Tender Form DELH I STA TE CA N CER IN ST IT U T E

GOVT. OF NCT OF DELHI (an autonomous institution under the Govt. of NCT of Delhi)Dilshad Garden, Delhi 110 095TENDER ENQUIRY NO. 04/2009Tender Form(As per Rule 155 of GFR, 2005)DATED: _______________Due on 21.08.2009 Valid upto 20.08.2011NAME of tender : OPEN TENDER ENQUIRY FOR DRUG/MEDICINES (PART – 2)Sealed offers are invited on behalf of the Chairman, Delhi State Cancer Institute frommanufacturers only, for the supply of Drug/Medicines for this Institute, on the following Terms &Conditions:THE FIRM SHOULD BE IN THE BUSINESS OF MANUFACTURING OF ANTI CANCERDRUGS FOR LAST MORE THAN FIVE YEARS. PROOF SHOULD BE ATTACHED IN THEPQB/TECH. BID, OTHERWISE OFFER WILL BE REJECTED.CONTENTS OF THE FORM1. Chapter - 1 : Instructions to Bidders : Page 022. Chapter – 2 : Conditions of Contract : Page 053. Chapter – 3 : Specifications and allied Technical Details : Page 074. Chapter – 4 : Price Schedule (to be used by the bidders : Page 07for quoting their prices)5. Chapter – 5 : Contract Form : Page 096. Chapter – 6 : Other Standard Forms, if any, to be utilised : Page 12by the purchaser and the bidders DATE FOR SALE OF TENDER: 01.08.2009 to 20.08.2009 (10.00 am to 3.00 pm) DATE FOR SUBMISSION OF TENDER : 21.08.2009 (10.00 am to 1.00 pm) DATE FOR OPENING OF TENDER : 21.08.2009 at 2.30 pmTHIS TENDER FORM IS NOT TRANSFERABLE. IT CAN BE USED ONLY FOR THE SPECIFIED GROUPOF ITEMS BY THE FIRM PURCHASING THIS FORM. IT MUST BE ENCLOSED WITH THE PRE-QUALIFICATION BID IN ORIGINAL - DULY SIGNED AND STAMPED AT EACH PAGE BY THE BIDDER.(FOR OFFICE USE ONLY)This Tender Form is sold to M/s._____________________________________________________On ___________ for the tender of DRUGS/MEDICINES vide Tender Enquiry No. 04/2009 againstDD/PO No. _________________________ dated ____________drawn on________________________for Rs. ONE THOUSAND Only.SIGNATURE SEAL OF THE FIRM Page 1 of 16

CHAPTER - 1: Instructions to Bidders1.(i) Issue of tender:Tender will be available for sale from 01.08.2009 to 20.08.2009 atthe office of Director, Delhi State Cancer Institute, Dilshad Garden,Delhi 110 095 between 10:00 hours to 15:00 hours on all workingdays during the said period on payment of Rs. 1000/- in the form of aDemand Draft Only favouring DSCI, payable at Delhi. Tenderform can be downloaded from the websitewww.delhigovt.nic.in/tender or www.dsci.nic.in/tender.Downloaded tender should be submitted along with the tender fee.(ii) Last Date/Time for Sale: By 3.00 pm on 20.08.2009.(iii) Date of Submission:(iv) Place of Submission:21.08.2009 (10.00 am to 1.00 pm)The sealed tenders complete in all respects, duly signed,numbered and stamped on each page, should be put in the tenderbox placed in the office of the Director, Delhi State CancerInstitute, Dilshad Garden, Delhi 110 095 before the closing dateand time.TENDERS RECEIVED AFTER THE DEADLINE AS STIPULATED ABOVE SHALL NOT BE CONSIDERED.(v) Opening of Tenders:Tenders shall be opened on 21.08.2009 at 2.30 p.m. in the BoardRoom, Delhi State Cancer Institute, Dilshad Garden, Delhi 110095.The Tenders shall be received and opened next working dayif the said Date is declared a public holiday for any reason,whatsoever.(vi) The tendering process of the Institute involves a two-stage scrutiny as detailed below:(a) Only the Pre Qualification/Technical Bids bids (see Check List at Annexure-V) shall beopened first and read out before participants/Tenderers present at that time.(b) The Price bids of qualified Tenderers in the Pre Qualification/Technical Bids bids shallbe opened next on the same date. List of L 1 rates shall be displayed on the noticeboard of this Institute in due course of time.(vii) Validity of Tenders:The Tenders shall remain valid for TWO YEARS from the date ofopening.SIGNATURE SEAL OF THE FIRM Page 2 of 16

2. IMPORTANT INSTRUCTIONS TO BE NOTED CAREFULLY BY TENDERERS:i). Purchaserii). Consigneeiii). Inspection Authorityiv). Inspection Officerv). Delivery is required byvi). Fall clause: Director, Delhi State Cancer Institute: Purchaser: Purchaser: Purchaser or his authorized representative: 30 days from the issue of Purchase/Supply Order.Extension can be granted, if necessary, but extensionmust be obtained from the competent authority beforelast date of supply. A penalty of 2% of total cost perweek (maximum 10%) of order value will also becharged after last date of supply. IN CASE OF NONSUPPLY EMD CAN BE FORFEITED BESIDES INITIATIONOF ANY OTHER ACTION, AS DEEMED FIT BY THEINSTITUTE AND THE ITEM (S) SHALL BE PROCUREDFROM OTHER SOURCES AT THE RISK & COST OF L 1BIDDER.: If at any time during the execution of the contract, theTenderer reduces the sale price to sell such stores, asare covered under this tender enquiry, to anyorganization (including the purchaser of any departmentof the Govt. of NCT of Delhi) at a price lower than theprice quoted under this contract, he shall forthwith notifysuch reduction to the purchaser and the price payableunder this tender for the stores supplied after the date ofcoming into force of such reduction, the price of itemsshall stand correspondingly reduced.vii). Earnest Money Deposit : Rs. 50,000/- (Rupees Fifty thousand only){Please see clause 4 (b)}viii). Sales Turnover: Rs. 1,00,00,000/-(Rupees One Crore) & above ineach of last three years. Must submit attested copy ofbalance sheet or Sales Tax Assessment order for thelast three years.ix) WRONG INFORMATION : Furnishing wrong/incorrect/misleading information inthe Tender Bid, if detected at any stage, would lead tocancellation of the bid submitted by the Tenderer. THISWOULD ALSO LEAD TO FORFEITURE OF EMD BESIDESINITIATION OF ANY OTHER ACTION, AS DEEMED FIT BY THEINSTITUTE.SIGNATURE SEAL OF THE FIRM Page 3 of 16

3. PROCEDURE FOR SUBMITTING TENDERS:PLEASE READ CAREFULLY AND COMPLY ACCORDINGLY(i) PRE QUALIFICATION/Technical BID (PQB):Should be placed in sealed covers/envelopessuperscribing the wordings “PREQUALIFICATION/Technical BID”, Group No., Due on, Name of the itemand Name of the Tenderer. Covering letter, originalTender form, list of enclosures, EMD, Undertakings,WHO/GMP Certificate, latest copy of ITR, PAN,VAT/STCertificate, etc must be submitted in the PQBenvelopes (see annexure – III).All the technical documents like specifications of items(as per annexure– I), copies of orders for supply ofthe quoted medicines (after hiding the price) tovarious Govt/Semi-Govt/Autonomous Bodies/PSUduring last 03 years, along with the certificates fortimely execution of the said orders, literature,catalogues etc. are to be put in this envelope.PLEASE NOTE THAT NO PRICES SHALL BE INDICATED IN THE PQB OR IN THETECHNICAL BID OTHERWISE THE BID WILLL BE REJECTED OUTRIGHT WITHOUTANY FURTHER CORRESPONDENCE.(ii)(iii)PRICE BID: (in duplicate)Price offered should be placed in sealedenvelops/covers - separate for original & duplicatesets superscribing the wordings “PRICE BID”, GroupNo. Due on, Name of the items, and Name of thetenderer. VAT/CST should be clearly mentioned foreach items. Tenderers must not quote as inclusiveof tax. However, if the item is tax free, it should beclearly mentioned. (as per annexure- II)Pre-Qualification/Technical Bid and Price Bid envelopes/covers preparedseparately as above must be kept together in a single sealed cover superscribedtender enquiry No. Date of opening, Name of the item and name address of thetenderer. Only Price bid should be in both Original and Duplicate and must bekept in different sealed envelops superscribed as ORIGINAL AND OTHERAS DUPLICATE.SIGNATURE SEAL OF THE FIRM Page 4 of 16

(iv)EACH PAGE SHOULD BE NUMBERED SERIALLY, STAMPED AND SIGNEDBY THE AUTHORISED SIGNATORY OF THE FIRM.(v)IMPROPERLY OR INCOMPLETELY PREPARED TENDERS ARELIABLE TO BE REJECTED AND NO FURTHER CORRESPONDENCESHALL BE ENTERTAINED IN THIS REGARD, WHICH MAY PLEASEBE NOTED.4. (a) TERMS AND CONDITIONS:CHAPTER - 2: Conditions of Contract(i) Tender forms are not transferable – original tender form must be submitted with the PQB.(ii) Tenderers should return all original tender documents duly filled in and signed and with fullvalidity as per tender enquiry, failing which such tenders will be liable to be ignored.(iii) Undertaking as well as additional information in the prescribed format given with thistender form shall be duly filled in, signed and submitted with the PQB.(iv) Covering letter should clearly indicate the list of enclosures.(v) The tender should be typed and the price be quoted in words as well as in figures withoutany over writing or erasing cutting etc. failing which such tenders will be rejected.(vi) Each page of the tender should be numbered and signed by the tenderer with theseal of the firm.(vii) Telegraphic/Telex/Fax and letter head quotations are not acceptable and will be ignored.(b) Refundable Earnest Money Deposit (EMD) & BANK GURANTEE FROM APPROVEDL- 1 BIDDER(i) Each tender must be accompanied by a DD for EMD payable at Delhi in the name of‘Delhi State Cancer Institute’ for Rs. 50,000/- (Rupees Fifty thousand only).(ii) The DD shall be valid for a period of at least six months from the date of issuing of theTender and it shall remain deposited with the purchaser till the validity of the Tender.(iii) No interest shall be payable by the purchaser on the Earnest Money Deposit.(iv) Exemption: Firms may be exempted from payment of EMD, who are registered withNSIC, subject to submission of such certificate. Govt. of India/State GovernmentUndertakings may also be exempted.SIGNATURE SEAL OF THE FIRM Page 5 of 16

(v) Bank Guarantee for 10% amount of the likely annual value of the order shall bedeposited by the L-1 bidder, which shall have to be deposited before release of1 st instalment of the Supply Order. EMD shall be refunded after submission ofthe Bank Guarantee.(vi) The tenders shall send a pre-received challan along with the pre–qualification bid sothat the refund of Earnest Money (in case the bid has not been accepted) is madewithin a stipulated period.(vii) The EMD/Bank Guarantee is liable to be forfeited if the tenderer withdraws; dishonours;impairs; or derogates the bid in any respect within the period of validity of this offer.(viii) If the successful Tenderer fails to supply the items as per supply order(s), then theearnest money shall be liable to be forfeited besides initiating any other action, asdeemed fit, against the Tenderer.(c) It shall be presumed that the terms & conditions mentioned in the tender have been dulyaccepted by bidder in case he submits the tender. The tenderer shall have no rights tomodify/alter/amend/delete any terms/condition mentioned in tender document.(d) The indenter/purchaser has right to reject, withdraw/revoke/cancel whole or any part oftender at any stage without assigning any reason.(e) Income Tax, Service Tax and VAT Registration Nos.: The Tenderers must attach anattested copy each of the Income Tax Registration Certificate (PAN of the Firm), Copies oflatest Income Tax Return, Service Tax Registration Certificate(where required) and VATClearance Certificate/Latest Assessment Order. The Tenderers must attach attestedphotocopies along with the Pre-qualification bid of latest tax clearance certificates or returnfiling documents towards these tax liabilities of the Firm. Failure to submit any of thesedocuments without valid grounds in the PQB shall render the tender invalidautomatically. The Govt. of India/State Government Undertakings are exempted fromsubmitting these certificates.(f) UNDERTAKING: The undertakings/additional information (in Chapters of this Form) dulyfilled up and signed by the Tenderer(s) must be enclosed with the tender form, failing whichsuch tenders shall not be considered.(g) Disputes, if any, at any stage shall be interpreted under Indian Laws and legal suits, ifrequired to be filed, shall be restricted within legal jurisdiction of Delhi.SIGNATURE SEAL OF THE FIRM Page 6 of 16

5. PAYMENT TERMS AND CONDITIONS:1. The supplier shall have to submit a “Test Report” from duly certified accreditedlaboratory for each batch of the medicines at the time of supply.2. the Institute reserve the right to get any supply of stores tested at random fromany certified and accredited laboratory.3. Payment shall be made only after inspection of stocks by the Institute’sCommittee, constituted for this purpose.4. In case of an unsatisfactory test report, the firm shall have to replace the entirestock of the order, irrespective of the stocks remaining at the Institute besidesfulfilling other penalties/compensations imposed by the Institute for supply of thesubstandard stock.CHAPTER - 3: Specifications and Allied Technical details6. TECHNICAL BID:i) The Tenderer shall quote the most suitable items matching with the detailed TechnicalSpecification supplied alongwith this Tender Form (ANNEXURE- IV).ii) Tenderers should furnish complete technical details of the items offered bringing out specialfeatures, if any, and furnish detailed literature and catalogue/leaflets within the tender induplicate. ONLY ORIGINAL TECHNICAL CATALOGUES SHALL BE SUBMITTED.COMPUTER GENERATED PRINT OUTS/PHOTOCOPIES ETC. SHALL NOT BECONSIDERED.iii) List of accessories/optional items/spares/consumables etc. should be quoted separately withtechnical bid.CHAPTER - 4: Price Schedule (to be utilised by the Bidder for quoting their prices)07. PRICE BIDi) Tenderers should quote the price clearly indicating VAT/CST. Tenderers must not quoteprice as inclusive of VAT/CST. However, if the item is tax free, it should be clearlymentioned.ii) The prices should be indicated in words and figures, without any overwriting/erasing.iii) Tenderers are required to quote strictly as per specification of the stores. The deviationsto specifications, if any, must be brought out clearly giving a deviation statement.SIGNATURE SEAL OF THE FIRM Page 7 of 16

PLEASE NOTE AGAIN THAT NO PRICES SHALL BE INDICATED IN THE PQB OR IN THETECHNICAL BID OTHERWISE THE BID WILLL BE REJECTED OUTRIGHT WITHOUTANY FURTHER CORRESPONDENCE.THIS FORM IS TO BE SIGNED BY THE TENDERER AND SUBMITTED, IN ORIGINAL, WITH THEPQB AS AN ACCEPTANCE OF THE TERMS & CONDITIONS OF THE TENDER.Dated:SEALSignature________________________Witness:(1)______________________________________________________________________(2) ___________________________________________________________________SIGNATURE SEAL OF THE FIRM Page 8 of 16

CHAPTER - 5: Contract FormUNDERTAKINGTENDER ENQUIRY NO. 04/2009DATED: _______________Due on 21.08.2009 Valid upto 20.08.2011Sir,I/We________________ hereby declare that:1). I/We am/are the manufacturers/authorized agents/distributors of __________________________________________________________________________________________________2). I/We do l hereby offer to supply the stores at the prices and rates mentioned in the price Bid.3). I/We agree to abide by my/our offer for a period; of one year from the date of opening of thetender.4). I/We do agree for the all clauses and payment terms and conditions of this tender enquiry.5). I/We have carefully read and understood all the terms and conditions of the tender andtechnical specifications. We shall abide by them.6). I/ We have not been penalize for late supplies/defective supplies/sub-standard supplies,requiring replacement and that the firm has never been blacklisted for conducting businesswith any of the Govt/Semi-Govt/Autonomous Bodies/PSU organizationsSignature of the witnessName & Address of witnessesSignature of the tendererName and address of the Tenderer with sealSIGNATURE SEAL OF THE FIRM Page 9 of 16

ADDITIONAL INFORMATIONTENDER ENQUIRY NO. 04/2009DATED: _______________Due on 21.08.2009 Valid upto 20.08.20111. State your IT PAN, Service Tax and VAT registration Nos.:2. Confirm whether you have attached your latest IT,Service Tax & VAT Returns (attested photocopy thereof):Yes/No3. Status: Indicate whether you are Large Scale Unit or Small Scale Industry LSU/SSIi. If you are a small-scale unit registered with National Small Industry Corporation(NSIC) under single point Registration scheme, whether there is any monetary limit?ii. In case you are registered with NSIC, whether you have attached a copy of theRegistration Certificate?4. Please indicateName & address of your banker5. Business name and constitution of the firm. Is the firm registered under:i. The Indian Companies Act, 1956ii. The Indian Partnership Act, 1932iii. Any act, if not, who are the owners(Please give full names and address)6. For partnership firms state whether they are registered or not registered under IndianPartnership Act, 1932. Should the answer to this question by a partnership firm be in theaffirmative please state further:iv. Whether by the partnership agreement authority to refer disputesconcerning the business of the partnership to arbitration has beenconferred on the partner who has signed the tenderv. If the answer to (a) is in the negative, whether there is any general powerof attorney executed by all the partners of the firm authorizing the partnerwho has signed the tender to refer dispute concerning business of thepartnership to arbitration.vi. Whether you posses the requisite license for manufacturer of the storesand/or for the procurement of raw materials belonging to any controlledcategory required for the manufacturer of the stores? [In the absence ofany reply it would be assured that if license is required for the purposeraw materials and/or that you possess the required license].7. State whether business dealing with you has been banned by any Central/StateGovernment Organizations or any inquiry by Vigilance Deptt. or CBI is pending or held?SIGNATURE SEAL OF THE FIRM Page 10 of 16

8. Please confirm that you have read all the instructions carefully and have complied withaccordingly?Signature of witnessFull name and address of witnessin BLOCK LETTERSSignature of Tenderer1. Full name & address of theperson signing (in BLOCK LETTER)Dated:2. Whether signing as Proprietor/Partner/Constituted Attorney/duly authorized bycompanySeal of the firmSIGNATURE SEAL OF THE FIRM Page 11 of 16

CHAPTER - 6: Other Standard FormsANNEXURE-I(SPECIMEN FOR TECHNICAL DETAILS)To be submitted along with PQ/Technical BidTENDER ENQUIRY NO. 04/2009DATED: _______________Due on 21.08.2009 Valid upto 20.08.2011S.No.Descriptionof itemsSaltNamePack SizeIndian/ImportedSamplesProvidedCatalogueProvidedPlease attach separate sheet (s), duly signed, if the space above is insufficientSpecifications for__________________________________________________________vide Tender Group No. ______________________ for Delhi State Cancer Institute, DelhiReceived a complete set of specifications on behalf of M/s _______________________________________________________________________________________________________for the above mentioned Tender Enquiry.Authorized Signatory(on behalf of the Tenderer)SIGNATURE SEAL OF THE FIRM Page 12 of 16

ANNEXURE-IISPECIMEN FOR PRICE BIDTENDER ENQUIRY NO. 04/2009DATED: _______________Due on 21.08.2009 Valid upto 20.08.2011Sl.No.Descriptionof itemsSaltNamePack SizeIndian/ImportedUnit price(in Rs.)Taxes, ifanyPlease attach separate sheet (s), duly signed, if the space above is insufficientDated: _________Signature of the TendererName & address of the tenderer with stamp:SIGNATURE SEAL OF THE FIRM Page 13 of 16

ANNEXURE-IIICHECK LIST FOR PREQUALIFICATION/TECHNICAL BIDTENDER ENQUIRY NO. 04/2009DATED: _______________Due on 21.08.2009 Valid upto 20.08.2011NOTE: Tenderers must ensure that the following documents/information aresubmitted along with the pre-qualification bid. FAILURE TO SUBMIT ANYONE OF THE ESSENTIAL DOCUMENTS SHALL RENDER THE BIDDISQUALIFIED.Sl No. Documents to be submitted YES NO1.23.4.56.7.8.9.10.Tender fee (if downloaded from website)EMDOriginal Tender Form duly signed & stampedProof of Mfg Drugs since last 5 yearsCopy of ITR (latest) & PANVAT Clearance Cert./Assessment Order (latest)Copy of Valid Drug LicenseWHO/GMP Certificate (if applicable)Undertaking on the Non Judicial Stamp Paper of Rs. 10/-Pre received Challan (No format prescribed) for refund ofEMDDated: _________Signature of the TendererName & address of the tenderer with stamp:For official use onlyPQB ACCEPTED / REJECTEDIf rejected, then the reason thereof: _______________________________________________________________________________________________________________________________________(To be signed by the Tenderer, if present, as well as by the DSCI Official in case of rejection of the PQB)Signature (Tenderer)Dated:Signature (DSCI Official)SIGNATURE SEAL OF THE FIRM Page 14 of 16

ANNEXURE- IVTENDER ENQUIRY NO. 04/2009DATED: _______________Due on 21.08.2009 Valid upto 20.08.20111. Inj Epirubicin50mg2. Inj Epirubicin10mg3. Inj. Carboplatin 450mg4. Inj Gemcitabine200mg5. Inj Gemcitabine1.0gm6. Inj Goserelin 3.6mg7. Inj Goserelin 10.8mg8. Inj Ifosfamide with mesna1gm.9. inj. Leucovorin (Calcium) - 50mg10. Inj Actinomycin –D 0.5mg11. Inj Amifostine 500mg12. Inj Amifostine 375mg13. Inj BCG14. Inj Idarubicin 5mg15. Inj Docetaxel with solvent 20mg16. Inj Docetaxel with solvent 80mgLIST OF ITEMS17. Inj Docetaxel with solvent 120mg18. Inj Decarbazine 200mg19. Inj Fludarabine 50mg20. Inj Sargramostin-(GM-CSF) 250mcg/vial21. Inj Oxaliplatin 50mg22. Inj Erythropoietin 10000I.U23. Inj Erythropoietin 20000I.U24. Inj Erythropoietin 40000I.U25. Inj. Melphalan 2mg26. Inj. Cytarabine 100mg27. Inj. Cytarabine 500mg28. Inj. Cytarabine 1gm29. Inj. Cytosine arabinoside, 100mg/vial30. Inj. Interferon 4.5m I.U31. Inj. Interferon 6.0m I.U32. Inj. Interferon 9.0m I.U33. Inj. L-Asparaginase 10,000 IU34. Inj. L-Asparaginase 5,000 IU35. Inj. Mitomycin C 10mg36. Inj. Topotecan 2.5mg, 2.5ml37. Inj. Vinorelbine 10mg38. Inj. Vinorelbine 50mg39. Inj. Vinblastine 10mg ,10ml vial40. Inj. Daunorubicin 20mg 10ml41. Inj Irinotecan 40mg 2ml42. Inj Irinotecan 100mg 5mlSIGNATURE SEAL OF THE FIRM Page 15 of 16

43. Inj Topotecan 4mg 4ml44. Inj .Palenosetron 0.25mg45. Inj Nimutuzumab 50mg46. Inj Nimutuzumab 100mg47. Inj Leuprolide 3.6mg48. Inj Leuprolide 10.8mg49. Inj Interleukin 18MIU50. Inj Octreotide 0.05mg51. Inj Octreotide 0.1mg52. Inj Liposomal Doxorubicin 20mg53. Inj Cetuximab 100mg54. Inj Premetrexed 100mg vial55. Inj Premetrexed 500mg vial56. Inj Tetra sodium fosfesterol 300mg/5ml57. Inj Zoledronic Acid 4mg58. Inj Pegfilgrastim 6mg59. Inj Mitoxantrone20mg60. Inj Mitoxantrone25mg61. Inj Mitoxantrone30mg62. Inj Trastuzumab(Herceptin) 440mg63. Inj Rituximab 10mg/ml64. Inj Rituximab 50mg/ml*******SIGNATURE SEAL OF THE FIRM Page 16 of 16