RFP NO 3463/PPP/G1/2009 Dt 27.06.2016 CORRIGENDUM, DT: …cfw.ap.nic.in/pdf/merged_document_4.pdf · RFP NO 3463/PPP/G1/2009 Dt 27.06.2016 CORRIGENDUM, DT: 21.07.2016 1. The following

GOVERNMENT OF ANDRAPRADESH

COMMISSIONARATE OF HEALTH & FAMILY WELFARE

REQUEST FOR PROPOSALS FOR MAINTENANCE OF EMERGENCY RESPONCE SERVICES(108 SERVCIES)

RFP NO 3463/PPP/G1/2009 Dt 27.06.2016

CORRIGENDUM, DT: 21.07.2016

1. The following amendments are issued for the RFP documents vide RFP No 3463/PPP/G1/2009 Dt 27.06.2016

Clause No For To be read as

Para 1 of RFP

notice at

page 2

Period of three years Period of 3 years extendable by 2 years

Para 2 of Eligibility

criteria at SECTION 5 at

page 12

The Bidder(s) must have turnover not less than 18.00 Crores for each of the last three years (this

amounts to approximate monthly cost per ambulances X estimated desirable minimum fleet

quantity X12 Months)

The Bidder(s) must have turnover not less than 18.00 Crore for each of the last three years.

Lead partner shall fulfil all the eligibility criteria. If the financial turnover of lead partner is not as

per the criteria, then, aggregate of financial turnover of the consortium partner would be

considered, provided that partner is also technically eligible independently.

Para 3 of

clause 11 of SECTION 6 at

page 16

MMU Ambulance

Sl No 2 at

Page No 60

AVLT EQUIPEMENT along with the software

application

Deleted

Appendix D at

Page 65

There shall be 3% escalation in the financial bid in

the subsequent years to the preceding years

There shall be 5% escalation in the financial bid

in the subsequent years to the preceding years

Para 4 at page 71 of

SECTION VIII

4 Reach time in Urban Areas

(Number of transportations exceed SLI shall not be more than 5%)

15 min

5 Reach time in Rural Areas (Number of transportations exceed

SLI shall not be more than 5%)

20 Min

6 Reach Time in tribal areas (Number of transportations exceed

SLI shall not be more than 5%)

25 Min

4 Reach time in Urban Areas

(Number of transportations exceed SLI shall not be more

than 5%)

Maximum

of 20 min

5 Reach time in Rural /

Tribal Areas (Number of transportations

exceed SLI shall not be more than 5%)

Maximum

of 25 Min

Para 6 of

Clause 11 of

SECTION VIII at page No 75

MMU Ambulance

Clause 17 of

Section V111

at page 77

This Service Level Agreement shall be for a period

of three years take effect on …To…..until …. The

period may be extended with the agreement of

both parties after mutual negotiations.

This Service Level Agreement shall be for a

period of three years take effect on …To…..until

…. The period may be extendable by two years

with the agreement of both parties after mutual

negotiations.

2. The following penalty clauses shall be inserted as para 5 after para 4 of page no 71

Para 5: Penalty clauses in case of non achieving of the service level indicators

Service level Indicator Penalty clause

100% operational ambulances in the fleet

(other than reserve) shall be on road every

For every 1% decrease in the on road status of

operational fleet, there shall be a 0.1% decrease in

day the operational cost per ambulance. This penalty is in

addition to the deductions mentioned at para4 of

Clause 1 of Section 6

Number of emergencies transported per day

per ambulances shall not be less than 4

For every 5% decrease in the average number of trips

there shall be a 0.1% decrease in the operational cost

per ambulance

Every Medical emergency requested shall be

transported from scene to hospital or lower

health facility to higher health facility. There

shall not be an single emergencies

unattended.

For every medical emergency not transported from

scene to hospitals, there shall be a penalty of Rs

10000/-

100% of Calls for attending emergency shall

be received by the call centre. There shall be

no call untended.

For every 1% of calls not attended there ahall be a

0.1% decrease in the operational cost per ambulance

Maximum reach time in urban areas is 20

minutes and number of transportation

exceeds maximum reach time shall not

exceed 5%

For every 1% increase, beyond permitted 5%, in

number of transportations exceeds maximum reach

time, there shall be a 0.1% cut in the operational cost

per ambulance

Maximum reach time in urban areas is 25

minutes and number of transportation

exceeds maximum reach time shall not

For every 1% increase, beyond permitted 5%, in

number of transportations exceeds maximum reach

time there shall be an 0.1% cut in the operational

exceed 5% cost per ambulance

3. Details of Fitness and Insurance of ambulances are enclosed to this corrigendum shall be inserted as

Annexure – 2 (A) in tender document after Annexure – 2 and before Annexure – 3.

4. Details of specifications of medical equipment in ambulances are enclosed to this corrigendum shall be

inserted in tender document as Annexure – 5 after Annexure – 4 and before Appendix – A.

5. Clarifications to the pre bid queries on RFP requested by bidders are enclosed as Annexure - A to this

corrigendum.

Sd/- Commissioner of Health & Family Welfare,

A.P. Hyderabad

ANNEXURE – A CLARIFICATIONS TO THE PRE-BID QUERIES FOR 108 EMERGENCY RESPONSE SERVICES RFP

Sl. No.

Query Reply

NISA GLOBAL

1

As per RFP - Section 5: Lead bidder shall be required to fulfil all technical eligibility criteria Query: Any party/parties of consortium can fulfil technical eligibility but Lead Bidder is responsible & accountable

Not considered

2

As per RFP - Section 5: Bidder should have at least 3 years of experience in the operation of Pre-Hospital “Emergency Response Services”witha minimum fleet supported by a control room, with a call centre set up by the entity/bidder/applicant. Query: Should have minimum 3 years of experience of operation of a fleet of 75 to 100 vehicles (four wheel motorized) in last 5 years. Integrated vehicle monitoring system with call centre having computer telephony integration and ability to log calls with GIS based GPS information. The experience of running in-house call centre/help desk for bidders own operations or their partner/associates operation shall be counted.

Not considered

3

AS per RFP: The minimum fleet would be considered as 33% of the total fleet required to be operationalized. Query: Minimum fleet should be 15% to maximum 20% of the total fleet required to be operationalized. (Any motorized four wheel) No limitation should be on numbers of consortium. “Lead bidder’s should be having sole responsibilities and accountability.”

Not considered

4 As per RFP: Appendix D : There will be 3% escalation in the 5% escalation is considered

financial bid in the subsequent years to the preceding year Query: Escalation should of 8% in the subsequent years to the preceding year.

U K S A S

1 Page 4- EMD- Can the 25 lakhs BD be amended to 25 lakhs BG, or can the amount be reduced to Rs. 15 lakhs ?

Not considered

2

In case of a Consortium, with a foreign company as a member, the required EMD from the Indian member of the Consortium, for and on behalf of the Consortium, should be submitted, from its Indian bank. This should be acceptable. We request you for that.

Indian partner in the consortium may be allowed to deposit EMD from Indian Bank

3

In view of the complexity of such critical project, instead of L-1 criteria of selection, the CAG recommended QCBS method of selection should be adopted, with high weightage to the technical score. This has been adopted by many state governments now.

Not considered

4 Page 9- the technical specifications of the GPS device need to be stipulated.

Specifications are not a part of the RFP, and will be suitably communicated to the successful bidder.

5 Page 10-SLA- no of patient trips of min 4, should be on an average of the entire fleet, over a period of 30 day period, not to be computed for individual ambulance basis.

Number of trips per ambulances will be calculated on average of total trips of all ambulances in 30 days

6

Page 11- Payment- Like in most states of India, we request you to release 80 to 90% of the payment, based on the invoices submitted, directly, within 7 days of bill submission. Balance amount can be released after the prescribed verification of data, documents, and levy of penalty, if any. This 80 to 90% of the payment will address the immediate issue of staff salary, vehicle maintenance, and hence, services will not be affected, in case govt delays payments.

Not considered

7

Like in most states of India, government is requested to release a mobilising advance of Rs. 20 crores, against a BG. This amount can be recovered by government, on a pro-rata basis, monthly, equally spread over the 3 year contract period.

Mobilization advance is not recommended.

8 Over the contract period, changes in government taxes and duties like GST etc., should be separately reimbursed by government.

State shall be responsible for extra expenditure incurred due to change in taxation laws based on

actual deposit slips.

9

Page 38- Annx 2- Kindly specify the fitness certificate status and the insurance payment status of each ambulance, viz. till when is the fitness and insurance valid. This will enable all of us, while doing the costing of OPEX.

Enclosed to corrigendum

10

Annx 3 and 4- Please specify the make/model of the key medical equipment of the BLS/ALS ambulance. Please indicate the AMC status of the important medical equipment too, ie whether any equipment is on AMC or not and the expiry date, if applicable.


11

Section VII_ Appendix A- it specifies that the tender prices of previous orders/contracts to be disclosed. However, most of the foreign countries do not allow the commercial data like prices of contracts, to be disclosed in other foreign countries, without proper govt and foreign office approval, since such commercial issues, particularly prices are confidential in nature. Hence we request you not to make contract price disclosure compulsory.

Not considered

12

The tender allows a price escalation of 3% every year. However, please note that the general inflation is much higher than this and rate of increase of salaries are also higher. Hence, we request you to allow a 10% escalation on a yearly basis. This has been adopted by many state governments.

5 % escalation considered

13 Kindly allow escalation of tariff based on fuel price index of RBI, as adopted by many state governments too.

Not considered

14 Please allow an uptime of 95%, to allow for mandatory periodic vehicle maintenance.

Not considered

TOPS GROUP

1 EMD to be reduced from 25 lakhs to 15 lakhs. Not considered

2 Rates to be fixed to be 3 years with an Escalation of 5 to 7% year on year to ensure & cover all wage / compliance / statutory etc.,

5 % escalation is considered

3 Minimum fleet of ambulance’s to be considered should be 15% Not considered

4 Mobilization fee of 30% of the overall contract value should be dispersed against BG.


5 Mobilization time and penalty time needs to be synchronized & Not considered

should be agreed by both the parties. This means the service provider should be given minimum of 8 months to settled his operation & to understand terrain Operational Model of running the contract

6 The Model & the Costing would be provided on an Operating Module (OPEX) ensuring all costs are included. (Clarification required)

All the costs incurred have to be built in to the bid and no charges other than the bid amount shall be

reimbursed by the government.

7 Penalty to be clearly mentioned on the operating model & specified against each SLA

Provided in corrigendum

8 In case of replacing old ambulances to new ambulances the Capex payment should be passed through from the service provider to the service provider of providing ambulances.

Procurement of 278 ambulances is already under process and will replace the 278 ambulances in the

existing fleet

9 Any fresh taxes to be levied during the contract period needs to be compensated by AP Government.

State shall be responsible for extra expenditure incurred due to change in taxation laws based on

actual deposit slips.

10 Minimum penalty to be levied this period. Penalty clauses provided in corrigendum

11 Sales Tax / VAT needs to be deleted. All applicable taxes

12 Fitness Certificate for all the Ambulances Enclosed to corrigendum

13 Qualification Criteria of requirement of Paramedics. This is required to determine the cost of manpower as there are various category of Paramedic Resources.

B.S.c (Life sciences) / B.S.C Nursing / B.S.c MLT / D.Pharmacy

14 Consortium Partners to be restricted to 3 Members only. As per tender documents maximum three members

allowed in consortium

15 GPS device / Navigation device/ application / technology need more clarity & specifications.

Specifications are not a part of the RFP, and may be suitably communicated to the successful bidder.

16 Ambulance Maintenance schedule to be one half days per month / 18 days per year.

Not considered

17 More Clarity on CM Dashboard. Please visit website core.ap.gov.in for further clarity

18 Vendors currently providing solution for Command & Control Centre ( Details required)

Not considered

19 Power of Attorney signing document to be attached with RFP Enclosed to corrigendum

20 Set up of Command & Control Centre to be cleared identified. As per RFP

21 Costing for 439 Ambulances should it also include the 26 Reserved Yes including 26 Reserve Ambulances

Ambulances?

22 Force Majeure needs to be explained & clearly identified for operational discrepancies.

Force majeure will be a part of the contract.

23 Technical Partners in the consortium together should compromised the turn over eligibility criteria.

Not considered

24 Data pertaining to transportation to pregnant women needs to be provided.

As per RFP

25 Suggestion of having a 5 year plus 2 year extension of the contract would be more viable for the service provider and the state health Dept

Period of 3 years extendable for another 2 years

26 Notarization of Government documents is not possible. Not considered

27 Damages to the ambulances during any disruption in the state. For ex: More Violence / Accident the reimbursement of the damages needs to be provided by the Government.

Not considered

28 Any Ambulance which has a Km of 2.5 Lakhs or has been road more than 3 years needs to be replaced.

Not considered

GVK EMRI

1 Request to keep minimum 5 years as initial project tenure, extendable to another 3 years on mutual agreement.

Period of 3 years extendable for another 2 years

2 Request to allow to submit EMD in the form of Bank Guarantee Not considered

3

a) We request to allow 10% yearly increase on previous year’s rate, considering inflation and specially increase in Manpower & Fuel cost. b) Allowance of minimum 10% on previous year’s rate, in case of extension of contract period beyond three years.

5% escalation is considered

4

Financial evaluation will be done as per the L1 basis and successful bidder will be identified Considering a service to serve during emergency and related to live saving mission, competency and quality of service provider should have more Weightage. So, request to adopt quality cum cost base (QCCB) method for the selection of service provider. A sample of evaluation sheet attached for reference as Annexure I.

Not considered

Request to fix eligibility condition keeping in mind to get competent, experienced, passionate service provider.

5

Establish and Operate an exclusive 24 x 7 call centre for managing and coordinating the ambulance services Can bidder assume that at the end of the project the service provider will own the entire call centre set up?

yes at the end of the project the service provider will own the entire call centre set up

6 Tagging of all health facilities for various emergency conditions Please elaborate the scope of tagging of all health facilities.

Tagging of health facilities means to have a categorization of health facilities in terms of their

preparedness to handle different emergencies. This includes availability of equipment and required HR

etc.

7

Provision of front desk in emergency department nursing station manned 24 X 7 by a minimum of one trained person (non-paramedic) for receiving intimation calls from en-route ambulance a) Please clarify whether it should be provided to all health facilities including PHCs or district level hospital? b) Please let bidder know the count of hospitals, where trained person to be provided. c) Can bidder assume that required infrastructure will be provided by Hospital authority? A separate rate per person for this purpose may be asked for to facilitate change in requirements.

Shall be provided at 11 Teaching Hospitals and 8 District Hospitals by the provider for all the cases and

for delivery cases, while transportation, the details about the status of mother shall be communicated to the destination hospital over telephone to alert MCH

team, OT and blood if required.

8

Operation and maintenance of Ambulance Services through an existing fleet of 439 Ambulances Can bidder assume that service bill will be raised of 465 ambulances including back up ambulances considering fixed cost?

Bills shall be only for 439 operational ambulances only

9 Operation and maintenance of 465 vehicles (76 Advanced Life Support, 363 basic Life Support and 26 Reserve)

Bills shall be only for 439 operational ambulances only

Can bidder assume that service bill will be raised of 465 ambulances including back up ambulances considering fixed cost?

10

Maintenance of Medical, on Medical and ICT equipment in the ambulances and replace with the new one in case of permanent non functional of equipment Can bidder assume that during handover of ambulances with equipment, all equipments will be working condition; otherwise GoAP will replace those non functional equipments GoAP should provide ambulances with functional medical and other equipments to selected service provider.

Yes

11

Establishing call center in Andhra Pradesh for receiving calls for attending medical emergencies, dispatching ambulances for medical emergencies, routing calls to respective agency in case of nonmedical emergency, follow up of emergencies transported and obtaining feedback on the services provided. Can bidder assume that GoAP will provide space to establish call centre? The selected service provider should be allowed to establish call center anywhere including outside of Andhra Pradesh / Hyderabad.

No, Service provider shall provide space to establish call centre

12

Every ambulance shall be provide with tab/mobile phone with appropriate software application for capturing the details of services provided to the patient in the ambulances and details of health institution to where patient is transported. a) Can bidder assume that the requirement of Tablet or Smart Phone (Mobile) with SW application is for internal monitoring process? As details of service provided to the patient and hospital details etc will be captured in call centre. b) Is it for each ambulance or supervisory team? A detailed requirement will help bidder assessing the cost.

Tablet is for capturing the PCR form and other all service provided by ambulance starting from base

transportation of patient to hospital, handing over to hospital and return to base

13 Shall conduct the periodical trainings to the Drivers, EMTs, and management staff and call centre staff. Periodicity shall not exceed

Not considered.

quarter. Training action plan, training material, methodology shall have prior approval of Government a) Periodicity of re-training may be fixed at 6 months instead of quarter. Since the operation is in distributed environment, very frequent training would create operation issues and dis interest amongst the participants. Six monthly period is considered to be appropriate for refreshing and re skilling. b) Selected service provider should share the Content of training with competent authority; but action plan, methodology etc should be let to service provider as internal process.

14

Shall obtain the feedback from the beneficiaries on regular basis through IVRS system without any manual interference Can bidder get required questionnaire and methodology in advance?

Will be provided after identification of service provider.

15

Shall conduct quality audit on biannual basis through an independent agency identified by the Government Can bidder assume that GoAP will appoint and did quality audit and will be paid by GoAP?

Govt of AP will appoint and did quality audit and expenditure shall be borne by service provider

16

Every call for attending emergency shall be received by the Call Centre. There shall be no call unattended Considering call drop, prank call, nuisance call etc the unattended call target should have minimum threshold limit of 10 rings i.e. any call not attended within 10 rings should be termed as unattended call.

Not considered

17

Number of emergencies transported per ambulance per day 4 As all emergency calls requiring dispatch as mentioned in Service Level indicator except exceptional cases where ambulances will be

No Change, as per RFP

busy in another cases, the asking rate for trip may be deleted. a)Otherwise Request to keep minimum target as 3.5 Trip per ambulance per day b) As inter facility transfer(IFT) is part of scope and which requires longer distance travel, additional 1 Trip per district from 2nd district in same trip may be allowed. Example: One trip required to travel 2 districts will get trip credit as 2 Trips, in case of touching 3rd districts operator will get credit of 3 Trips etc.

18

Number of pregnant women transported per month is 60000. Further to justification given above in point no 16; As 108 ambulances are primarily for Emergency cases like Trauma, cardiac including pregnancy cases, specific target for pregnancy cases may be deleted.

As per RFP

19

Number of ambulances on road every day - 439 As per clause 2-Operation and maintenance of 465 vehicles (76 Advanced Life Support, 363 basic Life Support and 26 Reserve) The number of 26 back up/reserve tantamount to 5.5% a) In view of the aged fleet and non-availability of dealer net work in all the important strategic locations, the delay is likely to happen in doing the preventive or break down maintenance. Request to increase back up ambulances from 26 to 45, approx 10 % of total fleet. b) Allowance of off road I. Option I: Overall 15% average off road allowance II. Option II: 10% average off road with 26 Back up ambulances III. Option III: Average 5% off-road of operational ambulances with 45 no of back up ambulances.

No Change, as per RFP

20 Provides the465 ambulances with equipment to the service provider with as is condition. The details of ambulances and equipment

Not considered

therein is at Annexure1 & 2 The number of 26 back up/reserve tantamount to 5.5% a) In view of the aged fleet and non-availability of dealer net work in all the important strategic locations, the delay is likely to happen in doing the preventive or break down maintenance. Request to increase back up ambulances from 26 to 45, approx 10 % of total fleet. b) Allowance of off road I. Option I: Overall 15% average off road allowance II. Option II: 10% average off road with 26 Back up ambulances III. Option III: Average 5% off-road of operational ambulances with 45 no of back up ambulances.

21

The payment will be made on monthly basis Request to fix a maximum timeline of 15 days from the date of submission of service bill. For delayed payment interest at the rate of 15% may be paid to operator.

Not considered

22

The total cost of tender would be the basis to calculate non operative cost per Ambulance per day. For all days when a certain number of Ambulance has not been functional, cost deducted would be = Operational cost of Ambulance per day x number of days non- operative X number of such non-functional ambulances. Every three month a grace period of one days per ambulance shall be given for regular/routine maintenance of the ambulance. The schedule for such maintenance shall be informed in advance and due permission should be taken from the state government. This would not lead to deductions as in point -4 above a) Considering the fact that approx 80% of total cost in fixed in nature, deduction should be maximum 20% of operational cost for non operative days for non functional ambulances b) The count of non functional ambulances for deduction should be

Not considered

beyond 15% off road allowance considering age of vehicle.

23

There will be 3% escalation in the financial bid in the subsequent years to the preceding year. Request minimum 10% annual escalation every year on previous year’s rate.


24

Reach time in Urban-15Mts; Rural-20Mins and Tribal-25Mins a) As mentioned in page no 10 under SLIs it is contradictory. b) Can bidder assume that the reach time is from the ambulance start time from base location to reach time at scene We request to revise reach time target as Urban- 20 mts Rural -30 mts Tribal – 40 Mts

As per corrigendum

PROCREATE

1 Kindly provide details of medical and ICT equipment in the ambulance already available along with its working conditions date of purchase make and model details


2 Does the data of health facilities be provided with specialties for tagging the facility to a emergency Condition

yes

3

1. Does the service provider should deploy one non-paramedic trained person at each hospital’s emergency department nursing station 24x7 to receiving intimation calls from ambulance. OR 2. Is there any nursing station to be established in the ERC?

Shall be provided at 11 Teaching Hospitals and 8 District Hospitals by the provider for all the cases and

for delivery cases, while transportation, the details about the status of mother shall be communicated to the destination hospital over telephone to alert MCH

team, OT and blood if required.

4 1. Request for more details on advanced ICT to provide quality emergency call center so that uniformity of costing amongst the bidders is achieved

ICT details will be provided to successful bidder and may change from time to time.

5 1. Detailed requirements of the Call center is required because Service provider to design the call center as per the

based on requirements and expected features the costing will have an impact 2. Kindly describe if there are any SLA’s of call center handling to understanding the expectation and impact

requirement of the contract.

6 Can the service Provider logo can be placed on the ambulance? No

7

How long the data need to be stored please let us know if there are any statutory requirements. Please let us know if there is any need for offline access this storage. Please let us know if there is a requirement of BCP/ disaster recovery is to be compliant

5 years

8 Does the service provider should locate the premises for establishing the center or does government provides the space?

service provider should locate the premises for establishing

9 Please mention all areas a quality team would inspect. Committee to decide and finalise as per requirement.

10 Can the patient be transported to nearby Private Health Facility, if government facility is far.

Shall transport to appropriate health facility as per the SOPs to be provided by Government

11 1. SLA time should be feasible and can be 30 Min. 2. The Bench mark if not reached by the service provider then what are the penalties imposed.

Not considered

12 The only penalty clause we found in the RFP. Need to have more clarity on the Penalty Clause. If any clause’s are missing.

Penalty clauses enclosed to corrigendum

13

1. Provide the Detailed compliance sheet of Emergency response system software and hardware features 2. Kindly provide the details if the emergency response system has to accommodate medical dispatch protocols based triage and pre-arrival instructions.

As per SLA

14

1. Dual SIM GPS device might solve dark zone issues and enhance the coverage 2. GPS device specification needs to be provided. Share the existing GPS device specification and vendor details

Specifications are not a part of the RFP, and may be suitably communicated to the successful bidder.

15

1. Instead of the Manual PCR (Handwritten PCR Old Process) you are asking the operator to implement the mobile PCR using Smart phone/tab. 2. Can this Tab/Smart phone be used with necessary software

Service provider can choose the methodology

applications for attendance management, inventory management, Daily check list like cleaning, consumable quantities and log book automation etc.,

ARYABHAT COMPUTERS

1

Payment- Like in most states of India, we request you to release 80 to 90% of the payment, based on the invoices submitted, directly, within 7 days of bill submission. Balance amount can be released after the prescribed verification of data, documents, and levy of penalty, if any. This 80 to 90% of the payment will address the immediate issue of staff salary, vehicle maintenance, and hence, services will not be affected, in case govt delays payments.

Not considered

2 Annexure 2: Kindly specify the fitness certificate status and the insurance payment status of each ambulance, viz. till when is the fitness and insurance valid.


3

Like in most states of India, government is requested to release a mobilizing advance of Rs. 20 Cr, against a BG. This amount can be recovered by government, on a pro-rata basis, monthly, equally spread over the 3 year contract period.


4 Company not blacklisted but facing criminal case then what should be the eligibility criteria? Do such companies can participate in the Bid?

As per RFP

5 EMD- Can the Rs. 25 Lacks BD be amended to Rs. 25 Lakhs BG, or can the amount be reduced to Rs. 15 Lakhs?

Not considered

Ziqtiza Health Care Ltd.,

1 Can we submit EMD in BG format? If yes, then please provide the BG format, with NEFT details of CH&FW, AP.

Not considered

2 Please provide the format of Power of Attorney Enclosed to corrigendum

3 It is not always possible to convince all govt to give certificate in any specific format. Hopefully general format showing experience as required for the tender will suffice

Considered

4 Since the vehicles are more than 8 years old we suggest the government to pay the cost for the same as the cost would be on

Out of 465 fleet , 128 ambulances are procured during 2012-13.337 ambulances are old. Out of 337

the higher side for the service provider. ambulances 278 are being replaces with the new ambulances

5 Please provide qualification required details for the staff (EMT/Driver/CDC staff).

B.S.c (Life sciences) / B.S.C Nursing / B.S.c MLT / D. Pharmacy

6 Kindly share details vehicle wise for the validity of 1. Insurance, 2. Fitness Certificate, 3. Road Tax certificate, 4. Insured Depreciated Value of vehicles


7

Provision of front desk in emergency department nursing station manned 24 X 7 by a minimum of one trained person (non-paramedic) for receiving intimation calls from en-route ambulance. Is this Support Desk

Yes, to be established in 11 Teaching Hospitals and 8 District Hospitals for all the cases; For delivery cases,

while transportation the details about the status (condition) of mother shall be communicated to the destination hospital (all delivery points where the

mother is being transported to) over telephone to alert the MCH Team, OT and blood if required.

8 Can you please let us know the current seating capacity in the call centre? Also provide us with the total no of people currently working in each shift in the calls centre.

Service provider shall estimate the seating capacity based on the requirements, SLAs and penal clauses

9

Every ambulance shall be provide with tab/mobile phone with appropriate software application for capturing the details of services provided to the patient in the ambulances and details of health institution to where patient is transported Need more clarity on this point, based on requirement we will develop the application

Appropriate software application for capturing the status of the Patient and the treatment details

provided in the ambulance and to communicate the same to the front station of the destination hospital

(teaching and District hospitals) shall be provided by the Service Provider.

10

Shall develop and maintain dedicated real time website for displaying all the services provided through emergency response services. This website shall be linked to Hon‟ble Chief Ministers core dash board List of data points that should be displayed for this dashboard

Will be provided after identification of service provider.

11 Establishing call center in Andhra Pradesh for receiving calls for attending medical emergencies

Service provider shall establish the call centre

Pls provide further details of call centre desired. Is it already fully functional and has to be taken over. If not then please provide further details. Pls provide provision for new agency to view the call centre and all the ambulances jointly with existing service provider

12

Shall conduct the periodical trainings to the Drivers, EMTs, and management staff and call centre staff. Periodicity shall not exceed quarter. Training action plan, training material, methodology shall have prior approval of Government. Revise periodicity to yearly

As per RFP

13

Every call for attending emergency shall be received by the Call Centre. There shall be no call unattended 80% calls should be attended As in the call centre there may be some calls left unattended. Please provide us with the existing call data ( Answered & unanswered calls, abandoned calls, cancelled and dispatched calls,etc).

Call Centre estimation have to be made as per scope of services, SLAs and penal clauses

a

4.1 Number of emergencies transported per ambulance per day - Min of 4 This should be considered as average over the fleet and should be upto minimum of 3.5. Also please define a trip, since if any vehicle is on a call more than 30 kms than it would be difficult to achieve the target.

As per RFP

b

4.2 Number of pregnant women transported per month – 60000 60000 calls means 4.5 trips a day. GOI data does not seem to indicate so many pregnant women in Andhra Pradesh. Kindly reduce to a more realistic number

As per RFP

c The Indicative SLI's for response time on page 10 and on page 71 are not the same. Please advice which one do we consider?

Amendment issued in corrigendum

d 4.4 Reach time in Urban Areas - 20 mins (Number of transportations exceed SLI shall not be more than 5%) Can we have response time increased to 25 mins? 90% calls

Not considered

should be within the response time. The response time average should be calculated over the fleet of ambulance.

e

4.5 Reach time in Rural/Tribal Areas - 25 mins (Number of transportations exceed SLI shall not be more than 5%) Can we have reach time increased to 35 mins? Please increase response time for Tribal area to 45 mins 90% calls should be within the response time. The response time average should be calculated over the respective zone (Urban/Rural/Tribal) of respective ambulance.

Not considered

14

1. Provides the 465 Ambulances with equipment to the service provider with as is condition. We would request you to provide us with the vehicles details along with the total kms run and staff details. What about the vehicles that are more than 7 years older and are registered before 2009.

Vehicles details enclosed

a

2. Provides the parking places to all the Ambulances. What about the restrooms to the staff? Will Govt. owned areas be provided for the same

Parking places are available at all segments.

15

1. The payment will be made on monthly basis. The Service provider will raise its invoice on completion of services during this period duly accompanied by evidences of services provided. The payment will be subject to TDS as per Income Tax Rules and other statutory deductions as per applicable laws. Payment should be made within 7 working days as there is a statutory requirement under Payment of Wages Act to pay salaries to the staff within 10 days.

Not considered

16

The total cost of tender would be the basis to calculate non operative cost per Ambulance per day. For all days when a certain number of Ambulance has not been functional, cost deducted would be = Operational cost of Ambulance per day x number of days non- operative X number of such non-functional ambulances.

Penalty clauses issued in corrigendum

How much the % of penalty on Operational cost per day per ambulance. Clarify formula of computation for penalty

17

Every three month a grace period of one days per ambulance shall be given for regular/routine maintenance of the ambulance. The schedule for such maintenance shall be informed in advance and due permission should be taken from the state government. This would not lead to deductions as in point -4 above. It has to be atleast 3 days / amby / month. Please share how many ambulances are involved in accidents over the last 12 calendar months

Not considered

18

1. The CH&FW, AP shall not be responsible for damages of any kind or for any mishap/injury/accident caused to any personnel/property of the Service provider while performing duty in the CH&FW, AP / consignee’s premises. All liabilities, legal or monetary, arising in that eventuality shall be borne by firm/ contractor. We suggest the government to pay the cost in case of natural calamity or occurrence of mob violence. Off road penalty should not apply in case of such force majeure situations.

Force measure will be a part of the contract.

19

3. Work under the agreement shall, notwithstanding the existence of any such dispute or difference, continue during arbitration proceedings and no payment due or payable by the CH&FW, AP or the firm / contractor shall be withheld on account of such proceedings unless such payments are the direct subject of the arbitration. What if this is related to monthly payments or party payments? At least 75% payment has to be paid.

No change

20

5. Venue of Arbitration: The venue of arbitration shall be the place from where the agreement has been issued. Kindly mention that the language of proceedings has to be in English.

Considered

21

The Service provider shall take over existing system and upgrade yet to the status as per defined in REQUEST FOR PROPOSAL document within the 30 days of signing the agreement. Can we increase the time to 6 month for take over one month would be less?

Not considered

22 What about the vehicles which are run more than 3 lakhs kms and/or Greater than 5 years old? Will these be replaced by the government?

Out of 465 fleet , 128 ambulances are procured during 2012-13. 337 ambulances are old. Out of 337

ambulances 278 are being replaced with the new ambulances

23 Please share the history of vehicles, refurbishment cost, body condition ,mechanical rupture, accidents, Mileage done, Service record, Workshop details

Service provider can inspect the vehicles

24 On page no 08 have mentioned 465 ambulance need to operate and maintenance but on page no 54 mentioned 468 ambulance, so how many amby are actually available?

Total 465 ambulances available in the fleet. 439 for operation and 26 for reserve

25 Attach users‟ certificates notarized regarding satisfactory completion of assignments. It is not possible to notarise the users certificate

No change

26 We are service provider so ST and VAT is not applicable for us. All applicable taxes

27

This guarantee shall be valid up to 15 (fifteen) months from the date of signing of agreement on page no 13 mentioned that PBG should be valid for period, which is six month beyond the date of expiry of the agreement, so what is meaning of "This guarantee shall be valid up to 15 (fifteen) months from the date of signing of agreement" mentioned on page no 66.

Not considered

28 AVLT Instrument along with Software application Need more clarity on this point on AVLT instrument & software application

AVLT is deleted form list of equipments required in ambulance

29 Will CH&FW, AP provide the space for civil infrastructure? (i.e. office for call centre & Manpower)

No

30 In case of total loss / replacement due to age (statutory conditions) can salvage value be reinvested into procurement of new vehicle

No

31 Who will be the owner of any new Asset procured by the service Government

provider

32 There will be 3% escalation in the financial bid in the subsequent years to the preceding year, Please increase this to 7%


33 Please provide Initial Mobilization Advance of INR 10 Crores Mobilization advance is not recommended.

34 For newly procure vehicle will the govt pay for initial road tax, registration, insurance etc.?

Yes

Sd/-

Commissioner of Health & Family Welfare

ANNEXURE - 2 (A) 108 AMBULANCES FITNESS & TAX DETAILS

S.No VEHICLE

NO. ENGINE NO CHASIS NO

Fitness due on

Insurance From Date

Insurance To Date

Insurance Company Type Of

Insurance

1 AP29U4012 D18010686 T58022448L06 1-Jul-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

2 AP29U4033 D18010646 T58022457L06 28-Jan-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

3 AP29U4207 D18010866 T58022593M06 18-Mar-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

4 AP29U4219 D18010890 T58022590M06 12-May-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

5 AP29U4606 D18011005 T58022787M06 17-Feb-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY


7 AP29U4671 D18011195 T58022866M06 22-Dec-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

8 AP29U4676 D18011156 T58022851M06 10-Jan-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

9 AP29U4680 D18010966 T58022773M06 17-Mar-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY

10 AP29U5971 D18012474 T58024148B07 29-Jun-17 03-Nov-15 02-Nov-16

UNITED INDIA INSURANCE COMPANY THIRD PARTY

11 AP29U6110 D18012267 T58023913B07 31-May-17 03-Nov-15 02-Nov-16


12 AP29U6288 D18012501 T58023940B07 18-Sep-15 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY

13 AP29TA3372 D18021659 T58032904F08 30-Jul-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

14 AP29TA3371 D18021491 T58032839F08 04-Aug-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY


16 AP29TA3652 D18021829 T58033032F08 18-Nov-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

17 AP29TA3367 D18021426 T58032743F08 18-Dec-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

18 AP29TA3654 D18021419 T58032735F08 20-Oct-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY



21 AP28TA2961 D18024614 T58036156A09 12-May-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party




25 AP28TA3109 D18024964 T58036192A09 14-Jun-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party

26 AP29U3995 D18010664 T58022401L06 24-Apr-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance

27 AP29U4020 D18010570 T58022325L06 5-Jun-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY


29 AP29U4639 D18011090 T58022793M06 15-Apr-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

30 AP29U5920 D18012055 T58023794B07 3-Apr-17 03-Nov-15 02-Nov-16


31 AP29U6164 D18012500 T58024180B07 20-Jun-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY

32 AP29U6200 D18011992 T58023704B07 20-Aug-16 03-Nov-15 02-Nov-16


33 AP29U6217 D18012185 T58023871B07 14-Oct-16 03-Nov-15 02-Nov-16




36 AP29TA3660 D18021881 T58033096G08 20-Oct-17 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

37 AP29TA3661 D18021592 T58033086G08 31-Aug-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY


39 AP29TA3686 D18021417 T58032737F08 25-Sep-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY




43 AP28TA2963 D18023916 T58036151A09 19-Apr-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party

44 AP28TA3115 D18024089 T58036206A09 10-Sep-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party

45 AP28TA3113 D18025040 T58036210A09 4-Jul-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party







52 AP29U4014 D18010656 T58022496L06 29-Oct-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY



S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance









59 AP29U6296 D18012680 T58023908B07 2-Dec-16 03-Nov-15 02-Nov-16







65 AP28TA3635 D18024022 T58036187A09 27-Aug-16 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party


67 AP29U4026 D18010689 T58022434L06 3-Feb-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY







74 AP29U4633 D18011189 T58022865M06 22-Jan-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY

75 AP29U5953 D18012306 T58023925B07 17-Nov-16 03-Nov-15 02-Nov-16




77 AP29U6437 D18011301 T58022964M06 29-Apr-17 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY

78 AP29U7517 D18011365 T58023001M06 17-May-17 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY

79 AP29U7518 D18011293 T58023002M06 20-Sep-16 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY


S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance




84 AP28TA2970 D18024941 T58036153A09 23-Mar-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party






90 AP29TA3330 D18020981 T58032489E08 24-Jul-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

91 AP29TA3650 D18021502 T58033088G08 2-Jan-17 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

92 AP29TA4705 D18023761 T58036143A09 23-Jun-17 28-Apr-16 27-Apr-17 National Insurance Co Limited THIRD PARTY



95 AP29U4031 D18010745 T58022460L06 16-Mar-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY


97 AP29U4632 D18011174 T58022880M06 4-Nov-16 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY

98 AP29U4643 D18010978 T58022785M06 11-Aug-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY






104 AP29TA3275 D18021580 T58032925F08 18-Nov-16 11-Nov-15 10-Nov-16






109 AP28TA3604 D18024944 T58036083A09 18-Oct-16 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party

S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance

110 AP29U5035 D18011265 T58022950M06 23-Feb-17 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY





113 AP29U6196 D18011388 T58023579A07 5-Jan-17 03-Nov-15 02-Nov-16


114 AP29U6225 D18011990 T58023679B07 3-Sep-16 03-Nov-15 02-Nov-16


115 AP29U6864 D18011393 T58023014M06 29-Jan-17 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY

116 AP29TA3326 D18021441 T58032707F08 17-Feb-17 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

117 AP29TA3614 D18021570 T58032893F08 12-Jun-17 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY









126 AP29U4981 D18011250 T58022914M06 16-Mar-17 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY

127 AP29U6211 D18011862 T58023554A07 23-Feb-17 03-Nov-15 02-Nov-16






132 AP29TA3582 D18021569 T58033087G08 20-Jul-16 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY

133 AP29TA3592 D18021657 T58033091G08 6-Aug-15 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY




S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance








144 AP29U5922 D18012093 T58023791B07 19-Feb-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY









149 AP29U6223 D18012270 T58023910B07 14-Oct-16 03-Nov-15 02-Nov-16


150 AP29TA3284 D18021623 T58032900F08 20-Mar-17 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY


152 AP29TA3408 D18021582 T58032879F08 22-May-17 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY


154 AP29TA3632 D18021444 T58032736F08 6-May-17 28-Aug-15 27-Aug-16 National Insurance Co Limited THIRD PARTY








162 AP28TA3614 D18024969 T58036230A09 22-Jan-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party

163 AP29U4021 D18010705 T58022480L06 25-Mar-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY

S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance






168 AP29U4605 D18011236 T58022905M06 27-Oct-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY

169 AP29U4647 D18011234 T58022906M06 17-Jun-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY


171 AP29U4668 D18011164 T58022859M06 29-Oct-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY



174 AP29U6590 D18011300 T58022961M06 11-Aug-16 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY










184 AP29U4260 D18011078 T58022744M06 11-Feb-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY



187 AP29U4023 D18010687 T58022469L06 19-Feb-17 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY




191 AP29U4638 D18011130 T58022821M06 20-Aug-16 08-Dec-15 07-Dec-16 National Insurance Co Limited THIRD PARTY


S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance















206 AP29TA3591 D18021655 T58033093G08 6-Sep-16 27-Aug-15 26-Aug-16 National Insurance Co Limited THIRD PARTY












218 AP29U4622 D18011151 T58022852M06 17-Apr-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY




S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance





225 AP29U6440 D18011312 T58022979M06 18-Dec-15 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY













238 AP29U4970 D18011165 T58022856M06 11-Jun-16 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY









244 AP29U6149 D18012311 T58023932B07 23-Jan-17 03-Nov-15 02-Nov-16


245 AP29U6192 D18011800 T58023508A07 4-Mar-17 03-Nov-15 02-Nov-16


246 AP29U6193 D18011777 T58023488A07 27-Apr-17 03-Nov-15 02-Nov-16


247 AP29U6871 D18011399 T58023019M06 20-Oct-16 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY

S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance












259 AP29TA4939 D18025044 T58036176A09 14-Feb-17 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party








267 AP28TA3616 D18024606 T58036082A09 24-Nov-16 28-Apr-16 27-Apr-17 National Insurance Co Limited Third Party



270 AP29U4619 D18011127 T58022794M06 27-Mar-17 30-Jan-16 29-Jan-17 National Insurance Co Limited THIRD PARTY





274 AP29U6861 D18011313 T58022996M06 2-Sep-16 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY

275 AP29U6877 D18011330 T58022969M06 16-Jul-15 28-Feb-16 27-Feb-17 National Insurance Co Limited THIRD PARTY


S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance






















295 AP29U5969 D18012497 T58024158B07 19-Feb-17 03-Nov-15 02-Nov-16











S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance


305 AP29TB6856 483DLTC55FXY707399 MAT460141CUF03542 6-Jan-17 20-Dec-15 19-Dec-16 National Insurance Co Limited THIRD PARTY

306 AP29TB6863 483DLTC55FXY707648 MAT460141CUG03779 3-Jan-17 20-Dec-15 19-Dec-16 National Insurance Co Limited THIRD PARTY

307 AP29TB6855 483DLTC55GXY707845 MAT460141CUG03846 25-Dec-16 20-Dec-15 19-Dec-16 National Insurance Co Limited THIRD PARTY

308 AP29TB6857 483DLTC55GXY708303 MAT460141CUG04236 1-May-17 12-Oct-15 11-Oct-16

UNITED INDIA INSURANCE COMPANY Third Party

309 AP29TB6862 483DLTC55GXY708456 MAT460141CUG04243 3-Jan-17 12-Oct-15 11-Oct-16






312 AP29TB6860 483DLTC55GXY708756 MAT460141CUG04411 29-Dec-16 20-Dec-15 19-Dec-16 National Insurance Co Limited Third Party

313 AP29TB6864 483DLTC55GXY708750 MAT460141CUG04415 12-Jan-17 20-Dec-15 19-Dec-16 National Insurance Co Limited THIRD PARTY

314 AP29TB6854 483DLTC55GXY708901 MAT460141CUG04513 7-Jan-17 20-Nov-15 19-Nov-16


315 AP29TB6808 483DLTC55JXY713505 MAT460141CUJ06592 18-Jan-17 20-Dec-15 19-Dec-16 National Insurance Co Limited THIRD PARTY



318 AP29TB6831 483DLTC55JXY713656 MAT460141CUJ06664 21-Jan-17 12-Oct-15 11-Oct-16










323 AP29TB6811 483DLTC55JXY713894 MAT460141CUJ06750 1-Jan-17 20-Nov-15 19-Nov-16








S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance

327 AP29TB6796 483DLTC55JXY713838 MAT460141CUJ06739 28-Dec-16 20-Nov-15 19-Nov-16


328 AP29TB6829 483DLTC55JXY713814 MAT460141CUJ06738 1-May-17 20-Dec-15 19-Dec-16 National Insurance Co Limited THIRD PARTY




331 AP29TB6818 483DLTC55JXY713730 MAT460141CUJ06710 25-Mar-17 20-Dec-15 19-Dec-16 National Insurance Co Limited THIRD PARTY





335 AP29TB6850 483DLTC55JXY713777 MAT460141CUJ06734 21-Feb-17 12-Oct-15 11-Oct-16








339 AP29TB6814 483DLTC55JXY713815 MAT460141CUJ06733 28-Dec-16 12-Oct-15 11-Oct-16










344 AP29TB6798 483DLTC55JXY713807 MAT460141CUJ06744 11-Jul-17 12-Oct-15 11-Oct-16




346 AP29TB6851 483DLTC55FXY707541 MAT460141CUG03749 29-Mar-17 12-Oct-15 11-Oct-16






S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance













355 AP29TB6833 483DLTC55FXY706872 MAT460141CUF03289 30-Dec-16 12-Oct-15 11-Oct-16


356 AP29TB6872 483DLTC55FXY706873 MAT460141CUF03286 28-Dec-16 12-Oct-15 11-Oct-16


357 AP29TB6834 483DLTC55GXY708860 MAT460141CUG04503 30-Dec-16 12-Oct-15 11-Oct-16


358 AP29TB6836 483DLTC55GXY708954 MAT460141CUG04568 22-Jun-17 12-Oct-15 11-Oct-16


359 AP29TB6837 483DLTC55GXY708955 MAT460141CUG04584 30-Dec-16 20-Nov-15 19-Nov-16








363 AP29TB6840 483DLTC55GXY709039 MAT460141CUH04787 6-Jan-17 12-Oct-15 11-Oct-16










368 AP29TB6846 483DLTC55GXY708900 MAT460141CUG04742 17-Feb-17 12-Oct-15 11-Oct-16


369 AP29TB6845 483DLTC55GXY708274 MAT460141CUG04743 30-Dec-16 12-Oct-15 11-Oct-16 UNITED INDIA INSURANCE THIRD PARTY

S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance

COMPANY

370 AP29TB6844 483DLTC55PYY720877 MAT460141BUP07709 6-Jan-17 12-Oct-15 11-Oct-16


371 AP29TB6212 483DLTC55FXY707478 MAT460141CUF03618 25-Oct-16 14-Aug-15 13-Aug-16 National Insurance Co Limited THIRD PARTY

372 AP29TB6123 483DLTC55PYY721135 MAT460141CUB00779 14-Oct-16 14-Aug-15 13-Aug-16 National Insurance Co Limited THIRD PARTY




376 AP29TB5965 483DLTC55FXY706874 MAT460141CUF03254 1-Nov-16 19-Aug-15 18-Aug-16 National Insurance Co Limited THIRD PARTY


378 AP29TB6127 483DLTC55AXY700796 MAT460141CUA00352 16-Oct-16 18-Aug-15 17-Aug-16 National Insurance Co Limited THIRD PARTY


380 AP29TB6245 483DLTC55AXY700464 MAT460141CUA00192 16-Oct-16 19-Aug-15 18-Aug-16 National Insurance Co Limited THIRD PARTY

381 AP29TB6149 483DLTC55FXY707657 MAT460141CUG03744 20-Oct-16 27-Aug-15 26-Aug-16 National Insurance Co Limited THIRD PARTY

382 AP29TB6184 483DLTC55FXY707620 MAT460141CUG03752 20-Oct-16 27-Aug-15 26-Aug-16 National Insurance Co Limited THIRD PARTY

383 AP29TB6077 483DLTC55GXY707790 MAT460141CUG03818 18-Oct-16 27-Aug-15 26-Aug-16 National Insurance Co Limited THIRD PARTY





388 AP29TB6139 483DLTC55GXY708149 MAT460141CUG03979 14-Oct-16 11-Sep-15 10-Sep-16




390 AP29TB6019 483DLTC55AXY700683 MAT460141CUA00267 4-Oct-16 11-Sep-15 10-Sep-16










S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance



396 AP29TB6178 483DLTC55GXY708044 MAT460141CUG03923 28-Mar-17 11-Sep-15 10-Sep-16






399 AP29TB6140 483DLTC55GXY707957 MAT460141CUG03908 24-Nov-16 11-Sep-15 10-Sep-16


400 AP29BU1193 GHC4H19859 C2H86966 28-Apr-28 15-Nov-15 14-Nov-16


401 AP29BU0984 GHC4J72677 C2K90717 26-Apr-28 15-Nov-15 14-Nov-16


402 AP29BU1191 GHC4K72934 C2K91561 28-Apr-28 15-Nov-15 14-Nov-16


403 AP29BU1198 GHC4J21490 C2J88880 28-Apr-28 22-Nov-15 21-Nov-16












409 AP29BU1243 GHC4H20673 C2H87895 28-Apr-28 28-Nov-15 27-Nov-16




411 AP29BU2231 GHC4J72703 C2K90727 8-May-28 28-Nov-15 27-Nov-16


412 AP29BU1685 GHC4H19769 C2H86838 2-May-28 05-Dec-15 04-Dec-16 National Insurance Co Limited THIRD PARTY





S.No VEHICLE


Fitness due on

Insurance From Date

Insurance To Date


Insurance


418 AP29BU1696 GHC4G17557 C2H87623 2-May-28 05-Dec-15 04-Dec-16 National Insurance Co Limited THIRD PARTY


420 AP29BU1687 GHC4J21349 C2J88810 2-May-28 05-Dec-15 04-Dec-16 National Insurance Co Limited THIRD PARTY

421 AP29BU1697 GHC4K24332 C2K91189 2-May-28 05-Dec-15 04-Dec-16 National Insurance Co Limited THIRD PARTY






427 AP29BU1229 GHC4K72910 C2K91579 28-Apr-28 05-Dec-15 04-Dec-16 National Insurance Co Limited THIRD PARTY






433 AP29BU1698 GHC4G17561 C2H87619 2-May-28 13-Dec-15 12-Dec-16 National Insurance Co Limited THIRD PARTY



Sd/- Commissioner of Health &

Family Welfare

Appendix - G

Format For

POWER OF ATTORNEY FOR THE BID SIGNATORY

(On a Non-Judicial Stamp Paper of Rs. 100 duly attested by notary public)

Know all men by these presents, We___________________________________ (name of

the firm and address of the registered office) do hereby irrevocably constitute, nominate,

appoint and authorize Mr/ Ms (name), __________________ son/daughter/wife of

__________________________and presently residing at __________________, who is

[presently employed with us and holding the position of _________________________], as

our true and lawful attorney (hereinafter referred to as the “Attorney”) to do in our name and

on our behalf, all such acts, deeds and things as are necessary or required in connection

with or incidental to submission of our application for submission of our bid for the “Operation

and Maintenance of Emergency Response Services (108 Services)” proposed by the

CH&FW (the “Authority”) including but not limited to signing and submission of all

applications, bids and other documents and writings, participate in Pre-bid conferences and

other conferences and providing information/ responses to the Authority, representing us in

all matters before the Authority, signing and execution of all contracts including the Contract

Agreement and undertakings consequent to acceptance of our bid, and generally dealing

with the Authority in all matters in connection with or relating to or arising out of our bid for

the said Project and/ or upon award thereof to us and/or till the entering into of the Contract

Agreement with the Authority.

AND we hereby agree to ratify and confirm and do hereby ratify and confirm all acts, deeds

and things lawfully done or caused to be done by our said Attorney pursuant to and in

exercise of the powers conferred by this Power of Attorney and that all acts, deeds and

things done by our said Attorney in exercise of the powers hereby conferred shall and shall

always be deemed to have been done by us.

IN WITNESS WHEREOF WE,____________________, THE ABOVE NAMED PRINCIPAL

HAVE EXECUTED THIS POWER OF ATTORNEY ON THIS ____ DAY OF ________, 20**

For ---------------------------

(Signature)

(Signature, name, designation and address)

Witnesses:

ANNEXURE - 4

COMMISSIONERATE OF HEALTH & FAMILY WELFARE

108 AMBULANCE SERVICES

Medical Equipment Technical Specifications

1. Pupillary Torch with batteries 1. Body made of Stainless steel or aluminum or ABS plastic 2. Run on AAA or AA batteries (2 batteries) 3. Push button start 4. Lens end Lamp

2. Stethoscope Adult 1. Stain less steel Chest piece 2. Dual head rotatable with diaphragm on one side and bell on the other 3. Non-chill diaphragm and retaining ring 4. Non-chill lining for the bell 5. Soft sealing ear tips. 6. Head set anodized aluminum or stainless steel 7. Tube length 20 to 30 inches 8. Epoxy fiber glass diaphragm is desirable 9. Diaphragm diameter is an inch to 1 ½ inch 10. An extra set of ear piece/ diaphragm and retainers should be provided.

3. Stethoscope Pediatric 1. Stain less steel Chest piece 2. Dual head rotatable with diaphragm on one side and bell on the other 3. Non-chill diaphragm and retaining ring 4. Non-chill lining for the bell 5. Soft sealing ear tips. 6. Head set anodized aluminum or stainless steel 7. Tube length 20 to 30 inches 8. Epoxy fiber glass diaphragm is desirable 9. Diaphragm diameter around an Inch 10. An extra set of ear piece/ diaphragm and retainers should be provided.

4. BP Apparatus (Manual -Aneroid) with one adult and one pediatric cuff 1. Corrosion resistant shock proof body 2. Dial with contrast colors for easy reading 3. Range up to 300 mm of Hg 4. Should be supplied with Adult and pediatric cuffs 5. BP cuff:

o Small adult o Adult o Pediatric cuff o Thigh o Velcro bag for the bladder o Chrome plated metal/ stainless steel pressure control valve o Bulb, tubing’s and bladder made of rubber

6. 4 years warranty

5. Gluco Meter General Features: 1. Must be handy and should easily fit into the palm of the hand 2. Must come with a pouch/case, so as to protect it while not being used in an ambulance 3. Must have a bright display with memory of at least last ten results 4. Must have battery life to support at least five hundred tests 5. Must work efficiently in temperature ranges from 10-50 degree Celsius 6. Disposable Lancet must be provided with each glucose strip. Technical Features of the Glucose Meter: 1. Measurement Units: mg/dl 2. Test range: Minimum not more than 20; Maximum not less than 500 mg/dl 3. Test Time: Not more than ten seconds 4. Sample Size: 0.3 - 10 micro litre ( uL ) 5. Test Sample: Fresh capillary blood. Not droplet but capillary action 6. Assay Method: Electro-chemical 7. Reagent System: Glucose Dehydrogenase desirable. 8. Calibration: Using plasma equivalent 9. Coding should not be there. a. There should not be any code that needs to be entered before using a particular batch of strips. All batches should work and give correct reading without code entry.

10. Detachable batteries

Technical Specifications of Glucose Strip 1. Assay Method: Electro-chemical 2. Enzyme: Glucose Dehydrogenase desirable. 3. Sample: Fresh Capillary Blood 4. Operating temperature : 10-45 degree Celsius 5. Validity: At least 180 days from the vial being opened 6. Dispensing: Individually packed strips Other Information: 1.Quote for supply of strips based on annual consumption. Glucometers should be supplied free of cost. 2. Condition that they may be returned at the end of contract may or may not be included. 3. Price of the glucometer should be quoted at the time of bid.

6. EMT Shears 1. Also called trauma shears 2. Should be able cut through 1 mm sheet, belts, denims car seat belts etc 3. Thermoplastic handles. 4. High grade Stainless steel body 5. Bent 150o

6. 71/2 inch

7. Tongue Depressor (Disposable spatulas) 1. Disposable wooden spatulas 2. 6 inches long 3. Supplied in boxes of 100 pieces each

8. Toothed Forceps-Dissecting 1. 6 inch 2. Made of stainless steel 3. Toothed tips

9. Artery Forceps 6 in 1. Non-corrosive stainless steel 2. Non-corrosive material at joints

10. Surgical Scissors 1. Made of stainless steel 2. Non-corrosive joints 3. One end sharp and the other rounded.

11. Kidney Tray Plastic 1. Made of plastic 2. 20*15*4 cm approximately 3. 500 ml Capacity

12. Auto Loader - Collapsible stretcher 1. Made of aluminum alloy. 2. Collapsible. Wheeled to slide into the ambulance with ease without damaging the ambulance floor. 3. One person should be able to raise and lower it into an ambulance easily. 4. Provision for head end elevation. Position adjustable backrest for breathless patients from 0 to at least 60 degrees. a.The raising the backrest is either by telescopic mechanism or any safe mechanism but should not come apart while the head end is raised. 5. Swing down or push down side Railings on either side. Strong enough to prevent patient falls 6. IV fluid holding rod to go with the Stretcher 7. Levers to control front and hind legs to fold while loading the stretcher in to the ambulance 8. Lever to lock & unlock the legs to prevent collapse of the stretcher while standing 9. The wheels should have 150mm diameter with ball bearings to ensure smooth rolling and ensure maximum comfort to the patient. 10. Locks for the wheels 11. Straps 3 in number to restrain the patient 12. Fixing devices to secure the stretcher in place on the ambulance floor/platform not allowing side to side or vertical movements while on run. 13. 50 mm thick high density foam mattress with Head rest -up holstered with water proof and fire proof rexin 14. Net weight : 40 Kgs Gross Weight 50kgs 15. Bearing Pressure or maximum load not less than 159Kgs. 16. Product dimensions:

a. length Minimum not more than 185 to a maximum 200cms; b. width minimum not more than 50 to a maximum 60 cms; height 85 to 95cms

17. Loading height should match the ambulance floor height. 18. Manufacturer should provide list of disinfectants and cleansing agents for clean and disinfection. 19. Stretcher should have front and back small sliding wheels.

13. Scoop Stretcher 1. Should be made of aluminum alloy

a.Made of or covered by thermal resistant composite materials when being procured for colder climates

2. Clutch enabled detachable interlocking between right and left halves. Clutch design - center or lateralized. 3. Adjustable length 4. Minimum two pairs of quick release belts 5. Net weight not more than 9 Kg 6. Minimum length not more than 170 cm 7. Maximum length not less than 200 cm 8. Width 40- 45 cm 9. Weight bearing up to 159 Kg

14. Spine board pediatric, with head recess, straps and head immobilizer 1. Radiolucent 2. MRI compatible 3. Non-adsorbent, immune to infiltrations 4. Net weight not more than 5 kg 5. Maximum weight bearing not less than 40 Kg 6. (120-125)*(20-25)*(3-5) 7. Rigid Head Blocks with straps 8. Straps 4 pairs with easily detachable latches/clips 9. Manufacturer should provide list of disinfectants and cleansing agents for clean and disinfection

15. Spine board with straps and head blocks (Rigid Block)

- Single piece

- water & soap should be enough.

-195) * (40-45) * (3-6) hable latches/clips

for clean and disinfection

16. Splints:-Inflatable splints (4 sizes) 1. Made of Poly Vinyl Chloride 2. Good zipper seal 3. Half arm - 25 ±1 inches 4. Full arm - 32±1 inches 5. Half leg - 25 ±1 inches 6. Full leg- 32±1 inches 7. Should be supplied in a bag

17. Wheel chair with 4 wheels 1. Should be light, safe and reliable 2. Made of aluminum alloy 3. With 4 wheels 4. Folded size: 93*51*16 5. Back Height: 91 cms Width: 50cms 6. Seat height: 49 cms Width : 50 cms 7. Net weight: 8 Kgs V 8. Pull through, telescoping long handles built in to lift patients & carry them through narrow passages. 9. Two handles on the top to facilitate the lifting of patients , working in harmony with telescoping handles 10. Loading Weight : up to 159 kgs 11.Manufacturer should provide list of disinfectants and cleansing agents for clean and disinfection.

18. Suction Apparatus AC / D.C & Manual 1 Should be ≤5kg 2 Canister

2.1 Single jar 2.2 capacity minimum 500 mL 2.3 Overflow protection mechanism 2.4 Bacteria filter 2.5 Auto-clavable 2.6 Spare canister 2.7 Polycarbonate or ABS plastic

3 Vacuum range: 3.1 Minimum not more than 50 mmHg 3.2 Maximum not less than 500 and not more than 600 mm of Hg 3.3 Desirable to have vacuum range indicators for

pediatric 4 Flow rate:

4.1 25-30L/min 5 Noise level: Not more than 60db 6 Power:

6.1 Should run on AC (120-240 V; 50/60Hz) and DC (12V) 6.2 Rechargeable battery (preferably Li ion) 6.3 Battery backup 4 hr

7 Wall mountable with option to detach and carry 8 Oil free diaphragm pump 9 Suction tubing should be compatible to be attached to yankauer catheter

19. Suction Apparatus - Hand Held 1. Not more than 400 gm (Suction handle + empty container + catheters) 2. Canister volume 250 - 400 ml; made of Polycarbonate; non breakable. 3. Maximum suction pressure at least 300 mm of Hg 4. Flow rate at least be 20L/min 5. Should be supplied with adult and pediatric/neonatal suction catheters

20. Bag mask Device Adult -Silicon Adult bag:

1. Material

a. Bag and mask - Slicone rubber

b. Valves and membranes - Silicone rubber

c. Connectors and housing - Polysulfone

d. Reservoir - Poly Vinyl Chloride

2. Ventilator bag volume - 1600 ml

3. Reservoir bag volume - 2600 ml

4. Deliverable volume - 800 ml

5. Mask number 3-4 and 4-5 to be supplied

6. Oxygen connector tubing

7. All enclosed in bag

21. Bag mask Device Bag Child- Silicon Child bag:

1. Material

a. Bag and mask - Slicone rubber b. Valves and membranes - Silicone rubber c. Connectors and housing - Polysulfone d. Reservoir - Poly Vinyl Chloride

2. Ventilator bag volume - 500 ml 3. Reservoir bag volume - 600 ml 4. Deliverable volume - 320 ml 5. Mask number 3-4 to be supplied 6. Relief valve should be present

a. The spring should be of stainless steel 7. Oxygen connector tubing 8. All enclosed in a bag

22. Bag mask Device Bag neonate- Silicon Neonatal/Preterm bag:

1. Material

a. Bag and mask - Slicone rubber b. Valves and membranes - Silicone rubber c. Connectors and housing - Polysulfone d. Reservoir - Poly Vinyl Chloride

2. Ventilator bag volume - 240 ml 3. Reservoir bag volume - 600 ml 4. Deliverable volume - 150 ml 5. Mask number 00, 0/1, 2 to be supplied 6. Relief valve should be present

a. The spring should be of stainless steel 7. Oxygen connector tubing 8. All enclosed in a bag

23. Flow Meter - Back Pressure Compensated

1. Rotary pin valve control to permit adjustment of the flow rate to any desired level between 0 - 15 ltrs /min. Jacketed type shatter proof tubes on units 2. Body made of brass 3. Outlet at bottom of the unit to have a removable nipple (metal) 4. Transparent flow tube made of poly carbonate for durability & un-breakability 5. Flow Tube - Calibrated to indicate flow from 0 to 15 ltr/min 6. Bobbin to be made of stainless steel to avoid rusting and unaffected by oxygen 7. Back pressure compensated 8. Should match the humidifier supplied.

24. Humidifier with Metal / ABS Caps 1. Unbreakable jar with metal screw on cap made of ABS fitted on top with inlet and side outlet tubes made of metal. 2. The inlet tube ends in to a diffuser for oxygen to bubble through water before reaching the outlet. Humidifier - screw on type - 3. Should match the flow meter supplied.

25. Regulator 2 Stage 1. 2 stages / 2 step variable pressure reducer outlet pressure of approx.4.2 Kg / Sq.cm (60 lbs /sq.in) safety valve. 2. Automatically maintain a constant flow rate irrespective of changing volume of cylinder contents. 3. Should the oxygen line distal to the regulator blocked, the regulator automatically has to prevent the buildup of an excessive pressure in the apparatus and tubing between the outlet of the regulator and the obstruction. 4. Pressure gauge to indicate the contents 5. Bull Nose Hex nut & nipple made of Brass Rod instead of casting and a filter placed in bull nose nipple. 6. The body of the regulator made of brass forging. 7. Stainless Steel opposing spring (not mild steel) to with stand opposing pressure. 8. Diaphragm specifications:

a. Made from Neoprene rubber b. O.D - 53.00 mm c. Thickness - 2.0 mm minimum

9. Valve Seat for O2 are of O.D. - 10 mm Thickness of 2.5 mm 10. Safety Relief Valve with large hole to prevent any accumulation of pressure inside the cover (when more than 8 kg the pressure should automatically get released from safety relief valve- due to Accidental leakage of gas from inside of the regulator.

26. Oxygen Cylinder D and B type

D-type B-Type

Shell Chrome Molybdenum Alloy 34 Cr Chrome Molybdenum Alloy 34 Cr

OR Manganese steel OR Manganese steel

Capacity: 46.7 Ltr water capacity. 10 Lt Water capacity

Working pressure(Min) 150kg/cm2 at 15o c 150kg/cm2 at 15o c

Test Pressure (Min) 250kg/cm2 at 15o c 250kg/cm2 at 15o c

Wall thickness(Min) 5.5 mm minimum 4.2 mm minimum

Gas ( O2): Around7000 ltr of O2 1500 Lt of O2

Standard: IS 7825 part II IS 7825 part II

Valve:

Statutory certifications: Matching Key cum Spanner to release oxygen Hoses used from cylinder to the regulator if at all any

IS 3224

ISI Standards, BMP Certification WHO & Certified by Dept

Explosives-GOI

Matching Key cum Spanner to release oxygen Should withstand a pressure of not less than 160 Kg/cm2 or 2250 psi

IS 3224

ISI Standards, BMP Certification WHO & Certified by Dept Explosives –GOI Matching Key cum Spanner to release oxygen

27. Portable Oxygen Cylinder with dial type flow meter 1. Made of Aluminum 2. Dial type flow meter with regulator 3. Minimum 350 liters of oxygen 4. Water capacity of 2-3 L 5. Height around 1 ½ foot 6. Diameter not more than 4 ½ inches 7. Sufficiently small to be carried in back pack (not more than 3 Kg) 8. Should be able to withstand 139 bar

28. Thermometer (Digital) 1. Sleek design 2. Flexible tip 3. Washable 4. Centigrade and Fahrenheit Measurement option 5. Memory of the last event 6. Temperature range must include 32 to 42oC 7. Auto power off 8. Fever alarm (100oF) 9. Should include a storage case

29. Monitor- Multi channel monitor and defibrillator

1. US FDA approved for use on pre-hospital care ambulance

2. Wall mount and pole mount option

3. Should not be more than 5Kgs with battery

4. Operational temperature range from 0-50 degree C

5. Should measure adult, pediatric and neonatal parameters

6. Battery

a. Rechargeable lithium ion battery

b. Should be able to last for minimum of 3 hours of continuous monitoring

c. Should give replacement guarantee for the battery for 4 years

d. Damages/penalties out of battery related accidents in the form of explosion/fire

should be borne by the supplier/manufacturer.

e.Chargeable with 220V AC 50Hz and DC 12 V as well

7. At least 48 hours of trend memory

8. Alarms

a. Audio as well as visual

b. Adjustable and default

c. Should be for low and high heart and respiratory rates

d. For low saturation (Dynamic sound variation

e. Low and high blood pressures

f. Low battery alarms

g. Arrhythmia alarms

9. Display

a. Multicolor display

b. Minimum 7 inch and maximum 12.5 inch

c. Minimum 640X480 resolution

d. Touch screen desirable

e. Wide viewing angle

10. Data

a. LAN/Wireless (not infrared) port for networking

b. Should be able to connect with Telemetry transceiver

c. Desirable that it follows HL7 standards for data transfer

11. ECG

a. Printer

i. 48 to 50 mm paper

ii. 25 mm/sec

b. Should be able to all 12 leads

c. Number of leads

i. 12 lead ECG cable for ALS with telemetry capability/IFT regular ambulance

ii. Not mandatory for neonatal ambulance

iii. 3 lead ECG cable for BLS regular and ALS regular ambulance without telemetry.

d. Heart rate ranges 30-300 bpm. This is the minimum range, a range wider than this is also acceptable

e. Variation in accuracy within +/- 1%

f. ST segment elevation detection is desirable

g. Arrhythmia detection is mandatory

12. Respiration

a. Range 0-120 rpm. This is the minimum range, a range wider than this is also acceptable

b. Resolution +/- 1rpm

13. NIBP

a. Oscillometric method

b. Manual automatic and stat modes should be available

c. Range 10-260 mm Hg; Measurement should be mmHg

14. Temperature

a. C & F selectable

b. 25 to 45 degree C

15. SpO2

a. Range 0-100%

b. Masimo or Nelcor or proved equivalent

16.Defibrillation a. Should work on Manual and Automated external defibrillation (AED) mode.

b. Defibrillate through pads and paddles.

c. Must be capable of doing synchronized cardio version.

d. Integrated Adult and child paddles

e. Pictorial/Text Identification of paddle position printed on the paddles

f. Paddles contact indicator

g. Biphasic (BTEW or Rectilinear wave form or pulsed wave )

h. Energy 0- 200 J

i. 0-360 J may also be accepted provided it is FDA USA certified.

i. Charging time of less than 5 seconds for maximum energy.

j. Should compensate for body impedance for a range of 25 to 1500hms

k. Fixed energy delivery in AED mode

l. AED mode- Semiautomatic.

m. Auto-Print facility from the moment it is charged and continues after the shock

is delivered. Time of charging, time of shock delivery and the energy delivered

should be printed. Should have a built in 50mm strip printer.

17. ETCO2 up gradation (side stream and main stream) capability is mandatory

a. Should agree to upgrade if asked for at any time in the coming 5 years

b. Cost of upgrading any time in the next 5 years to be disclosed and agreed to now.

c. The cost for ETCO2 sensor should also be a part of upgrade

18. Accessories to be supplied along with the Monitor

a. ECG cable

b. SPO2 adult pediatric and Neonatal sensors

c. NIBP cuffs - adult pediatric neonatal cuffs

d. Temperature probe

e. Electrodes

f. Power cables

g. Wall mounting solution that is compatible with the ambulance interior

h. Defibrillation pads supply/stock criteria and specifications are as mentioned under AED specifications

19. Replacement guarantee for Monitor and accessories - 4 years

20. Replacement Guarantee for Cable/probes - 4 years

30. Monitor- Multi channel monitor

1. US FDA approved for use on pre-hospital care ambulance


3. Should not be more than 5Kgs with battery

4. Operational temperature range from 0-50 degree C

5. Should measure adult, pediatric and neonatal parameters

6. Battery

a. Rechargeable lithium ion battery

b. Should be able to last for minimum of 3 hours of continuous monitoring

c. Should give replacement guarantee for the battery for 4 years

d. Damages/penalties out of battery related accidents in the form of explosion/fire

should be borne by the supplier/manufacturer.

e. Chargeable with 220V AC 50Hz and DC 12 V as well

7. At least 48 hours of trend memory

8. Alarms

a. Audio as well as visual

b. Adjustable and default

c. Should be for low and high heart and respiratory rates

d. For low saturation (Dynamic sound variation

e. Low and high blood pressures

f. Low battery alarms

g. Arrhythmia alarms

9. Display

a. Multicolor display

b. Minimum 7 inch and maximum 12.5 inch

c. Minimum 640X480 resolution

d. Touch screen desirable

e. Wide viewing angle

10. Data

a. LAN/Wireless (not infrared) port for networking

b. Should be able to connect with Telemetry transceiver

c. Desirable that it follows HL7 standards for data transfer

11. ECG

a. Printer

i. 48 to 50 mm paper

ii. 25 mm/sec

b. Should be able to all 12 leads

c. Number of leads

i. 12 lead ECG cable for ALS with telemetry capability/IFT regular ambulance

ii. Not mandatory for neonatal ambulance

iii.3 lead ECG cable for BLS regular and ALS regular ambulance without telemetry.

d. Heart rate ranges 30-300 bpm. This is the minimum range, a range wider than this is also acceptable

e. Variation in accuracy within +/- 1%

f. ST segment elevation detection is desirable

g. Arrhythmia detection is mandatory

12. Respiration

a. Range 0-120 rpm. This is the minimum range, a range wider than this is also acceptable

b. Resolution +/- 1rpm

13. NIBP

a. Oscillometric method

b. Manual automatic and stat modes should be available

c. Range 10-260 mm Hg; Measurement should be mmHg

14. Temperature

a. C & F selectable

b. 25 to 45 degree C

15. SpO2

a. Range 0-100%

b. Masimo or Nelcor or proved equivalent

16. ETCO2 up gradation (Side stream/mainstream) capability is mandatory

a. Should agree to upgrade if asked for at any time in the coming 5 years b. Cost of upgrading any time in the next 5 years to be disclosed and agreed to now.

c. The cost for ETCO2 sensor should also be a part of upgrade

17. Accessories to be supplied along with the Monitor

a. ECG cable

b. SPO2 adult pediatric and Neonatal sensors

c. NIBP cuffs - adult pediatric neonatal cuffs

d. Temperature probe

e. Electrodes

f. Power cables

g. Wall mounting solution that is compatible with the ambulance interior

18. Replacement guarantee for Monitor 4 years

19. Replacement Guarantee for Cable/probes - 4 years

31. Ventilator-Transport 1. FDA or CE approved or both 2. Wall mountable 3. Weight < 6kg including battery and if any accessories not including mounting latches not attached to the ventilator body 4. Adult/ pediatric/ Neonatal (<5 Kg) 5. Modes: ACV, CMV, CPAP; Other modes optional 6. Invasive and Noninvasive mode 7. Should run on oxygen cylinder without need of power source 8. If any battery requirements for display or alarms should be rechargeable 9. FiO2:- options

a. 100% O2 option must b. Air mix option must c. 21% Oxygen optional

10. Breath rate and tidal volume or minute volume adjustment using buttons for either a. Tidal volume and breath rate or b. Minute volume and breath rate or c. Inspiratory time, Expiratory time and flow rate or I:E ratio and flow rate d. Should have minimal buttons and user friendly

11. Alarms a. Apnea alarm b. High pressure alarm c. Disconnect alarm

12. Pressure gauze

32. Neonatal warming blanket 1. The device should have a warm pack, warm pack heating platform and a warming blanket 2. The warming blanket should have a provision to keep the warm pack, packed inside it. The baby should not have direct contact with the warm pack.

3. The warming blanket should cover the head and the body and be able to be opened from front. It should be secured in place around the baby using Velcro straps. These straps should not be free but sewed on to the blanket with a provision to vary the tightness 4. The warming blanket should be washable and reusable 5. The warm pack should be able to maintain the temperature at least for an hour. 6. The heating platform should warm the pack to a temperature of 37 degree centigrade.

7. The heating platform should run both on DC and AC (vendor should provide the needed converters to suit the voltage in the ambulance)

33. Laryngoscope handle fibre optic adult 1. Stain less steel construction or chrome plated brass construction

2. Modular fiber optic

3. Easily detachable modules without use of screw driver or other aid

4. No connecting screws or loose bulbs

5. The power source -handle- Should work on detachable AA batteries. Rechargeable

handle may also be considered provided replacement guarantee is provided for the

handle.

6. Compatible McIntosh sizes -00, 0, 1 and 2- should be supplied. Miller blade size -0

and 1- should also be supplied.

a. Auto-clavable

7. Should provide replacement guarantee for 4 years

34. Larynoscope blade fibre optic-Mc intosh 1. Stainless steel construction 2. Autoclavable 3. Integrated fiber bundle without any crevices 4. No connecting screws 5. Should work with the proximal light source located in the handle 6. 4 year replacement guarantee for the blades incase of failure of fiber optics 7. Sizes supplied - 1,2,3,4

35. Laryngoscope blade-FIBRE OPTIC BLADES-Miller 0, 1, 2 size 1. Stainless steel construction 2. Autoclavable 3. Integrated fiber bundle without any crevices 4. No connecting screws 5. Should work with the proximal light source located in the handle 6. 4 year replacement guarantee for the blades incase of failure of fiber optics 7. Sizes supplied - 0,1,2

36. Bains Circuit (Adult) 1. Corrugated plastic tubing with diameter up to 22 mm with elbow

2. 6mm diameter tubing to carry fresh gas located coaxially within the corrugated plastic tubing. 3. Reservoir bag made of silicone or rubber 2 lit 4. Mask made of silicone

37. Bains Circuit (Pediatric) 1. Corrugated plastic tubing with diameter up to 22 mm with elbow

2. 6mm diameter tubing to carry fresh gas running along but outside the corrugated plastic tubing. 3. Reservoir bag made of silicone or rubber 2 lit 4. Mask made of silicone

38. Syringe infusion pump 1. FDA approved

2. Should work for minimum of 3 hours on battery


4. Must work on commonly available 10, 20, 50/60 ml Syringes with accuracy of minimum of +/-2%.

5. Automatic detection of syringe size & proper fixing

6. Flow rate programmable from 0.1 to 200 ml/hr or more in steps of 0.1 ml/hr with

user selectable flow set rate option.

7. Save last infusion rate and bolus even when the AC power is switched OFF.

8. Bolus rate should be programmable to 400 - 500 ml/hr or more with infused volume display.

9. Drug library with minimum 10 drug names.

10.Keep Vein Open (KVO) must be available 1.0 ml/hr or set rate if lower than 1.0 ml.

11.Occlusion pressure alarm trigger levels adjustable starting with a minimum not

more than 200 of mmHg.

12.Anti bolus system to reduce pressure on sudden release of occlusion

13.Should have comprehensive alarm package including: Occlusion limit exceed alarm, Near

end of infusion pre-alarm & alarm, Volume limit pre-alarm & alarm, KVO rate flow, Low

battery pre alarm and alarm, AC power failure and Rechargeable Battery

14.Should work on AC (220-240V) and DC (12V) as well

15.Should have rechargeable battery (Li) with backup of minimum 3 hours

39. Volume infusion pump

1 Should be FDA USA certified

2 Weight not more than 2.5 Kg

3 Display:

3.1 Color LED or LCD with backlight

3.2 Flow parameters

3.3 Battery status

4 Drip rate:

4.1 Minimum flow rate- not more than 0.1 mL/hr

4.2 Maximum flow rate - not less than 1L/hr

4.3 Flow increments:

4.3.1 0 mL/hr to 99.99 mL/hr - 0.01 mL/hr increments

4.3.2 100 mL/hr and above - 0.1 mL/hr increments

4.4 Keep vein Open option (adjustable default flow rate)

4.5 Adjustable (time and volume) Bolus dose

5 Accuracy rate:

5.1 within ±5%

6 Audio and Visual alarms to indicate Air in line, Infusion complete, Occlusion (Up/Down), Empty container, low battery, Door open, Tubing misleading, other device malfunctions.

7 Automatic storage of previous infusion parameters when unit is switched off.

8 Accepts IV sets of all brands and calibrated for major Indian brands and also for the imported range.

9 Wall/stand mountable, the mount should be supplied with the gadget

10 Battery:

10.1 Rechargeable battery (preferable Lithium ion)

10.2 Minimum 4 hours operating time

10.3 Minimum 24 hours standby

11 Should work on AC (100 to 240 V; 50-60Hz) as well as DC 12V

40. Needle & Syringe Destroyer 1. Electric or Non-electric 2. Power source 220-240 V AC (12 V DC is desirable) 3. Burn/Damage the needle and cut the syringe tip. 4. Should not cause injuries 5. The damaged needles should automatically collect in a container which can be transferred to sharps container without direct handling of needles. 6. Electric needle and syringe destroyers should be shock proof and made of ABS plastic or steel

41. Goggles 1. Scratch resistant clear lenses 2. Protective covering on the sides too so as to offer protection on the sides too.

42. Urine Pan Plastic 1. Clear plastic translucent finish; 2. Stain resistant plastic, 3. Graduated 1000 ml capacity male and 800 ml female; 4. Autoclavable 5. Universal pan OR one male and one female pans as unit

43. Bed Pan 1. Made of light weight polyethylene 2. Resistant to stains & cracks 3. Contoured design molded plastic for adults with wide seat 4. Can be boiled or autoclaved up to 275 degrees F 5. 350-pound weight capacity 6. 'pontoons' on sides to aid stability 7. Recessed tailbone area for comfort

44. Cervical Collar Hard

1. Adjustable size a. Polypropylene hard sheet lined by polyethylene foam inside. b. Single piece c. 4 or more adjustable sizes in the same collar d. Velcro strap for fixing e. Tracheal and back panel openings enough for neck exam and ongoing back of the neck exam f. Radiolucent, MRI, CT compatible

2. Fixed size: a. Single piece hard plastic lined by foam inside. b. Velcro strap for fixing c. Tracheal and back panel openings enough for neck exam and ongoing back of the neck exam d. Radiolucent, MRI, CT compatible

e. Large, medium and small size

EXTRICATION ITEMS

1. 12" WRENCH ADJUSTABLE OPEN END: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

2. 12" SCREW DRIVER STANDARD SQUARE BAR: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

3. 8" SCREW DRIVER PHILIPS HEAD # 2: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

4. HACKSAW WITH 12" CARBIDE WIRE BLADE: Shall be able to withstand the rugged condition of the emergency usages

Shall be durable , even after repeated use

5. VISE GRIP PLIERS 10": 1. Shall be able to withstand the rugged condition of the emergency usages

2. Shall be durable , even after repeated use

6. 5LB HAMMER WITH 15" HANDLE: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

7. FIRE AXE BUTT 24" HANDLE: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

8. WRECKING BAR WITH 24" HANDLE: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

9. 51" CROWBAR PINCH POINT: 1. Shall be able to withstand the rugged condition of the emergency usages

2. Shall be durable , even after repeated use

10. BOLT CUTTER WITH 1" TO 1/4" JAW OPENING: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

11. SHOWEL POINTED BLADE: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

12.TIN SNIPS, DOUBLE ACTION 8" MINIMUM 1. Shall be able to withstand the rugged condition of the emergency usages Shall be durable , even after repeated use

13.GAUNTLETS: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

14.ROPES 5400LB TENSILE STRENGTH IN 50': 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

15.MASTIC KNIFE 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

16.SPRING LOAD CENTER PUNCH: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

17.PRUNING SAW: 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

18.FIRE EXTINGUISHER ‐ 5KGS WITH FIXING STAND: 1.Stored Pressure Type 2. 5 Kg capacity 3. Dry Chemical Powder ABC Based

4. Shall be able to withstand the rugged condition of the emergency usages 5. Shall be durable , even after repeated use

19.LUMINOUS SEARCH LIGHT (RECHARGEABLE): 1. Shall be able to withstand the rugged condition of the emergency usages 2. Shall be durable , even after repeated use

Sd/- Commissioner of Health & Family Welfare

Documents

RFP NO 3463/PPP/G1/2009 Dt 27.06.2016 CORRIGENDUM, DT: …cfw.ap.nic.in/pdf/merged_document_4.pdf · RFP NO 3463/PPP/G1/2009 Dt 27.06.2016 CORRIGENDUM, DT: 21.07.2016 1. The following