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MANAGEMENT, OPERATION & MAINTAINENCE

OF COMMUNITY HEATLH CENTERS (CHC)

IN UTTARAKHAND UNDER

PUBLIC PRIVATE PARTNERSHIPS

Department of Health & Family Welfare Government of Uttarakhand

June 2011

EXPRESSION OF INTEREST

Public Private Partnership for Management, Operation and Maintenance of Community Health Centers (CHCs) in Uttarakhand.

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Expression of Interest

Disclaimer

All information provided as a part of this Expression of Interest (EOI) document to the prospective Applicants

by the Department of Health & Family Welfare, Government of Uttarakhand (DoHFW, GoUK), is subject to

the terms and conditions set out in this EOI and any addendum to the same (as and when issued in writing).

The objective of this EOI document is to provide prospective applicants information to facilitate their

Application for EOI. This EOI document does not purport to contain all the information each Applicant may

require. Each Applicant is advised to conduct its own due diligence and check the accuracy, reliability and

completeness of the information in this EOI document and obtain independent advice from appropriate sources

as deemed necessary. DoHFW, GoUK makes no representation or warranty and shall incur no liability under

any law, statute, rules or regulations as to the accuracy, reliability or completeness of this EOI document.

DoHFW, GoUK may at their absolute discretion, but without being under any obligation to do so, update,

amend or supplement the information in this EOI document.


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Table of Contents

1. Introduction: 4 1.1 Background: 4 2. Instructions to Applicants: 5 2.1 Scope of Application: 5 2.2 Eligible Applicants: 5 2.3 Change in Consortium Composition: 6 2.4 Number of Applications: 6 2.5 Application Preparation and Submission Cost: 6 2.6 Pre-requisite for Application Submission: 7 2.7 Right to Accept or Reject any of the Application: 7 2.8 Contents of EOI: 7 2.9 Amendment of EOI: 7 2.10 Language: 8 2.11 Validity of Application : 8 2.12 Extension of Validity of Application: 8 2.13 Format and Signing of Application: 8 2.14 Sealing and Marking of Application: 8 2.15 Application Due Date: 9 2.16 Late Applications: 9 2.17 Modifications/ Substitution/ Withdrawal of Applications: 10 2.18 Short listing of Applications: 10 2.19 Confidentiality: 10 2.20 Clarifications: 10 2.21 EOI and Notification: 10 3. Eligibility Criteria and Short-listing Process: 11 3.1 Eligibility Criteria: 11 3.2 Short listing Process: 11 3.3 Special Conditions for a Consortium: 12 4 Schedule of Application Process: 12 Appendix 1 Project Information Memorandum: 13 Appendix 2 Format for Letter of Application: 17 Appendix 3 - Format for Power of Attorney for Signing of Bid: 18 Appendix 4 - Format for Power of Attorney for appointing Lead Member of Consortium: 19 Appendix 5 – Format for Application: 21 Appendix 6 – Letter of Exclusivity: 23


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1. Introduction 1.1 Background 1.1.1 Department of Health & Family Welfare, Government of Uttarakhand (hereinafter referred to as DoHFW,

GoUK) invites Applications from prospective bidders in accordance with this EOI document in order to short-

list competent Applicants so that they can subsequently bid for management, operation and maintenance of

selected Community Health Centres (the Project) under a long-term Concession.

1.1.2 A brief profile of the Project has been provided as Appendix 1 titled Project Information Memorandum. 1.1.3 The Project would be awarded to the Concessionaire(s) [selected private partner(s)], after a competitive

bidding process with whom a Concession Agreement would be signed by DoHFW, GoUK. The Concessionaire

would be responsible for management, operation and maintenance of the Project in accordance with the

Concession Agreement. The draft Concession Agreement would be provided along with the Request for

Proposal (RFP) document only to the bidders short-listed from the EOI stage.

1.2 Brief Description of Bidding Process 1.2.1 DoHFW, GoUK intends to adopt a 2-stage transparent bidding process for selection of the

Concessionaire(s) for the Project. The first stage of the bidding process involves EOI of interested parties

(Bidders), through Expression of Interest (EOI).

1.2.2 This EOI document spells out the information that would be needed from the private partner for the purposes of EOI. 1.2.3 This EOI deals with the first stage (EOI Stage) and at the end of this stage DoHFW, GoUK expects to

announce a short-list of Qualified Bidders for the next stage (RFP/Proposal Stage). At this stage, only the short-

listed bidders will be invited to submit their detailed Proposals for the Project as outlined in the RFP document

which will be sent to the short-listed bidders at an appropriate time.

1.2.4 During the Proposal Stage, Qualified Bidders would be expected to examine the Project in further detail,

and to carry out at their own cost such activities, as may be required, to submit relevant Proposal(s) for the

Project.


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2. Instructions to Applicants 2.1 Scope of Application 2.1.1 The DoHFW, GoUK wishes to receive Applications for EOI to shortlist experienced and capable Bidders for the RFP stage. 2.1.2 Short-listed Applicants would be subsequently invited to submit their Proposal with respect to the Project as outlined in the RFP issued at that point of time. 2.2 Eligible Applicants 2.2.1 Following categories of Applicants will be eligible to participate: Category 1: A single Business Entity with operating experience 3.2. Category 2: In case the Applicant, which is a Business Entity, does not have requisite experience as per the provisions of this EOI or may want to further augment its capacity to respond, it may associate with other firms to strengthen its EOI and experience. The term Applicant used hereinafter would therefore apply to both the above-mentioned categories. 2.2.2 The Applicant should submit a Power of Attorney as per the format enclosed as Appendix 3, Authorizing the signatory of the Application to submit the Application. 2.2.3 Applications submitted by a Consortium should comply with the following additional requirements: a) The Application should contain the information requested from each member; b) An applicant who has applied for a Project in its individual capacity or as part of a Consortium cannot participate as a member of any other Consortium applying for the Project. A Letter of Exclusivity has to be annexed along with the Application in the format prescribed in Appendix 6. c) Members of the Consortium shall execute a Power of Attorney as per the format enclosed at Appendix 4 designating the Lead Consortium Member. d) Members of the Consortium shall enter into a Memorandum of Understanding (MoU) for the purpose of making the Application and submitting Proposal in the event of being short-listed and attach a signed copy of the same clearly mentioning the name of the lead member of the Consortium and the share holding pattern of the consortium members.


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The MoU should, inter alia: i. Convey the intent of the Lead Member to enter into a long-term management agreement (for a period of 5 years, extendable by another 5 years) with the Bidder and form a joint venture company with shareholding. Such Lead Member or joint venture company, as the case may be, would enter into a Concession Agreement and subsequently carry out all the responsibilities as Concessionaire in terms of the Concession Agreement, in case the Concession to undertake the Project is awarded to the Consortium; ii. Clearly outline the proposed roles and responsibilities of each member of the Consortium; iii. Include a statement to the effect that all the members of the Consortium shall be liable jointly and severally for the implementation of the Project in accordance with the terms of the Concession Agreement; A copy of the MoU should be submitted with the Application. The MoU entered into between the members of the Consortium should be specific to this Project and should contain the above requirements, failing which the Application shall be considered non-responsive. 2.2.4 Any entity which has earlier been blacklisted and / or barred by DoHFW, GoUK or any state government or central government from participating in projects would not be eligible to submit the Application, either individually or as member of a Consortium if such a bar imposed exists and is in effect on the Application Due Date. 2.3 Change in Consortium Composition 2.3.1 Change in the composition of a Consortium may be permitted by the DoHFW, GoUK during the Proposal (RFP) Stage, provided lead Consortium Member remains the same and only if:

a. The modified Consortium would continue to meet the eligibility criteria for Bidders; b. The proposed changes do not bring down the number of Bidders below a critical minimum considered necessary by the DoHFW, GoUK to preserve the spirit of competitive bidding; c. The new Consortium expressly adopts the Application for EOI already made on behalf of the original Consortium as if it were a party to it originally. d. Bidders short listed for RFP cannot under any circumstances form any kind of consortium among them.

2.3.2 Grant of approval for change in the composition of a Consortium shall be at the sole discretion of the DoHFW, GoUK and must be approved by the DoHFW, GoUK in writing. 2.3.3 The modified Consortium would be required to submit a revised Memorandum of Understanding. 2.4 Number of Applications Each Applicant shall submit only one Application in response to this EOI. Any Applicant, who submits or participates in more than one Application will be disqualified and will also cause the disqualification of the Consortium of which it is a member. 2.5 Application Preparation and Submission Cost The Applicant shall bear all expenditure associated with the preparation of its Application and its participation in the EOI process. The DoHFW, GoUK will not be responsible or in any way liable for such expenditure.


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2.6 Pre-requisite for Application Submission It would be deemed that by submitting the Application for EOI, the Applicant has made a complete and careful examination of the EOI document. The DoHFW, GoUK shall not be liable for any mistake or error on the part of the Applicant in respect of the above. 2.7 Right to Accept or Reject any of the Application 2.7.1 The DoHFW, GoUK reserves the right to accept or reject any Application or to cancel the Application process at any point of time at its sole discretion without any liability or obligation for such cancellation / rejection and without assigning any reasons for the same. 2.7.2 The DoHFW, GoUK reserves the right to reject any Application if: a) At any time, a material misrepresentation is made or discovered, or b) The Applicant does not respond promptly and diligently to requests for additional information required / requested for towards evaluation of the Application Rejection of the Application by the DoHFW, GoUK as aforesaid would lead to the disqualification of the Applicant. If the Applicant is a Consortium, then the entire Consortium would be disqualified / rejected. 2.8 Contents of EOI This EOI Document consists of contents as listed below, and would additionally include any Addenda issued in accordance with Clause 2.9. Expression of Interest Section 1. Introduction Section 2. Instructions to Applicants Section 3. Eligibility Criteria & Short-listing process Section 4. Schedule of Application Process Appendices 1 Project Information Memorandum 2 Format for Letter of Application 3 Format for Power of Attorney for Signing of Application 4 Format for Power of Attorney for Lead Member of Consortium 5 Format for Application 6 Format for Letter of Exclusivity 2.9 Amendment of EOI 2.9.1 At any time prior to the Application Due Date, the DoHFW, GoUK may, for any reason, and at its own initiative modify the EOI Document by the issuance of Addenda. Such Addenda would be posted on the website. 2.9.2 In order to provide the Applicants a reasonable time to examine the Addendum, or for any other reason, the DoHFW, GoUK may, at its own discretion, extend the Application Due Date.


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2.9.3 The DoHFW, GoUK will not be responsible for any mistakes / oversights of the prospective Applicants failing to check the contents of the addenda (if any, as and when issued). 2.10 Language The Application and all related correspondences and documents shall be written in English language. Supporting documents and printed literature furnished by the Applicant with the Application may be in any other language provided that these are accompanied by appropriate translations of pertinent passages in English language. Supporting material, which are not translated into English, may not be considered. For the purpose of interpretation and evaluation of the Application, English language translation shall prevail. 2.11 Validity of Application The Application shall remain valid for a period not less than and up to six (6) months from the Application Due Date (Application Validity Period). The DoHFW, GoUK reserves the right to reject any Application which does not meet this requirement. 2.12 Extension of Validity of Application In exceptional circumstances, prior to expiry of the original Application Validity Period, the DoHFW, GoUK may request Applicants to extend the Application Validity Period for a specified additional period. Applicants not extending the Application Validity Period when so requested will stand automatically disqualified. 2.13 Format and Signing of Application 2.13.1 Applicants would provide all the information as requested in this EOI. The DoHFW, GoUK will evaluate only those Applications that are received in the required format and complete in all respects. 2.13.2 The Applicant shall prepare one original set of all documents comprising the Application and clearly mark the same as “ORIGINAL”. In addition, the Applicant shall make two (2) additional sets of the Application, clearly mark the same as “COPY”. In the event of any discrepancy between the original and the copy, the original shall prevail. A soft copy in editable MS word format has to be made available on a CD. 2.13.3 The Application and its copies shall be typed or written in indelible ink and the Applicant shall initial and stamp each page of the Application. All alterations, omissions, additions, or any other amendments made to the Application shall be initialed by the person(s) signing the Application. 2.13.4 One copy of the EOI document has to be made by the Applicant and signed and stamped in original on each page (including the cover page) of the EOI document and sent along with the Application as a documentary evidence of the fact that the Applicant has read each and every provision of the EOI and has agreed to the contents of the same. 2.14 Sealing and Marking of Application 2.14.1 The Applicant shall seal the original and the copy of the Application in separate envelopes, duly marking the envelopes as “ORIGINAL” and “COPY”. The envelopes shall then be sealed in an outer envelope. The signed copy of the EOI can be put in the inner envelope which contains the original Application. The copies of the Application also need to be signed and stamped on each page by the authorized signatory in case of a single Applicant or the authorized signatory of the lead member in case of a consortium


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2.14.2 Each envelope shall contain the following: a. Letter of Application (Appendix 2) b. Power of Attorney for Signing of the Application (Appendix 3) c. In case of Consortium, Power of Attorney for designating the Lead Member (Appendix 4) d. Application Form (in case of Consortium, the Organization Profile and Related Experience will need to be provided by the Lead Member for the other members of the consortium also). (Appendix 5) e. In case of Consortium, Memorandum of Understanding between the members. f. Demand Draft of Rs. 3,000 (Rupees Three Thousand) only towards the cost of EOI Document by way of a crossed Demand Draft drawn in favour of ‘DGMHFW, Uttarakhand ’, payable on any scheduled bank in Dehradun (Should be submitted with the application). g. A letter of declaration clearly mentioning that the Applicant has not been blacklisted by any of the state governments or central government across the country in the past (in case of consortium, the same needs to be submitted separately on their respective letter heads for all consortium members). h. A Letter of Exclusivity (Appendix 6) 2.14.3 The envelopes shall clearly bear the following identification:

Application for EOI: “Management, Operation & Maintenance of Community Health Centres in the State of Uttarakhand”

2.14.4 The envelope shall be addressed to: The Director General

Medical Health & Family Welfare, Near IT Park, Danda Lakhond Sahastradhara Road Dehradun-248001

2.14.5 If the envelope is not sealed and marked as instructed above, the DoHFW, GoUK assumes no responsibility for the misplacement or premature opening of the contents of the Application submitted and such Application may, at the sole discretion of the DoHFW, GoUK, be rejected. 2.15 Application Due Date 2.15.1 Applications should be submitted on or before the time and the Application Due Date mentioned in the Schedule of Application Process, to the address provided in Clause 2.14.4 2.14.4 in the manner and form as detailed in this EOI. Applications submitted by either facsimile transmission, email or telex will not be acceptable. 2.15.2 The DoHFW, GoUK may, in exceptional circumstances, and at its sole discretion, extend the Application Due Date by issuing an Addendum in accordance with Clause 2.9, uniformly for all Applicants. 2.16 Late Applications 2.16.1 Applications received after the Application Due Date and Time shall not be accepted by the DoHFW, GoUK.


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2.17 Modifications/ Substitution/ Withdrawal of Applications 2.17.1 Applications once submitted cannot be withdrawn or modified / altered in any fashion. 2.18 Short listing of Applications 2.18.1 The DoHFW, GoUK will open the Applications on any working day after Application Due Date for the purpose of short-listing. 2.18.2 The DoHFW, GoUK will subsequently examine and short-list Applications in accordance with the criteria set out in Section 3. 2.18.4 The DoHFW, GoUK reserves the right to reject any Application, if: a) At any time, a material misrepresentation is made or discovered; or b) The Applicant does not respond promptly and diligently to requests (as and when requested for by the DoHFW, GoUK) for additional information that may be required for the short listing of the Application by the DoHFW, GoUK 2.19 Confidentiality 2.19.1 Information relating to the examination, clarification, evaluation, and recommendation for the short-listed applicants shall not be disclosed to any person not officially concerned with the process. The DoHFW, GoUK will treat all information submitted as part of Application in confidence and would require all those who have access to such material to treat the same in confidence. 2.19.2 The DoHFW, GoUK will not divulge any such information unless it is ordered to do so by any authority pursuant to applicable law or order of a competent court or tribunal, which requires its disclosure. 2.20. Clarifications To facilitate evaluation of Applications, the DoHFW, GoUK may, at its sole discretion, seek clarifications in writing from any Applicant regarding its Application. 2.21 EOI and Notification 2.21.1 After short-listing of Applications, the DoHFW, GoUK shall announce and publish the list of successful Applicants (Qualified Bidders) for the Project. The list will be sent to all the short-listed bidders by the DoHFW, GoUK. 2.21.2 Qualified Bidders will then be requested to submit a detailed Proposal in the form and manner to be set out in the RFP Document which will be sent to the short-listed Applicants at the appropriate time.


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3. Eligibility Criteria and Short-listing Process 3.1 Eligibility Criteria 3.1.1 Any legally registered entity running hospitals fulfilling the following criteria are eligible to apply: Minimum Years of registration and Operation: 3 years Minimum number of functional beds+: 20 Average annual turnover of last three financial years: Rs. 50 Lakhs Net worth: Rs. 15 Lakhs Note: + the minimum number of beds indicated is for a single unit. 3.1.2 The Applicant should furnish the details of eligible experience and furnish evidence to support its claim as per the format given in Appendix 5 3.1.3 The Applicant should provide financial information based on audited annual accounts for the respective financial years. The financial year would be the same as the one normally followed by the Applicant for its annual financial statement. 3.1.4 The Application must be accompanied by the audited annual financial statements of the Applicant (of Lead Member in case of a Consortium) for the last three financial years. 3.2 Short listing Process .3.2.1 The evaluation and short listing of Applications will be based on the following three broad parameters: a. Organization Profile and Related Experience b. Applicant’s Appreciation of the Project 3.2.2 The Scoring Scale that will be used for the purpose of short listing is given in the table below:

Sr. No.

Parameters Total

A. Previous Experience of the Bidder Previous Period of experience in Operating and managing at least 20 beds Hospital as on

Dec. 10. 45

a. For more than seven (7) years 45 b. For less than seven (7) years and more than five (5) years 25 c. For less than five (5) years and more than three (3) years 15 d. For less than three (3) years 0 i. In case of part year, only the completed years will be counted. For example five (5)

years and eight (8) months will be counted as five (5) years. ii. The bidder needs to submit a certificate from statutory auditors certifying the number

of years of experience.


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B.

Previous Experience of the bidder based on the number of Hospitals of bed strength of 20 beds as on Dec. 2010

30

Previous period of experience based on the number of hospital projects. a. Less than = 0 b. 1 = 10 c. 2 = 20 d. More than 2 = 30

i. The number would include any project on setting up or Operation & management of Hospitals.

ii. The bidder needs to submit a certificate from the authority certifying the number of hospitals as on Dec. 2010

C. Applicant’s Appreciation of the Project 25 based on personnel experience 25 Understanding of management of public healthcare facilities Approach to management of Community Health Centres Proposed approach to quality management

Total: 100

Only those applicants who score 60 or more marks will be short-listed for the RFP stage. 3.3 Special Conditions for a Consortium 3.3.1 In case the Application is a Consortium, the Applicants in the consortium should jointly meet the experience criteria as stipulated in Clause 3.1. 3.3.2 Even if the Applicant is a Consortium, the net worth and average annual turnover would be taken only of the lead member. 3.3.3 In the joint venture company that is established for the purpose of implementing the Project, the Lead Member shall commit to hold a minimum equity stake equal to 51% of such company at all times during the Concession Period. 4. Schedule of Application Process Last date for submission of Applications EOI is ………………… 03.00 P.M.


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Appendix 1: Project Information Memorandum

Public Private Partnership for the Management, Operation and Maintenance of Community Health Centres (CHCs). 1 . Background

The state of Uttarakhand consists of thirteen districts, which are grouped into two divisions: Garhwal Mandal & Kumaon Mandal. Uttarakhand is one of the High Focus States under National Rural Health Mission (NRHM) with comparatively weak public health infrastructure and indicators. The Department of Health and Family Welfare is responsible for providing Medical, Health and Family Welfare related services to a population of 1,01,16,752 ( Census 2011) spread over a vast area of 53,566 sq. km. A three-tier health care delivery system is in place with emphasis on primary, secondary and tertiary care to meet the health and medical needs of the population.

Strengthening services and care in Community Health Centres is essential for ensuring appropriate secondary care clinical services. And for this purpose Department of Health and Family Welfare, Govt. of Uttarakhand wishes to invites offers from private partners to management, operation and maintenance Community Health Centres on Public Private Partnership basis in the State of UK. Selection of the CHC’s for PPP will be done after the applications are received based on EOI. The private sector partner would be required to upgrade the Community Health Centres to bring them at par with the service deliverables of the Indian Public Health Standards (IPHS) and to manage, operate and maintain them over a period of 5 years extendable by another 5 years.

2. Objectives of the Proposed Project a. To manage, operate and maintain selected Community Health Centres in Uttarakhand as per IPHS

standards. b. To provide value-added specialized services over and above the prescribed guidelines as per the local medical and health needs of the population. c. To adhere to guidelines issued by Govt. of Uttarakhand from time to time including upgrading of the Hospital in the services being provided and training 3. Rationale for the Proposed Partnership Department of Health and Family Welfare, Government of Uttarakhand (DoHFW, GoUK) is committed to ensuring quality and cost effective health care services for the population at large. Whereas the DoHFW, GoUK has its own strengths, it is conscious of the fact that private health care providers have their respective strengths like management efficiency and consciousness about quality of care; which is complementary in nature and would bring about great synergies in health care delivery.


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With this premise, the DoHFW proposes to enter into partnership with reputed private hospitals, charitable/ trust hospitals, medical colleges, etc for complete management of Community Health Centres. 4. What Value Addition Can a Private Partner Bring in?

a. Experience and expertise in efficient management of hospitals. b. Total quality management and continuous quality improvement in inputs, processes and outputs of all clinical and non-clinical functions of managing a hospital. c. Trained and skilled human resource for health care services. d. Expanding the range of specialized clinical services beyond what the government is providing.

5. What would the DoHFW offer to the Partnership?

a. Captive market of approximately 1 lakh population per block with practically no presence of any other quality private provider.

b. Usage rights over land and infrastructure in these locations to add2 facilities / services related to clinical care and treatment of patients.

6. Enabling Environment for Nurturing and Strengthening of Partnerships DoHFW, GoUK shall undertake all possible steps to ensure that the private operators find the environment friendly and amicable for the partnership to grow, nurture and strengthen itself. Some of the steps are:

a. An Empowered Task Force comprising representatives from the private sector, professional bodies and the Government to look into grievances, speedy redressal of grievances. b. A dedicated agency at the state level for facilitation, supportive supervision, monitoring, auditing and transparent, efficient and timely fund management for the partnership – this agency will act as an interface between the selected private partner and the DoHFW, GoUK c. Exempting the private partner from all the routine administrative functions of district health administration, responding to routine VIP duties, post mortem services, to ensure that private partners can focus all their resources on what they can do best, that is, management of hospitals and providing quality clinical services. e. Appropriate exit clauses in the Concession Agreement to adequately protect the investment risks and financial interests of the Private Partners and the social objectives of the Government. 7. Duration of Partnership

The Concession Agreement will be signed for a period of 5 years (extendable by further 5 years) to make this a financially viable business proposition for the Private Partners.

2 With prior approval from DoHFW


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8. Scope of Partnership and Services to be offered Under the Partnership Under this partnership, the Private Partner will be expected to undertake the responsibility of overall management of selected Community Health Centres Specific tasks include: a. Manage the hospitals and services in as-is-condition from day one of taking over the hospitals from the Government without any break in the continuity of clinical services. b. Provide OPD and IPD services3 including emergency, drug dispensing and diagnostic and radiology tests and procedures4 as per prescribed standards5. 3 Detailed list of specialities and procedures will be provided in the RFP

4 List of Mandatory Diagnostic / Radiology Tests and procedures will be provided in the RFP 5 Indian Public Health Standards as laid down by Government of India and as adapted by DoHFW, GoUK for its own requirements shall be applicable and be shared with the short listed Private Partners in the RFP document.

c. Upgrade the facility and manage the same as per the prescribed standards d. Further add specialized services / beds for procedures over and above those prescribed by the DoHFW as per the local demand. e. Recruitment and management of all human resources including their salaries and all responsibilities and liabilities as per existing labour laws. f. Procurement g. IT-based Management Information Systems h. Maintenance of all movable and immovable assets of the hospital i. Abide by the existing policies of the Government j. Undertake all statutory responsibilities k. Regular reporting as per prescribed guidelines 9. Financial Framework a) As discussed above private sector partner will be responsible for providing all clinical services including diagnostic and essential drugs to the patients under the PPP initiative. b) Payment to private sector for these services will be made on the basis of the agreed rates for IPD and day care procedure per patient. This cost will include management and running of hospitals including salaries, medical and non-medical supplies, preventive and curative maintenance of equipment and infrastructure, and providing of clinical services (OPD, IPD, emergency), dispensing of generic drugs as per the prescribed list and conduct diagnostic / radiology tests / procedures as per the prescribed list. Management charges and overheads including returns on investments. c) Private sector partner will collect user fee from the patients for various services given at the hospital as per user charges approved by the government for various services in the government hospitals. For services which are over and above the services prescribed by government private sector partner will fix charges with the approval of government and will collect the same. All user charges collected by the private sector partner will be adjusted while making payments for services by government to them.


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d) In line with the above the bids would be evaluated on the basis of the per capita rates offered by private sector partners for IPD/day care OPD procedures for CHC’s and amount required for refurbishment of the hospital immediately upon take over to bring them up to the desired standard. e) To facilitate the private partner in making utilization projections, hospital-wise utilization data for the last three years shall be shared with the private partners to assess the current utilization levels. Based on these, baseline targets will also be set and shared for each hospital in the RFP document. f) The per capita reimbursement cost will be revised annually.

Disclaimer

The details mentioned above are indicative in nature and reflect the DoHFW’s approach to the partnership model. Specific details may change in due course


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Appendix 2: Format for Letter of Application To, DG, Medical Health & Family Welfare Government of Uttarakhand Dehradun-248001 Dear Sir, Re: Management, Operation and Maintenance of Community Health Centres in Uttarakhand Being duly authorized to represent and act on behalf of__________________. (hereinafter referred to as “the Applicant”), and having reviewed and fully understood all the information provided in the Expression of Interest (EOI) document released by the Department of Health and Family Welfare, Government of Uttarakhand, the undersigned hereby submits the Application in one original and two copies in response to the EOI, for your consideration. We confirm that our Application is valid for a period of Six (6) months from _________ (Tender Submission Date). We also hereby agree and undertake as under: Notwithstanding any qualifications or conditions, whether implied or otherwise, contained in our Application, we hereby represent and confirm that our Application is unqualified and unconditional in all respects. _____________________________ Signature of the Authorized Person ______________________________ Name of the Authorized Person Date __________ Note: On the Letterhead of the Applicant or Lead Member of Consortium To be signed by the Lead Member in case of a Consortium.


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Appendix 3: Format for Power of Attorney for Signing of Bid

(On Rs 100 non-judicial stamp paper)

Power of Attorney Know all men by these present, We………………………………………………….(name and address of the registered office) do hereby constitute, appoint and authorise Mr / Ms………………………………(name and residential address) who is presently employed with us and holding the position of ……………………………………………. as our attorney, to do in our name and on our behalf, all such acts, deeds and things necessary in connection with or incidental to our application for the project titled Management, Operation & Maintenance of Community Health Centres (CHCs) in Uttarakhand, including signing and submission of all documents and providing information / responses to the Department of Health and Family Welfare, Government of Uttarakhand (DoHFW, GoUK), representing us in all matters before the DoHFW, GoUK in all matters in connection with our Application for the said Project. We hereby agree to ratify all acts, deeds and things lawfully done by our said attorney pursuant to this Power of Attorney and that all acts, deeds and things done by our aforesaid attorney shall and shall always be deemed to have been done by us. Dated this the _______ day of _______2011 For ___________________________

(Name, Designation and Address) Accepted _________________________(Signature) (Name, Title and Address of the Attorney) Date : __________ Note: • To be executed by the Lead Member in case of a Consortium. • The mode of execution of the Power of Attorney should be in accordance with the procedure, if any, laid down by the applicable law and the charter documents of the executant(s) and when it is so required the same should be under common seal affixed in accordance with the required procedure. • In case the Application is signed by an authorised Director/Partner of the Applicant, a certified copy of the appropriate resolution/ document conveying such authority may be enclosed in lieu of the Power of Attorney. • In case the Application is executed outside India, the Applicant has to get necessary authorisation from the Consulate of India. The Applicant shall be required to pay the necessary registration fees at the office of Inspector General of Stamps, if applicable.


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Appendix 4: Format for Power of Attorney for appointing Lead Member of Consortium

(On a Stamp Paper of relevant value)

Power of Attorney

Whereas the Department of Health and Family Welfare, Government of Uttarakhand (DoHFW, GoUK), has

invited Applications from interested parties for Management, Operation & Maintenance of Community Health

Centres in Uttarakhand.

Whereas, the members of the Consortium are interested in bidding for the Project and implementing the Project

in accordance with the terms and conditions of the Expression of Interest (EOI) Document,

and Whereas, it is necessary under the EOI Document for the members of the Consortium to designate the Lead

Member with all necessary power and authority to do for and on behalf of the Consortium, all acts, deeds and

things as may be necessary in connection with the Consortium’s Application for the Project who, acting jointly,

would have all necessary power and authority to do all acts, deeds and things on behalf of the Consortium, as

may be necessary in connection with

the Consortium’s Application for the Project.

NOW THIS POWER OF ATTORNEY WITNESSETH THAT;

We, M/s. ___________________________(Lead Applicant), M/s __________________(other Applicants) (the

respective names and addresses of the registered office6) do hereby designate M/s. _________

____________________________ being one of the members of the Consortium, as the Lead Member of the

Consortium, to do on behalf of the Consortium, all or any of the acts, deeds or things necessary or incidental to

the Consortium’s Application for the Project, including submission of Bid/proposal, participating in

conferences, responding to queries, submission of information/ documents and generally to represent the

Consortium in all its dealings with the DoHFW, GoUK, any other Government Agency or any person, in

connection with the Project until culmination of the process of bidding and thereafter till the Concession

Agreement is entered into with the Department of Health and Family Welfare, Government of Uttarakhand

(DoHFW, GoUK).

6 In case of partnership firm: name and address of principal office of the partnership firm to be provided.


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We hereby agree to ratify all acts, deeds and things lawfully done by Lead Member, our said attorney pursuant to this Power of Attorney and that all acts deeds and things done by our aforesaid attorney shall and shall always be deemed to have been done by us/Consortium. Dated this the __________day of 2011 _________________________ (Executants) (To be executed by all the members of the Consortium) Note: The mode of execution of the Power of Attorney should be in accordance with the procedure, if any, laid down by the applicable law and the charter documents of the executant(s) and when it is so required the same should be under common seal affixed in accordance with the required procedure.


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Appendix 5: Format for Application A. Organization Profile & Related Experience APPLICANT STATUS: Single entity / Consortium (please tick the relevant status) If the Application Status is “Consortium”, each member should submit the information in the format given below.

A1. Basic Details: i. Name of the Applicant: ii. Address: iii. Complete Postal address with pin code: iv. Telephone: v. Name of the authorized Signatory of the Application: vi. Mobile Number of the Authorized Signatory vii. Email ID

A2. Previous Experience of the Bidder Previous Period of experience in Operating and managing at least 20 beds Hospital as on

Dec. 10.

For more than seven (7) years For less than seven (7) years and more than five (5) years For less than five (5) years and more than three (3) years For less than three (3) years • In case of part year, only the completed years will be counted. For example five (5)

years and eight (8) months will be counted as five (5) years. • The bidder needs to submit a certificate from statutory auditors certifying the

number of years of experience.

A3.

Previous Experience of the bidder based on the number of Hospitals of bed strength of 20 beds as on Dec. 2010

Previous period of experience based on the number of hospital projects. Less than

1 2

More than 2

iii. The number would include any project on setting up or Operation & management of Hospitals.

iv. The bidder needs to submit a certificate from the authority certifying the number of hospitals as on Dec. 2010

Only those applicants who score 60 or more marks will be short-listed for the RFP stage. A4. Community Outreach Activities


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A5. Experience of projects / managing hospital beds in Rural Areas A6. Experience of working with the Government in Health Sector on PPP Narrative Description of Project: not more than 200 words for each project. B. Applicant’s Appreciation of the Project based on personnel experience. (Not more than five A4 size pages)

• Understanding of the Management of Public Health Facilities • Proposed Approach to Management of Community Health Centres (CHCs) • Proposed Approach to Quality Management • Your suggestions on financial reimbursements and management

C. Financial Details

No. Year Total Turnover

Net Worth (Rs.)

A. 2007-2008 B. 2008-2009 C. 2009 – 2010

D. Applicant to specify the Community Health Centres (CHC) interested in. General Instructions: Net Worth for Company = (Subscribed and Paid-up Equity + Reserves) - (Revaluation reserves + Miscellaneous expenditure not written off) For Partnership Firm =Aggregate of Partners' Capital Account + Reserves - Aggregate of drawings by Partners - Aggregate of advances to Partners The financial year would be the same as the one normally followed by the Bidder for its Annual Report. The Applicant shall provide the audited annual financial statements as required for this EOI. Failure to do so would be considered as a non-responsive bid. The Applicant should clearly indicate the calculations and references in the financial statements in arriving at the above numbers in an attached worksheet. The Applicant should provide the Financial Capability based on its own financial statements. Financial Capability of the Applicant’s parent company or its subsidiary or any associate company will not be considered for computation of the Financial Capability of the Applicant.


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Appendix 6: Letter of Exclusivity (to be executed on Applicants letter head) I, we, ________________________________ , hereby declare that we are/ will not associate with other

firm/entity/consortium for submitting an Application for the Project “Management, Maintenance and Operation

of Selected District Hospitals under Public Private Partnership (PPP)” under consideration.

Dated this the _______ day of _______2011 For ___________________________ (Name, Designation and Address of the Chief Executive Officer of the Bidder (lead agency in case of consortium )

Accepted _________________________(Signature) (Name, Title and Address of the Bidder/s) Date : __________ Note: • To be executed by the Lead Member in case of a Consortium.


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The following CHC’s are being considered:

IN DISTRICT

NAME OF C.H.C. Pauri Garhwal 1 Pabau 2 Thalisain Tehri Garhwal 3 Hindolakhal 4 Thatyur Dehradun 5 Sahiya 6 Raipur Uttarkashi 7 Naugaon Chamoli Garhwal 8 Gairsain Rudraprayag 9 Augustmuni Haridwar 10 Bhagwanpur Nainital 11 Garampani Almora 12 Chaukhutiya Pithoragarh 13 Munsiari Udham Singh Nagar 14 Bajpur Bageshwar 15 Kafkot Champawat 16 Lohaghat

expression of interest - uttarakhanduk.gov.in/files/tender/chc. expression of interest.pdf ·...

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