1

Draft Copy

TENDER DOCUMENT

128 SLICE /64 SLICE

(Multi Row Detector) C. T. System

BANARAS HINDU UNIVERSITY

(This Tender Document contains 22 pages)

2

Terms & Conditions for Installation and operation of 128-Slice (Multi Row Detector) C. T. System

Open Tender Notice no. - I.M.S./N-3/2013-14/02

Banaras Hindu University, Varanasi invites ‘sealed tender’ (in two Bid System) for installation & operation of 128-Slice (Multi Row Detector) C. T. in the Institute of the Medical Sciences, Banaras Hindu University. Interested firms / parties / institutions are requested to submit their offers in sealed envelops on terms and conditions given in the prescribed Tender form:-

First preference will be given to the Tender filed by the “Original

Manufacturer” of the Equipment, then to the other parties

Name of the Equipment Earnest Money in the form of DD in favour of The Registrar – BHU, payable at Varanasi

Tender Fee in the form of DD in favour of The Registrar – BHU, payable at Varanasi

128 Slice MRD – C. T. Scanner

2% of estimated cost

Rs.2500/- (Non Refundable)

Conditional tenders shall not be considered and shall be rejected. The Committee nominated by the Vice-Chancellor, BHU would have the right to accept or reject any tender fully or any part of it, without assigning any reason. No correspondence in this regard will be entertained. Note: (i) If the tender form is desired by post then tender fee would be

Rs.2500/- (Non-refundable). The University shall not be responsible for any delay in receiving Bids / sending of Tender document by POST.

(ii) If the tender form is downloaded from the BHU website the tender fee of Rs.2500/- (Non-refundable) will have to be rendered at the time of submission of the Tender Form.

To avoid conflict of interest between any bidder’s own CT scanner in Varanasi

and their proposed CT Scanner in BHU, the bids of such private party / Firm / Institution (having CT scanning facility in city of Varanasi) will not be entertained.

3

1. Tenders shall be submitted in TWO Separate Sealed Envelopes,

(A) Technical Bid: a) Earnest Money 2% of estimated cost in form of demand draft drawn in

favour of Registrar – BHU, Varanasi, payable at Varanasi. b) Technical details, relevant literature, product catalogue or any other

information about 128 Slice CT System. c) Tender form duly signed by Authorized Signatory in all respect.

(B) Financial Bid: a) Rate chargeable per particular CT investigation. Details about the various

CT investigations to be performed on the machine and their rates chargeable by Private Party & sharing pattern with the University. (Rate so approved shall remain fixed till the entire period of the contract).

2. Tenders shall be submitted in two sealed envelopes separately marked A) ‘technical bid’ and (B) ‘financial bid’, otherwise tenders will not be considered and shall be rejected.

Technical terms and conditions, technical specifications of 128 Slice CT machine, tests to be performed on the CT machine, etc. should be included in technical bid.

Financial rates of the CT investigations/ tests to be performed and financial terms and conditions be submitted in financial bid. Financial bids shall be opened only of those tenders who shall qualify technically.

Technical specifications of 128 – Slice CT machine are enclosed in Tender document (Annexure II).

3. The specifications of the 128 Slice CT machine to be installed shall not be in

anyway of lower specification / configuration as mentioned in the tender otherwise the bid shall be rejected. Approved firm shall install brand new 128 – Slice MRD-CT machine within 120 days from the date of signing of the agreement. For delayed installation a penalty of Rs.10,000/- per week shall be levied. If the delay prolongs more than 30 days the order would stand automatically cancelled & security deposit shall stand forfeited.

4. (i) Clinical Tests to be performed on 128 Slice CT machine is enclosed at (Annexure III) of Tender document.

(ii) Rates in the financial bid are to be quoted against each CT Investigation as mentioned in Annexure III.

4

5. Tenders (Price – Bid) will be evaluated on the basis of the ‘weighted

average formula’. The tests included for evaluation along with Grade assigned are enclosed at Annexure III.

Total of (Rate x Grade) Weighted Average Rate = ---------------------------------

Total of Grade

BID REFERENCE ……………………………….

LAST DATE AND TIME FOR RECEIPT OF BIDS

……………………………….

ADDRESS FOR COMUNICATION

Office of Dy. Registrar Institute of Medical Sciences BHU, Varanasi-221005

Time schedule

Date & Time Venue

Pre-bid Conference

……………..

Committee Room Institute of Medical Sciences BHU, Varanasi

Last Date of Receiving Tenders

………………

Office of Dy. Registrar Institute of Medical Sciences BHU, Varanasi

Opening of Technical Bid

…………….

Committee Room Institute of Medical Sciences BHU, Varanasi

The University would give preference to a / an private party / firm / institution having 2 to 3 years experience in a kind of ‘Public – Private Partnership’ project at an organization of central / state Government. Only those representatives of Bidding party who possess necessary documents of credibility (Private Party: List with address of Partners / Directors of Firm; Resolution of board / consent of partners to bid in this project; details of existing businesses / PPP over firm’s letter head; PAN card / last year’s I.T. return’s copy etc.) would be allowed to attend the Pre-Bid conference.

5

TERMS & CONDITIONS

for installation and operation of 128 SLICE C.T. System

GENERAL Conditions:

• The Private Party Administrator concept for installation and operation of

128 Slice Multi Channel C.T. would work as indigenous model, functioning

as an intermediary between Banaras Hindu University and the patients.

• The portal created so will have to provide comprehensive range of

diagnostic facility (CT Scanning) relevant in a tertiary healthcare centre of

excellence as in the University Hospital and the academic alliance with

Institute of Medical Sciences, BHU.

• The private party in this project shall act as ‘Second Party’ indicated as

Licensee hereunder.

• The technical features and specifications of 128 Slice MDR C. T. System, to

be installed by the private party, shall NOT be anyway of lower

configuration as mentioned in the Tender document, otherwise the bid shall

be rejected.

• The University reserves the right not to consider unviable financial bids if

the rates of CT investigations are quoted so low in conjunction to investment

which may make the project unviable in financial terms.

• Approved bidder shall install a brand NEW 128 - Slice Multi – Detector

Row CT System with Accessories within 120 days from the date of signing

of the agreement with the University.

For delayed installation a penalty of Rs.10,000/- per week shall be levied. If

the delay prolongs more than 30 days, the order would stand automatically

cancelled and security deposit shall stand forfeited.

6

• The agreement shall be valid initially for a period of Seven years (would be

negotiable) from the date of commissioning of CT centre, and it could be

cancelled at any time, in case there occurs violation of rules, regulations,

terms and condition of the contract by the licensee, after providing an

opportunity of hearing.

• Periodical inspection for performance and observance of terms & conditions

including quality of CT investigations shall be carried out every year by a

committee appointed by the University.

• The licensee shall arrange a 3rd party insurance policy to cover all the

patients, subjected to CT investigation, against any mishap at CT centre.

Conforming to the provision of the ‘Consumer Protection Act’ 1986 shall be

the sole and absolute responsibility of the licensee and the University will

share no liability in this regard. Privacy and other ethical values of

investigated patients shall be maintained in individual case by the licensee.

• The licensee shall abide by all the guidelines issued by the Government of

India and the University from time to time during the lease period

• The licensee shall not sell or transfer any proprietary right or entrust any

other third party to run the CT centre.

INFRASTRUCTURE & MANAGEMENT

• The Turn-key execution will have to include standard architectural

programming and selection of interior materials having ease of replication &

maintainability.

• A suitable space for installation of Multislice CT System shall be provided

by the University in the premises of Banaras Hindu University. The licensee

shall erect the building as per specifications laid down by AERB. All the

civil, electrical, Air-conditioning provisions (considered essential for

7

installation of 128 – Slice CT) shall be the responsibility of the licensee. The

university will not be responsible for any loss / damage to machine or

property due to natural calamity or otherwise.

• The building constructed by the licensee shall be the property of the

University, and licensee has only right to use.

• All expenses on account of electricity, water, maintenance of premises and

the equipments or any other expenses incurred in day to day running of CT

system shall be borne by the licensee. The security arrangement and

cleanliness of the equipments & building will be sole responsibility of the

Licensee.

• Licensee will have to have stand-by source of power (Generator Set),

capable of catering the power requirement of CT System, Accessories and

the Building, so that CT facility remains available un-interrupted.

HUMAN RESOURCE

• The technicians, deployed by the licensee, should have the minimum

qualification of B.Sc. (CT technology / Medical radiography with experience

in CT) and the bidder will have to submit an undertaking in this

regard.(Annexure V)

• The licensee shall arrange for the services on their own, of Anesthetist /

Cardiologist during the Cardio-Vascular CT Scanning of patients.

• The staff of Licensee would ensure good medical practice and high ethical

values towards patients under overall control of Department of

Radiodignosis & Imaging, IMS, Banaras Hindu University.

8

STATEMENT OF PURPOSE:

1. The proposed CT centre shall observe role model in single minded focus on

patient service quality in University Hospital and propagation of education

at Institute of Medical Sciences, Banaras Hindu University.

2. The generation of CT reports and CT guided procedures of all cases referred

from S. S. Hospital only would be done by the Department of

Radiodiagnosis & Imaging (RD&I). However, outside patients’ CT Scans

report generation will be the responsibility of the Licensee.

3. The RD & I Department will have full right over the data generated by

proposed CT system, and this would not be transmitted to any other agency

without prior permission of HOD - Radiodiagnosis & Imaging Department.

4. The licensee shall ensure best quality of CT Investigations and protocols as

set by the IMS - BHU / S S Hospital or other recognized professional body,

to integrate all facets of diagnostic delivery in a seamless manner.

5. The bad quality of CT Scans will have to be repeated at no extra cost. As

regards to the doubtful observations or incomplete study, a repeat scan will

only be carried after review by H.O.D. of RD & I department.

6. The proposed CT centre shall allow members of all 3 faculties (Medicine,

Ayurveda and Dental Sciences) of IMS to have access to view CT Scans of

their respective patients for clinical management, and in no way the teaching

/ training / research process and other academic activity (eg. workshops etc.)

of IMS will be obstructed at the facility proposed to be created.

7. If and when the University starts HIS and PACS, the patients’ data available

on 128 Slice MDR C.T. would have to be made accessible to these systems.

8. The licensee will have to do 20 (twenty) numbers of FREE cases (non

cumulative) per month. The Head of Department, Radiodiagnosis &

Imaging, IMS will have a reserved absolute right in this regard to

recommend such cases for particular CT Investigation.

9

9. The CT Scans of bonafide BHU staff and their dependents, as well as

bonafide Students shall be done free of cost initially. There would be

arrangement made by the University (First Party) to reimburse the collective

charges borne per month in this category by the company (Second Party).

ACCOUNTING PROCEDURE / REVENUE COMPUTATION

• The CT centre, will have to offer professional ambience, uncompromising

clinical quality at an acceptable cost and superior service in minimal waiting

time. The CT investigation facility will have to function for patient care

round the clock on 365 days a year.

• The CT investigation charges, both from patients referred by S. S. Hospital

and from outside patients, would be collected by the University on AR-1

Receipts of Banaras Hindu University.

• The approved rates of various CT investigations to be conducted by the

licensee on 128 – Slice CT machine would include: (i) Cost of Imaging

Films and (ii) Cost of disposables of standard & safe brand, and

(iii) Eco-friendly carry-bag for keeping CT films & report

• The licensee would be free to use the CT machine for outside patients, if

any, at the same rates, charges of which will be collected by the University

on AR-1. However, priority shall always remain for patients referred from

S. S. Hospital, BHU.

• The sharing of revenue between the Licensee and the University shall be as

follows:

Licensee (___) : (____ - the University).

However, this would remain open to negotiations at the time of Agreement.

• The division of collected revenue shall be applicable to the basic C.T.

investigation charges only (as per list in ANNEXURE – II), not over the

charge obtained for Contrast Media used for particular CT investigation.

10

The pattern to fix the charges of Non-Ionic Contrast Media

individually for various C.T. Investigations (Annexure – III) shall be open

for discussion in Pre-Bid Meeting.

• Licensee will have to make arrangements for CT Investigation of SSH

patients on approved rates in case the CT machine / accessory is out of order

even for one day. In the event of ’break-down’ of CT machine / Accessory,

the Licensee would be liable to pay demurrage to the University

@Rs.45,000/- per day or 30% of average revenue collection per day

whichever is higher in the case.

• The right to fix / revise the rates of CT tests shall lie with the University, of

course protecting the due interest of the Licensee.

• Approved licensee shall have to provide a Bank Guarantee of Rs.___ Lakh

as security money in favour of Registrar, BHU for the entire period of the

lease. (Annexure IV). This could be forfeited in case of any breach of

conditions on the part of licensee or if licensee discontinues the contract

before expiry of the period of lease.

Credibility of Licensee would have to be proved alongwith necessary documents like –

1) Registrar of Companies’ certification for the Company

2) Status : whether Proprietary / Partnership firm / Pvt. Ltd. etc.

3) List & addresses of Partners / Directors of bidding firm

4) Copy of Resolution of board of Directors / Partners expressing interest to

bid in present project

5) Memorandum and articles of association related to the party

6) Name, address / phone no. of Authorised Signatory with written approval

of the board / partner of Bidding firm.

7) Annual turn over of Rs.5 Crore during last three years

8) Experience of running such facility for 5 years or above.

11

Annexure I

Form No. ……….

BANARAS HINDU UNIVERSITY

OFFICE OF THE REGISTRAR Reference No. BHU/…………/………./ Dated: ……………..

TENDER FORM

FOR 128 SLICE (MULTI ROW DETECTOR) C.T. SCAN SYSTEM 1- Name and full address of Tenderer ……………………………………………………………...

…………………………………………………………………………………………………...

…………………………………………………………………………………………………...

2- Address to: The Registrar, Banaras Hindu University, Varanasi – 221005 3- Reference: Tender Notice No. …….. / BHU / dated …………………… 4- Tender fee Rs. ____ deposited vide demand draft no. ………...…………… dated ………….

of ……………………………………………………………… (Name and address of Banker)

5- We ………..………………….. (Name of Firm) agree to abide by all the terms & conditions

as mentioned in (i) Tender Notice No. ………………… dated ……………..

6- All tender documents are complete in all respect and have been duly signed. 7- We have enclosed Earnest Money Rs. __ lacs (Rupees ____ lacs) in form of demand

draft no. ……………….. dated …………………. of ………………........………… (Name of

Banker) in favour of The Registrar, BHU, Varanasi.

Signature of tenderer with rubber stamp

12

Annexure II

(Six pages) SPECIFICATIONS FOR A NEW STATE OF ART

128 SLICE ‘ALL PURPOSE’ C. T. SCANNER

The product offered should be ‘top-of-line’ Spiral multislice CT Scanner, with capability of

acquiring 128 Slices per 360º degree rotation for comprehensive whole body imaging

including cardiac, neuro, chest, abdomen, musculoskeletal and vascular imaging in isotopic

resolution. It should also be capable of 3-D reconstructions and display at fast speed during

acquisition on-line as well as real time, with feasibility of volume rendering and advanced

vessel analysis.

The offer should meet the ‘technical specifications’ as follows :

1. Model and Make : specify

(it should be under current production & installation)

2. Gantry

• Should incorporate low Voltage Slip Rings

• Minimum scan time for a 360º rotation should be less than or equal to 0.35

sec. (350 mili sec.)

• Should have minimum tilt of 30 degrees on either side and remote tilt

should be available as standard

• Gantry should be provided with user control panels on either side for

positioning of the patient

• The sub millimeter slice @0.63 mm or less in 64 row 128 acquisitions

should be available. The system should be in position to perform 128 slices

/ rotation for general, cardiac and vascular applications

• Should have 3D positioning laser lights

• The scan FOV in acquisition mode be at least 200 mm to 500 mm with

intermediate steps for scanning different anatomies

• Gantry aperture should be at least 70 cm. in diameter

3. X-Ray Generator

• Should be compact and in-built in the gantry

• It is to be of high frequency type having at least 100 kW (actual power)

output or more than that if available

• The mA range available should be between 20 to 800 or more, with

increment steps of not more than 10 mA. Mention kV selections also.

13

4. X-Ray Tube

• The X-ray tube should be essentially dual focus with heat storage capacity

of 8 MHU or more, with effective storage of at least 25 MHU.

Peak heat dissipation rate of anode should be at least 1600 KHu/min

• X-ray tube cooler unit should be inside the gantry

• Specify the configuration of focal spots, and type of X-ray tube

• Any special feature of X-Ray tube to be highlighted (with due support of

product data sheet) eg. Dual – energy acquisition by single source.

5. Detectors

• These should be of solid state type. Specify the material

• 128 Slice acquisition per rotation should be possible with the detectors, in

0.63 mm mode.

The system should have at least 64 ‘physical rows’ of the detectors.

Specify the number of elements in each row

• The Z-axis coverage of at least 40 mm / rotation should be possible for

standard and cardiac scans

• Specify the fan-angle of X-rays and the geometry

• Detectors should not require frequent calibration

6. Patient Table

• should have minimum weight bearing capacity of 200 kilograms

• The minimum table top height should not be more than 35 cms from floor

level for easy transport of trauma patients

• Table top width to be at least 42 Cms for better comfort

• The range of metal free scannable range should be at least 160 cms.

• The vertical range (max. Ht. – min. Ht.) : Please specify

• Remote controlled UP / DOWN and FWD / BWD movement.

Pitch to be freely selectable in automatic / manual mode : 0.15 – 1.5

• specify the reproducing accuracy of the Table

7. Topogram / Scanogram

• Length and Width : Specify the range

• Scan times : specify range, and whether real time image option available

• Views : should be feasible in Frontal and Lateral orientations

• Should be possible to interrupt acquisition manually, if necessary

14

8. Spiral / Helical section

• The system offered should have spiral capability of at least 100 seconds

continuous. Real time spiral @ 10 f / s should be standard

• Range of spiral facility in axial direction should be more than 100 cms

• Reconstruction time in spiral scan should not be more than 100 mili sec.

• The system should perform tilt spiral scan as standard at any of the chosen

angle in multislice mode.

• Facility of multi-spirals, bi-directional spirals and back to back spirals :

specify if available

• There should be smart prep or equivalent facility and ability to track

contrast media, to trigger scanning should be included

• High – resolution scan package of 0.63 mm or less should be offered as

standard with this CT system

• Multi slice CT fluoroscopy, with at least 3 slice positions and

reconstruction @ 10 images / sec. may be quoted as on optional feature

9. Host Computer

• It should be offered with latest ‘multi-tasking’ processors and a menu-

driven plateform, with 64 Bit CPU and 8 GB or more RAM memory

• Two monitors independent console shall be preferred, with latest Medical

Grade Color Monitors of at least 18” – flat screen. The twin monitor

system would work on either shared or common data base

• The display matrix should be at least 1024 x 1280 or more

• The reconstruction time for an axial scan should not be more than 100 milli

seconds

• The Hard disk capacity for both image and raw data should be at least 250

GB or more

• It should have facility to store 4,00,000 images or more, of 512 matrix

• the system should be supported with ‘Archiving’ facility in DVD & CD of

600 or 700 MB capacity

• DICOM facility to send, store, print, receive, Query/Retrieve, MWM,

MPPS etc. should be standard.

• PC based connectivity should be offered as standard, for easy transfer of

images & Report

• Additional two independent work-stations (4 GB or higher RAM) with thin

client server architecture with capacity of all 2D and 3D post – processing,

cardiac recon, CT Angio, and archiving as well as DICOM print facility

should be included in scope of supply.

15

10. Image Processor

• Specify : the Operating System configuration

(Processor shall be a high speed CPU : 3.0 GHz or better and with an

independent Hard disk storage capacity of 125 GB or more)

• Image reconstruction time should be at least 20 images per second or better

for all types of acquisition modes including cone beam correction

• The system is to have standard software like 3D volume rendering, MIP,

CT Angio (Color display), virtual endoscopy, CT perfusion, prospective

ECG gated scan, Dental and bone mineral study on the main console as

well as on atleast ONE workstation.

• The following software should be offered as standard (MPR, CPR, SSD,

MIP, MinIP, ROI, VOLUME CALCULATION, CT NUMBER DISPLAY,

WW, WL, TOPOGRAM DISPLAY, CINE DISPLAY, HRCT LUNG,

DYNAMIC SCAN, QUANTITATIVE VESSEL ANALYSIS)

• Cardiac scan attachment with ECG gated segmental recon., calcium score,

plaque analysis cardiac function, flythrough in coronaries should be

available in the main console as well as in the workstation.

• Automatic display of MPR images after scan will be preferred.

• Bolus triggered Brain perfusion study (at least 3 – levels) with automatic

CBF, CBV, MTT, TTP maps, ROI placing & comparing and saving maps.

• Neuro DSA with auto bone removal software

• Lung CT : low dose protocols for lung nodule, assessment and follow-up;

Lung segmentation software for nodule detection

• Complete cardiac package with ECG gated studies (prospective and

retrospective tagging) with cardiac review & functional analysis

(ventricular motion and regional wall motion); One touch volume

rendering of the whole heart, ECG gated dose modulation; Calcium and

‘coronary angio’ reporting.

• Volume rendering technique with axial cross reference imaging alongwith

measurement tools on VR 2D & 3D images, and small volume measure

package; MIP slab viewer etc. shall be preferred

• There should be ‘state of Art’ workstations (2 in No.) with at least 4 GB or

higher RAM; CD / DVD / Archival / DICOM viewer. These should

support all the software as listed on the main console.

16

11. Contrast RESOLUTION

• Spatial resolution of system should be mentioned with parameters

• The high contrast resolution be more than 20 lp/mm in all routine scans,

including spiral and axial mode

• The low contrast resolution should not be more than 3 mm at 0.5%

• Shoulder and Pelvis streak artifact suppression software would be standard

with the system offered

• Noise suppression protocols to maintain LCR at low dose.

Cardiac CT: value of (i) Spatial (mm) and (ii) Temporal (m sec.) resolution

• Special software (like mA modulation in routine and cardiac mode) to

ensure Dose efficiency should be standard.

12. Specify : CT Dose Index

• Should have iterative reconstruction technique for X-ray dose reduction

• Low dose Paediatric CT mode should be available

• Patient’s Radiation Dose (CTDI vol.; DLP) must be displayed on the

monitor and the imaging films.

13. Software for Remote Diagnostics service over a tephone line

• System must be PACS interface ready

• Fully DICOM 3.0 compliant, including DICOM modality work list (with

automatic procedure selection) and capability from HIS – RIS interface.

14. Accessories : Essential

• Dry Chemistry Laser Imager (dpi 500 or more) of a reputed make :

Integrated with main console and workstation

• Color Laser Printer (High Resolution) for color coaded images

• Lead Glass of 120 x 80 cms dimension

• UPS with half hour ‘back-up’ to run entire CT system, Workstations and

Laser Imager (should be 160 kVA or more, as per CT system’s rating)

• Dual – Head Pressure imager of reputed make (500 syringes & Tubings to

be supplied with it)

• Multi para monitor with pulse – oximeter (for monitoring vitals) of

standard make

• Zero Lead Aprons (5 No.) with one Apron stand

• All accessories (standard & mandatory) for ‘positioning in comfort’ of a

patient (Infant old aged) for fast CT Scanning

17

15. Product Data Sheets

• All compliance to the ‘Technical Specifications’ of 128 Slice CT in this

Tender MUST be supported in form of original Data sheets / Original

certificate from the principle / manufacturer.

16. Certifications

• Offered model of 128 Slice CT should be European CE and / or US F.D.A.

approved Cpy of certificates should be submitted with the Tender

• The quoted model of 128 Slice CT ‘Must’ be AERB approved : document

of type approval should be attached

17. Warranty and comprehensive Maintainance Contrast

• To mention in details. This may be negotiated in due course.

C.T. applications proposed to be done on 128 Slice MDR CT

Sl. No. Name of CT Investigation

1- Head - (Plain)

2- Head - (Plain & Contrast) 3- Facial Structures

4- PNS / Orbits 5- Neck / Larynx

6- Temporal bone HRCT

7- Dentascan 8- Thorax (Chest)

9- Abdomen - Upper 10- Abdomen - Whole

11- Pelvic region 12- Musculoskeletal (any one limb)

13- Joint (any one)

14- Spine (one region) 15- CT Angiography

16- Virtual endoscopy 17- Perfusion Study

18- RT Planning / Neuro - navigation 19- Cardiac C. T. Scanning

20- Interventional procedures

- Diagnostic - Therapeutic

18

Annexure III

The interested parties should offer the C.T. Scan Charges based on the criterion laid below to calculate

the ‘Weighted Average Rates’

Sl. No. Name of CT Investigation Scan Charges (in Rs.) Grading

1- Head - (Plain) 20

2- Head - (Plain & Contrast) 20

3- Facial Structures 2

4- PNS / Orbits 2

5- Neck / Larynx 2

6- Temporal bone HRCT 2

7- Dentascan 2

8- Thorax (Chest) 10

9- Abdomen – Upper 5

10- Abdomen – Whole 5

11- Pelvic region 4

12- Musculoskeletal (any one limb) 2

13- Joint (any one) 2

14- Spine (one region) 2

15- CT Angiography / Triphasic Study 5

16- Virtual endoscopy 2

17- Perfusion Study 2

18- RT Planning / Neuro - navigation 2

19- Cardiac C. T. Scanning 5

20- Interventional procedures

- Diagnostic 2

- Therapeutic 2

19

Annexure III

CONTD..

C.T. Contrast Media Slabs

(in Standard I.V./Oral/PR Doses)

Range of Charges Ref. to Investigation No.

Rs. 400/- to 750/-

(2) Head

(3) Facial Structures

(4) PNS/Orbits

(5) Neck/Larynx

(8) Thorax (Chest)

(12) Musculoskeletal

Rs 750/- to 1000/-

(9) Abdomen - upper

(10) Abdomen -whole

(11) Pelvic region

Rs. 1000/- to 1250/- (15) CT Angiography/ Triphasic study

(17) Perfusion study

*Negotiable in Memorandum of Understanding (MOU) The credit of quoted/negotiated charges for CT Contrast Media shall be in the account of Second Party only.

20

Annexure IV

FORMAT OF BANK GUARANTEE FORM

1. This guarantee should be furnished by a National Bank / Scheduled Bank, authorized by RBI to issue a Bank Guarantee. 2. The bank guarantee should be furnished on stamp paper of Rs._____ 3. The stamp paper should have been purchased in the Name of the Bank executing the Guarantee. 4. In the case of foreign bidder the B.G. may be furnished by an international reputed bank acceptable to the PURCHASE countersigned by any National / Scheduled Bank in India authorized by Reserved Bank of India.

--------------------------------------------------------------------------------------------------

DATE

BANK GUARANTEE NO.: Ref.: …………………….. To Banaras Hindu University Varanasi Dear Sirs, In accordance with your ‘Invitation to Bid’ under your Tender No. ……………………………

M/s: …………………………………………………….. herein after called the LICENSEE, with

the following Directions on their Board of Directors / partners of the firm.

1. ………………………………………. 2. ……………………………………… 3. ………………………………………. 4. ……………………………………… agree for the contract.

21

As an irrevocable Bank Guarantee for an amount of Rs. ……………….. (in words and figures)

valid for ………………………. days from ……………………. is required to submitted by the

Contractor/Supplier which amount is liable to be forfeited by the purchaser in the event of 1) the

withdrawal or revision of the offer by the Bidder as a condition within the validity period. 2)

non-acceptance of the Letter of Intent / Purchase order by the bidder when issued within the

validity period. 3) failure to furnish the valid contract performance guarantee by the bidder

within one month from the receipt of the purchase order and 4) on the happening of any

contingencies mentioned in the bid document.

We, the ……………………………………….. Bank at ……………………………….. having

our Head office at ……………………. (Local address) Guarantee and undertake to pay

immediately on first demand by Banaras Hindu University at the amount of ……………………

(in figure and words) without any reservation, protest, demur and recourse. Any such demand

made by the Purchaser shall be conclusive and binding on the Bank irrespective of any dispute or

difference raised by the purchaser.

The guarantee shall be irrevocable and shall remain valid up to …………………………………

(This date should be 6 months after execution of the order). If any further extension of this

guarantee is required the same shall be extended to such required period (not exceeding one

year) on receiving instruction from M/s. ……………………………………………………. on

whose behalf this guarantee is issued.

In witness whereof the Bank, through its authorized officer has set its hand and stamp on this …………………………. day of ……………………………… at ………………………………. witness ………………………… (Signature)

WITNESS

(Signature) ……………………

Name in (Block letters)

Designation …………………..

(Staff Code No.) ………………..

(Bank’s common seal)

Official address:

Attorney as per power of Attorney No.

Date:

22

Annexure V

UNDERTAKING

We solemnly affirm that the C.T. Technicians deployed by our firm

________________

___________________________________________________ do possess the

requisite qualification of B.Sc. (CT technology / Medical radiography with 3 Years

certified experience in CT) and are competent to run the 128 Slice Multi Detector

Row – CT system and its accessories. Any consequent loss / damage to the

machine or the patient due to improper handling of the equipments will be solely

our responsibility and the Banaras Hindu University shall in now way held

responsible for it.

Sd. (Authorized Signatory of the firm) With rubber stamp