National Rural Health Mission - · PDF fileNational Health Mission ... Affidavit as per Annexure III that the firms have not been black listed/debarred by any Govt. undertaking. xii)

1 Seal & Signature of the Bidder

State Health Society,

National Health Mission,

HEALTH DEPARTMENT, HARYANA

BAYS NO. 55-58, SECTOR-2, PANCHKULA

Tel. No. 0172-2573922/ Fax: 0172-2562939

TENDER FOR CLOSED USER GROUP (CUG) Mobile Telephone Connections

APPROX. 25,000 (GSM SIM CARDS)

Cost of Tender Document: Rs. 1000/-


OFFICE OF MISSION DIRECTOR, NATIONAL HEALTH MISSION, HARYANA, BAYS NO. 55-58,

SECTOR-2, PANCHKULA, Tel. No. 0172-2573922

Following table brings out the dates for main events of the bidding process for this RFP.

The Bidder should note that the Purchaser reserves the right to change these dates

without assigning any reason at any stage of the bidding process.

Sr.

Information

Details

1

Name of the Assignment

Providing approx. 25000 POST PAID GSM SIM Cards under CUG (Closed User Group) connections to NHM Employees

2

Cost of Bid Document Rs. 1000/- Paid through Cash/DD, in favor of "State health society,

Panchkula” payable at Sector 2 National Health Mission, Panchkula 3.

Pre Bid Meeting

24-02-2014 at 1500 Hours(Conference Hall) Bays no 55-58 Sector 2 Panchkula.

4 Date and Time for Submission of Bids

30-03-2015 at 1500 Hours in Office of National Health Mission, Bays no 55-58 Sector 2 Panchkula

5 Bid Security / Earnest Money Deposit (EMD)

Rs. 2,00,000 /-(Rs. Two Lacs Only) paid through DD

6 Addressee and Address at which Bid is to be submitted

Mission Director, National Health Mission, Bays no 55-58 Sector 2 Panchkula Telephone no:0172-2573922


1. Mission Director, NHM, Haryana hereby invites Tender for approx 22000 to

25000/- (Twenty five thousand) Mobile phone connections (GSM SIM CARDS)

on GSM Network in the State of Haryana for under free closed user group (CUG)

post paid plan for prompt and efficient communication.

Section 2: Scope of Work

2.1 The bidder shall provide free outgoing and incoming calling on all CUG Numbers

including all circles (i.e Punjab,Haryana,Delhi) in entire State of Haryana.

2.2 The service provider must have connectivity/operational in all

areas/blocks/districts of the State of Haryana.

2.3 The bidder needs to provide GPRS services on the CUG numbers as per

requirement of NHM (Tentative 10% to 15%) on rental within monthly limit of

CUG.

2.4 The rental of the CUG shall be fixed and no extra billing will be allowed other

than quoted rates.

2.5 Existing 25000 approx.CUG numbers of Airtel, in case of change of service

provider are to be ported, by the vendor winning the contract at its own level.

2.6 No other chargeable service in any other form shall be activated in CUG numbers

other than the Fixed Rental / Billing CUG / Billing GPRS.

2.7 The Service provider has to give 300 free text SMS per month on all CUG

numbers including all circles (i.e. Punjab, Haryana, Delhi) in entire State of

Haryana.

Section 3: Eligibility Criteria of Bidders:

3.1 The bidder along with the associates if any shall be a GSM Mobile service

provider, operating in the whole State of Haryana having atleast 95% or more

network coverage in the entire State. The Bidder must be providing

uninterrupted communication and shall ensure good signal strength across the

State. Further the bidder must enclose the relevant details and shall submit an

affidavit for having 95% network coverage in entire State of Haryana and any

other document supporting the confirmation. In case of any specific area wherein


there is ineffective service, the service provider shall endeavor to redress the

complaint within two weeks by installing booster/antenna or any other required

at its own cost.

3.2 The bidder should have its office in tricity (Chandigarh/Panchkula/Mohali)

operational for atleast past 5 years. The Bidder should submit the copy of

license issued from Telecom regulatory authority of India (TRAI) to operate &

provide its telecom services in 21 Districts of Haryana State.

3.3 The bidder must provide a full time Service Manager at State level and one

person at each District level who:

a) Should be responsible for all the relevant issues like billing issues,

payments, issuing of new sim cards in case previous sim card damaged or

lost, mobile number /sim card swapping, suspension or restoration, no

network or signal related issues.

b) Must be available during standard business hours (9.00 am to 6.00 Pm)

via email/telephone/SMS. There must be a specified individual to serve

as backup during vacations and other times if the named Service manager

is not available. Further the alternate manager must be able to be reached

for emergency purposes during off hours.

3.4 Bids of bidders quoting as authorized representative of the original Mobile

Service Providers can be considered, provided the bidder furnishes a legally

enforceable authorization from the Original Mobile Service Provider in the

prescribed form (Annexure- II).

3.5 The signatory of offer shall enclose power of attorney/authorization letter issued

in his/her name .All pages of offer shall be signed and stamped by the bidder.


3.6 The Annual turnover of the bidder in the financial year 2013-14 should not be

less than Rs.10 Crores (Ten Crores) per year.

3.7 The bidder firm should not have been blacklisted /debarred by any Central Govt

or State Govt. organization. The bidder should also submit an affidavit to this

effect. (As per format provided at Annexure-III).

3.8 The Bidder firm must support Unstructured Supplementary Service Data (USSD)

protocol/ services.

Section 4: Terms and conditions for successful bidder:

4.1 Sims cards shall be 64 k and no handling, clearing; transport charges etc will be

paid.

4.2 Outgoing calls rates shall be same for all type of calls i.e: within network, outside

network to mobile and to landline phones.

4.3 Standard credit limit shall be assigned to all the numbers. Prior information must

be given to Users through call/SMS, if the number exceeds its usage from the

assigned credit limit.

4.4 No promotional or marketing SMS/call should be received on CUG number.

DND service should be activated forever on all CUG numbers.

4.5 All numbers will be activated under single corporate account.

4.6 Complete support in tracking of mobile phones in case of loss.

Section 5: Procedure for submission of Bid:

Offers are to be submitted in two separate envelopes Super Subscribed as


“Financial Bid” and “Technical Bid”.

5.1 Financial bids of only those bidders would be opened who fulfill the

qualification criteria and are declared qualified in Technical Bid. The evaluation

process shall be done by a duly constituted Committee of NHM.

5.2 Technical Bid in Annexure –I (along with all the required documents), duly

signed and EMD should be put in one separate cover and wax sealed (Cover-A).

This cover should be superscripted as:

"Technical Bid for CUG (GSM SIM CARDS)"

5.3 Financial Bid in Annexure VII should be put in another separate cover and wax

sealed (Cover-B). This cover should be superscripted as:

"Financial Bid for CUG (GSM SIM CARDS)"

5.4 Both the above said Sealed Covers i.e. Cover – A & Cover – B be then put in

another separate big cover (Cover – C) and properly wax sealed. This third

cover should be superscripted as:

“Tender for 25000 CUG Mobile Phone Connections”

Important Note: Any deviation from this procedure, or putting together of

Technical and Financial bids in same cover or non submission of complete

documents in (Cover – A) and/or submission of Financial Bid in an unsealed

manner would lead to rejection of Offer/Tender/Bid.

5.5 The Offer/Tender should be dropped in the locked sealed Tender Box placed in

the O/o Mission Director, NHM (Haryana), Bays No. 55-58, Sector-2,


Panchkula kept at reception area near the entrance gate. Tender should be

dropped latest by 1500 Hours on 30-03-2015 .Tender box will be opened at

1515 hrs sharp by the duly authorized officer/team of officers of NHM in the

presence of all such bidders who wish to be present. Late/delayed offers shall

not be opened/ entertained under any circumstances. Offers received by due

time and date will be opened (for the Technical Bids only) in the Conference

Hall, NHM at 1515 Hours on 30-03-2015 itself. Authorized representatives of

the quoting parties may witness the offer opening (Technical Part), if they so

wish. Financial Bids (of those who qualify in the technical bids evaluation

stage) will be opened later, date of which will be intimated to the technically

qualified bidders separately. In the event prices are indicated by the party in the

Technical Bid, the Offer shall stand rejected.

Tenders complete in all respects, along with requisite documents, can also

be sent by ‘Registered’ or “Speed Post” in the following name and

address:

To

Mission Director, NHM, Haryana.

Bays No. 55-58, Sector-2,

Panchkula.-134109.

5.6 Technical bid should be in the format given in Annexure-I, duly filling in all

columns and duly signed by the bidder/his authorized signatory on each page

and should be accompanied with the following documents:

i) Offer Letter

ii) This Tender/Offer document (duly signed) in token of acceptance of Terms &

Conditions.

iii) EMD amount of Rs. 2,00,000/-

iv) Tender Fees of Rs. 1000/- (either cash receipt, or original Bank Draft)

v) Performance statement along with copy of client satisfactory Certificate and

Purchase orders. (Annexure VI)

vi) Authorization to a responsible officer of the organization for signing bid

documents.(Annexure II)


vii) List of service centers in entire State of Haryana.

viii) Documentary evidence for the Constitution of the firm.

ix) Audited annual statement for the FY 2013-14.

x) Copy of Income Tax Return for the FY 2013-14.

xi) Affidavit as per Annexure III that the firms have not been black listed/debarred

by any Govt. undertaking.

xii) Declaration form in Annexure IV for acceptance of all tender conditions.

xiii) Certified copy of PAN Card.

xiv) Certified copy of Service tax number.

xv) Proof of operation in whole State of Haryana-Copy of License issued by TRAI.

xvi) Affidavit as per Annexure VIII “A” along with format at Annexure VIII”B”

that the firm is having 95 % or more network coverage in entire State of

Haryana.

5.7 The bidder to be eligible for technical qualification MUST satisfy the all

conditions /qualification criteria. It is reiterated that any bid not fulfilling any of

the essential requirements mentioned in this tender document would be

classified as “Technically Not Qualified” and rejected. Financial bids of such

bidders will not be opened. (However, sealed financial bids of such bidders

shall be kept by NHM for record without opening and will not be returned to the

bidders). Important conditions/essential requirements for technical qualification

are enumerated below. Any bidder not fulfilling any of these

conditions/requirements would be classified as ‘technically disqualified’.

5.8 A complete set of bidding documents specifying eligibility criteria,

specifications and other terms and conditions applicable for the above

procurement may be obtained from O/o Mission Director, NHM-Haryana, as

per address mentioned above from 17-03-2015 to 27-03-2015 between 10:00

a.m. to 4:00 p.m. on any working day upon payment of Rs. 1000/- towards

Tender document cost in cash or demand draft payable in favour of “State

Health Society, Haryana” payable at Panchkula.

5.9 The tender document can also be downloaded from Website

www.nrhmharyana.gov.in In case the downloaded tender document is used

for submission of bids, the tenderer has to submit along with tender, a demand


draft/Cash amounting of Rs. 1000/- (Rs One thousand only) in favour of “State

Health Society, Haryana” payable at Panchkula towards tender document

cost. The tender not accompanied by tender document cost or EMD prescribed

in the tender document will be straightway rejected.

5.10 All the requisite documents must be attached with the bid submitted.

Section 6: Evaluation of Technical bids:

6.1 The eligibility criteria will be first evaluated as defined in Notice Inviting

Request for Proposal for each bidder. Detailed technical evaluation will be

taken up in respect of only those bidders, who meet with the prescribed

eligibility criteria. Scrutiny of the tender document will be done by the

Selection Committee to determine whether the documents have been properly

signed, Earnest Money Deposit (EMD) paid and all relevant papers submitted.

Tenders not conforming to such requirements will be primafacie rejected.

6.2 Technical Bid may not be considered for evaluation in any of the following

cases:

A. Bidder has not submitted bid security.

B. The Technical Bid was submitted in the wrong format; or

C. The Technical Bid included details of financial bid; or

D. The Technical Bid reached the Authority after the submission closing time

and date specified in the Data Sheet.

E. After the technical evaluation is completed, the Authority shall notify

Bidders whose Bids meet the minimum qualifying technical criteria.

6.3 Technical Evaluation


A. All the bids (applications) will be evaluated based on the Eligibility Criteria.

B. The Selection Committee will short list those companies which are satisfying

the Eligibility criteria in all respects and declare the companies which are

technically qualified for further evaluation.

. C. The Selection Committee would first thoroughly check the technical bid form

and supporting documents and shortlist the eligible agencies based on the

technical eligibility criteria.

Section 7:General Terms and Conditions

7.1 Bidder should be responsible for porting approx 25000 mobile numbers from

our existing service provider i.e M/S Bharti Airtel network to its own network.

7.2 Offer must be legible, clear and free from overwriting and cutting, incomplete

offers are liable to be rejected. Offer/Rates must be provided in the enclosed

formats Price bid form.

7.3 Offers shall be valid for period of 3(Three) months from the date of bid

opening.

7.4 Offer must be clear and complete in all respects, no such amendments/hidden

cost /additional cost, charges; Taxes etc. will be entertained after submission

of offers.

7.5 At any time prior to the date of submission of bid, NHM may for any reason,

whether at its own initiative or in response to a clarification sought/requested

by a prospective bidder, modify the bidding documents by an amendment. All

prospective bidders who have received the bidding document will be notified


of the amendment in writing/through e-mail/website and same will be binding

on them. In order to allow reasonable time, for taking the amendment into

account, NHM may at its discretion, extend the date and time for submission

of bids.

7.6 Bid(s) received after the time and date specified for receipt of tenders will not

be entertained.

7.7 NHM Haryana reserves the right to cancel this invitation and / or invite fresh

Proposals with or without amendments to this invitation, without liability or

any obligation for such invitation and without assigning any reason.

7.8 Mission Director, NHM, Panchkula reserves the rights to accept/reject any or

all the bid(s) without assigning any reason.

7.9 Rates quoted/finalized will remain valid atleast for 3 years (Three Years). It

may be noted that any changes/modification (increase) in the free talk time

announced by the operator would automatically be applicable to all CUG

subscribers under this scheme. Similarly downward revision of call charges

announced by the operator would automatically be applicable to constitute of

the CUG in the same ratio under the scheme. Further in case of increase in

call charges in future, during this period, the quoted/finalized rates shall not

be increased.

7.10 NHM, Haryana will not pay any cost for toward SIM charges, (security

deposit Local/STD) and installation/activation charges. SIM cards are to be

issued in the name of NHM society, Health Department, Haryana. No

roaming charges to be levied in the entire State of Haryana including all

circles for CUG services.


7.11 The Vendor shall issue new connection on request of NHM within 2 days.

This includes delivery of sims and activation of the sim within the stipulated

period.

7.12 The number of connections may be increased or decreased by 20% at any

time at the discretion of the NHM, Haryana. If NHM, Haryana wants

additional nos. of connection, service provider shall provide additional

connections at same rates/terms as finalized.

7.13 The service provider will raise a single bill for facilitating the payment in the

name of Mission Director, NHM, and Haryana along with the usage details

of all mobile connections (District, Health block wise) without any extra

charges. Payment will be made after examination of the bills.

7.14 No VAS (Value Added Services) i.e (Hello tunes, Game shows, Internet)

facility be provided on any of the CUG Sim until the request is forwarded

from NHM. In case any VAS activated on CUG Sim without prior

permission from NHM no payment will be made.

7.15 The NHM, Haryana may terminate the contract any time in case the services

of the vendor are not found satisfactory or any reasons by giving one month

prior notice to the service providers.

7.16 No bid conditions like “AT CURRENT MARKET RATES” shall be

accepted. No handling, clearing, transport charges etc., will be paid. The

deliveries should be made as stipulated in the purchase order placed with

successful bidders.


7.17 No bidder will be allowed at any time on any ground whatsoever to claim

revision of or modification in the rates quoted by him. The representation

of the bidder that clerical error, Typographical error etc. has been

committed in the bid and request for revision shall not be considered after

opening of the bid. Conditions such as “SUBJECT TO AVAILABILITY”

“SUPPLIES WILL BE MADE AS AND WHEN SUPPLIES ARE

RECEIVED” etc., will not be considered under any circumstances and the

bids of those who have placed such conditions shall be treated as

incomplete and such bids, shall be summarily rejected.

7.18 NHM reserve the right to withhold 5% of the monthly bill amount incase

any specific complaint has not been entertained and rectified within two

weeks of the complaint.

Section 8:Other terms & Conditions

8.1 The bidders are further advised to browse web site regularly before the

opening of tender for any amendments/latest up-dates etc.

8.2 In any case the tender opening day is declared as a holiday in Haryana

Govt. offices than the next working day will be treated as receipt and

opening day at the same time & venue.

8.3 The vendor shall provide the duplicate Sim/Blank Sim at free of cost, in

case of damage & lost within 2 days from request receiving date.

8.4 If any SIM replacement is required due to number Portability, same shall

be offered free of cost to NHM.


8.5 The service provider will provide a clear dashboard in NHM for visualize

the usage of CUG Numbers on monthly basis.

8.6 If some other service provider is selected after the expiry of contract, then

all the number of CUG will be allowed to be used/ preferred to new service

provider, and same be ported to new Vendor.

8.7 A dedicated person form the service provider will sit in NHM, SHQ and

resolve the complaints. His/ Her number will be disclosed to all Sims users

in state of Haryana.

Section 9 Contract period:

9.1 Initially for three years, extendable from year to year, subject to satisfactory

performance during the contract period.

9.2 If the Vendor fails to perform the services within the stipulated delivery

period or within any extension period granted by the Purchaser, the

purchaser will be at liberty to terminate the Contract without prejudice to any

other Rights that the purchaser may have against the supplier as per

provisions of the Contract.

9.3 The Mission Director, NHM-Haryana, Panchkula will be at liberty to

terminate without assigning any reasons thereof, the contract. The bidder will

not be entitled for any compensation whatsoever in respect of such

termination.

9.4 Non performance of contract provisions may disqualify the successful bidder

to participate in the tender for the next five years.


Section 10: EMD

10.1 A sum of Rs. 2,00,000/- (Rs. Two lacs Only) must be deposited by the bidder

as Earnest Money Deposit (EMD) in the shape of Bank Draft in favour of

State Health Society (SHS), Haryana payable at Panchkula. The demand

draft of EMD must accompany the technical tender, without which the tender

will not be considered.

10.2 Bid security shall be forfeited in the following cases:

10.3 If the bidder withdraws its proposal during the interval between the proposal

due date and expiration of proposal validity period;

10.4 If the successful bidder fails to provide the Performance Guarantee and execute

the agreement with NHM, Haryana within the stipulated time or any extension

thereof provided by NHM, Haryana.

Section 11: Price Bid/Proposal Evaluation:

11.1 The price bids of the bidder meeting the eligibility criteria as per documents

submitted in cover “A” will be evaluated only on the basis of call/pulse

charges per second for outgoing calls for all type of calls i.e. within network,

outside network, to mobile and to land line phones.

11.2 The bidder should not give any monthly rental (Zero Rental) and no charges

for SMS beyond 300 Free SMS.

11.3 In case if, in price bid the quoted rate for call/pulse Charges-(per second) to all

phones (Mobile to mobile (GSM/CDMA) as well as landlines,outside CUG

including own-net & off-net comes to be equivalent to lowest rate (L1) i.e

lowest tendnerer, then a negotiation process would be initiated with all the


bidders who had quoted equivalent to lowest quoted equivalent to lowest

quoted rate ( lowest tenderer),bid will be awarded to bidder who had quoted

lowest negotiated rates before the negotiation committee.

Section 12:PERFORMANCE SECURITY (SECURITY DEPOSIT)

12.1 The Successful bidder shall within 14 days of the issuance of Notification of

Award submit Performance Security Deposit equivalent of Rs. 20 lac (Rupees

Twenty Lac only). The Performance Security shall be denominated in Indian

Rupees and shall be in one of the following forms:-

a) An irrevocable bank guarantee issued by a nationalized/ scheduled bank

located in India in the format provided in the Bidding Documents (Annexure

–V) ; or

b) Bank Draft/Demand Draft drawn in favour of “State Health Society”,

Haryana payable at Panchkula.

12.2 This performance security amount will be refunded after satisfactory

completion of service agreement.

12.3 The performance security amount, if provided, in shape of Bank Guarantee,

the validity of the same should be valid for 60 days beyond the contract

period, the Bank Guarantee valid for a shorter period will be considered as

major deviation and could lead to termination of contract and forfeiture of

EMD.

12.4 In addition to other penal action, if the supplier fails to perform the services as

per terms and conditions of contract, it will lead to termination of the contract

and the performance security amount will be forfeited.


Section: 13 Notification of Award

13.1 The Purchaser will award the Contract to the successful Bidder whose bid has

been determined to be Responsive/Substantially Responsive and has been

determined as the lowest evaluated bid, provided further that the Bidder is

determined to be qualified to perform the Contract satisfactorily.

13.2 The purchaser will issue notification of Award to the lowest evaluated bidder

which will tantamount to formation of Contract and will be governed by all the

terms and conditions stipulated in this Bid document.

Section: 14 Acceptance of Tender

14.1 The acceptance of the tenders shall be communicated to the bidder in

writing/uploaded on the website.

Section: 15 Delivery Conditions

15.1 Delivery is F.O.R. Destination at O/o Mission Director, Paryatan Bhawan,

Bays No.55-58, Sector-2, Panchkula and O/o Civil Surgeon located at each

Districts within 10 days from the issuance of Award.

15.2 If the supplier fails to execute the purchase order within the stipulated time,

the NHM, Haryana, Panchkula is empowered to impose penalty @ Rs.

5000/day for delay & Rs. 500/day in case of short supply more than

10%.Overall penalty is limited up to Performance Guarantee (PG) of Rs 20

Lac.

15.3 The deliveries shall be made strictly as per the purchase order.


Section: 16 Validity of Rates after acceptance of tender

16.1 The rates quoted for service charges i.e. rent, call rates, SMS in r/o Successful

bidder should be valid for 36 months from the date of issuance of Notification

of Award”.

Section: 17 Continuances

17.1 The maximum monthly bill (including fixed rent, call charges etc but

excluding Service tax as applicable) should not exceed with credit limit of per

connection/user. Once the maximum is reached the service provider should

stop the outgoing calls outside the CUG. However free SMS service upto 300

SMS, in coming SMS, incoming calls and CUG (incoming and outgoing in all

circles) calls must continue in all the cases and should not be barred /stopped

unless specifically instructed by the SHS, Haryana to the successful bidder for

doing so. No Value added services should be activated on any mobile number

without specific and written request from the department.

Section: 18 Payment Provisions

18.1 The service provider should raise monthly consolidated itemized bill in excel

format for all the connections. The period of billing is from 1st of every month

to end of every month to the NHM, Haryana (ex: 1st to 31st March).

18.2 Furnishing of any wrong information, declaration, forged documents or false

affidavit by the bidder to win the tender may lead to forfeiture of EMD

submitted by such bidder and the bidder may also be Blacklisted for

participating in any tender floated by the NHM either permanently or for a

specified period of time as deemed fit by the Mission Director, NHM,

Haryana, Panchkula.


18.3 If the successful bidder fails to execute the Award and /or deposit the required

performance security deposit within the time specified or withdraws his tender

after the intimation of the acceptance of his tender has been sent to him owing

to any other reasons, he is unable to undertake the contract, his contract will

be cancelled and the Earnest Money Deposited by him along with his tender

shall stand forfeited to the NHM-Haryana, Panchkula. and he will also liable

for all damages sustained by the NHM by reasons of breach such as failure to

provide services not conforming to the tender specifications, including the

liabilities to pay any differences between the prices accepted by him and those

ultimately paid for the procurement of the services concerned. Such damages

shall be assessed by the Mission Director, NHM, Haryana, Panchkula whose

decision is final in the matter. The Earnest Money Deposit/ Performance

Security of the bidder may also be forfeited in case the bidder submitted

any wrong information/Affidavit in the bid.

Section: 19 Force Majeure

19.1 Force Majeure means an event beyond the control of the supplier and not

involving the supplier’s fault or negligence and not foreseeable. Such event

may includes but are not limited to, acts of the purchaser either in its sovereign

of contractual capacity, wars or revolutions, fires, floods, epidemics,

quarantine restrictions and freight embargoes. If a Force Majeure situation

arises, the Supplier shall promptly notify the Purchaser in writing of such

condition and the cause thereof. The Purchaser shall evaluate the situation and

may at its discretion extend the Supplier’s time for performance, with or

without liquidated damages, in which case the extension shall be ratified by

the parties by amendment of Contract. Unless otherwise directed by the

Purchaser in writing, the Supplier shall continue to perform its obligations

under the Contract as far as is reasonably practical and shall seek all


reasonable alternative means for performance not prevented by the Force

Majeure event.

Section: 20 Jurisdictions

20.1 No suit, prosecution or any legal proceedings shall lie against NHM, or any

person for anything that is done in good faith or intended to be done in

pursuance of tender.

20.2 In the event of any dispute arising out the tender such dispute would be subject

to the jurisdiction of the Civil Court within the Panchkula.


ANNEXURE ‘I’ Subject: Tender for approx 25000 CUG GSM sim cards by NHM, Haryana.

TECHNICAL BID

(Attach extra sheets, duly signed, if required)

Sl. No. PARTICULARS Details

(Please tick / fill up with

relevant answers, wherever

required)

1.1 Name of the person / party submitting the

bid (hereinafter referred to as the bidder or

operator)

1.2 Name of the firm in which service

provider business is being done (if different

from 1.1 above) (e.g. there may be a

situation where a partnership firm or

company with a particular name is

undertaking multiple Businesses in

different names.

2. Status of the bidder (Individual /

Partnership Firm / Company / Society /

Any other (Specify)

3. Are you submitting bid on your own

behalf or as Power of Attorney/Authorized

signatory of somebody else (Specify

clearly).

4. CONTACT DETAILS OF THE BIDDER

4.1 Name

4.2 Complete Postal Address (with Pin Code)

4.3 Telephone Nos. with STD code, including

Mobile Number

4.4 Fax Nos. with STD code and e-mail

address

(if any)

5. If the bidder is Power of Attorney

Authorized signatory of somebody else,

Contact details of the principal on whose

Behalf bid is submitted

5.1 Name

5.2 Complete Postal Address (With Pin Code)

5.3 Telephone Nos. with STD code, including

Mobile Number

5.4 Fax Nos. with STD code, e-mail address

(if any)


A. Annual turnover for the following years (financial year from April 1 to March 31)

Sl.

No.

Year Annual Turnover (Rs.

Lakhs)

1) 2012-13

2) 2013-14

(Please enclose Account / Audited Statements for the last 2 years)


ANNEXURE-II

SERVICE PROVIDER’S AUTHORIZATION FORM

No.______________ Dated________________

To

Dear Sir,

Bid Ref. No. _________________________________________________

We ______________________________________________ who are established and reputable

service providers of ______________________ having company outlets at ______________________

Registered office at _________________________ possessing License No.

_____________________________, dated _____________, valid up to __________________________

(copy enclosed) do hereby authorize M/s _________________________________________________

(Name and Address of Representative) to submit a bid, and subsequently negotiate and sign the contract

with you against the above mentioned tender.

No company or Firm or individual other than M/s ______________________________ are

authorized to bid, negotiate and conclude the contract in regard to this business against this specific tender.

We hereby extend SIM connection offered for supply against this invitation for bid by the above

firm.

Place : …………

Date: …………. Seal and signature of authorized person

Name ……………………………….

Designation …………………..

Contact No. …………………….


ANNEXURE-III

PROFORMA OF AFFIDAVIT REGARDING BIDDER NOT BLACKLISTED/DEBARRED

I__________________________________________S/O,W/O____________________________________,

______________________(Designation of Deponent) of _________________________________ (name

and complete address of the bidder firm) is authorized signatory of the firm

________________________(Name of the bidder firm) , do hereby solemnly affirm and declare as

under:-

That the firm ____________________________(Name of the firm) or its Directors/Partners/Owners

have never been blacklisted or debarred by any Govt. undertaking.

DEPONENT

VERIFICATION

Verified that the contents of the above affidavit are true to my knowledge and belief and nothing has

been concealed therein.

DEPONENT


ANNEXURE – IV

DECLARATION FORM

I/We ________________ have our ____________________________________ office at

______________________________________ do declare that I/We have carefully read all the

conditions of bid documents and hereby agree to all the conditions and abide by all the conditions set

forth therein, for the supply to Govt. Institutions.

Signature:

Date:

Name of the Organization and Address :

Attested By Notary Public:


ANNEXURE -V

PERFORMANCE SECURITY FORM

To: Mission Director, NRHM, Haryana

WHEREAS ................................................................... (Name of Supplier) hereinafter called "the

Supplier" has undertaken , in pursuance of Contract No............ dated,........... 20... to

supply...................... .................................................(Description of Goods and Services) hereinafter

called "the Contract".

AND WHEREAS it has been stipulated by you in the said Contract that the Supplier shall furnish you

with a Bank Guarantee by a recognized bank for the sum specified therein as security for compliance

with the Supplier's performance obligations in accordance with the Contract. AND WHEREAS we

have agreed to give the Supplier a Guarantee: THEREFORE WE hereby affirm that we are

Guarantors and responsible to you, on behalf of the Supplier, up to a total of

.......................................................................... (Amount of the Guarantee in Words and Figures) and we

undertake to pay you, upon your first written demand declaring the Supplier to be in default under

the Contract and without cavil or argument, any sum or sums within the limit of ................................

(Amount of Guarantee) as aforesaid, without your needing to prove or to show grounds or reasons for

your demand or the sum specified therein.

This guarantee is valid until the ........day of...................20.....

Signature and Seal of

Guarantors ................................

................................

...............................

Date......................20……..

Address:........................

.........................


Annexure-VI

PROFORMA FOR PERFORMANCE STATEMENT form:- Attach CUG group of at least 1000

connection.

Name of bidder ___________________________________

Order

Placed by

(Full

Address of

Order

Numbe

r and

Date

Description

and quantity

of ordered

Value

of

Order

(Rs.)

Date of completion

of Contract

Remarks

indicating

reasons for

delay if any

Have the services

been functioning

Satisfactorily

attach

documentary

proof) ** Purchaser/

consignee)

Connections As per

contract

Compltd.

Date

1 2 3 4 5 6 7 8

Signature and Seal of the Tenderer: __________________________________

** The documentary proof will be certificate from the consignee/end user with cross reference of

order No. and date in the certificate along with a notarized certificate authenticating the correctness

of the information furnished. If at any time, information furnished is proved to be false or incorrect,

the earnest money furnished will be forfeited and the bidder may be blacklisted/ debarred either

indefinitely or for period as deemed fit by Mission Director, NHM


Annexure-VII

PRICE BID

S.No. Item Unit Cost

Monthly recurring charges

In figures

In words

1. Call /pulse Charges-(per second) to all phones

(Mobile to mobile (GSM/CDMA) as well as

landlines ,outside CUG

NOTE:

1.Only single rates must be given. No additional information has to be filled.

2.Call charges must be quoted in form of Rupee Per second.

3.No installation/activation/clip charges will be paid by the department.

Place : …………

Date: …………. Seal and signature of Bidder

Name ……………………………….

Designation …………………..


ANNEXURE VIII”A”

AFFADAVIT

I……………………………….S/o,D/o Sh……………………….aged ….. Years resident of

………………..do hereby solemnly affirm and declare as under:-

1) That I am working as ……………..in……………………..and posted at…….

2) That my above named company has already applied for granting tender for mobile phone connection

by office of Mission Director NHM, Panchkula vide publication in newspaper dated 19-02-15.

3) That I have been duly authorized by my above named company to sworn this affidavit.

4) That I certify that my above named company is a GSM mobile service provider which is operating in

whole state of Haryana.

5) That I further certify that my above named company has atleast 95% coverage in the entire State of

Haryana.

6) That I further certify that my above named company shall be providing uninterrupted communication

service and shall ensure good signal strength across the State of Haryana.

Place Deponent

Date

Verification

Place Deponent

Date


ANNEXURE VIII”B”

FORMAT FOR NETWORK COVERAGE

BTS name BTS ID ( If

available)

District Village/Urban Area Population Covered Not

Covered


Check List

14. Any other additional details/information you may like to submit.

Yours sincerely,

Date: Signature of the owner / bidder / authorized

signatory with complete Name, Address,

Contact No.(s) including Mobile No(s). (also

indicate the capacity in which signing, whether

on his own behalf or as Power of Attorney

/Authorized Signatory of the owner

1 Have you enclosed copies of following documents Along with this Technical Bid (Please note that non-submission of copies of these documents will lead to rejection of your Tender/Technical bid).

Yes/No

2 List of major clients whom you are Providing / have provided services.

Yes/No

3 (a) Copy of partnership deed (if a partnership Firm or Copy of MOA, Bylaws, Registration Certificate, etc.,(if a company) or Any such document depending upon the constitution of the bidders (e.g. Society etc.) (b) Copy of Power of Attorney (if submitting tender as power of Attorney of somebody)

Yes/No

Yes/No/NA

4 Have you ever been blacklisted by any of your existing/past organization, in the past for defecting/ deficient service or as per Annexure-III?

Yes/No/NA

5

Have you enclosed EMD of Rs. 200000/- with the Technical bid?

Yes/No

6 Have you enclosed original receipts of Payment of Tender Fee of Rs. 1000/- or Bank Draft for the Same.

Yes/No

7 Do you fulfill all other essential conditions /requirements mentioned in the tender documents

Yes/No

8 Copy of PAN Card Yes/No

9 Copies of I.T Return for FY 2013-14, 2012-13 Yes/No

10 Copy of Service Tax Registration Number Yes/No

11 Experience Certificate Yes/No

12 Affidavit for having 95% connectivity or more in entire State of Haryana

Yes/No

13 Format of Network Coverage Yes/No