INVITATION OF E-TENDER (TWO BID SYSTEM) FOR OUTSOURCING OF LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR, CHENNAI-78.

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1 ESIC MODEL HOSPITAL & ESIC PGIMSR & MEDICAL COLLEGE EMPLOYEES STATE INSURANCE CORPORATION (ISO 9001-2008 CERTIFIED) Ashok Pillar Road, K. K. Nagar, Chennai-600 078. Office : 044-24748959, 044-24893714 Email: deanesipgimsr@gmail.com, ms-odcchennai@esic.nic.in Fax : 044-24742825 Website: www.esipgimsrchennai.org 512-W-17-1-C&M-/ Laundry /2017-18 Date: 22/5/2017 NOTICE INVITING TENDER INVITATION OF E-TENDER (TWO BID SYSTEM) FOR OUTSOURCING OF LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR, CHENNAI-78. The Dean, ESIC Hospital, K.K.Nagar, Chennai-78 invites on-line tenders along with a complete set of hard copy for outsourcing of laundry services through e-procurement portal of ESIC http:/esictenders.proc.in (Tender ID - 511) The last date for applying online is 14/6/2017. Documents along with detailed tender notice, all terms and conditions and procedure of e-tendering may be viewed on-line or downloaded by the Tenderer from the ESIC website: www.esic.nic.in & www.esicchennai.org. Further any notifications, updates, if any, shall not be issued in the newspaper. Hence the tenderers may visit the site regularly. IMPORTANT DATES Tender documents are available on-line from : 24/5/2017 11.00AM onwards. Last Date & Time for submission of Bid : 14/6/2017 at 11.00AM Date of opening of Bid : 14/6/2017 at 11.30AM. Date of Pre-Bid meeting : 30/5/2017 at 11.00AM. Sd/- DEAN

2 ESIC MEDICAL COLLEGE & P.G.I.M.S.R. कर मच र र ज य ब र न गर (श रर एव र जग र र त र लय, भ रत सरक र) E.S.I. CORPORATION (Ministry of Labour & Employment, Govt. of India) Ashok Pillar Road, K. K. Nagar, Chennai-600 078. (आई. एस. ओ. 9001-2008 प रर ण त/ISO 9001-2008 Certified) क य मलय /Office : 044-24748959 ई-र ल र ल/Email: deanesipgimsr@gmail.com फ क स /Fax : 044-24742825 व बस इट/Website: www.esipgimsrchennai.org 512-W-17-1-C&M-/ Laundry /2017-18 Date : 22/5/2017 NOTICE INVITING TENDER Sealed (Two Bid System) tenders are invited from experienced firms/agencies that are having experience in similar nature for the following work. S.No. NATURE OF WORK CONTRACT VALUE EMD LAST DATE & TIME FOR RECEIVING TENDER DATE & TIME OF OPENING OF TENDER 1. Outsourcing of Laundry Services for ESIC Hospital, K.K.Nagar, Chennai 78 for one year. Rs.17.5 Lakhs/- Rs.35,000/- 14/6/2017, 11.AM 14/6/2017, 11.30AM [1/6/2017 to 31/5/2018] Detailed information regarding the items, application / tender forms, EMD, specifications, Terms& Conditions can be downloaded from the websites: www.esicmcpgimsrchennai.ac.in / www.esic.nic.in / www.esichennai.org. The interested bidders shall submit their tender(s) only through online mode at the e-procurement portal https://esictenders.eproc.in.

3 ESIC MEDICAL COLLEGE & P.G.I.M.S.R. कर मच र र ज य ब र न गर (श रर एव र जग र र त र लय, भ रत सरक र) E.S.I. CORPORATION (Ministry of Labour & Employment, Govt. of India) Ashok Pillar Road, K. K. Nagar, Chennai-600 078. (आई. एस. ओ. 9001-2008 प रर ण त/ISO 9001-2008 Certified) क य मलय /Office : 044-24748959 ई-र ल र ल/Email: deanesipgimsr@gmail.com फ क स /Fax : 044-24742825 व बस इट/Website: www.esipgimsrchennai.org Dean 512-W-17-1-C&M-/ Laundry /2017-18 Date : 22/5/2017 Tender Notice 4 E-Tenders are invited for the Double bid systems from the reputed contractors/service providers for WORK CONTRACT / TIE UP ARRANGEMENT FOR LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR CHENNAI 78 on every day basis by way of collecting the dirty linen from the hospital and processing them at their washing plant, steam wash it with good quality hot water scientifically by using necessary quality detergent. Detailed information regarding the items, application / tender forms, EMD, specifications, Terms& Conditions can be downloaded from the websites: www.esichospitals.gov.in, www.esicmcpgimsrchennai.ac.in, www.esic.nic.in, www.esichennai.org. The interested bidders shall submit their tender(s) only through online mode at the e-procurement portal https://esictenders.eproc.in. In addition to e- tender which has to be filed online, the bidders are also required to submit hard copies of Tender documents duly completed along with Earnest Money Deposit (EMD), supported by requisite documents and the forms, as mentioned in the tender. For all practical purposes, the e-tender shall be considered for evaluation, however in case of any dispute, the physical documents would be scrutinized. Any corrigendum to this tender will be notified through the aforesaid websites only. The undersigned reserves the right to accept or reject any or all the bids without assigning any reason at any stage. LAST DATE FOR RECEIPT OF TENDER DATE AND TIME FOR OPENING OF TENDER 14/6/2017-11.00 A.M. 14/6/2017-11.30 A.M. If the date of opening of tender happens to be a holiday, the tender will be opened on the next working day. Tender documents duly completed should be dropped on or before the date and time mentioned above in the tender box kept at the First floor of ESIC Hospital, K.K. Nagar, Chennai 78.

4 DEAN ESIC MEDICAL COLLEGE & P.G.I.M.S.R. कर मच र र ज य ब र न गर (श रर एव र जग र र त र लय, भ रत सरक र) E.S.I. CORPORATION (Ministry of Labour & Employment, Govt. of India) Ashok Pillar Road, K. K. Nagar, Chennai-600 078. (आई. एस. ओ. 9001-2008 प रर ण त/ISO 9001-2008 Certified) क य मलय /Office : 044-24748959 ई-र ल र ल/Email: deanesipgimsr@gmail.com फ क स /Fax : 044-24742825 व बस इट/Website: www.esipgimsrchennai.org From THE DEAN ESIC HOSPITAL, ASHOK PILLAR ROAD, K.K. NAGAR, CHENNAI 78. Tender Notice 4 Sir (s), Sub: Invitation to tender for WORK CONTRACT / TIE UP ARRANGEMENT FOR LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR CHENNAI 78 Reg. The Dean, ESIC Hospital, Ashok Pillar Road, K.K.Nagar, Chennai-78, invites e- tender under Two Bid system for WORK CONTRACT / TIE UP ARRANGEMENT FOR LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR CHENNAI 78. Tenderers are requested to submit the requisite information / documents as per the following annexures :- Annexure I ( General tender terms & conditions) Annexure II ( Special terms & conditions) Annexure III ( Tender application form) Annexure IV (Declaration form) Annexure V (Bank details of the firm) Annexure VI (Price bid)

5 Important Instructions for Bidders All bidders/contractors are required to procure Class-IIIB Digital Signature Certificate (DSC) with Both DSC Components i.e. Signing & Encryption to participate in the E-Tenders. Bidder should get registered at https://esictenders.eproc.in. Bidders can contact our Helpdesk at https://esictenders.eproc.in/html/support.asp Bidder needs to submit Bid Processing Fee charges of Rs. 2495/- (non-refundable) in the form of Demand Draft from any scheduled bank, in favour of M/s. C1 India Pvt. Ltd. payable at New Delhi for participating in the Tender. Along with the Demand Draft, Bidder needs to send a covering Letter mentioning about the Payment Details, Company Name, Address, Payment towards ESIC Bid Processing Fees (Mention the Tender ID and Tender Title). The payment should reach at the below mentioned address, one day before the due date and time of Bid Submission: Kind Attn: Mr. Mohit Chauhan C1 India Pvt. Ltd. 301, Gulf Petro Chem Building, 1st Floor, Udyog Vihar, Phase 2, Gurgaon, Haryana - 122015 Note: Payment will be approved only after physical receipt of Demand Draft.

6 TENDER DOCUMENT S.No. DESCRIPTIONS DETAILS 1 Name of work WORK CONTRACT / TIE UP ARRANGEMENT FOR LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR CHENNAI 78 2 Period of contract One Year ( 12 Months) 3 Earnest Money Deposit 4 Minimum Eligibility Criteria Rs.35000/-(Thirty five thousand only) to be deposited along with tender, through Demand Draft in favour of ESI Fund Account No.1, payable at Chennai. Bids received without EMD will not be considered and summarily rejected. EMD in the form of Bank DD for Rs.35000/- Copy of PAN/TAN/TIN etc. Copy of ESI Registration Copy of Latest Income Tax certificate. Copy of valid trade license Copy of labour license Copy of VAT registration Copy of EPF Registration Copy of Service Tax Registration Clause by clause compliance demonstrating substantive responsiveness to the commercial condition by signing and stamping on all the pages of the original bid document. Satisfactory experience certificate of similar work. Certificate of incorporation/ Registration of Firm, Certificate/Memorandum and articles of Association/ Partnership Deed/ Proprietorship Deed/ Declaration of Proprietorship etc. Copies of Annual Income Tax Return of Last 3 Financial years. Copy of Balance sheet and P & L Account of last 3 Financial years. Affidavit on Non-Judicial Stamp paper that the agency/company is not Blacklisted by any Govt./ private organization as required in tender document. (Annexure ) All pages of tender document are signed by the authorized signatory of tenderer. Experience certificate for 3 years as required in the tender document.

7 5 Technical Eligibility criteria 6 Performance Security The tenderer should have a minimum of three years experience in the running Laundry at a 300 or more bedded Hospital as on date of opening of tender. The bidder shall furnish performance security to the Hospital for an amount equal of 10% of Contract Value in form of Bank Guarantee or Demand Draft in favour of ESI Fund Account No.1, payable at Chennai. The performance security can be encased by the Hospital to recover any amount which is payable by the contractor to the Employer on any account for a cause arising out of contract. Yours Faithfully DEAN

8 ANNEXURE-I GENERAL TERMS AND CONDITIONS 1. SCOPE OF WORK: This work involves Laundry Services i.e. washing/dry cleaning, ironing, packing & delivering of hospital linen at ESIC Hospital, K.K.Nagar, Chennai which is a 410 bedded hospital. 2. ELIGIBILITY: The Tenderer should have experience of at least 3 years of laundry contract with minimum of 300 bedded hospitals. 3. PERIOD OF CONTRACT: The contract shall be for a period of one year extendable for a further period of one year subject to satisfactory report/ performance of services and compliance of all terms and conditions of the agreement by the contractor. 4. RESPONSIBILITY FOR EXECUTING CONTRACT: The contractor is to be entirely responsible for the execution of the contract in all respects in accordance with the terms and conditions as specified in the acceptance of tender. 5. The contractor shall not sublet transfer or assign the contract to any part thereof without the written permission of the Dean. In the event of the contractor contravening this condition, Dean is entitled to place the contract elsewhere on the contractors account at his risk of cost and the contractor shall be liable for any loss or damage, which the Dean, ESIC Hospital, K.K.Nagar, Chennai, may sustain in consequence or arising out of such replacing of the contract. 6. PRE-BID MEETING: A Pre-bid meeting shall be held on 30/5/2017 at 11.00AM at ESIC Hospital, Chennai to clarify issues connected with the tender. Prospective bidders are invited to attend. Eligible agencies may visit / inspect the site on any working day to collect all information that will be necessary for preparing the e- tender and entering into a contract for the services to be rendered between 10.00AM to 3.00PM by contacting DMS (by prior appointment only). 7. EARNEST MONEY DEPOSIT: The Tenderer shall have to deposit Rs.35000/- as earnest money with their tender, failing which the tender is liable to be rejected. The earnest money is to be paid by Demand Draft drawn in favor of ESI Fund Account

9 No.1, payable at Chennai. NO CHEQUE WILL BE ACCEPTED. In the event of the withdrawal / revocation of tenders before the date specified for acceptance, the earnest money shall stands forfeited. 8. SECURITY DEPOSIT: The successful tenderer should remit 10% of the total contract value in the form of Bank Guarantee or Demand Draft drawn in favor of ESI Fund Account No.1, payable at Chennai valid till expiry of the contract and conclude the contract agreement in the prescribed format. 9. DOCUMENT: The tenderer should have a valid Trade license, PAN / TAN / other statutory document as applicable and produce attested copies of such certificates along with the tender papers, failing which the tender shall liable to be rejected 10. EXPERIENCE CERTIFICATE: The tenderer should have a minimum of three years experience in running Laundry at a 300 or more bedded Hospital as on date of opening of tender. Documentary evidence to be submitted in support thereof with the tender along with their address & contact number. 11. ASSISTANCE TO CONTRACTOR: The Tenderer shall not be entitled to assistance either, in the procurement of raw materials required for the fulfillment of the contract or in the securing of transport facilities. 12. The Tenderer should have a permanent place of business in Chennai and the complete Postal Address, Telephone / Mobile / Fax / E-mail address, etc. should be provided, while submitting the completed tender form. 13. In the event of any violation of laws, rules, statutory provisions by the contractor, this will amount to breach of contract and in such case, the hospital will have the right for terminating the contract, forthwith, without giving any notice or assigning any reason. 14. VALIDITY OF CONTRACT: The contract, if awarded, shall be initially for one year from the date of award subject to continuous satisfactory performance. However, on failure on any aspect by the contractor, the hospital will have the right to terminate the contract forthwith in addition to forfeiting the performance security amount deposited by the contractor and initiating administrative actions for black listing, etc. solely at the discretion of the hospital authority. This period of one year can be

10 further extended to a maximum of one more year, at the sole discretion of the hospital without prejudice to any other right of the hospital. 15. CONSENT FROM TNPCB: Successful bidder should obtain consent from TNPCB for discharging of sewage / trade effluent into any stream or well or into sewer of land Under Section 25 of Water (Prevention & Control of Pollution) Act 1974 within one month of awarding of contract. 16. PENALTY: The contractor shall be responsible for smooth functioning of laundry services and the penalty will be imposed of about 10% of work value per cloth per day if there is delay in delivering fresh linen & Rs.1000/- per compliant, which will be recovered from contractor s bill for unsatisfactory performance of work, pending of linen for more than 5 days and supplying of wet linen etc. as determined by the Dean. The decision of Dean will be final in this regard. 17. The successful tenderer shall have to enter into an agreement with the hospital and the cost incurred in this connection, shall be borne by the contractor. 18. The rate shall be quoted for items mentioned in Annexure-VI inclusive of all taxes. The rate once accepted by the hospital shall remain unaltered throughout the period of contract, including any extended period. 19. Dean, ESIC Hospital K.K.Nagar, Chennai, does not pledge himself to accept the lowest or any tender and reserve to himself the right of accepting the tender as a whole and you shall execute the work at the rate quoted by you. PROCEDURE FOR SUBMISSION OF TENDERS /BIDS: The tender should be submitted in TWO BID SYSTEM TECHNICAL BID in one separate envelope, sealed, super scribed with the wordings TECHNICAL BID. a) Demand Draft for Rs.35000/- from any nationalized bank drawn in favor of The ESI Fund Account No.1, payable at Chennai towards EMD, which is refundable to the unsuccessful bidder. b) Proforma A duly filled and signed c) Copies of the statuary licenses. d) Bank Statement. e) Returns submitted to Income Tax Department for the last 3financial years.

11 f) List of currently operating Machinery. g) List of skilled worker deployed for the work. h) Copy of the documents of the vehicle which will be used for the pickup and delivery of the linen. i) Evidence for use of power in the process of washing of Textiles. j) Boiler license issued by the Competent Authority. k) List of their clients with whom the contractor I rendering such services currently or in the past. l) The tenderer should be duly signed in all pages of copy of the tender conditions. m) The tenderer should produce certificate of clearance from TNPCB. PRICE (FINANCE) BID is to be submitted in SEPARATE sealed envelopes, super scribed with the wordings PRICE (FINANCIAL) BID. This should be followed meticulously failing which the tender is liable to be cancelled. The Price/Financial Bid will contain consolidated price for collection, washing. As per the Standard norms and delivery of the linen at the hospital with other terms and conditions if any. (Both the Technical Bid envelope and the Price (Financial) Bid envelope, prepared as above, are to be kept in a larger single envelope super-scribed with TENDER (TWO BID SYSTEM) FOR LAUNDRY SERVICES so as to give a double cover protection. The rate shall be quoted for items mentioned in Annexure-VI inclusive of all taxes. The rate once accepted by the hospital shall remain unaltered throughout the period of contract, including any extended period. The outer cover should also be sealed and addressed to the Dean in the address mentioned hereinbefore. Signature with Date & Seal of the company DEAN

12 ANNEXURE-II SPECIAL TERMS AND CONDITIONS 1. COMMENCEMENT OF WORK: The contractor is required to commence the work at the time and date as mentioned in the allotment of work letter. In the event of failure, Dean has the full right for any penalty/and other action in the matter his/ her decision will be final. 2. The washing of dirty linen of the hospital should be done at the contractor s premises. 3. COLLECTION & TRANSPORT OF DIRTY LINEN: Contractor shall be responsible to collection of dirty linen from the hospital premises. Sorting, processing of used linen with standard laundering processes including repairing (if required), finishing & packing. Transportation and delivery of washed clothes in covered packages from the contractor s premises to ESIC Hospital. Contractor shall identify the linen at the time of collection, process and wash them. 4. DETERGENT/WASHING MATERIAL: The contractor shall use only ISI marked detergent/washing material as specified in the contract agreement. In case it becomes necessary to use any material other than the approved, prior permission shall be obtained from the controlling authority. Standard universal precautions to be followed while collecting and handling infected linen. 5. Bio-medical waste management rules, wherever applicable should be followed by the contractor at his premises. 6. QUALITY OF WASHING OF LINEN AND ITS IRONING: The contractor shall ensure that the quality of washing of linen & its ironing is to the entire satisfaction of the Sister/ Officer In-charge from where the clothes are collected. 7. DETERMINATION OF QUALITY OF WORK/ SERVICE: The decision of the Dean with regard to the determining the quality of work/ Services done by the contractor shall be final and acceptable to the contractor. The contractor shall therefore rectify the defect so pointed out without any extra payment. In case of failure, the Dean reserves the right to get the work / service so rejected, done from some other source at the risk and cost of the contractor. The expenditure so incurred shall be recovered from the pending bills of the contractor or any other outstanding dues or by all parts of the security deposits as he may think proper. 8. INFECTED LINEN: The infected linen of the hospital will be disinfected in the ward by submerging it in the disinfectant solution by hospital staff before handing over to the representative of the contractor for washing. Blood stained and infected clothes will firstly be washed separately and then washed again in routine wash.

13 9. LOSS/DAMAGE TO THE LINEN: Any loss/damage to the linen during working process will be indemnified by the contractor, who shall be liable to pay at the rate of existing book value of the lost/damaged items. Contractor will sort out linen (after collection) which is beyond repair. This list will be verified by the hospital representative and this cloth will be sluiced / washed & handed over to Hospital representative separately for taking condemnation / replacement action. 10. CLEANLINESS: It shall be the responsibility of the contractor to keep the laundry scrupulously clean and in a sanitary condition to the satisfaction of the hospital authorities. 11. IDENTIFICATION: The contractor shall also issue identity cards to his employees for their identification and they shall be duly bound to display the identity cards at the time of collection & supply of linen. 12. Separate carts for transport & storage of dirty washed linen will be use. Carts to transport soiled textiles should be appropriately cleaned after every use and should be kept away from those to be used in transporting clean textiles. 13. NON SUPPLY OF LINEN: In case of failure to supply the linen in time, penalty as decided by the Dean will be imposed. 14. PENALTY: The contractor shall be responsible for smooth functioning of laundry services and the penalty will be imposed of about 10% of work value per cloth per day if there is delay in delivering fresh linen & Rs.1000/- per compliant, which will be recovered from contractor s bill for unsatisfactory performance of work, pending of linen for more than 5 days and supplying of wet linen etc. as determined by the Dean. The decision of Dean will be final in this regard. 15. RISING OF BILLS: The contractor shall raise the charges/bills regularly for payment on monthly basis after getting the same verified by the Sister Incharge & laundry In-charge, so authorized to verify the work and payment. 16. RELEASE OF PAYMENT AND DEDUCTION OF TAX: The payment shall be released on monthly basis after receipt of the bill duly verified by the area officer. The payment shall be made through ECS only. Deduction of income tax and other deduction as notified by the Govt. from time to time shall be done at the sources. 17. TERMINATION OF CONTRACT: The contract may be terminated by the Dean in any of the following contingencies, A. In case the services rendered by the contractor are found unsatisfactory. B. If there is breach of any terms & conditions of the Contract Agreement with one month Notice. C. In case the contractor assigns the contract or any part thereof or benefit or interest therein or there under to any other person, without any notice. D. If contractor being declared insolvent by the competent Court of law without any notice.

14 E. In case if the contractor fails to obtain consent from TNPCB within stipulated time. 18. SUPERVISION & CONTROL: A. The Hospital authorities shall demand and be supplied with a sample of any washing chemical or detergent for inspection and analysis & if required to be sent for testing by the approved laboratory. B. The Hospital authorities will have unfettered right to inspect the laundry at any time and contractor shall co-operate with the authorities. 19. Contractor has to maintain registers that is specified by the ESIC Hospital, K.K.Nagar, Chennai-78. 20. AUTHENTICITY AND OPERATIONAL CAPABILITY: A. Tenderer shall have been in business in Govt. Hospital or private hospital with more than 300 beds for a period of at least 3 years in laundry service for which tender submitted. Firm shall submit list of organization where it is running its services in the last three years. Contractor is required to submit performance report from such organizations where it has been providing services. B. Tenderer will give a certificate that his firm has not been black listed by any of the Govt. / private institution with whom they had / have entered in to contract for similar service in the past 3 years. C. Tenderer has to give an affidavit on a non-judicial paper that there is no vigilance / CBI / Police case pending against them. D. Complete job of collecting of dirty linens from earmarked place / places to supply of cleaned lines to earmarked place / places of the hospitals shall be carried out by the tenderer. 21. ESIC Hospital will decide the timing of collection and delivery of linen, to be followed by the tenderer. 22. Collection, distribution of clothes should be carried out within the period as specified by the hospital. 23. Fresh linen should be handover within 24hrs to the ESIC Hospital & due of linen should be cleared within 7 days, failure of it will levy a penalty. 24. RATE OF WASHING LINEN: The rate of Service Tax, if any, payable by the contractor should be indicated separately in the Price Bid/ Tender documents. No escalation of rates quoted will be allowed during the period of contract. 25. Tenderer shall prepare and submit separate lists or make entries in the register of the hospital regarding the quantity of linen collected and returned after wash to the designated officer duly signed daily. DEAN

15 ANNEXURE III TENDER APPLICATION FORM S.No. PARTICULARS DETAILS 1 Name of the Firm 2 Full Address 3 Telephone No. 4 Telex / Fax No. 5 Date of Establishment of Firm 6 No. of Persons employed 7 Is your firm registered under a Indian Factories Act b Companies Act c Any other Act 8 License obtained under Labour Act 9 License obtained from Boiler Inspector 10 Name & address of the Bankers stating the name in which the Account stands 11 Are you on the list of approved contractors of any other authority (if so, please give details) 12 Give details of any Government contract executed during the last 12 months 13 List of private hospital for which you are undertaking similar works

16 14 Any other information which you consider necessary to furnish UNDERTAKING a) I, the undersigned certify that I have gone through the terms and condition mentioned in the tender document and undertake to comply with them. b) The rates quoted by me are valid and binding upon me for the entire period of contract and it is certified that the rates quoted and the lowest quoted for any other institution/hospital in India. c) The Earnest Money of Rs.35000/-to be deposited by me has been enclosed Demand Draft No. Dt. drawn on d) I/We give the rights to Dean to forfeit the Earnest Money/Security money deposit by me/us if any delay occur on my/agent's part or fail to supply the articles within the appointed firms of desired quality. e) I hereby undertake to supply the items as per direction given in the tender document/supply order within stipulated period. f) I shall be vacating any space that may be proved to me by the hospital authority to carry cut the job or otherwise, before I put up the last bill of the contract period for payment. Date: Place: Signature of the tenderer: Full Name: Designation: (Office seal of the tender)

17 ANNEXURE IV DECLARATION FORM We.... having our office at.do declare that we have carefully read all the conditions of Tender for the... and abide by all the conditions set forth therein by the Dean, ESIC Hospital, K.K.Nagar, Chennai 78. We further declare that we...possess valid license bearing No valid up to... DATE: SIGNATURE: SEAL: NAME & ADDRESS:

18 ANNEXURE V BANK DETAILS OF THE COMPANY From To THE DEAN, ESIC HOSPITAL, K.K.NAGAR, CHENNAI - 600 078. Sir, Sub: Request for refund of EMD Amount Reg. With reference to your advertisement dated, we have submitted tender for. In case we are not successful bidder, we request you to kindly refund the EMD amount of Rs.. The amount may be kindly be sent through RTGS/ ECS in favor of

19 Beneficiary s Name : Account No. : A/C Savings Current : IFSC Code No. : Bank Name : Branch Name & Address : Yours faithfully (SIGNATURE & SEAL) PRE-RECEIPT Received on amount of Rs vide cheque No... dated... from ESI Corporation towards refund of EMD amount. (SIGNATURE &SEAL)

20 ANNEXURE VI PRICE BID FOR THE WORK CONTRACT / TIE UP ARRANGEMENT FOR LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR CHENNAI 78 Name and address of the Tenderer: Telephone No: Mobile No: e-mail ID of Tenderer: Earnest Money Deposit: DD No. Dated issued by Bank. PAN No/TAN No.: License No.: Date of Issue and Validity: I/We hereby offer to THE WORK CONTRACT / TIE UP ARRANGEMENT FOR LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR CHENNAI 78 as indicated in the Tender document at the rate given below and agree to hold this offer open till 3 months from the date of contract, and for further period if extended.

21 S.No. ITEMS RATE PER PIECE TAXES (IF ANY) TOTAL AMOUNT 1 Bed sheet 2 Pillow cover 3 Blanket 4 Vest 5 Petticoat 6 Curtain 7 Green Saree 8 White Dhoti 9 Blue Gown 10 Apron 11 Green Baby Sheet 12 Green Sheet 13 Green Apron 14 Green Towel 15 Green Centre Hole 16 Green Legging 17 Doctor's Pant 18 Doctor's Shirt 19 Wrapper 20 Draw Sheet 21 Over Shoe 22 Towel Signature of Tenderer with Date & Stamp NB: Original to be submitted Blank in Technical Bid, duly signed and stamped. In Price Bid, photocopy of the same is to be submitted, duly filled, signed and stamped.

22 AVERAGE GENERATION OF SOILED LINEN S.No. ITEMS AVERAGE / MONTH AVERAGE / DAY 1 Bed sheet 11200 412 2 Pillow cover 1400 50 3 Blanket 25 10/Month 4 Vest 650 20 5 Petticoat 625 20 6 Curtain 40 10/Month 7 Green Saree 100 3 8 White Dhoti 4 10/Month 9 Blue Gown 1 10/Month 10 Apron 200 10 11 Green Baby Sheet 1 10/Month 12 Green Sheet 2200 75 13 Green Apron 950 30 14 Green Towel 600 20 15 Green Centre Hole 200 10 16 Green Leggin 100 5 17 Doctor's Pant 875 30 18 Doctor's Shirt 900 30 19 Wrapper 50 2 20 Draw Sheet 80 3 21 Over Shoe 3 10/Month 22 Towel 175 5

23 TENDER FOR THE WORK CONTRACT / TIE UP ARRANGEMENT FOR LAUNDRY SERVICES AT ESIC HOSPITAL, K.K.NAGAR CHENNAI 78, TAMIL NADU To Sir, THE DEAN ESIC HOSPITAL, K.K. NAGAR, CHENNAI - 78. Sub: Forwarding of Tender documents - Reg. We have pleasure in submitting our tender for (Name of the service) We enclose herewith a Demand Draft No. Dt. for Rs. drawn in favor of ESI Fund Account No.1, payable at Chennai towards Earnest Money Deposit. We find ourselves to the conditions prescribed in the Tender Notification. We agree to have the Earnest Money Deposit forfeited in case of failure in full or part to undertake the contract upon the acceptance of this tender. OFFICE SEAL: SIGNATURE: DESIGNATION: NAME &ADDRESS: