Government of Chhattisgarh,Directorate of Health Services,

Old Nurses Hostel, Near D.K.S Bhawan,Mantralaya Parisar

Raipur-492001

Request for Proposalfor

establishing diagnostic centresin

public hospitals / health facilities in the State of Chhattisqarh[As amended after pre-bid meeting held on 19th January, 20131

1 Background

1.1 The Government of Chhattisgarh has adopted a public-private partnership (PPP)policy for the health sector. The over-riding objective of the policy is to utilize the technical,financial and managerial resources available in the private sector for strengthening thequality of services being provided through the public health care network. Outsourcing para-clinical and non-clinical support services at the public health facilities is one of the priorityareas under the policy.

1.2 The current RfP is being released to invite proposals for establishing network ofdiagnostic centres in public hospitals / health facilities across the State, defined as separatelots as follows:

Lot#1

3

5

7

DescriptionSurguja Division radiologyservices (67 locations)

Bastar Division - radiologyservices (79 locations)

Raipur Division - radiologyservices (144 locations)

Bilaspur Division - radiologyservices (89 locations)

Lot#2

4

6

8

DescriptionSurguja Division - laboratoryservices (67 locations)

Bastar Division - laboratoryservices (79 locations)

Raipur Division - laboratoryservices (144 locations)

Bilaspur Division - laboratoryservices (89 locations)

2 The scope of work

2.1 The agency [a single legal entity or a consortium thereof] selected through this RfPshall be required to set up one or more of the following three types of diagnostic centres inthe assigned Lot(s):

• Category-A Diagnostic Centres: These are required to be established in 10identified 100-bedded district hospitals. These are seen as apex centres providing Ylcomprehensive range of lab and radiology services.

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• Category-B Diagnostic Centres: These are required to be established at thehospitals / health facilities [50-100 bedded each] situated at the headquarters of the12 newly created districts, 8 civil hospitals and 46 such Community Health Centreswhich are being strengthened as First Referral Units1. These are seen asintermediate level centres providing intermediate range of lab and radiologyservices.

• Category-C Diagnostic Centres: These are required to be established at the 103non-FRU Community Health Centres and 200 such Primary Health Centres whichare being strengthened as 24 x 7 PHCs2. These centres will provide the primaryrange of lab and radiology services.

2.2 The number of facilities in various lots are given in the table below.

Division

SurgujaBastarRaipurBilaspur

Totral

Number of facilitiesCategory-A

214310

Category-B1213241766

Category-C536511669303

Total677914489379

The list of hospitals in category A and B, list of non-free CHCs (category-C) and the numberof 24 x 7 PHCs (category-C) are given at Annex-1.

2.3 The minimum lab / radiology services required to be provided at each category of thediagnostic centres will be as given below.

Category- C - Radiology services : Plain X-ray

Category- C - Laboratory services

Clinical Pathology

Microbiology

Serology

Biochemistry

Haematology- Haemoglobin Estimate, TLC, Differential Leucocytecount, bleeding time, clotting time, platelet count, E.S.R.,Malaria/Filaria Parasite, Blood grouping, Rh Typing, , Sickelling test(solubility and slide test)Urine Analysis- routine (sugar, albumin, bile salt and bile pigment)and microscopicStool Analysis- routine and microscopicSputum for AFB

WIDAL test, Pregnancy test, HIV (strip method)

Blood Sugar estimation

1 Availability of Caesarian Section and blood transfusion services are the critical determinants of functionalityofaFRU.2 Availability of delivery services, round-the-clock, is critical determinant of a "24x7 PHC.

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Category- B - Radiology services : USG-Plain

Category -B - Lab services f In addition to lab services available at Category -C lab]

Clinical Pathology

Microbiology

Serology

HistopathologyBiochemistry

Haematology- Complete Haemogram (CBC), Absolute EosinophilCount, Reticulocyte count, Total RBC count, E.S.R., PeripheralBlood count, Packed cell volume, Sickelling test (electrophoresis)Urine Analysis- Bile Salts, bile Pigment, acetone, specific gravity,Reaction (pH), SugarStool Analysis-Stool for Ovacyst (Eh), Culture and Sensitivity,Hanging drop for V. Cholera, Occult bloodSemen Analysis-Morphology CountGram Stain for throat swab

ELISA for HIV, HBS AG, RA factor, ASO factor

Pap smearRenal function test (RFT), Liver function test (LFT), Lipid profile

Category-A-Radiology services : CT-Scan, USG-Doppler, Echo-cardiography

Category -A - Lab services fin addition to services available at category-B lab]

Clinical Pathology

Pathology

Microbiology

Serology

Biochemistry

Haematology- LE Cell

Cytology, Bone Marrow examination, Coagulation Disorders,Thalassemia

Culture and sensitivity of blood, sputum, pus, urine, KOH study forfungus, Bacteriological analysis of water by rapid H2S testCoomb's test, Lepto spirosis (Rapid test/ELISA) and HCV

Glucose Tolerance Test, Glycosylated Haemoglobin, SerumBilirubin, Blood uric acid, Serum calcium, sodium, potassium, Serumphosphorous, serum magnesium, CSF for protein, sugar, Blood gasanalysis, Estimation of residual chlorine in water by OT test, ThyroidT3T4TSH, CPK chloride

Notes:

All equipment must be newThe CT scan machine shall be at least 16 slice with 0.5 second or less rotation time.The X-ray machine shall be at least of 300 mA specification.Portable sonography machine is not allowed.Upto 25% of category-C centres may be allowed to function as collection centres,provided that the Agency shall submit a list of such centres and obtain prior approvalof the government.

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Option to appoint 'concessionaires'

2.4 The Agency may operate the centres directly [i.e. through staff directly contracted byit] or may engage 'concessionaires' to operate the centres on revenue / profit sharing basis.However, in so far as the State Government is concerned, the liability for complying withcontractual obligations with regard to the services shall rest with the Agency. The agency willalso have to ensure that each centre - directly managed or placed under a 'concessionaire'complies with the manpower and other standards specified in the Nursing Home Act Rules.

Pricing of services

2.5 The fee for various tests shall be fixed with reference to the "rates approved for Non-NABL accredited centre in Delhi under the Central Government Health Services", in thefollowing manner:

• Every Applicant / Bidder shall quote its 'discount offered" in its financial bid.Separate discounts can be offered for each Lot.

• After the Agency has been selected, it will submit a 'schedule of rates' for the Lotsassigned to it in the following format:

SI No.

(D

Test / procedure

(2)

Approved rate fornon-NABL centre inDelhi (on date ofsubmission)

(3)

Rate afterapplyingdiscount /premiumquoted inthe bid

(4)

Rate afterrounding offthe rate incolumn (4)to nearestmultiple of 5

(5)

• The State Government shall issue a notification, taking into account the aboveinformation, announcing the schedule of rates applicable for each Lot.

2.6 Revision of rates: The schedule of rates fixed in accordance with the aboveprocedure shall be allowed to be revised as and when the CGHS rates for non-NABLaccredited centres are revised.

2.7 Procedure for revision of rates: As and when the CGHS rates are revised, theAgency shall submit a 'revised schedule of rates' in the following format:

SI No.

(D

Test / procedure

(2)

Current rate

(3)

RevisedCGHS ratesfor non-NABLaccreditedcentres inDelhi

(4)

Rate afterrounding off therate in column (4)to nearestmultiple of 5

(5)

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2.8 The State Government shall issue a notification, taking into account the aboveinformation, announcing the revised schedule of rates applicable for diagnostics servicesdelivered under the PPP project.

2.9 Revised rates shall be notified within 30 working days from the date of submission ofthe revised schedule of rates and the new rates will be applicable from the date of theirnotification.

Each centre to be an independent business / cost centre

2.10 Regardless of the choice made by the Agency with regard to mode of operating thecentres (that is, directly managed or managed through concessionaires), each centre willhave to be established as a separate 'business centre' and will have to have maintain dataon key details of its operations.

NABL accreditation

2.11 If the Agency obtains NABL / NABMIS certification /accreditation for a centre, theprices for the concerned lab / radiology centre can be revised with reference to the ratesapproved for "NABL accredited centre in Delhi under the Central Government HealthServices". The revised rates shall be notified as per the procedure mentioned above.

3 Branding

3.0 The Centres to be operated under the PPP shall be popularized by assigning them aunique name. The name for the centres shall be chosen after selection of the Agency /Agencies.

4 Concessions / commitments by the State

4.1 The State Government shall provide, through the Jeevan Deep Samitis of concernedhospital / health centre, space for the lab and radiology centre. The space shall be providedalong with a separate electricity meter connection. The payment of electricity charges willhave to be borne by the Agency [or the concessionaire appointed by it].

4.2 The Agency will have the freedom to use diagnostic centres to serve 'external'customers.

4.3 The State will offer to the Agency the 'right to first refusal' in expanding the networkof diagnostic services beyond those listed in this RfP including the Medical Colleges andDistrict Hospitals which are not included in this RfP.

4.4 The State will notify the revised schedule of rates within 30 working days ofsubmission of the proposal by the Agency.

4.5 The State will also allow the Agency to add X-ray services in future at all the facilitiesincluded in this RfP, depending upon the performance of services.

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5 Expected volume of business

5.1 Currently, the availability and quality of diagnostic services is very un-even acrossthe regions and levels of facility. Even so, the past data indicates that the minimum dailyOPD would be 50-60 for category-C facilities, 90-100 for category-B facilities and 130-150for category-A facilities. Using these OPD figures and making certain assumptions about thepercentage of cases requiring radiology services (CT-Scan, USG, X-ray) and lab tests, theannual expected number of cases coming from the public facilities themselves will be aspresented below.

Division

Surguja

Bastar

Raipur

Bilaspur

Cate-gory

A

B

C

Total

A

B

C

Total

A

B

C

Total

A

B

C

Total

Numberof

facilities

2

12

53

67

1

13

65

79

4

24

116

144

3

17

69

89

Ave-ragedailyOPD

130

90

50

135

90

50

150

100

60

140

100

60

%age OPD cases expected torequire (per facility)

CTScan

1

1

1

1

USG

7

5

7

5

7

5

7

5

X-ray

6

6

6

6

labtests

85

75

60

85

75

60

85

75

60

85

75

60

Annual expected numbers(rounded off numbers)

CTScan

950

950

500

500

2,200

2,200

1,500

1,500

USG

6,600

20,000

26,600

3,450

21,000

24,450

15,000

44,000

59,000

10,700

31,000

41,700

X-ray

58,000

58,000

72,000

72,000

1,52,000

1,52,000

90,000

90,000

lab tests

80,000

2,96,000

5,80,000

9,56,000

42,000

3,20,000

7,10,000

10,72,000

1,85,000

6,50,000

15,20,000

23,55,000

1,30,000

4,65,000

9,00,000

14,95,000

It may be noted that the case load will increase substantially over the medium term as theregularity of availability of diagnostic services improves.

Since the State has decided to universalize the coverage of RSBY to include non-BPLfamilies and is designing a plan to incentivize service providers at the public hospitals toincrease their share in the RSBY clients, the captive market is likely to grow several fold overthe duration of project.

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6 Project period, phasing and expansion

6.1 The State will sign an agreement with the successful bidder for operating thediagnostic services for a period of 10 years which shall be subject to extension / reduction,based on performance, as explained in para 7 below.

6.2 The Agency will have to adhere to the following time lines for establishing andexpanding the network:

o CT-Scan : Within 4 months from the date of signing of Agreement,o USG / X-ray : Within 3 month from the date of signing of Agreement.o Pathology lab: Within 2 month from the date of signing of Agreement.

Note: The State Government shall ensure that the physical possession of the space is madeavailable to the Agency within 1 month from the signing of Agreement. In cases where this isnot possible (e.g. due to delay in minor repairs or installation of electricity meter), the abovepreparatory period shall be suitably extended.

7 Payment mechanism, Performance Bonus and Penalty

7.1 The payment for the tests carried out for the following category of patients shall bemade by the Jeewan Deep Samiti of the hospital where the lab / diagnostic centre is located:

• Patients being treated under RSBY• Patients being treated under Mukhyamanti Swasthya Bima Yojana (MSBY)• BPL patients under OPD treatment

7.2 For all other cases - non-BPL cases from the hospital and patients referred by theprivate sector hospitals / doctors, payment shall be made by the person concerned.

7.3 The payment by the Jeevan Deep Samiti will be made on monthly basis on the basisof invoice to be submitted by the lab / diagnostic centre.

7.4 The rates shall be the same for all category of clients.

7.5 Performance standard:

7.5.1 The performance of a lab / diagnostic centre shall be treated as 'satisfactory' if theturn around time is 24 hours or less for routine tests and 4 hours or less in emergencycases in at least 90% of cases. It will be the treating physician who will decide whether a testis to be done on emergency basis.

7.5.3 The performance assessment will be done on an annual basis through a third partyperformance auditor, based on an audit of the in-and-out data records maintained by thelabs / diagnostic centres.

Note: Sickle-cell electrophoresis and culture sensitivity tests may need more time thanstipulated above and, therefore, shall not be included while calculating the actual turn aroundtime.

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7.6 Performance bonus and penalty;

7.6.1 If a lab / diagnostic centre exceeds the satisfactory level as defined above, it will beentitled to a performance bonus calculated @5% of amount payable. The bonus amountshall be payable on annual basis after the assessment of the performance by the third party.

7.6.2 If the performance of 90% or more of the labs / diagnostic centres operated by anAgency (selected for a Lot) are rated as 'satisfactory', its contract shall be extended by oneyear

7.6.3 If a lab / diagnostic centre fails to achieve the 'satisfactory' level as defined above, itsmonthly payments for the second year shall be reduced @5%. In case it achieves the'satisfactory' level in year-2, the penalty shall be revoked. Otherwise the penalty amountshall be increase to 10% for the third year.

7.6.4 If more than 25% of labs / diagnostics centres operated by an Agency (selected for aLot) are found to be below satisfactory level in a year, the contract period of the Agencyshall be reduced by one year.

8 Eligibility Criteria for applicants

For Radiology Centres

8.1 The applicant can be a 'for-profit1 or 'not-for-profit' legal entity or a consortium thereoffulfilling the following criteria:

• Having at least 2 years' experience of managing network of radiology centres,having at least 10 such centres on the day of application; AND

• Having a turn over of not less than the amount indicated in the table below in the lastthree financial years- 2009-10 to 2011-12.

Lot

Lot-1Lot-3:Lot5:Lot 7:

: SurgujaBastarRaipurBilaspur

Minimum Average turn overfinancial years (Rs lakh)

in the last three

400400600500

For laboratory centres

8.2 The applicant can be a 'for-profit' or 'not-for-profit' legal entity or a consortium thereoffulfilling the following criteria:

• Having at least 2 years' experience of managing network of laboratories conductingpathology / micro-biology / serology / bio-chemistry tests and having at least 10 suchcentres on the day of application; AND

• Having a turn over of not less than the amount indicated in the table below in the lastthree financial years- 2009-10 to 2011-12.

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Lot applied for

Lot-2: SurgujaLot-4: BastarLot-6: RaipurLot-8: Bilaspur

Minimum Average turn overfinancial years (Rs lakh)

in the last three

200200450300

Notes:• In case of consortium, the eligibility criteria will apply to the lead partner of the

consortium.• A certificate will be required from the Auditors of the Applicant certifying the average

turn-over from the relevant diagnostic services in the last three years.• In case an applicant has applied for 2 or more lots, the financial eligibility shall apply

on cumulative basis.

10 Procedure for submitting the proposals

10.1 Separate applications are required to be submitted for each lot.

10.2 The proposals (for each lot applied for) lot are required to be submitted in threeseparate envelopes as follows:

• Part-A: Proof of eligibility: This will contain the documents in support of eligibilitycriteria mentioned above. This envelope shall be marked as "Part-A: Proof ofEligibility".

Note: An applicant managing diagnostic centres at government hospitals / healthfacilities has to submit letter(s) of certificate issued by the client(s) in support of theexperience. The template for the certificate is given at attached Form-C. Proposalsnot accompanied by the letter(s) of certificate are liable to be treated as "not fulfillingproof of eligibility" and may be declared as "non-responsive".

• Part-B: Technical proposal: This will contain (a) a write up detailing the profile of theagency with details of ongoing and completed projects of similar nature with cost,contact details of the clients for the assignments undertaken, (a) the curriculum vitaeof the key personnel proposed to be assigned for the project and (b) a write up on themanner in which the agency proposes to carry out the assignment. This envelopeshall be marked as "Part-B: Technical Proposal".

• Part-C : Financial proposal : This will contain the discount offered on CGHS rates fornon-NABL accredited centre in Delhi.

Note: The envelope containing the Financial Proposal must be clearly marked"Financial Proposal" with a warning "Do Not Open With The TechnicalProposal."

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SHRC, January, 2013

10.3 The three envelopes are to be placed in an outer envelope marked "Application forestablishing diagnostic centres - Lot number....". The SHRC / State Government shallnot be responsible for misplacement, losing or premature opening if the outer envelope isnot sealed and/or marked as stipulated. This circumstance may be the case for rejection of aproposal. If the Financial Proposal is not submitted in a separate sealed envelope dulymarked as indicated above, this may constitute grounds for declaring the Proposal as non-responsive.

11 Templates to be used for submitting proposals

11.1 Proposals, prepared and packed in separate envelopes as described above,should be accompanied by a letter of transmittal as per the format given at theattached Form-T.

11.2 The Financial proposal is to be prepared in the format given at the attachedForm-F and must be signed by the same person(s) who has/have signed the letter oftransmittal.

11.3 Letter(s) of certificate in relation to experience are to be prepared in the formatgiven at Form-C-1 and Letter of certificate from the Auditors in relation to annualaverage turn-over are to be prepared in Form-C-2.

12 Evaluation Procedure

12.1 Evaluation will be done separately for each lot.

12.2 The proposals shall be evaluated by an Evaluation Team, to be constituted by theState Government, in the following manner:

• Stage-1: Part-A of all proposals for a lot shall be examined to confirm if all eligibilitycriteria are met. The applicants who fail to meet one or more of the stipulatedeligibility criteria shall be declared as 'non-responsive1 and their technical andfinancial proposals shall not be opened.

• Stage-2: Part-B of all applicants who have crossed Stage-1 successfully shall beopened next and evaluated on the parameters as indicated below:

10 P aSHRC, January, 2013

Parameter

Experience of the Agency in managing network ofrelevant diagnostic services (radiology centres inrespect of lots 1,3,5 and 7 and laboratory services inrespect of lots 2,4,6 and 8)

Experience of 2 years or more but less than 5 years

Experience of more than 5 years

Experience of more than 5 years with at least 2 years'experience of managing integrated diagnostic centres

providing radiology and lab services

Average annual turnover in the last three financialyears (assessment will be based on certificate issued

by the AuditorsUpto 2 times the threshold defined for the concerned

lotMore than 2 times but less than 3 times the threshold

defined for the concerned lotMore than 3 times the threshold defined for the

concerned lotNumber of centres being managed at the time ofapplication (own or managed under PPP mechanism)[ a collection centre is NOT a centre]

11-25 centres26-50 centres

More than 50 centresGeographical coverage of network of diagnosticcentres being managed (own network or networkmanaged under PPP mechanism)

At least 2 States

3-5 States

3 or more States with presence in the State ofChhattisgarh.

Quality of the technical proposal as assessed by theEvaluation team

Marks

10

15

20

10

15

20

101520

10

15

20

Total

Maximummarks

20

20

20

20

20

100

12.3 Technical proposals scoring less than 50 marks shall be declared as 'non-responsive' and their financial proposals shall not be opened.

12.4 The final scores for an applicant would be weighted average of technical andfinancial bids, where the technical and financial proposals will be assigned a weight of 70

11 I PagSHRC, January, 2013

and 30 percent respectively. The scoring system of this 'Quality-and-Cost-Based-Selection(QCBS)1 procedure to be used for obtaining final scores is illustrated below.

Technical proposal

Score

(1)

50

60

70

80

Weightedscore=(score/maxscore)*100

(2)

62.50

75

87

100

Financial proposal

Bidamount(DiscountRate)

(3)

40

30

20

10

Weightedscore =(discountrate /maximumdiscount)*100

W

100

75

50

25

Combined score

Technical

(5)=(2) *0.70

43.75

52.50

60.90

70

Financial

(6)=(4)0.30

30

22.50

15

7.50

Total

(7)= (5) +(6)

73.75

75.00

75.90

77.90

13 Other terms and conditions

13.1 Last date; The deadline for submission of the bids is 1700 hours, 10th February,2013 at the address indicated in the format for transmittal letter.

13.2 Bid Opening schedule: The bid opening dates shall be announced after the last dateand will be communicated to all Applicants for the lot. In general, following schedule will beadopted for evaluation:

• Opening of proof of eligibility envelopes: 11:00 AM• Announcement of bidders fulfilling eligibility criteria: 11:30 AM• Opening of technical bids: 12:00 noon• Announcement of results of technical bid evaluation: 4:00 PM• Opening of financial bids: 4:30 PM• Consolidation of results of technical and financial bids and announcement of final

scores of evaluation: 5:30 PM

13.3 Single Proposal: A firm / legal entity should submit only one proposal. If a firm /legal entity submits or participates in more than one proposal, all such proposals shall bedisqualified.

13.4 A Bid Security of Rs. 1,00,000 (Rupees one lakh only) in the form of Demand Draftfrom any commercial bank issued in favour of "State Health Resource Centre, Chhattisgarh"

12 PaSHRC, January, 2013

should accompany the Proposal. Bid Securities of unsuccessful bidders will be returned tothem within 30 days of the award of contract.

13.5 A Bid Fee of Rs 25,000 (Rupees Twenty Five Thousand only) ) in the form ofDemand Draft from any commercial bank issued in favour of "State Health ResourceCentre, Chhattisgarh" should also accompany the Proposal. Bid fee is not refundable.

13.6 In case of deficiency in service delivery or required human resources, penalty will beimposed, which will be decided on a mutual agreement basis at the time of agreement.

13.7 Each page, Form, Annexure and Appendices of the Technical and Financial Proposalmust be signed by the Authorised signatory of the firm /legal entity. All blank spaces in thefinancial proposal must be filled in completely where indicated, either typed or written in ink.

13.8 State Government / SHRC reserve the right to accept or reject one or all applicationwithout giving any explanation.

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Annex-1

List/ number of hospitals / health facilities where diagnostic services are required tobe established

Category A: 10 already functioning District Hospital (100 Beded)

Division

Raipur

Bilaspur

BastarSurguja

District Hospital (100 Beded)

Raipur

Dhamatari

Mahasamund

KawardhaBilaspur

KorbaJanjgir

Kanker

Jashpur

Koriya

Category B:

8-1: 12 New District Hospital (50-100 Beded):

Division

Raipur

BilaspurBastar

Surguja

District Hospital (50-100 Beded)

BaledBemetra

Baloda BajarGariyabandh

MungeliBijapur

Narayanpur

DantewadaKondagaon

SukumaBalrampur

Surajpur

B-2: 8 Civil Hospitals:

SHRC, January, 2013

DivisionRaipur

Bilaspur

District

Rajnandgaon

Durg

RaigarhJanjgir

Name Of Civil Hospital

Kharagarh

Supela

Kharsia (FRU)Champa

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DivisionBastar

Surguja

District

Kanker

Balarampur

AmbikapurJashpur

— iName Of Civil Hospital

Pakhanjur (FRU)

Wadrafnagar (FRU)

Mainpat

Pathalgaon

B-3: 46 FRU-CHC:

DivisionRaipur

Bilaspur

DistrictRajnandgaon

Durg

Raipur

Baloda Bajar

Kawardha

Mahasamund

Dhamatari

Bilaspur

Mungeli

Raigarh

Janjgir

Korba

Name Of FRU CHCsDongargarh

Churiya

Mohala

Chhuikhadan

Gundrdehi

Dondilohara

Dhamdha

Tilda

Abhanpur

Bhatapara

S. Lohara

Pandariya

Bagbahra

Pithora

Saraypali

Kurud

Nagari

Magarload

Bilha

Gourella

Kota

Masturi

Lormi

Sarangarh

Gharghoda

Lailunga

Akaltara

Sakti

Jaijepur

Katghora

Kartala

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Division

Bastar

Sarguja

District

Bastar

Kondagaon

Dantewada

Kanker

Sarguja

Balrampur

Jashpur

Koriya

Name Of FRU CHCsPali

Bakawand

Darbha

Keshkal

Geedam

Katekalyan

Charama

Bhanupratappur

Udaypur

Sitapur

Rajpur

Pharsabahar

Pathalgaon

Bharatpur

Manendragarh

Category C:

C-1: 103 Non-FRU CHCs

Division

Raipur

District

Rajnandgaon

Durg

Balod

Bemetra

Non FRU CMC

Ghumka

Ambagarh Chowki

Manpur

GandaiDongargaon

Utai

Nikum

Patan

Navagarh

Jheet

Dondi

DondiLoharaDevri Bangalaw

Gunderdehi

Arjunda

Thankhamriya

Berla

Gurur

Bierla

SHRC, January, 2013

Division

-

Bilaspur

District

Raipur

Baloda Bazar

Gariyaband

Kawardha

Mahasamund

Dhamtari

Bilaspur

Mungeli

Raigarh

Janjgir

Korba

Non FRU CHC

Ahirwara

Nawagarh

Dharsiwa

Gariyaband

Bhatapara

Kashdol

Nawapara

Arang

Lawan

Palari

Simga

Bhilaigarh

Fingeshwar

Rajim

Mainpur

Dewbhog

Chhura

Jhalmala

Pipariya

Bodla

Basna

Gujra

Marwahi

Pendra

Takhatpur

Pathariya

Baramkela

Pussore

ChapleTamnar

Dharamjaygarh

Kapu

Baloda

Dabhra

Bamhnidih

Baloda

Kharod

Malkharoda

Kathghora

Pondiuprora

SHRC, January, 2013

Division

Bastar

Sarguja

District

Bastar

Kondagaon

Dantewada

Sukama

Narayanpur

Kanker

Bijapur

Sarguja

Balrampur

Surajpur

Jashpur

Non FRU CHC

Tokapal

Nangoor

Bade Kilepal

Jagdalpur

Bastanar

Keshkal

LohandiGuda

Pharasgaon

MakdiVishrampuri

Dhanora

Kuakonda

Chhindgarh

Konta

Orchha

Dhaneli Kanhar

Narharpur

Amoda

Durg Kondal

Koilibeda

Antagarh

Koilibeda

Gangluru

BhairamgarhUsoor

Pratappur

Mainpat

Lakhanpur

Pratappur

Batauli

Lundra(Dhourpur)

Ramanujganj

Kusmi

Shankargarh

Odgi

Vishrampur

Lodam

Bagicha

Kansabel

Kunkuri

Duldula (~

18SHRC, January, 2013

Division District

Koriya

Non FRU CHC

Manora

Sonhat

Chirmiri

C-2: 200, 24x7 PHCs

DivisionRaipur

Bilaspur

DistrictBemetara

RaipurKawardha

MahasamundDhamtari

Baloda BazarRajnandgaonGariyaband

BaloadDurg

BilaspurMungeliRaigarh

Janjgir ChampaKorba

24x7 PHC1

5

9

12

10

6

20

5

4

3

16

4

16

3

12

Sr. NoBastar

Sarguja

DistrictBastar

KankerNarayanpurKondagaon

BijapurSukma

DantewadaSargujaSurajpurKoriya

BalarampurJashpur

Total

24x7 PHC10112

6524

2115

4

12

200

SHRC, January, 2013

19 | P a g e

Form T

Letter of Transmittal

To,

Executive Director,

State Health Resource Centre,

1st Floor, Health Training Centre Building,Kalibari, RAIPUR-492 001

Sir,

We, the undersigned, offer to organize the diagnostic services in accordance with yourRequest for Proposal dated

We are hereby submitting our Proposal in respect of (fill in the lotnumber and description). The proposal is placed in the attached envelope which threeenvelopes as follows:

• Envelope-1 containing Proof of Eligibility

• Envelope-2 containing Technical Proposal

• Envelope-3 containing Financial Proposal

We hereby declare that all the information and statements made in this Proposal are true andwe accept that any misrepresentation of facts may lead to our disqualification and /or black-listing.

The offer made by us in the Financial Proposal (Form F) are valid till six months from the dateof submission of the proposal. We confirm that this proposal will remain binding upon us and

may be accepted by you at any time before the expiry date.

We agree to bear all costs incurred by us in connection with the preparation and submission

of the proposal and to bear any further pre-contract costs.

We understand that the State is not bound to accept the lowest financial bid or any proposalor to give any reason for award, or for the rejection of any proposal.

We confirm that we have the authority of [Insert Name of the Agency/Firm] to submit theproposal and to negotiate on its behalf.

Yours faithfully,

[ Signature of authorised person(s)]

20 | P a g eSHRC, January, 2013

Form F

FORMAT FOR FINANCIAL BID

Item %age discount offeredLot number applied for

Discount Offered on CGHS rates for non-NABL accredited centres in Delhi

Both in Numeric and in Words.

percent

percent

Signature :

[ These must be the signed by the same person(s) who have signed the letter of transmittal].

21 | P a g e

SHRC, January, 2013

Form C-1

Letter of Certificate

To whomsoever it may concern

This is to certify that (name of bidder) is/are currently operating the following number andtype of diagnostic centres at government health facilities in the State:

Type of diagnosticservices beingprovidedRadiology services atmedical collegehospitalLaboratory servicesat medical collegehospitalRadiology services atdistrict hospitalLaboratory servicesat district hospitalRadiology services atsub-district hospital /Community HealthCentre / PrimaryHealth CentreRadiology services atsub-district hospital /Community HealthCentre / PrimaryHealth Centre

Number of centresbeing managed

Main diagnosticservices /facilities

Being managedsince (month / year)

Signed

(name of authorized signatory)

Telephone / Mobile number

Email address..,

SHRC, January, 2013

22 | P a g e

Form C-2

Letter of Certificate

To whomsoever it may concern

This is to certify that (name of bidder) had the following turn over from their diagnosticservices business:

SI. No.

123

Financial year

2009-102010-112011-12

Average turnover

Turnover from diagnosticservices business (Rupees)

Signed

(name of authorized signatory of the Auditors

Telephone / Mobile number

Email address..,

23 | P a g eSHRC, January, 2013