37
Prequalification Document for Purchase & Installation of Central Medical Gas Systems Page 1 of 37 DHQ Teaching Hospital Sahiwal PREQUALIFICATION DOCUMENTS Medical Gas Pipeline Systems (FINANCIAL YEAR 2020-21) Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing Specialties for Up Gradation of DHQ Hospital to Teaching Hospital, Sahiwal.

200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

  • Upload
    others

  • View
    3

  • Download
    0

Embed Size (px)

Citation preview

Page 1: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 1 of 37 DHQ Teaching Hospital Sahiwal

PREQUALIFICATION

DOCUMENTS

Medical Gas Pipeline Systems

(FINANCIAL YEAR 2020-21)

Sahiwal Medical College and Allied Hospitals

Sahiwal

Provision of Missing Specialties for Up

Gradation of

DHQ Hospital to Teaching Hospital, Sahiwal.

Page 2: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 2 of 37 DHQ Teaching Hospital Sahiwal

PREQUALIFICATION NOTICE.

1. Prequalification for Medical GAS Pipeline System (MGPS) for the project of provision of Missing

Specialties for up gradation of DHQ to Teaching Hospital Sahiwal.

INVITATION FOR PREQUALIFICATION OF

FIRMS. 2. Sahiwal Medical College and allied Hospitals Sahiwal invite the applicants for prequalification of

supply, institution testing and commissioning of Medical Gas Pipeline System (MGPS) from sole

agents of foreign Manufactures having good relevant experience in terms of technical, financial and

management capabilities for minimum 500 bedded Hospitals.

The applications are required for the scheme titled “Provision of Missing Specialties for upgradation

of DHQ Hospital to Teaching Hospital Sahiwal”.

MEDICAL GAS PIPELINE SYSTEM (MGPS)

PREQUALIFICATION FEE RS. 1000/-

3. The firms shall pay a non-refundable prequalification fee in mentioned in prequalification documents/

Invitation of bids before / on dated 08-08-2020 from Purchase Cell Sahiwal Medical College, & Allied

Hospitals Sahiwal for the scheme titled “Provision of Missing Specialties for up gradation of DHQ to

Teaching Hospital Sahiwal”. The willing firms can obtain the prequalification documents from the

purchase cell of Sahiwal Medical College & Allied Hospitals Sahiwal before the submission date.

4. The applicants submit prequalification documents on or before 10-08-2020 at 11:00 AM and will be

opened at 11:30 AM on same date. No bids will be accepted after fix time and date mentioned above.

5. The Technical and Financial Bids will be invited only from prequalified firms. 6. In case the date of opening or last date of submission is declared as public holiday by the government

or non-working day due to any reason, the next official working day shall deem to by the date of

submission and opening of bids. The time and venue shall remain the same. Please note that last date

of purchasing the prequalification documents is 08-08-2020 and opening of bid date is 10.08.2020.

NOTE: The process shall be governed by the Punjab Procurement Rule

2014 (PPR-2014) and amended.

Prof. Dr. Zahid Kamal Siddiqui

PRINCIPAL /CEO

Sahiwal Medical College & Allied Hospitals

Sahiwal

PH: 040-9200387

Page 3: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 3 of 37 DHQ Teaching Hospital Sahiwal

INDEX

A Introduction to prequalification document

B General instructions to applicants

1 Introduction of prequalification document

2 Scope of work

3 Eligible applicants

C Application for prequalification

4 Statement of compliance

5 Cost of prequalification document

6 Language of application/prequalification document

7 Documents comprising the application

8 Format of application

9 Application submission form

10 Pre-submission clarifications of prequalification document

11 Amendment of prequalification document

D Submission of application

12 Sealing & identification of application

13 Deadline for submission of applications

14 Late submission

15 Withdrawal of application

16 Public opening of applications

E Evaluation

17 Preliminary evaluation

18 Confidentiality

19 Evaluation criteria – Introduction

20 Evaluation criteria - Company’s basic information

21 Evaluation criteria - Human resource capabilities

22 Evaluation criteria - Technical capabilities

23 Evaluation criteria - Work experience and performance

24 Evaluation criteria - Business details and financial position

25 Evaluation criteria - Manufacturer’s profile

26 Clarifications from applicants

27 Responsiveness of applications

28 Visit to Applicant’s premises/sites

29 Prequalification of applications

30 Notification of prequalification

Page 4: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 4 of 37 DHQ Teaching Hospital Sahiwal

32 Invitation to bid

33 Contacting/Influencing the Procuring Agency

34 Right of Procuring Agency to accept or reject applications

35 Arbitration and resolution of disputes

36 Applicable Laws

F Annexures

1 Annexure A Letter of Application

2 Annexure B Document checklist

3 Annexure C Prequalification form/point system

4 Annexure D Statement of Compliance to prequalification document

5 Annexure E Company’s basic information

6 Annexure F Human resource information

7 Annexure G Spare parts information

8 Annexure H Tools and equipment information

9 Annexure I List of installed systems

10 Annexure J List of current orders under execution

11 Annexure K Annual business turnover and income tax information

12 Annexure L

Contact details of key/contact persons of applicant and manufacturer

13 Annexure M Applicant’s declaration

14 Annexure N Applicant’s affidavit

15 Annexure O Manufacturer’s authorization and declaration.

If the space in this application form is insufficient for furnishing full details, such information may be provided on extra sheets of paper.

Applicant must mention about the extra sheet in the relevant section.

Annexures have been made in portrait orientation. The applicant may make use

landscape orientation, if required.

Page 5: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 5 of 37 DHQ Teaching Hospital Sahiwal

A. Introduction to Prequalification Document

Introduction:

In connection with the Invitation for prequalification as indicated in

advertisement, the Procuring Agency issues this prequalification document

to applicants interested in prequalification for procurement, installation,

testing and commissioning of Medical Gas Pipeline Systems in 1150 bedded Hospital under the project of “Provision of Missing

Specialties for the Up Gradation of DHQ Hospital to Teaching Hospital,

Sahiwal.”

The prequalification requirements and procedures are prescribed in this prequalification documents. This document includes:

A. Introduction to prequalification document

B. General Instructions to Applicants

C. Application for prequalification

D. Submission

E. Evaluation

F. Annexures

Intending applicants are required to submit their applications in the

prescribed format with full particulars giving details about their organization,

experience, technical personnel employed in their organization, as required in relevant sections.

The applicant shall submit one original and one copy of complete document.

The requirements for prequalification have been clearly explained in the

relevant clauses of this document. For further explanation. In order to make

it convenient for the applicants, annexures have been referred with the

relevant clause. Further detail of required documents has been explained in Annexures.

Page 6: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 6 of 37 DHQ Teaching Hospital Sahiwal

B. General Instructions to Applicants

1. Introduction

1.1. The “Invitation for prequalification” does not form part of the prequalification

documents and is included as a reference only. In case of discrepancies

between the Invitation for application and the prequalification documents,

the prequalification documents shall take precedence.

1.2. The applicant is expected to examine scope, all instructions and annexures in the

prequalification document. Failure to furnish all information required by the

prequalification documents or to submit an application, which is not

substantially responsive to the prequalification documents in every respect shall be at the applicant’s own risk and may result in disqualification.

1.3. The Procuring Agency accepts no responsibility for the completeness of the

prequalification document and its addenda unless the original receipt of the

bank deposit slip/Prequalification fee Rs.1000 only is attached with the documents.

1.4. Invitation to bid document shall be issued to the prequalified applicants for

submission of the technical and financial bids, as per instruction in invitation to bidding document.

1.5. All correspondence with the Procuring Agency shall be in written and signed letters.

1.6. The contact address for all correspondence at any stage during this prequalification process shall be addressed to:

The Principal/ Purchase Officer

Sahiwal Medical College and Allied Hospitals Sahiwal

Provision of Missing Specialties for Up Gradation of DHQ Hospital to Teaching Hospital, Shah Noor Road, Sahiwal Punjab, Pakistan.

Ph.: 040-9200387

Fax: 040-9200383

Email: [email protected]

1.7. The applicant shall provide one WhatsApp #, one email address and the name of

one key person for fast communication/exchange of letters and immediate action.

1.8. The letters of clarifications/requests etc. from both sides shall be exchanged

immediately through WhatsApp/email and the original of the same

documents shall be exchanged through registered mail/courier/by hand delivery.

2. Scope of work of Medical Gas Pipeline System (CMGS)

2.1. Purpose of this clause is to give a clear understanding of the system, for which applicants are being invited to submit their application for prequalification.

2.2. This prequalification is for supply, installation, testing and commissioning of

CMGS. A list of system components hall be a part of bidding document are as per below detail:

2.2.1. Automatic manifold for Oxygen.

2.2.2. Automatic manifold for Nitrous Oxide.

2.2.3. Gas outlets (BS/DIN Standards).

2.2.4. Bedhead units for ICU.

2.2.5. Bedhead units for ward and private rooms.

2.2.6. Area alarms with remote sensors.

Page 7: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 7 of 37 DHQ Teaching Hospital Sahiwal

2.2.7. Multiple zone valve box including Line valves.

2.2.8. Oxygen flowmeter & vacuum suction regulators.

2.2.9. Copper pipelines of required diameters and lengths.

2.2.10. Anesthesia scavenging system.

2.2.11. Duplex/Triplex medical vacuum system.

2.2.12. Medical compressed air station Duplex and Triplex.

2.2.13. Any system component, which the hospital adds in the Bidding Document.

2.2.14. If the applicant feels that any system component, which is necessary and seems missed in scope of work.

2.3. Technical specifications and standards of system components shall be as per PVMS.

2.4. Installation, testing and commissioning of pipelines and system components as per specifications and drawings.

2.5. As built drawings and technical documents/manuals, after job completion and

before handing over of system.

2.6. Training of relevant hospital staff for operation and troubleshooting.

2.7. Warranty as per contract.

3. Eligible Applicants

3.1. Applicant can be a private, or public entity.

3.2. This Invitation for prequalification is only for

firms who are original manufacturer’s/authorized agents of foreign

manufacturer in Pakistan for supply of goods.

3.3. The applicant must possess valid legally enforceable authorization from the

foreign manufacturer; they should have a documentary proof to the effect that they are the original manufacturer of the required goods.

3.4. All goods, their related services and their expenditure; to be supplied for this

project must have their origin of manufacturers in USA, Europe, UK and Japan unless otherwise mentioned against specifications of the items.

3.5. For the purpose of this clause:

3.5.1. The term “Goods” includes any Goods that are the subject of this Invitation

for Applications.

3.5.2. The term “Services” includes related services such as transportation, insurance, installation, after sale service, spare parts availability, etc.

3.5.3. The term “Origin” means the place where the goods are mined, grown, or produced, or the place from which the related services are supplied.

3.5.4. In case of the “Manufacturer” the “Origin” means the firm is based and

registered in that country and registered with their stock exchange. Goods

are produced when, through manufacturing or processing, or substantial

and major assembly of components, a commercially recognized product is

produced that is substantially different in basic characteristics or in purpose or utility from its components.

3.6. Firms of countries, which as a matter of law or official regulation, the Government

of Pakistan prohibits commercial relations with that country or for other reasons; may be excluded from prequalification.

3.7. A firm declared disqualified / blacklisted, or under a declaration of ineligibility for

corrupt and fraudulent practices issued by any Government (Federal,

Provincial), a local body or any public sector organization in Pakistan or is

going through the period of embargo; shall be ineligible to apply for this prequalification.

3.8. The applicant shall not have a conflict of interest with this process of prequalification.

Page 8: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 8 of 37 DHQ Teaching Hospital Sahiwal

3.9. Any joint venture or consortium will not be entertained to participate in this prequalification process.

3.10. The eligibility criteria have been explained in detail from clause 19 to 25 and its sub clauses and Annexure C.

C. Application for Prequalification

4. Statement of Compliance for prequalification document

4.1. Statement of compliance to all clauses of this prequalification document to be submitted. Please refer to Annexure D.

4.2. Each and every page of this prequalification document shall be signed and stamped by the authorized signatory and submitted with application.

4.2.1. All pages of application, information in annexures and attachments shall be

numbered. The same page numbers shall be referred in the compliance sheet and Annexure B.

4.3. Templates of required information are annexed and mentioned in the relevant clause.

5. Cost of Prequalification Documents

5.1. The Applicant shall bear all costs associated with the preparation and submission

of its application, and the Procuring Agency shall in no case be responsible

or liable for those costs, regardless of the conduct or outcome of the prequalification process.

6. Language of application/prequalification document.

6.1. The application, as well as all correspondence and documents

relating to the prequalification exchanged between the applicant and

the Procuring Agency shall be written in English language.

6.2. Supporting documents and printed literature furnished by the

applicant may be in another language provided they are

accompanied by an accurate and authenticated translation of the

relevant passages in English language and attested/verified by the manufacturer.

6.3. For the purposes of interpretation of the application, the translation shall govern.

7. Documents comprising the application

7.1. The detail of documents/information required for evaluation of applicant’s

eligibility for prequalification and the score carried by each information have been provided in the evaluation criteria in clause 19 to 25 and Annexure C.

7.2. The applicant shall prepare one original one copy of documents comprising the

application. The application shall be typed or written in indelible ink and

shall be signed by a person duly authorized to sign on behalf of the

applicant firm.

7.3. Attachments/documentary evidence must be clearly readable.

8. Format and Signing of Application

8.1. The application shall be typed.

8.2. The application must be signed by an authorized signatory(s).

Page 9: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 9 of 37 DHQ Teaching Hospital Sahiwal

8.3. The person/persons signing the application shall initial all pages of the application, annexures and attachments.

8.4. Any interlineations, erasures, or overwriting shall be valid only if they are initialed by the person/persons signing the application.

9. Application Submission Form

9.1. The applicant shall prepare an application using the form, on its letter head as per Annexure A.

9.2. This form must be completed without any alteration to its text and format.

10. Pre-Submission clarifications of prequalification documents

10.1. A prospective applicant requiring any clarification of the prequalification

documents may notify the Procuring Agency in writing at the Procuring

Agency’s address indicated in the clause 1.6. A prospective Bidder

requiring any clarification of the prequalification documents may notify the

Procuring Agency in writing at the Procuring Agency’s address indicated in the Invitation for Bids. The Procuring Agency shall respond in writing to any

request for clarification of the pre-qualification documents, which it

receives not later than seven (07) days prior to the deadline for the

submission of bids prescribed in the Invitation for Bids. Written copies of

the Procuring Agency’s response (including an explanation of the query but

without identifying the source of inquiry) shall be sent to all prospective Bidders that have received the bidding documents.

10.2. The Procuring Agency shall respond in writing to any request for clarification of

the prequalification documents, which it receives prior to the deadline for

the submission of applications prescribed in the prequalification notice and clause 13 and its sub clauses.

10.3. The Procuring Agency may at its discretion can arrange a pre-submission

meeting to answer the queries of applicants, which shall, may be followed by an addendum.

10.4. Written copies of the Procuring Agency’s response (including an explanation of

the query but without identifying the source of inquiry) shall be sent to all

prospective applicants that have received the prequalification documents; 7

days before submission date.

11. Amendment of Prequalification Documents

11.1. At any time prior to the deadline for submission, the Procuring Agency, for any

reason, whether at its own initiative or in response to a clarification

requested by a prospective applicant, may modify the prequalification documents by amendment.

11.2. All prospective applicants that have received the prequalification documents

shall be notified of the amendment in writing, and modification shall be binding on them.

11.3. In case of issuance of amendment, the Procuring Agency, at its discretion, may

extend the deadline for the submission of applications, to give prospective

applicants reasonable time to take an addendum into account in preparing

their application for prequalification; otherwise the submission deadline, mentioned in prequalification notice shall be final.

Page 10: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 10 of 37 DHQ Teaching Hospital Sahiwal

D. Submission

12. Sealing and Identification of Bids

12.1. The Applicant shall enclose the original application along with its copy in a sealed envelope that shall:

12.1.1. - bear the name and address of the applicant

12.1.2. - be addressed to the Procuring Agency; at the address given in the

prequalification document; and bear the Institution/Hospital name and number, indicated in clause 1.7.

12.1.3. - bear the specific identification of this prequalification process indicated in the documents.

12.2. The envelopes shall be marked as “prequalification document for Medical

Gas Pipeline System” in bold and legible letters to avoid confusion.

12.3. The envelop shall be inscribed by the following sentence: “DO NOT OPEN

BEFORE”, to be completed with the time and the date specified in the

prequalification notice, clause 11.3 and 13.

12.4. If the envelope is not sealed and marked properly, the Procuring Agency

shall assume no responsibility for the application’s misplacement or

premature opening.

13. Deadline for Submission of Applications

13.1. Application must be submitted by the applicant and received by the Procuring

Agency at the address not later than the time and date specified in the

prequalification notice and clause 11.3.

13.2. Applicants may submit their applications by hand. Applications shall be

received by the Procuring Agency at the address and no later than the deadline indicated in the documents. A receipt will be given for all

applications submitted.

13.3.The Procuring Agency may, at its discretion, extend this deadline for the

submission of applications by amending the prequalification documents in

accordance with Clause 11.3, in which case all rights and obligations of the

Procuring Agency and applicant’s previously subject to the deadline shall thereafter be subject to the deadline as extended.

13.4. The submission deadline (date and time) is equally applicable for all modes of delivery i.e. by hand, registered mail, courier etc.

14. Late submission

14.1. Any application received by the Procuring Agency after the deadline (date and

time) for submission of applications prescribed by the Procuring Agency

pursuant to clause 13 and its sub clauses, shall not be entertained and returned unopened to the applicant.

15. Withdrawal of application

15.1. The applicant may withdraw its application prior to the submission deadline specified in the prequalification notice and clause 13 and its sub clauses.

Page 11: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 11 of 37 DHQ Teaching Hospital Sahiwal

16. Public Opening of applications

16.1. The Procuring Agency shall open the applications in the presence of applicants’

representatives who choose to attend, at the time, on the date, and at the place specified in the prequalification notice and clause 13.

16.2. The applicants’ representatives who are present shall sign the attendance sheet as

Evidence of their attendance.

16.3. No application shall be rejected at application opening, except for late

submission, which shall be returned unopened to the applicant pursuant to Clause 14.1.

16.4. The Procuring Agency shall prepare minutes of the application opening session.

E. Evaluation

17. Preliminary Evaluation

17.1. The Procuring Agency shall examine the applications to determine:

17.1.1. - whether they are complete

17.1.2. - whether required sureties have been furnished

17.1.3. - whether the documents have been properly signed

17.1.4. - whether the applications are generally in order.

17.2. Prior to the detailed evaluation, the Procuring Agency shall determine the

substantial responsiveness of each application to the prequalification

documents, which conforms to all the terms and conditions of the

prequalification documents without any deviation, as per Annexure B

17.3. Application once opened in accordance with the prescribed procedure shall be

subject to only those rules, regulations and policies that are in force at the

time of issuance prequalification document and prequalification notice.

18. Confidentiality

18.1. Information relating to the evaluation of applications, and recommendation for

prequalification, shall not be disclosed to applicant(s) or any other persons

not officially concerned with such process until the notification of prequalification is made to all applicants.

18.2. From the deadline for submission of applications to the time of notification

of the results of the prequalification, any applicant that wishes to contact the

Procuring Agency on any matter related to the prequalification process,

may do so but only in writing.

19. Evaluation criteria – General points

19.1. The Procuring Agency shall use the defined factors, methods, criteria, and

requirements to evaluate the qualifications of the applicants. The use of any other methods, criteria, or requirements shall not be permitted.

19.2. The point system has been designed to cover all aspects of applicant’s eligibility

for prequalification in a transparent manner.

19.3. All applications shall be evaluated on the basis of multiple factors and in

accordance with the evaluation criteria including previous performances,

inspection of office premises or reference site, previous experience of

similar contracts, availability of engineering staff and their capabilities,

inventory of spare parts, workshop facility to provide the after sales

Page 12: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 12 of 37 DHQ Teaching Hospital Sahiwal

services and financial soundness of company etc. as explained in clause 19 to 25 and Annexure C.

19.4. Prequalification status shall be determined on score basis. The applicant

securing 70% marks will be considered as prequalified. Details of pre-qualification criteria are as given in subsequent clauses.

19.5. If an application is not substantially responsive, it shall be rejected by the Procuring Agency.

19.6. While deciding upon the prequalification of applicants, emphasis will be given

on the ability and competence of the applicants to do good quality works

within the specified time schedule, in close co-ordination with other stakeholders.

19.7. The applicant’s claim for eligibility shall be accepted, if supported with valid documents/copies of documents.

19.8. The confirmation of eligibility claims on company’s letter head shall not be acceptable.

20. Evaluation criteria – Company’s Basic Information

20.1. The firms fulfilling the following basic requirements shall only be considered

for further evaluation (relevant documents to be attached): Please refer to

Annexure E.

20.2. National Tax Number (NTN) and General Sales Tax Number (GST) with documentary proof shall have to be provided by the applicant.

20.3. Registration with Punjab Revenue Authority.

20.4. Registration with Pakistan Engineering Council (PEC).

20.5. Registrations with SECP

20.6. Detail of head office, branch office, workshop, site offices and stores, including:

20.6.1. - Address and contact details.

20.6.2. - Total area.

20.6.3. - Own/rented.

20.7. - Cities where the firm has its offices.

20.8. Company type, sole proprietor, partnership, public limited or any other.

20.9. Status of office, workshop, and store etc.; own building or rented.

20.10. The type of agency agreement with the manufacturer and the date of expiry. Open agency agreement (s) without expiry date will not be considered.

20.11. To establish its eligibility, the applicant shall submit the authorization from

manufacturer (valid embassy attested) and in case of manufacturer,

documentary proof to the effect that they are the original manufacturer of the required goods shall be provided.

20.12. Documentation & record management system:

20.12.1. - Statement for evidence of availability and proper implementation of a documentation and record management system, will be evaluated.

20.12.2. - Statement for record keeping and evidence of periodic preventive maintenance and calibrations.

20.12.3. - A workflow chart to be submitted to explain the above-mentioned

documentation process.

20.12.4. - The above statements on documentation & record management system may be final confirmed/verified during visit to premises/reference site.

20.13. To establish its eligibility, the applicant shall complete the declarations (as per Annexure M confirming:

20.13.1. - Principals/foreign manufacturer.

20.13.2. - Type of agency agreement.

Page 13: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 13 of 37 DHQ Teaching Hospital Sahiwal

20.13.3. - Professional ethics.

20.13.4. - Legal status

20.14. Any history of past litigation and arbitration incidences encountered by the firm need to be enumerated, as per Annexure E.

20.15. The applicant shall submit an affidavit on legal stamp paper of Rs. 20/- Please

refer to Annexure N

20.15.1. - Statement if the firm including the director and the owners is/was a subject

of bankruptcy proceedings, receivership, administration receivership, or any

other form of liquidation.

20.15.2. - Their firm is not been blacklisted in the past on any ground by any Government (Federal, Provincial) or a local body or a public sector organization. On account of submission

of false statement, the applicant shall be disqualified forthwith and subsequently blacklisted. Please refer to Annexure M for 20.15.1 and 20.15.2.

20.16. Above stated requirements / information to be provided by the Supplier are summarized in Application Form. Detailed Inspection will cover all aspect

where document-based evidence is not sufficient.

20.17. The applicants are required to submit the annual report or company profile or

brochure for better visibility for eligibility.

21. Evaluation criteria – Human resource capabilities

21.1. Enclose a list of Board of Directors, Partners, Key Management Personnel

(both Technical & Sales Management).

21.2. Include position, professional qualification and experience.

21.3. Total number of employees (Technical & Non-Technical).

21.4. The above information is required in the form of table.

21.5. Organization chart shall be enclosed.

21.6. Applicant shall submit a list of qualified technical persons along with qualification and training, list of main service testing and calibration tools.

21.7. Experiences of technical team.

21.8. Trainings of technical team.

21.9. The applicant shall identify the name and contact of key contact person for all type of communication, related to this prequalification.

21.10. Please refer to Annexure F for the required information and format.

22. Evaluation criteria – Technical capabilities

22.1. The applicant shall furnish documents establishing the applicant eligibility for

prequalification and its capability to perform the contract if its application is accepted and wins the contract in next step.

22.2. The documentary evidence to be submitted for the purpose’s qualification shall include:

22.3. The Applicant should have strong engineering background and necessary tools/

test equipment, trained or skilled staff for after sales services having

knowledge and an experience to execute such type of works and also adequate number of staff etc.

22.4. Relevant inventory/spare parts details. Please refer to Annexure G.

22.5. Relevant testing/calibration/repair tools. Please refer to Annexure H.

23. Evaluation criteria – Work experience and performance

23.1. A detailed record needs to be provided about the current /previous CMGS

projects and the service contract commitments. A proof of installations

Page 14: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 14 of 37 DHQ Teaching Hospital Sahiwal

(completion certificate) with backup services’ performance will be an essential requirement of the prequalification.

23.2. The applicant’s firm should be in the CMGS business for minimum of three

years and have successfully installed minimum 5 similar system of CMGS. Following documents to be submitted to establish the experience:

23.2.1. Income tax return of the firm for the first year in business activity. The

oldest income tax return shall be considered as evidence of company’s

presence in business.

23.2.2. Applicants shall furnish documentary evidence / certificates in support of

their claims of the works completed, failing which the claim of work experience shall not be accepted.

23.2.3. A list of installed systems with contact details of customers and year/month of installation. Please refer to Annexure I.

23.3. A list of current projects under execution shall be submitted. Please refer to Annexure J.

23.4. Customer’s satisfaction certificate with contact details.

23.4.1. - One customer, to whom the system has been supplied and installed more

than five years ago.

23.4.2. - One customer to whom the system has been supplied and installed in last two years.

24. Evaluation criteria – Business details and financial position

24.1. Statement of annual business turnover of last three years

24.2. Statement of annual income tax paid during last three years. (IT-1 or IT-2 Form showing net annual sales)

24.3. Annual audit report duly signed by external Auditor, for last three years.

24.4. Please refer to Annexure K

25. Evaluation criteria – Manufacturer’s Profile

25.1. A foreign manufacturer has to provide the following details; to be arranged by

the supplier from the manufacturer, and mandatory to be provided by the foreign manufacturer.

25.2. Details of manufacturing sites/units with their manufacturing capacity.

25.3. Certification to provide evidence for conformity and compliance with the

standards for quality (ISO 9001:2008, ISO13485: 2003, EC, FDA 501K, GMP, MHWL etc.)

25.4. Regulatory and quality assurance certification of the manufacturer.

25.5. Signed confirmation of availability of spare parts, for at least 10 years for the product to be prequalified.

25.6. Confirmation that the Authorized distributor has requisite technical personnel with certification to service / maintain CMGS.

25.7. Product standard and certifications (Internationally accepted).

25.8. Product’s global performance certificate (to be provided by the manufacturer).

25.9. Manufacturer’s authorization to the local company (applicant).

25.10. The applicant must indicate the country of origin of the goods, capacity of

production the firm (in case of Manufacturer), its financial status, necessary

assurance of quality production, Certificate(s) for conformity with International Standards HTM/ISO.

25.11. An undertaking need to be signed by an authorized contact person from the

manufacturer as per format attached on their letterhead respectively.

Please refer to Annexure O.

Page 15: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 15 of 37 DHQ Teaching Hospital Sahiwal

25.12. Company profile of the manufacturer and required attachments to be submitted.

26. Clarifications from applicants

26.1. To assist in the evaluation of applications, the Procuring Agency may, at its

discretion, ask any applicant for a clarification of its application which shall be submitted within a stated reasonable period of time.

26.2. Any request for a clarification and all clarifications shall be in writing.

26.3. If an applicant does not provide clarifications of the information requested by the

deadline, the application shall be evaluated based on the information and documents available at the time of evaluation of the application.

27. Responsiveness of applications

27.1. The Procuring Agency shall determine to its satisfaction whether the

application is responsive and qualifies to perform satisfactorily, in accordance with the

requirements of prequalification document.

27.2. Applications shall be evaluated on point system, which have been designed to maintain a transparent mechanism, which is open for all companies.

27.3. Minimum 70% points shall be mandatory for prequalification and issuance of bidding document.

27.4. The %age achieved by each applicant in this prequalification process shall be

incorporated proportionately in the final evaluation of bids for award of contract.

27.5. The determination shall take into account of the evaluation parameters in

clause 19 to 25 and Annexure C.

27.6. It shall be based upon an examination of the documentary evidence of the

applicant’s submitted qualifications, as well as such other information/

premises visit as where the Procuring Agency deems necessary and appropriate.

27.7. An affirmative determination shall be a pre-requisite for prequalification of the

applicant. A negative determination shall result in rejection of the application.

27.8. The Procuring Agency shall disqualify the status of an applicant if it finds, at any

time, that the information submitted by him concerning his qualification as supplier was false and materially inaccurate or incomplete.

27.9. This pre-qualification shall be valid for this project only.

27.10. The bidding document shall be issued to prequalified applicants only.

28. Visit to applicant’s premises and installation site.

28.1. The information provided in the basic eligibility shall be verified by

the inspection team of Procuring Agency during their visit to applicant’s premises.

28.2. The inspection team shall verify the submitted details of office, HR,

workshop, tools, equipment, inventory/store, and data/document management etc. before awarding points for each.

28.3. The inspection team shall visit any of the sites, mentioned in

applicant’s reference installations for which the certificate of

satisfactory performance is submitted; to check the actual performance.

Page 16: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 16 of 37 DHQ Teaching Hospital Sahiwal

28.4. The inspection team may take pictures of different sections of applicant’s premises and reference site, where necessary.

29. Prequalification of Applicants

29.1. All applicants whose applications have met the specified requirements will, to

the exclusion of all others, be prequalified by the Procuring Agency.

30. Notification of Prequalification

30.1. Once the Procuring Agency has completed the evaluation of the applications it

shall notify all applicants in writing indicating their status as to qualified or

ineligible.

31. Invitation to Bid

31.1. After notification of the results of the prequalification, the Procuring Agency shall

initiate the procurement process and issue the Bidding Documents to the

prequalified firms for further process of purchase.

32. Corrupt or Fraudulent Practices

32.1. The Procuring Agency requires that all applicants observe the highest standard of ethics during the prequalification.

32.2. Procuring Agency has defined the following terms, which all stakeholders are

Required to refrain from the following:

32.2.1. “Corrupt Practice” means the offering, giving, receiving or soliciting, directly

or indirectly of anything of value to influence the action of a public official in the prequalification process.

32.2.2. “Fraudulent Practice” means any act or omission,

including a misrepresentation, that knowingly or recklessly misleads,

or attempts to mislead, a party to obtain a financial or other benefit or to

avoid an obligation or in order to influence the prequalification process.

32.2.3. “Collusive practice” is an arrangement between two or more parties

designed to achieve an improper purpose, including influencing improperly the actions of another party

32.2.4. “Coercive practice” is impairing or harming, or threatening to impair or harm,

directly or indirectly, any party or the property of the party to influence improperly the actions of a party in prequalification.

32.2.5. “Obstructive practice” is deliberately destroying, falsifying, altering or

concealing of evidence material to the investigation or making false

statements to investigators in order to materially impede a Bank

investigation into allegations of a corrupt, fraudulent, coercive or collusive

practice; and/or threatening, harassing or intimidating any party to prevent it from disclosing its knowledge of matters relevant to the prequalification.

32.3. Applicant shall submit an affidavit on stamp paper that the firm has never been

involved in any corrupt practices or black listed in any institution of public or private sector, as detailed in clause 20.15 and Annexure N.

32.4. The Procuring Agency will sanction a firm or individual, including declaring

ineligible, either indefinitely or for a stated period of time, to be awarded a

contract if it, at any time, determines that the firm has, directly or through an

agent, engaged in corrupt, fraudulent, collusive, coercive or obstructive practices in competing.

Page 17: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 17 of 37 DHQ Teaching Hospital Sahiwal

33. Contacting/Influencing the Procuring Agency

33.1. No applicant shall contact the Procuring Agency on any matter relating to its

application, from the time of the application opening to the time of issuance

of bidding document.

33.2. Any effort by an applicant to influence the Procuring Agency in its decisions on

application evaluation will result in the rejection of the application and

subsequent blacklisting.

33.3. Canvassing by any applicant at any stage of evaluation for prequalification is strictly prohibited.

33.4. In case of applying extraneous pressures or other unhealthy influences on

Procuring Agency, the applicant shall be liable to be disqualified not only for

this prequalification but may be black listed and from participation in future

prequalification and tenders for 5 years or any other time period declared by Procuring Agency.

33.5. The applicant shall provide a certificate duly attested to the affect that:

33.5.1. Extra payment in the form of commission, over and above the contracted

value, has neither been paid nor shall be paid to any authority in Pakistan. (please refer to Annexure A)

33.5.2. The applicant and its shareholders, directors, officers, employees, and agents

have not paid nor undertaken to pay, any bribe, pay-off, kick-back or

unlawful commission, whether in Rupees or a foreign currency and whether

in Pakistan or abroad, given or offered to give any such gifts and presents

in Pakistan or abroad, to any official or employee of Procuring Agency or any other person to influence this prequalification process.

34. Right of Procuring Agency to accept or reject Applications

34.1. All applicants whose applications have met the specified requirements will, to the exclusion of all others, be prequalified by the Procuring Agency.

34.2. Decision taken in regard to pre-qualification of applicants shall be final.

34.3. The Procuring Agency reserves the right to reject any or all applications at any

time prior to the acceptance of an application and to annul the

prequalification process without thereby incurring any liability to applicants as per PPRA 2014.

34.4. The Procuring Agency may upon request communicate to any applicant who

submitted the application, the grounds for rejection of any or all applications, but is not required to justify those grounds.

34.5. Notice of the acceptance/rejection of any or all applications shall be given promptly to the concerned applicants that submitted applications.

35. Arbitration and Resolution of Disputes

35.1. The Procuring Agency and the applicant shall make every effort to resolve

amicably by direct informal negotiation any disagreement or dispute arising between them under or in connection with the prequalification.

35.2. In case of any dispute concerning the interpretation and/ or application of this prequalification shall be settled through arbitration. The Secretary

Specialized Healthcare & Medical Education Department, Government of the Punjab, Lahore shall act as arbitrator.

35.3. The decisions of the arbitrator shall be final and binding on the Parties.

Page 18: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 18 of 37 DHQ Teaching Hospital Sahiwal

36. Applicable Law

36.1. The prequalification process shall be governed by the laws of Islamic republic of Pakistan.

Page 19: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 19 of 37 DHQ Teaching Hospital Sahiwal

Annexure - A

Letter of Application

On Company’s letter head, including full postal address, telephone # fax # and email address etc.

Date: ................................

To, The Principal / Purchase Officer

Sahiwal Medical College and Allied Hospitals

Sahiwal.

Provision of Missing Specialties for Up Gradation of DHQ Hospital to Teaching Hospital, Shah Noor Road, Sahiwal, Punjab Pakistan.

Sir,

Being duly authorized to represent and act on behalf of...................................

(Hereinafter the “Applicant” as the context so permits).

The undersigned confirms that:

1. The team has reviewed and fully understood all the prequalification information provided.

2. The information provided by us in Annexures and supporting attachments is true and as per guidelines given in this prequalification document.

3. Our firm shall strictly follow the communication instructions during and after the evaluation process.

4. The undersigned declare that the information provided in the duly completed

application are complete, true, and correct in every detail.

The undersigned hereby apply to be prequalified for the requirement of Medical Gas

Pipelines System.

Signature & Company Seal

Name of Authorized Signatory of Manufacturer,

Note:

1. This letter of authority should be on the letter head of the Manufacturer and should

be signed by a person competent and having the power of attorney to bind the

Manufacturer. 2. It should be included by the Applicant in its application.

Page 20: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 20 of 37 DHQ Teaching Hospital Sahiwal

Annexure - B

Document Checklist Preliminary evaluation of firms shall be based on the confirmation, if the applicant has

submitted all the following valid documents/copies of documents, to establish their eligibility.

S # Document to be attached PQ Form Ref.

Submitted Yes/No

Page #

1 Company brochure/profile/annual report. 20.17

2 Registration with National Income Tax. 20.2

3 Registration with General Sales Tax. 20.2

4 Registration with Punjab Revenue Authority. 20.3

5 Registration with Pakistan Engineering Council

(PEC) and one competent person and one

Authorized person for CMGS

20.4

6 Registrations/Prequalification with other

departments (SECP).

20.5

7 List of offices, workshops, stores and site offices in

Pakistan; with contact details.

20.6

20.7

8 Documentary evidence of ownership of premises (if

applicable).

20.6.3

9 Documentary evidence of company type. 20.8

10 Partnership deed (if applicable) 20.8

11 Documentary evidence of company 20.9

12 Agency agreement 20.10

13 Work flow chart to clarify the data and document

management system (verification during premises

visit).

20.12.3

14 Applicant’s declaration as per Annexure M. 20.13

15 Arbitration history. 20.14

16 Supplier’s affidavit confirming no blacklisting as per

Annexure N.

20.15

17 A list of Board of Directors, Partners, Key

Management Personnel (both Technical & Sales

Management), in the form of a table, including

position, professional qualification, experience and

trainings in CMGS, for all management and

technical employees.

21.1

21.2

21.3

21.4

18 Organization chart. 21.5

19 Key contact persons from applicant and

manufacturer – Annex L

21.9

20 Relevant inventory/spare parts details. 22.4

Page 21: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 21 of 37 DHQ Teaching Hospital Sahiwal

21 Relevant testing/calibration/repair tools. 22.5

22 Income tax return of first year in business 23.2.1

23 Experience of applicant in CMGS business.

24 A list of installed systems. - Annexure I 23.2.2

25 List of current projects under execution –

Annexure J

23.3

26 Customer’s satisfaction certificates. 23.4

27 Statement of annual business turnover of last three

years.

24.1

28 Statement of annual income tax paid during

last three years. (IT-1 or IT-2 Form showing net

annual sales).

24.2

29 Most recent Audit Report duly signed by external

Auditor.

24.3

30 Manufacturer’s authorization as per Annexure O. 25

31 Signed and stamped prequalification document. 4.1

Page 22: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 22 of 37 DHQ Teaching Hospital Sahiwal

Annexure - C

Evaluation Criteria/Score System

The applicants must carefully read the instructions. Non-compliance to the stated instruction may lead to their technical disqualification.

Each page of this annexure shall be signed and stamped by the authorized signatory. Only one chance will be given for re-submission of secondary documentation.

Name of Firm:

Address:

Phon

e:

Email:

Evaluation Parameter Points

1. Company information

1a. Type of firm

Sole Proprietor 4

Partnership 3

Private limited 2

Other 1

1b. Status of office, workshop and store

Rented 0

Own 1

1c. Office & workshop in cities

One city 1

Two cities 2

Three cities 3

Four cities 4

Five or more cities 5

Fax:

Website:

Page 23: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 23 of 37 DHQ Teaching Hospital Sahiwal

1d. Human Resource – Qualification

Technician

Certificate of highest qualification to be

submitted. (One point for each. Maximum 2 Points)

2

Diploma of Associate Engineer (DAE) in in electrical / electronic /

Biomedical / mechatronics / mechanical / industrial. DAE certificate

must be submitted.

(2 points for each and maximum 4 points)

4

Graduate Engineer with PEC Registration in electrical / electronic / biomedical / mechatronics / mechanical / industrial.

Copy of degree and PEC registration card of the

engineer must be submitted.

(3 points for each and maximum 6 points)

6

MSc/PhD Qualification

Degree must be submitted. (4 points for each and maximum 4 points)

4

1e. Human Resource - minimum 3 years' experience in CMGS

Technician (appointment letter in company shall be submitted)

1 point per Technician and Maximum 2 points 2

Associate Engineer

(appointment letter in company shall be submitted) 1 point per Associate Engineer and Maximum 2 points

2

Engineer

(appointment letter in company shall be

submitted) 1 point per Engineer and Maximum 2

points

2

MSc/PhD

(appointment letter in company shall be

submitted) 2 point per MSc/PhD and Maximum 2

points

2

1f. Human Resource - Training in CMGS by the manufacturer

Technician

(Copy of training certificate to be submitted) 1 point per Technician per training and Maximum 2 points

2

Associate Engineer

(Copy of training certificate to be submitted) 1 point per Associate Engineer per training and Maximum 2 points

2

Engineer

(Copy of training certificate to be submitted) 1 point per Engineer per training and Maximum 2 points

2

MSc/PhD

(Copy of training certificate to be submitted) 2 point per MSc/PhD per training and Maximum 1 points

1

Page 24: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 24 of 37 DHQ Teaching Hospital Sahiwal

2 Technical Capability

2a. Spare Parts readily availability (Inventory list) 2

2b. List of tools and equipment for validation, inspection, testing and

calibration. (relevant to the product/system)

2

2c. Data and document management system (final verification during

premises visit).

Digital 3

Semi digital 2

Manual 0

3 Experience & Performance

3a. Work experience in CMGS

10 Years or more 4

8 Years 3

5 Years 2

3 Years 1

Less than 3 years 0

3b. Installed Systems of 500 bed hospital or more

5 hospitals 1

8 hospitals 2

10 hospitals 3

3c. Customer's Satisfaction

One customer, to whom the system has been supplied and installed

more than five years ago. 3

One customer to whom the system has been supplied and installed in

last two years. 3

4. Visit to applicant's premises & installation sites

4a. Visit to applicant's premises 8

4b. Visit to refer site. 8

5. Legal and Financial Status

5a. Registration with National Income Tax. 1

Page 25: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 25 of 37 DHQ Teaching Hospital Sahiwal

5b. Registration with General Sales Tax. 1

5c. Registration with Punjab Revenue Authority. 1

5d. Registration with Pakistan Engineering Council (PEC). 1

5e. Registrations/Prequalification with other departments – SECP 1

5f. Statement of annual business turnover of last three years.

Annual turnover less than Rs. 250 million 1

Annual turnover above Rs. 250 million 2

Annual turnover above Rs. 500 million 3

Annual turnover above Rs. 750 million 4

Annual turnover above Rs. 1000 million 5

Annual turnover above Rs. 1250 million and above 6

5g. Statement of annual income tax paid during last three years. IT-1

or IT-2 Form showing net annual sales/turn over.

2

5h. Audit Report duly signed by external Auditor for last 3 years 2

5i. Confirmation of no arbitration history.

No history 3

1 time 2

2 or more times 0

5j. Manufacturer’s authorization as per Annexure O 2

5k. Applicant declaration as per Annexure M 2

5l. Supplier’s affidavit confirming no blacklisting as per Annexure N. 2

Prof. Dr. Zahid Kamal Siddiqui

PRINCIPAL /CEO

Sahiwal Medical College & Allied Hospitals

Sahiwal

PH: 040-9200387

Page 26: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 26 of 37 DHQ Teaching Hospital Sahiwal

Annexure - D

Statement of Compliance It is mandatory for the applicant to fill this table for all clauses (1 to 36 and their sub clauses) of

prequalification document.

S # Clause # Comply/Accept Comments Page # of supporting document (where

applicable)

Signature and stamp of the Authorized Contact Person for the Firm

Page 27: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 27 of 37 DHQ Teaching Hospital Sahiwal

If required the applicant may use landscape orientation

Annexure - E

Company Information Information in this table is required for all offices, including head office, branch offices and site offices.

S # Offices Address Own/

Rented

Area Sq

M Phone Fax Email

Head Office

Branch Offices

Site Offices

Information in this table is required for all stores with head offices, branch offices and

site offices.

S # Stores Address Own/

Rented

Area Sq

M Phone Fax Email

With Head Office

With Branch Offices

With Site Offices

Information in this table is required for all workshops with head offices, branch offices

and site offices.

S # Workshops Address Own/

rented

Area

Sq M Phone Fax Email

With Head Office

With Branch

Offices

With Site Offices

Business Activities (other than CMGS)

S # Business activity/Products Working since Name of Principals Country of

Principals

Arbitration History

S # Year Client Arbitrator/Moderator Result

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 28: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 28 of 37 DHQ Teaching Hospital Sahiwal

Annexure - F

Human Resource Information

Management Team’s Detail

S # Designation Position Total

Experience

CMGS

Experience

Trainings Working with Applicant since

Please enclose copies of degree, experience and training certificates

Engineer’s Detail

S # Designation Qualification Total

Experience

CMGS

Experience

Trainings Working with Applicant since

Please enclose copies of degree, experience and training certificates

Associate Engineer’s Detail

S # Designation Qualification Total

Experience

CMGS

Experience

Trainings Working with Applicant since

Please enclose copies of diploma, experience and training certificates

Technician’s Detail S # Designation Qualification Total

Experience

CMGS

Experience

Trainings Working with Applicant since

Please enclose copies of certificate, experience and training certificates

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 29: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 29 of 37 DHQ Teaching Hospital Sahiwal

Annexure - G

Inventory/Spare Parts Information

Detail of Spare Parts

S # Equipment Spare Part of CMGS Shelf life

(if applicable)

Quantity Location (City)

Detail of spare equipment of CMGS

S # Spare Equipment Quantity Location (City)

Detail of consumables in stock for CMGS

S # Equipment Consumable Shelf life (if

applicable)

Quantity Location (City)

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 30: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 30 of 37 DHQ Teaching Hospital Sahiwal

Annexure - H

Tools & Equipment

Tools required for installation, validation, inspection, testing, commissioning and calibration.

S # Tools System component (for usage)

Utility (installation, validation,

inspection, testing, commissioning and calibration)

Quantity Location

(City)

Equipment required for installation, validation, inspection, testing, commissioning and calibration.

S # Equipment System component (for usage)

Utility (installation, validation,

inspection, testing, commissioning and calibration)

Quantity Location

(City)

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 31: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 31 of 37 DHQ Teaching Hospital Sahiwal

Annexure - I

Installed Systems S # Institution City Product Service Project value

Million Rs

Year of

Installation

Current

Status

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 32: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 32 of 37 DHQ Teaching Hospital Sahiwal

Annexure - J

Current Projects

S # Institution City Product

Service

Project Value

Million Rs

start

date

Estimated

completion

date

Current

Status

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 33: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 33 of 37 DHQ Teaching Hospital Sahiwal

Annexure - K

Financial Information

S # Year Annual Business Turnover

Million Rs.

Income Tax Paid

Million Rs.

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 34: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 34 of 37 DHQ Teaching Hospital Sahiwal

Annexure - L

Key Person Information

Applicant's Key Person

Name:

Designation:

Address:

Phone – Office:

Phone – Cell:

Email:

Manufacturer’s Key Person Name:

Designation:

Address:

Phone – Office:

Phone – Cell:

Email:

Signature and stamp of the Authorized Contact Person for the Firm

If required the applicant may use landscape orientation

Page 35: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 35 of 37 DHQ Teaching Hospital Sahiwal

Annexure M

Applicant’s Declaration On Company’s letter head, including full postal address, telephone # fax # and email address

etc.

To,

The Principal / Purchase Officer Sahiwal Medical College and Allied Hospitals

Sahiwal Provision of Missing Specialties for the Up Gradation of DHQ Hospital to Teaching

Hospital Sahiwal.

I declare that:

1. I am authorized to represent the Firm specified as the "Firm" for the purposes of

procurement of equipment specified in this Prequalification documents as the "Product". 2. All the information provided in this application is current and correct and the firm has no

reservations with the form. 3. This application contains all the information as is prescribed in the Prequalification

Documents. 4. The Firm will follow by all the rules and regulations, formulated by the Procuring Agency,

PPRA and Government of the Punjab. 5. The firm will notify you of all changes and variations to the Product / its manufacturing

status. 6. The firm confirms that the CMGS system and its components, which they will offer for this

project, the manufacturer shall guarantee the availability of spare parts and services for 10

years. 7. The firm has not been declared ineligible/blacklisted by any Government/ Semi Government

Department or Private Organization in Pakistan. 8. We confirm that no extra payment in the form of commission, over and above the contracted

value, shall be paid to any authority in Pakistan. The applicant and its shareholders,

directors, officers, employees, and agents shall not pay nor undertaken to pay, any bribe,

pay-off, kickback or unlawful commission, whether in Rupees or a foreign currency and

whether in Pakistan or abroad, given or offered to give any such gifts and presents in

Pakistan or abroad, to any official or employee of Procuring Agency or any other person to

influence this prequalification process. 9. If the Firm does not act by the above stated Declaration then the Government of Punjab has

every right to permanently or temporarily Blacklist the Firm, Managing Directors and

Owners.

Signature and stamp of the Authorized Contact Person for the Firm

Name of the Firm:

Name of the Authorized Contact Person for the Firm: Capacity of the Authorized Contact Person for the Firm: Date: Note:

Page 36: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 36 of 37 DHQ Teaching Hospital Sahiwal

This letter of authority should be on Authorized Distributer and should be signed by a

person competent and having the power of attorney to bind the Manufacturer. It should be included by the Applicant in its application.

Annexure N

Applicant’s Affidavit (on stamp paper of Rs. 50)

To,

The Principal / Purchase Officer, Sahiwal Medical College and Allied Hospitals Sahiwal, Provision of Missing Specialties for the Up Gradation of DHQ Hospital to Teaching

Hospital Sahiwal.

We hereby confirm that:

1. The firm is never been blacklisted or disqualified in the past on any ground by any Government (Federal, Provincial) or a local body or a public sector organization.

2. Our firm has never been involved in any corrupt practices or declared ineligible to participate in any institution of public or private sector.

3. The firm including the director and the owners is/was never a subject of

bankruptcy proceedings, receivership, administration receivership, or any other form of liquidation.

4. The above information is correct and true.

Signature and stamp of the Authorized Contact Person for the Firm

Name of the Firm:

Name of the Authorized Contact Person for the Firm:

Capacity of the Authorized Contact Person for the Firm:

Date:

Page 37: 200130 - PQD - Punjab · prequalification process shall be addressed to: The Principal/ Purchase Officer Sahiwal Medical College and Allied Hospitals Sahiwal Provision of Missing

Prequalification Document for Purchase & Installation of Central Medical Gas Systems

Page 37 of 37 DHQ Teaching Hospital Sahiwal

Annexure O

Manufacturer’s Authorization/Declaration On Company’s letter head, including full postal address, telephone # fax # and email address etc.

To, The Principal / Purchase Officer, Sahiwal Medical College and Allied Hospitals Sahiwal, Provision of Missing Specialties for the Up Gradation of DHQ Hospital to Teaching

Hospital Sahiwal.

I declare that:

Whereas [Name of the Manufacture] who are established and reputable Manufacturer of

Medical Gas Pipeline System having factories at [address of factory] do hereby

authorize [Name and Address of Supplier/ Agent] to submit an application for

prequalification, and subsequently submit the bid against the upcoming invitation for bidding for the goods manufactured by us.

1. We hereby extend our full guarantee and warranty as per Clause 25 of this

prequalification document for the availability of spare parts and technical services

for the goods offered for supply by the above firm and manufacturer, jointly for 10 years after installation, against the upcoming Invitation for Bidding.

2. If the local agent in Pakistan is changed during the warranty or maintenance

contract, the manufacturer will provide the after sales services themselves or through newly appointed agent for five (05) years from the date of commissioning.

3. The manufacturer shall ensure that the transfer of spare parts, tools, test

equipment and documents, which are required for system maintenance during

and after warranty are transferred to new local agent. Any contract

amendment/revision, if required for change of local agent and technical support,

would be without any change in contract terms and conditions of warranty,

without any delay/gap in technical support during change of local agent and

transfer of liabilities to new local agent.

The undersigned hereby apply to be prequalified for the requirement of Medical

Gas Pipelines System.

Signature & Company Seal

Name of Authorized Signatory of Manufacturer,

Note:

This letter of authority should be on the letter head of the Manufacturer and should be

signed by a person competent and having the power of attorney to bind the Manufacturer.

It should be included by the Applicant in its application.