dk;kZy; egkfuns'kd fpfdRlk ,oa LokLF; lsok;sa m0iz0 y[kuÅ

¼jktdh; dsUnzh; vkS’kf/k Hk.Mkj½

i= la0&8Q@vk0lh0&741@696 y[kuÅ % fnukad 03 Qjojh] 2016

**”kqf)&i=^^

o"kZ 2015&16 esa vkS"kf/k;ks ds nj vuqcU/k gsrq egkfuns”kky; Lrj ls vkeaf=r fufonk

la0&8Q@2015&16@vkj0lh0&741@206 fnukad&14-01-2016 esa fuEu rkfydkuqlkj vkaf”kd la”kks/ku fd;k

tkrk gS %&

S.

No

New

Code Name of Medicine Strength Packing

SPECIFIC

ATIONS

Change

153 S44a Plaster bandages 10

pack 10 cm

PACKETS

OF 10 2.7 mtr Plaster Of Paris

bandages 2.7 mtr. Is

length

154 S44b Plaster bandages 10

pack 15cm

PACKETS

OF 10 2.7 mtr.

Plaster Of Paris

bandages 2.7 mtr. Is

length

158 Elastic Crepe Bandage 7.5cmx5mt

Roll Size 7.5cm and specification stretched length 4/6mtr

159 Elastic Crepe Bandage 10cmx5mt Roll Size 10cm specification

stretched length 4/6mtr

160 Elastic Crepe Bandage 15cmx5mt Roll Size 15cm specification

stretched length 4/6mtr

329 S105a ELASTIC PLAST ADHESSIVE TAPE

5cm ROLL

Size 5cm specification stretched length 4/6mtr

330 S105b ELASTIC PLAST ADHESSIVE TAPE

7.5cm ROLL

Size 7.5cm x stretched length 4/6mtr

331 S105c ELASTIC PLAST ADHESSIVE TAPE

10cm ROLL

Size 10cm x stretched length 4/6mtr

332 S105d ELASTIC PLAST ADHESSIVE TAPE

12.5cm ROLL

Size 12.5cm x stretched length 4/6mtr

333 S105e ELASTIC PLAST ADHESSIVE TAPE

15cm ROLL

Size 15cm x stretched length 4/6mtr

fuEu vkbVe dks okil fy;k tkrk gSA

ANNEXURE – XIII List of Items quoted This is to be submitted in the excel sheet (Annexure XIII). Please note this is different from excel sheet for submitting rates - “BOQ”

TECHNICAL BID (This Technical template must not be modified/replaced by the bidder and the

To Be Filled By Bidders

155 Cotton Crepe Bandage 7.5cmx5mt Roll

156 Cotton Crepe Bandage 10cmx5mt Roll

157 Cotton Crepe Bandage 15cmx5mt Roll

same should be uploaded after filling the relevant columns, else the bidder is liable to be rejected for this tender. Bidders are allowed to enter the Bidder Name and Values only)

Sl. No.

Item name and Description

Code

Quantity Unit EMD License No. at page no.

Form-10 in case of imported product at page no.

Manufacturing and Marketing cert. at pg no.

Annual Production Capacity, With page no

1 2 3 4 5 6 6 7 8 9

1

2

3

ANNEXURE: XV INSTRUCTION REGARDING PRICE BID

To be submitted, in the given format of BOQ. BOQ Format: (With example below)

S.No

Description

Item Code

Qty.

Units

Basic Rate per unit

(INR) Ex-

Factory

Excise

Duty

Basic Rate + Excise duty

VAT

Total cost per unit up to destination (All inclusive)(INR)

NOTE :- 1. Rate quoted should be inclusive of all duties, surcharge, vat, cess, levies, freight,

loading, unloading, insurance, octroi, road permits, packing etc.

2. Bidder should quote firm rates. No condition like discount / free goods / additives

will be accepted.

3. Rate should be quoted according to unit and specifications asked for.

4. The rates quoted by the bidder shall not in any case exceed the controlled price, if

any, fixed by Central/ State government and Maximum Retail Price (MRP).

5. Bidder must fill one sheet per item quoted.

Annexure-XVII Check List

The Tenderers are hereby instructed to submit the following documents as per the checklist and must mention the page numbers against each column of the checklist. The

documents should be page numbered & arranged serially, self attested and stamped by the authorized signatory.and also attested by public notary or Gazetted officer All annexures and Checklist sheet is mandatory to fill & the documents of technical bid

should be arranged in accordance to checklist

SN Terms and Conditions of Tender Yes/No Page no. Remarks

1 Tender Submitted as: (A) Manufacturer

2 EMD details

3 Registration with DI (SPS) Kanpur/NSIC/DGS&D if

taking EMD relaxation

4 Company’s First Manufacturing License

5 Manufacturing License renewal & up to date validity

6 Good Manufacturing Practice Certificate G.M.P./W.H.O. G.M.P.

Certificate (For manufacturer Only) issued by the Concerned

Licensing Authority..

6a Good Laborites Practice Certificate (G.L.P. Certificate) (For

manufacturer Only) issued by the Licensing Authority.

7 (For I.V. Fluid only) Have you provided certificate from drug

controller of state Verifying FFS technology is being used in the

manufacturing of IV Fluids.

8 Attested photocopy of licenses for the product dully approved by the

Licensing authority for each and every product quoted attached or

not.(The license must have been duly renewed up to date and the items

quoted shall be clearly highlighted in the License.)

9 Market standing certificate issued by the licensing authority as a

manufacturer to each drug quoted for the last 3 years. In case of direct

importer, evidence for importing the said items for the last 3 years

10 Production Capacity certificate by drug Controller

11 Attested Photocopy of import license if the product is imported. The

license must have been renewed up to date. A copy of a valid license

for the sale of Drugs imported by the firms issued by the licensing

authority shall be enclosed. For confirmation of imported item

(complete or partial) Tenderer must furnish certificate issued by the

competent authority. Above documents attached or not.

12 Non-Conviction certificate (not old than 6 months) issued by the drugs

controller of the state certifying that the drugs quoted have not been

cancelled for last 3 years

13 Certificate with License for DEPOT in Uttar Pradesh State.

14 Annual turnover statement for last 3 years in the format given certified

by the auditor

15 Are copies of balance sheet and profit or loss account for last 3 years

attached or not (all copies to be certified by the auditor.)

16 Trade Tax clearance certificate, as on 31.03.2014 attached or not (as

per form attached in (Annexure-XII)

17 PAN No-

18 Acceptance Letter to print UPG on strip & outer cartoon

19 Agreement of NABL approved lab for testing of Drugs

20 Are you ready to deposit analytical testing fees?

21a The instruments such as power of attorney, resolution of board etc.

authorizing an officer of the Tenders should be enclosed with the

tender and such authorized officer of the Tenderer should sign the

tender documents. Above mentioned instruments (if required)

Attached or not. (Annexure VIIIB & VIIIC)

21b Attach MOU/ article/proprietorship certificate/partnership deed to

clarify 21a

22 Authorization letter nominating a responsible person of the Tenderer

to transact the business with the tender inviting authority attached.

(Y/N).

23 Documents, if any, to show that the manufacturing unit/importer have

been recognized, by WHO, UNICEF, ISO certificate etc. attached if

recognized (Y/N)

24 Is the tender documents signed by the Tenderer in all pages with office

seal?

25 Have you quoted the rates not higher than L-1 rates of D.P.C.O. /

Hospital rates/ESI/DGS&D and if yes then have you provided an

affidavit regarding the same on Rs. 100/-Stamp paper.

26 Have you quoted the rates of supply to Field Unit………………..

27 Have provide certificate from drug controller verifying that quoted

items have not been found "not up to the standard" in last 3 years.

28 Have you provided affidavit duly certified by notary that no court

case/vigilance case/CBI Case is pending against the firm.

29 Have you deposited the sealed 5 units of samples of all the items

quoted in C.M.S.D. (stores) and attached the list of items indicating

batch no. date of manufacturing and the date of Expiry

30 Have you attached the following documents duly attested by the

gazetted officer with the tender:

A) Original & Duplicate copies of the tender form.

B) Copy of Trade Tax Registration Certificate.

C) Have you Submitted duly filled Statement "A" and "B" on the

prescribed Proforma ?

D) One Copy of wholesale/ hospital price list of the Manufacturing

firm.

E) Affidavit regarding lowest rates on prescribed Proforma .

F) List of items quoted

31 If Items quoted in the tender are approved in any rate contract in your

favor then please submit attested copy of the rate contract.

32 Have you ensured that all the specification are same as mentioned in

the drug license, list of stores and (G.M.P. /W.H.O. G.M.P. and

G.L.P.) (time being enforced) and in the list of items circulated along

with the tender. Indenting its serial no.?

33 Have you ensured that all the copies of the documents submitted by

you are being duly attested by the Gazetted officer?

34 Have you registered with department CMSD

35 Excise free certificate /declaration

36 All annexure and declaration as per tender form

Signature of Officer :-

“ks’k fu;e o 'krsZ ;Fkkor jgsxhA

funs'kd] ¼Hk.Mkj½

i`"Bkadu&8Q@vkj0lh0&741@ 697&704 rnfnukad

izfrfyfi fuEufyf[kr dks lwpukFkZ ,oa vko';d dk;Zokgh gsrq izsf"kr %&

1- funs”kd] lwpuk ,oa tu&lEidZ foHkkx] m0iz0] y[kuÅ dks bl vk”k; ls izsf’kr fd mDr

lalksf/kr frfFk dks rRdky izdkf”kr djus dk d’V djs aA vkj0vks0 ua0&103265

2- la;qDr funs”kd ¼eq[;ky;½] LokLF; Hkou] y[kuÅ dks bl vk”k; ls izsf’kr fd d`i;k mDr

lwpuk dks egkfuns”kky; ds lwpuk&iV ij pLik djkus dk d’V djsaA

3- bf.M;u Mªx eSuqQSDpjj ,lksfl;s”ku] 102 iwue pSECkj] *,* foax QLVZ QYkksj Mk0,0ch0 jksM+

okjyh eqEcbZ&400018

4- cYd Mªx eSuqQSDpjj ,lskfl;s”ku] lh&25 bUMlfVª;y LVsV luFk uxj gSnjkckn&500018

5- Mªx fu;a=d] txr ujk;u jksM+ m0iz0 y[kuÅ dks bl vk”k; ls izsf’kr fd lHkh jkT; ds

Mªx fu;a=dksa dks vius Lrj ls lwfpr djus dk d’V djsaA

6- vks0vkbZ0lh0lh0] m0iz0 “kklu dks bl vk”k; ls izsf’kr fd mijksDr fufonk ds la”kks/ku

foHkkxh; osCklkbV ij rRdky yksM djus dk d’V djsaA

7- lEcfU/kr QesZA

8- xkMZ QkbyA

funs'kd ¼Hk.Mkj½

dk;kZy; egkfuns'kd fpfdRlk ,oa LokLF; lsok;sa m0iz0 y[kuÅ

¼jktdh; dsUnzh; vkS’kf/k Hk.Mkj½

i= la0&8Q@vk0lh0&742@687 y[kuÅ % fnukad 02 Qjojh] 2016

**”kqf)&i=^^

o"kZ 2015&16 esa vkS"kf/k;ks ds nj vuqcU/k gsrq egkfuns”kky; Lrj ls vkeaf=r fufonk

la0&8Q@2015&16@vkj0lh0&742@219 fnukad&14-01-2016 esa fuEu rkfydkuqlkj vkaf”kd la”kks/ku fd;k

tkrk gS %&

S. No New

Code

Name of Medicine Strength Packing Root of

Administration

Change

13 I-76 INSULIN NEUTRAL/

ISOPHANE

25%/75% 40IU/ml 3ml Cartridge

Keep at2°C to

8°C

SC 100iu/ml in

place of

40IU/ml

14 I-84 SOLUBLE INSULIN 50

PERCENT WITH

INSULIN ISOPHANE 50

PERCENT

40 iu/ml 10ml Keep

at2°C to 8°C

SC 100iu/ml in

place of

40IU/ml

3ml Cartridge

in place of 10ml

vial

21 I-164 METHYLPREDNISOLO

NE SUCCINATE

SODIUM

1gm/ml 8ml ACT-O-

VIAL

IV 1gm/8ml in

place of

1gm/ml

30 I-225 ANTI SERUM

Polyvalent Equine

Purified Concentrated

Liquid of Anti Gas

Gangrene Sera(anti gas

gangrene serum)

30000 IU 1ml SC IM/IV in place

of SC

31 I-233 IMMUNOGLOBULIN(

ANTI- TETANUS)

250IU 1Dose

Injection Keep

at2°C to 8°C

SC/IM/IT IM/ IT in place

of SC/IM/IT

32 I-239 IMMUNOGLOBULIN(

ANTI- TETANUS)

500IU 1Dose

Injection Keep

at2°C to 8°C

SC/IM/IT IM/IT in place

of SC/IM/IT

34 I-249 Vaccine H1N1 Influenza 0.5ml TRIVALENT

SPLIT

VRION

Injection

SC/IM IM in place of

SC/IM/

35 I-253 VACCINE TENTANUS

TOXOID

0.5ml 5ml SC/IM IM in place of

SC/IM/

36 I-238 vaccine Pneumococcal Polysaccharide conjugate (adsorbed)

One dose(0.5ml)contains 1Microgram of polysaccharide for serotypes 1,5,6B,7F,9V,14,23F & 3microgram of serotypes 4,18C,19F.Serotype 1,4,5,6B,7F,9V,14,23F are conjugated to protein D-(derived

0.5 ml, Vial SC/IM IM in place of

SC/IM/

37 I-249 Vaccine H1N1 Influenza 0.5ml TRIVALENT

SPLIT

VRION

Injection

SC/IM IM in place of

SC/IM/

38 I-253 VACCINE TENTANUS

TOXOID

0.5ml 5ml SC/IM IM in place of

SC/IM/

68 I-123 ANTI HAEMOPHYLIC

FACTOR IX

250- 400 IU Lyophilized

powder Keep

at2°C to 8°C

IV 600IU in place

of 250- 400 IU

69 I-124 ANTI HAEMOPHYLIC

FACTOR VIII

600 IU Lyophilized

powder Keep

at2°C to 8°C

IV 250IU in place

of 600 IU

79 I-230 HUMAN NORMAL

IMMUNOGLOBULIN

16.5% w/v 2ml SC 5% in place of

in place of 2ml

& IV in place

of SC 16.5%,

50ml

fuEu vkbVe dks okil fy;k tkrk gSA

16 I-100 AMIODARONE

HYDROCHLORIDE

50 mg./ml. 3ml

74 I-189 HYDROXYPROGESTERONE

CAPROATE

250 mg/ml 5ml

83 I-76 INSULIN NEUTRAL/

ISOPHANE

25%/75%

40IU/ml, 3ml

CARTRIDGE Keep at2°C

to 8°C

fufonk izi= ds rhu layXud la”kksf/kr :Ik esa iqu% viyksM fd;s tk jgs gSA

ANNEXURE – XIII List of Items quoted This is to be submitted in the excel sheet (Annexure XIII). Please note this is different from excel sheet for submitting rates - “BOQ”

TECHNICAL BID (This Technical template must not be modified/replaced by the bidder and the same should be uploaded after filling the relevant columns, else the bidder is liable to be rejected for this tender. Bidders are allowed to enter the Bidder Name and Values only)

To Be Filled By Bidders

Sl. No.

Item name and Description

Code

Quantity Unit EMD License No. at page no.

Form-10 in case of imported product at page no.

Manufacturing and Marketing cert. at pg no.

Annual Production Capacity, With page no

1 2 3 4 5 6 6 7 8 9

1

2

3

ANNEXURE: XV INSTRUCTION REGARDING PRICE BID

To be submitted, in the given format of BOQ. BOQ Format: (With example below)

S.No

Description

Item Code

Qty.

Units

Basic Rate per unit

(INR) Ex-

Factory

Excise

Duty

Basic Rate + Excise duty

VAT

Total cost per unit up to destination (All inclusive)(INR)

NOTE :- 6. Rate quoted should be inclusive of all duties, surcharge, vat, cess, levies, freight,

loading, unloading, insurance, octroi, road permits, packing etc.

7. Bidder should quote firm rates. No condition like discount / free goods / additives

will be accepted.

8. Rate should be quoted according to unit and specifications asked for.

9. The rates quoted by the bidder shall not in any case exceed the controlled price, if

any, fixed by Central/ State government and Maximum Retail Price (MRP).

10. Bidder must fill one sheet per item quoted.

Annexure-XVII Check List

The Tenderers are hereby instructed to submit the following documents as per the checklist and must mention the page numbers against each column of the checklist. The documents should be page numbered & arranged serially, self attested and stamped by the authorized signatory.and also attested by public notary or Gazetted officer All annexures and Checklist sheet is mandatory to fill & the documents of technical bid

should be arranged in accordance to checklist

SN Terms and Conditions of Tender Yes/No Page no. Remarks

1 Tender Submitted as: (A) Manufacturer

2 EMD details

3 Registration with DI (SPS) Kanpur/NSIC/DGS&D if

taking EMD relaxation

4 Company’s First Manufacturing License

5 Manufacturing License renewal & up to date validity

6 Good Manufacturing Practice Certificate G.M.P./W.H.O. G.M.P.

Certificate (For manufacturer Only) issued by the Concerned

Licensing Authority..

6a Good Laborites Practice Certificate (G.L.P. Certificate) (For

manufacturer Only) issued by the Licensing Authority.

7 (For I.V. Fluid only) Have you provided certificate from drug

controller of state Verifying FFS technology is being used in the

manufacturing of IV Fluids.

8 Attested photocopy of licenses for the product dully approved by the

Licensing authority for each and every product quoted attached or

not.(The license must have been duly renewed up to date and the items

quoted shall be clearly highlighted in the License.)

9 Market standing certificate issued by the licensing authority as a

manufacturer to each drug quoted for the last 3 years. In case of direct

importer, evidence for importing the said items for the last 3 years

10 Production Capacity certificate by drug Controller

11 Attested Photocopy of import license if the product is imported. The

license must have been renewed up to date. A copy of a valid license

for the sale of Drugs imported by the firms issued by the licensing

authority shall be enclosed. For confirmation of imported item

(complete or partial) Tenderer must furnish certificate issued by the

competent authority. Above documents attached or not.

12 Non-Conviction certificate (not old than 6 months) issued by the drugs

controller of the state certifying that the drugs quoted have not been

cancelled for last 3 years

13 Certificate with License for DEPOT in Uttar Pradesh State.

14 Annual turnover statement for last 3 years in the format given certified

by the auditor

15 Are copies of balance sheet and profit or loss account for last 3 years

attached or not (all copies to be certified by the auditor.)

16 Trade Tax clearance certificate, as on 31.03.2014 attached or not (as

per form attached in (Annexure-XII)

17 PAN No-

18 Acceptance Letter to print UPG on strip & outer cartoon

19 Agreement of NABL approved lab for testing of Drugs

20 Are you ready to deposit analytical testing fees?

21a The instruments such as power of attorney, resolution of board etc.

authorizing an officer of the Tenders should be enclosed with the

tender and such authorized officer of the Tenderer should sign the

tender documents. Above mentioned instruments (if required)

Attached or not. (Annexure VIIIB & VIIIC)

21b Attach MOU/ article/proprietorship certificate/partnership deed to

clarify 21a

22 Authorization letter nominating a responsible person of the Tenderer

to transact the business with the tender inviting authority attached.

(Y/N).

23 Documents, if any, to show that the manufacturing unit/importer have

been recognized, by WHO, UNICEF, ISO certificate etc. attached if

recognized (Y/N)

24 Is the tender documents signed by the Tenderer in all pages with office

seal?

25 Have you quoted the rates not higher than L-1 rates of D.P.C.O. /

Hospital rates/ESI/DGS&D and if yes then have you provided an

affidavit regarding the same on Rs. 100/-Stamp paper.

26 Have you quoted the rates of supply to Field Unit………………..

27 Have provide certificate from drug controller verifying that quoted

items have not been found "not up to the standard" in last 3 years.

Signature of Officer :-

“ks’k fu;e o 'krsZ ;Fkkor jgsxhA

funs'kd] ¼Hk.Mkj½

i`"Bkadu&8Q@vkj0lh0&742@ 688&695 rnfnukad

izfrfyfi fuEufyf[kr dks lwpukFkZ ,oa vko';d dk;Zokgh gsrq izsf"kr %&

1- funs”kd] lwpuk ,oa tu&lEidZ foHkkx] m0iz0] y[kuÅ dks bl vk”k; ls izsf’kr fd mDr

lalksf/kr frfFk dks rRdky izdkf”kr djus dk d’V djsaA vkj0vks0 ua0&103266

2- la;qDr funs”kd ¼eq[;ky;½] LokLF; Hkou] y[kuÅ dks bl vk”k; ls izsf’kr fd d`i;k mDr

lwpuk dks egkfuns”kky; ds lwpuk&iV ij pLik djkus dk d’V djsaA

3- bf.M;u Mªx eSuqQSDpjj ,lksfl;s”ku] 102 iwue pSECkj] *,* foax QLVZ QYkksj Mk0,0ch0 jksM+

okjyh eqEcbZ&400018

4- cYd Mªx eSuqQSDpjj ,lskfl;s”ku] lh&25 bUMlfVª;y LVsV luFk uxj gSnjkckn&500018

5- Mªx fu;a=d] txr ujk;u jksM+ m0iz0 y[kuÅ dks bl vk”k; ls izsf’kr fd lHkh jkT; ds

Mªx fu;a=dksa dks vius Lrj ls lwfpr djus dk d’V djsaA

6- vks0vkbZ0lh0lh0] m0iz0 “kklu dks bl vk”k; ls izsf’kr fd mijksDr fufonk ds la”kks/ku

foHkkxh; osCklkbV ij rRdky yksM djus dk d’V djsaA

28 Have you provided affidavit duly certified by notary that no court

case/vigilance case/CBI Case is pending against the firm.

29 Have you deposited the sealed 5 units of samples of all the items

quoted in C.M.S.D. (stores) and attached the list of items indicating

batch no. date of manufacturing and the date of Expiry

30 Have you attached the following documents duly attested by the

gazetted officer with the tender:

A) Original & Duplicate copies of the tender form.

B) Copy of Trade Tax Registration Certificate.

C) Have you Submitted duly filled Statement "A" and "B" on the

prescribed Proforma ?

D) One Copy of wholesale/ hospital price list of the Manufacturing

firm.

E) Affidavit regarding lowest rates on prescribed Proforma .

F) List of items quoted

31 If Items quoted in the tender are approved in any rate contract in your

favor then please submit attested copy of the rate contract.

32 Have you ensured that all the specification are same as mentioned in

the drug license, list of stores and (G.M.P. /W.H.O. G.M.P. and

G.L.P.) (time being enforced) and in the list of items circulated along

with the tender. Indenting its serial no.?

33 Have you ensured that all the copies of the documents submitted by

you are being duly attested by the Gazetted officer?

34 Have you registered with department CMSD

35 Excise free certificate /declaration

36 All annexure and declaration as per tender form

7- lEcfU/kr QesZA

8- xkMZ QkbyA

funs'kd ¼Hk.Mkj½