tender notice for printing of forms & registers tender.pdf · page 2 of 13 tender document for...
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Page 1 of 13
TENDER NOTICE FOR PRINTING OF FORMS & REGISTERS
Medical Superintendent invites sealed tenders from the interested tenderers for Printing of
forms to ESIC MODEL HOSPITAL BAPUNAGAR, AHMEDABAD for one year which is extendable
further with mutual understanding, if needed.
Name of
Work
Tender
form
Fee
Estimated
value of
Contract
Earnest
Money
Deposit
(EMD)
Security
Deposit
Sale of Tender
Document
Last date
and time of
tender
submission
Printing of
forms &
Register
200/- 06 lacs
Rs.
12000/-
Only
Rs.
30,000/-
16/07/2015 to
07/08/2015 all working
days during 10:00AM to
03:00PM & during
10:00AM to 12:00PM on
last date of submission
and Saturday.
07/08/2015
upto
02:00PM
Tender document can be purchased/Inquired from the General Branch of the ESIC Model
Hospital Bapunagar, Ahmedabad-380024 on any working day from 16/07/2015 to 07/08/2015 between
10:00AM to 03:00PM and on last date of submission & Saturday from 10:00AM to 12:00PM at a non
refundable cost of Rs. 200/- payable through demand draft/Banker cheque of any scheduled bank
drawn in favour of “ESI Fund Account No-1” payable at Ahmedabad. Tender Document can be
downloaded from ESIC Headquarter website www.esic.nic.in in “Tenders” tab &
www.eprocure.gov.in may be submitted along with prescribed tender form fee in above manner.
Duly filled and sealed tenders are to be dropped in the tender box available in the Chamber of the Dy.
Medical Superintendent (Room No.: 208).
Medical Superintendent
Page 2 of 13
TENDER DOCUMENT FOR PRINTING OF FORMS & REGISTERS
1. Name of Tender: ESIC Model Hospital, Bapunagar, Ahmedabad invites sealed quotations from the
reputed printer for the printing works under Rate Contract for one year under single bid system.
2. Scope of Work: Printing of various forms (One sided/both sided), Register, Covers and other
material as per the sample details provided in “Annexure –C”
3. Details of Tender fees, Estimated value of Contract, Earnest Money Deposit and Security Deposit for
the contract:
Name of Contract Tender fee
(Non refundable)
Approximately
value of Contract
Earnest Money
Deposit
Security
Deposit
Printing of Forms
& Registers 200/- 6,00,000/- 12,000/- 30,000/-
Please note that,
a) Tender fee/Document cost is payable in form of Demand Draft/Bankers Cheque drawn on any
scheduled bank in favour of ESI Fund Account No.-1 payable at Ahmedabad. Party
downloading the form from website shall have to deposit the same along with Bid Document as
prescribed in above manner.
b) The actual contract value may vary as per requirement. The details of the item to be supplied are
furnished in the Annexure– C, with specifications. However, it should be clearly noted that the
Model Hospital Bapunagar shall place the order only as per the requirements from time to time
which may vary from the quantity mentioned in the tender and the supplier cannot raise any
objection in this regard.
c) EMD/SD as above mentioned will be accepted in the form of Demand Draft/Bankers’ Cheque
from any Schedule bank drawn in favour of ESI Fund Account No. 1 payable at Ahmedabad
shall accompany the bid.
d) EMD shall remain valid for a period of 30 days beyond the final validity period of bids (120
days). A bid received without Bid security (EMD) shall be rejected at the bid opening stage.
e) The Eearnest money shall be refunded to the unsuccessful Tenderers after finalization of the
contract. It shall be refunded to the successful tenderer on receipt of Security Deposit (SD).
f) No interest is payable on the EMD/SD.
g) The bid security (EMD) may be forfeited, If a bidder withdraws his bid during the specified
period of bid validity specified in the bid document. In the case of successful bidder, if the bidder
fails to : Submit the surety bond after awarding of the contract or furnish the Performance
security within the time specified in the document.
h) In case of breach of any terms and condition under this contract, The Security Deposit (SD) will
be liable to be forfeited by Medical Superintendent besides annulment of the Contract.
4. Period of Rate Contract:
The rate contract shall be for a period of one(01) year from the date of award of contract and it
may be extendable for a further period as deemed fit on similar terms and condition/ rate on
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mutual consent subject to satisfactory performance of the firm.
5. Eligibility Criteria for Tenderer:-
a) The average annual turnover of the firm should be of Rs 18(Eighteen) Lakh minimum in printing
business, during financial year 2011-12, 2012-13 & 2013-14.
b) The firm should be existed prior to 2012(i.e. the firm should be existed since last three year.)
c) The bidder shall be free from encumbrance and there shall not be any vigilance case/ CBI Case/
Court Case pending against him, even the firm/Bidder should not have been blacklisted by the
Govt. / PSUs or any other government Agency or Private institution (Undertaking in this regard
shall have to be furnished in format given in Annexure-B attached to this tender documents).
d) The bidder shall have valid registration or trade license to carry/supply the item in
question.(Shops and Establishment Registration or Sale Tax act (VAT) registration or Registered
under certain enactment or any other certificate issue by government or Government Agency)
e) The Vendor must have PAN No and Bank Account in any of the Nationalized Banks/ Scheduled
Banks.(In case of Ltd./Pvt. Ltd./Partnership Firm, the PAN and Account shall be in the name of
the Firm/Company and in case of Individual Ownership, the PAN and Account may be in the
name of Owner.)
6. General Term and Condition:-
a) While submitting the tender for this work, the tenderers will be deemed to have read,
understood and accepted all the items and conditions stated in the tender document and shall be
complied with by the tendering firm.
b) vendor shall comply with all the statutory requirements/ norms issued by the Govt. from time to
time
c) If the successful Bidder fails to fulfill his obligations under this tender i.e. on adherence to terms
and conditions contained in this tender, the ESIC Model Hospital, Bapunagar after due notice to
the Printer may blacklist the firm. In such events, the Contract will stand terminated and the
EMD/Performance Securities of such Firm shall be forfeited to the ESIC.
d) The Medical Superintendent also reserves the right to terminate the contract before the contract
period expiry with one month notice. For any dispute regarding quality / service and rates the
decision of the Medical Superintendent shall be final and binding to the Contractor.
e) In the event of any disputes arising out of the execution of Rate Contracts/Supply Orders, the
matter will be referred to Medical Superintendent, ESIC Model Hospital Bapunagar , Ahmedabad.
f) All disputes relating to this tender can be legally resolved through courts in Ahmedabd only.
g) The tendering firms will have to give a undertaking to the effect that they have not been
blacklisted or their business dealings with the Government departments have not been banned.
This undertaking may be furnished in the format given in „Annexure – B‟ attached to this tender
document.
h) Tender must reach this office not later than the time and date notified in the tender form stated in
the schedule of tender. In the event of tender received after scheduled date and time, the tender
will not be allowed in bidding and it will be rejected summarily.
i) Each page of the Tender and all its annexures shall be signed and stamped by authorized
representative of Tenderer in token of acceptance of the terms and conditions laid under the
Tender Document. No page should be removed /detached from the tender document.
j) All entries in the Tender form shall be legible and filled clearly. Any overwriting or cutting which
is unavoidable shall be signed by the authorized signatory.
k) Tender incomplete in any form will be rejected out rightly.
l) Conditional Tenders will be rejected out rightly.
m) The Annexures enclosed received without the signature of authorized person will not be
entertained and will be rejected summarily.
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n) Tenders not received in the prescribed format shall be ignored and no correspondence in this
regard will be entertained. Telegraphic/Telex/Fax/email/Letterhead/Quotations will not be
accepted and ignored straightaway.
o) Canvassing in any form by the tenderer or his representative with any of the officials of ESIC
Model Hospital shall render the tender liable to be rejected
p) This tender or contract and both are non transferrable.
q) As the tenderers are requested to quote their prices on F.O.R. destination basis, (Free delivery to
the consignee's premises). No kind of Tax or duty or other levies /transport charge,/ insurance or
any charges reimbursed/paid/Borne by this hospital and No kind of exemption certificate will be
issued.
r) The rates quoted by the selected firm and approved by this office shall remain valid throughout
the period of contract and requests to increase the rates for any item(s) during the currency of the
contract shall not be considered.
s) Supply of all items should be duly tied up in convenient bundle into gum pad of say 100forms,
each with indication slip provided after 500 forms/cards/covers. Every forms/cards/covers must
have an imprint line given on the left hand side top or bottom corner indicating the concise name
of the printer, month of printing and quantity viz printer name.
7. Special Term and condition related with contract:-
a. The Medical Superintendent, ESIC Model Hospital Bapunagar Ahmedabd. reserves the right
to withdraw/relax any of the terms and conditions mentioned above.
b. It will be the responsibility of the supplier to ensure that items supplied are of the requisite quality
and free from all defects. The acceptance of items will be given only when the items are found up
to the specifications given in the tender enquiry and free from all defects. The decision of the
Medical Superintendent, ESIC MH, Bapunagar, Ahmedabad shall be final as to the quality of the
items and shall be binding upon the tenderers. Any item fails conformity with specification will
be rejected out rightly and it shall be replaced immediately (with in Three days from the
information about rejection) at the risk and cost of the supplier.
c. The Medical Superintendent has the right to authorize/appoint/depute any person to supervise the
services.
d. The Medical Superintendent, ESIC Model Hospital Bapunagar, Ahmedabad reserves the right to
conclude parallel Rate Contracts with a number of suppliers and place Orders on any of such firm
that may be the most economical to it or suitable to its requirements.
e. If the contractor fails in fulfilling the terms and conditions mentioned here in different parts of
this tender document, such failure will constitute a breach of the contract and the Medical
Superintendent shall be entitled to make other arrangements at the risk and expense of the
contractor. Also nonperformance/unsatisfactory performance or violation of terms and condition
of the contract will make the contractor liable for forfeiture of security deposit. The decision of
the Medical Superintendent shall be final and binding on this count.
f. The Medical Superintendent, ESIC Model Hospital,Bapunagar, Ahmedabad reserves the right to
opt a purchase/price preference from to Small Scale industries etc. in accordance with the policies
of the Govt. in force from time to time.
g. The term and condition of this tender document are the part of the contract document related with
the execution of the contract.
8. Bid Prices:
a. The tenderer are requested to submit their rate in “Annexure-C” (Details of Printed
forms/Register/Slips etc.)
b. The rates/ prices including the taxes, if any, should be quoted in Indian Rupees only in words as
well as figures.
c. The price quoted should be valid for the one year.
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d. Tenderers are requested to quote their prices on a firm & fixed basis only for the entire period of
the Rate Contract. Tenders of the firms received with prices quoted on variable basis shall be
rejected straightaway.
9. Penalty Clauses for non-satisfactory service:-
Whenever and wherever the empanelled vendors are requested to print any Form, the vendor shall
honour and comply the supply order within 21 days from the date or receipt of the order. In case
of non compliance of any order, a penalty of Rs. 500/- for each default shall be imposed on the
firm. The penalty amount shall be recovered either from the pending bills or from the security
deposit. This office will not enter in to further correspondence after imposing any penalty for
delayed supply.
10. Submission of tender:- All tenderer are instructed to submit the bid envelop as following manner.
a) The envelope no.-1 containing DD/BC (And also cost of Tender form i.e. as prescribed, if
form is downloaded from website)
b) Envelope no.-2, containing Tender document filled with all due information in prescribed
manner with all applicable self-attested documents/sample of item where YES stated in
check list as per “Annexure-” D except EMD.
c) Both above envelop required to be placed in third envelope, sealed and super scribed
“Tender for supply of stationary and miscellaneous in ESIC Model Hospital Bapunagar
Ahmedabad”
d) Documents may be dropped either in the box earmarked for the purpose or be sent by
Registered post. Documents received late by post shall not be accepted at all due to postal
Delay. Document received after the scheduled date and time shall be rejected out rightly.
11. Deadline for submission of bids
a. The above envelopes shall be sealed and addressed to The Medical Superintendent ESIC
Model Hospital Bapunagar Ahmedabad” and must reach on or before the 07/08/2015 by
02.00PM.
b. No bids will be received/accepted after the expiry of the prescribed date and time for submission
of the bids.
c. The Medical Superintendent, ESIC Model Hospital, Bapunagar, Ahmedabad may, at his
discretion, extend the deadline for submission of bids.
14. Bid Opening and Evaluation
a) The Technical Bids will be opened at 07/08/2015 at 2.30 PM in the office of the Dy Medical
Superintendent in the presence of such tenderers or their authorized representatives who may
choose to be present at the time of opening of technical bid.
b) The envelope no.1 containing EMD (also cost of Tender form i.e. as prescribed above, if form is
downloaded from website) shall be opened first. Envelope no.2 (containing Tender doccument)
shall be opened only if the bidder submits EMD as stated this form (also cost of form i.e. as
prescribed above in the event if form is downloaded from website).without EMD & cost of form
(in case if it is downloaded from website) the tender will not be entertained & will be rejected
summarily).
c) The envelope no. 2 i.e., “Tender Document” of only those bidder shall be opened who has
fulfilled the terms & condition as stated above at ii. The Tender Doccument will be evaluated by
Tender Evaluation Committee and shortlist the eligible technically qualified bidder as per terms &
conditions of tender document and their quoted rates will be considered for evaluation.
15. Selection of Eligible Tenderer:-
The selection of successful bidder shall be made on the rate offered by the bidder keeping in the
view of terms & conditions and specification laid under tender document.
16. Rights of Acceptance/Rejection:-
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The Medical Superintendent ESIC Model Hospital Bapunagar, Ahmedabad reserves the right to
reject all or any tender in whole or in part, without assigning any reason there
17. Acceptance of Bid :-
The successful bidder shall give its acceptance within 07 days from award of work order and
required to enter into an agreement with Medical Superintendent, ESIC Model Hospital,
Bapunagar, on bond paper of Rs.100/ ( Rupees One hundred only) . The cost of bond paper will
be born by successful bidder. In case, if successful bidder fails to give acceptance or enter into
agreement within stipulated time, the award of contract will be deemed to be cancelled and EMD
amount will be forfeited.
18. PAYMENT TERMS:
a. 100% Payment will be made only after satisfactory supply as per specification, inspection,
complete acceptance of the items by the Medical Superintendent or any other person(s) authorized
by him. If the supplied item found to be of substandard, the same will be returned and required to
be reprinted by the successful bidder. Any item fails conformity with specification will be rejected
out rightly and it shall be replaced immediately at the risk and cost of the supplier.
b. Advance payment will not be made under any circumstances. The payment shall be made
through RTGS/NEFT/ECS only. In case of Cheque, the same may be dispatched through Speed
Post/registered post.
c. Successful tenderer will have to supply the material within six weeks from the date of issue of
supply order on the rate quoted by them and approved by the competent authority of this hospital.
d. In case of delay / failure in supply, the indented items shall be purchased from the market at the
risk and cost of the Contractor. The extra expenditure involved in procuring supplies from
elsewhere will be recovered from the Contractor in full at discretion of the Medical
Superintendent.
e. The recovery thus due shall be deducted from any sum then due to the Contractor from the ESIC
Model Hospital or from any other contract placed with the said contractor by the ESIC Model
Hospital.
f. The Security Deposit will be forfeited if the printing matter is not supplied as per sample
provided/supply order.
Signature of tenderer with stamps
Page 7 of 13
Annexure-„„A‟‟
TENDER APPLICATION/DECLARATION FORM
1 Name of the firm:
2 A Full Postal Address
B Telephone No.
C Fax No.
D E-Mail Address
3 Ownership Details:
A Name of Director/Prop/Partner(s)
B Residential Address of
Director/Prop/Partner(s)
C Cell Phone No.
D E-mail Address
4 If your Firm Registered under: ******
A Vat (Commercial tax Registration
No)
B Any other authority under which
firm registered
Registration No. for above
C PAN Details: *******
D Name Appears on PAN Card
PAN No.
5 Bank Details: *******
A A/c Holder name
B Bank Name
C A/c No.
D Branch Name
E IFSC Code
6 Annual Turnover(In Rupees for
following financial year) ******
A Year-2013-14
B Year-2012-13
C Year-2011-12
D Average Annual Turnover
I ….................................................................................. proprietor/partner/director of M/s
…...................................................................... hereby declare that the information given in this form is
true and correct to the best of my knowledge and belief.
Name & signature of tenderer with Stamps
Page 8 of 13
„„Annexure-B‟‟
UNDERTAKING
1. I the undersigned certify that I have gone through the terms and conditions mentioned in the tender
document and undertake to comply with them.
2. The rates quoted by me are valid and binding upon me for the entire period of contract and it is
certified that the rates quoted are the lowest quoted for any other institution/hospital in India and also
certified that the rate quoted is less than the MRP of the quoted Item. It is also certified that item
quoted are of Standard Quality and workmanship.
3. The earnest money of Rs. ……………. To be deposited by me has been enclosed herewith vide
Demand Draft/Banker Cheque no. ……………….. dated: ………..drawn on Bank
…………………………..Branch …………………………………..
4. I hereby undertake to supply the items as per directions given in the tender document/supply order
within stipulated period.
5. I/We give the rights to Medical Superintendent to forfeit the earnest money deposited by me/us if any
delay occur on my/agent’s part of failed to supply the article within the appointment time or the items
of desired quality.
6. There is no vigilance/CBI case or court case pending against the firm.
7. This is to declare & certify that the neither myself nor my firm has ever been blacklisted by any
Govt./Semi Govt./Public/Private Intuition.
8. I/We hereby certify that the firm poses all the required license/certification to perform the work.
Date:- Signature of the tenderer:-
Place:- Full Name:-
Designation:-
Page 9 of 13
„„ANNEXURE – C”
SPECIFICATIONS OF PRINTED FORMS/REGISTERS/SLIPS/ETC
Sr.
No. Items Name
Annual
Requirement Paper size Quality
Rates in
digits Rates in words
1 Treatment sheet 104750 A4 70GSM
2 Blood Form 279000 A4 -do-
3 X-ray Form 187350 A4 -do-
4 Urine Form 33200 A4 -do-
5 Temperature Chart 38000 A4 -do-
6 I.P. Certificate 12000 A4 -do-
7 Discharge Card 47200 13.5x18cm As per
sample
8 Transfer Form 11250 A4 70GSM
9 OPD Ticket 25000 A4 -do-
10 Admission Form 17000 A4 -do-
11 Memorandum Form 6000 A4 -do-
12 Bill Details
List 6000 A4 -do-
13 Permission letter 8000 Legal -do-
14 Check List 4000 Legal(34.5cm
X20.5Cm) -do-
15 Reference Slip(1) 5000 A4 -do-
16 Reference Slip(2) 5000 A4 -do-
17 OT List 10600 A4 -do-
18 File Flap 2000 56cmX 11cm As per
sample
19 Office File 2247 36cm X 26cm As per
sample
20 Blood Investigation
Form 417050 A4 70GSM
21 Patient Counseling
Form 3000 A4 -do-
22 Blood Demand
Form 2635 A4 -do-
23 U.S.G. Gravid
Uterus Form 10000 A4 -do-
24 U.S.G.Pelvis 5000 A4 -do-
25 U.S.G. Abdomen 11000 A4 -do-
26 P.N.D.T.
Form(Form-F1) 20000 A4 -do-
27 U.S.G. KUB-P 3000 A4 -do-
28 Ovulation Study
Form 2000 A4 -do-
29 X-ray Cover
14''X17'' 5000 -
As per
sample
Page 10 of 13
30 X-ray Cover
12''X15'' 12000 - -do-
31 X-ray Cover
10''X12'' 9000 - -do-
32 X-ray Cover8''X10'' 8000 - -do-
33 ECG Mount Paper 20000 30cm X 23cm -do-
34 Duty List 5000 A4 70GSM
35 Certificate for
Payment 2000 A4 -do-
36 Inspection Note 6000 Legal -do-
37
Stool
form(Discharge
Certificate)
31000 A4 -do-
38 Ward Diet sheet 2500 A4 -do-
39 U.O. Note 4500 A4 -do-
40 Adjustment Bill
form 3000 A4 -do-
41 Cheque list 5000 A4 -do-
42 Certificate form 5000 A4 -do-
43 T.R.-30 5000 Legal -do-
44 Brown Cover-
5''X12'' with address 5000 - -do-
45 T.R.-22(Outer) 2000 29cm X 43cm -do-
46 E.L.(GRO-59) 2000 29cm X 22cm -do-
Registers:-
Sr.
No. Items Name with page number
Annual
Require
ment
Paper size Quality Rates Remarks
1 Hospital Admission
Book(400page) 2 45cmX 28cm 60GSM
2 Ward Admission Book(400page) 2 45cmX 28cm -do-
3 HIV Patient Register (200page) 5 45cmX 28cm -do-
4 Patient Register(200page) 4 33cm X 20cm -do-
5 Routine case Register(200page) 2 33cm X 20cm -do-
6 Antental Case visit Reg.(200page) 1 45cm X 28cm -do-
7 Attenndance Register(100page) 60 22cm X 15cm -do-
8 O.P.D. Register(400page) 7 33cm X20cm -do-
9 Lab Report Register(400page) 5 33cm X20cm -do-
10 Weekly Register(400page) 3 33cm X20cm -do-
11 Daily Report Reg.(400page) 3 33cm X20cm -do-
12 T.B. Register(400page) 3 45cmX 28cm -do-
13 Dots Register(CM-162)-200page 123 45cmX 28cm -do-
14 Stock Consumption Register
(200page) 37 28cm X 22cm -do-
15 Indent Book(100X2 page) 107 28cmX 22cm -do-
16 Camp Register(200page) 3 33cmX 20cm -do-
17 Donor Registration
Reg.(200page)BD-2 2 A4 Land scape -do-
Page 11 of 13
18 Donor Deferral
Reg.(200page)BD-5 1 A4 -do-
19 Blood Donor.Counseling
Reg.(200page)BD-9 2 A3 landscape -do-
20 Transfusion Trans. Ins.
Reg.(200page)TTI-1 2 A4 -do-
21 Kit stock Reg.(200page)TTI-2 2 A4 -do-
22 Bio hazard waste Discard
Reg.(200page) 2 A4 Landscape
23 Rapid and other Tesst
Reg.(200page)TTI-5 2 -do- -do-
24 Patient Sample Receiving
Reg.(200page)CM-3 2 -do- -do-
25 Patient Blood Grouping
Reg.(200page)CM-4 2 -do- -do-
26 Donor cell Grouping
Reg.(200page)CM-5 2 -do- -do-
27 Deonor serum Rouping
Reg.(200page)CM-6 2 -do- -do-
28 Blood Compatibiliy & Issue
Reg.(200page)CM-7 2 -do- -do-
29 Anti Human Globulin testing
Reg.(200page)CM-8 1 -do- -do-
30 Daily whole Blood red Blood cell
stock Reg.(200page)CM-9 2 A4 -do-
31 Master Register(200page)CM-10 2 A4 landscape -do-
32 Daily charge Hand over
Reg.(200page)GD-1 1 A3 landscape -do-
33 Grievance Redressal
Reg.(200page)GD-3 1 A4 landscape -do-
34 Staff proficiency
Reg.(200page)GD-8 1 A4 landscape -do-
35 Teaching and training
record(200page)GD-9 1 A4 -do-
36 Internal Audit non confo
rmance(200page)GD-12 1 A4 -do-
37
Calibration and preventive
Maintenance
schedule(200page)GD-13
1 A4 Double -do-
38 Equipment break Down
Reg.(200page)GD-14 1 A4 dDuble -do-
39 Thermo graph change
reg.(200page)Gd-15 1 A4 -do-
40 Consumable stock
Reg.(200page)GD-16 1 A4 land scape -do-
41 Blood Bank External quality
Assessment (200page)GD-17 1 A4 land scape -do-
42 Inter laboratory Comparison For
B.G.(200page)GD-18 1 A4 land scape -do-
43 Error reporting
Register(200page)GD-9 1 -do- -do-
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44 Quality control
Reg.(200page)GD-21 1 A4 -do-
45 Quality control of normal saline
and distilled(200page)GD-22 1 A4 -do-
46 Cell counter control
Register(100page) 1 45cmX 28cm -do-
47 Patient entry Reg.(400page) 8 33cm X 20cm -do-
48 Cell Counter Reg.(200page) 16 33cm X 20cm -do-
49 Urine Reg.(200page) 12 33cm X 20cm -do-
50 Inventory Reg.(100page) 1 45cmX 28cm -do-
51 Stock Reg.(Insturment Store)-
300page 4 32cm X 20cm -do-
52 Impress cash Book-200page 2 37cmX 25cm As per
sample
53 S-32(200page) 6 34cm X 21cm -do-
54 T.R.-29(200page) 3 34cm X21cm -do-
55 T.R.-4(CRI. Br.)-200page 2 42cm X 30cm -do-
56 ABC Register (Pay Bill Reg.)-
200page 10 41cm X 33cm -do-
57 Branch Diary(S-31) -200page 14 33cm X20cm -do-
58 Account No.-1(150page) 1 42cm X33cm -do-
59 Account No.-2(150page) 3 42cm X 33cm -do-
60 Assistant Diary(S-229)-200page 36 33cm X 21cm -do-
61 Staff Yearly register for Staff
Nurse(400Pages) 3 30cm X 21cm -do-
62 Staff Yearly Register for
NO(200Pages) 6 30cm X 21cm -do-
63 Death Certificate Book(50X2
pages) 20 29cm X 23cm 70GSM
64 B.I.-1(50X2pages) 30 25cm X19cm 70GSM
Signature of the Tenderer
With seal of the firm
Page 13 of 13
„„ANNEXURE- D‟‟
CHECK LIST OF THE DOCUMENTS TO BE SUBMITTED WITH THE TENDER
(Confirm the enclosure of all the below listed applicable documents without which tenderer may not be
eligible to participate in the tender.)
Sr. No.
Items
Confirm
(Yes/Not
Applicable)
1 Tender Document fee If download from web site
2 Earnest Money Deposit
3 Original Tender form with complete Tender Application/Declaration
Form in annexure A, Undertaking in Annexure B, And Rate in Annexure
C with all pages serially numbered , signed and stamped on each page
4 Copy of registration of firm (Shops and establishment Registration or
factory act registration or Registered under certain enactment or any
other certificate issue by government or Government Agency)
4 Audited Balance sheet with details of
annual turnover, profit & loss account etc.
if last three financial year as mentioned
here.
Year-2013-14
Year -2012-13
Year-2011-12
5 Income tax returns of three financial year
as mentioned here.
Year-2013-14
Year -2012-13
Year-2011-12
6 Attested Photo copy of PAN Card
7 Details of the Bank Account No.
8 Copy of any other registration mention at “Annexure-A” Sr. No. 4(B)
Date: Signature of Authorized Person
Full Name:
Place:
Company‟s Seal