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1 EMPLOYEES’ STATE INSURANCE CORPORATION MODEL HOSPITAL ROURKELA::ODISHA 769004 TENDER FORM FOR EMPANELLMENT OF LOCAL CHEMIST

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Page 1: TENDER FORM - Employees' State Insurance

1

EMPLOYEES’ STATE INSURANCE CORPORATION

MODEL HOSPITAL

ROURKELA::ODISHA 769004

TENDER FORM

FOR

EMPANELLMENT OF LOCAL CHEMIST

Page 2: TENDER FORM - Employees' State Insurance

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Tender Sl.No.___________

Date:_________________

Ph : 0661 – 6536027, Fax-0661-2400096, e-mail:[email protected]

EMPLOYEES’ STATE INSURANCE CORPORATION

MODEL HOSPITAL

ROURKELA::ODISHA 769004

No. – 442-U-16/27/2/MH/RKL-2013 Date: 19.07.2014

Sub: Quotation for empanelling local chemist for supply of drugs /dressings/ consumables etc.,

to ESIC Model Hospital, Rourkela-4.

(NOTE: The envelope containing the tender as well as subsequent communications should be

addressed and delivered to ‘The Medical Superintendent’, ESIC Model Hospital, Jail Road,

(Near Govt. ITI), Rourkela (Odisha) 769004. All communications must be addressed to the

officer named above by title only and not by name.)

From:

The Medical Superintendent,

ESIC Model Hospital,

Jail Road, (Near Govt. ITI),

Rourkela (Odisha) 769004.

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No. – 442-U-16/27/2/MH/RKL-2013 Date: 19.07.2014

SCHEDULE OF TENDER

Sl. No. Description Particular

1 Duration of Rate contract

One year from the date of contract

agreement and may be extended for

further one year.

2 Earnest Money Deposit(EMD)

Rs 25,000/-, in shape of a Demand Draft

drawn in favour of ESIC Fund, A/c No1,

ESIC Model Hospital , Rourkela

3

Security Deposit (SD): Rs 1.5 Lakh

in Total

(EMD of Rs 25,000/- will be adjusted

towards SD for selected tenderers)

Generic Medicines Rs 50,000/-

Branded Medicines Rs 50,000/-

Superspeciality Medicines Rs 50,000/-

4 Cost of Tender Form Rs 0/-(Free of cost)

5 Date of Issue of Tender Form

30.07.2014 to 20.08.2014

On all working days between 9.00am to

1.00pm, from the Medical Stores

Division of the Hospital or can also be

downloaded from website of ESIC i.e.

“www.esic.nic.in”

6 Last due Date and Time of submission

of completely filled Tender application.

* 21.08.2014, 2.30 pm, in the tender box

in Medical Stores Division of the

Hospital

7 Date and time of Opening of Technical

Bid.

*21.08.2014, 2.45 pm, In the conference

hall of the Hospital

8 Date and Time of opening of

Financial Bid

* Will be intimated later to the qualified

Tenderers by Speed Post/e-mail /

Telephone.

NB: In case the ( * ) marked date(s) will be declared to be holiday for any reason, the

activity will be held on the immediate next full working day (Monday to Friday)at the

same time and place.

Selection of the Tender will be at the sole discretion of the Medical

Superintendent, who reserves the right to accept or reject any or all the proposals

without assigning any reason.

Incomplete Tender will be summarily rejected.

Medical Superintendent

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To:

M/s___________________________________

___________________________________

___________________________________

Sir(s),

The Medical Superintendent, ESIC Model Hospital, Rourkela-4 invites Sealed

Quotations / Tenders in Two Bid System from retailer druggists/ chemists for local supply of

Drugs and Dressings on day to day basis for a period of one year and may be further extended

for further one year, as per the following terms and conditions, which will govern the contract

to be made.

If you are in a position to quote for supply in accordance with the requirement stated

herein, please submit your Tender.

Tender should be submitted along with E.M.D. of an amount of Rs 25,000/-(Rupees

Twenty Five Thousand Only) in the shape of DD drawn in favour of ESIC Fund A/c No.-1,

ESIC Model Hospital, Rourkela-4.

Each and every page of the original tender paper containing all the terms and

conditions and annexures should be serially numbered and duly signed and stamped by

the tenderer and enclosed with Tech Bid.

The Technical Bid and the Price Bid are to be submitted in separate closed covers

Super-scribed Price Bid/Technical Bid and the Tender enquiry No. with Date. Both the sealed

envelopes (The Technical Bid Envelope and The Price Bid envelope) are to be put again in a

single sealed envelope super-scribing “QUOTATION FOR EMPANELLMENT OF

DRUGGIST/ CHEMIST, the Tender enquiry No. with Date and the last due date for

submission” and addressed to the Medical Superintendent, ESIC Model Hospital, Jail Road,

(Near Govt. ITI), Rourkela (Odisha) 769004.

The sealed envelope should reach before the closing time and will be opened on the

same day as per the schedule, in presence of the tenderers or their authorized representative(s)

(Authorization letter should be brought from corresponding tenderer).

1) Detailed specifications, Terms and Conditions of the Local supplies are given in the tender

document which can be obtained from ESIC Model Hospital, Rourkela-4 as per the time

mentioned in the schedule with a specific requisition on the concerned letterhead. The Tender

form can also be downloaded from the website “ www.esic.nic.in”.in such a case the same may

be signed and submitted as per procedure mentioned herein.

2) The tender documents / forms are not transferable.

Page 5: TENDER FORM - Employees' State Insurance

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I. GENERAL

1. QUALIFICATION:-

The tenderer should be a retailer druggist/chemist, registered with the concerned

State Authority. The tenderer will have to submit the following documents duly attested

by a gazetted officer.

1. Photocopy of the Valid Drug License for the retailer druggist/ chemist as per

Drugs & Cosmetics Act.

2. Photocopy of the Latest Sales Tax/VAT Registration certificate. Supplier who is

not registered with the Sales Tax/VAT Authority will not be considered.

3. Photocopy of valid VAT Clearance certificate.

4. No conviction certificate from State Drug Controller certifying that no case is

pending under the Drugs & Cosmetics Act and Rules there under as well as under

Drugs Price Control Order Act against the firm during the last 5 years should be

attached. No conviction certificate should be of the current year i.e. 2013-14.

Or

An affidavit (in original) certifying that no case is pending under the Drugs &

Cosmetics Act and Rules there under as well as under Drugs Price Control Order

Act against the firm during the last 5 years.

a) The tenderer should have his shop/outlet preferably located within Rourkela.

b) The tenderer or his authorized representative should be available / approachable for

24 hours over telephone for supply of Drugs and dressings. The contact Telephone

No., Mobile No. and e-mail ID must be provided in the Technical Bids of the Tender

for such purpose.

c) The bidder must have a minimum experience of two years in the field of trade of

drugs as a retailer Druggist/Chemist. Offers only from Licensed Suppliers will be

considered.

e) Business hours of his shop/outlet is to be mentioned clearly in the Technical Bids.

Preference may be given to the Day and Night shops.

e) Name and address of their bankers along with other documents for ECS/RTGS

purpose.

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2. PREPARATION OF TENDER:-

a) The tenderer are advised to submit the tender in two bids viz. Technical Bid and the

Price Bid are to be submitted in separate closed covers Super-scribed Price Bid/Technical Bid

and the Tender enquiry No. with Date. Both the sealed envelopes (The Technical Bid Envelope

and The Price Bid envelope) are to be put again in a single sealed envelope super-scribing

“QUOTATION FOR EMPANELLMENT OF DRUGGIST/ CHEMIST, the Tender enquiry No.

with Date and the last due date for submission” and addressed to the Medical Superintendent,

ESIC Model Hospital, Jail Road, (Near Govt. ITI), Rourkela (Odisha) 769004 and are to be

dropped in the tender Box in the Medical Stores Division of this Hospital before the closing

time as per schedule. If the date is declared as Holiday, for any reason, the last date for delivery

of tender will be the same time and place on next full working day (Monday to Friday).

b) Signing of Tender: the individual signing the tender or other documents connected with

the tender/contract must specify whether he/she signs as:-

i. Sole proprietor of the firm or his attorney?

ii. Register active partner of the firm or his attorney?

iii. Per procreation?

iv. Manager of the firm?

In case of point No. (ii) above, the photocopy of the Partnership Agreement or

General power of Attorney, in either cases attested by a Notary Public, should be

furnished. An affidavit on stamped paper of all the partners admitting execution of partnership

agreement or the general power of attorney should be furnished.

In the case of partnership firm, where no authority to refer disputes concerning the

business or the partnership has been conferred on any partner, the tender and all other related

documents must be signed by every partner of the firm.

A person signing the tender form or any documents forming part of the contract on behalf

of another shall be deemed to constructed that he has authority to sign and if on enquiry it

appears that the person so signing has no authority to do so, the purchaser, without prejudice to

other civil and criminal remedies, will cancel the contract and hold the signatory responsible

for all cost and damages.

In case of point No. (iv) above, Authorization from the proprietor(s) in original should be

submitted with the Technical Bid.

c) The original tender paper containing all the terms and conditions and annexures

should be returned in original, intact, after filling up and signing in full and stamped on

each page, whether any item is quoted or not. If any item in the schedule is not being

tendered for or any information or document not submitted the corresponding space against the

item should be defaced by some such words as ‘not quoting’ or ‘not submitted’ or ‘not

mentioned’.

The tender is liable to be ignored if incomplete information is given or any document

asked for in the tender are not duly filled or not furnished.

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All the supportive documents in technical Bid should be submitted duly signed and

stamped by the tenderer with date as well as duly attested by a gazetted officer.

d) Technical Bids should be submitted in Proforma-1, 2, 3, the Undertaking and annexure I

and with all supportive documents and the Price Bid in annexure II.

e) 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 No. and be fully signed by the tenderer and references to the additional page

must be made in the Tender.

Earnest Money Deposit:-

The tender(s) shall have to deposit an amount of Rs 25,000/- (Rupees Twenty Five

Thousand only), by way of Demand Draft, drawn in favour of ESI Fund A/c No. -1, ESIC

Model Hospital, Rourkela-4 as Earnest Money Deposit with their Technical Bids of the Tender,

failing which tender will be rejected.

No other EMD or fund deposited or kept with this hospital will be adjusted against

EMD. In the event of withdrawal/ revocation of tender before the date specified for acceptance,

the EMD will be forfeited. In the event of acceptance of the tender the EMD will be adjusted

towards the amount of Security Deposit. In case of unsuccessful tenderer(s), the EMD will

however be returned without interest.

Security Deposit(SD):-

The Total amount of Security Deposit will be Rs 1.5 Lakh.

On acceptance of the tender, the approved tenderer(s) will have to deposit a Security

Deposit (interest free) of the above amount within a period of 15 days from the date of

agreement, in the form of Demand Draft drawn in favour of ESIC Fund A/c no. 1 payable at

Rourkela.

If more than one Tenderer will be selected, the tenderers have to deposit the SD as per

following detail.

Sl. No. Item qualified for supply Amount of S.D

1 Generic Medicines Rs 50,000/-

2 Branded Medicines Rs 50,000/-

3 Superspeciality Medicines Rs 50,000/-

Total: Rs1,50,000/-

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In case of qualified quotationer(s) the EMD (Rs 25,000/-) deposited, will be adjusted

towards the amount of Security Deposit. The extra amount of the Security Deposit is to be

deposited by the qualified Quotationer(s) as mentioned above. If a tenderer is qualified for

more than one item, then they have to deposit the Security Deposit as sum of the Security

Deposit in respect of each item, mentioned above.

A) If the Contractor fails in fulfilling the Terms and conditions of the Tender/Contract,

such failure will constitute a breach of contract and the Medical Superintendent shall

be entitled to make other arrangement in procuring the items, at the risk of and

expenses(Cost) of the contractor.

B) On due satisfactory completion of all the contractual obligations, the Security

Deposit will be returned to the contractor as per Rule and without any interest.

List of Items:

There will be three main headings/Groups under the list of items as under.

1. Generic Medicines:-

A list of drugs to be supplied to the hospital manufactured by generic division of the

reputed/leading manufacturers of drugs is provided in the Proforma II. The list of generic

items in proforma-II is a final list for generic Medicines for this tender. Some addition and

deletion to the list of generic items may be made by the Medical Superintendent at his

discretion during the contract period, for the benefit of the Hospital. During the Process of

Tender no party's suggestion/ request for changing the Generic List will be considered.

Apart from the list of items in Proforma-II Ayurvedic classical medicines, Disposable

and Surgical Consumables, IV fluids etc, will also be included in Generic Group of

Medicines.

The list of generic drugs as per proforma II, is to be submitted in the Technical Bid

along with the name of reputed/leading manufacturers (with comparatively lower MRP and

available in the local market), the tenderer is going to supply to the hospital.

The change of Manufacturer is not allowed for Generic Medicines. But in some

rare occasions (have to specify cause with proof) prior approval of the Medical

Superintendent may be obtained in proper procedure for change of manufacturer.

2. Branded Medicines

For Branded Medicines Supply order will be placed in Brands. The indented medicine

would not have to be substituted in case the indent is of branded item unless prior approval of

the Medical Superintendent is obtained with proper procedure.

Ayurvedic proprietary medicines will also be included in this group.

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3. Super specialty Medicines: (Medicines advised by tertiary care centers)

For Super Specialty Medicines Supply order will be placed in Brands. The indented

medicine would not have to be substituted, ordinarily. For substituting the brands, prior

approval of the Medical Superintendent is to be obtained with proper procedure.

3. DELIVERY OF TENDER:-

The tenders duly complete in all respects must be submitted in double covers as per two

bid system Super-scribed Price Bid/Technical Bid and the Tender enquiry No. with Date. Both

the sealed envelopes (The Technical Bid Envelope and The Price Bid envelope) are to be put

again in a single sealed envelope super-scribing “QUOTATION FOR EMPANELLMENT OF

DRUGGIST/ CHEMIST, the Tender enquiry No. with Date and the last due date for

submission” and addressed to the Medical Superintendent, ESIC Model Hospital, Jail Road,

(Near Govt. ITI), Rourkela (Odisha) and are to be dropped in the tender Box in the Medical

stores Division before the closing time as per the Schedule. If the date is declared as Holiday,

for any reason, the last date for delivery of tender will be the same time and place on next full

working day (Monday to Friday).

4. OPENING OF TENDER

Tenders are to be opened at the time as mentioned in the schedule, in the conference hall

of this Hospital. If the date is declared as Holiday for any reason, the quotations will be

opened at the same time and place on next full working day (Monday to Friday). All tenderers

or their authorized representative(s)-(Authorization letter should be brought from

corresponding tenderer), if they desire, may be present at the opening of the Tender at the

specified time.

II. ACCEPTANCE OF THE TENDER

The criteria for awarding contract will be fulfillment of Technical conditions as

well as offering of maximum discounts on different groups of items. The Medical

Superintendent reserves the right to give preference to Day and Night shops for selection.

Acceptance of the tender will normally be on the basis of maximum discount offered by

the tenderer on MRP i.e. Maximum Retail Price which is printed on the packing/flap/ bottles.

The supplier will be paid on MRP less Discount and no Sales Tax, Octri or any other levy/tax

will be paid, which has to be borne by the supplier. Tampering on the printed MRP of the

manufacturer by use of stickers or any other means will not be accepted.

In Price Bid Separate discount should be quoted for each group of items i.e. Generic

Medicines, Branded Medicines and Super specialty Medicines. One or more parties may be

selected on the basis of discount quoted.

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RIGHT TO ACCEPTANCE

The purchaser does not pledge himself to accept the lowest or any tender and reserves to

himself all right of accepting the whole or part of the tender.

The Medical Superintendent, ESIC Model Hospital, Rourkela reserves the right to enter

in to contract simultaneously or at any time during the period of this contract with one or more

chemist for one or same medicine or for different medicines.

The hospital authority shall have every right to take any decision after assigning reason

in public interest as deemed fit, as regard this contract.

LETTER OF OFFER

On finalization of the tender the selected Tenderer(s) will be communicated by a letter. The

purchaser shall communicate acceptance of the quotation if it is acceptable to him by a letter of

offer. The formal acceptance of the tender will be forwarded to the successful tenderer(s) as

soon as possible, but the instructions contained in the letter should be acted upon immediately

by the tenderer(s).

III. AGREEMENT

1. Contract agreement:-

The successful tenderer(s) would be required to execute contract for supply of the Drugs

and Dressings, with the Medical Superintendent ESIC Model Hospital, Rourkela

(Odisha) on Non-judicial Stamp Paper(s) worth Rs100/- each and the cost of the same

will be borne by the Tenderer(s) only. The terms & conditions of the tender will be part

and parcel of the agreement.

This agreement will conclude the contract and be enforceable in law.

2. Arbitration:-

In case of any dispute between the purchaser and the tenderer(s), arising under the

contract or in regard to the interpretation of the terms and conditions of the contract, decision of

the Medical superintendent, ESIC Model Hospital, Rourkela (Odisha) or any other officer

nominated by him to act as arbitrator in the disputes, shall be final and binding on all the

parties of this contract.

In case of any disputes, all the legal matters will be settled under the jurisdiction of the

court of Rourkela.

IV. SUPPLY Collection of indent for supply:

Indents on the basis of which supplies are to be made, should be collected by the

chemist(s) or his/their authorized representative, on every working day (Monday to Saturday)

from the Medical Store between 2.00pm to 3.00pm from Monday to Friday and between 11.00

am to 12.00 Noon on Saturday.

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The Chemist/Chemist’s representative will sign in the ‘Indent Issue Register’ in the main

store of the Hospitals as proof of having attended the Hospital.

Supply Order may also be placed by e-mail/telephonically. In that case the

supplier(s) have the responsibility to collect the hard copy of the supply Order or Indent

from the Hospital at the time of execution of the supply.

Delivery of supplies:

After obtaining the order, the supply is to be made to the Medical Store with in the

working hour in same day or by 2-00 PM on the next day, from Monday to Friday and by 11.00

A.M. on Saturday. In case the order is placed on Saturday the supply is to be made on the next

working day by 2-00 PM.

If any super specialty drug, so ordered is not available in the local market

and has to be procured from outside by the empanelled Chemist & Druggist, prior

approval may be obtained from the Medical Superintendent for relaxation of

delivery period (a maximum of 7 days) for such drugs, so as to be exempted from

the Risk-purchase.

Supplementary Indent/Emergency Indents

In case of urgent need (on Sunday/Holidays and beyond normal working hours)

supplementary indent may be placed by the Casualty Medical Officer or General Duty Medical

Officer, Indoor under his/her signature and seal.

Supply against the supplementary indent(s) is to be made to the respective ward or

casualty, as mentioned in the requisition.

Requirement in the casualty/ward of the emergency (life saving) drugs:

The emergency (life saving) drugs (A list of such drugs may be obtained from the

Hospital authority) are to be maintained in the stock. The order (verbal or written) for the

emergency (life saving) drugs can be placed at any time as per requirement and the required

item/s have to be supplied immediately to the casualty/ward, without fail.

On no account there should be delay or refusal by the chemist to supply the emergency

/life saving drugs.

If the supplies are not made within the stipulated period; the Supply Order will

automatically be cancelled and purchase will be made from the alternative sources with

imposition of Risk Purchase.

All supplies as per supply orders are to be made as stipulated above and supplies

as per supply Order from Main Store should be delivered with maximum of two

installments.

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Late Delivery Charges: If the approved chemist(s) fails to execute the supply order within

the stipulated period, penalty of 1% of the bill value per day up to a maximum 3%(for 3

days) will be levied and if the chemist(s) still fails to execute the supply, the supply order will

be automatically cancelled without any further information to the Chemist(s) and may be

purchased elsewhere, as per the Risk Purchase Clause.

Risk Purchase & Recovery of sums due:- In case of failure / delay to supply any or all items as per requisition/ Indent /Purchase

Order Specification or brand prescribed, it will be treated as ‘non compliance’ or ‘breach of

contract’ and the order in part or full be arranged from alternative source(s) at the discretion of

the hospital authority and the difference in price will be received/recovered from the defaulter

Chemist, with whom the supply Order placed, from any of his subsequent/pending bills or

Security Deposit.

In case the sum of the above is insufficient to cover the full amount recoverable, the

contractor shall pay to the purchaser on demand the remaining balance due.

For emergency (life-saving drugs) purchases from Indoor and Casualty, delivery is

to be made instantly and as per the actual need of the situation. Hence for non execution

of supplies against such orders, Risk Purchase may be charged on the same day.

Responsibility of the contractor:-

1. The Tenderer(s) should be available for 24 hours over telephone in his

shop/residence/phone for the supply of emergency medicines which may be ordered

telephonically.

2. Once, order for supply is placed on the contract, it would be the responsibility of

tenderer(s) to procure the medicine and supply. In case of failure, risk purchase will be

made and losses and damages will be recovered from the contractor.

3. If for any unavoidable reason beyond the control of the supplier(s), it is not possible for

the him / them to immediately supply the medicines and the hospital is compelled to

procure the same from alternative sources, any extra expenditure (along with imposition

of risk purchase) will be recovered from his subsequent bill/ Security Deposit.

4. As it is concerned with supply of life saving drugs, the failure of the contractor to supply

or to collect order from the Hospital, the contract will liable to be cancelled along with

the forfeiture of the Security Deposit.

5. Irregular supplies/frequent failure in supply of medicines entail the contract for

termination along with forfeiture of Security Deposit.

6. The Supplier will maintain sufficient stock of the standard quality of medicines at all

times to avoid inconvenience to the ESI beneficiaries. The medicines/drugs 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 supplier will be liable to be black listed for a

period of 5 years for future participation in any ESI Tender. Besides this any other

legal action as deemed fit will be taken.

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7. The Supplier will also maintain sufficient stock of generic drugs of the manufacturers as

submitted along with the Quotation.

8. All kinds of drugs, dressings etc. including life saving drugs are required to be stocked

by the quotationer(s) at the shop in proper storage condition and in no occasion there

should be failure on the part of the Quotationer(s) to supply any drugs /dressings etc,

against any supply order.

9. The contractor(s) will be solely responsible for the execution of the contract in all

respect in accordance with the terms and conditions.

10. The tenderer will not be allowed to subcontract.

11. The Supplier(s) have to indicate Name of the Item, Pack Size, Mfg by, Batch Number,

Exp. Dt., MRP, Quantity, VAT%, VAT amount, Discount, and Trade Price(Actual selling

price) for each item along with reference supply Order No. with date, in the Bill or

Invoice at the time of supply. Apart from above, all other detail required to be cited in a

Bill/Invoice of a Druggist/ Chemist, as per Rule should be indicated.

12. Any tampering with the printed MRP of the manufacturer by use of stickers or by any-

other means will not be accepted and if it is done supplier is liable for appropriate legal

action.

13. The delivery of items as per Supply Order/requisition at the destination to the consignee

in good order should be made in credit memos strictly in triplicate, without

claiming instant payment

LIFE PERIOD:-

The shelf life of drugs/items supplied should not have passed more than one sixth (1/6th

)

of its shelf life from the date of manufacture at the time supply.

PACKING:-

Supplies are required to be made in original packing of manufacturer to the total

quantity demanded for any particular medicine/drug, on any particular day.

Quality clause:

The items to be supplied should be of standard quality and strictly as per Supply Order/

Requisition. In case, it is found that any particular supplied medicine has expired, or is

substandard or spurious, the supplier will be liable to be black-listed for a period of 5 years for

future participation in any ESI Tender. Besides, any other legal actions as deemed fit will be

taken.

The Chemist(s) have to give an undertaking in this regard with every supply as per

Proforma-3 enclosed with the Tender Paper.

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The contractor should give a declaration as per Proforma – 3 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 confirm to the description and the

quality aforesaid have deteriorated the purchaser in that case will be entitled to reject the said

articles or such portion thereof as may be discovered not confirming to the said description and

quantity. On such rejection such article(s) or such part(s) 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 decision of the Purchaser in that

behalf will be final and conclusive.

The Purchaser may test any or all of the materials supplied b the contract holder(s), by

any Govt. or Govt. Approved laboratories. The report of the Govt. or Govt. Approved

laboratory shall be accepted by the supplier.

In case any of the items found substandard,

i. The contractor is liable to make full payment of the entire quantity supplied (of that

particular batch), irrespective of the fact that part or whole of the supplies (Particular

batch) may have consumed.

ii. The cost of the Testing should also be recovered from the supplier.

iii. If any major defect is found, the party may be debarred for five years, for participating

in any ESI Tender.

Inspection of the supplies:-

Supplies shall be accepted subject to inspection by the Medical Superintendent or his

authorized representative. Any defect found in the material will render the supplies open for

rejection and decision of the Medical Superintendent shall be final and legally binding. The

rejected supplies shall be returned to the suppliers at their risk and cost. The rejected supplies

are to be replaced and lifted by the supplier Chemist within 3 days of rejection.

Reservations:-

The Medical Superintendent reserves the right

a) To reject any or all tender without assigning any reason whatsoever.

b) To award any or part or full contract to any successful agency (ies) at its discretion and

this will be binding on the tender.

c) To verify all the original documents related to this tender at any time.

d) To test any or all of the materials supplied by the tender(s), by any Government or

Government approved Laboratory. The report of the Govt. or Government approved

laboratory shall be accepted by the supplier.

e) The under signed reserves all rights to reject any or all tender(s) without assigning any

reason(s) thereof and have the right to place orders on one or more firms.

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f) Medical Superintendent, ESIC Model Hospital, Rourkela reserves the right to enter in to

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.

V. BILLING

1. The Store section will receive the Medicine/Other Items etc. and will verify the Maximum

Retail Price & Other Particulars and certify on the credit memo. The bills for payment to be

submitted should include the all the details as per indent received and duly verified by the Store

Section on the credit memo.

2. Any defacement /overwriting or doctoring on the packing or printed M.R.P. will not be

accepted. Tempering on the printed MRP of the manufacturer by the supplier by use of stickers

or any other mean will not be accepted and other actions as mentioned elsewhere will be taken.

Presentation of Bill:-

The Contractor(s) will present their bill for each month’s supply within three days of the

closing of each respective month.

(i) The bill shall be in the printed and serially numbered Credit bill with the name and

address of the Chemist and Sales Tax Registration Number printed thereon.

(ii) The bill shall show the summary of the total amount for each day for the net amount

claimed supported by the acknowledged first copy of the indent with all the column duly

filled in.

VI. PAYMENTS-

The Contractor(s) shall claim payments every month. Payments of the bills prescribed in

complete forms and in time will normally be arranged within 10 to 30 days from the date of

presentations. However, no claim shall be made by the contractor(s) 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.

Payments will be made on the basis of monthly supplies. Bills along with

receipted/verified credit memo be submitted once in a month to the Billing Section, who will

verify the details with reference to the indents, receipted/verified credit memo, including the

M.R.P. etc.

Payment will be made through RTGS/ECS against the bills raised for the items supplied

as per Supply Order in Monthly basis. Photocopy of all the related Supply Orders/ Requisitions

should be enclosed with the monthly bill. The Tenderer(s) have to provide Bank details of their

firm in the Technical Bid of the Tender along with a cancelled Cheque. While submission of the

monthly bill the supplier(s) have to submit a confirmation of the Bank detail in every month.

Medical Superintendent

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PROFORMA-1

COMPULSORY DOCUMENTS

(To be submitted with Technical Bid)

Sl

No.

Particular/ Detail Submitted or

Not

Detail

1. Drugs License No.

2. Validity of License

3. Registration No. of Pharmacist(s) with Name

4. Latest Sales Tax/ VAT registration Certificate

5 Valid VAT clearance Certificate

6. EMD submitted

7. No conviction Certificate from State Drugs

Controller(Photocopy)

or

An affidavit in this regard (Original).

8. Business hours of the shop/outlet

9. Contact Telephone No. and Mobile No. of the

tenderer, e- mail ID of the tenderer

10. Original Tender Document signed and stamped on

all the pages and serially numbered

11. The individual signing the tender or other

documents connected with the tender/contract is

i. Sole proprietor of the firm or his attorney?

ii. Register active partner of the firm or his

attorney?

iii. Per procreation?

iv. Manager of the firm?

(Please

specify)

12. Bank Detail for ECS/ RTGS Purpose.

Signature of Tenderer with Date & Stamp

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PROFORMA-2 (To be submitted with Technical Bid)

Sl. No. Name of Generic Medicine Name of Quoted Manufacturer(s)

1. Tab Ofloxacin 400/200mg

2. Tab Ofloxacin + Ornidazole

3. Tab Azithromycin 500/250mg

4. Syp Azithromycin 100/200mg

5. Tab Roxithromycin 150 mg

6. Tab Amoxy.+Clavulanic acid

625mg/375mg

7. Syp. Amoxy+ Clavulanic acid

8. Inj Amoxycillin+ clavulanic acid 1.2 gm

9. Inj Amikacin 500 mg

10. Tab Cefixime 200mg

11. Syr. Cefixime

12. Tab Cefuroxime 500mg

13. Tab Albendazole 400mg

14. Susp. Albendazole10 ml

15. Inj Artesunate

16. Tab Paracetamol 500mg

17. Syp. Paracetamol 125/250mg

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18. Tab Diclofenac 50 mg

19. Tab Diclofenac100 mg SR

20. Inj Diclofenac sod

21. Diclofenac Gel(Ruficient) 20 gm(approx)

22. Tab Aceclofenac 100 mg

23. Tab Dicyclomine+ PCM

24. Tab Dicyclomine +Mefenamic acid

25. Tab Serratiopeptidase 5mg/10 mg

26. Tab Antacid

27. Antacid gel 170 ml

28. Tab Ranitidine150mg

29. Inj. Ranitidine

30. Tab Pantoprazole 40 mg

31. Inj. Pantoprazole

32. Tab Rabeprazole 20 mg

33. Enzyme Syp

34. Capsule/Tab Enzyme

35. Inj. Ondancetron 4mg

36. Tab Ondancetron

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37. Tab Domperidone

38. Tab Alprazolam 0.25mg

39. Tab Cetrizine 10mg

40. Syp Cetrizine

41. Tab L-cetrizine

42. Cough suppressant (Dexamethorphan

Based)

43. Liq. Disodium Hydrogen citrate 100 ml

44. Oint. Povidone Iodine 15gm

45. Lotion Povidone Iodine 100ml/500ml

46. Tab/CapVitamin B-comp.

47. Syp Vitamin B- comp.

48. Tab Folic acid 5mg

49. Multivitamin with Zinc

50. Tab Calcium Gluconate+Vit. D3

51. SypCalcium(170 ml approx.)

52. Cap/Tab Iron with folic acid

53. Syp Iron 200 ml

54. Oral Rehydration Salt (Adult&Ped.)

Signature of Tenderer with Date & Stamp

Page 20: TENDER FORM - Employees' State Insurance

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Proforma-3

Quality Clause ( To be submitted with every supply)

“We stand guaranty for the following supplied Drugs/ Dressings/ Disposables & consumables/

IV Fluids /Ayurvedic Drugs. If all or any of the following items is/are found to be

substandard, we will replace the entire quantity or make full payment of entire consignment of

that particular batch irrespective of the fact that part or whole of the supplied quantity may

have been consumed and also bear the cost of the Testing charges”

Sl.No. Name of Item Manufactured

by &

Marketed

By(If)

Batch No. Exp. Date Quantity

Signature of Tenderer with Date & Stamp

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21

(To be submitted with Technical Bid)

UNDERTAKING

1. I, the undersigned certify that I have gone through the terms and condition mentioned in

the tender document and undertake to comply with them.

2. The rates quoted by me are valid and binding upon me for the entire period of contract

and it is certified that the rates quoted are the lowest quoted for other institution/ hospital

in India.

3. The earnest money deposit of Rs 25,000/- to be deposited by me has been enclosed here

with vide Demand Draft No.___________________ Dt.______________________

drawn on _______________________________, Branch _____________.

4. I/we give the rights to the medical Superintendent to forfeit the Security Money

deposited by me or us, if any delay occurs on my/our part or failed to supply.

5. There is no vigilance/CBI case or court case pending against the firm.

6. I hereby undertake to supply the items as per directions given in the tender document/

supply order within the stipulated period. 7. The firm is in business since last two years.

8. If the information submitted in this tender is found incorrect/false at any time the tender is liable to be rejected.

Date: Signature of the Tenderer

Place: Full Name:

Designation:

(Office Seal of the Tenderer)

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Annexure- I (To be submitted with technical bid)

From:-

Telephone No: ______________, Mobile No: ________________, e-mail ID:______________

To

The Medical Superintendent, ESIC Model Hospital, Rourkela-769004

Sir,

1. I/We hereby offer to supply medicines/drugs to ESIC Model Hospital, Rourkela, Odisha, as

indicated in the Tender document at the rate given below and agree to hold this offer open till

one year from the date of contract, and for further one year if extended. I/We shall be

bound by a communication of acceptance dispatched within the prescribed time.

2. I/We have understood the instructions to the tenders and conditions of contract in the

schedule to the tender from and accept them.

3. 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.

4. I/We agree to arrange supplies in accordance with the nomenclature, specifications and

packages given in the schedule to tenders. Deviations, if any, are indicated here:

____________________________________________________________________________

____________________________________________________________________________

(Here indicate deviations (if any) and also in a separate letter)

5. I/We agree to arrange the supplies of life saving drugs as stipulated in the schedule to the

tender.

6. I/We agree that the supply of aforesaid items / medicines will comply with provisions of

Drugs and Cosmetics Act, 1940 and rules made there under.

7. I/We agree to abide by the conditions of tender and the schedule to the tender and

specifically to the arbitration clause of the contract.

8. I/We enclose:-

a) Demand Draft (Mention D.D. number, date and name of issuing branch) for deposit of

Earnest Money of Rs. 25, 000/-

b) Original Tender Notice and schedule to the Tender duly signed and Stamped.

c) No Conviction Certificate from the State Drug Controller or an affidavit in this regard (In

Original)

d) Copy of valid Retailer Drug License issued by State Drug Controller (duly attested by a

gazetted officer).

e) Sales Tax/Vat Registration Certificate (duly attested by a gazetted officer).

f) Name and address of their banker along with other document and a cancelled cheque for

ECS purpose.

g) Photocopy of PAN/ TAN Card.

Signature of Tenderer

with Date & Stamp

Note: Tender No, Telephone & mobile No, Name & Address of the tenderer should be

mentioned in all communications.

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Annexure-II

PRICE BID FOR THE LOCAL SUPPLIES OF MEDICINES

TO E.S.I.C. MODEL HOSPITAL, ROURKELA,ODISHA -769004

Name and address of the Tenderer:

Telephone No., Mobile No, e-mail ID of Tenderer:

Earnest Money Deposit: DD No._____________ Dated___________ issued by _____________Bank

PAN No/TAN No.:

Drug License No., date of Issue and Validity:

I/We hereby offer to supply medicines/drugs to ESIC Model Hospital, Rourkela, Odisha, as indicated in

the Tender document at the rate given below and agree to hold this offer open till one year from the

date of contract, and for further one year if extended.

Sl.

No.

Type of Item % of discount offered on MRP

(Inclusive of all Taxes)

In figures In words

1 Generic Medicines

(Generic drugs allopathic and

Ayurvedic (classical) ,

Disposables & surgical

consumables, Bandage, gauge,

IV Fluids etc, as mentioned elsewhere)

2 Branded Medicines

(Branded Allopathic and proprietary Ayurvedic Drugs)

3 Super-specialty Medicines

Signature of Tenderer with Date & Stamp

NB:- Original to be submitted Blank in Technical Bid, duly signed and stamped.

In Price Bid, photocopy of the same is to be submitted, duly filled, signed and stamped.

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