dezpkjh jkt; chek fuxe Employees' State Insurance Corporation

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No. 18U/16/31/1/07(c)/ESIC MH dezpkjh jkt; chek fuxe Employees' State Insurance Corporation vkn'kz fpfdrlky;,oa O;kolkf;d jksx dsunz Model Hospital and Occupational Disease Centre Ukankuxj] bunksj Nanda Nagar, Indore - 452011 nwjhkk"k / Tele - 0731-2554411 QsDl / Fax-0731-2559080 E-Mail ms-indore@esic.nic.in / www.esic.nic.in Tender Enquiry No. 10/2012-2013 (X-Ray & Other related items) Last Date & Time of submitting of tender 08.06.2012. (Friday), Upto 1 PM Date & Time of opening of tender 08.06.2012 (Friday) at 2.30 PM Date, Time & place of Pre-tender Conference01.06.2012.(Friday)at 10.00am in chamber of M.S. Office. SUBJECTTender enquiry for formation of Local Annual Rate Contract for supply of various X-Ray (Kodak, Konica, Fuji, indu & Other standard company) & Other related items for ESIC Model Hospital, Nanda Nagar, Indore for the year 2012-2013 (One Year). Sir, Medical Superintendent, ESIC Model Hospital, Nanda Nagar, INDORE invites tender under Single Bid system for X-Ray & Other related items as per specifications and Terms & Conditions enclosed for the formation of Local Annual Rate Contract for the ESIC Model Hospital, Nanda Nagar, INDORE for the Year 2012 2013. S.No. Name of Rate Contract Duration EMD Amount Tender Cost 1. X-Ray & Other related items ONE YEAR 2012-2013 (Can be Extended as per requirement) Rs.20,000/-(Twenty thousand only in form of DD/Banker's cheque in favor of ESIC Fund A/c no. 1,Model Hospital & ODC, Indore Rs. 250/-(Two hundred fifty only) in form of DD/Banker's cheque in favor of ESIC Fund A/c no. 1,Model Hospital & ODC, Indore (Without EMD & Tender cost the tender will not be accepted & separate D.D./Banker's cheque for both should be produced) The Completed tender along with EMD of Rs.20,000/-( Twenty thousand only & Tender cost of Rs. 250/-(Two hundred fifty only) in the form of DD/Bankers Cheque in favor of ESIC fund A/C No. 1,Model Hospital & ODC, INDORE. should be submitted in sealed envelope & super scribed as Tender for Laboratories & Other related items for year 2012-2013 in the office of M.S., ESIC Model Hospital & ODC, Nanda Nagar, Indore in the tender box placed in the chamber of Dy. Medical Superintendent on dated 08.06.2012. (Friday) up to 1 P.M. Proof of postage won t be considered as a claim for timely submission of tender. The tender shall be opened on dated 08.06.2012. (Friday) at 2.30 P.M. in DMS room in presence of tenderers or their representative, who wish to be present. In case 08.06.2012. is declared holiday, bids will be opened on next working day at the same time and venue. Tender form canbe also downloaded from website www.esic.nic.in and tender form cost (250/-Rs.) must be submitted along with tender form, otherwise tender form will be rejected. Medical Superintendent ESIC MODEL HOSPITAL INDORE 1 of 8 (Signature of tenderer with stamp) (Authorized signatory)

ANNEXURE- A TERMS & CONDITIONS FOR RATE CONTRACT FOR PURCHASE OF X-RAY & OTHER RELATED ITEMS 2012-2013 Sub- Tender enquiry for formation of Local Rate Contract for supply of various X-Ray & Other related items for ESIC Model Hospital, Nanda Nagar, Indore for the year 2012-2013 (One Year).. 1. Sealed Tenders are invited in single bid system for the formation of Local Rate Contract (2012-2013) from Manufacturer/Authorized dealer for purchase of the X-Ray & Other related items as per specification detailed in list enclosed.(annexure-.e.) 2. Sealed Tender form should be dropped in the Tender Box kept in chamber of DMS up to 1 p.m. on 08.06.2012..The tender will be opened at 2.30 p.m. on the same day. If that day is declared holiday, tender will be opened on the next working day at same time. Tender received late will not be entertained. Tenderer/Representative may attend the tender opening process. 3. Tender cost Tender cost of Rs.250/-(Two Hundred fifty only) in form of Banker s cheque or Demand draft in favour of ESIC fund A/C No. 1,Model Hospital & ODC, INDORE which is non-refundable. 4. EMD-Earnest Money of Rs. Rs.20,000/-( Twenty thousand only) is to be deposited along with the tender either through Banker s cheque or Demand draft in favor of ESIC fund A/C No. 1,Model Hospital & ODC, INDORE.. The EMD deposited with earlier tenders will not be adjusted against this tender. Tenders without EMD will not be entertained. 5. Security Deposit & Release of EMD- The EMD of all tenderers will be released after finalization of Tender without any interest and the successful tenderers will have to be deposited 5-10% of total cost of tender finalized as security deposit which will be released after satisfactory performance of the contractor without any interest. 6. Validity- The Rate Contract will be valid for two year from the date of finalization of the tender. The duration of said contract may be extended on the same terms & conditions and rates if M.S., INDORE so desires. Or M.S. has right to terminate the contract at any time before expiry of contract. 7. Rates- The rates should be applicable for ESIC Model Hospital & ODC, INDORE. Prices quoted should be for delivery F.O.R. Destination in INDIAN CURRENCY and should be inclusive of charges such as forwarding, packing etc. Tender not complete in this respect are liable to be ignored. Tenderers are requested to submit their quotation on firm price basis. The supplied items should be ISI/ISO/CE certified. 8. Quote- Rate should be quoted in as per Format enclosed in form of ANNEXURE-E after scanning the Annexure-E and returned back along with tender.rate SHOULD BE ENTERED BY COMPUTER TYPING ONLY.TENDER WITH HAND WRITTEN RATES WILL NOT BE ACCEPTED. Each page should be duly signed & stamped. 9. NO other terms & conditions shall be accepted from tenderer s side. 10. All the papers in tender form must be completely signed and stamp along with terms and conditions. 11. Deviation in terms & conditions in any form will not be acceptable at any stage. 12. Tenderer must submit an undertaking on the non judicial stamp paper of Rs. 100/- as per enclosed format for the following - (ANNEXURE-C) (A) They have three years experience in this business. (B) If above information is found incorrect/false at any time the tender is liable to be rejected. 13. Certified copy of latest VAT receipt should be attached. VAT receipt of VAT paid up to. 2011.or there after will only be considered as the case may be. 2 of 8 (Signature of tenderer with stamp)(authorized signatory)

14..Delivery/Supply Delivery period will be Three weeks from the date of placement of supply order If the successful tenderer fails to execute the supply order within the stipulated period (Three weeks from the date of issue of supply order), penalty of 2% of the value of the order calculated at the contract rate per week or a part of a week will be levied for late supply for two weeks. The maximum penalty for late supply shall not exceed 4% of the total value of the order/orders and if the order is not supplied even after two weeks then the items/goods will be procured from next higher bidder and the difference will be recovered from subsequent bills/security money deposit. The cut of date of delivery period shall be counted from the date of actual dispatch of supply orders to date of supplies at F.O.R. destination. If part supply is done by the firm, risk purchase will be resorted to for remaining quantity which has not been supplied. The extra expenditure involved in procuring the supplies will be recovered in full from the firm at the discretion of the competent authority. The risk purchase so imposed will be payable by the firm or will be deducted from the incoming bill(s)/security money of the firm. The items supplied having shelf life should not have passed more than half of shelf life from the date of manufacturing at the time of supply. The items must be supplied as quoted in the tender firmly, failure to which risk purchase should be done as per supply rule. Any variation from sample will not be accepted for supplied items against supply order. 15..Payment terms-payment for the stores or for each delivery will be made to the tenderer/authorized dealer on submission of bills subject to inspection and verification by inspecting authority. 16..Subletting of contract The contractor shall not sublet, transfer or assign the contract or any part thereof without the written permission of the Medical Superintendent, INDORE. In the event of the contractor contravening this condition the M.S., INDORE, 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 with the M.S., INDORE may sustain in consequence of arising out of such replacing of the contract. All the disputes relating to this tender inquiry and Rate Contract shall be subject to the territorial jurisdiction of courts at INDORE only. 17..If any quoted item is a proprietary product. Then certificate of proprietary product should be enclosed from manufacturer.sample should also be labeled as proprietary. 18..The M.S. reserves the right to accept or reject any or all the tenders without assigning any reason (s) thereof and have the right to place order on one or more firms. 19. X-ray film make- Kodak, Konica, Fuji, Indu & Other standard company along with authorized distributor certificate. X-ray films must be GREEN BASE categories. (Signature of tenderer with stamp) (Authorized signatory) 3 of 8

ANNEXURE-B DETAILS OF MANUFACTURING UNIT/ AUTHORIZE DISTRIBUTORS Name of the Tenderer & Full Address (Whether manufacturer / authorized distributor) PAN number Phone Nos. Fax No. E-mail Address Issued by Valid up to CST / VAT Registration No. Details of Name & Address of premises Where items are actually manufactured./stored. Signature of the Authorized Signatory Name & Designation of Authorized Signatory (Signature of tenderer with stamp) (Authorized signatory) 4 of 8

ANNEXURE C UNDERTAKING I/We undersigned is/are authorized signatory/signatories of the firm M/s.. Address do here by undertake that 1. The firm is in this business since last three years. 2. If above information is found incorrect/false at any time the tender is liable to be rejected. ATTESTED BY NOTARY Authorized signatory (With Rubber Stamp) ANNEXURE-D Forwarding letter of the firm FROM-... To, THE Medical Superintendent, ESIC Model Hospital & ODC, Nanda Nagar, INDORE-452011 Sub Tender enquiry for formation of Annual Rate Contract for supply of various X-Ray & Other related items for ESIC Model Hospital, Nanda Nagar, Indore. Sir, I/We/am/are authorized signatories of M/S........... 5 of 8

I/We hereby undertake as follows- 1. I/We hereby undertake to supply X-Ray & Other related items in areas specified by the Medical Superintendent, INDORE for the period of two year at the rates quoted by me/us and in the packing specified in the prescribed tender form, which is submitted herewith according to the instruction and the terms & conditions. The duration of the said contract may be extended for the period of few months/year or terminate before end of validity of contract, if the Medical Superintendent, INDORE so desired. 2. The rates quoted against each items of X-Ray & Other related items by me/us in the tender are inclusive of all packing charge, freight charges and duties payable during the contract period. However ST/CST/VAT charges may be mentioned separately against each item. 3. Necessary document as required are enclosed herewith in the order in which they are mentioned. 4. I/We understand that security deposit submitted on entering into contract, is likely to be forfeited in the event of lapse on my/our part to comply with the terms & conditions of the tender and also on the supplying Drugs/items of sub-standard quality or if proven to have followed unscrupulous practices apart from the liability of penal action for violating the law of the land. 5. I/we have carefully read and understood the terms & condition to avoid any error, omission. 6. I/We shall abide by these conditions. I/We will follow them very scrupulously. My/our firm has not been blacklisted by any other govt. organization /institution during the last three years. 7. I/We also take cognizance of the fact that failure to furnish the information called for by the Medical Superintendent, INDORE to comply with any requirements laid down under the condition will be considered as disqualification and the tender by rejection on that account. 8. I/WE undertake to abide by the instruction issued by the Medical Superintendent, INDORE from time to time. 9. In case of my supply declared substandard by any approved agency I/We am/are liable for appropriate action. 10 The rates quoted by me/us will not be higher than the rates quoted by me/us to any Govt. Institution/Agency within INDORE during the contract period. 11. If at any time during the execution of the contract, I/We reduce the sale price or sell or offer to sell such stores, as are covered under the contract to any person/organization, including any deptt. of the central Govt. at a price lower than the price chargeable under the contract, I/We shall forthwith notify such deduction or sale or offer to sell to Medical Superintendent/store manager, INDORE and the price payable under the contract for the store supplied after the date of coming into force of such deduction or sale or offer shall stand correspondingly reduced. 12. I/We hereby undertake to abide by the terms and conditions of the contract modified from time to time and I/We have signed all the papers of terms & conditions and filled up prescribed perform given along with the tender. Yours faithfully (Signature of tenderer with stamp) (Authorized signatory) 6 of 8

CHECK LIST 1. EMD Rs.20,000/-in form of D.D./BANKER`S CHEQUE YES/NO 2.TENDER COST RS. 250/- D.D./BANKER`SCHEQUE/BY CASH PAYMENT YES/NO 2.STCC (Certified copy of latest VAT ). YES/NO 3. UNDERTAKING ON NON-JUDICIAL STAMP PAPER OF Rs. 10/-(ANNEXURE-C) YES/NO 4.ANNEXURE A,B,C,D DULY SIGNED & stamped. YES/NO 5.DETAILS OF MANUFACTURING UNIT/AUTHORIZE DISTRIBUTORS- YES/NO ( ANNEXURE-B) 6. Original filled Tender document with duly signed & stamped on each page- YES/NO 7 of 8

ANNEXURE-E Sl.No. NAME OF ITEMS (Green base) MAKE & BRAND UNIT COST PER PKT. VAT@...% AMOUNT 1 X-ray film 14*17 (1*50 Films) 2 X-ray film 12*15 (1*50 Films) 3 X-ray film10*12 (1*50 Films) 4 X-ray film 8*10 (1*50 Films) 5 X-ray film 6.5*8.5 (1*50 Films) 6 Dental X-ray film (1*150 Films) 7 Develper (13.5 Litter) 8 Fixer (13.5 Litter) 9 Barium sulphate ( 5 Kg) 10 Kodak Thermal paper NOTE- All original pages of tender forms are to be duly signed and stamped and returned along with tender otherwise tender is liable for rejection. (Signature of tenderer with stamp)(authorized signatory) 8 of 8