कर्मचारी राज्य बीर्ा निगर् र्ॉडल अस्पताल चचिंता से र्ुक्तत E.S.I CORPORATION MODEL HOSPITAL

इिंडक्स्ियल एररया,फेज-II रार् दरबार,चिंडीगढ़-160002 Ph : 0172-2639641 INDUSTRIAL AREA,PHASE-II,RAMDARBAR,CHANDIGARH-160002 0172-2639643 (ISO 9901:2015 CERTIFIED आई.एस.ओ. 9001:2015 प्रर्ाणित) Fax : 0172-2639642

No:172 /U-16/17/11/17/DENTAL/ESIH-CHD Date:- 18/05/2018

E-TENDER NOTICE

E-tender inquiry form for Denture and Capping of teeth/bridge work in respect of patients referred by the ESIC Model Hospital, Industrial Area Phase-2, Ram Darbar, Chandigarh. E-tenders under two bid system through 'e' procurement solution are invited by Medical Superintendent ESIC Model Hospital, Chandigarh. The tender will be valid for two years extendable for another one year based on satisfactory services and mutual consent of both parties. The conditions which will govern the contract made are contained in the tender form.

E-Tender Schedule

*Pre bid meeting will be held on 25/05/2018 at 2.30 pm, Venue- Conference Hall, ESICMH, Chd. Note- In case the date of opening happens to be a holiday then tender shall be opened on the next working day at the same time and venue.

Tender documents are available online from 18/05/2018 at www.esic.nic.in, https://esictenders.eproc.in and https://eprocure.gov.in. Any corrigendum to this letter will be notified through the aforesaid websites only. All the bidders are requested to periodically check the websites for any additional information. Medical superintendent reserves the right to accept any tender in full or in part, or to reject any or all tenders at any time without assigning any reason thereof.

(Medical Superintendent)

Sr. no

Name of item EMD (Rs.) Date of availability of E-tender document from

Last date and time for online submission of the Tender

Last date and time of submission of the sealed envelope

Date, time and venue of opening of online tender and tender box.

1 Empanelment for Denture and Capping of teeth/bridge work.

25000/- 18/05/2018 08/06/2018 up to 01-00PM

08/06/2018 up to 01-00PM

08/06/2018 at 02-30PM, at Administrative Block, ESIC Model Hospital, Chandigarh.

http://www.esic.nic.in/https://esictenders.eproc.in/https://eprocure.gov.in/

Bidders have to deposit the EMD as per details mentioned below in the form of Demand Draft/Pay Order in favour of ESIC Fund Account No.-1,ESIC Model Hospital, Chandigarh. The interested tenderers should upload duly signed copy of complete tender document alongwith the technical & financial bids in chronological order with scanned copies of all relevant certificates,documents etc., duly signed on the e-tender portal https://esictenders.eproc.in latest by 08/06/2018up to 1:00pm. In addition to e-tender which has to be filed online, the bidders are also required to submit hard copy of the following documents:- 1 .Envelop A: Containing Earnest Money Deposit (EMD) in the form of Demand Draft/ Pay Order in favour of ESIC Fund Account No.1, payable at Chandigarh. 2 .Envelop B: Containing Technical Bid. 3 .Envelop C: Containing Financial Bid/Price Bid. All the above three envelops should be submitted in a sealed envelope duly superscribed “E-Tender for Empanelment of Denture and Capping of teeth/bridge”.

Sealed envelope should be dropped in the tender box kept in Administrative block at ESIC Model Hospital, Chandigarh on or before closing date & time i.e 08/06/2018 up to 1:00pm.Tenders received after the specified date & time shall be summarily rejected. Proof of postage/courier won’t be considered as a claim for timely submission of tender.

The technical bids will be opened online on 08/06/2018 at 2:30pm. Tender box will also be opened on 08/06/2018 at 2:30pm. Bidders or their authorized representative (with authority letter) can attend the opening. In case 08/06/2018 is declared a holiday, bids will be opened on next working day at the same time & venue. Bid without Demand Draft/Pay Order of EMD will be summarily rejected. Medical superintendent reserves the right to accept any tender in full or in part, to reject any or all tenders at any time without assigning any reason thereof.

(Medical-superintendent)

https://esictenders.eproc.in/

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CHECK LIST OF DOCUMENTS

Note: a) Tender without EMD or incomplete in any form shall be summarily rejected.

b) If the tenderer has not quoted for all the items as per table 1, the tender shall be rejected

Medical Superintendent, E.S.I.C Model Hospital, CHD

S.No. Particulars Yes/no

1 EMD of Rs 25000/- in the form of Demand Draft/ Pay Order in favour of ESIC Fund Account No.1, payable at Chandigarh.

2 Bidder profile mentioning Name, Registered Address, Telephone number, Bank details (RTGS,IFSC code, cancelled cheque etc.), PAN No., total number of Dental Surgeons and other employees with qualification, Equipments list, area etc.

3 Proof of clinic/establishment in tricity (Chandigarh/Panchkula/Mohali)

4 Annual accounts for the last two years i.e. 2015-16 & 2016-17- A) Financial year 2015-16/assessment year 2016-17 B) Financial year 2016-17/assessment year 2017-18 containing balance sheet profit and loss accounts duly certified by Chartered Accountant (Annual turnover of the bidder should not be less than 10 lacs) C) Copy of tax audit report/certificate of CA for taxation as applicable as per income tax law for above two financial years.

5 Self attested photocopy of latest and valid GST registration certificate & GST receipt.

6

Affidavit on non judicial stamp paper of appropriate value, duly signed and stamped along with date as per Annexure G

7 Copies of valid registration of both Dental Surgeons with Dental Council of India.

8 Duly signed and Stamped copy of the tender Document

GENERAL TERMS & CONDITIONS:

1. Preparation of tender:- The entire tender form should be retained and no page should be detached. Validity of the tender is for 90 days from date of notice inviting tender.

2. Signing of tenders:- (A) The tender is liable to be summarily rejected in case of incomplete information /non submission of relevant document asked for in the tender.

(B) Individual signing the tender or other documents concerned with the contract must specify whether he signs as

i. A sole proprietor of the firm, or constituted attorney of such proprietor.

ii. A Partner of the firm if it be a partnership in which case he must have authority to refer disputes to arbitration disperses.

iii. Constituted attorney of the firm, if it is a company. Note:- a) In case of B (ii) a copy of the partnership agreement or General Power of Attorney, in either cases attested by a Notary Public should be furnished. An affidavit on stamped paper of

all the partners admitting execution of the partnership agreement or the general power of

attorney should be furnished. b) In the case of partnership firms, where no authority to refer disputes concerning the business or the partnership has been conferred on any partner, the tender and all other related

documents must be signed by every partner of the firm. c) A person signing the tender form or any documents forming part of the contract on behalf of another shall be deemed to be considered that he has authority to sign and if on

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

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

responsible for all costs and damages. 2 (C) Family Members of officers /officials working in ESIC cannot take part in this tender

enquiry. Each bidder will have to give an undertaking to this effect on a Non Judicial stamp

paper of Rs. 10/-.This will also apply to officer/official who resign/retire in any form from the

services of ESI Corporation within 01(one) year of date of opening of tender.

3. Submission of tender:- The tender is to be submitted in sealed cover duly super scribed “E-Tender for the

empanelment for Denture & capping of teeth/bridge”

4. Latest hours for receipt of tender:- a) All tenders must reach the Administrative Block of ESIC Model Hospital, Chandigarh by

08/6/2018 till 1:00 pm. The technical Bid will be opened on08/06/2018 at 2:30 pm. In case

08/06/2018 is declared a holiday then the tender will be opened on the next working day at the

same time & Venue. Proof of postage/courier won't be considered as a claim for timely

submission of tender. b)Tenders with vague and indefinite expressions such as subject to immediate acceptance etc.

will be summarily rejected. c)Firms who fulfill the technical criteria will be intimated about the date and time of opening of

the price Bid.

5. Price

The quoted price should be inclusive of all excise duty, surcharges, packing & delivery charges

etc as stipulated in the tender . Rates should be quoted in whole numbers and not in decimals,

fractions, range. Rates should be quoted in both words & figures. In case of discrepancy between

price mentioned in words and figures , the price mentioned in words will be considered 6. Terms of Delivery:- As specified under ‘specific terms & conditions’.

7. Right of acceptance:- Medical Superintendent ,ESIC Model Hospital, Chandigarh does not pledge to accept the lowest

or any tender and reserves to himself the right to accepting the whole or any part of the tender

which shall be supplied at the rates quoted. 8. Acceptance of tender:-

The formal acceptance of the tender will be communicated to the successful tenderer

for immediate implementation.

9. Agreement:- The successful tenderer must submit the acceptance letter to Medical Superintendent, ESIC

Model Hospital, Chandigarh subsequent to which the contract will be executed through an

agreement on stamp paperof appropriate value. 10. Period of Contract:

The contract will be valid for two years initially, which can be further extended by one

additional year after assessment of performance & mutual consent of both the parties.

11. SUBLETTING OF CONTRACT: the contractor shall not sublet, transfer or assign the contract or any part thereof. In the event of

the contractor contravening this condition the Medical Superintendent, ESIC Model Hospital,

Chandigarh, be entitled to place the contract elsewhere on the contractors account at his risk

and the contractor shall be liable for any loss or damage which Medical Superintendent, ESIC

Model Hospital, Chandigarh may sustain in consequence of arising out of such replacing of the

contract.

12. ARBITRATION:

In the event of any question, dispute or difference arising under these conditions or any special

conditions of contract, the same shall be referred to the sole arbitration of the Medical

Superintendent, ESIC Model Hospital, Chandigarh or some other person appointed by her/him.

Subject as aforesaid the Arbitrator Act, 1940 and rules there under and any statutory

modifications thereof for the time being in force shall be deemed to apply to the arbitrator

proceedings under this clause.

13. It is the sole responsibility of the tenderer to submit the tender both Online & Manually . 14. All documents as listed above should be clear & legible, duly attested / notarized, properly indexed & serially page numbered. All documents should be duly signed digitally for online submission and manually for hard copy by the authorized signatory. Copies to be uploaded and submitted online should be in proper resolution.

The onus of uploading correct files under proper resolution solely lies with the bidder. Final evaluation shall only be done on the basis of e-tender, manual copies shall ordinarily not be processed.

The above said instructions should be followed strictly, failing which the tender will be summarily rejected. 15. In case of withdrawal from tender: a) before opening of any bid- EMD shall be refunded

b) after opening of price bid- EMD shall be forfeited c)At any time fraud is detected/- PBG shall be forfeited unmasked during the course of validity of contract

SPECIFIC TERMS AND CONDITIONS

1. PERIOD OF CONTRACT: The tender will be valid for two years extendable for another one year based

on satisfactory services and mutual consent of both parties.

2. EMD:-A Demand Draft of Rs. 25000 (Rupees Twenty Five Thousand)drawn on any bank p in favour of ESIC Fund Account No.1” payable at Chandigarh should be submitted along with e-tender as earnest money, failing which e-tender will be rejected.

3. EMD Processing:- a) In case of withdrawal of e-tender, before opening of bids, EMD will be refunded.

b) In case of withdrawal after acceptance of contract, EMD will be forfeited c) In case of successful tenderer, EMD will be adjusted towards performance security.

4. Performance security;-In case of selection, the Tenderer will be required to deposit a security of Rs.50,000/ (Rupees fifty Thousand only) in the form of Pay Order/Demand Draft in favour of “ESIC Fund account No1” drawn on any Bank payable at Chandigarh. Security deposit must be valid for 6 months after contract and will be refunded within six months after completion of contract without accrual of any interest.

5. Location of Clinic/centre: a) The centre should be located in the tricity (Chandigarh/Panchkula/Mohali). b) The centre should preferably be located on ground floor c) In case of its location on floors other than ground, there should be a working lift so that elderly or physically challenged patients do not face any difficulty.

6. Terms and conditions exist at Annexure”A” and specifications in respect of denture and capping of teeth/bridge work exist at Annexure “B”.

7. The tenderer must submit an undertaking on letter head duly stamped and signed along with date that the terms and conditions of the tender are acceptable.

8. Deviation in terms and conditions in any form will not be acceptable at any stage. 9. The rates should be quoted in figures as well as in words. In case of any discrepancy between words and

figures, rates quoted in words will be considered. Rates should be in whole numbers and not in fraction and decimals.

10. The empanelled treating Dental Surgeon should be registered with the Dental Council of India.(Attach proof of valid registration).

11. The tenderer should also submit an undertaking on letter head duly signed and stamped along with date that the rates quoted for procedures for capping of teeth/ bridge work and Dentures are not being charged to any other organization at a rate lower than being quoted here.

12. The tenderer should submit an Undertaking on letter head duly signed and stamped along with date that the firm is not blacklisted in any Govt. Organization/Institution.

13. Any complaint in capping of teeth and Denture should be rendered by the empanelled dental surgeon free of cost for at least two years after delivering services to the patient.

14. Sample of the quoted items must be submitted by the eligible tenderer as and when informed by E.S.I.C MH, Ramdarbar, Chandigarh not later than ten days from the date of issue of the letter for evaluation..

15. All the papers in tender form must be completely signed along with terms and conditions including

annexures A to G. 16. Government levies if any, may be mentioned separately.

17. IF ANY OF THE DOCUMENT MENTIONED IN THE CHECK LIST IS NOT ATTACHED BY THE

TENDERER IN PREQUALIFICATION BID THE TENDER SHALL BE REJECTED. 18. All the disputes relating to the tender inquiry and rate contract shall be subject to territorial jurisdiction of

courts at Chandigarh Only. 19. The Medical Superintendent, E.S.I.C Model Hospital, Chandigarh reserves the right to inspect the facility

at any point of time before or during the entire period of the rate contract. 20. The Medical Superintendent, E.S.I.C Model Hospital, Chandigarh has the right to a)accept or reject any or

all the tenders without assigning any reason /reasons thereof and have the right to place order on one or more firms.

b) empanel more than one Centre/ Doctor to ensure better services in the Interest of the patients. IMPORTANT NOTICE REGARDING BILLS PROCESSING-PAYMENT THROUGH BPA The parties shall abide by the following undertakings in addition to ESIC Policy and standard Operating Procedures, the clauses mentioned in the Memorandum of agreement with ESIC Model Hospital and for the purpose of bill processing (Annexures C,D,E): A. The empanelled hospital shall acknowledge the referral from ESIC Hospital online. B. The empanelled hospital on admission of an ESI Hospital Beneficiary shall intimate online to BPA the complete details of the patient, proposed line of treatment, proposed duration of treatment with clinical history within 24 hours of admission. C. After the patient is discharged, the hospital will upload the claim related documents as per SOP and ESIC policy viz Referral letter, bills, Lab reports, Discharge Summary, Doctors report, indoor papers etc to BPA through the web based application within seven (7) working days. D. The hard copies of the claim will be delivered/ dispatched to the concerned referring ESI Hospital within seven (7) working days but not later than 30days. E. The empanelled hospital shall submit all the medical reports in digital form as well as in physical form as per ESIC policy and SOP. F. The empanelled hospital agrees that the actual processing shall start when physical copies of the bills submitted by the empanelled hospitals to the concerned referring ESIC Hospital, are verified by them on behalf of respective ESIC Hospital. Counting of days shall start from such date for the purpose of TAT. In case of query raised on the bills the TAT for the purpose of BPA shall start from the date of reply to the last query raised by the Tie-up Hospital. G. in case of absence of certain physical documents, the “Need More Information” (NMI) status will be raised by the Verifier of the respective ESIC Hospital, BPA or Medical processing team of respective ESIC Hospital to the empanelled hospital/diagnostic centre for the missing/ambiguous physical documents (as per SOP). Empanelled hospitals/diagnostic centers shall have to submit the clarification/information inter-alia for all bills returned online at any level under “Need for more info” category (NMI), within 15 days failing which these claims will be processed by the respective levels and BPA on the basis of available documents without any further intimation and such bills/claims will be closed not to be opened further. H. The BPA will audit the medical claims of the ESI Hospital Beneficiaries in respect of the treatment taken by them in the empanelled hospital and make recommendations for onward payment to ESIC Hospital in a time bound manner within a period of 10 days from the date of submission of bills in physical format or reply to last query, whichever is later.

I. The empanelled hospitals shall have the necessary IT infrastructure for interaction with BPA such as Desktop PC with internet connectivity features, high speed High resolution multi page Document Scanner, Printer ETC. J. In case of some mistakes in the scrutiny of claims recommendations thereto by BPA resulting in excess payment to the empanelled hospital by ESIC Hospital the excess amount shall be recovered from the future bills of the empanelled hospital. K. Subject to BPA rendering bills-processing services as per terms and conditions of the agreement, the empanelled hospitals/diagnostic centers/claimants shall pay to the BPA, the service fees and service tax/GST/any other tax by any name called as applicable on per claim basis, as detailed below, through ESIC. L. The amount deducted towards fee and service tax/GST/any other tax by any name called from the payable claims of hospitals/diagnostic centers shall be forwarded by ESIC to BPA simultaneously along with the payments to empanelled hospital through ECS or any other mode of money transfer, as decided by ESIC. M. The processing fee admissible to BPA will be at the rate of 2% of the claimed amount of the bill submitted by the empanelled Hospital/Diagnostic center (and not on the approved amount) and service tax/GST/any other tax by any name thereon. The minimum admissible amount shall be Rs. 12.50 (, which will be payable extra) and maximum of Rs. 750/- (exclusive of service tax/GST/any other tax by any name, which will be payable extra) per individual bill/claim. The fee shall be auto-calculated by the software and prompted to the ESI Hospital by the system at the time of generation of settlement ID. N. The fee shall also mean to include any additional payment of service tax/GST/any other tax by any name called as applicable on such fee amount admissible to BPA. O. If the claim is rejected or results in to nonpayment to the empanelled hospital/diagnostic center, ESIC Hospital shall recover the service charge and service tax/GST/any other tax by any name due to the BPA from the subsequent claims of the respective empanelled hospital/diagnostic center and shall pay to the account of the BPA. P. MEDICAL AUDIT OF BILLS: There shall be continuous medical audits of the services provided/claims raised by the empanelled hospital by ESIC/BPA.

ANNEXURE - A TERMS AND CONDITIONS 1. The treating Dental Surgeon must be registered with Dental Council of India.

2. The treating Dental Surgeon must have at least 5 years experience.

3. Any crown and bridge complaint must be rendered by the concerned Dental Surgeon free of cost at least 2 years after fixing to the patient.

4. The Dental clinics must have minimum of Two Dental Chairs along with two Dental Surgeon and adequate staff.

ANNEXURE – B SPECIFICATIONS OF THE DENTURE TO BE PROVIDED i) Complete denture ii) Partial Denture The denture material should consist of heat cure High Impact Resin fiber of modified veined type acrylic material which gives the tinge of the underlying and adjacent mucosa. There should be no porosity present in the denture. Teeth should be of standard quality. It should be of good quality resin and teeth should be available in all sizes, shapes and shades with proper anatomical contouring. SPECIFICATION OF CAPPING OF TEETH/BRIDGE WORK 1. The need for the crown/bridge to be discerned by the refereeing Dentist.

2. Cutting/preparation of crown and bridge work will be performed by the empanelled Dentist.

3. The Impression material for the crown/bridge will be rubber base material and casting in the Dye stone material.

4. Crowns to be made up of Porcelain fused to Metal (PMF). 5. In case of Porcelain - VITA SHADED to be used.

ANNEXURE-C To be used by Tie-up hospital (for raising the bill) (P-II)

Letterhead of Hospital with Address & Email/Fax/Telefax number

(NABH accredited/ Superspeciality Hospital) (Attach documentary proof)

Date of Submission:

Individual Case Format Name of the Patient : Referral S.No.(Routine) / Emergency/ through Age/Sex : SSMC/SMC :

Address :

Contact No :

Insurance Number/Staff Card No/Pensioner :

Card no. Date of referral :

Diagnosis :

Condition of the patient at discharge :

(For Package Rates)

Treatment/Procedure done/performed : I. Existing in the package rate list’s

CGHS/other Code no/nos for chargable procedures :

S.No. Chargeable CGHS Other if Rate Amt. Amount Remarks Procedure Code no not on (1) Claimed Admitted with page prescribed with date with date (X) no (1) code no (X) with page no

Photograph

Of the Patient

verified by

hospital

authority

Charges of Implant/device used ……………….

Amount Claimed……………….. Amount Admitted Remarks To be filled up by ESIC official(s))Contd..2/-

:2:

35. (Non-package Rates) For procedures done (not existing in the list of packages rates)

S.No. Chargeable Procedure Amt. Claimed Amount Remarks with date Admitted with (X) date (X) 61. Additional Procedure Done with rationale and documented permission

S.No. Chargeable CGHS Other if Rate Amt. Amount Remarks

Procedure Code no not on (1) Claimed Admitted (X) with page prescribed with date with Date no (1) code no (X) with page no

Total Amount Claimed (I+II+III) Rs. ……………….. Total Amount Admitted (X) (I+II+III) Rs. ………………… Remarks

Certified that the treatment/procedure has been done/performed as per laid down norms and the charges in the bill has/ have been claimed as per the terms & conditions laid down in the agreement signed with ESIC.

Further certified that the treatment/ procedure have been performed on cashless basis. No money has been received /demanded/ charged from the patient/ his/her relative.

Sign/Thumb impression of patient with date Sign & Stamp of Authorized Signatory with date

(for Official use of ESIC)

Total Amt payable: Date of payment :

Signature of Dealing Assistant Signature of Superintendent

Date: Signature of ESIC Competent Authority (MS) 1. Discharge Slip containing treatment summary & detailed treatment record.

2. Bill(s) of Implant(s) / Stent(s) /device along with Pouch/packet/invoice etc.

3. Photocopies of referral proforma, Insurance Card/ Photo I card of IP/ Referral recommendation of medical officer &

entitlement certificate. Approval letter from SMC/SSMC in case of emergency treatment or additional procedure

performed. 4. Sign & Stamp of Authorized Signatory. 5. Patient/Attendant satisfaction certificate. 6. Document in favour of permission taken for additional procedure/treatment or investigation.

(X) to be filled by ESIC Official(s).

ANNEXURE_- D To be used by Tie-up hospital (P-III)

Letterhead of Hospital with Address & Email/Fax/Telefax

Consolidated Bill Format

Bill No ………………………………… Date of Submission………………..

Bill Details (Summary)

SNo Name Ref. Diag./Procedure Procedure CGHS/other Other Amount Amount Remarks

of No for which Performed/ Code (with if not claimed entitled patient referred treatment page) in with with given No/Nos/N.A CGHS date date rates list

Total Claim.

Certified that the treatment/procedure has been done/performed as per laid down norms and the charges in the bill has/ have been claimed as per the terms & conditions laid down in the agreement signed with ESIC.

Further certified that the treatment/ procedure have been performed on cashless basis. No money has been received /demanded/ charged from the patient/ his/her relative. The amount may be credited to our account no ______________ RTGS no _______________ and intimate the same through email/fax/hard copy at the address. Date: Signature of the Competent Authority of Tie-up Hospital. Checklis

t

1. Duly filled up consolidated proforma. 2. Duly filled up Individual Pt Bill .proforma.

Certificate: It is certified that the drugs used in the treatment are in the standard pharmacopeia

IP/BP/USP. It is certified that total amount of Rs ____________ has been credited to your account no. _____________, RTGS no _________________ on _________________

Date: Signature of the Competent Authority(To be filled up by ESIC official)

ANNEXURE- E

PATIENT/ATTENDANT SATISFACTION CERTIFICATE (P-VI)

1. I am satisfied/ not satisfied with the treatment given to me/ my patient and with the behavior of the hospital staff.

2. If not satisfied, the reason(s) thereof.

3. It is stated that no money has been demanded/ charged from me/my relative during the stay

at hospital.

Sign/Thumb impression of patient/Attendant

Date & Time : Name of the Patient/attendant Name of IP Insurance No/Staff no Date of Admission Date of Discharge

ANNEXURE – F

PRE-RECEIPT Received Rs. 25,000/- (Rs. Twenty five Thousand Only) towards refund of earnest money vide Ch. No. ____________________dated_____________ in respect of tender for Denture and Capping of Teeth/Bridge work published in_________________newspaper dated_______________. (Signature of the Bidder with stamp)

REVENUE STAMP

ANNEXURE – G AFFIDAVIT

(TO BE SUBMITTED ON A NON-JUDICIAL STAMP PAPER OF Rs.100/-)

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. My/our firm has not been blacklisted by any other Govt. Institution/ Organization during the last three years.

3. That the rates quoted for procedures for capping of teeth /bridge work and dentures are not being charged to any other organization at a rate lower than being quoted here.

4. I/we will attend to the complaint regarding dentures supplied and capping of teeth/bridge work done by the firm to the patient’s satisfaction, free of cost for at least two years after delivering the dentures and procedure done for capping of teeth/bridge work to the patient.

TABLE-I

TECHNICAL BID SR. NO.

PROCEDURE : QUOTED (Yes/No) DEVIATION IF ANY

1 For complete denture

2 For removable partial denture a)for first tooth b)for additional tooth

3 For Capping of teeth/Bridge work: Porcelain fused to metal(PFM) Crown/Bridge work

SIGNATURE WITH STAMP

TABLE-II

PRICE/FINANCIAL BID (ENCLOSED IN SEPARATE ENVELOP)

SR. NO. PROCEDURE : Price per unit in words Price per unit in figure

1 For complete denture

2 For removable partial denture a)for first tooth b)for additional teeth

3 For Capping of teeth/Bridge work: Porcelain fused to metal(PFM) Crown/Bridge work

a) Price should be exclusive of GST/any other taxes. b) L1 will be decided itemwise (separately for Sr. no. 1,2 and 3) on the basis of lowest rates quoted for each of the above. c) Price should be quoted in whole numbers & not in decimal/fraction d) Rates quoted should not exceed CGHS rates in respect of procedure wherever CGHS rates are available. e) In case of discrepancy between words and figures, rates quoted in words only shall be considered.

SIGNATURE WITH STAMP