TENDER For OPERATING 108 EMERGENCY AMBULANCE … · KMSCL: Tender for Operating 108 Emergency ambulance services (KEMP) in the districts of Thiruvananthapuram and Alappuzha with thdistricts

KERALA MEDICAL SERVICES CORPORATION LIMITED (A Government of Kerala Undertaking)

Thycaud P.O,

Thiruvananthapuram, KERALA 695 014

TENDER

For

OPERATING 108 EMERGENCY AMBULANCE

SERVICES (KEMP)

IN THE DISTRICTS OF

THIRUVANANTHAPURAM & ALAPPUZHA

WITH THE EXISTING 43 ALS AMBULANCES (TENDER NO: KMSCL/KEMP/01/2013)

Name of Bidder :

Address :

Signature of Bidder :

Last date and time for submission of bid : 11.00 AM; 08/10/2013

Date and time for opening of technical bid : 11.30 AM; 08/10/2013

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NOT TRANSFERABLE

For details;

www.kmscl.kerala.gov.in

Email: [email protected]

KMSCL: Tender for Operating 108 Emergency ambulance services (KEMP) in the Operating 108 Emergency ambulance services (KEMP) in the Operating 108 Emergency ambulance services (KEMP) in the Operating 108 Emergency ambulance services (KEMP) in the districts of Thiruvananthapdistricts of Thiruvananthapdistricts of Thiruvananthapdistricts of Thiruvananthapuram and Alappuzha with the existing 43 ALS uram and Alappuzha with the existing 43 ALS uram and Alappuzha with the existing 43 ALS uram and Alappuzha with the existing 43 ALS Ambulances.Ambulances.Ambulances.Ambulances.

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INDEXINDEXINDEXINDEX

SSSS/n/n/n/n.... DESCRIPTIONDESCRIPTIONDESCRIPTIONDESCRIPTION PAGE NOPAGE NOPAGE NOPAGE NO

1. SECTION – I INTRODUCTION 2

2. SECTION – II BRIEF SCOPE AND DESCRIPTION OF CONTRACT

4

3. SECTION – III TENDER SCHEDULE 6

4. SECTION - IV SCOPE OF WORK 7

5. SECTION - V GENERAL CONDITIONS OF THE CONTRACT

27

6. ANNEXURE I CHECK LIST 36

7. ANNEXURE II GENERAL INFORMATION OF THE BIDDER

38

8. ANNEXURE III BANK GUARANTEE FORMAT FOR EMD 40

9. ANNEXURE IV BANK GUARANTEE FORMAT FOR SECURITY DEPOSIT

42

10. ANNEXURE V POWER OF ATTORNEY FORMAT 44

11. ANNEXURE VI TECHNICAL SPECIFICATION OF THE EXISTING ALS AMBULANCE

45

12. ANNEXURE VII DETAILS OF THE EXISTING ALS AMBULANCE

53

13. ANNEXURE VIII DETAILS OF THE EXISTING EMERGENCY RESPONSE CENTRE (CONTROL ROOM)

54

14. ANNEXURE IX TRAINING OF EMS PERSONNEL 56

15. ANNEXURE X PRICE BID FORM 59

16. ANNEXURE XI DECLARATION 60

17. ANNEXURE XII AFFIDAVIT FORMAT 61


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SECTION I

INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION

1.1. The The The The Kerala MedicalKerala MedicalKerala MedicalKerala Medical Services Corporation Limited Services Corporation Limited Services Corporation Limited Services Corporation Limited ---- KMSCLKMSCLKMSCLKMSCL (Tender Inviting

Authority) is a fully owned Government of Kerala company set up in 2007 for

providing services to the various health care institutions under the

Department of Family Welfare and Health. One of the key objectives of the

KMSCL is to act as the central procurement agency for all essential drugs and

equipments for all health care institutions (hereinafter referred to as user

institutions) under the department. The corporation has also been entrusted

with the setting up and running of all kinds of modern Medical and

Paramedical or medical based ancillary facilities such as hospitals,

pathological labs, diagnostic centers, x-ray / scanning facilities, tele radiology

services, power laundry services, setting up of IVF/ICSI centers etc.

1.2. The Government has entrusted KMSCL as the managing agency for ‘108’

emergency ambulance service which is called as “Kerala Emergency Medical “Kerala Emergency Medical “Kerala Emergency Medical “Kerala Emergency Medical

services Project” (KEMP)services Project” (KEMP)services Project” (KEMP)services Project” (KEMP). The KEMP project was initially launched as a pilot

study in the district of Thiruvananthapuram on 19th May 2010 with 25

Advanced Life Support Ambulances (ALS), and expanded to Alappuzha

district on 21st April 2012 with 18 ALS ambulances, which has so far

attended more than 95,000 emergencies. The current agreement for

operating KEMP services at the two districts will expire on 15th October 2013

at 11.59 PM. Hence it is decided to invite tender for continuing the

Emergency ambulance service to the districts Thiruvananthapuram and

Alappuzha of Kerala under the existing toll free no.‘108’.

1.3. Tender is invited from the firms who are willing to operate 24x7 pre-hospital

emergency ambulance services in the districts of Thiruvananthapuram and

Alappuzha of Kerala State with the existing 43 Advanced Life Support (ALS)

ambulances. The present control room at Techno Park, Thiruvananthapuram

and the available ambulances will be handed over to the successful bidder for

continuing the service from 00:00 hours, 1600:00 hours, 1600:00 hours, 1600:00 hours, 16thththth October 2013, October 2013, October 2013, October 2013, in the districtsin the districtsin the districtsin the districts ofofofof

TTTThiruvananthapurahiruvananthapurahiruvananthapurahiruvananthapuram and Alappuzham and Alappuzham and Alappuzham and Alappuzha of the state.


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1.4. It is also essential while dealing with public money that utmost transparency

has to be maintained in the procurements of the corporation. All decisions

will be published from time to time on our website www.kmscl.kerala.gov.in.

Sd/Sd/Sd/Sd/----

R.KAMALR.KAMALR.KAMALR.KAMALAHARAHARAHARAHAR IIIIFFFFSSSS Date :01/10/2013 Managing Director, KMSCL& Tender Inviting Authority


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SECTION IISECTION IISECTION IISECTION II

BRIEF BRIEF BRIEF BRIEF SCOPE &SCOPE &SCOPE &SCOPE & DESCRIPTION DESCRIPTION DESCRIPTION DESCRIPTION OF CONTRACTOF CONTRACTOF CONTRACTOF CONTRACT

2.1.2.1.2.1.2.1. BRIEF BRIEF BRIEF BRIEF SSSSCOPECOPECOPECOPE

2.1.1. The bidder will be required to operate 24x7 pre-hospital emergency medical

service under KEMP and assist in any disaster situations for the districts of

Thiruvananthapuram and Alappuzha of the Kerala State with the existing 43

ALS ambulances and the centralized control room having one single toll free

number ‘108’.

2.1.2. Tender is invited for operating 43 Advanced Life Support ambulances under

KEMP for a period of six months from 00:00 hours on 16th October 2013

which may be extended with mutual consent.

2.1.3. The successful bidder has to occupy the existing control room, recruit human

resources at his cost and effectively operate the ambulance service with

minimum 99.5% uptime. At any given instance only a maximum 5% of the

ambulances should be withdrawn from the field for routine maintenance etc.

2.1.4. Detailed description of the objectives, scope of services, deliverables and

other requirements for the operation of 108 Emergency ambulance services

(KEMP) in the districts of Thiruvananthapuram and Alappuzha with the

existing 43 ALS Ambulances are specified in this tender. The manner in

which the tender is required to be submitted, evaluated and accepted is

explained in this document.

2.1.5. The selection of the operating agency (service provider) shall be on the basis

of evaluation criteria specified in this tender document.

2.22.22.22.2 Brief DescriptionBrief DescriptionBrief DescriptionBrief Description oooof the f the f the f the tendertendertendertender processprocessprocessprocess

2.2.1 The tender offers, duly filled, shall be submitted in two separate sealed

covers separately for technical and price bids respectively. The

technical bid shall be super scribed as “Tender“Tender“Tender“Tender NoNoNoNo....

KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013, TECHNICAL BID for TECHNICAL BID for TECHNICAL BID for TECHNICAL BID for ““““OperaOperaOperaOperating ting ting ting 108 108 108 108

Emergency ambulances services Emergency ambulances services Emergency ambulances services Emergency ambulances services (KEMP)(KEMP)(KEMP)(KEMP) in thein thein thein the districts of districts of districts of districts of

ThiruvananthapuramThiruvananthapuramThiruvananthapuramThiruvananthapuram and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS


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AmbulancesAmbulancesAmbulancesAmbulances....”””” The Price bid shall be super scribed as TenderTenderTenderTender NoNoNoNo....

KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013, PRICE BID for PRICE BID for PRICE BID for PRICE BID for ““““Operating Operating Operating Operating 108 108 108 108 Emergency Emergency Emergency Emergency

ambulanambulanambulanambulances services ces services ces services ces services (KEMP)(KEMP)(KEMP)(KEMP) in thein thein thein the districts of districts of districts of districts of ThiruvananthapuramThiruvananthapuramThiruvananthapuramThiruvananthapuram and and and and

Alappuzha with the existing 43 ALS AmbulancesAlappuzha with the existing 43 ALS AmbulancesAlappuzha with the existing 43 ALS AmbulancesAlappuzha with the existing 43 ALS Ambulances....”””” Both the sealed

covers shall be enclosed in another sealed (third) cover which should

also be super scribed as ““““TenderTenderTenderTender NoNoNoNo.... KMSCL/KEMP/01/2013, KMSCL/KEMP/01/2013, KMSCL/KEMP/01/2013, KMSCL/KEMP/01/2013, TTTTeeeendernderndernder

for for for for ““““Operating Operating Operating Operating 108 108 108 108 Emergency ambulances services Emergency ambulances services Emergency ambulances services Emergency ambulances services (KEMP)(KEMP)(KEMP)(KEMP) in thein thein thein the

districts of districts of districts of districts of ThiruvananthapuramThiruvananthapuramThiruvananthapuramThiruvananthapuram and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS

AmbulancesAmbulancesAmbulancesAmbulances....””””

2.2.2 Bidder shall submit all the required documents as mentioned in the

Annexure I.

2.2.3 The Tender documents could be downloaded from the website of the

corporation at wwwwwwwwwwww.kmscl.kerala.gov.in.kmscl.kerala.gov.in.kmscl.kerala.gov.in.kmscl.kerala.gov.in and also available at the head

office of the Tender Inviting Authority.

2.2.4 The tender should be prepared and submitted as per the formats

prescribed in the tender document and should be addressed to:

The Managing Director The Managing Director The Managing Director The Managing Director Kerala Medical Services Corporation Ltd Thycaud .P.O. Thiruvananthapuram -695014 Kerala State Phone: 0471-3045600, 3045646 Fax: 0471-3045647 Email: [email protected]

*****


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SSSSECTION IIIECTION IIIECTION IIIECTION III

TENDERTENDERTENDERTENDER SCHSCHSCHSCHEDULEEDULEEDULEEDULE

3.1.3.1.3.1.3.1. TenderTenderTenderTender DetailsDetailsDetailsDetails

1. Tender No. KMSCL/KEMP/01/2013

2. Name of Assignment

OOOOperating 108 perating 108 perating 108 perating 108 Emergency ambulance services Emergency ambulance services Emergency ambulance services Emergency ambulance services

(KEM(KEM(KEM(KEMP) P) P) P) in thein thein thein the districts ofdistricts ofdistricts ofdistricts of

ThiruvananthapuramThiruvananthapuramThiruvananthapuramThiruvananthapuram and and and and Alappuzha Alappuzha Alappuzha Alappuzha with the with the with the with the

existingexistingexistingexisting 43 ALS Ambulances43 ALS Ambulances43 ALS Ambulances43 ALS Ambulances

3. Cost of tender Document ` 26,250 /- ( inclusive 5% VAT )

4. Earnest Money Deposit ` 3 Lakhs

5. Validity of EMD 31 January 2014

6. Performance Security Refer clause 4.17

7. Period of Contract SSSSix months ix months ix months ix months from 00:00 hours 16from 00:00 hours 16from 00:00 hours 16from 00:00 hours 16thththth October October October October

2013201320132013....

3.2.3.2.3.2.3.2. Important dates:Important dates:Important dates:Important dates:

Sl.Sl.Sl.Sl. No.No.No.No. ParticularParticularParticularParticularssss Date and timeDate and timeDate and timeDate and time VenueVenueVenueVenue

1. Date of release of Tender From From From From 00001111////11110000/201/201/201/2013333, , , , 11110000:00 am, :00 am, :00 am, :00 am,

Head Office, Head Office, Head Office, Head Office,

KMSCL, KMSCL, KMSCL, KMSCL, 2. Last date for submission of Tender 08/10/2013, 11.00 am,08/10/2013, 11.00 am,08/10/2013, 11.00 am,08/10/2013, 11.00 am,

3. Last date for opening of technical

bid 08/10/2013, 11.30 am,08/10/2013, 11.30 am,08/10/2013, 11.30 am,08/10/2013, 11.30 am,

4. Date of opening of price bid Will be intimated to the qualified bidders


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SECTION SECTION SECTION SECTION IIIIVVVV

SCOPE OF WORKSCOPE OF WORKSCOPE OF WORKSCOPE OF WORK

4.1 4.1 4.1 4.1 Objective of Objective of Objective of Objective of TenderTenderTenderTender

4.1.1 Overall Objective of this tender is to engage agencies having sufficient and

proven expertise and experience of operating a network of emergency

medical ambulance services to continue the 24x7 pre hospital emergency

medical ambulance services for the districts of Thiruvananthapuram and

Alappuzha, by operating the existing 43 Advanced Life Support (ALS)

Ambulances under a toll free number ‘108’. This will facilitate an

integrated and comprehensive emergency health care management in

these districts of the state by providing high-end ambulatory

transportation from the doorstep of the emergency victim to appropriate

care in a hospital.

4.1.2 To provide transport to quality emergency care within the shortest

possible time in an emergency. Ensure delivery of quality emergency care

across the chain of services with a proper emergency management

system. To ensure that the system is efficient and effective as possible by

providing first class management service quality and monitoring systems

to run the ambulance service. And the key objectives are;-

4.1.2.1 To continue the present service of KEMP by operating 43 ALS

ambulances, located in the districts of Thiruvananthapuram and

Alappuzha, from the existing control room under the toll free ‘108’

4.1.2.2 To provide comprehensive Emergency Medical Response Services

(EMRS) to the people in the districts of Thiruvananthapuram and

Alappuzha.


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4.1.2.3 To leverage health services to all stakeholders by a comprehensive range

of services extending through pre hospital emergency medical services

and a point of first contact for Police and Fire Departments.

4.1.2.4 To promote a collaborative environment dedicated to the pursuit of

knowledge and best practices in the Ambulance Care Services.

4.24.24.24.2 Kerala Emergency Medical Services Project (KEMP)Kerala Emergency Medical Services Project (KEMP)Kerala Emergency Medical Services Project (KEMP)Kerala Emergency Medical Services Project (KEMP)

4.2.1 KEMP is the 108 Emergency ambulance service started in

Thiruvananthapuram district with 25 ALS ambulances on 19th May 2010.

The project was extended to Alappuzha district with 18 ALS ambulances

on 21st April 2012.

4.2.2 The project is operated under Public-Private-Partnership (PPP). The

Emergency Response center (control room) is established at Techno Park,

Thiruvananthapuram comprising more than 2000 sq feet. The call center

is 24 seated and has a lecture hall for providing trainings and to conduct

meetings.

4.2.3 KEMP has so far provided services to more than 95,000 citizens.

4.2.4 It is proposed to continue the KEMP operations at the districts of

Thiruvananthapuram and Alappuzha with the existing 43 ALS (Advanced

Life Support) ambulances from 00:00 hours on 16th October 2013.

4.3 4.3 4.3 4.3 Scope of Work Scope of Work Scope of Work Scope of Work

4.3.1 The successful bidder has to provide 24x7 pre-hospital emergency

ambulance services in the districts of Thiruvananthapuram and Alappuzha

by operating the existing 43 Advanced Life Support (ALS)ambulances

through the calls obtained in one single toll free number ‘108’.


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4.3.2 At present KEMP ‘108’ ambulance service is operated in the district of

Thiruvananthapuram with 25 ALS ambulances and Alappuzha with 18

ALS ambulances under Public Private Partnership.

4.3.3 The existing 43 ALS ambulances will be handed over to the successful

tenderer and have to be operated from the various health institutions of

the districts of Thiruvananthapuram and Alappuzha, as being done now.

The detailed technical specifications and other facilities of the existing

ALS ambulances are provided in Annexure VI & VII.

4.3.4 The present control room (Emergency Response Center) of KEMP

located at Techno park, Thiruvananthapuram will be transferred to the

successful bidder. This control room shall be occupied by the successful

bidder to provide services to the districts of Thiruvananthapuram and

Alappuzha. The details regarding the Infrastructure and other facilities

available in the present control room are provided in Annexure VIII.

4.3.5 The rental charges of the present control will be paid by the Tender

Inviting Authority. The control room with the entire hardware and other

existing facilities will be handed over to the successful tenderer.

4.3.6 Capital expense (CAPEX): Since the tender is invited to continue the

KEMP operations with the existing 43 ALS ambulances and with the

existing infrastructure except manpower, no further expenses for the

capital cost shall be paid by the Tender Inviting Authority.

4.3.7 Operating expense: (OPEX) Shall be met by the bidder which includes

the following

4.3.7.1 Control room staff salary 24 x 7 operations.


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4.3.7.2 Maintenance and operation of the control room.

4.3.7.3 Salary of ambulances and field staff 24 x 7 operations.

4.3.7.4 Insurance, statutory cost, Maintenance cost of existing 43 ALS

Ambulances and the control room

4.3.7.5 Fuel cost for the ambulances

4.3.7.6 Recruitment, training, administration, travelling, telephone, data charges,

GPS charges, electricity, housekeeping, security etc.

4.3.7.7 Cost of consumables, recurring expense on account of man power,

consumables and any unforeseen expenses.

4.3.7.8 Cost of GPS/GPRS device and its recurring expense for the 18 ALS

ambulances in the district of Alappuzha.

4.3.7.9 Required software for the control room.

4.3.7.10 Awareness creation among the public about the service.

4.3.7.11 Any other unforeseen expenses.

4.3.8 The ALS ambulances will be handed over to the bidder by the tender

inviting Authority and all formalities related with the maintenance of the

ambulances as per the rules in force has to be done by the successful

bidder during the contract period.

4.3.9 The operating expense shall be quoted for the operation of each

ambulance for a maximum kilometer of 3000 km per ambulance per

month and additional kilometer will be reimbursed at the rate of Rs. 15/-

per kilometer for ambulance, run beyond this limit on cumulative basis

per month for all the 43 vehicles combined. Additional kilometers

payment will be reimbursed only if the total kilometers travelled by all the

43 ambulances deployed in the districts of Thiruvananthapuram and

Alappuzha, crosses the 1,29,000 (3000 x 43) kilometer mark for any

given month.

4.3.10 The distance travelled by the ambulance other than patient transport (to

& fro) shall not be claimed for reimbursement.


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4.44.44.44.4 Responsibility of successful bidderResponsibility of successful bidderResponsibility of successful bidderResponsibility of successful bidder

4.4.1 The existing emergency ambulance service and the system shall be

implemented in coordination with other agencies/ department like; Police,

Fire, medical, road transport, etc and to continue the smooth efficient

service without legal and operational complications.

4.4.2 Provide technological, leadership, administrative and managerial support

as the Partner in an open and transparent manner to produce mutually

agreed outcomes.

4.4.3 Maintain a suitable integrated solution including Computer Technology

Integration, Voice logger system, Geographic Information systems (GIS),

Geographical positioning systems (GPS), Automatic Vehicle Location &

Tracking (AVLT) Computer Aided Dispatch (CAD) and mobile

communication systems, by utilizing the existing Infrastructure.

4.4.4 In addition to above specific activities the bidder shall develop and

implement appropriate control mechanism to ensure;

(i) Optimal use of the infrastructure

(ii) Proper selection and training of human resources

(iii) Continuous performance monitoring and evaluation

4.4.5 Continue to Operate the Emergency Response Center (control room) for

24 hours through the dedicated toll free telephone number “108”. Shall

provide sufficient number of parallel lines with hunting facilities and

enhance upon the increase in number of calls receiving during the

contract period. Emergency Response Center may receive emergency call

of the nature of medical, police and fire fighting service.

4.4.6 Provide the required Application Software for the project. The successful


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bidder shall also update the software periodically as per requirement.

4.4.7 Serve as a vital emergency management information and assistance

resource and raise societal awareness of, and capability in, Emergency

Management and Response mechanisms and thus save lives and reduce

the economic impact to the citizens, firms and the government through

appropriate awareness, education and capacity building programs.

4.4.8 Operate the existing ALS ambulances and ensure that ambulance services

are available on 24 hours per day to the general public of the two districts

Trivandrum and Alappuzha, without any charges being levied from the

public opting Government hospitals / healthcare institutions. Shall

maintain an average response time of 10 minutes for urban areas, 20

minutes for semi urban and 30 minutes for rural and difficult areas which

shall be a key performance parameter.

4.4.9 Provide Un-interrupted power supply facility to the Emergency Response

Center to provide un-interrupted services.

4.4.10 Currently the 25 ALS ambulances in Thiruvananthapuram district have

GPS/GPRS device on it. The GPS/GPRS device for the 18 ALS

ambulances in Alappuzha district has to be provided by the successful

bidder. The maintenance of the devices shall be the responsibility of the

successful bidder. The Emergency Response Center shall communicate

with all the ambulances by means of voice as well data. The data includes

the destination name, landmark and other relevant information shall flash

on the GPS/GPRS device monitor kept on each of the ambulance. The

device should also have facilities to log the status of emergency calls

attended by the ambulances to the control room for the purpose of

monitoring and evaluation.

4.4.11 In the event of multiple causality or major accident more than one


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ambulance shall be deployed depending upon the condition within a

short time span.

4.4.12 Recruit, train and position the required man power, including Pilots

(drivers) and Emergency Medical Technicians [EMT] who will be present

in the ambulance while shifting an emergency case to a hospital. The

recruitment and training as per Annexure IX has to be completed prior to

the functioning of the project in these two districts without creating any

additional expense to Tender Inviting Authority.

4.4.13 Ensure that every ambulance shall have at least one Pilot and one EMT

present at any given point of time to provide patient-stabilization, first-aid

and other pre-hospital care. All the break-down and maintenance

problems of the Ambulance vehicles along with the renewal of Fitness

certificates are to be done by bidder at his cost.

4.4.14 Bidder shall replace at its cost all the missing tools or equipments from

these 43 ALS ambulances with tools and equipments of same

specification from the supplier of the ambulance equipments and tools in

the contract period at his cost.

4.4.15 Bidder shall meet all expenses towards insurance, Annual Fitness

certification, Maintenance, Minor & Major repairs, replacement of tyres,

batteries, other spare parts and consumables etc. of the 43 ALS

Ambulance vehicles during the contract period at his cost.

4.4.16 Provide daily (operational), monthly (administrative and financial)

reports and quarterly (fund utilization) statements of the operation to the

Tender Inviting Authority. Reports of any format as per the request of

Tender Inviting Authority shall be given by the bidder.

4.4.17 Attend periodical review meetings held by the Government or Tender

Inviting Authority (physically or virtually) for the assessment of the


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operationalization of the scheme.

4.4.18 Maintain separate financial accounts and records of its operations for the

two districts. These accounts shall be duly audited by a Chartered

Accountant firm and furnished to Tender Inviting Authority by the end of

the first quarter of the succeeding period.

4.4.19 Bring in technology and service excellence and work towards improving

delivery of emergency response of global standards over a period of time.

4.4.20 Periodic training programs has to be conducted for the operational staff

including Driver and Emergency Medical Technician.

4.4.21 Strive for continuous improvement in emergency management through

strategic partnerships, innovative programs, and collaborative policies.

4.4.22 Prepare the Standard Operating Procedure Framework (SOPF) for

Emergency Response Center in consultation with Tender Inviting

Authority.

4.54.54.54.5 TimelinesTimelinesTimelinesTimelines::::

4.5.1 The period of contract shall be for a period of six months and shall be

extendable on mutually agreed terms.

4.5.2 The KEMP service in Thiruvananthapuram and Alappuzha district shall be

taken over from the existing operating agency with effect from 00:00 hours

on 16th October 2013 after executing an agreement with the Tender Inviting

Authority.

4.64.64.64.6 OverallOverallOverallOverall performance standardperformance standardperformance standardperformance standard

4.6.1 The KEMP services shall have 99.5% uptime during the period of

contract.

4.6.2 At any given point of time during the contract period only 5% (rounded

off to the nearest whole number) of the fleet can be off-road, which

includes vehicles under repair, preventive maintenance and accident.


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4.6.3 The breakdown of ambulance while carrying patient shall be maintained

as far as possible to the minimum.

4.6.4 The GPS/GPRS device fixed in each ambulance should have 99% uptime

in a year.

4.74.74.74.7 Operational Parameter and Penalty ClausesOperational Parameter and Penalty ClausesOperational Parameter and Penalty ClausesOperational Parameter and Penalty Clauses

4.7.1 The bidder shall take over the project from the existing operating agency

in the districts of Trivandrum and Alappuzha in the manners specified

herein.

4.7.2 If the uptime of the EMS is not maintained as per clause 4.6.1, a penalty

of double the operating expense applicable for that time of the contract

for the entire fleet for the non-performing period will be deducted.

4.7.3 If the uptime of ambulances is not maintained as per clause 4.6.2, a

penalty of amount equal to double the operating expense applicable for

the time of the contract for the non performing ambulances for that period

will be deducted.

4.7.4 If the uptime of GPS/GPRS is not maintained as per clause 4.6.4, a

penalty of amount equal to the operating expense applicable for the time

of the contract for the non performing period above the uptime specified

will be deducted.

4.7.5 If the non-performance is less than 24 hours the deductions imposed will

be as per the following.

S/nS/nS/nS/n Period of breakdownPeriod of breakdownPeriod of breakdownPeriod of breakdown Penalty imposedPenalty imposedPenalty imposedPenalty imposed

1 0 to 12 hours Half day opex

2 12 to 24 hours Full day opex

3 >24 hours Will be proportionate in accordance to the above slabs.


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4.7.6 In case of other defaults in services necessary action under terms of the

agreement will be initiated in addition to imposition of penalty considering

seriousness of the default. The fault shall be determined with reference to

the outputs and the State Level Committee set-up for overall supervision

and monitoring of KEMP will determine penalty.

4.7.7 The amount of penalty shall be recovered from the claims submitted by

the service provider. In the absence of any claim, it can be recovered from

the performance security deposit.

4.84.84.84.8 Performance Standards Performance Standards Performance Standards Performance Standards for ambufor ambufor ambufor ambulance servicelance servicelance servicelance service

4.8.1 Service and Performance Standards to be maintained for Ambulances (to

be made as a part of the contract) – By successful bidder

4.8.1.1 All trips made by the 108 services are without user fee.

4.8.1.2 The Emergency response call center would link all the ALS ambulances,

emergency medical centers, police and fire departments in these districts.

4.8.1.3 Driver and EMT to Ambulance ratio to be at least 2.5::::1. i.e. 2.5 drivers

and 2.5 EMT per Ambulance.

4.8.2 Bidder shall maintain separate log books for vehicle and patient, stock

register and status register in all these 43 ALS ambulance with relevant

details in consultation with Tender Inviting Authority. Bidder shall also

implement any system which Tender Inviting Authority intends to

introduce.

4.8.2.1 Daily Ambulance maintenance protocol sheet filled could be noticed with

supervisor checking the sheet at least one in 15 days. (The Maintenance

sheet will include: Vehicle maintenance parameters like the

condition/level of engine oil, brake fluid and coolant level, clutch fluid,

condition of air filter, tyre pressure, oxygen level, fuel level, proper


17

working of siren, lights, charging of rechargeable equipments, and

availability of Drugs, Consumables and Equipment check sheet).

4.8.2.2 Drugs, consumable and equipment would be available in vehicle as per a

list specified by the Tender Inviting Authority. Standard emergency care

protocols would also be available.

4.8.2.3 Successful bidder should maintain record of all calls received, and those

who were responded to, the time to dispatch the ambulance, the time to

pick up and the time to reach the site of emergency care and provisional

diagnosis made, care provided en route and hospital where patient

dropped, as well as accredited hospitals who did not accept the patient.

4.8.2.4 Successful bidder should provide information to Tender Inviting Authority

as and when required.

4.8.2.5 Compliance to statutory requirements: Vehicle Registration, Pollution

Control, Driver License, payment of applicable tax, etc.

4.8.3 The ambulance has to reach the site of requirement within the response

time as specified under clause 4.4.8 of receiving such call at the

Emergency Response Center in 80% of the cases. It is clarified that non-

response to hoax calls, repeat calls, crank calls or calls that did not provide

an address for the Patient will not be taken into account while determining

adherence to Response Time standards by the Operator. Response Time

standards shall apply to all emergency ambulance requests requiring a

response as determined by the Emergency Response Center (ERC) using

call screening and dispatch protocols approved by the Tender Inviting

Authority and only such calls shall be used for the purposes of

determining response time compliance calculations.


18

4.8.4 Any delay in adhering to the Response Time and Patient Transport Time

standards shall be recorded and reported by the Operator to the Tender

Inviting Authority

4.8.5 Response Time calculations shall be calculated from the time a call is

received at the call centre,

(a) till the time Operator's ambulance arrives on the scene

(b) or is cancelled by the Emergency Response Centre (ERC).

(i) Time of Call Received- shall be defined as the time at which the

ERC has received a call through telephone or any other source (fire

service, police etc.).

(ii) Time of Arrival on Scene – shall mean the time at which an

ambulance crew (the driver) notifies the ERC that the ambulance has

reached the place of Patient.

(iii) In case of multiple response i.e. more than one vehicle arriving at

the scene, the response time shall be recorded for the first vehicle

arriving on scene.

(iv) Response time standards may be suspended in case of a multi

casualty incident or disaster in Kerala in case Tender Inviting Authority

calls on the vehicles to aid.

(v) Exceptions to Response Time Standards: It is the responsibility of

the Operator to apply for exceptions on a daily basis to the Tender

Inviting Authority. Exceptions shall be permitted in the following cases,

only it the Operator applies in time for exception on account of;

- Failure of radio transmission


19

- Mobile data terminal failure

- Material change in dispatch location

- Computer aided dispatch failure

- Unavoidable telephone communications failure

- Delays caused by traffic secondary to the incident

- Unavoidable delays caused by road construction or inclement

weather e.g fog

- Unavoidable delays caused on account of rail crossings where the

train was delayed – Delays resulting from off road locations

4.94.94.94.9 Performance Standards for the Emergency Response CentrePerformance Standards for the Emergency Response CentrePerformance Standards for the Emergency Response CentrePerformance Standards for the Emergency Response Centre

4.9.1 At least 80% of the calls that need an ambulance would have a response

time less than the response time standards mentioned in clause 4.4.8.

4.9.2 The Emergency Response center shall have on-line vehicle tracking which

refreshes the position of ambulance every 5 seconds.

4.9.3 All patients shifted on the KEMP should have received care as per

standard operating guidelines prepared for this purpose.

4.9.4 On receiving call of medical emergency, Emergency Response Center

should be able to track at least five nearest ambulances (which is ready to

take a patient) and shall communicate with the nearest ambulance and

the caller, and arrange to take the patient to the most appropriate and

nearest hospital for that type of emergency based on the list of facilities

with assured services. (If there are more than one appropriate site within

comparable distances, the patient or their attender would indicate their

choice, and the ambulance service could take them there).


20

4.9.5 On best effort basis, the concerned hospital should be informed in

advance. Any call requiring assistance from police or fire fighting

authorities shall be transferred accordingly.

4.9.6 All Calls should be picked up by the third ring and ambulances where

needed dispatched within 120 seconds.

4.104.104.104.10 Monitoring and EvaluationMonitoring and EvaluationMonitoring and EvaluationMonitoring and Evaluation

4.10.1 A State level committee with Secretary (H&FWD) as Chairman will review

the performance.

4.10.2 A district level committee with District Collector as Chairman will review

the district level operation once in three months and submit the minutes

of the meeting to the State Level committee.

4.10.3 The services and records of the service shall be subject to inspection by

designated officer(s) of the Tender Inviting Authority. The set of records

submitted by the successful bidder would be verified by state level steering

committee.

4.10.4 The successful bidder will provide information on a limited set of

indicators stated by the State Level Committee as and when required.

4.114.114.114.11 Termination /Suspension of AgreementTermination /Suspension of AgreementTermination /Suspension of AgreementTermination /Suspension of Agreement

4.11.1 The Tender Inviting Authority may, by a notice in writing suspend the

agreement if the successful tenderer fails to perform any of his obligations

including carrying out the services, provided that such notice of

suspension

4.11.1.1 Shall specify the nature of failure, and


21

4.11.1.2 Shall request remedy of such failure within a period not exceeding 10

days after the receipt of such notice.

4.11.2 The Tender Inviting Authority after giving 15 days clear notice in writing

expressing the intension of termination by stating the ground/grounds on

the happening of any of the events (4.11.2.1) to (4.11.2.4), may

terminate the agreement after giving reasonable opportunity of being

heard to the successful bidder.

4.11.2.1 If the successful bidder do not remedy a failure in the performance of his

obligations within 10 days of receipt of notice or within such further

period as the Tender Inviting Authority have subsequently approve in

writing.

4.11.2.2 If the successful bidder becomes insolvent or bankrupt.

4.11.2.3 If, as a result of force majeure, successful bidder is unable to perform a

material portion of the services for a period of not less than 30 days: or

4.11.2.4 If, in the judgment of the Tender Inviting Authority, the successful bidder

is engaged in corrupt or fraudulent practices in competing for or in

implementation of the project.

4.11.3 In the event of premature termination of the contract by the Tender

Inviting Authority on the instances other than non-fulfillment/ non-

performance of the contractual obligation by the successful bidder, the

balance remaining un-paid amount on account of operational

expenditure as on the day of termination shall be released within six

months from the date of such termination.


22

4.124.124.124.12 SaSaSaSaving Clausesving Clausesving Clausesving Clauses

4.12.1 In the absence of any specific provision in the agreement on any issue,

the decision of the Tender Inviting Authority is final.

4.134.134.134.13 Pre Pre Pre Pre Qualification CriteriaQualification CriteriaQualification CriteriaQualification Criteria::::

4.13.1 Minimum experience of two years with in the period of last five years in

operating emergency ambulance services of any State Government in

India for the entire State or part of the State with a fleet of at least 25

ambulances supported by a centralised control room.

4.13.2 Should have experience in computer telephony integration with the ability

to log calls combined with geographical information system and GPRS

integrated system to facilitate quick dispatch of vehicles.

4.13.3 Should have comprehensive training system for service and supervisor

personnel in the implementation of the emergency response system.

4.13.4 Bidders who submit the requisite cost of the tender document and also

the EMD as DD or Bank Guarantee in the prescribed format/Bankers

cheque.

4.13.5 Bidders who have been blacklisted/ debarred by Tender Inviting Authority

or blacklisted / debarred by any State Government or Central Government

department/Organization should not participate in the tender during the

period of blacklisting.

4.13.6 Bidders should not be involved in any litigation that might have an impact

of affecting or compromising the delivery of services as required under this

tender.

4.13.7 Firm / company who have withdrawn after participating in any of the

previous tenders of KMSCL are not eligible to participate in this tender.


23

4.144.144.144.14 CriteriaCriteriaCriteriaCriteria for Evaluationfor Evaluationfor Evaluationfor Evaluation

4.14.1 Bidders failing to meet pre-qualification criteria or not submitting requisite

supporting documents / documentary evidence for supporting

prequalification criteria are liable to be rejected summarily.

4.14.2 Only those bidders who meet the pre-qualification criteria are eligible to

participate in the price bid evaluation.

4.14.3 The qualified lowest bidderqualified lowest bidderqualified lowest bidderqualified lowest bidder will be declared as the successful bidder.

4.154.154.154.15 Payment TePayment TePayment TePayment Termsrmsrmsrms

4.15.1 The payment for the successful bidder will be provided as follows;

TypeTypeTypeType DescriptionDescriptionDescriptionDescription Payment InstallmentsPayment InstallmentsPayment InstallmentsPayment Installments

OPEX Monthly operational

expense for 43 ALS

Ambulances

- The operating expense will be

paid quarterly (Once in three

months) after submission of bills.

4.15.2 All advance payments will be paid only on submission of bank

guarantee for equal amount valid for a period of three months.

4.15.3 TDS will be deducted as per rules.

4.15.4 All payments will be made through RTGS transfer.

4.164.164.164.16 Bid Security (EMD) and bid CoBid Security (EMD) and bid CoBid Security (EMD) and bid CoBid Security (EMD) and bid Costststst

4.16.1 A bid security of Rs.3 lakhs (Rupees Three lakhs only) in the form of

Bank guarantee as per format in Annexure III / Demand Draft from any

nationalized / scheduled bank in favour of “The Managing Director, “The Managing Director, “The Managing Director, “The Managing Director,

Kerala Medical Services Corporation Ltd”Kerala Medical Services Corporation Ltd”Kerala Medical Services Corporation Ltd”Kerala Medical Services Corporation Ltd” payable at

Thiruvananthapuram should accompany the technical bid.

4.16.2 In addition to the bid security a non- refundable bid cost of Rs. 26,250/-

(Rupees Twenty six thousand two hundred and fifty only) in the form of


24

Demand Draft from any nationalized / scheduled bank in favour of “The “The “The “The

ManManManManaging Director, Kerala Medical Services Corporation Ltd”aging Director, Kerala Medical Services Corporation Ltd”aging Director, Kerala Medical Services Corporation Ltd”aging Director, Kerala Medical Services Corporation Ltd” payable at

Thiruvananthapuram should accompany the technical bid as bid cost.

4.16.3 Non- submission of sufficient bid security as mentioned in Section III

along with the Technical Bid shall be one of the primary reasons for

rejection of the offer.

4.16.4 Cheque, Cash payment, Money Order, Fixed deposit etc will not be

accepted as bid security and bid cost. Bid cost in the form of bank

guarantee shall also be not accepted.

4.16.5 Bid security of unsuccessful bidders will be discharged/returned as

promptly as possible as but not later than 30 days after opening of the

price bids by the Tender Inviting Authority.

4.16.6 The successful bidder's bid security will be discharged upon the bidder

signing the contract and furnishing the performance security. The bid

security of the successful bidder if furnished as DD can be adjusted

towards the security deposit payable.

4.16.7 No interest will be paid for the bid security amount submitted....

4.16.8 The bid security will be forfeited, if a bidder;

4.16.8.1 misrepresents facts or submit false/fake documents during the bid

process

4.16.8.2 if the bidder willfully violates any terms and conditions of the bid

documents

4.16.8.3 withdraws its bid after the opening of technical bid;

4.16.8.4 a successful bidder, fails to sign the contract after issuance of Letter of

Intent

4.16.8.5 Fails to furnish performance security after issuance of Letter of Intent.


25

4.174.174.174.17 PerformancePerformancePerformancePerformance securitysecuritysecuritysecurity

4.17.1 There will be a performance security deposit amounting to 5% of the

total value for 3000 kilometers per month for 43 ambulances for six

months which shall be submitted by the successful bidder to the Tender

Inviting Authority along with signing the agreement.

4.17.2 The performance security shall be in the form of Bank guarantee /

Demand Draft from any nationalized / scheduled bank in favour of “The “The “The “The

ManagiManagiManagiManaging Director, Kerala Medical Services Corporation Ltd”ng Director, Kerala Medical Services Corporation Ltd”ng Director, Kerala Medical Services Corporation Ltd”ng Director, Kerala Medical Services Corporation Ltd” payable at

Thiruvananthapuram. In case of bank guarantee, it shall be valid for a

period of nine months from the date of signing the agreement.

4.17.3 Formal orders will be issued to the successful bidder who shall execute

the agreement in Kerala stamp paper worth `100 and submit the

required performance security forthwith.

4.17.4 Failure of the successful bidder in providing performance security

and/or in returning contract copy duly signed in time shall make the

bidder liable for forfeiture of its bid security.

4.17.5 The Performance security shall be denominated in Indian Rupees or in

the currency of the contract as detailed below:

4.17.5.1 It shall be in any one of the forms namely Account Payee Demand

Draft or Bank Guarantee issued by a Scheduled bank in India, in the

prescribed form as provided in this document endorsed in favour of the

Tender Inviting Authority/user institution.

4.17.5.2 Tender Inviting Authority will release the Performance Security without

any interest to the successful bidder on completion of the successful

bidder’s all contractual obligations.

4.17.5.3 The Bank Guarantee submitted in place of EMD/Security deposit shall

be in the prescribed format; Bank Guarantee in no other form will be

accepted and will lead to rejection of tenders.

4.184.184.184.18 Technical Technical Technical Technical bidbidbidbid

4.18.1 Bidder should submit the profile of the agency in brief writing on the

Organization including structure, man power strength, statutory

compliance etc.


26

4.18.2 Documents showing the identity of Board members / proprietor / partners

of the bidder has to be submitted.

4.18.3 Brief note on the previous experience of operating a network of

emergency ambulances through a centralized control room with

photographs shall be submitted. The detail shall include curriculum vitae

of the key people handling the project, number of staff with designation in

each project.

4.18.4 Documents proving that the bidder is having minimum experience of two

years with in the period of last five years in operating emergency

ambulance services of any State Government in India for the entire State

or part of the State with a fleet of at least 25 ambulances supported by a

centralised control room.

4.18.5 Documents proving that the bidder is having experience in computer

telephony integration with the ability to log calls combined with

geographical information system and GPRS integrated system to facilitate

quick dispatch of vehicles.

4.18.6 Documents proving that the bidder have comprehensive training system

for service and supervisor personnel in the implementation of the

emergency response system.

4.18.7 Documents such as articles of association/partnership deed etc, proof of

incorporation, proving the registration of place of business and showing

the details of partners/promoters/board of directors etc.

4.18.8 Curriculum vitae of the proposed key personnel(s) to be assigned for this

project.

4.194.194.194.19 Variation in the number of ALS ambulancesVariation in the number of ALS ambulancesVariation in the number of ALS ambulancesVariation in the number of ALS ambulances

4.19.1 In case the Tender Inviting Authority intends to add more ambulances not

exceeding 15% of the existing 43 ALS ambulances in these districts, the

bidder is bound to operate the ambulances, at the agreed quoted rate for

this tender.


27

SSSSECTION VECTION VECTION VECTION V

GENERAL CONDITIONS OF GENERAL CONDITIONS OF GENERAL CONDITIONS OF GENERAL CONDITIONS OF TENDERTENDERTENDERTENDER

5.1.5.1.5.1.5.1. Contents of the Contents of the Contents of the Contents of the TenderTenderTenderTender Document Document Document Document

5.1.1. Introduction (Section I)

5.1.2. Scope and Description of Contract (Section II)

5.1.3. Tender Schedule (Section III)

5.1.4. Scope of Work (Section IV)

5.1.5. General Conditions of Contract (Section V)

5.1.6. Annexure–supporting documents for submission with Tender

5.2.5.2.5.2.5.2. TenderTenderTenderTender DocumentDocumentDocumentDocument

5.2.1 The Tender document can be downloaded from website

www.kmscl.kerala.gov.in.www.kmscl.kerala.gov.in.www.kmscl.kerala.gov.in.www.kmscl.kerala.gov.in. The cost of the Tender document is mentioned

in section III. The bid cost shall be submitted along with the technical bid

in the form of DD as mentioned clause 4.17. Non submission of bid cost

is one of the reasons for rejection.

5.3.5.3.5.3.5.3. Guidelines for preparation of Guidelines for preparation of Guidelines for preparation of Guidelines for preparation of TendeTendeTendeTenderrrr

5.3.1. The Bidder shall bear all costs associated with the preparation and

submission of its Tender and the Corporation, will in no case be

responsible or liable for these costs, regardless of the conduct or outcome

of the bidding process.

5.3.2. It is compulsory to provide a check list as per Annexure I as facing sheet

for the technical bid submitted so as to enable the Corporation to prima

facie verify the compliance of submission of requisite documents at the

time of opening of Tender.

5.3.3. Language of bid:- The bid prepared by the Bidder and all correspondence

and documents relating to the Tender exchanged by the Bidder and the

Corporation, shall be in English language. Supporting documents and

printed literature furnished by the Bidder may be written in another

language provided they are accompanied by an authenticated accurate


28

translation of the relevant passages in the English language in which case,

for purposes of interpretation of the bid, the English translation shall

govern.

5.3.4. A copy of the complete Tender document duly signed on every page by

the Bidder or the authorized representative shall be enclosed as part of the

bid as a proof of having read and accepted the terms and conditions of

the technical bid document.

5.4.5.4.5.4.5.4. Amendment of Amendment of Amendment of Amendment of TenderTenderTenderTender

5.4.1. At any time prior to the dead line for submission of Tender, the

Corporation may, for any reason, modify the Tender document by

amendment.

5.4.2. There will not be any individual communication in respect

of general notices, amendments, etc. The prospective offers

are advised to check for updates in our website www.kmscl.kerala.gov.in www.kmscl.kerala.gov.in www.kmscl.kerala.gov.in www.kmscl.kerala.gov.in

on a day to day basis. Individual communications will only be issued in

exceptional cases, at the discretion of the Corporation. All

notices/information will also be disseminated through the Corporation's

website and it will be binding on the Bidders. The prospective Bidders are

advised to browse the website of the Corporation on a day-today basis till

the tender process is concluded.

5.5.5.5.5.5.5.5. Method of Submission of Method of Submission of Method of Submission of Method of Submission of TTTTenderenderenderender

5.5.1. Tender technical bid shall contain the complete technical specifications

and details on the competency of the Bidder and also the Tender package

with terms and conditions of implementation of the proposed service.

Apart from the documents and signed copy of the Tender, the necessary

enclosures shall be submitted with Tender. In short, the Tender technical

bid shall contain all the necessary documents to prove the technical

competency and capability of the Bidder for implementing project and the

ability of the Bidder for providing efficient service and support to the

satisfaction of the Corporation.

5.5.2. The tender offers, duly filled, shall be submitted in two separate sealed

covers separately for technical and price bids respectively. The


29

technical bid shall be super scribed as “Tender“Tender“Tender“Tender NoNoNoNo....

KMSCL/KEMP/01/201KMSCL/KEMP/01/201KMSCL/KEMP/01/201KMSCL/KEMP/01/2013,3,3,3, TECHNICAL BID for TECHNICAL BID for TECHNICAL BID for TECHNICAL BID for ““““Operating Operating Operating Operating 108 108 108 108

Emergency ambulances services Emergency ambulances services Emergency ambulances services Emergency ambulances services (KEMP)(KEMP)(KEMP)(KEMP) in thein thein thein the districts of districts of districts of districts of

ThiruvananthapuramThiruvananthapuramThiruvananthapuramThiruvananthapuram and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS

AmbulancesAmbulancesAmbulancesAmbulances....”””” The Price bids shall be super scribed as TenderTenderTenderTender NoNoNoNo....

KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013,KMSCL/KEMP/01/2013, PRICE BID for PRICE BID for PRICE BID for PRICE BID for ““““OperOperOperOperating ating ating ating 108 108 108 108 Emergency Emergency Emergency Emergency

ambulances services ambulances services ambulances services ambulances services (KEMP)(KEMP)(KEMP)(KEMP) in thein thein thein the districts of districts of districts of districts of ThiruvananthapuramThiruvananthapuramThiruvananthapuramThiruvananthapuram and and and and

Alappuzha with the existing 43 ALS AmbulancesAlappuzha with the existing 43 ALS AmbulancesAlappuzha with the existing 43 ALS AmbulancesAlappuzha with the existing 43 ALS Ambulances....”””” Both the sealed

covers shall be enclosed in another sealed (third) cover which should

also be super scribed as “Tender“Tender“Tender“Tender NoNoNoNo.... KMSCL/KEMP/01/2013, KMSCL/KEMP/01/2013, KMSCL/KEMP/01/2013, KMSCL/KEMP/01/2013, TTTTenderenderenderender

for for for for ““““Operating Operating Operating Operating 108 108 108 108 Emergency ambulances services Emergency ambulances services Emergency ambulances services Emergency ambulances services (KEMP)(KEMP)(KEMP)(KEMP) in thein thein thein the

districts of districts of districts of districts of ThiruvananthapuramThiruvananthapuramThiruvananthapuramThiruvananthapuram and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS and Alappuzha with the existing 43 ALS

AmbulancesAmbulancesAmbulancesAmbulances....””””

5.5.3. Cover shall also indicate the name and address of the Bidder, last date &

time of receiving the Tenders; shall be sealed and marked properly and

shall be addressed to;

The Managing DirectorThe Managing DirectorThe Managing DirectorThe Managing Director Kerala Medical Services Corporation Ltd Thycaud. P.O. Thiruvananthapuram -695014 Kerala State

5.5.4. If the bids are not submitted as per the requirement of the above clauses,

the Corporation shall assume no responsibility for the offer’s

misplacement or premature opening and consequential rejection.

5.5.5. The Tender shall be sent by registered post or by courier to the above

address or dropped in a box specifically kept at the Head Office of Kerala

Medical Services Corporation Ltd at Thycaud, Thiruvananthapuram -14.

5.5.6. Tender documents sent by telex or fax or email is void.

5.6.5.6.5.6.5.6. Contents of the Contents of the Contents of the Contents of the TenderTenderTenderTender

5.6.1. Bidder should submit the profile of the agency in brief writing on the

Organization including structure, man power strength, statutory

compliance etc.


30

5.6.2. Documents showing the identity of Board members / proprietor / partners

of the bidder has to be submitted.

5.6.3. Brief note on the previous experience of operating a network of

emergency ambulances through a centralized control room with

photographs shall be submitted. The detail shall include curriculum vitae

of the key people handling the project, number of staff with designation in

each project.

5.6.4. Documents proving that the bidder is having minimum experience of two

years with in the period of last five years in operating emergency

ambulance services of any State Government in India for the entire State

or part of the State with a fleet of at least 25 ambulances supported by a

centralised control room.

5.6.5. Documents proving that the bidder is having experience in computer

telephony integration with the ability to log calls combined with

geographical information system and GPRS integrated system to facilitate

quick dispatch of vehicles.

5.6.6. Documents proving that the bidder has comprehensive training system

for service and supervisor personnel in the implementation of the

emergency response system.

5.6.7. Documents such as articles of association/partnership deed etc, proof of

incorporation, proving the registration of place of business and showing

the details of partners/promoters/board of directors etc.

5.6.8. Curriculum vitae of the proposed key personnel(s) to be assigned for this

project.

5.6.9. Copy of the complete Tender document duly signed in all pages by the

Bidder or the authorized signatory.

5.75.75.75.7 Deadline for submission of Deadline for submission of Deadline for submission of Deadline for submission of TenderTenderTenderTender.

5.7.1 Tender documents must be received in the office of the Corporation at the

above address at Thiruvananthapuram not later than the time and date

specified in the Tender Schedule (Section III).


31

5.7.2 In the event of the specified date for submission of Tender being declared

holiday, the Tender shall be received up to the appointed time on the

next working day.

5.7.3 If the Tender is sent by Registered post or by Courier, it shall reach the

above office on or before the time and date stipulated for the receipt of

Tender documents. The Corporation shall not be held liable for the delay

in transit where the Tender documents are sent by post or courier.

5.7.4 The Corporation may, at its discretion, extend the deadline for submission

of Tender by amending the Tender Document, in which case, all rights

and obligations of the Corporation and the Bidders previously subjected

to the deadline shall thereafter be subjected to the same deadline so

extended.

5.85.85.85.8 Number of TendersNumber of TendersNumber of TendersNumber of Tenders

5.8.1 A bidder is eligible to submit only one bid. A bidder shall not be entitled

to submit another bid.

5.95.95.95.9 Period of Validity of TenderPeriod of Validity of TenderPeriod of Validity of TenderPeriod of Validity of Tender

5.9.1 The tender must remain valid for minimum 90 days from the date of

opening of price bid. A bid valid for a shorter period shall be rejected by

the Tender Inviting Authority as non-responsive.

5.105.105.105.10 Clarification of Clarification of Clarification of Clarification of TenderTenderTenderTender

5.10.1. During evaluation of Tender, the Corporation may, at its discretion, give

opportunity to the Bidder(s) for clarification of points raised by the bid

evaluation committee on its documents submitted.

5.10.2. The request for clarification and the response shall be in writing, either

through email or fax or by post.

5.11.5.11.5.11.5.11. NoticesNoticesNoticesNotices

5.11.1. The Corporation shall publish the following information on its website at

the appropriate time as part of ensuring transparency in the tender

process;

5.11.1.1. The Tender notices, documents, etc if any.


32

5.11.1.2. Amendments to the Tender conditions, if any, especially after the pre-

offer meeting.

5.11.1.3. Results of the responsiveness of the Tender and minor

infirmities/clarifications sought.

5.11.1.4. Results of the evaluation of bid, reasons for rejections and provisional

status list of Bidders qualified.

5.11.1.5. Final L1 list of bidder.

5.12.5.12.5.12.5.12. Price bidPrice bidPrice bidPrice bid

5.12.1. The bidder has to quote the operational exThe bidder has to quote the operational exThe bidder has to quote the operational exThe bidder has to quote the operational expenses per ALS ambulances penses per ALS ambulances penses per ALS ambulances penses per ALS ambulances

for running 3000 kilometers per month for running 3000 kilometers per month for running 3000 kilometers per month for running 3000 kilometers per month as per format as per format as per format as per format in Annexure in Annexure in Annexure in Annexure XXXX

5.12.2. The bidder has to consider his cost towards fuel charges, labour, salary The bidder has to consider his cost towards fuel charges, labour, salary The bidder has to consider his cost towards fuel charges, labour, salary The bidder has to consider his cost towards fuel charges, labour, salary

and wages, taxes and duties, etc for 43 ALS ambulances before arriving and wages, taxes and duties, etc for 43 ALS ambulances before arriving and wages, taxes and duties, etc for 43 ALS ambulances before arriving and wages, taxes and duties, etc for 43 ALS ambulances before arriving at at at at

the amount the amount the amount the amount finally finally finally finally mentioned imentioned imentioned imentioned in 5.12.1n 5.12.1n 5.12.1n 5.12.1

5.12.3. Enhancement of rate once accepted will not be entertained at any cost Enhancement of rate once accepted will not be entertained at any cost Enhancement of rate once accepted will not be entertained at any cost Enhancement of rate once accepted will not be entertained at any cost

during the currency of the contract. during the currency of the contract. during the currency of the contract. during the currency of the contract.

5.12.4. In case of any discrepancy beIn case of any discrepancy beIn case of any discrepancy beIn case of any discrepancy between figures and words in the price bidtween figures and words in the price bidtween figures and words in the price bidtween figures and words in the price bid, the, the, the, the

one described in words shall be adopted.one described in words shall be adopted.one described in words shall be adopted.one described in words shall be adopted.

5.12.5. Conditional price bids Conditional price bids Conditional price bids Conditional price bids will not be accepted.will not be accepted.will not be accepted.will not be accepted.

5.13.5.13.5.13.5.13. Award of ContractAward of ContractAward of ContractAward of Contract

5.13.1. Criteria:-The contract will be awarded to the lowest evaluated responsive

bidder qualifying to the final round after scrutiny of the technical bids and

price bids.

5.14.5.14.5.14.5.14. AAAAwardwardwardward of Contractof Contractof Contractof Contract

5.14.1. The Tender Inviting Authority on finalizing the successful bidder will issue

work order to the successful bidder in writing, by registered / speed post or

by fax or by email (to be confirmed by registered / speed post

immediately afterwards) indicating the quantity and services to be offered

and corresponding prices accepted.


33

5.14.2. The successful bidder, upon receipt of the work order, shall furnish the

required performance security and submit an agreement which shall be

finalized after award of contract with the successful bidder, failing which

the bid security will be forfeited and the award will be cancelled.

5.15.5.15.5.15.5.15. Signing of ContractSigning of ContractSigning of ContractSigning of Contract

5.15.1. The successful bidder shall execute an agreement which can be finalized

with the successful bidder.

5.15.2. The successful bidder shall submit bank guarantee in the format as per

Annexure IV a performance security prescribed under cl.4.17.

5.15.3. Promptly after notification of award, the successful bidder shall submit the

agreement on ` 100/- Kerala stamp paper purchased in the name of the

successful bidder, duly signed and dated, to the Tender Inviting Authority

by registered / speed post or in person.

5.16.5.16.5.16.5.16. Applicable Law & Jurisdiction of Courts Applicable Law & Jurisdiction of Courts Applicable Law & Jurisdiction of Courts Applicable Law & Jurisdiction of Courts

5.16.1. The contract shall be governed by and interpreted in accordance with

the laws of India for the time being in force.

5.16.2. Any bidder who having accepted the Tender Terms and Conditions of

previous bids floated by the Corporation and given a declaration of

acceptance but have subsequently violated any of the said Terms and

Conditions and for which no other penalty is specified in the Tender

Terms and Conditions will be deemed to have indulged in

unacceptable/unfair tender practices. The Corporation will not consider

bids offered by such concerns for a period upto two years from the date

of the breach/violation of the aforesaid conditions. Any bidder

aggrieved by any decision of the Corporation holding them guilty of

unacceptable/ unfair tendering practices can file an Appeal against the

said decision to the Secretary to Government, Health Department,

Govt. of Kerala who will consider and pass Orders on the Appeal after

giving a reasonable opportunity of hearing to both sides. The decision

of the Secretary to Government on the Appeal will be final and binding.


34

5.16.3. Any and all disputes arising out of this tender will be subject only to the

jurisdiction of courts of law / tribunals situated in Thiruvananthapuram

City or normally having territorial jurisdiction over

Thiruvananthapuram City only, or the High Court of Kerala as

applicable. It is possible that jurisdiction to file disputes may be

available before courts of law, including High Courts, or tribunals

situated elsewhere. However, considering the limited resources of the

Corporation, the bidders should specifically agree and covenant not to

file any legal proceedings before any such courts of law/tribunals and

should undertake and bind themselves to initiate and carry on legal

proceedings in respect of this Tender exclusively before the courts of

law/tribunals situated in or normally having territorial jurisdiction over

Thiruvananthapuram City, or the High Court of Kerala as applicable.

Any bidder who violates these conditions will be held to have indulged

in an unacceptable/unfair tendering practice and will be deemed

ineligible to participate in any of the bids of the Corporation for a

period of three years from the date of the breach/violation of the

aforesaid conditions....

5.17.5.17.5.17.5.17. Force MajeureForce MajeureForce MajeureForce Majeure

5.17.1 For purposes of this clause, Force Majeure means an event beyond the

control of the successful tenderer and not involving the successful

tenderer’s fault or negligence and which is not foreseeable and not

brought about at the instance of , the party claiming to be affected by

such event and which has caused the non – performance or delay in

performance. Such events may include, but are not restricted to, acts of

the Tender Inviting Authority/User Institution either in its sovereign or

contractual capacity, wars or revolutions, hostility, acts of public enemy,

civil commotion, sabotage, fires, floods, explosions, epidemics, quarantine

restrictions, strikes excluding by its employees , lockouts excluding by its

management, and freight embargoes.

5.17.2 If a Force Majeure situation arises, the successful tenderer shall promptly

notify the Tender Inviting Authority/User Institution in writing of such

conditions and the cause thereof within twenty one days of occurrence of

such event. Unless otherwise directed by the Tender Inviting

Authority/User Institution in writing, the successful tenderer shall continue

to perform its obligations under the contract as far as reasonably practical,


35

and shall seek all reasonable alternative means for performance not

prevented by the Force Majeure event.

5.17.3 If the performance in whole or in part or any obligation under this

contract is prevented or delayed by any reason of Force Majeure for a

period exceeding sixty days, either party may at its option terminate the

contract without any financial repercussion on either side.

5.17.4 In case due to a Force Majeure event the Tender Inviting Authority/User

Institution is unable to fulfill its contractual commitment and responsibility,

the Tender Inviting Authority/User Institution will notify the successful

tenderer accordingly and subsequent actions taken on similar lines

described in above sub-paragraphs.

5.18.5.18.5.18.5.18. General/ Miscellaneous ClausesGeneral/ Miscellaneous ClausesGeneral/ Miscellaneous ClausesGeneral/ Miscellaneous Clauses

5.18.1 Further details could be obtained from the office of the Managing Director

of Kerala Medical Services Corporation Ltd during office hours at 0471-

3045600/3045646.

Date : 0Date : 0Date : 0Date : 01111....11110.2010.2010.2010.2013333

Sd/Sd/Sd/Sd/---- R.KAMALAHARR.KAMALAHARR.KAMALAHARR.KAMALAHAR IIIIFFFFSSSS

Managing Director, KMSCL


36

Annexure IAnnexure IAnnexure IAnnexure I CHECK LISTCHECK LISTCHECK LISTCHECK LIST

Sl. Sl. Sl. Sl.

NoNoNoNo ItemItemItemItem

Whether included Whether included Whether included Whether included ––––

Yes / NoYes / NoYes / NoYes / No

PaPaPaPage ge ge ge

No.No.No.No.

1 Check list as per Annexure I.

2 Tender document cost as per clause 4.16

3 EMD as per clause 4.16

4 General information about the bidder as per

Annexure II.

5 Power of Attorney as per format in Annexure V

6

Bidder should submit the profile of the agency in brief writing on the Organization including structure, man power strength, statutory compliance etc.

7

Documents showing the identity of Board members / proprietor / partners of the bidder has to be submitted.

8

Brief note on the previous experience of operating a network of emergency ambulances through a centralized control room with photographs shall be submitted. The detail shall include curriculum vitae of the key people handling the project, number of staff with designation in each project.

9

Documents proving that the bidder is having minimum experience of two years with in the period of last five years in operating emergency ambulance services of any State Government in India for the entire State or part of the State with a fleet of at least 25 ambulances supported by a centralised control room.


37

Sl. Sl. Sl. Sl.

NoNoNoNo ItemItemItemItem

Whether included Whether included Whether included Whether included ––––

Yes / NoYes / NoYes / NoYes / No

PaPaPaPage ge ge ge

No.No.No.No.

10

Documents proving that the bidder is having experience in computer telephony integration with the ability to log calls combined with geographical information system and GPRS integrated system to facilitate quick dispatch of vehicles.

11

Documents proving that the bidder have comprehensive training system for service and supervisor personnel in the implementation of the emergency response system.

12

Documents such as articles of association/partnership deed etc, proof of incorporation, proving the registration of place of business and showing the details of partners/promoters/board of directors etc.

13 Curriculum vitae of the proposed key personnel(s) to be assigned for this project.

14 Declaration as per Annexure XI

15 Affidavit as per Annexure XII

16 Copy of the complete Tender document duly signed in all pages by the Bidder or the authorized signatory.


38

Annexure Annexure Annexure Annexure IIIIIIII

KKKKERALA ERALA ERALA ERALA MMMMEDICAL EDICAL EDICAL EDICAL SSSSERVICES ERVICES ERVICES ERVICES CCCCORPORATION ORPORATION ORPORATION ORPORATION LLLLTD TD TD TD GENERAL INFORMAGENERAL INFORMAGENERAL INFORMAGENERAL INFORMATION ABOUT THE TION ABOUT THE TION ABOUT THE TION ABOUT THE BIDDERBIDDERBIDDERBIDDER

1 Name of the Name of the Name of the Name of the BidderBidderBidderBidder

2.

Registered Address of the

company: (Address, tel, fax, e-mail, website)

3. Office AddressOffice AddressOffice AddressOffice Address

E-mail

website

4. Contact PersonContact PersonContact PersonContact Person

Designation

Mobile Phone No

Telephone No

Fax No

e-mail

5.

Key Personnel :Key Personnel :Key Personnel :Key Personnel :

(Chairman / Managing

Director/Managing Partner etc)

6 Total number of ambulances

operated so far

7. Registration No. & Date of

Incorporation of Company

8. Principal Place of Business

9. Act/Rule under which the firm

was registered

10.

Type of Company

(Limited, Pvt. Ltd, Partnership,

Proprietary, PSU, etc.)


39

11. Number of offices / centers in

Kerala/South India/India

12.

Whether any criminal case was

registered against the company

or any of its promoters in the

past

Yes/ NoYes/ NoYes/ NoYes/ No

13. Other relevant Information

provided *

* here enclose the details such as presentation on the details of the bidder in a CD preferably

(please avoid submission of detailed leaflets/brochures etc, if possible)

Date : Office seal Signature of the bidder/ Authorised

signatory


40

Annexure Annexure Annexure Annexure IIIIIIIIIIII

BANK GUARANTEE FORMBANK GUARANTEE FORMBANK GUARANTEE FORMBANK GUARANTEE FORM FOR EARNEST MONEY DEPOSITFOR EARNEST MONEY DEPOSITFOR EARNEST MONEY DEPOSITFOR EARNEST MONEY DEPOSIT

To The Kerala Medical Services Corporation Limited (Address) WHEREAS _____________________________ (Name and address of the firm) (Hereinafter called “bidder”) has undertaken, in pursuance of tender no________________________ dated _____________ (herein after called “the tender”) to operate 108 Emergency Ambulance Services (KEMP) in the districts of Thiruvananthapuram and Alappuzha with the existing 43 ALS ambulances. AND WHEREAS it has been stipulated by you in the said tender that the bidder shall furnish you with a bank guarantee by a scheduled commercial bank recognised by you for the sum specified therein as Earnest Money Deposit for compliance with its obligations in accordance with the tender; AND WHEREAS we have agreed to give the bidder …………… (name and address) such a bank guarantee; NOW THEREFORE we hereby affirm that we are guarantors and responsible to you, on behalf of the bidder, up to a total amount of ________________________ (Amount of the guarantee in words and figures), and we undertake to pay you, upon your first written demand declaring the bidder to be in default under the tender conditions and without cavil or argument, any sum or sums within the limits 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. We hereby waive the necessity of your demanding the said debt from the bidder before presenting us with the demand. We undertake to pay you any money so demanded notwithstanding any dispute or disputes raised by the bidder(s) in any suit or proceeding pending before any Court or Tribunal relating thereto our liability under these presents being absolute and unequivocal. We agree that no change or addition to or other modification of the terms of the tender to be performed there under or of any of the tender documents which may be made between you and the bidder shall in any way release us from any liability under this guarantee and we hereby waive notice of any such change, addition or modification.


41

No action, event, or condition that by any applicable law should operate to discharge us from liability, hereunder shall have any effect and we hereby waive any right we may have to apply such law, so that in all respects our liability hereunder shall be irrevocable and except as stated herein, unconditional in all respects. This guarantee will not be discharged due to the change in the constitution of the Bank or the bidder(s).

We, ________________________________________ (indicate the name of bank) lastly undertake not to revoke this guarantee during its currency except with the previous consent, in writing, of The Kerala Medical Services Corporation Limited. This Guarantee will remain in force up to ………(Date). Unless a claim or a demand in writing is made against the bank in terms of this guarantee on or before the expiry of ……….(Date) all your rights in the said guarantee shall be forfeited and we shall be relieved and discharged from all the liability there under irrespective of whether the original guarantee is received by us or not. (Signature with date of the authorised officer of the Bank)

………………………………………………………….

Name and designation of the officer

………………………………………………………….

………………………………………………………….

Seal, name & address of the Bank and address of the Branch


42

Annexure Annexure Annexure Annexure IIIIVVVV

BANK GUARANTEE FORMBANK GUARANTEE FORMBANK GUARANTEE FORMBANK GUARANTEE FORM FOR SECURITY DEPOSITFOR SECURITY DEPOSITFOR SECURITY DEPOSITFOR SECURITY DEPOSIT

To The Kerala Medical Services Corporation Limited (Address) WHEREAS _____________________________ (Name and address of the service provider) (Hereinafter called “service provider”) has undertaken, in pursuance of contract no________________________ dated _____________ (herein after called “the contract”) to operate 108 Emergency Ambulance Services (KEMP) in the districts of Thiruvananthapuram and Alappuzha with the existing 43 ALS ambulances. AND WHEREAS it has been stipulated by you in the said contract that the service provider shall furnish you with a bank guarantee by a scheduled commercial bank recognised by you for the sum specified therein as security for compliance with its obligations in accordance with the contract; AND WHEREAS we have agreed to give the service provider such a bank guarantee; NOW THEREFORE we hereby affirm that we are guarantors and responsible to you, on behalf of the service provider, up to a total amount of ________________________ (Amount of the guarantee in words and figures), and we undertake to pay you, upon your first written demand declaring the service provider to be in default under the contract and without cavil or argument, any sum or sums within the limits 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. We hereby waive the necessity of your demanding the said debt from the service provider before presenting us with the demand. We undertake to pay you any money so demanded notwithstanding any dispute or disputes raised by the service provider (s) in any suit or proceeding pending before any Court or Tribunal relating thereto our liability under these presents being absolute and unequivocal. We agree that no change or addition to or other modification of the terms of the contract to be performed there under or of any of the contract documents which may be made between you and the service provider shall in any way release us from any liability under this guarantee and we hereby waive notice of any such change, addition or modification.


43

No action, event, or condition that by any applicable law should operate to discharge us from liability, hereunder shall have any effect and we hereby waive any right we may have to apply such law, so that in all respects our liability hereunder shall be irrevocable and except as stated herein, unconditional in all respects. This guarantee will not be discharged due to the change in the constitution of the Bank or the service provider(s).

We, ________________________________________ (indicate the name of bank) lastly undertake not to revoke this guarantee during its currency except with the previous consent, in writing, of The Kerala Medical Services Corporation Limited. This Guarantee will remain in force up to ……..(Date). Unless a claim or a demand in writing is made against the bank in terms of this guarantee on or before the expiry of …………(Date) all your rights in the said guarantee shall be forfeited and we shall be relieved and discharged from all the liability thereunder irrespective of whether the original guarantee is received by us or not. (Signature with date of the authorised officer of the Bank)

………………………………………………………….

Name and designation of the officer

………………………………………………………….

………………………………………………………….

Seal, name & address of the Bank and address of the Branch


44

Annexure Annexure Annexure Annexure VVVV

POWER OF ATTORNEYPOWER OF ATTORNEYPOWER OF ATTORNEYPOWER OF ATTORNEY

(On a `100 Stamp Paper)

I/ We………………………………………………….(name and address of the

registered office) do hereby constitute, appoint and authorize Sri/Smt

………………………………………………..…(name and address) who is presently

employed with us and holding the position of ……………………………………………. As

our attorney, to act and sign on my/our behalf to participate in the Tender

no…………………………………… for Continuing the 108(KEMP) operations in the districts of

Thiruvananthapuram and Alappuzha with the existing 43 ALS Ambulances. I/ We hereby also undertake that I/we will be responsible for all action of

Sri/Smt.……………………………………….. undertaken by him/her during the Tender process

and thereafter on award of the contract. His / her signature is attested below

Dated this the ___day of 201_

For__________________ (Name, Designation and Address)

Accepted

_________________________(Signature)

(Name, Title and Address of the Attorney)

Date : __________


45

Annexure Annexure Annexure Annexure VVVVIIII

TECHNICAL SPECIFICATIONS OF THE EXISTING ALS AMBULANCE

I. I. I. I. VEHICLEVEHICLEVEHICLEVEHICLE : : : : Force Traveller 3350 WB

II.II.II.II. FABRICATION & EXTERIOR DESIGNINGFABRICATION & EXTERIOR DESIGNINGFABRICATION & EXTERIOR DESIGNINGFABRICATION & EXTERIOR DESIGNING

a. Patient’s cabin ergonomically designed and fabricated with FRP ( Fiber Reinforced Plastic ) and having a 3 layered section consisting of FRP, PUF, thermocol to have a noise free atmosphere and maintain the internal temperature. The panels are fire retardant, fully washable, have highest tensile stress to weight ratio. Made of medical lgrade which withstand corrosion caused by fumigation chemicals.

b. Designed to provide adequate comfort, space and safety for patient and patient’s attendant. Seat belts and restrains provided for every seat.

c. Overhead racks provided for storage of stocks with hydraulic doors which ensure that during fast movement, the doors of the cabinet do not open out.

d. The ambulance interiors designed with care to avoid injuries by fall of equipment or cylinder on persons inside the ambulance in case of turmoil due to bad road conditions.

e. Adequate space provided for storing medicines necessary for one week consumption in racks made of plywood coated with cold rolled non corrosive chemical resistant steel finish for easy cleaning and elegant look in addition to maintaining sterile condition.

f. Waste disposal done with the help of 2 steel dustbins demarcated into bio hazardous and non bio hazardous.

g. There is provision of wash basin with foot operated control for hygienic washing of hands without touching of tap.

h. Direct and diffused lighting for optimal patient’s comfort and provided with spot and focused lighting and special examination lights for the clinician to undertake “procedures” during transport.

i. The A/c power supply from the inverter which is fed by the high powered alternator of 90 amps which runs on engine power or solar power. An additional battery is provided for a back up of 4-5 hours which is continuously charged by this inverter while the vehicle is in motion and when not in motion the battery is powered by solar panel. Adequate power supply for medical equipment and other electronic equipments is provided with both 12 Volts DC and 220 Volts A/c. Anti Static flooring should be provided for safety.

j. Provision of hooks for hanging IV bottles on the roof. k. Syringe destroyer for disposal of Sharp wastes and needles. All equipments placed

appropriately to help Emergency Medical Technician to provide better care without much inconvenience & hooked tightly to the wall.

l. Air conditioning with 1.5 ton condenser with twin roof mounted blower fans placed at both ends of patient compartment in addition to adequate insulation of the patient’s cabin which help to provide immediate cooling for patient comfort.

m. Oxygen cylinder should not in patient cabin. Stacked away under the drug cabinet and cannot be seen in patient’s cabin. Loading and unloading the cylinders from outside without entering the patient compartment.

n. Oxygen Manifold System – High pressure tubing regulator, low pressure tubing, Oxygen outlets 2 No for ventilator with dial gauges and alarms for indicating low pressure, with


46

flow meter and tubing supplying oxygen to victim using Face mask/ nasal prong. Two Oxygen cylinders housed under the medical drug racks with easy push pull type arrangement for easy loading and unloading of heavy Oxygen Cylinders.

o. External charge port placed at the rear end of vehicle for charging vehicle in case battery gets discharged due to medical equipment.

p. Elegant exterior design prominently indicating emergency and branding as new generation ambulance. Specially modified Halogen head lights with 90/100W for clear illumination of the roads during nights.

q. Flash lights one red and orange pair on each side and both red on the rear indicating emergency when ambulance is moving on the road

r. One flood light on both side and one on rear side of the ambulance which provide lighting when operating in dark conditions.

s. Have unique high intensity Siren and Public addressing systems consisting of 100 watt with revolving flashers and lights indicating emergency while transferring a serious patient. Siren have five different tones that can be interchanged in order to draw attention of public and take way in high density traffic.

t. Fire extinguisher – ABC type to extinguish fire for rescuing victims in fire accidents.

Detailed fabrication specifications are given Detailed fabrication specifications are given Detailed fabrication specifications are given Detailed fabrication specifications are given below:below:below:below:

FABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONS

Wall paneling Wall paneling Wall paneling Wall paneling :Reinforced with steel rib cage and all Interiors, internal sides, cover to close the wheel hump and roof should be panelled in Fiber Reinforced Platic (FRP), Chopped Strand Mat / Isophelic Polyster/ Gel Coat ( Naptha/ Saint Gobain ) with superior quality painting. PUF / PU insulations or thermocol insulation 40 mm thick for reduction of heat and noise within the patient compartment. A provision should be made for holding the defibrillator and ventilator in FRP, with sufficient reinforcement for holding 40 kgs.

Anti Static Anti Static Anti Static Anti Static FlooringFlooringFlooringFlooring Duroply water proof ply board, good quality vinyl flooring of matching colour approved by SHFWS and 304 graded stainless steel sheet (1200mmx850mm) under the patient cot.

Folding Folding Folding Folding ---- Doctors Seat Doctors Seat Doctors Seat Doctors Seat High quality fabric/ rexine covers with ARAI approved seat belts on the head side of the patient. Dimensions: length= 46cm, width=46cm and height=38~46cm. Facing rear wall, at head end of the patient and should be integrated with the steel cabinet. Shall be comfortable with cushion and upholstered with non absorbent rexin. Back rest and head rest should be provided.

Squad bench / Attendant Seat to seat 4 persons with ARAI approved Seat beltsSquad bench / Attendant Seat to seat 4 persons with ARAI approved Seat beltsSquad bench / Attendant Seat to seat 4 persons with ARAI approved Seat beltsSquad bench / Attendant Seat to seat 4 persons with ARAI approved Seat belts and with storage area beneath in concealed finish. Squad bench/ attendant seat- (4 seater with seat belts) with storage for Emergency Medical rescue tools. A squad bench installed along the left hand wall and open able top. Shall be made in FRP painted with PU paint. Dimensions of the bench are length = 183cm, width =56cm, height = 48cm which provide storage space in the interior for emergency rescue tools and seating for three passengers. Seat belts, back and headrest cushions provided for 4 seats. A minimum 50mm thick high density cushion to be provided for comfort. The same upholstered with non absorbent rexin


47

Steel /Steel /Steel /Steel / plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust Bins:Bins:Bins:Bins: DimensionsDimensionsDimensionsDimensions: length = 1620mm, width = 600 mm and height = 900mm, Placed along side the partition behind the pilot compartment. Made of ply board (DURAPLY OR EQUIVALENT MARINE GRADE) cladded with stainless sheet (SS-304).Houses the wash basin with foot operated water tap, left side corner, fresh water and drain water tank below the wash basin. The provision for storing medicines is made by providing drawers on steel guide ways. The top surface of the cabinet can be used as table top. The draws provided with ball socket locks to arrest the draws from opening out during motion of the ambulance. Concealed portable steel dust bin with spring loaded lids for waste disposal are provided under the wash basin.

Head racks and grab railsHead racks and grab railsHead racks and grab railsHead racks and grab rails in the ceiling. Dimensions length =1800mm, width = 450mm, height = 200mm. Integrated with roof above the squad bench. Made in FRP with required reinforcements provided with glass slide doors .Inner surface t pasted with soft heatlon film. I.V hooks provided on the grab rail for holding I.V bottles.

Oxygen Delivery SystemOxygen Delivery SystemOxygen Delivery SystemOxygen Delivery System: A door for the Trolley cutted and fabricated with bonnet type locking with a lever in the driver compartment. This trolley designed to hold two oxygen cylinders under medicine cabinet securely with a toggle clamp for fast locking/unlocking the trolley. With high pressure tubing from the cylinders to the regulators 2 nos. Integrated Oxygen Supply System in the vehicle with cylinder manifold cabinet and integrated piping system terminating at the outlets at the patient head end on the side wall. The system comprises of three outlets, concealed in the side wall near the patient head end (distance between the patient head and oxygen outlets to be less than 89cm). One outlet normally meant for Oxygen therapy through flow meter, one meant for driving breathing equipment like ventilators and one standby to drive aspirators etc.

Scoop stretcher hold:Scoop stretcher hold:Scoop stretcher hold:Scoop stretcher hold: A scoop stretcher above the wheel hump cover, using a toggle clamp of a suitable size~100m in length which can take a load 30 kgs.

Fire extinguisher holdFire extinguisher holdFire extinguisher holdFire extinguisher hold: straps / Velcro tapes and mounting on the flooring for placing a fire extinguisher should be provided.

Exterior design / painting. Exterior design / painting. Exterior design / painting. Exterior design / painting. All vinyl / reflective stickers/ films used.

ELECTRICALSELECTRICALSELECTRICALSELECTRICALS

Air Conditioner:Air Conditioner:Air Conditioner:Air Conditioner: Roof Mounted with Fiber cowl, double condenser, cooling coil, double blower with compressor, additional blowers for Patients cabin, with ducts in the roof of the patient cabin.

Solar panel: Solar panel: Solar panel: Solar panel: A solar panel for charging the battery provided on the top of the vehicle and include the panel, current amplifier, inverter and other necessary parts. Solar panel specifications:

• Rated power 75 watts

• Power Hi limit 81.40 watts • Power Low limit @ Vld 16.40 74

• Module voltage 12V

• Min Voltage Open Circuit 21.00

• Current short circuit 4.75 • Voltage Max power 17.00

• Min Voltage Max power 16.30

• Current max power 4.35

• Voltage reference 15

• Current reference 4.57

• Series fuse size 20

• Min Bypass Diode size 6


48

• Max system Voltage 600

• Hi pot Test Voltage 2200

• Operating conditions – Temperature -40ºC to +85ºC.

Solar Inverter:Solar Inverter:Solar Inverter:Solar Inverter: Integrated AC and DC supply inside the vehicle synchronous with available additional 135Ah batteries integrated with inverters. The batteries are placed inside the driver's cabin with provision to be charged from external AC power through sockets.

• Inverter Capacity - 600 watts / 800 VA

• Input Range - AC 130 V-270V / DC 9.5V - 13.8V

• Frequency - 50Hz.

• Power Factor – 0.8

• Output Voltage - 220+-10% (regulated output from full charge battery voltage to low charged battery voltage

• Waveform - Single Pulse PWM

• Efficiency - 85%

• Charger - Heavy duty CC/CV type with current limit at 12A with wide input range (150V-270A) integrated AC/DC supply inside the vehicle synchronous with other items.

Light barLight barLight barLight bar: Rhombus shaped, Double layered structure, Combination of continually lit, turning lamps and flash lights, High quality tungsten bulbs and xenon lamp tubes, Long life span, high luminance, Voltage: DC 12V, Power: 92W + 18W, with integrated PAS of 100W

6 Nos high intensity blinkershigh intensity blinkershigh intensity blinkershigh intensity blinkers, red-orange pair on either side, and both red on the rear of the vehicle.3 nos Spot/flood lights on three sides except the front.

Interior lightingInterior lightingInterior lightingInterior lighting: tube lights 4 nos, Spot lights 3 nos and 1 no examination light.

Fans 2 nos. bush less 12V DC 12~18' diameterFans 2 nos. bush less 12V DC 12~18' diameterFans 2 nos. bush less 12V DC 12~18' diameterFans 2 nos. bush less 12V DC 12~18' diameter

220V AC - 3 Pin (4 Nos) 12V DC-Round sockets (2 Nos) power source with Crabtree modular switches.

Electrical wiring with separate fuse boxesElectrical wiring with separate fuse boxesElectrical wiring with separate fuse boxesElectrical wiring with separate fuse boxes other than regular OEM. All wires/harness used fo (flexicab / finolex or equivalent make). All electrical accessories of ARAI/ISI/automobile standards.

External charge port with spring loaded lid. Located at the rear, near the step well.

III. III. III. III. AMBULANCE EQUIPMENTAMBULANCE EQUIPMENTAMBULANCE EQUIPMENTAMBULANCE EQUIPMENT

a. Auto loading stretcher - Easy to carry a patient and can load easily inside the ambulance without much of stain and helps the technician to concentrate on Patient care than getting tired of lifting the stretcher. The legs shall get folded inside and are easy to push inside the ambulance. Height well maintained to load inside the ambulance. Can be operated by single person for loading and off loading a patient. Comfortable bedding for patient with facility to strap with the help of belts for safety of patients. Side rails to restrict movements of irritable patients. Head end elevation facility.

b. Scoop Stretcher – Useful in shifting patients with multiple injuries and spine injuries and helps in shifting the patient keeping the spine intact. In spine injuries it should avoid movement of spine during transfer to stretcher. The two joints at both ends shall be split open and the patient shall be comfortably scooped into and carried easily also shifting the patient to bed becomes easier. This help in avoiding the further damage to the spine


49

which is common in other rescues. Comfortable position for patient. Have straps and belts for safety of the patients

c. Spine Board – Spine board helps in providing adequate support to an injured patient during transfer also should enables CPR if necessary. Radio lucent and compatible with x ray, CT and MRI scan and float in water and ideal for water rescue.

d. Splints, Cervical Color, Spinal Brace – Malleable splints shall help in immobilizing particular parts especially long bone fractures. Cervical color designed to avoid irreparable damage to the patient in the case of cervical fracture.

e. Monitoring devices and Defibrillation in ALS ambulance – Specification given below in detailed specifications

f. Facilities to intubate the patient and ventilate the patient using ambu bag till he reaches the hospital.

g. Ventilator in ALS ambulance – Specification given below in detailed specifications. h. Suction apparatus which can provide adequate pressure for suction and should run on

DC supply with battery back up and can be charged using A/c supply. Have provision for suction using foot pump. More details given below in detailed specifications.

i. All the equipment to secure airway like guidal airway, nasopharyngeal and or pharyngeal airway available apart from equipment like ambu bag & Intubation’s kit to secure breathing shall be provided in ambulance

j. Oxygen cylinder – Two bulk D type cylinder is placed in ambulance which to cater to the oxygen needs of patients.

k. Fetal Monitor – Specification given below l. Extrication kit – Rescue tools necessary for extrication of a victim in a crash, fire and

other situations, Bolt cutter, Crowbar, Axe, Spade, High tensile rope, Hacksaw blade with frame, rescue blanket which have been proven in saving lives when victims were stuck up in emergency .

Detailed specifications of Ambulance Equipments are given below :Detailed specifications of Ambulance Equipments are given below :Detailed specifications of Ambulance Equipments are given below :Detailed specifications of Ambulance Equipments are given below :

S/nS/nS/nS/n ITEM DESCRIPTIONITEM DESCRIPTIONITEM DESCRIPTIONITEM DESCRIPTION QtyQtyQtyQty

MEDICAL EQUIPMENTMEDICAL EQUIPMENTMEDICAL EQUIPMENTMEDICAL EQUIPMENT

1 Strecher cum trolleyStrecher cum trolleyStrecher cum trolleyStrecher cum trolley, Automatic Loading, Collapsible, should Slide into the ambulance - Tempo Traveler with ease, Provision for head end elevation, Sitting posture for breathless patients, trouble free, rails to prevent fall on both sides, I V Stand, Wheeled, Height Min 90 cm, light, safe and reliable, made of aluminum alloy with provision of IV fluid holding rod and 50 mm thick high density cushion(mm-foam / u-foam) up holstered with non-absorbent rexin Through the controlling handle on both sides, one single person can raise and lower it into an ambulance easily not exceeding the below dimensions. Belts to Strap the patient. Product dimensions: 190x54x90cms Net weight : 40Kgs Stretcher bearings : 159Kgs

1


50

2 Scoop StretcherScoop StretcherScoop StretcherScoop Stretcher----Light, safe and reliable, made of aluminum alloy and hold for the same, easy to lock and unlock Features Safety belts for patient, length adjustable, open into two halves, not exceeding the below dimension product dimensions : 190x54x90cm Net weight : 9Kgs Stretcher bearings : 159Kgs

1

3 Spine Board Spine Board Spine Board Spine Board –––– Made of Tapers from 18" to 14" from head end to foot end. - 74.2" long x 3.2" high at height of concave patient surface. Nonabsorbent, contoured, beveled edges, screen-printed, adhesive backed, can be removed for sanitizing and reapplied dozens of times. 65" x 11.375" x 6mm. Spine board can be used with or without padding - no recess for padding.... Concave patient in order to minimizes lateral movement, Compatibility with Head Immobilizes and patient restraints Radio lucent to be compatible with X Ray CT and MRI scan compatible, Should float in water and should be ideal for water rescue.

1

4 Folding Wheel/ Stair chair: Wheel chair shall be required for carrying patients through narrow lifts and staircase where trolley stretcher cannot go. Wheel/Stair chair Specification:Wheel/Stair chair Specification:Wheel/Stair chair Specification:Wheel/Stair chair Specification: Aluminium folding mini wheel chair Folding foot plate Flip up armrest Drop back handle Locking brake With seat belt Wheel/Stair chair Dimensions:Wheel/Stair chair Dimensions:Wheel/Stair chair Dimensions:Wheel/Stair chair Dimensions: Width : 47 cm Seat width : 37 cm Back wheels : 20 cm Front wheels : 12.5 cm Seat height : 45 cm Wheel chair height : 88 cm Net weight should not be more than 7 kgs.

1

5

Defibrillator with MonitorDefibrillator with MonitorDefibrillator with MonitorDefibrillator with Monitor - ( Bi-phasic defibrillator which shall deliver shock up to 200 joules with Multi-para monitor to monitor ECG, Heart Rate, Oxygen Saturation, NIBP and respiration rate ), Should have TFT display with facility to display 4 wave forms and numeric display simultaneously. The waveforms should be user selectable. Should have two hours battery back up. Should have Adult and pediatric NIBP cuff of different size. Should have reusable adult and paediatric probes.Print out ECG, Desirable it can transmit ECG and all the monitored parameters to base location from a mobile ambulance, motion tolerant.

1

6

Ventilator Ventilator Ventilator Ventilator –––– Time cycled constant volume control, Oxygen or medical air as driving gas, Provision for (100% O2 or 50% O2 and 50% atmospheric air), Tidal volume 200CC to 1200CC, 10 to 30 BPM, Audio-visual alarm for high pressure (pressure above 60cm/H2O), Audio-visual alarm for patient disconnection, Push button for hyper ventilation, battery back up for at least 10 hrs, supply with reusable silicon patient circuit, drive hose, Anti shock mounting for gauge and internal pneumatics. Should provide quality/safety certificate from competent authority.

1


51

7 Foetal Monitor Foetal Monitor Foetal Monitor Foetal Monitor ---- have the measurement of FHR. have alert indication for probe contact, high/low FHR. Should have a volume control for FHR. Should have LCD/TFT display for FHR. Should be provided with l printer for printing FHR. Should provide alarm limit settings for high, low FHR. Should have a display of Date, Time(Real time clock)belt for ultrasound transducer. Should provide quality/safety certificate from competent authority.

8 Syringe pumpSyringe pumpSyringe pumpSyringe pump :::: front loading, dual display type with range from 0.1 to 999ml/hr 1

9 Battery operated Suction PumpBattery operated Suction PumpBattery operated Suction PumpBattery operated Suction Pump -with collection capacity of 200ml with 20 liters per minute flow rate with pressure of suction of Minimum 300 mm of Hg. Non-breakable, transparent collection bottle

1

10 Needle Destroyer 1

11 Refrigerated medicine cabinet 1

12 Non re-breather mask 1

13 Pedestal mercurial BP apparatus with various cuff sizes 1

14 Stethoscope 1

15 Bag-valve mask (BVM) 1600 ml ventilation capacity capable of compression of 50times/ minute.

1

16 Pediatric Bag Valve Mask 1

17 Air ways (Oropharyngeal & Nasopharyngeal) Sizes 0,1,2,3, & 4 ( One set consisting of one each)

1

18 Disposable Delivery Kit (DDK) 1

19 Oxygen Flow Meter with mask and tubing 2

20 Oxygen cylinder and stand ( D Type ) ISI Standards, To be supplied with filled in Condition along with statutory certifications from Controller of Explosives and others along with Mask, Connectors, flow meter and valves, along with Cylinder Key

1

21 Trauma and first aid kit consisting of bandage cloths, crepe bandage 6",scissors 2 pairs, scalpel with blade, forceps, toothed forceps, artery forceps ,adhesive tape, beta dine solution and ointment, Kidney Tray and trauma related equipment.

1

22 Bed pan (Plastic material preferred) 1

23 Urine pan ( Plastic) 1

24 Sputum cup 1

25 Extremity splints (ordinary) and cardboard splints. Splints should be minimum 4 sizes, short arm "U" Splint, long arm U splint, short leg U splint and long leg U splint, ( one set consisting of 4 units of different sizes )

2 sets

26 Ambulance Cervical Collar - 3 sizes ( Small, Medium and large ) 2 sets

27 Dorso Lumbar Spinal brace 1

28 Mackintosh ( 2 x 2 Mts ) 1 set consists of 4 mts each 2 sets

29 Thermal baby warmer 1

30 Luminous warning torch 1

31 Portable Oxygen Cylinder in AA Type Cylinders 20 to 25 Cyls Medical Oxygen 1

32 Tourniquets 2


52

33 Pulse Oxymeter ( Motion Tolerance ) 1

34 Nebuliser 1

35 Tongue Depressor 1

36 Oxygen mask with tube ( 1 set consists of 1 adult and 1 child ) 5 sets

37 Oxygen canula 5

38 Foetal Monitor 1

39 Laryngoscope with Large, Medium, Small. Blades ( 1 set having 3 types of blades ) 1

40 E.T Tube- 6.5, 7, 7.5, & 8 sizes. ( 1 set consists of one each 4 different sizes ) 1

41 Spacer - (Aerospace Small) 1

42 Glucometer 1 with 50 Strips 1

43 pupilary torch (AA battery x 2 nos) 1

44 Thermometer 5

45 surgical gloves one box containing 100 pairs 2 Boxes

RESCUE TOOLSRESCUE TOOLSRESCUE TOOLSRESCUE TOOLS

1 12” Wrench , Adjustable, Open End 1

2 12” Screw Driver Standard Square bar 1

3 8” Screw Driver Phillips Head # 2 1

4 Hacksaw with 12” carbide wire blades 1

5 Vise grips pliers, 10” 1

6 5 Lb hammer with 15” handle 1

7 Fire ax, butt, 24” handle 1

8 Wrecking bar with 24” Handle. 1

9 51” Crowbar pinch point 1

10 Bolt Cutter with 1” ti 1 ¼” jaw opening 1

11 Folding Shovel pointed blade 1

12 Tin Snips, double action 8” minimum 1

13 Gauntlets, reinforced, leather covering past mid forearm: one pair per crew member 1

14 Rescue Blanket 1

15 Ropes 5400 lb Tensile strength in 50’ lengths in protective bags 1

16 Mastic Knife ( able to cut seat belt webbing) 1

17 Spring load centre punch 1

18 Pruning saw 1

19 Heavy duty 2” x 4 “and 4” x 4” shoring cribbing blocks, various lengths. 1

20 Fire extinguisher - 5 kgs ABC TYPE with fixing stand for ambulance 1


53

Annexure Annexure Annexure Annexure VVVVIIIIIIII

DETAILS OF EXISTING ALS AMBULANCEDETAILS OF EXISTING ALS AMBULANCEDETAILS OF EXISTING ALS AMBULANCEDETAILS OF EXISTING ALS AMBULANCE

Kilometers run by 43 ALS ambulances up to 26/09/2013

Ambulances running at ThiruvananthapuramAmbulances running at ThiruvananthapuramAmbulances running at ThiruvananthapuramAmbulances running at Thiruvananthapuram Ambulances running at AlappuzhaAmbulances running at AlappuzhaAmbulances running at AlappuzhaAmbulances running at Alappuzha

SL. SL. SL. SL. No.No.No.No. Reg NumReg NumReg NumReg Num Parking LocationParking LocationParking LocationParking Location KMKMKMKM

SL.SL.SL.SL. No.No.No.No. Reg NumReg NumReg NumReg Num Parking LocationParking LocationParking LocationParking Location KMKMKMKM

1 KL01AY1945 VARKALA THQH 173664 1 KL 01 AY 1907 Kayamkulam THQH 77340

2 KL01AY1606 NAVAYIKULAM PHC 139774 2 KL 01 AY 1956 Nooranad PHC 75534

3 KL01AY1965 KESAVAPURAM CHC 128749 3 KL 01 AY 1696 Mavelikkara DH 71358

4 KL01AY1911 CHIRAYINKEEZHU

THQH 174970 4 KL 01 AY 1687 Harippad THQH 73520

5 KL01AY1949 ATTINGAL CHC 111663 5 KL 01 AY 1643 Chenganoor THQH 51078

6 KL01AY1924 VAMANAPURAM

PHC 140282 6 KL 01 AY 1624 Edathuva CHC 51317

7 KL01AY1648 KALLARA CHC 101288 7 KL 01 AY 1695 Thrikunnapuzha

THQH 57265

8 KL01AY1975 MANGALAPURAM

PHC 132079 8 KL 01 AY 1974 UHC Ambalapuzha 64853

9 KL01AY1941 TECHNOPARK 135082 9 KL 01 AY 1935 Veliyanadu 91572

10 KL01AY1908 KANYAKULANGARA

CHC 121280 10 KL 01 AY 1640 Alappuzha GH 64062

11 KL01AY1611 VIDHURA CHC 113791 11 KL 01 AY 1932 Cherthala THQH 74553

12 KL01AY1901 NEDUMANGADU

THQH 129650 12 KL 01 AY 1969 Thuravoor THQH 83476

13 KL01AY1951 PEROORKADA DH 101665 13 KL 01 AY 1627 Aroorkutty(Ezhupunna) 47807

14 KL01AY1912 GH HOSPITAL 112296 14 KL 01 AY 1647 Muhamma CHC 77532

15 KL01AY1669 VELLANADU CHC 124218 15 KL 01 AY 1665 Mararikulam PHC 85590

16 KL01AY1943 VALIYATHURA CHC 107027 16 KL 01 AY 1680 Champakulam PHC 47314

17 KL01AY1676 MALAYINKEEZHU

PHC 119591 17 KL 01 AY 1689 Mannar 58805

18 KL01AY1937 KATTAKADA CHC 135991 18 KL 01 AY 1926 Muthukulam 52022

19 KL01AY1605 THYCADU CHC 114934

20 KL01AY1656 VIZHINJAM CHC 123880

21 KL01AY1596 NEYYATTINKARA

CHC 171589

22 KL01AY1976 PARASSALA THQH 147396

23 KL01AY1581 VELLARADA 94964

24 KL01AY1982 VATTIYOORKAVU

PHC 113994

25 KL01AY1884 AIRANIMUTTOM

CHC 112359


54

Annexure VIAnnexure VIAnnexure VIAnnexure VIIIIIIIII

DETAILS OF THE EXISTING EMERGDETAILS OF THE EXISTING EMERGDETAILS OF THE EXISTING EMERGDETAILS OF THE EXISTING EMERGEEEENCY RESPONSE NCY RESPONSE NCY RESPONSE NCY RESPONSE CENTRE CENTRE CENTRE CENTRE

((((CONTROL ROOM)CONTROL ROOM)CONTROL ROOM)CONTROL ROOM)

Asset NameAsset NameAsset NameAsset Name NumberNumberNumberNumber Asset CategoryAsset CategoryAsset CategoryAsset Category DescriptionDescriptionDescriptionDescription

Computer & Accessories 18 Computer Dell

Dell-Rack Server 1 Server Used for MRES-CAD

Dell-Rack Server 1 Server Used for DISPATCH

Dell-Tower Server 1 Server Used for

VOICELOGGER

Dell-Tower Server 1 Server

Laptop 4 Laptop Dell

Computer & Accessories 1 Access Control

Computer & Accessories 1 DVR Recorder

Computer & Accessories 1 Wireless Router

PLANT & MACHINERY 1 PRI Telephone

modem

PLANT & MACHINERY 1 LCD TV Samsung

PLANT & MACHINERY 1 10KVA (240V) TMOL UPS

UPS

Dish 1 Sun Dish Sun Dish

Computer Monitors 22 TFT Dell

Printers 1 Printers EPSON Dot Matrix

Printer

Printers 1 Printers HP Laserjet

Mobile Phone 26 Mobile Phone Using in ambulance

Telephones

Land Phones Using in office

Telephones 45 Land Phones Using in call centre

Telephones

Head set Using in call centre

FURNITURE & FIXTURE 1 Bar Stool Bar Stool

FURNITURE & FIXTURE 2 Senses -04 Chair Senses -04 Chair ( 2

nos)

FURNITURE & FIXTURE 7 Connect-03 Chair Connect-03 Chair (7

nos)

FURNITURE & FIXTURE 4 Connect Project -02

Chair Connect Project -02

Chair (4 nos)

FURNITURE & FIXTURE 8 Connect Project Visitor Chair

Connect Project Visitor Chair (8 nos)

FURNITURE & FIXTURE 50 Emperor 02 Chair Emperor 02 Chair (50

nos)

FURNITURE & FIXTURE 100 Emperor 03 Chair Emperor 03 Chair

(100 nos)


55

Electronicl Equipments 1 Projector BENQ

FURNITURE & FIXTURE

Modular Storage

FURNITURE & FIXTURE

Pedestal 3 drawer

FURNITURE & FIXTURE

Modular Table

FURNITURE & FIXTURE 3 Modular

Workstation

FURNITURE & FIXTURE

Modular Table-Conference

FURNITURE & FIXTURE

Modular Table-Cubicle

FURNITURE & FIXTURE

Modular Table-Cabin

FURNITURE & FIXTURE 1 Keyboard PVC Innofit Black

FURNITURE & FIXTURE 1 CPU Trolley


56

Annexure Annexure Annexure Annexure IIIIXXXX

Training for EMS Personnel

Prehospital Personnel Ambulance Drivers

� Vehicular Safety Checks � Elements � Ambulance Driving Techniques � Accident Avoidance and Crash Procedures � Basic Life Support � Disaster Management Protocols

Emergency Medical Technician Emergency Medical Technician Emergency Medical Technician Emergency Medical Technician ---- BasicBasicBasicBasic • In-Depth Anatomy and Physiology

• Primary Care Theory

• Trauma Care Theory

• IV Administration and Theory • Nasopharyngeal Suctioning

• D50W Administration Theory

• Pharmacology

• Cardiac Monitoring • Oxygen Delivery Theory and Practical

• Patient Assessments

• Communications

• Transportation

• Ambulance Operations • Trauma

• CPR

• AED

• Clinical Hospital Practice

• Ambulance Practice

• Basic Life Support

• Disaster Management Protocols Emergency Medical Technician - Advanced

� In Depth Anatomy and Physiology � Primary Care Theory � Trauma Care Theory � IV Administration and Theory � Nasopharyngeal Suctioning � D50W Administration Theory � Pharmacology � Cardiac Monitoring � Oxygen Delivery Theory and Practical � Patient Assessments � Communications � Ambulance Operations


57

� Trauma � CPR � AED � Clinical Hospital Practice � Ambulanced Trauma Management � Advanced Cardiac Life Support � Pediatric Life Support � Medical Management � Core issues

Communication Officer

• Priority Dispatch System

• Telecommunication Essentials • Protocol Instruction and Practice

• Roles of the Communication Officer

• Operations

• Legal issues • Dispatch Stress

• Quality Improvement Dispatch Officer

• The science of prioritized dispatch

• Ethical and Medical Legal issues • Dispatch Life Support

• Dispatch Protocols

• Practice drills

Ambulance Control Officer

• The Science of prioritized dispatch

• Ethical and Medical Legal issues

• Dispatch Life Support

• Dispatch Protocols • Practice drills

• GIS/GPS Navigation

• Vehicle Tracking

• Telecommunications

• Disaster Management • Fleet Management

• Emergency Medical Technician issues

• Communication Skills Online Medical Control

• The science of prioritized dispatch

• Ethical and Medical Legal issues

• Dispatch Life Support

• Dispatch Protocols

• Full Emergency Medicine Curriculum Supervisors

• Administrative issues

• Curriculum of the respective supervisory role


58

Hospital PersonnelHospital PersonnelHospital PersonnelHospital Personnel EmergencyEmergencyEmergencyEmergency PhysiciansPhysiciansPhysiciansPhysicians

• Core Emergency Medicine

• Basic Life Support • Advanced Cardiac Life Support

• Advanced Trauma Management

• Airway Management

• Pediatric Management • Disaster Management

• Communication Skills Emergency Nurses

o Core Emergency Nursing o Basic Life Support o Advanced Cardiac Life Support o Advanced Trauma Management o Airway Management o Pediatric Management o Disaster Management o Communication Skills

Administrative Staff o Emergency Medical Services o Emergency Department o Administrative issues

o Staff Management o Financial Planning


59

Annexure Annexure Annexure Annexure XXXX

KKKKERALA ERALA ERALA ERALA MMMMEDICAL EDICAL EDICAL EDICAL SSSSERVICES ERVICES ERVICES ERVICES CCCCORPORATION ORPORATION ORPORATION ORPORATION LLLLTD TD TD TD

PRICE BID FORMPRICE BID FORMPRICE BID FORMPRICE BID FORM

To

The Managing DirectorThe Managing DirectorThe Managing DirectorThe Managing Director,

(Tender Inviting Authority)

Kerala Medical Services Corporation Ltd

Thycaud .P.O., Thiruvananthapuram -685014

Kerala

Sir,

Having examined and read the Tender document, we hereby offer our best rate

for operating the 108 Emergency Ambulance Services (KEMP) in the districts of

Thiruvananthapuram and Alappuzha with the existing 43 ALS Ambulances, as under:

I.I.I.I. BEST PRICE OFFEREDBEST PRICE OFFEREDBEST PRICE OFFEREDBEST PRICE OFFERED

SSSS/n/n/n/n DescriptionDescriptionDescriptionDescription Amount* Amount* Amount* Amount* ((((`̀̀̀))))

1 Operational expense for running 3000 kilometers per ALS Ambulance per month

(In Figures)

(In Words)

*The rate offered shall be inclusive of all taxes, duties and all other charges

Date : Office seal Signature of the tenderer/Authorized

signatory


60

Annexure XAnnexure XAnnexure XAnnexure XIIII

DECLARATIONDECLARATIONDECLARATIONDECLARATION

I/We M/s._____________________ represented by its Proprietor / Managing

Partner / Managing Director having its Registered Office at

__________________________________________________________________

____________________________________________________ do hereby declare that

I/We have carefully read all the conditions of tender KMSCL/KEMP/01/2013 KMSCL/KEMP/01/2013 KMSCL/KEMP/01/2013 KMSCL/KEMP/01/2013

Dated Dated Dated Dated 00001111....10101010.201.201.201.2013333 for operating 108 Emergency ambulance services (KEMP) in the

districts of Thiruvananthapuram and Alappuzha with the existing 43 ALS Ambulances

invited by the Kerala Medical Services Corporation Ltd., Thiruvananthapuram and

accepts all conditions of Tender.

Signature of the Tenderer

Name in capital letters with Designation


61

Annexure XAnnexure XAnnexure XAnnexure XIIIIIIII

AFFIDAVITAFFIDAVITAFFIDAVITAFFIDAVIT

Format for Affidavit Certifying that Entity / Promoter(s) /Director(s)/Partners of Entity are not Blacklisted

(On a `100 Stamp Paper)

I, M/s. ……………………………………………… (Name of the firm), having registered

office at ……………………………………………………………………………………..

hereby certify and confirm that we or any of our promoter(s) /director(s) are not barred

by Department of Health & FW, Govt. of Kerala/ or any other entity of GoK or

blacklisted by any state government or central government / department / organization

in India from participating in Project/s, either individually or as member of a

Consortium as on the …………………..(Date of Signing of Application).

We further confirm that we are aware that, our Application for the captioned Project

would be liable for rejection in case any material misrepresentation is made or

discovered at any stage of the Bidding Process or thereafter during the agreement

period.

Dated this ……………………..Day of …………………., 20…..

Name of the Applicant …………………………………………….

Signature of the Authorised Person …………………………………………….

Name of the Authorised Person