDER (PRICES): - The acceptance of the tender will normally be on the basis of maximum discount offered by the local chemist. Separate discount should be quoted for each head- Generic, Branded drugs, Surgical etc. The chemist will be paid on MRP i.e., Maximum Retail price (which is printed on the packing/flaps/bottles) less discount and no any other levy/tax to be paid which has to be borne by the chemist. Tempering on the printed MRP of the manufacturer by the local chemist by use of stickers or any other means will not be accepted. C. INSPECTION OF STORES/WORKS:- Supplies shall be accepted/work shall be certified as completed subject to inspection by Medical Superintendent, ESIC Hospital, Sahibabad or his assigned representative. Any defect found in the materials/item will render the supplies/work open to rejection and decision of the Medical superintendent, ESIC Hospital, Sahibabad shall be final and legally binding. The rejected stock shall be returned to the suppliers at their risks and cost. D. LIFE PERIOD:- a) The shelf life of drugs/items supplied should not have passed more than one half of shelf life, from the date of manufacturing at time of supply. b) Items like Bandage, Gauge, Cotton, Disposable syringes and other surgical consumables will be treated as generic and discount applied accordingly.

9 9 E. RESPOSIBILITY OF EXECUTING CONTRACT:- The contractor is to be entirely responsible for the execution of the contract in all respects in accordance with the terms and conditions as specified in the acceptance of tender. The contractor shall not sublet transfer or assign the contract to any part thereof without the written permission of the Medical Superintendent. In the event of the contractor contravening this condition, MS is entitled to place the contract elsewhere on contractor s risk and the contractor shall be liable for any loss or damage, which the M S, ESIC Hospital, may sustain in consequence or arising out of such replacing of the contract. The contractor will maintain sufficient stock of the standard quality of medicines at all times to avoid inconvenience to ESI Beneficiaries. The local chemist (Contractor) will also maintain sufficient stock of generic division of the reputed/leading manufacturers of drugs. Preference will be given to that Contractor who will provide us generic versions of the items. Local chemist (contractor) will indicate Batch No., Name of manufacturer, Manufacturing date and Expiry date on indents at the time of supplying the drugs at Hospital. Indents are to be accepted duly countersigned by the M.S/Medical store In charge of the hospital. F. DELIVERY TERMS:- The delivery of supplies will be made on SAME DAY as the collection of the indents or at the latest by the next day, without fail, at the premises of the hospital indenting the supplies, as directed. On no account should there be delay or refusal by local chemist in which case the hospital would make alternative procurement at the Tenderer s risk and expense. Normally price of generic medicines is less than the same branded medicine. However, if rate of any generic medicine is more than its branded counterpart, the branded version will be supplied. Tenderer will agree to do marking of all supplies with the stamp ESI SUPPLY NOT FOR SALE The drugs/dressing Materials/Surgical Consumables to be supplied will be of standard quality. In case, it is found that any particular medicine has expired, or is substandard or spurious, the Local chemist will be liable to be black-listed for a period of 05(Five) years for future participation in any ESIC Tender. Besides this, any other legal action(s) as deemed fit, will be taken. In case of failure or refusal by local chemist to supply the medicines to the hospital, the contract is liable to be cancelled at his risk and cost. If for any unavoidable reason beyond the Tenderer s control, it is not possible for local chemist to immediately supply the medicines and the hospital is compelled to procure the same from other local Chemist, extra expenditure on this account will be recovered from subsequent bill(s)/security deposit. Under no circumstances the indented medicine would have to be substituted in case the Indent is of brand item. If any medicine indented by the Hospital is not supplied by the Local Chemist, the same will be procured from elsewhere and the extra expenditure incurred will be deducted from the incoming bills /existing bills of that particular Local Chemist The contractor should give a declaration that the medicines/article supplied for this contract shall be of the best quality and in accordance with the specifications as indented and if the drugs/articles are discovered not to conform to the description and the quality aforesaid have deteriorated, the purchaser in that case will be entitled to reject the said articles or such part thereof as may be discovered not conforming to the said description and quantity. On such rejection such article or such articles or such part in thereof as the purchaser may decide, will be replaced forthwith, failing which the contractor will be deemed to have committed a breach of contract and be liable to pay such damage as may arise by reason of breach of the condition of the contract or otherwise. The

10 10 decision of the Purchaser in that behalf will be final and conclusive. a. The approved tenderer and/or their authorized representative(s) will visit the Medical Stores section of this hospital daily on working days between 2.00 pm to 3.00 pm from Monday to Friday to collect the order of local purchase. b. After obtaining the order as specified in clause above, the approved tenderer and/or their authorized representative(s) shall supply the materials as per order to the store section (Medical) of this hospital on the next working day by 2.00 pm from Monday to Friday or maximum within the 48 hours of the indent date. c) The tenderer or his representative should be available / approachable for 24 hrs. over phone for supply of drugs and dressings. In case of any emergency requirement, if the order is placed for any item any time, the requisition item shall have to supply immediately. The contact telephone number and mobile number must be provided to the hospital authority for such purpose. d. During normal office hours, the Medical Store will receive the drugs, dressings, surgical items, etc. and will verify the Maximum retail price (MRP) & and other particulars and certify on the Annexures (K & L). e. Under no circumstances the intended medicine would have to be substituted in case the indent is of brand name. f. Against each item, the Maximum Retail Price (MRP), selling price, taxes claimed etc. must be clearly mentioned along with the batch/lot no, Manufacturing date, Expiry date, in the daily Annexure (K & L) and the bills submitted fortnightly. g. All Annexure (K & L) as well as the bills are to be submitted strictly in triplicate. Bill should be Pre-receipted with application of revenue stamp wherever necessary. Care should be taken to submit the Annexure and bills duly completed and without any errors to prevent Rejection/cancellation/delay in their processing of bills. It should be received in favor of M.S. ESIC Hospital, Sahibabad. h. All items/drugs/dressings/pathological items etc. must have sufficient useful life for use in hand, before it is supplied to this hospital. i. The tenderer must ensure to supply the Generic Drugs of reputed manufacturers/companies only. G. RECOVERY OF SUM DUE: - Whenever any claim for the payment of a sum of money arises out of or under this contract against the contractor (Local Chemist) the purchaser shall be entitled to recover of such sum by appropriating, in part or whole the security/earnest money deposited by the contractor, when the balance of the total sum to be recoverable, as the case may be shall be deducted from any sum then due or which at any time thereafter may become due to recoverable under this or any other contract with the purchaser. Should this sum not be sufficient to cover the full amount recoverable the contractor shall pay to the purchaser on demand the remaining balance due. Family members of officers/officials working in ESIC cannot take part in this tender enquiry. Each bidder will have to give an undertaking to this effect on a Non Judicial Stamp paper of Rs.10/-.This will also apply to officer/official who leave/ retire in any form from the services of ESI Corporation within 01 (One) year of date of opening of tender. The tenderer will not be allowed to subcontract. If this comes to notice, action will be taken which may amount to cancellation of contract awarded to him and or forfeiture of Performance Security money.

11 11 Medical Superintendent reserves the right to enter into parallel contract simultaneously or at any time during the period of this contract, with one or more chemists for one and the same medicine or for different medicines. Conditional bids will not be accepted. H. FRAUD & CORRUPTION: - The bidder, supplier, contractor and the consultants will observe the highest standard of ethics during the procurement & execution of such contracts. In pursuit of this, the Medical Superintendent defines, for the purposes of this provision, the terms set forth below as follow:- Corrupt Practice means the offering, giving, receiving or soliciting directly or indirectly of anything of value to influence the action of public official in the procurement process or in contract execution. Fraudulent Practice means a misrepresentation or omission of facts in order to influence a procurement process or the execution of a contract. Supply of generic medicines as branded will also be considered as fraudulent practice and liable to termination of the empanelment. 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; Coercive Practices means harming or threatening to harm, directly or indirectly, person or their property to influence their participation in the procurement process or affix to execution of a contract. 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. I. RISK PURCHASE: - In case of failure to supply any or all items as per requisition/purchase order/specification/prescribed brand of item or failure to turn up to collect the orders from then hospital, it shall be treated as non-compliance and breach of contract and the order in part or full shall be arranged from alternative source(s) at the discretion of the hospital authority and the difference in prices will be released from the tenderer with whom contract is made by way of any of his subsequent/pending bills or security deposit. J. PERIOD OF CONTRACT: - The contract shall be valid for two years from the date of award of the contract unless short closed before that by the Medical Superintendent. However, the Medical Superintendent on his discretion can also extend the period as required on the same terms & condition on mutual consent. K. ACCEPTANCE: - On finalization of the tender the local chemist will be communicated by a letter of offer. In case Local Chemist is willing to accept the offer he may submit the letter of acceptance and enter into the agreement with ESIC as per terms and conditions of the contract by signing a formal agreement of contract on Rs.100 stamp paper. L. PRESENTATION OF BILL: The Contractor shall present his bill for each fortnight's supply within ten days of the closing of each respective fortnight. The bill shall be in the printed and serially numbered Invoices/ Credit bill with the name and address of the Chemist and Sales Tax Registration Number printed thereon.

12 12 The bill shall show the summary of the total amount for each day for the net amount claimed, and supported by the acknowledged first copy of the indent, with all the column duly filled in. The purchaser reserves the right to demand the original purchase invoice of the Local Chemist, of the batches of generic and branded medicines supplied, for verification of the Net Trade Price claimed by the contractor. M. PAYMENT:- The Contractor shall claim payments twice a Month i.e every two weeks. Payments of the bills prescribed in complete forms and in time will normally be arranged in 1 to 2 weeks from the date of presentations. However, no claim shall be made by the contractor against the ESI Corporation in respect of interest or damage in case the payment is delayed for any reason beyond the control of ESI Corporation. The Medical Superintendent reserves the right to accept or reject any or all the tender(s) without assigning any reason(s) thereof and have the right to place orders to one or more firms. N. ARBITRATION CLAUSE: In case of any dispute (between the purchaser and the Local chemist arising under the contract or in regard to the interpretation of the terms and conditions of the contract, decision of the Medical Superintendent or any other Officer nominated by him to act as Arbitrator in the dispute, shall be final and binding on both the parties of this contract. In case of disputes all the legal matter will be settled under the jurisdiction of court of Ghaziabad. --sd-- Authorised Signature

13 13 ANNEXURE I PERFORMANCE CERTIFICATE TO BE GIVEN BY THE CONTRACTOR. This is to certify that M/S..address( of establishment)...have supplied Medicines/drugs(Allopathic) to this organization (Name of organisation)...from the period. To Their performance has been satisfactory and no complaints have been received in this regard. Signature and Seal of Competent authority

14 14 ANNEXURE II CHECK LIST DOCUMENTS TO BE SUBMITTED BY THE TENDERER: - The contractor (local chemist) will submit the following documents along with the tender: - 1. Scanned copy of valid drug license for retail chemists as per Drugs & Cosmetics Act. 2. Scanned copy of valid trade license. 3. Scanned copy of Latest GST registration certificate. 4. Scanned copy of No Conviction certificate from Drug Controller office. 5. Name & Addresses of their Bankers for ECS/RTGS purposes. 6. Scanned copy of PAN CARD. 7. Audited Annual Turnover of Rs.1.0 Crore, duly certified by Chartered Accountant along with balance sheet showing profit & loss account and income & Expenditure statement of the firm for the last three years i.e , , List of old /existing empanelment. 9. Scanned copy of Experience/Performance certificate. 10. Declaration regarding distance of our establishment from your hospital. 11. Blacklist/no pending case undertaking. 12. Name & address of bankers & bank A/c no. for ECS/RTGS. 13. Undertaking to this effect that the bidder is neither employee nor retired during last one year from the ESIC, on a Non Judicial Stamp paper of Rs.10/-. Note: Tenderers who do not furnish documents referred above will not be considered. SIGNATURE OF TENDERER with seal Address:

15 15 To The Medical Superintendent, ESIC Hospital, Sahibabad, Ghaziabad, U.P. Dear Sir, UNDERTAKING TO BE GIVEN ON NON JUDICIAL STAMP PAPER OF Rs.100/-. ANNEXURE III 1. I/We/am/are authorized signatories of M/s. 2. I/ we hereby undertake as follows:- 3. I/We hereby offer to supply Medicines/Drugs(Allopathic), Dressings and Consumables to your hospital as indicated in the Tender document in the clause acceptance of tender. 4. I/We have understood the instructions to the tenders and conditions of contract in the schedule to the tender form and accept them. 5. I/We am/are fully aware of the nature of stores required and my/our offer is to supply stores strictly in accordance with the requirements. 6. I/We agree to arrange supplies in accordance with the nomenclature, specifications and packages given in the schedule to tenders. 7. I/We agree to arrange the supplies of life articles as stipulated in the schedule to the tender. 8. I/We agree that the supply of aforesaid and will comply with the provisions of Drugs and Cosmetics Act, 1940 and rules made hereunder. 9. I/We agree to abide by the Terms & conditions of tender and the schedule to the tender and specifically to the arbitration clause of the contract. 10. I/We undertake and agree to abide that under any circumstances if my /our license for executing business is cancelled/ suspended by any authority of State Govt., my contract with ESI Corporation will be terminated automatically and my security will be forfeited. I/We also enclose: Requisite EMD and complete tender document duly filled, signed with stamped on each page. 12. Self-attested copy of valid drug license for retail chemist as per Drugs and Cosmetics Act is uploaded. 13. Certified copy of, No Conviction Certificate issued from State Drug Controller that there is no case pending under the drugs and cosmetic Act and Rules there under as well as under Drug Price Control Order (DPCO) against the firm during the last 05 years. No conviction certificate must be issued after Copy of Latest GST Registration Certificate. 15. Names and addresses of bankers along with other documents for E.C.S purpose as per Annexure F (Mandate form). 16. Audited annual turnover report (complete) duly certified by Chartered Accountant along with profit & loss account and Balance sheet of the firm for the last three consecutive financial years i.e , , Each and every page of the Tender document is signed and stamped by me excluding the originals if any submitted along with tender. 18. Satisfactory performance certificate from competent authority from Govt./Private organization. 19. I/We undertake to replace the Items supplied which are near expiry and slow moving as and when asked for. 20. I/We undertake to do Marking of medicines (ESI Supply-Not for Sale) on all items 21. My/our active ID is Signature of Tenderer with Seal Address:

16 16 ANNEXURE- IV COMMERCIAL BID (Should be on Letter Head of the Firm) I/We undersigned is /are authorized signatory/signatories of the firm M/s address of establishment at do hereby undertake to quote discounts for Drugs & Dressings and Consumable items as follows: - S. N. PARTICULARS Discount in % on MRP (inclusive of all Taxes) ( in Figure 1. For Branded Medicines/Drugs (Allopathic) 2. For Generic Medicines/Drugs (Allopathic), Dressings and Consumables. 3. For Branded Anti-Cancer Medicines/Drugs (Allopathic) 4. For Generic Anti-Cancer Medicines/Drugs (Allopathic) (Discount in % on MRP (inclusive of all Taxes) (in Words) *NOTE: Please quote % (percentage) of discount in figure as well as in words without any overwriting/ Cutting/ erasing. In case there is any overwriting/ Cutting/ erasing and any discrepancy in % (percentage) of discount quoted in words and figures, then % (percentage) of discount quoted in words will be considered. Application of fluid in the % (percentage) of discount quoted shall render the bid ineligible for consideration. On and average, highest percentage of discounts offered amongst all the categories will be selected, however in case of more than one, the bidder who offered maximum discount for Branded Medicines/Drugs (Allopathic) as mentioned in category 1 above will be considered. The delivery will be made to the medical stores of ESIC Hospital, Sahibabad. Financial Bid should be typed. The rate should be quoted in figures as well as in words. No cutting or overlapping is acceptable. The tenderer should have to quote discounts for all types of the medicines including Anti-Cancer Drugs. Items like Bandage, Gauge, Cotton, Disposable syringes and other common surgical consumables will be treated as generic and discount applied accordingly. Name & Signature of authorized signatory/signatories of the Firm with stamp

17 17 ANNEXURE- V To The Medical Superintendent, ESIC Hospital, Sahibabad, Ghaziabad, U.P. BANK GUARANTEE FORM FOR PERFORMANCE SECURITY (At the time of award of tender) WHEREAS (Name and address of the supplier)(hereinafter called the supplier)has undertaken, in pursuance of contract No. 212/U-17/12/Empanel. Chemist/M. Store/2018 Date: To supply Medicines/Drugs(Allopathic), Dressings and Consumables (herein after called The contract ). AND WHEREAS it has been stipulated by you in the said contract that the supplier shall furnish you with a bank guarantee by a scheduled commercial bank recognized by you for the sum specified therein as security for compliance with obligations in accordance with the contract; AND WHEREAS we have agreed to give the supplier such a bank guarantee; NOW THEREFORE we hereby affirm that we are guarantors and responsible to you, on behalf of the supplier, up to a total of Rs., and we undertake to pay you, upon your first written demand declaring the supplier to be in default under control and without cavil or argument, any sum or sums within the limits of (amount of guarantee) as aforesaid, without your needing to prove or to show grounds or reasons for your demand or the sum specified therein. We hereby waive the necessity of your demanding the said debt from the supplier before presenting us with the demand. We further agree that no change or addition to or other modification of the terms of the contract to be performed there under or of any of the contract documents which may be made between you and the supplier shall in any way release us from any liability under this guarantee and we hereby waive notice of any such change, addition or modification. This guarantee shall be valid up to 30(Thirty) months from the date of commencement of contract i.e. up to (indicate date).. (Signature with date of the authorised officer of the bank) (Name & designation of officer) (Seal, name & address of the bank and address of the branch)

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