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					             Equipping The Regional Cancer Centre at
Jawaharlal Institute of Postgraduate Medical Education & Research
                             Puducherry

                Request For Proposal – Volume I

                        SEPTEMBER 2009




                      HLL LIFECARE LIMITED
                Infrastructure Development Division
                 “Adarsh” TC 6/1781, Vettamukku,
                        Tirumala Post Office
                    Thiruvananthapuram-695006
                                Table of Contents


S.No                           Description                      Page No.
        Disclaimer                                                 1
        Definitions                                                2
                    SECTION I – NOTICE INVITING TENDERS
1       General                                                    3
2       Scope of Work                                              5
3       Tender Prices and Schedule of Payment                      9
4       Site Information                                           10
                  SECTION II – INSTRUCTION TO TENDERERS
1       General                                                    12
2       Eligibility Requirements                                   13
3       Tender Documents                                           14
4       Preparation of Tenders                                     15
5       Submission of Tenders                                      20
6       Tender opening and evaluation                              21
7       Award of Contract                                          24
8       Performance Security                                       26
        Check List of Documents to be submitted with the tender    27
        Proforma of Forms – General (Forms A to E)                 28
        Proforma of Forms – Qualification Particulars (Form T-1    41
        onwards)
             SECTION III - SPECIAL CONDITIONS OF CONTRACT
        Special Conditions of Contract                             51
                  SECTION IV – EMPLOYER’S REQUIREMENTS
1       Introduction to the Project                                64
2       Scope of Work                                              64
3       Requirements of Various Segments                           66
    3.1 Part I – Establishing a new equipment block with state-    66
        of-the-art equipment
    3.2 Part II – Equipping the new equipment block and the       118
        existing RCC block with Lab & diagnostic equipment and
        medical furniture
    3.3 Part III – Proving general furniture, medical gas and     119
        nurses‟ call system
        Annexure
    I   List of OT Instruments and List of Furniture, Elec.&      122
        Electronics and Miscellaneous
    II  Indicative Layout for Linear Accelerator & CT Simulator   126
    III Indicative Layout for Brachytherapy Suite                 127
    IV Indicative Layout for the proposed extension               128
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                  DISCLAIMER
HLL Lifecare Limited, India (HLL) has prepared this document as internal consultant to
Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), Puducherry
to give bidders, background information on the Project. The information is provided to bidders on
the terms and conditions set out in this RFP document and any other terms and conditions
subject to which such information is provided.


This RFP document is not an agreement, is not an offer or invitation to any other party. The
purpose of this RFP document is to provide interested parties with information to assist the
formulation of their bid. The information is not intended to be exhaustive. Bidders are required to
make their own inquiries and respondents will be required to confirm in writing that they have
done so and they do not rely solely on the information in RFP.


The information is provided on the basis that it is non – binding on Jawaharlal Institute of Post
Graduate Medical Education and Research (JIPMER), or HLL Lifecare Limited, any of its
authorities or agencies or any of their respective officers, employees, agents or advisors.


Jawaharlal Institute of Post Graduate Medical Education and Research (JIPMER), reserves the
right not to proceed with the Project or to change the configuration of the Project, to alter the
timetable reflected in this document or to change the process or procedure to be applied. It also
reserves the right to decline to discuss the Project further with any party submitting the Tender.


While HLL Lifecare Limited and JIPMER have taken due care in the preparation of the
information contained herein and believe it to be accurate neither Jawaharlal Institute of Post
Graduate Medical Education and Research (JIPMER), nor HLL Lifecare Limited, any of its
authorities or agencies nor any of their respective officers, employees, agents or advisors gives
any warranty or make any representations, express or implied as to the completeness or
accuracy of the information contained in this document or any information which may be
provided in association with it.


No reimbursement of cost of any type will be paid to persons or entities submitting their Tender.




HLL Lifecare Limited (A Government of India Enterprise)                                             1
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                  DEFINITIONS
“Engineer” means the person(s) named by the Employer in the Contract or appointed from time
to time by the Employer, who acts on behalf of the Employer under the contract.

“Employer” means JIPMER, which has invited bids for the project.

“HLL” means HLL Lifecare Limited, consultant to JIPMER for the project.
“JIPMER” means Jawaharlal Institute of Post-Graduate Medical Education and Research at
Puducherry, India

“MoHFW” means Ministry of Health and Family Welfare, Government of India

“Project” means Equipping The Regional Cancer Centre at JIPMER on a turnkey basis.

“Site” means the place where the above-mentioned project work is to be executed.

“Tender” or “Bid” shall mean the offer submitted by a Tenderer in accordance with this
document for the above project.

“Tenderer” means a firm that has submitted its Tender of Bid for the Project.




HLL Lifecare Limited (A Government of India Enterprise)                                  2
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                SECTION I
                                     1. NOTICE INVITING TENDER (NIT)
1.1      GENERAL

1.1.1 Jawaharlal Institute of Post-Graduate Medical Education and Research invites
sealed tenders from reputed Indian Firms for equipping the Regional Cancer Centre at JIPMER,
Puducherry, on turnkey basis.

1.1.2 JIPMER invites sealed tenders for the above-mentioned work (clause 1.1.1).

 Approximate cost of work                            Rs. 24 Crores (Rs. Twentyfour Crores only)
 Tender Security amount                              Rs. 24 Lakhs (Rs. Twentyfour Lakhs only)
 Cost of Tender form                                 Rs.5,202/- (Rs. Five Thousand two hundred and
 (Non-refundable)                                    two Only) payable by a Demand Draft in favour of
                                                     “HLL Lifecare Limited” at Thiruvananthapuram
 Completion period of the Work                       12 Months (Twelve Months Only) from the date of
                                                     issue of letter of acceptance
 Tender documents on sale                            From 05-09-2009 to 19-09-2009 (between 10.00
                                                     Hrs to 17.00 Hrs) on working days
 Last      date     for     submission         of    19-09-2009
 queries/Pre-Bid conference
 Last date for Issue of addendum                     23-09-2009
 Last Date & time of Submission of                   30-09-2009, up to 15.00 Hrs
 Tender
 Date & time of opening of Tender                    30-09-2009, 15.30 Hrs

          One set of tender documents (Non-transferable) can be obtained from the office of HLL
          Lifecare Limited, (A Government of India Enterprise), ID Division, Adarsh, TC
          6/1718,Vettamukku, Thirumala P.O., Thiruvananthapuram - 695006.

The Tender document can also be downloaded from the HLL website www.lifecarehll.com or
website of Ministry of Health and Family Welfare, Government of India www.mohfw.nic.in or
JIPMER website www.jipmer.edu. In such case the tender document cost in the form of DD
shall be enclosed along with the application at the time of submission. The DD should be drawn
in favour of HLL Lifecare Limited payable at Thiruvananthapuram




1.2        POINTS TO BE NOTED
1.2.1 Works envisaged under this contract are required to be completed in all respects within
         the period of completion mentioned above.

1.2.2 Applicant should be an Indian firm and fulfill the criteria set out in para 2.1 to 2.3 of
         Section II, Instructions to Tenderers (ITT).



HLL Lifecare Limited (A Government of India Enterprise)                                                 3
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


1.2.3 This tender is to be submitted in two parts i.e. TECHNICAL PACKAGE and FINANCIAL
         PACKAGE. Technical package is to be submitted in two parts, Part-I shall consists of
         information/details for the tenderer and Part -II shall be the Technical proposal.

1.2.4 Applicant must not have been blacklisted or deregistered by any govt. agencies or public
         sector undertaking during last 7 years.

1.2.5 The net worth of the firms during last three years should not be negative

1.2.6 Tender documents consist of:

           Volume 1
                 Notice Inviting Tender (NIT)
                 Instructions to Tenderers (ITT) (Including Annexures)
                 Special Conditions of Contract (SCC)
                 Employers requirements
           Volume 2
                 General Conditions of Contract (GCC)
1.2.7 The Contract shall be governed by the documents listed in Para 1.2.6 above and
         relevant standards and specifications, which may be purchased from the market.

1.2.8 Tenderers may obtain further information in respect of these tender documents from the
         office of the Joint General Manager (ID) HLL Lifecare Limited, (A Government of India
         Enterprise),      ID     Division,     Adarsh,   TC   6/1718,Vettamukku,   Thirumala   P.O.,
         Thiruvananthapuram - 695006

1.2.9 All Tenderers are hereby cautioned that tenders containing any material deviation or
         reservation as described in Clause 6.4 of “Instructions to Tenderers” and/ or minor
         deviation without quoting the cost of withdrawal shall be considered as non-responsive
         and shall be summarily rejected.

1.2.10 The offers of Tenderers who fulfill the minimum requirements as specified in para
       2.1 to 2.3 and para 6.5.1 of Section II (ITT), only shall be evaluated further.
1.2.11 JIPMER reserves the right to accept or reject any or all proposals without assigning any
         reasons, No tenderer shall have any cause of action or claim against the JIPMER for
         rejection of his proposal.

                                                                        For and on behalf of JIPMER
                                                                         Joint General Manager (ID)
                                                                               HLL Lifecare Limited




HLL Lifecare Limited (A Government of India Enterprise)                                            4
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                              2. SCOPE OF WORK

2.1       GENERAL

2.1.1 Equipping the Regional Cancer Centre including necessary civil & electrical works and all
         services at JIPMER, Puducherry.

2.2      WORK CONTENT

2.2.1    Brief Scope

         The project involves procurement, installation, testing and commissioning of equipments,
         and construction of treatment rooms and associated facilities at the Regional Cancer
         Centre at JIPMER. The project has the following components

                 Procurement, installation, testing and commissioning of High Energy Linear
                  Accelerator suite with MLC, IMRT, SRS, & SRT capabilities, Treatment Planning
                  System and CT-Sim.

                 Procurement, installation, testing and commissioning of High Dose Rate
                  Brachytherapy Suite with TPS

                 Procurement, installation, testing and commissioning of Clinical Laboratory and
                  Diagnostic equipment.

                 Procurement, installation, testing and commissioning of Miscellaneous Medical
                  Equipment and furniture.

                 Horizontal extension of the existing Regional Cancer Centre building for
                  installation of the equipment and providing associated facilities. All services shall
                  be provided for the building to make it functional.

                 Computer Network interconnecting OPD, Wards, Pharmacy, Radiation Treatment
                  Rooms, Consultant Rooms, Faculty Rooms, HOD and RCC Director offices to
                  share the DICOM images and clinical data of patients and Cancer Registry
                  (hardware & software included)

                 Telephone network for all the rooms detailed above with interconnection between
                  the RCC and the main hospital (all hardware included).

         The scope of work consists Project planning, design, construction, procurement,
         installation, testing and commissioning of equipments, and integrated commissioning of
         the Regional Cancer Centre. Necessary building work is to be designed and executed as
         per relevant codes, Technical Specifications, conceptual / layout drawings and AERB
         regulations.



HLL Lifecare Limited (A Government of India Enterprise)                                              5
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


         The work shall, inter-alia, include the following:

         i.       The construction design shall be appropriate to the type of equipment to be
                  installed and shall conform to AERB regulations.
         ii.      Approval of Atomic Energy Regulatory Board shall be obtained for the design,
                  construction, installation and commissioning of equipment.
         iii.     Detailed design engineering including architectural design and construction
                  documents, structural engineering, electrical engineering, heating ventilation and
                  air conditioning plans, medical gases and manifold plan, plan for the central
                  sterile services department, communication and networking plan, fire detection
                  and protection plan and waste management etc.
         iv.      Site clearance and dismantling of obstructions etc., before commencement of
                  work
         v.       Getting approvals / permissions / permits of the statutory / local / governmental
                  agencies
         vi.      Building construction and installation of all services and making all the building
                  services fully and functionally operative.
         vii.     Procurement, installation, testing and commissioning of medical equipment as per
                  specifications provided.
         viii.    Procurement and installation of furniture and fixtures including internal and
                  external signages
         ix.      All aspects of quality assurance, including testing of medical equipments and
                  other components of the work
         x.       Project Management to ensure completion of Project as per the specified
                  timelines
         xi.      Submission of the completion (i.e. „as-built‟) drawings and other related
                  documents. A soft copy in Auto CAD or other similar softwares shall also be
                  submitted.
         xii.     Clearance of site before Handing over of the facilities after fulfilling all the
                  obligations under “Employer‟s Requirement”
         xiii.    Making good any defect (if any) in Defects Liability Period


2.2.2   Design criteria to be specified with the proposal by the Tenderer

        The design of the Tenderer shall be of international standards and should be complete in
        all respects as per international best practices. Detailed design including the design
        criteria, codes and standards and specifications of the materials to be used for the design
        should be submitted by the Tenderer along with his proposal. Other documents as



HLL Lifecare Limited (A Government of India Enterprise)                                           6
 Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


         detailed in Employer‟s Requirements and Sub-clause 4.2.4 of Instruction to Tenderers
         should be submitted along with the design.

2.2.3     Reference to the Standard Codes of Practice

2.2.3.1 All Standards, Technical Specifications and Codes of practice referred to shall be latest
        editions including all applicable official amendments and revisions. The Contractor shall
        make available at site all relevant Indian Standard Codes of practice as applicable.

2.2.3.2 Wherever Indian Standards do not cover some particular aspects of design/ construction,
        relevant International Standards shall be referred to. The contractor shall make available
        at site such standard codes of practice.

2.2.3.3 In case of discrepancy among Standard codes of practice, Technical Specifications and
        provisions in Employer‟s Requirements, the order of precedence shall be as below:

        i)         Provision in General Requirements of Employer‟s Requirements
        ii)        Technical Specifications in Employer‟s Requirements,
        iii)       Standard Codes of Practice.

        In case of discrepancy in reference to Standard Codes of Practice, the order of
        precedence shall be BIS, IRC, BS, ASTM, DIN

2.2.4    Dimensions

         The levels, measurements and other information concerning the existing site as shown on
         the conceptual / layout drawings are believed to be correct, but the tenderer should verify
         them for himself and also examine the nature of the ground as no claim or allowance
         whatsoever shall be entertained on account of any errors or omissions and commissions
         in the levels or strata turning out different from what is shown on the drawings.

2.3 TIME SCHEDULE

             The tenderer shall submit with the tender “Time Schedule” for completion of various
             portions of works. This schedule is to be within the overall completion period of 12
             months. The detailed programme in the form of a Critical Path Method (CPM) network
             shall include all activities starting from design to completion.

 2.4         EXISTING MEDICAL FACILITIES AND UTILITIES

                   (i)      The utilities shall be diverted with proper liaison and approval of the utility
                            owning agencies. The utilities which cannot be diverted but require
                            supporting, proper supporting shall be done so that they are not damaged
                            along their branches. Precautions to be taken while handling the utilities
                            are mentioned as under;



 HLL Lifecare Limited (A Government of India Enterprise)                                                 7
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                 (ii)      Utilities shall not be damaged at any cost. If due to some or the other
                           reason, mis-happening occurs, it should be rectified immediately by the
                           contractor at his own cost under intimation of HLL/JIPMER.

                  (iii)    The Contractor shall take care so that the ongoing activities are not
                           disturbed in any manner whatsoever by the activities of the Contractor
                           during the execution of the project.

                  The above instructions are only indicative, other precautions which are specified
                  from time to time by the utility owning agencies shall be followed by the
                  successful Tenderer at all times.




HLL Lifecare Limited (A Government of India Enterprise)                                          8
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                   3. TENDER PRICES AND SCHEDULE OF PAYMENT

3.1                TENDER PRICES
           a.      Unless explicitly stated otherwise in the Tender Documents, the Contract shall be
                   for the whole Work and payment shall be based on the milestones as accepted in
                   the Contract.

           b.      The design notes, calculations, specifications, dimensioned drawings and
                   milestone schedules prepared by the tenderer in respect of technically acceptable
                   proposal shall be for limited purpose of prima facie evaluation for determining its
                   technical acceptability, price and construction time.

           c.              Irrespective of the estimated quantities and /or dimensioned details for
                   various items of work as furnished in the design notes, calculations, specifications
                   or outline /dimensioned drawings accompanying the tender for the work, the
                   successful tenderer shall carry out all changes, modifications or alterations that
                   may, during the scrutiny of the detailed designs and working drawings, or during
                   construction be considered necessary in the opinion of the Engineer for
                   compliance with the Employer‟s Requirements.

                d. The Tenderer shall include in his quoted price all taxes (VAT, Service Tax), fees
                   and other levies, payable by the tenderer under the Contract. JIPMER shall
                   provide assistance to the Tenderer for getting custom duty exemption wherever
                   feasible.

                e. The Payment shall be in accordance with the provisions of Clauses 14.0 and
                   15.0 of the General Conditions of Contract.

3.2         SCHEDULE OF MILESTONES


   S. N                                                         % of construction % of equipment
                                Milestone                             value            value
      1.    Submission of Detailed Design for building                2.50%
      2.    On approval of detailed building design by AERB           2.50%
      3.    Completion of basic structure of the building
            (Foundation, RCC frame & Brickwork)                        50%
      4.    Completion of building i/c finishing & services            40%
      5.    Fixation and approval of medical Equipment
            specifications (advance)                                                    15%
      6.    Opening of LC/on proof of payment                                           50%
      7.    Supply and installation of medical equipments
            (Substantial Completion)                                                    15%
      8.    Successful commissioning of medical
            equipments and Trial run of the system                                      10%
      9.    Taking over                                                 5%              10%
                                                          Total       100%             100%


HLL Lifecare Limited (A Government of India Enterprise)                                              9
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                          4.       SITE INFORMATION

4.1               WORK SITE

4.1.1             The project site is located in the campus of JIPMER at Pondicherry. A campus
                  map is enclosed in the tender documents for the reference.

4.1.2             The contractor shall plan his works keeping in view restriction of approach and
                  availability of space and time and ongoing activities at the campus which includes
                  both academic and medical activities.

4.2               GENERAL

4.2.1             JIPMER campus is located at the western entrance of Puducherry. The 195-acre
                  campus is situated on ahillock known as „Gorimedu‟.

4.2.2             Puducherry region is located on the coromandal coast between 11 degree 46'
                  and 12 degree 30' of north latitude and between 79 degree 36' and 79 degree
                  52' of east longitude. Its boundary on the east is the Bay of Bengal and on the
                  other 3 sides is Cuddalore & Villupuram districts of Tamil Nadu.

4.2.3             Main languages spoken in the region are Tamil, Telugu and Malayalam.
                  English and French are other languages, which are spoken by a considerable
                  number of people.

4.2.4             For the greater part of the year Puducherry is hot and humid with temperatures
                  ranging between 26 and 38°C. The summer runs from March till July.

4.2.5             The winter starts in November and the north-east monsoon cools the days and
                  nights with the rains it brings along. During this time the temperatures is around
                  the 24 °C - 30°C.

4.2.6             The main rainy season is in November-January. Mean average annual rainfall in
                  the area is of the order of 860 mm, a good portion of which is concentrated during
                  November to January, which is the main rainy season. Apart from this,
                  Pondicherry also experiences small monsoon in July-September.

 4.27             Pondicherry falls in Seismic Zone II. In 2004 end, Puducherry was one of the
                  areas affected by the Killer Tsunami Waves.




HLL Lifecare Limited (A Government of India Enterprise)                                          10
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


4.3 Site map.




HLL Lifecare Limited (A Government of India Enterprise)                            11
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                    SECTION-II

                                INSTRUCTIONS TO TENDERERS (ITT)

1.0        GENERAL

1.1        The Proposal

           JIPMER (hereinafter also referred as Employer) invites sealed tenders from applicants
           for project planning, design, construction, procurement, installation, testing and
           commissioning of equipments for the Regional Cancer Centre at JIPMER, for Works in
           accordance with this Tender Package.

           The tender papers consist of the documents as specified in Clause 1.2.6 of NIT, along
           with their Annexures, appendices, addenda and errata if any.

          Tenderers should procure relevant standards and specifications referred from the
           market.

           Tenders shall be prepared and submitted in accordance with the instructions given
           herein.

1.2               Address for Communication

           Joint General Manager (ID)
           HLL Lifecare Limited,
           Infrastructure Development Division,
           “Adarsh”, T.C 6/1718(1),
           Vettamukku, Thirumala PO,
           Thiruvananthapuram- 695 006.
           Phone - 0471 2368144
           TeleFax – 0471 2368144


1.3               Some essential data/requirements pertaining to this Tender along with reference
           to Clause         Number of this Volume where full details have been given are detailed
           below (also refer Clause 1.2 of NIT):

           a.     Date and time of opening of tender (Clause 1.1.2 of NIT) is 30-09-2009, 15:30
                  Hrs.

           b.     Period for which the tender is to be kept valid (Clause 4.7), 120 days from the
                  last date of submission of Tender.

           c.     Period of commencement of work (Form A), one week of signing of the Contract
                  Agreement.




HLL Lifecare Limited (A Government of India Enterprise)                                        12
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


           d.     Defects Liability Period (Form A) 12 months from the date of issue of “Taking
                  Over Certificate”.

           e.     Period of completion (Form A) 12 Months from the date of issue of “Letter of
                  acceptance”.

           f.     Validity Period for Performance Security (Form D) 6 months from the date of
                  expiry of “Defects Liability Period”

2.0        ELIGIBILTY REQUIREMENTS

2.1        The intending bidder should have satisfactorily completed setting up of Oncology
          Treatment Facilities during the last seven years ending last day of the month of May
          2009 according to any one of the following requirements.


         2.1.1 Three similar completed works each costing not less than Rs.10 crores or

         2.1.2 Two similar completed works each costing not less than Rs.12 crores or

         2.1.3 One similar completed work costing not less than Rs.20 crores.
2.2 For this purpose, „cost of work‟ shall mean gross value of the completed work including the
cost of medical equipments supplied, installed and commissioned. This should be certified by an
officer not below the rank of Executive Engineer / Project Manager or equivalent.


2.3 All tenders submitted shall include the following information:

2.3.1 General information of the Tenderer shall be furnished in Form T-I. Copies of original
           documents defining the constitution and legal status, certificate of registration and
           ownership, principal place of business of the company, corporation, firm or partnership
           shall also be required to be furnished.

2.4 The Tenderers to qualify for award of Contract shall submit a written power of attorney
           authorizing the signatory (ies) of the tender to commit the Tenderer.

2.5 The authorized signatory of the Tenderer shall sign each page of tender. Power of Attorney
           in favour of the signatory will be required to be furnished as detailed in Clause 4.10

2.6 Cancellation or creation of a document such as Power of Attorney, Partnership deed,
           Constitution of firm etc., which may have bearing on the Tender/Contract shall be
           communicated forthwith in writing by the Tenderer to JIPMER, through HLL

2.7 Each Tenderer, or any associate will be required to confirm and declare in the tender
submittal that no agent, middleman or any intermediary has been, or will be, engaged to provide
any services, or any other items of work related to the award and performance of this contract.
They will have to further confirm and declare in the submittal that no agency commission or any


HLL Lifecare Limited (A Government of India Enterprise)                                             13
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


payment, which may be construed as an agency commission, has been, or will be paid and that
tender price will not include any such amount.



3   TENDER DOCUMENTS

3.1.1   CONTENTS OF TENDER DOCUMENTS

3.1.2     The Tenderer is expected to examine carefully all the contents of the tender documents
         as mentioned in Sub-clause 1.1 including instructions, conditions, forms, terms,
         Employer‟s requirements and take them fully into account before submitting his offer.
         Failure to comply with the requirements as detailed in these documents shall be at the
         Tenderers own risk. Tenders which are not responsive to the requirements of the tender
         documents will be rejected.



3.2CLARIFICATION ON TENDER DOCUMENTS

3.2.1      While all efforts have been made to avoid errors in the drafting of the tender
         documents, the Tenderer is advised to check the same carefully. No claim on account of
         any errors detected in the tender documents shall be entertained.

3.2.2      A prospective Tenderer requiring any clarification of the tender documents may notify
         the Officer-in-charge in writing or by Tele-fax at the Officer–in-charge‟s mailing address
         indicated in Clause 1.2 of ITT. The Officer-in-charge will respond in writing to any request
         for clarification which he receives prior to dead line mentioned in Clause 1.1.2 of NIT.
         Written copies of the Officer–in-charge‟s response (including an explanation on the query
         but without identifying the source of the inquiry) will be sent to all prospective Tenderers
         who have received the tender documents. Only written communications/clarifications can
         be considered as valid.



3.3AMENDMENT TO TENDER DOCUMENTS

3.3.1      At any time prior to the deadline for the submission of tenders, JIPMER may, for any
         reason, whether at its own initiative or in response to a clarification or query raised by a
         prospective Tenderer, modify the tender documents by an amendment.

3.3.2      The said amendment in the form of an addendum will be sent to all prospective
         Tenderers who have received the tender documents, on or prior to last date mentioned in
         Clause 1.1.2 of NIT. This communication will be in writing or by Tele-fax and the same
         shall be binding upon them. Prospective Tenderers should promptly acknowledge receipt
         thereof by Tele-fax to the Officer-in-charge.




HLL Lifecare Limited (A Government of India Enterprise)                                           14
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


3.3.3      In order to afford prospective Tenderers reasonable time for preparing their tenders
         after taking into account such amendments, JIPMER may, at his discretion, extend the
         deadline for the submission of tenders in accordance with Clause 1.1.2 of NIT.



    4    PREPARATION OF TENDERS

4.1BIDDERS’ RESPONSIBILITY AND SITE VISIT

4.1.1      The Tenderer is solely responsible for the details of his bid and the preparation of bids.
         In no case shall JIPMER/HLL be responsible for any part of the tender documents
         submitted by him. Any Site information given in this tender document is for guidance
         only. The Tenderer is advised to visit and examine the Site of Works and its
         surroundings at his/their cost and obtain for himself on his own responsibility, all
         information that may be necessary for preparing the tender and entering into a Contract.

4.1.2      The Tenderer shall be deemed to have inspected the Site and its surroundings
         beforehand and taken into account all relevant factors pertaining to the Site in the
         preparation and submission of the Tender.



4.2DOCUMENTS COMPRISING THE TENDER

TECHNICAL PACKAGE

4.2.1 The technical package, clearly labeled as “TECHNICAL PACKAGE”, has to be
         submitted in two parts, Part-I shall consist of information of applicants and Part -II is
         the Technical proposal.

         Part –I shall comprise the followings:

          a. Covering letter for the Bid

          b. Checklist for the enclosed documents in the format as appendix 1

           c. Tender Security in original in a separate sealed and duly marked “Tender Security”
               envelope in the format attached as Form B,

           d. Income tax clearance certificate for the last five years

           e. Attested Copy of Power of Attorney (in favour of the Authorised Signatory of the
                Tenderer) to submit tender,

          f.   Relevant Experience for the projects

                  i.     Length of time in business in the form attached as Form T-I




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Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                    ii.           Total number of Oncology Treatment Facilities (along with their value)
                           commissioned successfully during the last seven years by the Tenderer in
                           the format attached as Form T-II

                    iii.   Performance certificate from client in the Form T-VI in respect of Works
                            above

              g. Financial Data for the past five years

                    i.     Net Working Capital in the form T-V

                    ii.    Net cash flow in the Form T-V

                    iii.   Annual Turnover from hospital development and commissioning in the form
                            T-V

              The Tenderer should validate the data provided as above using suitable documentary
               evidence such as client certificates, audited balance sheets, annual reports etc clearly
               giving the reference to the evidence in front of the relevant portion.

              h. Technical and organizational capability

                    i.     Number of Technical staff proposed for this project in the Form T-III

                    ii.    Academic qualification of the staff in the Form T-III

                    iii.   Experience of the proposed staff in the Form T-III

4.2.2         In addition to above, following information shall also be furnished in Part-I of technical
          package:

        (a)        An organization chart with assignment of each key staff member (identified by
                name), duration & timing together with clear description of the responsibilities of each
                key staff member within the overall work programme. The minimum level of
                supervision and qualification/experience of Site-staff is given under Annexure – A.

        (b)        The name, background and professional experience of each key staff member to
                be assigned to the project, with particular reference to his experience of a nature
                similar to that of the proposed assignment. The majority of the key staff shall be
                regular members of the firm for at least six months (CV format in Form T-III).

4.2.3          The tenderer shall furnish details of agency/subcontractor proposed to be hired for the
               Construction Work as well as those available as on date in Part I of technical package.

4.2.4          Part –II shall comprise the followings:

              (a) Tender documents as listed in Clause 1.2.6 of NIT

              (b) Technical Proposal

                The proposal should cover in detail the following:



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Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                  i.      Understanding and comprehension of the work involved.

                  ii.          The general approach and methodology proposed for carrying out the
                          services covered in the Scope of Work, including such detailed information
                          as deemed relevant. Apart from above, contractor shall give details and
                          numbers of equipment including their source, to be mobilized for the project
                          with an assurance that equipment mobilized would be able to conduct work
                          as per specifications in stipulated time schedule.

                  iii.        Detailed work plan, documents mentioned in Clause 2.2.3 of NIT,
                          master plan and design of the project containing the following

                                    a)        Space Requirements

                                    b)        Service Requirements (Area Wise), Structural Systems etc.

                                    c)        Building Plans- Sections and elevations

                                    d)        Standards and specifications being followed in the design
                                              and for materials to be used in a consolidated tabular form

                                    e)        Budgetary Cost estimates

                  iv.          List of vendors from whom the materials are planned to be procured in
                          a consolidated tabular form

                  v.          The details of the concept and technology used in the design

                  vi.        Source of medical            equipments to be procured,       installed   and
                          commissioned

                  vii.    A program implementation schedule with broad list of activities, timelines
                          and milestones (Hard and soft copy). A detailed overall work programme
                          and a bar chart indicating the duration and timing of all major activities. Bar
                          chart shall be made showing the activity to be performed for the project
                          along with duration of each activity on a weekly basis.

                  viii.   A detailed cash flow bar chart indicating the project expenses along with
                          duration on a fortnightly basis.

                  ix.     Proposed quality plan as per requirements of ISO: 9001:2000

4.2.5 No information relating to financial terms of services should be included in the Technical
         Proposal.

FINANCIAL PACKAGE

4.2.6 The financial package, clearly labeled as “ FINANCIAL PACKAGE” will contain the
         following:




HLL Lifecare Limited (A Government of India Enterprise)                                                17
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


           i.     Form of tender and Appendix thereof (Form A).

           ii.    Financial Bid of the Tenderer as per Form C.

4.2.7 The financial proposal should be separately completed and submitted in a separate
         sealed envelope in the Format prescribed in Form C. The final prices shall be entered in
         the Form of Tender. These prices should include all costs associated with the contract.

4.2.8 Documents to be submitted by the Tenderer under technical and financial packages
         have been described under the respective Clauses 4.2. This list of documents has been
         prepared mainly for the convenience of the Tenderer and any omission on the part of
         JIPMER shall not absolve the Tenderer of his responsibility of going through the various
         clauses in the Tender Documents including the specifications and to submit all the
         details specifically called for (or implied) in those clauses.

4.2.9 All documents issued for the purposes of tendering as described in Clause 1.1, and any
         amendments issued in accordance with Clause 3.3 shall be deemed as incorporated in
         the Tender.

4.3 TENDER PRICES

4.3.1    The Tenderer is required to quote for all the items as per tender documents.

4.3.1 The Tenderer shall quote his price in Form-C (Format for Financial Bid). The total
         price quoted should be final and should be for undertaking the entire project in all
         respects as per the RFP document.

4.3.2 The list of medical equipments with detailed specification is provided in the RFP
         document. The Tenderer should quote his price for the Equipments keeping in mind that
         the equipments to be installed should be of latest specifications.

4.3.3 Prices quoted by the Tenderer, will include all tax liabilities and the cost of insurance to
         this contract. There will be no variation in the Contract Price quoted by the Tenderer on
         any account.

4.3.4 The Tenderer shall keep the contents of his tender and rates quoted by him confidential.

4.3.5 The Tenderer shall utilize Indian labour, staff and materials to the maximum extent
         possible in execution of Works.

4.4 COST OF TENDERING

4.4.1 The Tenderer shall bear all costs associated with the preparation and submission of his
         tender and JIPMER/HLL will in no case be responsible or liable for these costs,
         regardless of the conduct or outcome of the tendering process.

4.5 LANGUAGE OF TENDER

         All tender documents shall be in English.



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Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


4.6 CURRENCY OF THE TENDER

         Tender prices shall be quoted in Indian Rupees only.

4.7 TENDER VALIDITY

4.7.1 The tender shall remain valid and open for acceptance for a period of 120 days from the
         date of opening of the tenders.

4.7.2 In exceptional circumstances, prior to expiry of the original tender validity period,
         JIPMER may request the Tenderers for a specified extension in the period of validity.
         The request and the response thereto shall be made in writing or by Tele-fax. The
         Tenderer shall not be required or permitted to modify his tender but shall be required to
         extend the validity of his tender security correspondingly.

4.8 TENDER SECURITY

4.8.1 The Tenderer shall furnish, as tender security, an amount as mentioned in Clause 1.1.2
         of NIT.

4.8.2 The tender security will be in the form of a Bank Guarantee from a Scheduled
         Commercial          bank in India acceptable to the Employer. The format of the Bank
         Guarantee shall be generally in accordance with the sample form of tender security
         (Form B) included in this volume of tender documents. Other formats may be permitted
         subject to the prior approval of JIPMER/HLL. Bank guarantees shall be irrevocable and
         operative for a period not less than 30 days beyond the validity of the tender (i.e. 150
         days from the last date of tender). The Tender Security shall be endorsed/pledged in
         favour of JIPMER and shall be submitted in a separate envelope super scribed “Tender
         security for Equipping the Regional Cancer Centre at JIPMER, Puducherry".

4.8.3 Any tender not accompanied by an acceptable tender security will be summarily rejected
         by the JIPMER/HLL and shall be treated as non-responsive.

4.8.4 The tender securities of unsuccessful Tenderers shall be discharged/returned by
         JIPMER/HLL as promptly as possible but not later than 30 days after the expiration of the
         period of tender validity as defined in Clause 4.7.

4.8.5 The tender security of the successful Tenderer shall be returned upon the Tenderer
         executing the Contract Agreement and the required performance guarantee for
         performance, as mentioned in Clause 8.0.

4.8.6 The tender security shall be forfeited:
           a.      if a Tenderer withdraws his tender during the period of tender validity, or
           b.      if the Tenderer does not accept the correction of his tendered price in terms of
                   Clause 6.6, or
           c.      in the case of a successful Tenderer, if he fails to :


HLL Lifecare Limited (A Government of India Enterprise)                                          19
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                  i.     furnish the necessary performance guarantee for performance as per Clause
                         8.0 and/or
                  ii.    enter into the Contract within the time limit specified in Clause 7.5

4.8.7 No interest will be payable by JIPMER/HLL on the tender security amount cited above.

4.9 INCOME TAX CLEARANCE

         The Tenderer shall provide income tax clearance certificate for the past five years in Part
         1 of the technical bid.

4.10 POWER OF ATTORNEY

         Power of Attorney duly notarized and on a stamp paper of an appropriate value, issued
         and signed by the member authorizing the person signing the tender documents to sign
         documents, make corrections/ modifications and interacting with JIPMER/HLL and acting
         as the contact person shall be submitted along with Part 1 of the technical bid.

4.11 FORMAT AND SIGNING OF TENDERS

4.11.1 The tender documents (technical package Part 1 and 2 and financial package) shall be
         stamped and signed on all pages by a person duly authorized to sign the tender
         documents. The Tenderer shall also submit a power of attorney authorizing the person
         signing the documents in accordance with Clause 4.10 of the Instruction to Tenderers.

4.11.2 Entries to be filled in by the Tenderer shall be typed or written in indelible ink.

4.11.3 The complete tender shall be without alterations, overwriting, interlineations or erasures
         except those to accord with instructions issued by JIPMER/HLL, or as necessary to
         correct errors made by the Tenderer. The person or persons signing the tender shall
         initial all amendments/corrections.

4.11.4 All witnesses and sureties shall be persons of status and probity and their full names,
         occupations and addresses shall be written below their signatures.

5     SUBMISSION OF TENDERS

5.1      SEALING AND MARKING OF TENDERS

5.1.1    The Tenderer shall follow the procedure as indicated below:

5.1.2     Each tender will be submitted in two sets one marked “Original” and the other marked
“Copy” (Copy should be photocopy of „original‟).

5.1.3 Each set containing the two packages, TECHNICAL PACKAGE and FINANCIAL
         PACKAGE shall be sealed in two separate envelopes clearly marked as “Original” and
         “Copy‟. The two envelopes shall be wrapped in an outer envelope addressed to The
         Joint General Manager (ID), HLL Lifecare Limited, Infrastructure Development Division,
         “Adarsh”, TC.6/1718 (1), Vettamukku, Thirumala P.O, Thiruvananthapuram – 695 006



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Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


         duly superscribing on top, tender number, name of work and time and last date for
         submission. The envelope should also bear the name and address of the Tenderer.

5.1.4 The contents of Technical Package and Financial Package shall be as detailed under
         Clause 4.2 herein.

5.1.5 No responsibility will be accepted by the JIPMER/HLL for the misplacement or premature
         opening of a tender, not sealed or marked as per aforesaid instructions.

5.2      SUBMISSION OF TENDERS

5.2.1 Tenders should be submitted to:

         The Joint General Manager (ID), HLL Lifecare Limited, Infrastructure Development
         Division, “Adarsh”, T.C 6/1718(1), Vettamukku, Thirumala PO, Thiruvananthapuram- 695
         006

         The last date for submission of completed tenders is given in Clause 1.1.2 of NIT. The
         JIPMER/HLL may, at their discretion, extend this date for the submission of tender by
         amending the Tender Documents in accordance with Clause 3.3, in which case all rights
         and obligations of the JIPMER/HLL and the Tenderer previously subject to the original
         date shall thereafter be subject to the new deadline as extended. If such nominated date
         for submission of tender is subsequently declared as a Public Holiday, the next official
         working day shall be deemed as the date for submission of tender.

5.2.2 Tenders shall be submitted by hand or through registered post or courier service at the
         address mentioned in Sub Clause 5.2.1. JIPMER/HLL shall not take any cognizance and
         shall not be responsible for delay/loss in transit or non-submission of the tender in time.

5.2.3 Tenders sent telegraphically or through other means of transmission (Tele-fax etc.),
         which cannot be delivered in a sealed envelope shall be treated as defective, invalid and
         shall stand rejected.

5.3      LATE TENDERS

         Any tender received in Office of the Joint General Manager (ID) after the deadline
         prescribed for submission of tenders in Clause 1.1.2 of NIT herein will be returned
         unopened to the Tenderer.

6     TENDER OPENING AND EVALUATION

6.2 TENDER OPENING

6.1.1 The JIPMER/HLL will open the Tenders in the presence of Tenderers or their
         representatives who choose to attend on date & time as mentioned as per Clause 1.1.2
         of NIT in the office of The Joint General Manager (ID), HLL Lifecare Limited,
         Infrastructure Development Division, “Adarsh”, T.C 6/1718(1), Vettamukku, Thirumala



HLL Lifecare Limited (A Government of India Enterprise)                                            21
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


         PO, Thiruvananthapuram- 695 006. If such nominated date for opening of Tender is
         subsequently declared as a Public Holiday, the next official working day shall be deemed
         as the date of opening of the tender. The Tender of any Tenderer who has not complied
         with one or more of the foregoing instructions may not be considered.

6.1.2     On opening of the main Tender envelopes, it will be checked if they contain Technical &
         Financial Packages.

6.1.3 Technical Package of the Tender will thereafter be opened. They will be examined to see
         if they are complete, whether the requisite Tender security has been furnished, whether
         the documents are in order. If the documents do not meet the requirements of JIPMER
         the Tender Opening Authority will record a note accordingly and the said Tenderer‟s
         Financial Package will not be considered for further processing.

6.1.4 The Tenderers name, the presence or absence of the requisite tender security and such
         other details as JIPMER or his authorized representative, at his discretion, may consider
         appropriate will be announced at the time of tender opening.

6.1.5 The sealed financial packages of all responsive tenders will be opened on date and time
         to be fixed after the technical evaluation, when the rates quoted by the tenderers shall be
         read out.

6.2 PROCESS TO BE CONFIDENTIAL

6.2.1 Except the public opening of Tender, information relating to the examination, clarification,
         evaluation and comparison of tenders and recommendations concerning the award of
         Contract shall not be disclosed to Tenderers or other persons not officially concerned
         with such process.

6.2.2 Any effort by a Tenderer to influence JIPMER/HLL in the process of examination,
         clarification, evaluation and comparison of tenders and in decisions concerning award of
         contract, may result in the rejection of the Tenderer‟s tender.

6.3      CLARIFICATION OF TENDERS

6.3.1 Technical evaluation of technical packages submitted by Tenderers shall be undertaken
         based on details submitted in the technical package only. No clarification/additional
         information in this regard will be sought from Tenderers. Tenderer shall not be required
         to submit their own, additional information or material subsequent to the date of
         submission and such material if submitted will be disregarded. It is therefore essential
         that all the details are submitted by Tenderer accurately and specifically in their technical
         package avoiding vague answers. However, JIPMER/HLL reserves the right to ask any
         clarification from Tenderers for details submitted with technical package if it so desires
         during the technical evaluation.



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Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


6.3.2 To assist in the examination, evaluation and comparison of Financial package,
         JIPMER/HLL may ask Tenderers individually for clarification of their tenders, including
         breakdowns of prices. The request for clarification and the response shall be in writing or
         by Tele-fax but no change in the price or substance of the tender shall be sought, offered
         or permitted except as required to confirm correction of arithmetical errors discovered by
         the Officer-in-Charge during the evaluation of tenders in accordance with Clause 6.5
         herein.

6.4 DETERMINATION OF RESPONSIVENESS

6.4.1 Prior to the detailed evaluation of tenders, JIPMER/HLL will determine whether each
         tender is responsive to the requirements of the tender documents

6.4.2 For the purpose of this Clause, a responsive tender is one which has paid the application
         fees, is accompanied by the Tender Security, signed on all pages and conforms to all the
         terms, conditions and specifications of the tender documents without material deviation
         or reservation. "Deviation" may include exceptions, exclusions & qualifications.         A
         material deviation or reservation is one which affects in any substantial way the scope,
         quality, performance or administration of the works to be undertaken by the Tenderer
         under the Contract, or which limits in any substantial way, JIPMER's rights or the
         Tenderers obligations under the Contract as provided for in the Tender documents and /
         or is of an essential condition, the rectification of which would affect unfairly the
         competitive position of other Tenderers presenting substantially responsive tenders at
         reasonable price.

6.4.3 If a tender is not substantially responsive to the requirements of the tender documents or
         if the construction methods proposed by the Tenderer are considered impracticable, it
         will be rejected by JIPMER, and will not subsequently be permitted to be made
         responsive by the Tenderer by correction or withdrawal of the non-conformity or infirmity.
         The decision of the JIPMER/HLL as to which of the tenders are not substantially
         responsive or have impractical / defective design or construction technology shall be
         final.




6.5 EVALUATION OF TENDER

6.5.1 (a) The Tenderers should submit the details as per 4.2.1 and should meet the minimum
         requirements as per Part-I of technical package.

          (b) JIPMER will, keeping in view the contents of Clause 6.5, carry out technical
         assessment of submitted technical proposals to determine that the Tenderer has a full



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Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


         comprehension of the work of the contract. Incase the Tenderer‟s technical submittal is
         found non-complaint with the requirements of the project the same is liable to be
         rejected. This process is to assure that only technically acceptable proposals are
         considered for the work.



6.5.2 The evaluation of Financial proposals by JIPMER/HLL will take into account, in addition
         to the tender amounts, the following factors:

           a.     Arithmetical errors corrected by JIPMER/HLL in accordance with Clause 6.6

           b.     Such other factors of administrative nature as JIPMER/HLL may consider to have
                  a potentially significant impact on contract execution, price and payments,
                  including the effect of items or rates that are unbalanced or unrealistically priced.

6.5.3 Offers, deviations and other factors, which are in excess of the requirements of the
         tender documents or otherwise and will result in the accrual of unsolicited benefits to
         JIPMER, shall not be taken into account in tender evaluation.

6.5.4 Price adjustment provisions applicable during the period of execution of the contract shall
         not be taken into account in tender evaluation.

6.5.5 Evaluation of financial offer will be based on price quoted by the Contractor. Any
         subsequent alteration in prices shall not be given any cognizance.

6.6     CORRECTION OF ERRORS

6.6.1 JIPMER/HLL for any arithmetical errors in computation and summation will check
         tenders determined to be technically acceptable during Financial evaluation. Errors will
         be corrected by the JIPMER/HLL as follows:

           a.     Where there is a discrepancy between amounts in figures and in words, the
                  amount in words will govern

6.6.2 If a Tenderer does not accept the correction of errors as outlined above, his tender will
         be rejected and the tender security forfeited.



7     AWARD OF CONTRACT

7.1      AWARD CRITERIA

7.1.1 Subject to Clause 6.5, JIPMER/HLL will award, the Contract to the Tenderer, whose
         tender has been determined to be substantially responsive, complete and in accordance
         with the tender documents, and whose total evaluated price for undertaking the entire
         project detailed in Scope of work (clause 2.1 to 2.4 of NIT) and Employer‟s Requirements
         of RFP Document is the lowest.



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Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


7.1.2 If the financial bids of both parties are equal, then the bidders shall be asked to resubmit
         the financial bid.

7.2     EMPLOYER'S RIGHT TO ACCEPT ANY TENDER AND TO REJECT ANY OR ALL
         TENDERS

         Notwithstanding Clause 7.1, JIPMER/HLL reserves the right to accept or reject any
         tender, and to annul the tender process and reject all tenders, at any time prior to award
         of Contract, or to divide the Contract between/amongst Tenderers without thereby
         incurring any liability to the affected Tenderer or Tenderers or any obligations to inform
         the affected Tenderer or Tenderers of the grounds for JIPMER‟'s action.

7.3     NOTIFICATION OF AWARD

7.3.1 Prior to the expiry of the period of tender validity prescribed by the JIPMER/HLL, HLL will
         notify the successful Tenderer by Tele-fax or e-mail, to be confirmed in writing by
         registered post/ by courier, that his tender has been accepted. This letter (hereinafter
         and in the Conditions of Contract called 'the Letter of Acceptance') shall name the sum
         which JIPMER will pay to the Contractor in consideration of the execution, completion,
         maintenance and guarantee of the works by the Contractor as prescribed by the Contract
         (hereinafter and in the conditions of Contract called 'the Contract Price').   The Letter of
         Acceptance will be sent to the successful tenderer. No correspondence will be
         entertained by JIPMER/HLL from the unsuccessful Tenderers.

7.3.2 The Letter of Acceptance shall constitute a part of the contract.

7.3.3 Upon submission of Performance Security by the successful Tenderer as per clause 8.0,
         JIPMER/HLL will promptly notify the unsuccessful Tenderers and discharge / return their
         tender securities.

7.4     SIGNING OF AGREEMENT

7.4.1 JIPMER/HLL shall prepare the Agreement in the Proforma (Form E) included in this
         Document, duly incorporating all the terms of agreement between the two parties. Within
         30 days from the date of issue of the Letter of Acceptance the successful Tenderer will
         be required to execute the Contract agreement. The performance guarantee should be
         submitted immediately after issue of letter of acceptance but not later than 30 days of
         issue of letter of acceptance. One copy of the Agreement duly signed by JIPMER/HLL
         and the Contractor through their authorized signatories, will be supplied by JIPMER/HLL
         to the Contractor.

7.4.2 Prior to signing of the Contract Agreement, the successful Tenderer shall submit
         Performance Security within a period of 30 days from the date of issue of the Letter of
         Acceptance:



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8    PERFORMANCE SECURITY

8.1.1 The successful Tenderer shall furnish to JIPMER a security in the form of a bank
         guarantee for an amount of 10% of the total Contract Price, in accordance with Clause
         4.2 of the General Conditions of Contract. The Bank Guarantee has to be from a
         Scheduled Commercial bank based in Indian and for this purpose the Form of
         Performance Security (Form-D) provided in this Volume shall be used. The Performance
         Security shall be furnished within the time limit specified in Sub-clause 7.4.2.

8.1.2 Failure of the successful Tenderer to lodge the required Performance Security shall
         constitute sufficient grounds for the annulment of the award of Contract and forfeiture of
         the tender security, in which event JIPMER may make the award to the next lowest
         evaluated Tenderer.




HLL Lifecare Limited (A Government of India Enterprise)                                         26
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                           APPENDIX I

                 CHECK LIST OF DOCUMENTS TO BE SUBMITTED WITH THE TENDER

                           COMPILED FROM THE PROVISIONS IN THIS VOLUME

 Sl.                         Document                      No. of sets to   Reference     Page no.
 No.                                                       Be submitted     to Clause
                                                                              No. of
                                                                            "Instructio
                                                                                  ns to
                                                                            Tenderers"

                                        TECHNICAL PACKAGE part 1

1.0      Covering letter                                  (Original)        4.2

2.0      Tender security (Form B) in separate sealed      (Original     &   4.8
         envelope                                         Copy)

3.0      Income tax Clearance certificate                 (Original)        4.9

4.0      Power of attorney for individuals signing on     (Original     &   4.10
         behalf of Company/Firm                           Copy)

5.0      Experience Data- Form T-I & T-VI                 (Original &       4.2
                                                          Copy)
6.0      Financial Data- T-V & T-II                       (Original &       4.2
                                                          Copy)
7.0      Technical and organizational Data – T-III        (Original &       4.2
                                                          Copy)
8.0      Organizational Chart                             (Original &       4.2
                                                          Copy)
                                        TECHNICAL PACKAGE part 2

9.0      Tender documents                                 (Original)        4.2

10.0     Technical Package Part- I & Part –II             (Original     &   4.2
                                                          Copy)

                                 FINANCIAL PACKAGE COMPRISING OF:

11.0     Form of Tender and Appendix thereof (Form-       (Original     &   4.2
         A)                                               Copy)

12.0     Format for Financial Bid (Form C)                (Original     &   4.2
                                                          Copy)




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                                                      INDEX ON
                                             PROFORMA OF FORMS

1.        PROFORMA OF FORMS – GENERAL

          (Items (iv) & (v) applicable only for successful Tenderers)

                      Descriptions                                        FORM

           I.         Form of Tender with Appendix                        A

           ii.        Form of Bank Guarantee for Tender Security          B

           iii.       Format for Financial Bid                            C

           iv.        Form of Performance Security (Guarantee) by Bank    D

           v.         Form of Contract Agreement                          E


2.        PROFORMA OF FORMS – QUALIFICATION PARTICULARS

                        Descriptions                                      FORM


           i.           General Information                               T-I

           ii.          EXPERIENCE RECORD- NUMBER OF SIMILAR T-II
                        PROJECTS WORTH RS 10 CRORES OR MORE

           iii.         Personnel Proposed for the Project                T-III

           iv           Financial Data- Value of hospital work done during T-IV
                        last five years

           v            Financial data for assessment of Net Working T-V
                        Capital, Net Worth, Profit etc.

           vi           Performance Reports of Works                      T-VI

           vii.         Desired Organizational structure                  Annexure A




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                                                                                                    FORM A
                                                                                               PAGE 1 OF 3

                                                FORM OF TENDER

Note : i. The Appendix forms part of the Tender

        ii. Tenderers are required to fill up all the blank spaces in this form of Tender and Appendix.

           Name of Work              : ____________________(As mentioned under Clause 1.1.1 of NIT)
                 To,
           The Joint General Manager (ID),
           HLL Lifecare Limited,
           Infrastructure Development Division,
           “Adarsh”, T.C 6/1718(1),
           Vettamukku, Thirumala PO,
           Thiruvananthapuram- 695 006
1.        Having visited the Site and examined the General as well as Special conditions of contract,
           Employer‟s Requirements, Notice Inviting Tenders, Instructions to Tenderers, Preliminary
           Drawings and Addenda for the execution of above named works, we the undersigned, offer to
           execute and complete such works and remedy defects therein in conformity with the said
           Conditions of Contract, Employer‟s Requirements, NIT, ITT and Addenda for the sum of
           __________________________________________________________________
           ________________________________________________________________________
           (Amount in figures and words) for Equipping the Regional Cancer Centre at JIPMER,
           Puducherry (the Project).
2.        We acknowledge that the Appendix forms an integral part of the Tender.
3.        We undertake, if our Tender is accepted, to commence the works within one week of signing the
           Contract Agreement to commence and to complete the whole of the Works comprised in the
           Contract within 12 months calculated from the date of issue of the Letter of Acceptance, as
           indicated in the Appendix.
4.        If our Tender is accepted, we will furnish a Bank Guarantee for Performance as security for the
           due performance of the Contract. The amount and form of such guarantee or bond will be in
           accordance with Clause 4.2 of the General Conditions of the Contract and as indicated in the
           Appendix.
5.        We have independently considered the amount shown in Clause 9.7 of the General Conditions
           of Contract as liquidated damages and Penalty in Clause 25.0 of Special Conditions of Contract
           and agree that they represent a fair estimate of the damages likely to be suffered by you in the
           event of the work not being completed in time.




                                                                                                    FORM A




HLL Lifecare Limited (A Government of India Enterprise)                                                   29
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                            PAGE 2 OF 3
6.        We agree to abide by this Tender for a minimum period of 120 days from the last date fixed for
           receiving the same and it shall remain binding upon us and may be accepted at any time before
           the expiry of that period or any extended period mutually agreed to.
7.        We declare that the submission of this Tender confirms that no agent, middleman or any
           intermediary has been, or will be engaged to provide any services, or any other item of work
           related to the award and performance of this Contract. We further confirm and declare that no
           agency commission or any payment, which may be construed as an agency, commission has
           been, or will be, paid and that the tender price does not include any such amount. We
           acknowledge the right of JIPMER, if it finds to the contrary, to declare our Tender to be non-
           compliant and if the Contract has been awarded to declare the Contract null and void.
8.        We understand that you are not bound to accept the lowest or any tender you may receive.
9.        If our Tender is accepted we understand that we are to be held solely responsible for the due
           performance of the Contract.

          Dated this…………day of………….200

          Signature …………………………………

           Name………………..……………… in the capacity of …………………………..
          duly authorized to sign Tenders for and on behalf of…………..…………………

          Address ……………………………………………………………………..………..



          Witness – Signature …………………………….

          Name ……………………………………………..

          Address ………………………………………………………………………………
          Occupation ……………………………………………………………………………




HLL Lifecare Limited (A Government of India Enterprise)                                              30
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                   FORM A
                                                                                             PAGE 3 OF 3

                                    APPENDIX TO THE FORM OF TENDER

                                                      Condition of
                                                      Contract Clause
                                                      No.


i.      Amount of Bank Guarantee as                       4.2 of General    10   percent      of   the
        Performance Security                              Conditions        Total            Contract
                                                                            Price.


iii     Period for commencement of                                          One Week
        work from the date of signing of
        Contract Agreement
Iv      Time for completion from the                      24.0 of Special   12 months
        date of issue of the Letter of                    Conditions
        Acceptance
v.      Amount of liquidated damages                      9.7 of General    0.50%       of   Contract
        in    case          of   extension       of       Conditions        value of works for
        completion date due to delays                                       each week or part
        by the Contractor                                                   thereof. Contractor is
                                                                            in default, subject to
                                                                            maximum of 10% of
                                                                            Contract value
vi.     Defects Liability Period from the                 12.0 of General   12 months

        date of issue of “Taking-over                     Conditions
        certificate”
vii.    Period         of        warranty       for       6.4 of General
        equipment against faulty design                   conditions
        and defective manufacture from
        the date of completion of period
        of maintenance.




HLL Lifecare Limited (A Government of India Enterprise)                                                  31
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I




        Signature of authorized
        signatory on behalf of
        Tenderer

           Date ……………                                     Name …………………….

          Place ………….. ……….                               Address ………………….




HLL Lifecare Limited (A Government of India Enterprise)                            32
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                     FORM B
                                                                                                PAGE 1 OF 2

                          FORM OF BANK GUARANTEE FOR TENDER SECURITY

                             (Ref: Clause 4.8 of “Instructions to Tenderers”)


1.        KNOW ALL MEN by these presents that we ………………………………….…... (Name of Bank)
          having our registered office at ……………………… (Name of country) (hereinafter called “the
          Bank”) are bound unto Jawahar Institute of Post Graduate Medical Education and Research.
          Puducherry (hereinafter called “JIPMER”) in the sum of Rs. ____ for which payment will and truly
          to be made to the said JIPMER, the Bank binds itself, its successors and assigns by these
          presents.

2.        WHEREAS…………………………(Name of Tenderer) (hereinafter called “the Tenderer”) has
          submitted its tender dated__________for (Name of the work as mentioned under Clause 1.1.1 of
          NIT) hereinafter called the tender.

          AND WHEREAS the Tenderer is required to furnish a Bank Guarantee for the sum of Rs
          _____(____) as Tender Security against the Tenderer‟s offer as aforesaid.

          AND WHEREAS_______________(Name of Bank) have, at the request of the Tenderer, agreed
          to give this guarantee as hereinafter contained.

3.        We further agree as follows:

           a.     That JIPMER may without affecting this guarantee grant time or other indulgence to or
                  negotiate further with the Tenderer in regard to the conditions contained in the said tender
                  and thereby modify these conditions or add thereto any further conditions as may be
                  mutually agreed upon between JIPMER and the Tenderer.

           b.     That the guarantee hereinbefore contained shall not be affected by any change in the
                  constitution of our Bank or in the constitution of the Tenderer.

           c.     That any account settled between JIPMER and the Tenderer shall be conclusive evidence
                  against us of the amount due hereunder and shall not be questioned by us.

           d.     That this Guarantee commences from the date hereof and shall remain in force till
                  _________(date to be filled up) (up to 150 days from the last date of submission of
                  tender).

           e.     That the expression „the Tenderer‟ and „the Bank‟ herein used shall, unless such an
                  interpretation is repugnant to the subject or context, include their respective successors
                  and assigns.




HLL Lifecare Limited (A Government of India Enterprise)                                                   33
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                             FORM B
                                                                                                       PAGE 2 OF 2

4.        THE CONDITIONS OF THIS OBLIGATION ARE:

           a.     if the Tenderer withdraws his Tender during the period of Tender validity specified in the
                  Form of Tender, or

           b.     if the Tenderer does not accept the correction of his tender price in terms of Clause 6.6 of
                  the “Instructions to Tenderers”.

           c.     if the Tenderer having been notified of the acceptance of his tender by JIPMER during the
                  period of tender validity :

                  i.     fails or refuses to furnish the Performance Security in accordance with Clause 8.0 of the
                         “Instructions to Tenderers” and/or

                  ii.    fails or refuses to enter into a Contract within the time limit specified in Clause 7.5 of the
                         “Instructions to Tenderers”.

           We undertake to pay to JIPMER upto the above amount upon receipt of his first written
           demand, without JIPMER having to substantiate his demand provided that in his demand
           JIPMER will note that the amount claimed by him is due to him owing to the occurrence of any
           one or more of the conditions (a), (b), (c) mentioned above, specifying the occurred condition or
           conditions.




                                                               Signature of ………………………….
                                                               Authorized Official of the Bank

            Signature of the witness                           Name of Official ……………………..

            …………………………………….                                    Designation …………………………..

            Name of the Witness                                Stamp/Seal

            …………………………………….                                    of the Bank ……………………………

            Address of the Witness

            …………………………………….




HLL Lifecare Limited (A Government of India Enterprise)                                                            34
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                             FORM-C
                                                                                          Page 1 OF 2
                                        FORMAT FOR FINANCIAL BID
                                      (on the letter head of the Company)
Date:
To:

Jawaharlal Institute of Post Graduate Medical Education and Research
Puducherry

Sub.: Selection of a EPC Developer for Equipping the Regional Cancer Centre at JIPMER, Puducherry
Dear Sir / Madam:
      (i)   Being duly authorized to represent and act on behalf of ………………, and having
        reviewed and fully understood all the requirements of bid submission provided vide the
        RFP document dated ………. Pertaining to the Upgradation of medicare facilities at
        JIPMER, Pondicherry, we hereby provide our Financial Proposal for development and
        establishment of this Project on Turnkey Basis.
    Total cost for undertaking the entire project detailed in ______ Indian Rupees (in figures)
    Scope of work (clause 2.1 to 2.4 of NIT) and Employer‟s __________________ (in words)
    Requirements of RFP Document.
    (as per detailed breakup given in Page 2 of 2 Form C)
   We agree to bind by this offer if we are the selected EPC developer for this project.
   For and on behalf of         :
   Signature                    :
   Name of the Person           :
   Designation                  :
   Instructions:
1. No conditions should be attached.
2. In case of difference between the words and figures, words would prevail.
                                                                 (Should be given in a sealed envelope).




HLL Lifecare Limited (A Government of India Enterprise)                                             35
    Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                     FORM C




                                                                                  Page 2 of 2

        Break up of Cost of Procurement, installation, testing and commissioning of
                        various project components as per RFP document



S.N                                  Project Component                     Cost in INR

1         High Energy Linear Accelerator suite with MLC, IMRT, SRS
          & SRT capabilities, Treatment Planning System and CT-Sim
          as per detailed specifications given in RFP (Employer’s
          Requirements)
2         High Dose Rate Brachytherapy Suite with TPS as per
          detailed specifications given in RFP (Employer’s
          Requirements)
3             Medical Equipment, OT instruments and furniture as per
              list and detailed specifications given in RFP
              (Employer’s Requirements)
4         Computerized networking to interconnect OPD, Wards,
          Pharmacy, radiation treatment rooms, Consultant rooms, faculty
          rooms, HOD and RCC-Director rooms – to share the DICOM
          images and clinical data of patients: with both hardware and
          software, Cancer Registry – both hardware and software.

          Telephone network – Cabling and connecting all areas within
          RCC and with the main hospital.
5         Civil Construction & Electrical works including all services
          to make the hospital functional
                                    TOTAL COST




    HLL Lifecare Limited (A Government of India Enterprise)                               36
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                           FORM- D
                                                                                                     PAGE 1 OF 2
                     FORM OF PERFORMANCE SECURITY (GUARANTEE) BY BANK

                           (Refer Clause 8.0 of “Instructions to Tenderers”)


1.       This deed of Guarantee made this day of_________ between Bank of________________(hereinafter
      called the “Bank”) of the one part, and Jawaharlal Institute of Post Graduate Medical Education and
      Reasearch, Puducherry (hereinafter called “JIPMER”) of the other part.


2.    Whereas Jawaharlal Institute of Post Graduate Medical Education and Reasearch, Puducherry has
      awarded the contract for ----------(Name of work as mentioned under Clause 1.1.1 of NIT)
      (hereinafter called the contract) to ______________ (hereinafter called the Contractor).
       (Name of the Contractor)


3.    AND WHEREAS the Contractor is bound by the said Contract to submit to JIPMER a Performance Security
       for a total amount of Rs._________________________________(Amount in figures and words).
4.    Now we the Undersigned_________________________________________________(Name of the Bank)
       being fully authorized to sign and to incur obligations for and on behalf of and in the name
       of_______________________________(Full name of Bank), hereby declare that the said Bank will
       guarantee     JIPMER       the     full   amount     of    Rs.______________________________________
       (Amount in figures and Words) as stated above.
5.       After the Contractor has signed the aforementioned Contract with JIPMER, the Bank is engaged to pay
      JIPMER, any amount up to and inclusive of the aforementioned full amount upon written order from JIPMER
      to indemnify JIPMER for any liability of damage resulting from any defects or shortcomings of the Contractor
      or the debts he may have incurred to any parties involved in the Works under the Contract mentioned above,
      whether these defects or shortcomings or debts are actual or estimated or expected. The Bank will deliver the
      money required by JIPMER immediately on demand without delay without reference to the Contractor and
      without the necessity of a previous notice or of judicial or administrative procedures and without it being
      necessary to prove to the Bank the liability or damages resulting from any defects or shortcomings or debts of
      the Contractor. The Bank shall pay to JIPMER any money so demanded notwithstanding any
      dispute/disputes raised by the Contractor in any suit or proceedings pending before any Court, Tribunal or
      Arbitrator/s relating thereto and the liability under this guarantee shall be absolute and unequivocal.
6.     This Guarantee is valid till ………………….. (The initial period for which this Guarantee will be valid must be
       for at least 6-months (six months) longer than the anticipated expiry date of Defects Liability Period as stated
       in Clause 11.0 of the “General Conditions of Contract”.)




HLL Lifecare Limited (A Government of India Enterprise)                                                            37
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                             FORM D

                                                                                                        PAGE 2 OF 2


7.     At any time during the period in which this Guarantee is still valid, if JIPMER agrees to grant a time extension
       to the Contractor or if the Contractor fails to complete the Works within the time of completion as stated in the
       Contract, or fails to discharge himself of the liability or damages or debts as stated under Para 5, above, it is
       understood that the Bank will extend this Guarantee under the same conditions for the required time on
       demand by JIPMER and at the cost of the Contractor.
8.     The Guarantee hereinbefore contained shall not be affected by any change in the Constitution of the Bank or
       of the Contractor.
9.     The neglect or forbearance of JIPMER in enforcement of payment of any moneys, the payment whereof is
       intended to be hereby secured or the giving of time by JIPMER for the payment hereof shall in no way relieve
       the bank of their liability under this deed.

10.    The expressions “JIPMER”, “the Bank” and “the Contractor” hereinbefore used shall include their respective
       successors and assigns.

In witness whereof I/We of the bank have signed and sealed this guarantee on the ---------- day of -----------
(Month) 2009 being herewith duly authorized.



For and on behalf of
The………………………….Bank.
Signature of Authorized Bank official


Name                                              :                                       ……………………………..
Designation                                               :                                      ………………………
Stamp/Seal of the Bank : ………..
Signed, sealed and delivered
for and on behalf of the
Bank by the above
named___________in
the presence of :
Witness 1.
Signature ……………………….
Name ……………………………
Address …………………………
Witness 2.
Signature ………………………
Name …………………………..
Address ………………………..


HLL Lifecare Limited (A Government of India Enterprise)                                                             38
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                FORM E
                                                                                           PAGE 1 OF 2
                                      FORM OF CONTRACT AGREEMENT
                           (Refer Clause 7.0 of “Instructions to Tenderers”)


This Agreement is made at Puducherry on the ___________ day of _____________ 2009 Between
Jawaharlal Institute of Post Graduate Medical Education and Reasearch, Puducherry hereinafter called
“JIPMER” of the one part and _________________ (Name of Contractor) (Address of Contractor)
______________________________________ ____________________ of ____________ hereinafter
called “the Contractor” of the other part.
Whereas JIPMER is desirous that (*** certain Goods and Services should be provided and) certain Works
should be executed, viz. ----------(Name of work as mentioned under Clause 1.1.1) hereinafter called “the
Works” and has accepted a Tender by the Contractor for the execution and completion of such works (***
as well as guarantee of such works) and the remedying of defects therein. NOW THIS AGREEMENT
WITNESSETH as follows:
1.       In this Agreement words and expression shall have the same meanings as are
         respectively assigned to them in the Conditions of Contract hereinafter referred
         to.
2.       The following documents shall be deemed to form and be read and construed as part of this
         Agreement, viz:
               (a) Notice Inviting Tender (NIT)
               (b) Instructions to Tenderers (ITT)(Including Annexures)
               (c) Special Conditions of Contract (SCC)
               (d) General Conditions of Contract (GCC)
               (e) Employer‟s requirements
               (f) Tender submitted by the Contractor.
               (i) Schedule of Milestones
               (j) Form of Tender with Appendix
               (k) Letter of acceptance (LOA)
               (l) Addendums issued, if any
3.         In consideration of the payments to be made by JIPMER to the Contractor as hereinafter
           mentioned, the Contractor hereby covenants with JIPMER to execute and complete the works
           by **________ and remedy any defects therein in conformity in all respects with the provisions
           of the Contract.
4.         JIPMER hereby covenants to pay the Contractor in consideration of the execution and
           completion of the works and the remedying of defects therein, the Total Contract Price of **Rs
           _________________ being the sum stated in the letter of acceptance subject to such additions
           thereto or deductions there from as may be made under the provisions of the Contract at the
           times and in the manner prescribed by the Contract.




HLL Lifecare Limited (A Government of India Enterprise)                                               39
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                           FORM E
                                                                                                       PAGE 2 OF 2

5.        OBLIGATION OF THE CONTRACTOR

          The contractor shall ensure full compliance with tax laws of India with regard to this contract and
          shall be solely responsible for the same.                 The contractor shall submit copies of
          acknowledgements evidencing filing of returns every year and shall keep JIPMER fully
          indemnified against liability of tax, interest, penalty etc. of the contractor in respect thereof, which
          may arise.



IN WITNESS WHEREOF the parties hereto have caused their respective Common Seals to be hereunto
affixed / (or have hereunto set their respective hands and seals) the day and year first above written.
For and on behalf of the Contractor                             For and on behalf of JIPMER


Signature of the authorized official                            Signature of the authorized official
Name of the official                                            Name of the official
Stamp/Seal of the Contractor                                    Stamp/Seal




SIGNED, SEALED AND DELIVERED


By the said                                               By the said
________________________ Name                             _________________________ Name
___________________                                       ____________________
on behalf of the Contractor in the presence of:           on behalf of JIPMER in the presence of:
Witness _________________                                 Witness _________________
Name ___________________                                  Name ____________________
Address__________________                                 Address___________________
________________________                                  _________________________


Note :

*         To be made out by JIPMER/HLL at the time of finalisation of the Form of Agreement.
**        Blanks to be filled by JIPMER/HLL at the time of finalisation of the Form of Agreement.
***       to be deleted if not applicable




HLL Lifecare Limited (A Government of India Enterprise)                                                        40
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                            FORM T-I
                                                                                        PAGE 1 OF 1

                                            GENERAL INFORMATION


Notes :

   (i)     Attach an attested photocopy of Certificate of Registration.

    1. Names of the firm: ……………………………………………………………….

    2. Legal Status of the Firm: Individual/Association/Joint Venture/Consortium

    3. Registered Address, telephone, Tele-fax.

            ………………………………………                               ………………………………….

            ……………………………………                                …………………………………..

           ………………………………………                                ……………………………..

    4. Contact Person and His Designation and address, email address

          ……………………………………………………………………………………………………
          ……………………………………………………………………………………………………
          ……………………………………………………………………………………

    5. Number of years in Medical Equipment Business

    6. Number of Medical Equipment Installation Projects commissioned on turnkey basis during the last
          seven years with details



    7. Names and Addresses of Associated Companies to be involved in the Project and whether Parent
          / subsidiary/ others.

    8. If the company is subsidiary, what involvement, if any, will the Parent Company have in the
          Project?

    9. State the Quality System followed in the Company. Does the company have an ISO 9001
          certificate or it follows an internal quality system.




HLL Lifecare Limited (A Government of India Enterprise)                                           41
      Equipping the Regional Cancer Centre at JIPMER – Request for Proposal – Volume I


                                                                                                                                                FORM T-II
                              NUMBER OF ONCOLOGY TREATMENT FACILITIES COMPLETED IN LAST SEVEN YEARS
      Applicant’s Name: ………………………………………………… ……………………………………
      Number of projects of value Rs. 10 crores or more developed and/or installations commissioned in last seven years

Sl.      Name and               Name and                                    Completed      Whether         Alone/Joint Venture/   Details and
No.   location of the         address of the             Project Value *     in Year    Specialty/Super     Consortium if in a    documentary
           Project                 Client                                               Specialty/ Other     joint venture or     evidence on
                                                                                           Hospital        consortium state the   page number
                                                                                                               percentage
                                                                                                              participation
                                                    Constru     Equipment
                                                      ction


  1

  2

  3

  4

  5

  6




      *- VALUE OF THE SERVICES PROVIDED BY THE BIDDER ONLY SHALL BE PROVIDED




      HLL Lifecare Limited (A Government of India Enterprise)                                                                                         42
   Equipping the Regional Cancer Centre at JIPMER – Request for Proposal –
   Volume I

                                                                                                                                                          FORM T-III
                                                                                                                                                        PAGE 1 OF 2
                           KEY PERSONNEL PROPOSED FOR THE PROJECT

                                              (Refer Clause 4.2)
Sl. No.     Sector




                                                                                                                                                                                                                          on page no.
                                                                                                                            Designation
                                                                                                                                          Total Years


                                                                                                                                                             Experience


                                                                                                                                                                                     Experience
                                                                  Number of




                                                                                                     Education
                                                                                         personnel




                                                                                                                 Proposed




                                                                                                                                                                                                               Annexure
                                                                              proposed




                                                                                                                                                                                                  Details in
                                               Minimum




                                                                                                                                                                          Relevant
                                                                   required




                                                                                                                                                                                                  in years
                                                         number




                                                                                                                                                        of
    1.      Project Manager                              1

    2.      Construction Manager-Civil**                 1

    3.      Construction Manager-E&M**                   1
            services

    4.      Structural Engineer*                         1

    5.      Architect*                                   1

    6.      Procurement Specialist                       1

    7.      Quality Assurance Manager**                  1

    8.      Hospital Planner*                            1

    9.      Bio-medical Engineer *                       1

    10. Safety Officer**                                 1

    11. Site Supervisor-Civil**                          1

    12. Site Supervisor- E&M**                           1

   Note :

          1) * These personnel may not be posted at site, however their services should be available
             for the project whenever required by the Project Engineer/HLL.
          2) ** These personnel are required only for the construction phase
          3) A summary of the qualification and work experience of each key staff, to be attached.
          4) The minimum level of supervision and qualification/experience of site-staff is given under
             Annexure – A.
          5) CVs to be submitted for all the proposed personnel in the format provided




   HLL Lifecare Limited (A Government of India Enterprise)                                                                                                                              43
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal –
Volume I
                                                                               Form T-III
                                                                             Page 2 of 2

                                           CVS OF KEY STAFF

Name of the Staff

Designation

Name of the firm presently employed

Years with the firm

Proposed position

Details of task assigned

Man- Months budgeted for the task assigned

Key Qualifications




Education




Employment Record

Name of the Firm                   Position Held              Years of Employment




HLL Lifecare Limited (A Government of India Enterprise)                              44
 Equipping the Regional Cancer Centre at JIPMER – Request for Proposal –
 Volume I




                                                                                                                                                       FORM T-IV
                                                                                                                                                PAGE 1 OF 2


                                 FINANCIAL DATA – HOSPITAL WORK
                                                                  (Refer Clause 4.2)
Total value of Medical equipment Installation Projects/ Turnkey Projects done during the last
five financial years (For each member in case of Group):
                                   Year 2004-05




                                                                        Year 2005-06




                                                                                                                                        Year 2007-08




                                                                                                                                                                        Year 2008-09
 S.No.     Description




                                                                                                        Year 2006-07
                                                  (Rs.in Crore)




                                                                                       (Rs.in Crore)




                                                                                                                       (Rs.in Crore)




                                                                                                                                                       (Rs.in Crore)




                                                                                                                                                                                       (Rs.in Crore)
 (1)       (2)                   (3)                                   (4)                             (5)                             (6)                             (7)

 1.        Total   value    of
           Projects




          Attach attested copies of the Audited Financial Statements of the last five
           financial years as Annexures. Financial Values to be given in Crores of
           Rupees.




 HLL Lifecare Limited (A Government of India Enterprise)                                                                                                                                       45
                                 Equipping the Regional Cancer Centre at JIPMER – Request for Proposal –
                                 Volume I




                                                                                                                                                                                            FORM T-IV

                                                                                                                                                                                           PAGE 2 OF 2

                                                                                                                  FINANCIAL DATA

                                                                                                                  (Refer Clause 4.2)
                                 List of all Ongoing Contracts

                                                                Total   Number of contracts                                                             Number for                 Number of      **Total value of
                                                                numbe   of each type                                                                    which                      contracts in    balance works yet
Name of the applicant (constituent




                                                                r of                                                                                    applicant                  which date      to be done in
                                                                works                                                                                   went in for                of              Rupee equivalent
                                                                in                                                                                                                 completion      in Crores
                                     member in case of Group)




                                                                hand                                                                                                               given in the
                                                                                                                                  C. On Turnkey Basis
                                                                         A. Procurement only




                                                                                                                                                                                   original has
                                                                                               B. Procurement &




                                                                                                                                                                                                    2006-07


                                                                                                                                                                                                              2007-08


                                                                                                                                                                                                                        2008-09
                                                                                                                                                                                   already
                                                                                                                                                                                   burst
                                                                                                                   Installation




                                                                                                                                                                      Litigation
                                                                                                                                                        Arbitration




                                 HLL Lifecare Limited (A Government of India Enterprise)                                                                                                                      46
 Equipping the Regional Cancer Centre at JIPMER – Request for Proposal –
 Volume I




Applicant (each member of the group) should provide information on their current commitments or
all contracts that have been awarded or for which a letter of intent or acceptance has been
received or for contracts approaching completion but for which a completion certificate is yet to be
issued.

** This figure should also include the year-wise break-up of part value of works to be executed in
these three years period even if completion of such works spills over beyond these three years
period.




 HLL Lifecare Limited (A Government of India Enterprise)                                        47
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal –
Volume I
                                                                                   FORM T-V

                                                                              PAGE 1 OF 1




                  FINANCIAL DATA FOR ASSESSMENT OF NET WORTH ETC.


YEAR                  2008-09         2007-08             2006-07   2005-06        2004-05
Net     Working
Capital
Net Cash Flow
Annual Turnover
Profit /Loss


Attach documentary evidence in support of the data clearly marking the relevant portion.




HLL Lifecare Limited (A Government of India Enterprise)                                      48
Equipping the Regional Cancer Centre at JIPMER – Request for Proposal –
Volume I
                                                                            FORM T-VI

                                                                          PAGE 1 OF 1

            PERFORMANCE REPORT OF WORKS (On Clients’ Letter Head)

    1. Name of work/

    Project and location

    2. Agreement No.

    3. Estimated Cost

    4. Tendered Cost

    5. Date of Start

    6. Date of Completion

             a. Stipulated Date of Completion

             b. Actual Date of Completion

    7. Amount of Compensation levied for delayed completion if any

    8. Performance report

                                                          Very Good/ Good/ Fair/ Poor




        Date:                                                Authorised Signatory (with
                                                                                stamp)




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                                                                                          Annexure –A

                                 DESIRED SITE ORGANISATION STRUCTURE

            MINIMUM LEVEL OF SUPERVISION AND QUALIFICATION/EXPERIENCE OF KEY
                                           STAFF IS AS FOLLOWS:

        S.No.           DESIGNATION                       QUALIFICATION               EXPERIENCE LEVEL

        1.         Project Manager (Team          Engineering/Management            Minimum 5 years as
                   Leader)                        Graduate with knowledge of        Project Manager of similar
                                                  MS Project/ Primavera             hospital works and
                                                                                    Minimum total experience
                                                                                    15 yrs.
        2          Construction Manager           Graduate in Civil Engineering/    Minimum 5 years of
                                                  Electrical/        Mechanical     experience as construction
                                                  Engineering with knowledge        manager. Minimum Total
                                                  of MS Project/ Primavera          experience of 10 years
        3          Quality Assurance (QA)-        Graduate in Civil Engg.           Minimum 5 yrs. in QA
                   Manager                        & Post Graduate Diploma in        (field) and out of which one
                                                  Quality Assurance                 year as In-Charge.
                                                                                    Minimum total experience
                                                                                    10 years.
        4.         Safety Officer                 Degree in any discipline with a   Minimum 5 yrs. In safety
                                                  Diploma in safety engineering/    (field) and out of which
                                                  Construction safety or a          one year as In-Charge.
                                                  degree in safety engineering
                                                                                    Minimum total experience
                                                                                    10 years.
        5.         Site supervisor                Graduation/Diploma in             Minimum site supervision
                   a. Civil engineer              concerned Disciplines             experience
                   b. Electrical             &                                      Graduate – 2 years,
                       Mechanical                                                   Diploma Holders – 5 years
                       Engineer
        6.         Biomedical Engineer            Graduate/Post Graduate       in   Minimum 5 years of
                                                  concerned discipline.             relevant experience




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                                              SECTION III

                           SPECIAL CONDITIONS OF CONTRACT


                                                                     Clause
  Sl.       Reference         to     GCC
  No.       Clause No.

    1.      Name of the Work                  Name of the Work shall be as per Clause 1.1.1 of
                                              NIT

    2.      1.4 Law and Language              The Contractor shall keep a suitably qualified
                                              person at the Site who is fluent in local language
                                              and is able to interact with local people.
                                              In addition to this, any document, which is in any
                                              language other than English, shall be translated to
                                              English and certified.
                                              The Contractor shall familiarize himself with the
                                              local laws and administration of Puducherry and
                                              comply by them.

    3.      2.1 Right of Access to The Employer shall give right of access of Site to
            Site                   the Contractor within 15 days of the signing of the
                                   Contract Agreement.

                                              The Contractor, after obtaining any necessary
                                              consent from any relevant authority, shall submit
                                              to the Engineer, proposals showing the layout of
                                              pedestrian routes, lighting, signs, and guarding any
                                              road opening or traffic diversion which may be
                                              required in connection with the execution of the
                                              Works and which the Contractor intends to
                                              construct. Any consent given by the Engineer to
                                              such proposals shall not relieve the Contractor of
                                              any obligation under the Contract or absolve the
                                              Contractor from any liability for or arising from such
                                              proposals or the implementation thereof.
                                              The Contractor‟s proposals for erection of all
    4.      4.1 Contractor‟s General
                                              ancillary and temporary works shall be in
            Obligations
                                              conformity with the proposals submitted along with
                                              the tender and modifications thereto as approved
                                              by the Engineer.
                                              The Contractor shall submit drawings, supporting
                                              design calculations where called for by the
                                              Engineer and other relevant details of all such
                                              works to the Engineer for approval at least one
                                              month before he desires to commence such works.
                                              Approval by the Engineer of any such proposal


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                                              shall not relieve the Contractor of his responsibility
                                              for the adequacy of such works.
                                              No extra payment will be made for complying with
                                              the provisions of this clause and the cost of the
                                              work under this element shall be deemed to be
                                              included in the Bill of Quantities

                                               This submittal shall be made minimum one month
                                               before the Works are to be carried out to give the
                                               Engineer and the Employer reasonable time to
                                               examine the drawings or other documents, to
                                               prepare comments and for any changes to be
                                               accommodated by the Contractor.

                                              The installation shall be in conformity with the Bye-
                                              laws, Regulations and Standards of the local
                                              authorities concerned in so far as these become
                                              applicable to the installation. But if these
                                              Specifications and Drawings call for a highest
                                              standard of materials and / or workmanship than
                                              those required by any of the above Regulations
                                              and Standards then these Specifications and
                                              Drawings shall take precedence over the said
                                              Regulations and Standards. However, if the
                                              Drawings or Specifications require something
                                              which violates the Bye-Laws and Regulations, then
                                              the Bye-Laws and Regulations shall govern the
                                              requirement of this installation.

    5.      4.2 Performance                   The Contractor shall submit a performance security
            Security                          equal to 10% of Contract value within 30 days of
                                              signing the Contract Agreement.
                                              The Performance Security should be submitted in
                                              the form of a Bank Guarantee from a scheduled
                                              commercial bank in India in the format supplied for
                                              bank guarantees in the Contract.

    6.      4.6 Setting out                   The contractor shall survey and fix the alignment,
                                              set out the buildings maintaining vertical &
                                              horizontal clearances and keeping in view
                                              important site references and obligatory locations
                                              in consultation with Engineer. GTS bench mark,
                                              temporary bench marks and three control points on
                                              all straights & other details shall be handed over by
                                              the Engineer.
                                              The Contractor shall establish at his cost, at
                                              suitable points, additional reference lines and
                                              bench marks as may be necessary. The Contractor


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                                              shall remain responsible for the sufficiency and
                                              accuracy of all his benchmarks and reference
                                              lines. He shall take precautions to see that lines,
                                              points and bench marks fixed by the Engineer are
                                              not disturbed by his work and shall make good any
                                              damage thereto.

    7.      4.7 Safety Procedures             The Contractor shall not disturb the ongoing
                                              activities of the Institute. He shall take care that
                                              his activities do not result in any kind of accidents,
                                              spread of any infection etc in the campus. At the
                                              same time he shall as well ensure that his
                                              personnel are safe and do not get any infection
                                              from the hospital activities.
                                              The Contractor shall provide a First Aid Base at his
                                              principal Works Area/ Construction Depot, suitable
                                              medical facilities for Workmen‟s Camps, suitable
                                              and sufficient first aid boxes at worksites for the
                                              Contractor‟s workforce and his Sub-Contractors‟
                                              workforce as further described in the Employer‟s
                                              Requirements.
                                              The Contractor shall provide and maintain all
                                              necessary temporary fire protection and fire
                                              fighting facilities on the Site during the construction
                                              of the Works in accordance with the statutory
                                              regulations and as required by the Engineer.
                                              The Contractor shall ensure that all gases, fuels
                                              and other dangerous Materials and goods are
                                              stored and handled in a safe manner and in
                                              accordance with the statutory regulations and as
                                              required by the Engineer.
                                              The obligations and requirements for safety and
                                              industrial health under this Contract are entirely
                                              without prejudice to, and do not derogate from, the
                                              Contractor‟s statutory obligations, with respect to
                                              safety and industrial health.

    8.      4.9 Site Data                     The responsibility of Contractor under sub-clause
                                              4.10 of General Conditions of Contract is full and
                                              final and no claim by the Contractor for additional
                                              payment or extension of time shall be allowed on
                                              the ground of any misunderstanding or
                                              misapprehension by the contractor or that incorrect
                                              or insufficient information was given to the
                                              Contractor or that he failed to obtain correct and
                                              sufficient information.

    9.      4.12 Right of Way and The Employer shall provide right of way to the
            facilities            Contractor within its land for the purpose of



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                                              executing the Contract.

    10.     4.13 Avoidance of                 The Contractor shall maintain a safe environment
            Interference                      for patients, personnel and public.
                                              The Contractor shall ensure that his employees do
                                              not leave the Site at any time without the
                                              permission of the Engineer.
                                              The Contractor shall ensure that the vehicles,
                                              machines and equipments, which he uses, are
                                              safe and do not cause any harm to patients,
                                              students or personnel.
            4.13     Avoidance           of
    11.                                       All equipment shall operate under all conditions of
            Interference
                                              load without any sound or Vibration, which is
            Quiet Operation and               objectionable and beyond the limits specified by
            vibration isolation               the relevant laws. In case of rotating machinery
                                              sound or vibration noticeable outside the room in
                                              which it is installed or annoyingly noticeable inside
                                              its own room shall be considered objectionable.
                                              The Contractor at his own expense shall correct
                                              such conditions.

                                              Existing roads and other public roads may be used
                                              by the Contractor at his risk and cost to carry out
                                              construction activities, with prior approval of the
                                              competent authority.
                                              The Contractor‟s heavy construction traffic or
                                              tracked equipment shall not travel on any public
                                              road or bridge, unless the Contractor has made
                                              arrangements with the authority concerned and
                                              has obtained the approval of the Engineer to such
                                              arrangements. The Contractor shall include in his
                                              price the cost of strengthening any such public
                                              road or bridge if he considers it would be
                                              necessary
                                              The Contractor shall repair any damage to the road
                                              or bear the cost thereof due to movement of
                                              contractor‟s plants and equipment, vehicles etc. to
                                              the specifications and satisfaction of road
                                              authorities as well as of Engineer.
                                              The Contractor shall plan transportation of
                                              construction materials to work site in accordance
                                              with traffic regulations enforced by local traffic
                                              authorities from time to time and in such a way that
                                              road accidents are avoided and minimum in
                                              convenience is caused.
                                              No claim whatsoever shall be entertained on this
                                              account. The transportation of certain equipments


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                                              and materials and launching may not be possible
                                              during day and may have to be carried out within
                                              time schedule specified by traffic police.

                                              The Contractor must note that the Works are to be
                                              executed in a working hospital. Hence no part of
                                              his works shall interfere or damage or cause harm
                                              to the existing activities of the institute.
                                              The Contractor shall ensure that the noise levels
                                              are not high and do not disturb the patients inside
                                              the hospital and academic activities.
                                              Proper barricading shall be provided to ensure the
                                              safety of works and public.
                                   For any imported equipments or part thereof
    12.     4.16      Contractor‟s
                                   offered by the Contractor, he will have to make his
            Equipment
                                   own arrangements for import formalities and
                                   procurement of equipments without involving the
                                   Employer in any way for any clearance
                                   certificates/licenses/assistances.
                                   The Employer may assist (but is not obligated to)
                                   the Contractor, where required, in obtaining
                                   clearance through the Customs for Constructional
                                   Plant, Materials and other things required for the
                                   Works.
                                   The contractor shall obtain all permits / licenses
                                   and pay for any and all fees required for the
                                   inspection, approval and commissioning of their
                                   installation.
    13.     4.17 Protection of                The Contractor shall not cut or destroy any tree in
            Environment                       the campus to the maximum extend possible. In
                                              case any tree is to be cut he shall obtain prior
                                              permission from the engineer and shall plant equal
                                              number of saplings or adhere to the requirements
                                              of the prevailing Environmental laws which ever is
                                              more stringent. The Contractor shall use all means
                                              to minimize the effluents from his construction work
                                              and transportation activity or any other activity in
                                              the course of the Project.


    14.     4.19       Employer‟s The Employer shall supply no material, tools, plant
            Equipments            and equipment. The Contractor has to arrange all
                                  tools, plant, equipment as well as construction
                                  materials required for the work.

    15.     4.22        Contractor‟s All construction debris shall be removed from site
            Operations on Site       daily or as they accumulate. All surface and sub-
                                     soil drains at the site shall be maintained in a


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                                              clean, sound and satisfactory state of performance.

    16.     4.23             Fossils, The Contractor must note that the project may
            Discoveries and Items of involve some items of demolition. If during such
            Value                     works, the Contractor finds any items of Salvage
                                      Value, which can be sold, he shall indicate the
                                      same in the monthly progress report submitted to
                                      the Employer and sell it off only after the approval
                                      from the Employer. The payments shall be
                                      adjusted accordingly as per the decision of the
                                      Engineer.

    17.     5.1 General            Design     The contractor shall submit his preliminary design
            Obligations                       and make a walk through presentation to the
                                              Employer within 21 days from the date of issue of
            Provisions for
                                              letter of acceptance as mentioned in Clause 1.3 of
            infection Control
                                              Instructions to Tenderers.
                                              If the Engineer has reasonable cause for being
                                              dissatisfied with the Contractor's drawings or
                                              documents the Engineer shall, within a period of 21
                                              days from the date of submittal, require the
                                              Contractor in writing to make such amendments
                                              thereto as the Engineer may consider necessary.
                                              The Contractor shall make and be bound
                                              by such amendments at no additional expense to
                                              the Employer and shall resubmit the amended
                                              drawings or documents for the Engineer‟s approval
                                              for the execution of Works within next 21 days.
                                              No extension of time or extra payment shall be
                                              given to the Contractor to comply with the above.

                                              Should it be found at any time after notification of
                                              consent that the relevant drawings or documents
                                              do not comply with the Contract or do not agree
                                              with drawings or documents in relation to which the
                                              Engineer has previously notified his consent, the
                                              Contractor shall, at his own expense, make such
                                              alterations or additions as, in the opinion of the
                                              Engineer, are necessary to remedy such non-
                                              compliance or non-agreement and shall submit all
                                              such varied or amended drawings or documents
                                              for the consent of the Engineer.

    18.     5.2       Contractor‟s The Contractor shall submit the following in
            Documents              addition to the documents stated in the contract,
                                   with his design:
                                                   i.         Detailed    drawings     including   the
                                                          structural drawings, architectural drawings,
                                                          component drawing etc.


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                                                   ii.        Consolidated statement in a tabular
                                                          form for the Standards and Specifications
                                                          being followed in the design and for
                                                          materials to be used
                                                   iii.       List of vendors from whom the materials
                                                          are proposed to be procured
                                                   iv.        Tests required to be carried out in the
                                                          contract
                                                   v.          Outline safety plan for the site and an
                                                          outline quality plan

                                              The Contractor shall include in his design, in
                                              additions to space and operational needs,
                                              considerations of provisions for infection control,
                                              life safety, and protection of affected person during
                                              construction and the progress of the Project as
                                              detailed out in Employer‟s Requirements.

                                              The Contractor shall also include in his design
                                              provision of landscaping, parking and setting things
                                              back into the shape as the original as said in
                                              Employer‟s Requirements

                                              The Contractor shall satisfy himself that the Design
                                              Data, in the case of submissions up to and
                                              including the proposed Design, comply with the
                                              Employer's Requirements and is in accordance
                                              with, and incorporates the Contractor's Technical
                                              Proposals.
                                              In the case of submissions subsequent to the
                                              proposed Design, the Design Data shall be in
                                              accordance with Employer's Requirements and the
                                              accepted Design.

    19.     5.5 Training                      The Contractor shall arrange training sessions for
                                              the Employer‟s Personnel for using the machinery
                                              and equipments especially the equipments which
                                              are of latest technology.
                                              The Contractor shall submit to the Engineer-in-
                                              charge a draft copy of comprehensive operating
                                              instructions maintenance schedule and log sheets
                                              for all systems and equipment included in this
                                              contract. This shall be supplementary to
                                              manufacturer‟s operating and maintenance
                                              manuals. Upon approval of the draft, the
                                              contractor shall submit four (4) complete bound
                                              sets of printed operating instructions and
                                              maintenance manuals.


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                                              The contractor shall also train the institute
                                              personnel, to operate the plant and carry out
                                              routine checks, during the period of installation
                                              and testing. Under special conditions, if, found
                                              necessary, the contractor shall also train the said
                                              personnel at the no extra cost (for Indigenous
                                              origin equipment only).
                                              The Contractor shall submit his prices for each
    20.     6.0 Medical Equipments
                                              Equipment as a lump sum price. No deviations
                                              shall be permitted in this price for any reason.
                                              However where so required in the detailed
                                              specifications, breakup of prices and or prices for
                                              optional sub-components shall be annexed to the
                                              Price Bid.
                                              The Contractor shall bear all charges for the order,
                                              purchase, transport, supply erection and
                                              commissioning of the Equipments including taxes,
                                              duties etc wherever applicable and the same shall
                                              be deemed to have been included in his Contract
                                              price.
                                              The Employer, wherever feasible, may at his
                                              discretion, assist the Contractor in getting the
                                              approvals for import.
    21.     7.2 rates of wages for            The Contractor must familiarize himself and
            labour                            comply with relevant labour laws like Minimum
                                              Wages Act, 1948 and Contract Labour (Regulation
                                              and Abolition) Act, 1970 etc. No extra payment
                                              whatsoever shall be made to the Contractor to
                                              comply with the rules and laws.

    22.     7.5 Working Hours                 No works shall be carried out in the nights except
                                              as permitted by the Engineer under exceptional
                                              circumstances.
                                              Lighting and Fire Protection: Where night working
                                              is permitted by the Engineer to facilitate the
                                              Contractor‟s Work operations, temporary lighting
                                              equipment as per approved layout shall be
                                              provided, installed, maintained for the duration of
                                              the contract and removed after completion of work
                                              by and at the expense of the Contractor.
                                              No extra payment will be made to the Contractor
                                              for the provision of temporary lighting and fire
                                              prevention measures.

    23.     7.6 facilities for staff and      The Contractor shall provide at his own expense,
            labour                            all necessary accommodation and the welfare
                                              facilities for his staff and labour. This includes good


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                                              practices like provision of temporary crèche (Bal
                                              Mandir) where 50 or more women are employed at
                                              a time. The Contractor at his cost shall maintain all
                                              accommodation in a clean and sanitary condition.

                                              The Contractor shall prepare and submit
                                              compliance reports of adherence to labour laws as
                                              and when desired by the Engineer.

    24.     9.2 Time for Completion           Time for Completion of the entire project is 12
                                              months from the date of issue of Letter of
                                              Acceptance.

    25.     9.3 Program                       Activities in the initial works programme would be
                                              arranged as per the Works Break Down Structure
                                              (WBS) of the work developed by the contractor in
                                              consultation with and approved by the Engineer.
                                              The Contractor will prepare Construction
                                              Programme based on Computerized CPM network
                                              using the Precedence Diagramming Method within
                                              30 days of award for approval as „Baseline
                                              Programme‟ The base line program shall clearly
                                              reflect interface and access dates for other civil/
                                              system-wide contracts.
                                              After the work has started, the Contractor shall
                                              deliver in the first week of every month to the
                                              Engineer an update of the Construction
                                              Programme showing changes, if any, in planning
                                              or progress scheduling and reflecting the progress
                                              of all the activities of the network and the project
                                              status as at the end of previous month.
                                              If the Contractor falls behind the approved
                                              Construction Programme by more than one month,
                                              he shall, within fourteen days of the date of such
                                              information, submit for approval, a revision of the
                                              construction programme showing the proposed
                                              measures, including augmentation of plant, labour
                                              and material resources to complete the works on
                                              time.
                                              Whenever the Contractor proposes to change the
                                              construction programme he shall immediately


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                                              advise the Engineer in writing and, if the Engineer
                                              considers the change a major one, the Contractor
                                              shall submit a revised programme for approval.
                                              Detailed Network Plan (Works Programme)
                                              Detailed Network Plan shall be prepared by the
                                              Contractor for each and every activity within the
                                              same time frame and in the same sequence as
                                              indicated in the master network plan. Activity at this
                                              level shall not be more than 15 days duration,
                                              except for summary items like procurement/
                                              mobilization etc.
                                              The Contractor shall select a PC-based broad
                                              planning and control software on which the two
                                              networks shall be implemented. Software selected
                                              shall be Microsoft Project, Version-2002 (MSP-
                                              2002) or higher version. If any other compatible
                                              software is used, approval of the Engineer will be
                                              required. The Contractor shall supply one original
                                              licensed copy of the software selected along with
                                              the Baseline program network and detailed
                                              network plan free of cost and load it on the PC
                                              system of the Engineer so that uniform monitoring
                                              of the project is done and any slippages are
                                              identified well in time and corrective action taken.
                                              The Engineer‟s monitoring team will have access
                                              to all the data/information of the Contractor,
                                              required for the assessment of the progress and
                                              monitoring. If necessary, the monitoring team will
                                              visit the Vendor/Contractor‟s works in order to
                                              assess the status of critical activities.
                                              The Employer or the Engineer will hold periodic
                                              Project Status Review Meetings. The Contractor
                                              shall   depute    his   Engineers/Managers   at
                                              appropriate level as decided by the Engineer to
                                              attend the Review Meetings.

                                              The Contractor shall provide additional inputs
                                              whenever the PERT-CPM diagram indicates a
                                              possible slippage in the completion schedule. Such


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                                              additional inputs may require supplementing of
                                              equipment, personnel, work in excess of the
                                              normal work per day, and work in excess of the
                                              normal work per week or other resources.
                                              Provisions under Sub-Clause 8.7 of General
                                              Conditions of Contract will be applicable in cases
                                              of delays due to Contractor.

            Penalty                           Should there be any delay in the achieving any
                                              milestone of the project, the Contractor shall be
                                              liable to pay penalty for the delay to an extent of
                                              Rs. 50,000 per day to the Employer.
                                              This penalty shall be in addition to liquidated
                                              damages if any, which shall be incurred if the
                                              performance of the Contract is delayed.
                                              This penalty shall not relieve the contractor from
                                              his obligation to complete the Works or from any
                                              other of his obligations and liabilities under the
                                              Contract.

                                              The Contractor shall co-ordinate his programme to
                                              the extent feasible with the programmes of other
                                              contractors to be engaged at the Site or in the
                                              vicinity of the Site as furnished by the Engineer so
                                              that the project can be completed in time as per
                                              the overall programme.

            Work Plan                         The contractor shall also submit with his program
                                              of works, a detailed work plan which states clearly
                                              the manner in which the Contractor intends to carry
                                              out the work including the equipments proposed for
                                              executing the work and the place and time for use
                                              of heavy equipments.

    26.     10.0     Tests              on    The Contractor shall in addition to the tests
            Completion                        instructed by the Engineer, carry out the tests on
                                              Completion for the equipments installed in the
                                              different departments of the hospital after
                                              Substantial Completion of the Project as per the
                                              Manuals.

    27.     10.1        Contractor's          Substantial Completion: for the purpose of the
            Obligations                       Contract, Substantial Completion of the Project is
                                              achieved when all the construction work has been
                                              completed and all the medical equipments have
                                              been procured and installed.

                                              On achieving Substantial Completion of the
                                              project, the Contractor shall give notice to the


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                                              Engineer of achieving Substantial Completion and
                                              that the tests on completion may be carried out.

    28.     12.0 Defects          Liability Defects Liability Period for the purpose of the
            Period                          Contract shall be in accordance with Clause 1.3 of
                                            Instruction to Tenders.

    29.     14.0 Variations                   For the purpose of the Contract, the Contractor
                                              shall procure and commission medical equipments
                                              as per specifications attached in this tender
                                              document or higher specifications at the time of
                                              procurement.
                                              The Contractor shall be deemed to have
                                              considered the above fact while quoting the price
                                              of his equipments.
                                              No claims shall be entertained on the above basis.

                                              The Contractor shall get the source of Medical
                                              Equipments approved by the Engineer before
                                              placing the supply order. The contractor shall keep
                                              the above facts in view while submitting the price
                                              of the Equipments along with his tender.
                                              The Contract price shall be a lump sum price
    30.     15 Contract Price and
                                              mentioned in the Letter of Acceptance.
            Payments
                                              The Contractor shall not be paid any charges
                                              towards any taxes or duties etc. All taxes, duties
                                              levies and other charges shall be deemed to have
                                              been included in the Contract price.
                                              Interim payments shall be made on achievement of
                                              milestones and shall be according to a pre-decided
                                              schedule of payments approved by the Engineer.

                                              The Employer reserves the right to conduct any
                                              post payment audit, which he considers
                                              appropriate.

                                              The Employer reserves to himself the right to carry
            Post Payment Audit
                                              out a post payment audit and/or technical
                                              examination of the Works and the Final payment
                                              including all supporting vouchers, etc., and to
                                              make a claim on the Contractor for the refund of
                                              any excess amount paid to him, if as a result of
                                              such examination, any overpayment to him is
                                              discovered to have been made in respect of any
                                              work done or alleged to have been done by the
                                              Contractor, under the Contract.
                                              If any under payment is discovered, the Employer
                                              shall pay the same to the Contractor. Such
                                              payments or recoveries shall not carry any interest.


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            6.6    Maintenance of              a.    Complaints :
    31.
            Medical Equipments                The contractor shall receive calls for any and all
            and                               problems experienced in the operation of the
            12.0        Maintenance           system and Equipments under this contract attend
            during Defects Liability          to these within 24 hours of receiving the complaints
            Period                            and shall take steps to immediately correct any
                                              deficiencies that may exist.

                                               b.   Repairs :
                                              All equipment shall be immediately serviced and
                                              repaired based on the Employer‟s Requirements.
                                              Since the period of Mechanical Maintenance runs
                                              for one year concurrently with the defects liability
                                              period, all replacement part and labor shall be
                                              supplied promptly free-of-charge to the Institutes.

                                               c.    Preventive maintenance:
                                              The Contractor shall carry out all preventive
                                              maintenance plans for the equipment and all other
                                              electromechanical installations under the Contract
                                              as per the standards of the industry and good
                                              engineering practices. The format shall be mutually
                                              agreed upon award of the contract.

            15.0 Contract Price and           The Contractor must submit his income tax, VAT
    32.
            Payment                           clearance etc before the payment is released from
                                              the Employer. He shall also submit copies of the
                                              Expenditure sheet for the various expenses he has
                                              made towards the achievement of a milestone.

                                              The interim payments shall be released only on a
                                              pre-decided schedule of payments based on
                                              milestones and approved by the Engineer.
                                              The Contractor is required to pay all taxes, levies
                                              etc for the Works and shall be deemed to have
                                              included the same in his Contract Price.




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                                              SECTION IV
                                  EMPLOYER’S REQUIREMENTS

1.       Introduction to the project

        Jawaharlal Institute of Post Graduate Medical Education and Research,
        Puducherry, intends to augment Regional Cancer Centre in its campus.

         The project shall be carried out on turnkey basis, where the selected OEM or its
         authorized dealer shall be responsible for the all aspects of the augmentation
         project including procurement, installation and commissioning of medical
         equipments, and the planning, design and construction of the associated
         building, in accordance with the Employer‟s Requirements.

        The Project has an estimated total cost of approximately Rs. 24 crores of
        which cost of civil, electrical and other services is approximately Rs. 3
        crores. The Project is scheduled to be completed within a period of 12
        months from the date of award.

2.       Scope of Work


         The project is broadly divided into three segments


2.1   PART I: Establishing a New Equipment block with state-of-the-art
equipment

         This involves the following activities.

         2.1.1 Design and Construction of the new equipment block contiguous to the
         existing RCC block with all services according to the master plan indicated in
         Annexure VI and complying with NBC 2005, NEC 2003 and AERB standards.

         2.1.2 Supply, Installation and commissioning of High Energy Linear Accelerator
         suite with MLC, IMRT capabilities, including 3-D Treatment Planning System

         2.1.3 Supply, Installation and commissioning of CT-Simulator

         2.1.4 Supply, Installation and commissioning of High Dose Rate Brachytherapy
         System suite including Brachytherapy Treatment Planning System.

2.2      PART II: Equipping the new equipment block and the existing RCC block
         with        medical, labarotary and diagnostic equipment and furniture;
         networking various facilities

         2.2.1 Providing OT tables and OT lights



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         2.2.2 Providing ICU Equipment such as Bedside monitors and Anesthesia
         equipment
         2.2.3 Supply, installation, testing and commissioning of the following
         DIAGNOSTIC EQUIPMENT
         a) 100 mA mobile x-ray unit
         b) 500 mA x-ray unit
         c) C-Arm x-ray unit with Image Intensifier / flatpanel
         2.2.4 Providing following CLINICAL LABORATORY EQUIPMENT
         a) Automated Blood Cell Counter – 5 parts
         b) Auto analyzer for serum electrolytes, Blood sugar, urea; with reagents
         c) Blood gas analyzer with reagents.
         2.2.5 Providing Computer Networking to interconnect OPD, Wards, Pharmacy,
         radiation treatment rooms, Consultant rooms, faculty rooms, HOD and RCC-
         Director rooms in order to share the DICOM images and clinical data of patients
         (networking shall include all hardware and software components).
         2.2.6 Providing hardware and software for Cancer Registry.
         2.2.7 Laying telephone lines with instruments for connecting all areas within RCC
         and with the main hospital. This may need upgrading the capacity of the existing
         EPABX

2.3      PART III

         2.3.1 Furnishing existing RCC block and the new equipment block with medical
         and general furniture.
         2.3.2 Supply, Installation and commissioning of centralized gas manifold:
         Centralized O2 supply / suction: 2 points in each general wards; in all special
         wards; in all ICU beds; 2 points in Day Care Center.
         2.3.3 Nurses‟ call system in Daycare centres, General wards (Male & Female),
         ICU, observation rooms, deluxe bed rooms, single bed rooms, double bed rooms
         & treatment rooms.

2.4    The scope of work consists Project planning, design, construction, procurement,
installation, testing and commissioning of equipments, and integrated commissioning of
the Regional Cancer Centre. Necessary building work is to be designed and executed as
per relevant codes, Technical Specifications, conceptual / layout drawings and AERB
regulations.

         The work shall, inter-alia, include the following:

         xiv.     The construction design shall be appropriate to the type of equipment to
                  be installed and shall conform to AERB regulations.
         xv.      Approval of Atomic Energy Regulatory Board shall be obtained for the
                  design, construction and installation of equipment.
         xvi.     Detailed      design     engineering    including   architectural   design   and
                  construction documents, structural engineering, electrical engineering,



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                  heating ventilation and air conditioning plant, DG sets, medical gases and
                  manifold plan, plan for the central sterile services department,
                  communication and networking plan, fire detection and protection plan
                  and waste management etc.
         xvii.    Site     clearance      and      dismantling       of   obstructions    etc.,    before
                  commencement of work
         xviii.   Getting approvals / permissions / permits of the statutory / local /
                  governmental agencies
         xix.     Building construction and installation of all services including air-
                  conditioning and full DG back up for making all the building services fully
                  and functionally operative.
         xx.      Procurement,        installation,       testing   and   commissioning    of     medical
                  equipment as per specifications provided.
         xxi.     Procurement and installation of furniture and fixtures including internal
                  and external signages
         xxii.    All aspects of quality assurance, including testing of medical equipments
                  and other components of the work
         xxiii.   Project Management to ensure completion of Project as per the specified
                  timelines
         xxiv.    Submission of the completion (i.e. „as-built‟) drawings and other related
                  documents. A soft copy in Auto CAD or other similar softwares shall also
                  be submitted.
         xxv.     Clearance of site before Handing over of the facilities after fulfilling all the
                  obligations under “Employer‟s Requirement”
         xxvi.    Making good any defect (if any) in Defects Liability Period


3.       REQUIREMENTS OF VARIOUS SEGMENTS

3.1   PART I: Establishing a New Equipment block with state-of-the-art
equipment

3.1.1 The existing Regional Cancer Centre block shall be horizontally extended as
      shown in the part master plan in the RFP. The built up area shall be nearly the
      same as the existing block excluding the ramp. A tentative plan of the extension
      is given in Annexure IV for generic guidance. Provision for the following shall be
      made.



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          1.   Treatment Planning Room
          2.   Treatment Rooms for LINAC, HDR Unit, CT Simulator
          3.   OPDs
          4.   Mould Room
          5.   Patient Marking Room
          6.   Faculty, Consultants, staff and technician rooms

i)     The building shall be designed according to AERB regulations & standards. The
       tentative layout indicating wall dimensions are provided in Annexure II & III for
       guidance. However the developer shall be responsible for the adequacy of the
       design.
ii)    The bidder shall provide for all the required services to meet the requirements of
       NBC, NEC and AERB. The costing shall include all services that are required to
       make it fully functional.
iii)   The building shall be fully air-conditioned and provided with full DG back up.
iv)    The project shall be designed according to international best practices and
       constructed at par with the international standards and equipped with the
       internationally accepted latest equipments at the time of commissioning.
v)     The design should be fit for the purpose intended and there should be scope for
       further vertical extension of three upper floors that may be planned in the future for
       the facility. The developer is encouraged to use innovative design components and
       latest technology available for the purpose of the project.
vi)    Adequate parking for cars & two wheelers shall be provided.

vii) Safety and security
     a.     Attention should be given to balancing readily accessible and visible external
            access points to the facility with the ability to control and secure all access
            points in the event of an emergency. Factors such as adequate exterior
            lighting in parking lots and entry points to the facility, and appropriate
            reception/security services are essential to ensuring a safe environment.
     b.     Since the strict control of access to a medical facility is neither possible nor
            appropriate, safety within the facility should also be addressed through the
            design of circulation paths and functional relationships.
     c.     Provisions for securing the personal belongings of staff, visitors, and
            patients/residents should be addressed.
     d.     The physical environment should be designed to support the overall safety
            and security policies and protocols of the institution. Safety and security
            monitoring, when provided, should respect patient privacy and dignity.

viii) Finishes
      a.     The selection of a color palette should be based upon many factors, including
             the building population, anticipated behavior in the space, time of encounter
             and level of stress. The color palette selected should be suitable and



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                  appropriate for the specific environment, taking into account the specific
                  activities conducted in that environment.
         b.       Finishes and color palettes should respond to the geographic location of the
                  health care facility, taking into account climate and light, regional responses
                  to color, and the cultural characteristics of the community served.
         c.       The effect on patients/residents/staff/visitors of materials, colors, textures,
                  and patterns shall be considered in the overall planning and design of t he
                  facility. Maintenance and performance shall be considered when selecting
                  these items.

     ix) Documents to be submitted with design

            The BIDDER shall submit with his design all the documents and the references
            used in the design. The BIDDER shall also submit desired number of copies of
            the following:
         a.     Detailed drawings including the structural drawings, architectural drawings,
                component drawing etc.
         b.     Standards and specifications being followed in the design and for materials to
                be used in a consolidated tender form
         c.     In case a sub-contractor is proposed to be hired for the construction, details
                thereof.
         d.     List of vendors from whom the materials are planned to be procured
         e.     Tests to be carried out
         f.     Site safety plan
         g.     Quality plan as per ISO: 9001:2000
         h.      Design data
         i.     Requirements for any foundation, structure, plants or services etc which the
                contractor feels shall be accessed in order to proceed with the projects in
                accordance with the design.
     The Contractor shall submit to the Employer and the Engineer all Design Data, together
     with the relevant Design Certificates certified by the Contractor. In the event that a re-
     submission of Design Data is required, such re-submission shall be made as soon as
     practicable after the receipt of the relevant statement of objections. All submissions of
     Design Data shall include 6 copies.

x)       Hygiene requirement during construction-Infection Control

     The Contractor shall provide an Infection Control Risk Assessment (ICRA). An ICRA is a
     determination of the potential risk of transmission of various biological agents in the
     facility. Based on the ICRA, the Contractor shall also provide necessary protection to be
     incorporated in the program and Infection Control Risk Mitigation Recommendations
     (ICRMR), which will describe the specific methods to be used and by which transmission
     will be avoided during the course of the construction. The Contractor shall also provide
     monitoring of the effectiveness of the applied ICRMR during the course of the project.



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The ICRA shall be conducted by a panel with expertise in infection control, risk
management, facility design, construction and construction phasing, ventilation, safety,
and epidemiology. The panel shall provide updated documentation of the risk
assessment together with updated Mitigation Recommendations throughout planning,
design, construction, and commissioning. The ICRA shall address, but not be limited to,
the following:

            Design. Building design features shall be addressed when developing the
             ICRA.
                o Number, location, and type of airborne infection isolation and
                   protective environment rooms.
                o Location(s) of special ventilation and filtration such as emergency
                   department waiting and intake areas.
                o Air handling and ventilation needs in surgical services, airborne
                   infection isolation and protective environment rooms, laboratories,
                   local exhaust systems for hazardous agents, and other special areas.
                o Water systems to limit Legionella sp. and waterborne opportunistic
                   pathogens.
                o Finishes and surfaces.

            Construction. Building and site areas anticipated to be affected by
             construction shall be addressed when developing the ICRA.
                o The impact of disrupting essential services to patients and employees.
                o Determination of the specific hazards and protection levels for each.
                o Location of patients by susceptibility to infection and definition of risks
                    to each.
                o Impact of potential outages or emergencies and protection of patients
                    during planned or unplanned outages, movement of debris, traffic
                    flow, cleanup, and testing and certification.
                o Assessment of external as well as internal construction activities.
                o Location of known hazards.

            Infection control risk mitigation recommendations. The ICRMR shall be
             prepared by the ICRA panel and shall address, but not be limited to, the
             following:
                  o Patient placement and relocation.
                  o Standards for barriers and other protective measures required to
                     protect adjacent areas and susceptible patients from airborne
                     contaminants.
                  o Temporary provisions or phasing for construction or modification of
                     heating, ventilating, air conditioning, and water supply systems.
                  o Protection from demolition
                  o Measures to be taken to train hospital staff, visitors, and construction
                     personnel.



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       The Contractor shall ensure that construction-related requirements of the ICRMR, as
       well as ICRA-generated design requirements, are incorporated into the project
       requirements.
       The Engineer shall inspect the initial installation and provide continuous monitoring of
       the effectiveness of the infection control measures during the entire course of the
       project. This monitoring may be conducted by inhouse infection control and safety staff
       or by independent outside consultants. In either instance, provisions for monitoring shall
       include written procedures for emergency suspension of work and protective measures
       indicating the responsibilities and limitations of each party (owner, designer, constructor,
       and monitor).

xi)        Maintenance         and     Training       requirements   for   systems,   machines   and
           equipments
       The Contractor shall maintain all systems, machines and equipments during the
       defects liability period. The developer shall see to it that all the warranty and
       guaranty cards are properly filled and duly submitted to the Employer along with
       their maintenance manuals.
       The Contractor shall train the staff of the Employer for the new systems,
       machines and equipments procured for the hospital. The minimum training period
       for the hospital staff should be 3 months which can be varied by the Employer.
       The Contractor shall make arrangements for demonstrations before trial run and
       at the time of commissioning of the systems and equipments.
       Operation and Maintenance Manual shall be supplied to the Employer for the
       new equipments and latest machinery.
       These manuals shall contain in sufficient details, the procedures for operation
       and the maintenance schedule for the medical and other equipments such as air
       conditioning etc.
xii)       Periodical Progress review

       Periodical review of the progress of the project shall be carried out in every 21 days and
       at any time desired by the Employer. For this purpose the Contractor shall prepare and
       submit the progress reports as stated in the Contract.
       The contractor shall keep at site a latest copy of the following:
           a. Contractor‟s Documents that shall include but not limited to the technical
               documents as follows:
           b. Construction Drawings Detailed including any modifications etc.
           c. List of Codes, standards and specifications being followed.
           d. Documents required to satisfy all regulatory approvals,
           e. A complete set of "as-built" records of the execution of the Works, showing the
               exact as-built locations, sizes and details of the work as executed.
           f. Any other document which the Engineer instructs from time to time
           g. Design documents as mentioned above.
           h. Operation and Maintenance Manuals
           i. Records of Contractor's Personnel, Labour and Equipment


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          j.   Charts, detailed descriptions of progress, including, each stage of design,
               procurement,      manufacture,     delivery,  construction,    erection,   testing,
               commissioning and trial operation;
          k.   Cash Flow Analysis of the past and estimate for the balance work on a fortnight
               basis.
          l.   Photographs showing the status of manufacture and of progress on the Site;
          m.   For the manufacture of each main item of Plant and Materials, the name of the
               manufacturer, location, percentage progress, and the actual or expected dates
               of:
          n.   commencement of manufacture,
          o.   Contractor's inspections,
          p.   tests, and
          q.   shipment and arrival at the Site;
          r.   Copies of quality assurance documents, test results and certificates of Materials
          s.   List of Variations, notices given under Sub-Clause 2.4 (Employer's Claims) and
               notices given under Sub-Clause 20.1 (Contractor's Claims);
          t.   Safety statistics, including details of any hazardous incidents and activities
               relating to environmental aspects and public relations;

xiii)     Quality Control

    The Contractor must ensure that the works conform to the quality standards and to the
    satisfaction of the Employer. The contractor shall submit his quality plan in accordance
    with the above

               The works, plant and materials shall be subject to tests from time to time as per
               best practices in the industry. Wherever mentioned in the Contract, the tests
               must be carried out at the Contractor‟s expense. The materials shall be procured
               from reputed vendors approved by the Engineer. The Contractor must also
               supply samples to the Engineer for his approval and also carry out the tests as
               and when required by the Engineer.

    3.1.2 TECHNICAL SPECIFICATIONS FOR HIGH ENERGY LINEAR ACCELERATOR SUITE WITH
    MLC, IMRT, SRS & SRT CAPABILITIES, AND TREATMENT PLANNING SYSTEM

    Mandatory Requirements

          1. The quoted model should be FDA approved.
          2. In addition, the quoted model should have been type approved by AERB.
             FDA & AERB Type approval certificates should be enclosed with the bids.

        General Requirements
          The company supplying the unit should be a reputed one with at least 5 similar units
          already installed and functioning in the country. Customer reports issued by reputed
          hospitals should be enclosed. The IMRT unit quoted in the main offer should
          include SRS / SRT treatment capability (with MLC leaf with 3 mm or less at


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    isocenter), full SRS/SRT accessories and dosimetry paraphernalia for
    successful implementation of IMRT, SRS/SRT apart from routine RT
    treatments. The quoted model should have a modular feature and should be
    upgradable to the kV-based IGRT capability. The offer may also include the
    offer for upgrade of the main IMRT unit quoted in this main offer to IGRT unit
    within 5 years warranty period. These up grades include all H/w, S/w and
    necessary permanent licences for their successful working and the vendor
    should demonstrate and commission these features.


TECHNICAL SPECIFICATIONS FOR HIGH ENERGY LINEAR ACCELERATOR SUITE WITH MLC, IMRT
                            AND SRS/ SRT CAPABILITIES

The dual mode medical linear accelerator should be able to perform various specialized
treatment techniques such as:

     1.   Three Dimensional Conformal Radiotherapy (3D CRT)
     2.   INTENSITY MODULATED RADIATION THERAPY (IMRT)
     3.   Photon Arc Therapy
     4.   The quoted LINAC should be upgradable to IGRT and VMAT.

Hence, the LINAC should be the latest, upgradeable, multimodal, dual photon energy
with multiple electron energies Linear Accelerator with the following minimum technology
requirements:

     Klystron / Magnetron as the RF power source
     Demountable gridded electron gun for cost effectiveness.
     Sealed Ionization chambers for stable and accurate output is preferred
     In case open to air ion chamber is offered by the manufacturer, then special 10
      years warranty should be offered for both photon & electron ion chambers.
    Single or hypofractionated treatments should be possible (software upgrades).
    Intensity-modulated radio-surgery for brain and spinal tumors facility should be
      available
    The system should enable sub-millimeter accuracy treatment
    IMRT treatment execution should be possible with the following modes: multiple
      static step and shoot fields, dynamic MLC fields, IMAT.
    The features in the LINAC should be upgradable to advanced features like
      VMAT in single rotation.
    Advanced features, available now, should be quoted separately.
1. PHOTON BEAM CHARACTERISTICS

    1.1. Beam Energies

                  The accelerator shall be capable of producing two clinically useful photon
                  beams with energies:
                        6 MV for the low energy, and
                        15 MV for the high energy
                  The minimum characteristics of 6 MV and 15 MV beams for a 10 x 10 cm 2
                  field at 100 cm TSD should be as follows:



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                   Nominal
                                                          % Depth Dose at 10 cm Depth
                   Energy Dmax (cm)
                                                          (10 cm x 10 cm field)
                   (MV)
                   6             1.5 ± 0.2                67.0 ± 2.0
                   15            3.0 ± 0.2                78.0 ± 2.0

                  The above characteristics, for both the energies quoted, should be
                  specified.

    1.2. Dose Rate and Beam Stability: The maximum dose rate for routine clinical
            applications shall be 400 or more monitor units (MU)/ minute for a 10 cm x 10
            cm field at Dmax at a TSD of 100 cm for both photon beams. Higher dose rate
            of about 600 MU/min or more for both 6 MV & 15 MV will be preferred (for
            successful implementation of SRS/SRT).
          1.2.1.         Reproducibility with Energy: Precision of the dosimetry
                  measurement system for each energy should be ±1% or ±1MU,
                  whichever is greater, at a fixed dose rate
          1.2.2.         Reproducibility with Dose vs. Dose Rate: The dose rate
                  dependence of the dosimetry system with variations in dose rate from
                  minimum to maximum is less than ±1% or ±1MU.
          1.2.3.         Reproducibility of Dose vs. Gantry Angle: The precision of
                  the dosimetry system is ±1.5 % at any gantry angle from 0 to 360
                  degrees.

    1.3. Beam Matching
           The low energy 6 MV of the quoted model must be set to finely match with
           the 6 MV beam of the existing LINAC in the department (Unit: Varian Medical
           System‟s CLINAC 600C unit with single photon energy 6MV without electron
           beam capability, TPR20,10 = 0.666; %DD at 10cm depth for 10x10 cm 2 field is
           66.5%; (more data will be provided when needed). Moreover, it should be
           possible to allow import and export of relevant set of machine parameters,
           between these machines to the quoted R&V system. This is required for the
           uninterrupted treatments to the cancer patients, if any one of the LINACs is
           down and under service. The fine beam matching between these machines
           should be demonstrated dosimetrically to the customer at the time of
           commissioning of the quoted Linac.

   1.4. Field Size Specifications
The field size is defined as the distance along the radial and transverse axes between
        the points of 50% density on an x-ray film taken at 100 cm TSD with buildup.
        The digital display, light field size and mechanical display should be accurate to
        within ±1 mm.36
        1.4.1. The accelerator shall provide a continuously variable rectangular,
                unclipped field size from 1cm x 1 cm to 35 cm x 35 cm at 100 cm SSD.
                The maximum clipped field size should equal or exceed 40 cm x 40 cm at
                100 cm SSD. Clipped corners are unacceptable for fields smaller than 35
                cm x 35 cm.
        1.4.2. A detachable block holder should be provided to accommodate 2 trays
                simultaneously for wedges and block trays. The size of the blocking trays


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                should be at least 5 cm larger than the maximum field size at the lower
                position. Specify location and size of blocking trays.
         1.4.3. Asymmetric Collimation
                Asymmetric collimation for two sets of jaws shall be provided. One set of
                jaws shall be capable of crossing the centre line by at least10 cm as
                projected at 100 cm TSD. The collimators shall re-centre automatically
                when the symmetrical mode of operation is re-selected.

    1.5. Beam Profile
        1.5.1. Field Flatness Specification
               Flatness is defined as the maximum variation from the mean x-ray dose
               delivered within the central 80% Full Width Half Maximum (FWHM) region
               measured at 100 cm TSD at a depth of 10 cm. The mean is the average
               of the maximum and minimum points within the central 80% FWHM
               region. The flatness shall not exceed ±3%. This applies to both the
               radial and transverse axes of all square field sizes from 10 x 10 cm 2 to 40
               x 40 cm2. The maximum variations for the above field sizes for both
               energies may be shown.

         1.5.2. Field Symmetry Specifications
                Symmetry is defined as the maximum difference between the X-ray dose
                delivered to any two points which are equidistant and symmetrical about
                the central axis and within the central 80% FWHM region measured at
                100 cm TSD at a depth of 10 cm. The symmetry shall be within 2% for
                both radial and transverse axes of all square field sizes from 10 x 10 cm 2
                to 40 x 40 cm2 and for gantry angles 0, 90, 180 and 270 degrees. The
                maximum variations for the above field sizes for both energies may be
                shown.

    1.6. Mechanical and Motorized/ Dynamic/ Virtual Wedges
        1.6.1. Mechanical wedges: A minimum of 4 fixed universal type physical
               wedges with nominal wedge angles 15, 30, 45 and 60 degrees, suitable
               for both energies with treatment field sizes at 100 cm SSD as 20 cm x 40
               cm for 15, 30 and 45 degrees wedges and 15 cm x 40 cm for the 60
               degree wedge.
        1.6.2. Motorized/Enhanced Dynamic/Virtual Wedge: The machine shall have
               in-built automated computerized wedge that can produce effects of any
               wedge angle up to 60 degree.

    1.7. Radiation Leakage
Radiations (Photon and Neutron) leakages shall be within the acceptable limits
                   prescribed by various international guidelines for the Medical
                   Linear Accelerators.


         1.7.1. Photon Leakage: The photon leakage rate at any point one meter from
                the target outside the cone defined by the primary x-ray collimator shall
                be less than 0.1% of the absorbed dose at the isocenter.




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        1.7.2. Collimator Transmission: The movable collimators shall not permit
               transmission of radiation exceeding 0.5% of the central axis dose at D max
               measured in air for both photon energies.
        1.7.3. Neutron Leakage: The neutron leakage rate should not exceed 0.15%
               expressed in neutron dose equivalent (REM) when added to the photon
               leakage for a 10 x 10 cm2 field at the isocenter at any point one meter
               from the target when the jaws are closed. It is the responsibility of the
               bidder to do neutron leakage tests every year / as and when required
               by the customer / AERB at the bidder’s own expenses.
        1.7.4. In addition to the above requirements for radiation leakage, the LINAC
               should also meet all the mandatory safety and radiation leakage as
               specified by the Atomic Energy Regulatory Board, Mumbai, India in its
               report “Acceptance / QA Tests for Medical Linear Accelerators”.
        1.7.5. Specify all Beam-Off Interlocks
    1.8. Photon Arc Therapy
        1.8.1. Bi-directional conformal arc therapy should be included with Automatic
               calculation of Dose per degree based on the Dose Rate selected and the
               Arc angle set.

2. ELECTRON BEAM CHARACTERISTICS
   2.1. Electron Beam Energies.
              Four clinically useful electron beam energies shall be provided viz. 6, 9,
              12, 15 MeV. Energy shall be specified as the most probable energy (Ep)
              of the electron energy spectrum at 100 cm from the accelerator exit
              window.

   2.2. Dose Rate
               The dose rate at the isocenter shall not be less than 300 MU/minute for
               each electron energy. Higher dose rate for all energies are preferred.
               Please quote higher dose rates separately.
   2.3. Field Size
               The electron beam size is defined by the inside dimensions of the
               electron beam applicators projected geometrically to a plane surface at
               100 cm SSD. A range of field sizes from 4 x 4 cm 2 to 25 x 25 cm 2 is
               required. A method to obtain irregular field shapes shall be provided.
       2.3.1. It shall be possible to visualize both the field defining light and the optical
               distance indicator with an electron applicator in place.
       2.3.2. Please offer complete set of electron applicators (5 nos or more), for
               various field sizes including custom aperture fabrication hardware for
               electron applications.
3. ACCESSORIES: Please offer the following accessories for the LINAC:
       3.1.1. Collimator mount accessories:
           3.1.1.1.    Interface Mount
           3.1.1.2.    Electron Arc Applicators and Mold Frames
           3.1.1.3.    4 wedges set: 15, 30, 45 and 60 degrees
           3.1.1.4.    Additional Beam Block Tray sets: both solid and slotted-starburst
                       pattern- (with crosshair scribed in center of tray) for use with &
                       without MLC. Should include coded trays for use with verification
                       systems.
           3.1.1.5.    Separate low (6 MV) and high energy (15 MV) beam pre-shaped
                       block systems

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         3.1.2. Compensator Mount
         3.1.3. Upper and Lower Compensator Trays
         3.1.4. Accessory mount
         3.1.5. Port film graticule
         3.1.6. Adequate spare parts should be kept in the department (as the
                maintenance of the linac comes under warranty it is the responsibility of
                the bidder to keep adequate number of spare parts to avoid imposing
                penalty). A complete set of extended spare parts shall be supplied/ made
                available at the end of 10th year, i.e., when the warranty & CAMC get
                over.
         3.1.7. Stereotactic motion disable kit for treatment table and gantry
         3.1.8. Collision detection system for the collimator, so that automatic field
                treatments can be carried out without any hindrance.
         3.1.9. Please offer QA software for quality assurance module for Linear
                Accelerator including static& dynamic MLC using state of art Dynalog
                analysis software. The software tool for automation of quality assurance
                data acquisition, data analysis and reporting should be included.

    3.2. Beam Profile (for electron beams)
        3.2.1. Field Flatness
               Flatness for electron beam field is defined as the maximum variation from
               the mean electron ionization within the central 80% FWHM region. The
               mean is the average of the maximum and minimum points within the
               central 80% FWHM region.
               The maximum percent variation of the electron intensity at 100 cm SSD at
               Dmax shall not exceed 5% (within the central 80% of the longitudinal and
               transverse axes relative to the central axis) for the field sizes from 10 x 10
               cm 2 to 25 x 25 cm2 and for all the electron beam energies.
        3.2.2. Beam Symmetry
               Symmetry is defined as the maximum difference between the ionization
               delivered to any two points that are equidistant and symmetrical about the
               central axis and within the central 80% FWHM region.
               The maximum percent variation in the average electron intensity to the
               longitudinal and transverse halves of the electron field at Dmax for a 10x
               10 cm 2 to 25x25cm 2 fields at 100 cm SSD shall not exceed ±2% at gantry
               angles of 0, 90, 180 and 270 degrees. The average electron intensity is
               the average of the maximum and minimum points within the central 80%
               of the field for each of the axes.

   3.3. X-ray Contamination
The x-ray contamination of the electron beam shall be less than 5% of the maximum
       dose for all energies specified previously.

    3.4. Total Skin Electron Irradiation Mode: A high dose rate electron mode for total
           skin electron irradiation must be provided with a minimum dose rate of 2500
           MU / minute or above at Isocenter for the 6 MeV electron beam
    .
    3.5. Arc Electron mode and Total body electron mode should be provided and
         quoted. All accessories required should be quoted.
    3.6.



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4. OTHER SPECIFICATIONS
   4.1. TAD, Isocenter accuracy and digital displays:
       4.1.1. The target to axis distance should be 100 ± 0.2 cm. The isocenter shall
              lie within a sphere of radius 1 mm.
       4.1.2. The accelerator gantry shall be capable of rotation equal to or greater
              than 360 degrees with a variation of the mechanical and radiation
              isocenter during entire rotation shall be within ±1mm.
       4.1.3. Digital scales indicating gantry angle position, collimator angle and the
              field size shall be provided both in treatment room and at the control
              console. Accuracy of the scales shall be ± 0.5 degree.
       4.1.4. The distance from the end of the lower collimator to the isocenter shall be
              greater than 45 cm. The bottom of the blocking tray should be greater
              than 30 cm from the isocenter.
       4.1.5. The height of the isocenter above the finished floor shall be less than 135
              cm.
       4.1.6. A complete set of pre-shaped beam blocks shall be provided.

    4.2. Treatment Couch (with indexed carbon fiber table top)
        4.2.1. The couch should be designed for use in IMRT, IGRT, SRT, SRS
                treatments.
        4.2.2. Should be made of carbon fiber and free of metal and other artifact-
                creating materials.
        4.2.3. Should support patient weighing up to 200 kg, and deflection should be <
                4 mm
        4.2.4. Emergency off buttons should be available on both sides of the couch.
        4.2.5. Should have two hand pendants that control both LINAC and Couch
                adjustments and motions.
        4.2.6. Full range of vertical, horizontal, lateral, tabletop and couch rotational
                motions of the treatment couch should be specified. The accuracy of all
                the scales including digital scale displays shall be less than ± 1 mm for
                linear motions and 0.5˚ for rotational motions.
        4.2.7. The maximum height of the couch shall be at least 40 cm above the
                isocenter. The lowest couch position shall be less than 63 cm above the
                finished floor. (To match with the existing simulator couch in the
                department: Simulator model Acuity, couch: Exact couch with carbon fiber
                table top)
        4.2.8. Should have side panel controls to adjust all couch motions and should
                have switches for wall and back pointer lasers, as well as room, field and
                range-finder lights.
        4.2.9. Convenient digital display of scales in metric units shall be incorporated
                on the couch or on an in-room monitor that will allow the operator to
                check the orientation of the couch height and couch angle with respect to
                the gantry. Accuracy should be as indicated in 3.2.6.
        4.2.10. Should be fully compatible and mountable with immobilization
                accessories for accurate patient positioning
        4.2.11. Should be provided with grab handles for easy manual motion.
        4.2.12. The couch top shall have removable side rails, with attached universal
                clamps and immobilization straps for head shaped detachable attachment
                to avoid couch interference while treating Head and Neck cases. Patient
                support panels in the couch (tennis racket or Mylar) shall be provided to



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                  facilitate large posterior treatments at extended distances without moving
                  the patient.

    4.3. Treatment Room (In-room) and Console Position Displays
For accuracy and faster execution of patient setup, the following digital displays
                   should be available both in treatment room and at the
                   operator console panel: collimator jaw settings (both
                   symmetric and asymmetric), gantry rotation angle, collimator
                   rotation angle; treatment couch vertical, lateral and
                   longitudinal positions, couch rotation angle about isocenter.
                   Accuracy of collimator and gantry angle displays shall be ±
                   0.5 degree, with a resolution of 0.1 degree. Accuracy of
                   collimator jaw position displays shall be ± 1 mm with a
                   resolution of 1 mm. Accuracy of the couch vertical, lateral
                   and longitudinal displays shall be ± 2 mm with resolution of 1
                   mm.


    4.4. CCTV Camera System
        Two Camera CCTV systems with colour monitors in the control console for
        monitoring patient activity inside of the treatment room should be quoted.

    4.5. Patient Intercom System
        The patient Intercom system for two way audio communications with the patient
        in the treatment room from the treatment console area should be quoted.

    4.6. MLC – Multi Leaf Collimator
        4.6.1. The MLC system quoted shall have at least 120 or more High Definition
                leaves or its equivalent that is capable of treating SRS and SRT. The
                resolution of the MLC leaves (leaf width) at isocenter shall be 5 mm or
                less. The over travel distance of the MLC leaves shall be at least 10 cm
                or more.
        4.6.2. MLC offered should be meant for performing the following treatment
                techniques:
            4.6.2.1.    Step-and-shoot IMRT
            4.6.2.2.    Dynamic IMRT
            4.6.2.3.    ARC IMRT (ARC MLC)
            4.6.2.4.    Volumetric IMRT
            4.6.2.5.    Large field IMRT for maximum available IMRT fields to be
                        delivered in a single plan field should be specified.
            4.6.2.6.    SRS and SRT Treatments
            4.6.2.7.    Speed of the MLC leaves should be specified.
            4.6.2.8.    Number of MLC pairs offered should be specified
            4.6.2.9.    The MLC should have the maximum field size of 40 x 40 cm 2.
            4.6.2.10. The MLC should provide efficient beam shaping for 3D conformal
                        radiotherapy, static & dynamic and conformal arc modes.
            4.6.2.11. MLC leaf should retract to allow conventional techniques and
                        interdigitate for IMRT treatments.



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             4.6.2.12. Whenever MLC is under repair, LINAC should still be usable to
                         treat routine conventional treatments.
    4.7. Portal Imaging (Electronic Portal Imaging System)
        The Electronic Portal Imaging Device [EPID] - MV imaging system that allows for
        verification of patient setups, treatment portals and pre-treatment QA - with the
        following features should be part of the LINAC unit:
        4.7.1. Shall be based on amorphous silicon (aSi) flat panel detector technology
        4.7.2. Should be capable of producing images with any photon energy
        4.7.3. Active imaging area of at least 40 cm x 30 cm with a pixel matrix of 1024
                 x 768 or more
        4.7.4. Should be lightweight, motorized and with retractable arm to position and
                 hold the detector.
        4.7.5. PC with 21” LCD colour monitor for acquisition and viewing to be the part
                 of the system.
        4.7.6. The portal imaging should be fully integrated with LINAC and IGRT (if
                 IGRT is included in the main offer)
        4.7.7. Image capture should be possible at all gantry angles.
        4.7.8. The retractable arm of the detector should be of robotics type and remote
                 controlled.
        4.7.9. The portal imaging system should have software for setup verification
                 with simulator images and TPS-DRR images and should have evaluation
                 tools to determine systemic and random errors.
        4.7.10. Match and Review software should be included for image analysis.
        4.7.11. Portal dosimetry should be available.
        4.7.12. Portal imaging system should be capable of doing online portal dosimetry.
                 Necessary dose prediction and evaluation methods should be provided to
                 TPS for Portal Dosimetry. A wide range of dose rates and energy should
                 be possible for performing this pretreatment QA for both segmental (step
                 and shoot) as well dynamic IMRT treatment plans.
        4.7.13. The portal images acquired for a patient should be automatically tagged
                 to the particular patient‟s file.
        4.7.14. The image should be available at Review workstation along with patient
                 record.
        4.7.15. The imaging detectors should be replaced free-of-cost as and when the
                 image quality deteriorates from the quality at the time of acceptance.
        4.7.16. QA equipment for portal vision including necessary software and
                 hardware (phantom) should be included.

    4.8. LASERS (Laser Alignment System)
           The vendor shall quote 4 green LAP lasers (two side-wall lasers, one ceiling
           laser and one sagittal laser).

    4.9. IMRT Capabilities: Delivery software for the following IMRT treatment
         techniques should be included.
        4.9.1. Step and shoot IMRT (Static IMRT)
        4.9.2. Dynamic IMRT
        4.9.3. ARC IMRT
        4.9.4. Volumetric IMRT
        4.9.5.




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5. Oncology information / treatment record and verify (R&V) system with Auto Field
   Sequencing (Networked Radiotherapy Information System)
   5.1. The vendor shall provided a comprehensive oncology information & image
           management and treatment record & verify system. The system shall assist
           in the integration of radiotherapy patient data throughout the entire
           department, which includes linear accelerators, CT-Simulator, treatment-
           planning systems. It shall also record and verify treatment parameters of
           patients undergoing treatment on the LINAC(s). The system shall be based
           on one comprehensive database, thereby eliminating the need for redundant
           entry of data used in different applications.
   5.2. The OIS / R&V system shall provide the following functions: Record and Review
           Patient Diagnoses; Plan a course of treatment in advance so that treatments
           are readily delivered when the patient arrives; Write RT prescriptions that
           detail treatment techniques, fractions, and dose; Define treatment fields; Link
           setup fields and notes to treatment fields; Setup notes can include photos that
           show how to set up the patient; Track dose to specific sites; Define site
           breakpoints with instructions that appear when the breakpoint will be exceeded;
           Store treatment plan information to avoid redundant and time-consuming data
           entry.
   5.3. MLC user operation shall be accomplished entirely through the Networked
           Information System, thereby eliminating the need for a separate control
           station for the MLC. Planned leaf shapes shall be incorporated directly into a
           patient‟s planned treatment field(s) in the electronic Chart.
   5.4. The MLC shape shall automatically appear on the Networked information
           system treatment screen during the setup and treatment of any patient with a
           planned MLC shape. The shape shall be displayed simultaneously with all
           other pertinent treatment parameters.
   5.5. The system shall have the capability of storing patient photos facilitating correct
           treatment. The digital patient photographs should upload to the database.
           After treatment of the first field, all subsequent fields shall be automatically
           and sequentially downloaded to start auto-setup of the next field without
           requiring operator interaction at either the Networked information system
           console or In-Room Monitor.
   5.6. Port images shall be capable of being planned ahead for appropriate treatment
           sessions, completed with prompting from the system, and automatically
           recorded in the electronic chart. Portal dose shall be capable of being
           accumulated, if desired. The system shall permit override of individual
           treatment parameters (couch longitudinal for example) and require a
           password and appropriate user rights to successfully complete the override.
   5.7. The record and verification station shall accept and store demographic data, notes
           or comments and diagnostic information for each radiotherapy patient. When
           the patient proceeds with tumor localization, treatment planning and simulation,
           the treatment parameters will also be entered into the patient's file automatically
           or manually.
   5.8. A daily patient schedule and time management schedule must be capable of being
           displayed on the computer monitor at the record and verify workstation. This
           schedule shall include, at a minimum, the scheduled treatment time for each
           patient, the patient's identification number and the patient's name. The
           schedule shall be used to select a patient for treatment on the accelerator.
   5.9. The OIS system shall be capable of maintaining a record of field-specific and
           treatment-specific daily and cumulative doses for the target site and additional

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          sites of interest. It shall be possible to specify a prescribed dose for each
          treatment site for every patient. The system shall prevent treatment if this dose
          will be exceeded upon completion of the treatment. A manual override shall be
          provided. Overriding prescribed dose limits by unauthorized personnel shall not
          be permitted. After the daily irradiation of a patient, the therapy history will be
          updated and the given target doses, or doses calculated to other sites, shall be
          accumulated.
    5.10.       The Operating System shall provide a convenient and efficient means for
          the user to generate and to print hard copy reports of information contained in
          the database.
    5.11.       The scheduler of the Networked radiotherapy information system should
          be capable of maintaining schedules for multiple departments and scheduling
          any resource desired by the site. It should have a graphical user interface for
          ease of customizing schedule views, changing appointment times and
          minimizing keystrokes.
    5.12.       The system shall provide the capability to integrate simulation, CT, MRI,
          PET and electronic portal imaging system images into the OIS database to
          provide a readily available reference during the patient‟s course of treatment.
          Reviewing images immediately after acquisition from a remote location shall
          be permitted. The system shall provide the additional feature of managing
          drug administration to patients.
    5.13.       The Hardware should consist of the following: Two separate, but fully
          integrated servers, one each for data management and image management
          with back up with 120 GB capacity or more to handle our busy department
          workload; 6 additional Image Workstations for Review and Approval; a latest
          5 mega pixel digital camera (lithium ion battery with at least 1 GB memory
          card) for acquiring patient photos; a networked color image DICOM laser
          printer; capability for high speed internet connectivity for Online Service
          support. A camera having capable of taking both still as well as motion
          picture having latest configurations should be supplied including tape drives
          and tapes for backup.
    5.14.       Connectivity: DICOM RT interface application to support transfer of
          images and plan data using industry-standard protocol DICOM full support for
          DICOM RT, DICOM 3. Necessary Permanent DICOM licences should be
          offered. DICOM RT should support the following:
       5.14.1. RT IMAGE,
       5.14.2. RT PLAN (including Dynamic MLC and prescription MU),
       5.14.3. RT STRUCTURE SET,
       5.14.4. RT DOSE,
       5.14.5. RT TREATMENT RECORD,
       5.14.6. RT TREATMENT SUMMARY RECORD,
       5.14.7. DICOM RT PRINT.

6. NETWORKING: OVERALL
   6.1. In addition to the clause 5 above, the offer should include for complete
        networking between the offered High Energy Linac, HDR Brachytherapy suite,
        CT-Simulator system, 3-D TPS and other workstations in this offer. In addition
        to that the networking should be established and demonstrated to the existing
        facilities in the department (existing units are listed in clause 6.2). It is just not
        enough to declare the feasibility of complete networking, but the offer should be
        for establishing the network and demonstrating it to the customer‟s satisfaction.

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          All licenses required for comprehensive networking should be permanent ones,
          including DICOM 3, DICOM-RT, DICOM RT PRINT and other image export and
          import facilities. Offer should include all s/w and h/w required to successfully
          establish this networking. The requirements in this clause are mandatory and
          should be clearly indicated in both technical and financial bids. Internet
          broadband connection should be included in this offer for remote
          servicing of LINAC, TPS, Brachytherapy unit, CT-Simulator, etc. Two Laptops
          with Windows OS and MS Office should be supplied.

    6.2. As noted in the clause 6.1, the following equipment that are already
           installed in the Department at the Main building should also be included
           in the network, including DICOM networks. All the software and
           hardware should be quoted as part of the main tender. Moreover,
           complete networking should be established by including in the OIS and
           to be demonstrated to the customer for final acceptance. All licenses
           required for establishing complete networking should be permanent.
            Digital Simulator – make: Varian; Model: Acuity
            Low Energy LINAC – make: Varian; Model: CLINAC 600C with
               Electronic Portal Vision imaging device.

    6.3. IMPORTANT: The treatment console should be fully integrated (like 4D
           integrated treatment console) to provide streamlined front-end integration
           with MLC workstation, Portal Imaging workstation and other imaging and TPS
           workstations.

    SPECIFICATIONS FOR TREATMENT PLANNING SYSTEM

7. 3D Treatment Planning System (3D-TPS)

    7.1. An advanced, FDA approved, top-end 3-dimensional treatment planning system
           (3D TPS) that supports multiple dose calculation algorithms such as Monte-
           Carlo, anisotropy analytical algorithm, Collapsed Cone Beam algorithm,
           convolution superposition algorithm should be supplied. At least two
           calculation algorithms for photons and two for electron beams shall be
           quoted. The TPS software shall run on a very powerful, graphics intensive
           computer system with adequate, latest backup technology. The system shall
           have high capacity hard disks and a DVD writer.
    7.2. HARDWARE: The TPS software shall run on a very powerful, graphics-intensive
           computer system with adequate, latest back-up technology. The system shall
           have hard disk capacity of more than 160 GB, 2 GB RAM and a DVD writer.
           The latest hardware at the time of purchase should be supplied. A complete
           anti-virus software which can be updated free of cost during warranty period
           of the LINAC should be supplied. The system should have a fast multi-colour
           laser printer/ plotter to print data and isodose curves on A3 size paper.
    7.3. Two workstations enabling simultaneous contouring with licenses & additional
           two treatment planning workstations with full calculation licenses (IMRT)
           should be provided. These two systems should enable the user to perform
           routine non-IMRT, 3D CRT treatment planning concurrently while the main
           TPS is busy with IMRT planning. All H/w and s/w including IMRT s/w,
           network with OIS & necessary DICOM licenses should be extended to this
           system.

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    7.4. SOFTWARE: The software must be capable of performing both 3D-CRT
            and intensity modulated radiotherapy (IMRT) treatment planning for
            coplanar and non-coplanar beams in the same system and capable of
            performing both forward and inverse planning with adaptability for
            future upgradation. A TPS that can perform only IMRT treatment
            planning will be summarily rejected. The following software and tools
            should be available in the TPS:
        7.4.1. IMRT:
            7.4.1.1.   Both inverse planning and forward planning for IMRT and 3D
                       CRT should be available
            7.4.1.2.   For IMRT planning, the system must support both static (step-and-
                       shoot) and dynamic (sliding window) techniques
            7.4.1.3.   Support for coplanar and non-coplanar beam arrangements
            7.4.1.4.   Synchronous IMRT optimization with respect to existing plan
                       dose.
            7.4.1.5.   If IMRT is delivered as a boost dose after delivery of partial
                       treatment by conventional 3D-CRT plan, then it must be possible
                       to incorporate the delivered plan at the time of IMRT treatment
                       planning for the most optimal optimization.
            7.4.1.6.   Tongue &groove corrected MLC segmentation routine for all
                       vendors.
            7.4.1.7.   It shall be possible to do virtual simulation using the software and
                       licenses for virtual simulation feature and for controlling moving
                       lasers shall be provided.
            7.4.1.8.   Automatic image registration between different image sets
                       (CT/MRI/PET image fusion) should be offered as a standard
                       feature.
            7.4.1.9.   User selectable number of intensity levels
            7.4.1.10. Dose may be computed at a user-specified depth in a flat-water
                       phantom for QA check of optimized plan. Ability to run IMRT plans
                       on phantoms to create digital composite files for film comparison.
                       Fluence export license should be provided.
            7.4.1.11. QA data generation tools per beam and per plan
            7.4.1.12. IMRT QA tools
            7.4.1.13. Beam parameters from an optimized plan may be transferred to a
                       user-defined QA phantom.
            7.4.1.14. Dose QA export to IMRT plan verification software
            7.4.1.15. Intensity map BEV display
            7.4.1.16. DRR with widest MLC position of segments
            7.4.1.17. The TPS should also be upgradeable to IGRT, SRS & SRT, and
                       other upgraded features to be done in the LINAC system
            .
        7.4.2. PLANNING AND CONTOURING SOFTWARE:
            7.4.2.1.   Contouring tool to provide 3D auto margin and 3D variable margin
            7.4.2.2.   Automatically create margins in all six directions
            7.4.2.3.   Edit/ draw all contours, contour names, CT densities and colour
            7.4.2.4.   Continuous trace, point-to-point and auto contour via MR or CT
                       threshold
            7.4.2.5.   Automatic contouring of body structures for any given body
                   volume.



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             7.4.2.6.   Contour on primary image study (CT), secondary image study
                        (MRI and PET) or fusion images
             7.4.2.7.   CT, MRI, PET Image fusion tools. Image imports through DICOM.
             7.4.2.8.   Tool to match MRI, CT and PET images using reference points
             7.4.2.9.   Outline tumour volumes and critical structures on transverse,
                        visualize on sagittal and coronal planes including real-time 3D
                        visualization
             7.4.2.10. Contour interpolation
             7.4.2.11. Asymmetric stretch and resize
             7.4.2.12. Tools for asymmetric field settings and planning
             7.4.2.13. Rapid copy to superior or inferior slice
             7.4.2.14. Virtual fluoroscopy isocenter placement from AP and lateral
                    DRRs
             7.4.2.15. Auto computation of isocenter from target volume.
             7.4.2.16. Editing of origin placement in the reference slice and computation
                        of isocenter with reference to origin
             7.4.2.17. Should calculate each phase of treatment plan independently and
                        as a composite plan
             7.4.2.18. Spyglass tool for using image fusion feature.
             7.4.2.19. Should plan for the following combinations:
                 7.4.2.19.1. Photon – Photon
                 7.4.2.19.2. Photon – Electron: for all energy combinations
                 7.4.2.19.3. Electron – Electron: for all energy combinations
             7.4.2.20. Teletherapy – Brachytherapy cumulative dose display should be
                        possible
             7.4.2.21. Dose and marker point definition
             7.4.2.22. Export of isocenter coordinates with reference to origin to Laser
                        control system
             7.4.2.23. The system should support multi-venter laser marking software
             7.4.2.24. Pre-defined structure templates should be available that can be
                        used for all types of treatment
             7.4.2.25. Must be able to add / subtract pre-defined organs and/ or parts of
                        organs for defining areas of interest.
             7.4.2.26. Should be possible to display the calculated dose on sagittal,
                        coronal and arbitrary planes and on MRI, PET and fusion images
             7.4.2.27. Should support addition of bolus of different thicknesses
             7.4.2.28. Should be full integrated with the record and verify system
         7.4.3. IMAGING TOOLS:
             7.4.3.1.   Real time high resolution DRRs
             7.4.3.2.   Adjustable W/L presets for primary, secondary and DRR images
             7.4.3.3.   The DRR generation methods should include normal summed,
                        MIP and volume rendered (for soft tissue / bone weighted DRRs)
             7.4.3.4.   Tool to perform plan dose summation or subtraction, side-by-side
                        plan comparison and plan comparison using DVH
             7.4.3.5.   Facility to copy opposing fields including MLC, blocks and wedges
                        (mirrored)
             7.4.3.6.   Interactive BEV with DRR controls
             7.4.3.7.   Mouse and/or keyboard driven gantry, collimator and couch
                        positions
             7.4.3.8.   Mouse and digitizer contour entry
             7.4.3.9.   Multi-structure / multi-slice autocontouring

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             7.4.3.10. Slice-to-slice contour duplication and interpolation
             7.4.3.11. Variable 3D automargin generation
             7.4.3.12. Auto conformation of blocks or MLC to targets with gantry,
                        collimator and table adjustments
         7.4.4. UTILITIES:
             7.4.4.1.   Template plan storage / recall including graphics layout
             7.4.4.2.   Single / dual asymmetric jaws
             7.4.4.3.   Manual divergent blocking
             7.4.4.4.   Automatic blocking with margin
             7.4.4.5.   MLC Planning
             7.4.4.6.   Automatic MLC shaping with changes in machine parameters
             7.4.4.7.   Enhanced dynamic wedges
             7.4.4.8.   Virtual wedge / motorized wedges
             7.4.4.9.   Arbitrary weight point location
             7.4.4.10. Relative dose, absolute dose or MU weighting
             7.4.4.11. Bolus
             7.4.4.12. 3D Room‟s eye view with real time rotation of wire frame, solid
                        and transparent structures and dose clouds
             7.4.4.13. Transverse, sagittal, coronal and oblique views with/ without CT
             7.4.4.14. BEV with variable content display
             7.4.4.15. Export of DRR in DICOM secondary capture format
             7.4.4.16. Real time display of doses on sagittal, coronal and arbitrary
                    planes
             7.4.4.17. Global hot spots display
             7.4.4.18. MU/time calculation for both photons and electrons
             7.4.4.19. Dose profile generator
             7.4.4.20. DVH: differential and cumulative with multi-plan comparison.

         7.4.5. CALCULATION ALGORITHMS: At least 2 calculation algorithms for
              photons and 2 electron beams out of the following algorithms shall be
              quoted:
             7.4.5.1. Clarkson, 3D pencil beam, FFT, Convolution superposition, CCB
                      for photons and electrons
             7.4.5.2. Generalized Gaussian Pencil Beam and Monte Carlo for electrons

         7.4.6. The system should have an integrated patient database (RDBMS) that is
                 accessible to all Radiotherapy applications present in the department
                 through planning and contouring workstations.
         7.4.7. In addition to supporting the quoted LINAC in this tender, the TPS
                 software must support the existing LINAC and Cobalt units in the
                 department in all aspects (complete information will be provided by the
                 department during installation of TPS).
         7.4.8. External electron beam planning for coplanar and non-coplanar beams
                 should be provided with at least two calculation algorithms should be
                 supplied.
         7.4.9. IMPORT AND EXPORT: A complete DICOM-RT import/export license
                 must be provided along with the DICOM-3 image import/export
                 license.
             7.4.9.1.   Should be networked / integrated with CT-SIM, Oncology
                        Information / R&V system offered in this tender for image imports
                        and also with the existing simulator and LINAC in the department.

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             7.4.9.2.   Necessary permanent licence for all DICOM activities should be
                        included in the offer.
             7.4.9.3.   There has to be a seamless connectivity between different
                        systems for successful implementation of IMRT / IGRT
                        program and the responsibility for establishing such
                        integrated networking between different equipment / system
                        shall lie with the LINAC supplier.
             7.4.9.4.   DICOM RT (Structure and Plan) export to all treatment units
             7.4.9.5.   DICOM import through network from Imaging (CT, MRI, PET,
                        SIMULATOR, CT-SIM) and contouring systems
             7.4.9.6.   CT/MRI/PET software interface with the existing units in the
                    hospital
             7.4.9.7.   CT interface via CD/DVD
             7.4.9.8.   RTOG DICOM export
             7.4.9.9.   DICOM Print
             7.4.9.10. Export coordinates to all existing Laser systems in the department
             7.4.9.11. Export of coordinates of reference points of planned isocenter
                        during virtual simulation

         7.4.10. CONFIGURATION OF TREATMENT PARAMETERS:
             7.4.10.1. Beam data entry via keyboard, digitizer, water phantom, RFA
             7.4.10.2. Should accept data from Scanditronix Wellhofer, PTW or other
                        dosimetry systems
             7.4.10.3. General Beam parameters: Gantry, collimator, table conventions,
                        single and dual asymmetric jaw limits, PDD, OAR, TAR, TPR,
                        BSF, Phantom scatter correction factor, wedges, blocks,
                        compensator, bolus, IRREG fields, TBI, Total Skin Electron
                        Irradiation, TBPI.
             7.4.10.4. Should accept physical as well as motorized / dynamic wedge
                        parameters
             7.4.10.5. Multi-window overlay of measured Vs generated depth dose and
                        profiles
             7.4.10.6. Multiple tray factor definition for each treatment machine
             7.4.10.7. Output factors editor
             7.4.10.8. Two additional workstations shall be supplied. Full network
                        connectivity between the LINAC, the oncology information &
                        treatment record & verify system, its additional workstations, all
                        imaging, treatment planning, and treatment delivery systems on
                        both locations must be established. The location of the two
                        additional workstations will be informed later.
             7.4.10.9. The TPS and its workstations will have 21” LCD monitors.
             7.4.10.10. Please offer all advanced features such as automatic contouring,
                        smart segmentation, couch attenuation correction feature, fluence
                        export license for patient specific QA and 4D planning in the
                        Treatment Planning System




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8. Dosimetry Instruments / Accessories

         The following dosimetry instruments / accessories that are required for the
         optimal functioning of the radiotherapy department shall be provided by the
         vendor. Technical specification of Dosimetry System

    8.1. Secondary Standard Dosimeter, ion chambers, water phantom, check
         sources

         8.1.1. For the calibration of Photon beams: A well-proven, reliable, high
                quality secondary standard (Reference class) dosimeter shall be
                provided. Two calibrated Farmer type thimble 0.6 cc ion chambers (N Dw
                calibration factor), calibrated at a primary / secondary standard lab, along
                with one check source shall also be provided. The calibration certificates
                for the 0.6 cc ion chambers shall also contain the reading of the check
                source mentioned. The dosimeter and all the ion chambers shall have
                triaxial TNC threaded connector to facilitate uniformity amongst all the
                dosimetry instruments. The dosimeter shall have wide measurement
                range and a large multifunction display. It shall be capable of measuring
                both current and charge with excellent resolution. It shall have negligible
                leakage current. There shall be provision for at least 2 different bias
                voltages. Additionally it shall be possible to alter the polarity. Connecting
                cable of adequate length (15 m) with TNC connectors should be provided.
                BNC to TNC and TNC to BNC connector adapters shall also be supplied.
                The dosimeter shall have extremely good accuracy, repeatability, and
                stability. Two such dosimeters are to be supplied. Please provide
                specifications.
         8.1.2. Water Phantom: One simple, open-top water phantoms of interior size
                30 cm x 30 cm x 30 cm shall be provided for performing teletherapy
                dosimetry. The water phantom should have different chamber holders
                and manual depth adjustment (in millimeter accuracy) provision. The
                outer surface of the phantom shall have accurate markings to know the
                water height above the center of chamber. At the bottom of phantom
                there shall be a rectangular marking with cross hairs to align the phantom
                and ion chamber with the central axis of the beam. There shall be a tap
                on one of the sides for draining out the water. Levellers should be
                available at the bottom of the phantom for level adjustments.
         8.1.3. For the calibration of electron beams: Two plane-parallel ion chambers
                complete with a dedicated check source and NDw calibration certificates
                (with the check source reading noted on it) shall be provided. One of the
                chambers shall be a waterproof vented Advanced Markus type (0.02 cc)
                and the other should be either Markus (0.055cc) or ROOS or NACP type
                chamber. The chambers shall be completely waterproof, but preferably
                not have any water-proof caps, sheathing and should be directly
                immersible for use in water phantom. It shall have triaxial TNC threaded
                type connector. Should include 15 m or more connecting cable with TNC
                plug.
         8.1.4. Solid water-equivalent slab phantom: A solid, water equivalent
                phantom made up of slabs of different thickness shall be provided by the
                vendor for external beam dosimetry. It shall be possible to use this
                phantom for both photon and electron beam dosimetry. The phantom

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                shall be free of contaminants and air bubbles. Guarantee should be
                provided for electron density and homogeneity and shall be certified to be
                within 0.5% of water at photon energies. The slabs shall be of 30 x 30 cm
                size totaling a thickness of 50 cm. The exact details of the slab thickness
                and their quantities shall be obtained from the user department. Different
                slabs (of 2 cm thickness) with appropriate cavities to accommodate
                the two 0.6 cc ion chambers, parallel plate ion chamber, stereotactic
                chambers should be provided additionally. The mechanical
                specifications for these chambers may be obtained from the user
                department. The solid water phantom will not be accepted without these
                special 2 cm thick slabs to accommodate the different chambers. Please
                note that these special slabs are in addition to the simple, solid slabs
                totaling a thickness of 50 cm. The phantom shall be of rigid type and
                should not show any kind of charge build-up effects. It shall not be
                affected by any change in ambient temperature and humidity.
         8.1.5. Extension cable reel for Ionization Chambers: This should be in addition
                to the connecting cables (15 m or more) with TNC type adopter should be
                quoted.
         8.1.6. All the above chambers along with the Electrometers should be duly
                calibrated at a Secondary standard Lab and should be completely
                waterproof. Calibration certificate (with Ndw calibration factor) must be
                enclosed.

         8.1.7. Please provide exhaustive details about the items offered. Since these
                items shall form the backbone of dosimetry, stress will be on the quality of
                items offered.

    8.2. Three-Dimensional Radiation Field Analyzer
        A 3D Blue phantom or its equivalent as follows should be quoted:
        8.2.1. For complete Quality assurance of Medical Accelerator and Cobalt unit
               used in Radiotherapy for treatment of cancer using Photon and Electron
               Beams with and without multileaf collimator and stereotactic options and
               asymmetric collimators. The latest and most technically innovative
               systems keeping in mind future developments has to be quoted designs
               and system more than 3 year older should not be quoted.
        8.2.2. RFA Water Phantom: Latest design with scanning volume of x=480mm,
               Y=480mm and z=410mm or more with calibrated positions scale on each
               arm to indicate mechanical position of detector to be driven by high
               precision DC motors preferably brush less and position feedback
               potentiometers for higher position accuracy which should be ±0.5mm. An
               Integrated floating leveling mechanism must be available for faster
               leveling of the water phantom. It should be possible to acquire data
               both in true Continuous movement and step movements with a
               variable scan speed for both. A local control should be available for
               easy positioning of the detector at Isocenter with fast and slow movement
               features. Side windows may be provided for more accurate
               measurements by rotating the gantry on either side. The complete water
               phantom should have a aesthetic design and the servo arms well
               supported on both the sides and movement of detector mounting by
               reinforced toothed belts for better reproducibility which should be min 0.1
               mm or better. The water phantom should have the possibility of mounting

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                  the Detector arrays and other detector including standard detectors from
                  all manufacturers. All components used in the manufacture of the water
                  phantom should not be affected with the primary or secondary radiation
                  beam after prolonged use. The wall thickness should be greater than 12
                  mm (preferably 15 mm) made of Acrylic (Plexiglas).
         8.2.3.   RFA Control unit: An Integrated control unit for control of Water
                  Phantom Servo and Electrometer for acquiring data should be provided
                  with floating inputs to avoid health hazard. The Dual channel Electrometer
                  with standard charge collection should have standard TNC connection so
                  that any standard Detector like Ionization chamber or Semiconductor
                  Detectors can be connected. It should be possible to connect Detectors
                  from other manufacturers with standard connectors preferably without
                  additional adaptors. Resolution of Current Sensitivity should be 1femto
                  Amps or better. Automatic gain adjustment of electrometer should be
                  possible on all ranges along with manual settings. The Bias/polarizing
                  voltage should be reversible and adjustable in steps of 1 volt from –480 to
                  + 480 volts. It should be possible to measure in Ratio mode as well as in
                  single zero referenced mode. The control unit should be Ethernet
                  interfaced to a normal computer and completely software driven and can
                  be interfaced with the LDA electrometer. It should be possible to use
                  /upgrade the same unit for use with in air scanners or other such devices
                  for Dosimetry.
         8.2.4.   Data Analysis Software: Should be the latest release and user-friendly
                  windows driven loaded on normal computers compatible with the latest
                  windows operating software and well as older version. Software should
                  be multitasking i.e. with acquisition in the back ground it should be
                  possible to analyze data in the front. It should be backward compatible
                  with earlier version and easily upgradeable for future compatibility of
                  newer techniques.
         8.2.5.   Acquiring of Data: Acquiring In-Air, In-Water and Film Profiles, multiple
                  profiles, star patterns, diagonal scans, PDDs, fan Lines, to calculate TMR,
                  Isodoses, Absolute dosimetric, point-to-point measurements, etc., in
                  different modalities should be possible. All acquisition sequences data
                  should be stored as Queue‟s and should be possible to generate
                  automatically, to store, to edit and to retrieve for later use. All environment
                  data should be stored automatically along with each measurement.
                  Warnings and Cautions should automatically pop up during
                  measurements in case of change in important parameters like field size or
                  energy is to be carried out or in case danger to operator or equipments is
                  anticipated while measurements are going on. Automatic queue
                  generation for internationally available TPS should be incorporated.
                  During measurement it should be possible to stop, restart queue, restart
                  particular scan, pause and continue including during beam loss due to
                  radiation failure. Real time Parameterization should be done directly
                  during measurement according to standard Dosimetry Protocols.
         8.2.6.   Data Analysis: Feature should include real time analysis of data with
                  standard protocols like IAEA TRS 398, IEC, AAPM TG 51, ICRU, DIN,
                  JARP and manufacturers‟ protocol like Varian, Elekta and Siemens. User
                  defined protocols should also be possible. Renormalization, centering,
                  Move of data points, rotating, symmetries, creating table and converting
                  ionization to dose should be possible with the acquired data. Editing of

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                 curves like cut, copy, paste and individual dose points should be possible.
                 Join, add, paste of profiles and PDDs in same window or different
                 windows should be possible for individual as well as multiple curves. It
                 should be possible to create TPR tables with different resolution and
                 using various field sizes from the profiles and PDD curves, TPR tables
                 using BJR 17 and BJR 25 should be possible. It should be possible to
                 zoom curves and cursor indication of Data points should also be possible.
                 It should be possible to calculate the output factor and Isodose with the
                 acquired data. It should be possible to edit the units of calculation like
                 temperature, pressures, distances, dose correction factors and Absorbed
                 dose units. It should be possible to integrate, read and analyze data on
                 the latest film Dosimetry system available in hospital. Off-Center-Ratio
                 (OCR) tables and other calculation should clearly be mentioned in the
                 software functions.
         8.2.7. Data display: It should be possible to view data with graphic
                 representation (2D as well as 3D) and as well as in ASCII format, with
                 multiple windows in tile or cascade form. The measured data should be
                 transferable to TPS via CD/flash drive/Network.
         8.2.8. Data Management and Administration: The complete software should
                 be compatible with windows environments with back ward compatibility
                 and upgradeable to be used with newer version of the operating systems.
                 Saving, retrieving and transfer of data compatible with different RTP
                 system be possible along with networking. It should include help feature
                 including the current operating manuals and in electronic data format.
                 Hard copies of Acquired data should be possible on all printers
                 compatible with window‟s software.
         8.2.9. Detectors: Appropriate semi-conductor photon detector, semi-conductor
                 electron detector, small volume ion-chambers (0.125 cc or Pin-point
                 chamber), a reference detector shall be supplied. All detectors should
                 be water proof without sleeves and be capable of being used in
                 water for prolonged time. One set specially designed Photon, Electron
                 and reference 3rd Generation Semiconductor detectors along with
                 semiconductor stereotactic detector for use as Field and reference
                 measurements and one set of Ionization chambers should be supplied.
                 The detector should be easily mounted with or without the mounting
                 alignment device. Detector for Absolute Dosimetry for photon and
                 electron energies should be supplied. All semiconductors detector used
                 should be small in mechanical dimensions so as not to hinder the spatial
                 resolutions of small field. Provide build up caps for appropriate energies.
                 All Ion Chambers should be provided with the calibration certificates as
                 required for calculation of Dosimetric data.
         8.2.10. TMR-Set should be supplied for online measurement of tissue absorption
                 ratio.
         8.2.11. Appropriate build-up caps shall be provided for the detectors provided to
                 do in-air dosimetry for the photon energies of cobalt, 6 MV, 15 MV.
                 Provide complete details on this account.
         8.2.12. A Simple RFA water phantom Lifting carriage (Lift Table for positioning of
                 the water phantom) manual or electrically along with a separate water
                 reservoir to store water when not in use should be provided along with the
                 system.



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         8.2.13. A Latest computer and printer suitable to operate the dosimetry system
                 should be provided along with the systems.

    8.3. IMRT Phantom
        8.3.1. For performing QA of IMRT, a latest, state-of-the-art tissue/water
               equivalent cylindrical solid phantom shall be supplied. It shall be possible
               to do exposure of multiple films for high accuracy in IMRT verification. It
               shall have a universal design for film verification of Body, Head and Neck
               and Stereotactic IMRT treatment plans. It should be possible to easily
               adjust the phantom on the LINAC couch and on CT scanners couch top.
               It shall be possible to do absolute dose verification with different
               ionization chamber types that are being offered against this tender. It
               shall be possible to insert film sheets with a maximum size of 10 x 10 cm
               (or more) at several locations within the phantom for doing IMRT and
               SRS/ SRT dose verification. It must also be possible to position those
               (films) in a transversal, coronal or sagittal orientation. Appropriate
               markers shall be engraved on the surface of the phantom in different
               colors for its easy adjustment under the accelerator and in a CT scanner.
               Localizer plates for the use of the phantom in a CT scanner shall also be
               quoted. For absolute dose verification, it shall be possible to insert
               different types of ionization chambers into the phantom. Several auxiliary
               inserts with different depths and for different chamber types shall be
               provided. It is extremely essential that, in combination with the film
               distance plates, the ionization chambers can be placed at any position
               inside the phantom. The phantom shall have appropriate design to
               achieve this extremely important and essential requirement.
        8.3.2. Phantom material is water/ plastic water / tissue (RW3) equivalent with
               density not more than 1.032 – 1.05 g/cm2. The phantom consists of 15 or
               more slabs, each of thickness of 1 cm. The minimum size of the phantom
               should be 35 L x 35W x 20 H cm. Additional Holder, adaptors, and small
               blocks are provided for easy distance adjustments. Required number of
               appropriate size carriage and leveling plates should be supplied.

    8.4. Film Scanner / Flat Bed Scanner for Film based IMRT QA & dosimetry
        8.4.1. For the quality assurance and the clinical implementation of the various
               features of the linear accelerator, and for comprehensive QA of IMRT
               latest film dosimetry software along with a 16-bit (32bit) advanced Vidar
               scanner shall be supplied. The scanner shall have excellent scanning
               qualities with long-term stability and shall be from a reputed manufacturer
               who is in the field of radiotherapy film dosimetry. The scanner shall be
               able to handle an optical density range of 0 to 3.5 or better. Its geometric
               accuracy shall be better than 1% or 2 pixels in both the axes. Office
               scanner will not be accepted.
        8.4.2. The IMRT QA software shall be capable of analyzing the IMRT films
               using advanced tools such as Gamma analysis, isodose line
               superpositioning, addition, subtraction, profile comparison, etc. Provide
               catalogue. The software up gradation must be provided free of cost
               during the warranty period. To configure the scanner into the RFA
               computer system, necessary hardware (like SCSII card) and software
               shall be provided. It shall be possible to import images in DICOM format
               into the system besides import and export of DICOM-RT objects like RT

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                Image, RT Dose, and fluence. The system shall be installed and
                demonstrated for functioning with adequate on-site training. One color
                laser printer shall also be supplied with the Dosimetry system. For film
                dosimetry requirements, EDR2 / GAFCHROMIC films must be provided
                (two packets each of the two standard sizes available).
         8.4.3. The offer should include 100 nos. of EDR2 film, 100 nos. of Gafchromic
                films and 100 nos. of X-Omat films. IDF3 Rectal dosimetry system should
                be included in the offer.

    8.5. IMRT Fluence Verification System (2D array detectors) with software
        8.5.1. An Integrated IMRT Verification System consisting of IMRT Verification
               software interfaced with 2D Ion chamber array (IMatrix or its equivalent)
               and films from IMRT Beams along with IMRT Phantom. The IMRT
               phantom and film dosimetry system is for multiple film measurements and
               verification of absolute dose in IMRT treatments and the Ion chambers
               array will be required for real time measurement of IMRT Beam and QA
               of Linear Accelerator Advanced software and hardware for fast and
               accurate acquisition of 2D beam data in real time and for high temporal
               and spatial resolution should be available. Complete software latest
               windows based for dosimetric verification of IMRT treatments using
               complex fields with interface to 2 D Detector arrays (preferably more than
               1000 small volume Ion chambers or semiconductor detectors), different
               scanners like flat bed, vidar and lumisys and imports in Dicom formats
               and other commonly used TPS systems internationally. The system
               should fulfill following technical specifications. A 3D DVH comparison
               should be possible with the software.
        8.5.2. The IMRT Verification software should have the following features:
               8.5.2.1. Import of 2D and 3D planned data from TPS supporting Dicom,
                          RTOG formats
               8.5.2.2. Flexible ASCII export and printing Functions
               8.5.2.3. Film and scanner calibration for different type of films
               8.5.2.4. Absolute dose verifications
               8.5.2.5. IMRT QA of Step and shoot and sliding windows fields,
                          Individual and integrated IMRT fields basic LINAC QA,
               8.5.2.6. Display of data in 1D, 2D and 3D visualization.
               8.5.2.7. Simultaneous viewing of Planned, Measured, compared and
                          Result panes.
               8.5.2.8. Extensive analysis parameters including colour palates distance
                          to agreement, ROI, point dose, synchronization of result panes
               8.5.2.9. Result includes Sum, difference, multiply, divide and Gamma
                          method with correlation factor.
               8.5.2.10. Histogram of the gamma analysis and DTA.
               8.5.2.11. Tools like normalization, smoothening, alignment and
                          adjustment of data to be quick and handy
               8.5.2.12. Display with Individual Panes for Measured and Planned sets of
                          data and for comparison and results.
               8.5.2.13. QA of MLC leaf Movements.
               8.5.2.14. One simple QA device that can measure accuracy of the gantry
                          angle, collimator angle, couch angle, isocenter accuracy, optical-
                          radiation field congruence, optical field readouts, etc shall be
                          supplied.

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                  8.5.2.15. IMsure plan verification system including Monitor check system

    8.6. In-Vivo Dosimetry - Mobile MOSFET: For routine & IMRT in-vivo dosimetry, a
         set of five MOSFET with associated Remote dose verification software, wall
         mounted bluetooth wireless transreceiver, reader, software and final dose
         reporting system should be offered.

    8.7. Permanent cabling for dosimetry in LINAC rooms: For the LINAC,
         permanent cabling between the control console and the interior wall of the
         treatment room for dosimetry measurements shall be provided and installed.
         The permanent cabling shall be for the complete RFA setup that can also be
         used for absolute dosimetry measurements with 0.6 cc ion chambers and
         parallel plate chamber. However, additional cables should be provided for use in
         dosimetry with RFA, SSD in other teletherapy units in the main hospital.
         Complete description must be provided.

    8.8. QA devices/software All survey meters and the barometers shall have proper
         NIST calibration certificates
        8.8.1. A simple QA device (two numbers) that can measure accuracy of the
               gantry angle (iso-align or GARD), collimator angle, couch angle, Isocenter
               accuracy, optical-radiation field congruence, optical field readouts, etc
               shall be supplied.
        8.8.2. Two NIST Traceable Digital Thermometers should be quoted.
        8.8.3. One Oakton Temperature Compensated Barometer and one fortin or kew
               barometer fitted with vernier & accuracy of ± 0.3 mbar should be quoted.
               Calibration certificates from an accredited lab should be enclosed.
        8.8.4. One ion chamber based survey meter with SI units
        8.8.5. One digital survey meter,
        8.8.6. One neutron survey meter shall be provided.
        8.8.7. Two sets of QA device that can perform daily QA like photon/electron
               energy checks; radiation field flatness, symmetry; output consistency, etc
               shall be provided. The detector instrument supplied shall get connected to
               a laptop (high resolution, high-end, 1 GB RAM, wide screen, at least 60
               GB hard disk, DVD writer, Bluetooth technology, etc) that will be kept in
               the control console. One laptop must be provided with each such QA
               device. Permanent cabling must be laid between the control console area
               and the interior wall of the treatment room or alternately a reliable
               wireless connectivity can be provided. Appropriate software must be
               provided that can store analyze all the data, store them and report the
               data in a user-friendly format. Provide comprehensive details on the
               systems offered.
        8.8.8. Software (with two independent licenses) that can work on a laptop for
               validating monitor unit calculations of the treatment planning system shall
               be supplied. It should be easy to use for checking the validity of MU
               calculations for conventional photon beams, electron beams and as well
               as comprehensive IMRT (dynamic and static) beams. It should support all
               kinds of trays, wedges, dynamic wedges, blocks, cone inserts, SSD and
               SAD treatments, extensive printout capabilities, multiple treatment units,
               etc. It should have DICOM-RT licenses. It should be FDA approved with
               510 k clearance. Provide all details.



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         8.8.9. The institute has multiple CT scanners. A QA phantom for treatment
                planning system shall be supplied that has different electron density
                inserts for calibrating CT numbers (Hounsfield units) against electron
                density and mass. Furnish complete description about the phantom.

9. Accessories for 3-D planning and treatment delivery

    9.1. General: The following items are required in developing and implementing of a
         comprehensive, ultra-modern 3-D conformal radiotherapy, and intensity
         modulated radiation therapy program in the department of Radiotherapy. For all
         the items the vendor should provide the product information brochures.
    9.2. Hot-wire Cutter / Manual Styrofoam Cutter: One hot-wire cutter for making
         custom shaped blocks for variable SSDs should be quoted. Low melting alloy
         should be supplied. High quality Flatfoams 40 PSI DOW® Oncology Styrofoams
         for Photons (6 & 15 MV) and Electron foams with different thickness for electron
         energies 6, 9, 12 & 15 MeV, with 100 numbers for each energy for both photon
         and electron beams, should be included in the offer.
    9.3. Block Casting System: A block casting system should be quoted for filling the
         Styrofoam milled using the above system with low melting point alloy. The
         system should have a solid-state Alloy Melter with digital readout. It should have
         precise temperature control and have advanced alloy dispenser.
    9.4. Electron Foam Cutter (220 volts with Nickel chrome wire assembly) Two
         electron foam cutters with large cutting surface for cutting high density foam for
         making electron cut outs for radiotherapy patients. Appropriate high density flat
         foams of 30x30x1.5 size for making electron cutouts shall be provided (two
         cartons).
    9.5. 300 Kg of Cadmium free Low melting point alloy for making customized
         shields should be included in the offer.
    9.6. Patient fixation / Immobilization accessories for 3D conformal RT (Medtec
         make)
        9.6.1. Head rest - 10 sets: Should be made of soft rubber for patients‟ comfort
                 and of different sizes for various treatment positions.
        9.6.2. Separation meter - 10 numbers: Should be made up of light metal with
                 accurate scales
        9.6.3. Head and neck fixation plates - 10 numbers: This should be made of
                 Perspex. It should be possible to immobilize the headrests with this
                 device
        9.6.4. Prone head rests - 6 numbers
    9.7. Vacuum based radio-translucent cushions for patient immobilization, which are
         filled with tiny polystyrene beads or of any similar material with same properties,
         for the following needs:
        9.7.1. For treating head and upper thorax region (supine & prone) - 10 nos.
        9.7.2. For treating head and upper thorax region (supine) - 10 nos.
        9.7.3. For prone head holder - 6 nos.
        9.7.4. Large cushion (bed type) with treatment windows - 6 nos.
        9.7.5. Large cushion (bed type) without treatment windows - 6 nos.
        9.7.6. Small cushion (bed type) with treatment windows (for rectal/bladder
                 cases) - 6 nos.
        9.7.7. Cushion for treating thorax region with arms up position - 6 nos.
        9.7.8. Cradle / cushion for immobilization of Paediatric patients



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        9.7.9. Appropriate storage racks (6 sets), color tags (6 sets), helping handsets
                (6 sets), S-type hooks (6 sets), shall be provided.
        9.7.10. Two motor / pumps shall also be provided to mould the cushion (to suck
                out the air).
    9.8. Breast Immobilization System (2 nos.): For treating breast patients, a carbon-
         fiber based immobilization system using side mountable thermoplastic sheets
         should be supplied. The system should be complete in all respects with board,
         brackets, handles, 30 thermoplastic sheets etc. In addition to such a system, a
         complete set of breast treatment brassiere should also be provided. With this it
         should be possible to treat any size of breast.

    9.9. Shields:
        9.9.1. Tungsten eye shields sets (small, medium and large) for both 6 & 9 MeV
               electrons.
        9.9.2. Testicle shield set made of lead about ½” wall thickness (small and
             Medium)
        9.9.3. One Testicle shield stand.
        9.9.4. Testicle separator (made of rugged clear acrylic) – 1 no.

    9.10. Thermoplastic sheets For immobilization of patients (using the head rest and
        fixation plates provided), appropriate thermoplastic sheets of following sizes and
        quantities shall be supplied:
       9.10.1. Thermoplastic sheet for face / head region only - 100 numbers
       9.10.2. Thermoplastic sheet for head & neck region with shoulder area covered
                – 100 numbers.
       9.10.3. Please quote for appropriate base plate also (six numbers)
       9.10.4. Thermoplastic sheets for abdominal / pelvis region – 100 numbers.
       9.10.5. Please quote for appropriate base plate (six numbers).
       9.10.6. Two suitable water baths with temperature control shall also be provided
                for preparing the thermoplastic mask for the patients.
       9.10.7. The head rests, prone headrest, base plates provided should all be
                compatible to each other. Please ensure this requirement.
       9.10.8. Soft jelly bolus material of size 30 cm x 30 cm with a thickness of 0.5 cm,
                1 cm, 1.5 cm, 2 cm and 3 cm shall be supplied – 5 sheets for each
                thickness.
       9.10.9. Shoulder retractor for head and neck patients –5 numbers
    9.11. No local item for patient immobilization should be quoted.


10. Streotactic radiosurgery (SRS) and Stereotactic Radiotherapy (SRT) system.

    The quoted Linac should have 120 or more High definition leaves or its equivalent
    for implementation of SRS and SRT treatments. The offered features should be of
    the latest model and technology to perform SRS/ SRT and IMRS. The offer should
    include all the necessary license for successful implementation of these features.

    10.1. The offered Linac can also be used for conformal stereotactic /surgery
        (SRT/SRS), and intensity modulated Radiosurgery (IMRS) should include all the
        accessories, dosimetric equipments, networking licenses, networking s/w and
        h/w, and any other necessary items for the successful implementation of the



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          SRS/SRT treatments. Thus the offered Linac with higher dose rates is preferred
          for successful implementation of this feature.

    10.2.         Stereotactic radiosurgery accessories

         10.2.1. The system should be able to perform both Radiosurgery (with 6 MV
                 photons) and Radiotherapy for brain and head, neck. To perform this, the
                 system should be provided with all the accessories:

         10.2.2. Head Ring assembly for SRS: Should be supplied with artifact free,
                 autoclaveable pins of different sizes, a torque wrench to adjust the safe
                 pin pressure, adjustable fixation post in length to treat deep seated
                 lesions down to C1 and intubation front piece for the emergency
                 intubation.

         10.2.3. Mask System for Cranial SRT: The device should ensure repeat fixation
                 accuracy in lateral & axial directions. The system should ensure access to
                 oral treatments & intubation without removal of the device. The system
                 should ensure consistent reposition accuracy.

         10.2.4. Head & Neck System for immobilization: The device should cover
                 treatment area up to T1 vertebra. The system should ensure consistent
                 reposition accuracy. The device should offer tilt adjustment in X & Y axis.

         10.2.5. One calibrated diamond detector capable of accurate dosimetry for
                 SRS/SRT fields along with electrometer and 20 meter connecting cable.

    10.3.         Planning System for SRS/ SRT and IMRS

         10.3.1. The planning system should be compatible and networked with the Micro
                 multi-leaf collimator and the linear accelerator and perform conformal
                 planning for Stereotactic radio-surgery/ radiotherapy and Intensity
                 modulated radiotherapy / Radiosurgery and should fulfill following
                 technical specifications:

             10.3.1.1. Hardware:
                10.3.1.1.1. A Latest High Power Intel dual Processor workstation
                10.3.1.1.2. 2048 MB Main Memory
                10.3.1.1.3. 2 x 70 GB Hard disk (RAID Level 1) min.
                10.3.1.1.4. DVD R/RW burner
                10.3.1.1.5. Keyboard and Mouse
                10.3.1.1.6. MS-Windows XP or later versions
                10.3.1.1.7. 21" Flatscreen Monitor (1280 x 1024)
                10.3.1.1.8. 48 cm visible screen diagonal
                10.3.1.1.9. ISO A3 color laserjet printer for documentation of treatment
                        plan
                10.3.1.1.10. Prints patient set-up templates for Target Positioning

             10.3.1.2. Software
                10.3.1.2.1. Planning system should be capable of performing Conformal
                            Radiotherapy (CRT), Intensity Modulated Radiosurgery

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                              (IMRS) including inverse planning and stereotactic
                              radiotherapy / surgery (SRT/SRS) with adaptability for future
                              upgradation should be provided. It should provide following
                              facilities for planning:
                  10.3.1.2.2. The data acquisition, for treatment planning, can be done
                              using CT/MRI/SPECT/PET and Simulator CT slices and
                              angiographic films via film scanner.
                  10.3.1.2.3. The software must be capable to import patients‟ data from CT
                              scanner, MRI and simulator (existing in the department) by RT
                              DICOM. Complete DICOM-RT license must be given
                              (import/export for all DICOM-RT objects and IMRT fluence) to
                              facilitate seamless integration with all other planning systems,
                              imaging systems and QA systems in the department.

             10.3.1.3. Treatment Planning

                  10.3.1.3.1. The s/w should offer the automatic treatment planning tools
                  10.3.1.3.2. Automatic Marker detection
                  10.3.1.3.3. Automatic image fusion
                  10.3.1.3.4. Automatic isocenter placement
                  10.3.1.3.5. Beam library
                  10.3.1.3.6. Automatic field shaping
                  10.3.1.3.7. Automatic collimator optimization
                  10.3.1.3.8. Auto-contouring
                  10.3.1.3.9. Editing of contours without completely reentering of data
                              Possibility to expand/shrink Objects (e.g. definition of boost
                              volumes) independently in all 3 dimensions.
                  10.3.1.3.10. Auto Segmentation using atlas or template information.
                  10.3.1.3.11. Possibility to elastically fuse structures from a brain atlas
                          onto the specific patient data for auto segmentation.

             10.3.1.4. Intensity Modulation

                  10.3.1.4.1. Software should feature inverse planning capabilities. The
                              system should offer an integrated leaf-sequencing algorithm,
                              tongue and groove optimization based on leaf sequencing &
                              leakage for the dose calculation.
                  10.3.1.4.2. The system should individually adjustable Dose-Volume
                              constraints for PTV, Boost Volume and OARs. The system
                              should offer importance weighting for OARs and simultaneous
                              multiple plan optimization.

         10.3.2. The offered SRS/SRT system should also be able to support frameless
                 stereotactic radiosurgery procedure. Similarly it would be highly
                 preferable to have the latest clinical applications like dynamic IMRT, and
                 dynamic conformal arc techniques in the offered MLC system.




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11. GENERAL CONDITIONS & REQUIREMENTS

         In the above specifications wherever the word „shall‟ is mentioned, it is taken in
         the meaning that the required feature / facility / procedure / specification /
         standard is mandatory.

    11.1.         All claims regarding meeting of the specifications shall be duly
          supported by appropriate, latest technical catalogues / brochures from the
          manufacturer. Simply stating that the equipment meets the specifications is not
          sufficient and any such quotations will be summarily rejected. Computer printed
          documents or laser printouts will not be accepted as technical catalogues /
          brochures.
    11.2.         During the warranty period, software upgrades shall be provided free of
          cost wherever applicable.
    11.3.         The vendors shall submit a compliance statement pointwise in regard to
          the specifications asked for in the tender. It will be responsibility of the vendors
          to go through all the tender requirements carefully and accordingly address
          each and every point about their compliance. The compliance statement shall
          preferably be made in an Excel worksheet or any other tabular format for easy
          evaluation. A softcopy of the submitted (signed) compliance statement must be
          provided on a CD.

    11.4.          The LINAC system, Oncology Information Management System, the
            treatment planning system shall all be FDA approved. Similarly the LINAC
            system shall be type approved or with a NOC from the regulatory body AERB,
            Mumbai.

    11.5. WARRANTY:

         11.5.1. The vendor shall give a minimum of five years comprehensive, on-site
                 warranty for the entire LINAC system (inclusive of vacuum and non-
                 vacuum parts and of all locally supplied items), TPS, R&V system, EPID
                 System, all computer systems (including bidder‟s own brand and third
                 party systems) and for all other items supplied with the LINAC suite, from
                 the principals. Pro-rata warranty is not acceptable. Similarly
                 Comprehensive Maintenance Contract offered by the local agents is also
                 not acceptable.
         11.5.2. For the next 5 years after the expiry of warranty period i.e., from 6 th year
                 to 10th year, manufacturers shall quote figures year-wise (in Indian rupees
                 only) for on-site comprehensive maintenance contract that includes both
                 labor plus spare parts.
         11.5.3. Please note that the price SHALL INCLUDE ALL EXPENSES
                 including the Customs clearance, insurance, freight, customs duty,
                 clearance charges and also all expenses towards the maintenance
                 and repairs of the entire LINAC assembly including spare-parts,
                 electrical and electronic items, computer systems, Air-conditioning,
                 cooling systems (including refilling of distilled / industry standard
                 water), networking, accessories, etc. The institute will not be held
                 responsible for payment under any head during these 10 years.




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         11.5.4. It is again stressed that if any spares are to be imported during warranty
                 period & subsequent five AMC periods, the cost, insurance, freight,
                 customs duty and clearance charges should be borne by the vendor.
         11.5.5. List of consumable items like printer cartridges, etc which are not covered
                 by the warranty clauses must be clearly identified and declared by the
                 vendors in the tender. The cartridges and other consumable items of the
                 printer must be available locally for a minimum period of 5 years.
         11.5.6. During the warranty and subsequent five CAMC periods, the vendor shall
                 give an uptime guarantee of 95% based on 24 hrs a day, 365 days a year
                 basis. Penalty at the rate of Rs.25,000 per day will be levied for short
                 falling of 95% uptime guarantee. If the machine lies non-functional for a
                 period of more than one week continuously, the same penalty (at the rate
                 of Rs. 25,000 per day) will be imposed even if 95% uptime clause is met
                 with. Any bid without agreeing to the above-mentioned warranty and
                 penalty clauses will be summarily rejected.

         11.5.7. Posting of a resident engineer on site will be highly preferred. A list
                 of certified service engineers available should be provided.

         11.5.8. Should enclose the list of similar models installed in INDIA & abroad

         11.5.9. The installation of the LINAC shall be done by the experienced
                  engineer(s), who has installed at least 5 installations of similar model.
         11.5.10.     An on-line UPS System with the power rating of 60 kVA or higher (as
                    appropriate) for the entire LINAC and all other accessories for 30 min
                    shall be supplied. In addition to this main UPS, additional UPS systems
                    shall be supplied along with all other computer terminals / workstations /
                    accessories wherever applicable. Provide all the details.
         11.5.11. The Chiller system shall be provided along with the machine by the
                  principals (imported item). No local system shall be accepted.
         11.5.12. Two closed-circuit color TV systems (as mentioned in clause 4.4) with
                  TV monitors and two cameras in the LINAC treatment room shall be
                  supplied.
         11.5.13. A patient calling system with 6 channels shall be supplied.
         11.5.14. Internet broadband connectivity for remote servicing shall be provided
                  (as mentioned in clause 6.1).

    11.6. Training
       11.6.1. In order to fully and optimally utilize the equipment, training on the offered
               IMRT LINAC for one physicist and one radiation oncologists for a
               minimum period of two weeks in a reputed institution where such
               advanced installations are available and in clinical use for a long period of
               time. For 3D-TPS with IMRT & SRS/SRT capabilities, another two weeks
               training at a reputed center where such a system is used, for two
               Physicist and two Radiation Oncologist.

         11.6.2. The supplier shall provide complete on-site training to all the RT staff of
                 the department for a minimum period of 15 working days. The institution
                 reserves rights to split the above on-site training days in phases for
                 optimal learning.

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         11.6.3. Training for two technologists should be provided at a reputed center
                 where IMRT is practiced extensively and qualitatively.

         11.6.4. The entire system will be handed over to the user in working condition
                 and after giving at least two weeks onsite training to all RT staff. Putting
                 the entire system into working condition and maintaining it for at least 10
                 years as mentioned above shall be the responsibility of the vendor. The
                 LINAC system is deemed to be accepted only after obtaining the
                 AERB’s commissioning for clinical use. Any further requirement either
                 equipment or other, as needed for the aforesaid commissioning, shall be
                 supplied by the supplier of LINAC free of cost.

    11.7.          If any/more item(s) which is/are essential for commissioning the
                  system and maintaining it at least for 10 years and does/do not form
                  part of the above specifications shall be supplied by the vendor.


3.1.3 CT-SIMULATOR

1. MANDATORY REQUIREMENTS

    1.1.      The quoted model should have FDA approval
    1.2.      In addition, the quoted model should be type approved by AERB
    1.3.      FDA certificate & AERB Type Approval Certificate should be enclosed with
           the bid.

2. GENERAL REQUIREMENTS

    2.1.     The quoted model should be a dedicated CT-Simulator required for
             Radiotherapy Department for conventional, 3-D CRT and IMRT planning. The
             CT-Simulator is required for most accurate simulation, placement of
             treatment fields and marking of radiation field portals on patients‟ skin for
             radiation therapy of cancer patients.
    2.2.     The quoted model should be the latest, state-of-the-art model.
    2.3.     The CT scanner should be a spiral, 4 slice or more, multi-detector technology
             incorporating latest technology available in the market.
    2.4.     The simulator software should be user-friendly and should ensure easy,
             error-free and should have total compatibility between scanner and simulator
             workstation. If third-party software is supplied, it will be the sole responsibility
             of the vendor supplying the CT-Simulator to run the software seamlessly.
    2.5.     The system should be able to integrate the Virtual simulation software,
             workstation to the quoted 3-D Treatment Planning System and the quoted
             High Energy Linear Accelerator in this tender and this will be entirely and
             direct responsibility of the CT-Simulator Vendor.




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3. CT-SCANNER SPECIFICATIION

    3.1.     GENERAL:
             The quoted model should be a whole body spiral, 4-slice or more CT (multi-
             detector) with flat table and other accessories for Radiotherapy Treatment
             Planning and Simulation.

    3.2.    GANTRY
        3.2.1. Gantry aperture should be adequate enough to plan all type of RT
             planning with patients in their actual treatment positions. Hence larger
             aperture of more than 60 cm is desirable.
        3.2.2. Gantry tilt should be at least ±30 degree
        3.2.3. Scan Field of View should be 50 cm or more. State the extended Field of
               View, if present.
        3.2.4. Metal-free scannable range should be at least 150 cm
        3.2.5. Gantry must have laser-positioning lights with a positioning accuracy of ±
               1 mm or better.


    3.3.    X-RAY GENERATOR
        3.3.1. High frequency x-ray generator with power rating of at least 50 kW or
             more

    3.4.    X-RAY TUBE
        3.4.1. The x-ray tube should have anode heat storage capacity of 5 MHU or
               more
        3.4.2. The anode peak heat dissipation rate should be 700 kHU/ min or more.
        3.4.3. X-ray tube should have dual focal spot. Specify the size of the focal spots.
        3.4.4. There should be at least 3 kV settings available over a range of 90 kV to
               140 kV or better.
        3.4.5. The mA range must be from 30 mA to 400 mA or better, with step size of
               5 mA or better.

    3.5.    DETECTOR SYSTEM
        3.5.1. The detector system should be a high-performance, low-noise, high data
               density, active response data acquisition system
        3.5.2. The detectors should be solid state.
        3.5.3. The detector system should be free from repeated calibrations
        3.5.4. The detector system should be able to produce two data sets of image
               generation per rotation.

    3.6.    PATIENT COUCH
        3.6.1. The couch top material must be carbon fibre with minimum dimensions of
               235 cm x 40 cm, having horizontal moving range of 170 cm or more.
        3.6.2. The table should be universally flat with flat tabletop.
        3.6.3. The table should be compatible with the tables of quoted High Energy
               Linear Accelerator.
        3.6.4. The table should have patient positioning index system on carbon fibre
               tabletop.
        3.6.5. The table should be able to bear weight up to 180 kg or more.



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         3.6.6. The table should have metal free range of about 150 cm and should have
                 scannable horizontal range of 150 cm.
         3.6.7. The horizontal accuracy should be ±0.5 mm or less.
         3.6.8. It should be possible to move the table top from the table side and control
                 console and hand pendant
         3.6.9. The table should have auto-home facility
         3.6.10. The table should have total free floating facility
         3.6.11. All patient-positioning accessories including tilt should have control both
                 from gantry and from control console.

    3.7.    CONTROL CONSOLE
        3.7.1. It should have 21” or more LCD monitor for display of 1024 x 1024 matrix
               or more
        3.7.2. All functions viz., scanning, image reconstruction, film documentation,
               MPR, CT maximum intensity projection, 3D with SSD etc., should be
               possible from main console and workstation.
        3.7.3. Image storage of 120 GB or more for at least 100,000 images in 512 x
               512 matrixes uncompressed or better. The latest configuration may be
               quoted.
        3.7.4. Latest fast DVD R/RW facility for archiving must be available
        3.7.5. The image reconstruction time should be less than 1.5 second from any
               mode.

    3.8.    CT-SCANNING PARAMETERS
        3.8.1. The slice thickness should be user-selectable from 1.0 mm to 10 mm.
        3.8.2. kV range: 90 to 140 kV
        3.8.3. mA range: 30 to 400 mA in increment of 10 mA
        3.8.4. Scan time for full 360 degree rotation should be 0.5 second or less
        3.8.5. Scan field view should be 50 cm or more
        3.8.6. Display field of view should be 50 cm or more
        3.8.7. Intra-Plan delay of 5 seconds or less should be possible
        3.8.8. Retrospective reconstruction should be possible on raw data files with
                change in parameter such as FOV
        3.8.9. The following scanning modes should be possible:
            3.8.9.1.     Scanogram
            3.8.9.2.     Axial
            3.8.9.3.     Spiral
            3.8.9.4.     It should be possible to mix spiral and axial modes.
            3.8.9.5.     Specify how many modes can be mixed.
        3.8.10. It must be possible to obtain the scanogram for AP or PA or left-to-right or
                right-to-left directions
        3.8.11. The accuracy of slice prescription from scanogram should be ±0.5 mm or
             better.
        3.8.12. The scanogram length should be more than 1500 mm long and 500 mm
             wide.
        3.8.13. Reference scan should be possible on an arbitrary slice within the
                proposed treatment volume.

    3.9.    IMAGE QUALITY
        3.9.1. The reconstruction matrix must be 512 x 512 or higher.



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         3.9.2. The reconstruction time should be as less as possible. Please specify the
                 reconstruction time.
         3.9.3. Simultaneous scanning and reconstruction should be possible. It should
                 be possible to do:
             3.9.3.1.    Simultaneous scanning & routing analysis
             3.9.3.2.    Simultaneous scanning & archiving and/or hard copying, and
             3.9.3.3.    Simultaneous scanning and transfer to second console /
                     workstation.
         3.9.4. The system must have automatic mA control software that automatically
                 adjusts mA for patient size; adjust mA along the z-axis, modulates mA
                 during rotation.
         3.9.5. High contrast Spatial Resolution: It should be 15 lp/cm maximum at 0%
                 MTF for a slice of 1 cm thickness. Clearly specific the phantom used,
                 scan time, mA, filter for image reconstruction, scan field, dose and MTF.
                 Phantom should be supplied.
         3.9.6. Low contrast detectability 5 mm or less at 0.35% with 10 cm slice
                 thickness on CATPHAN phantom.
         3.9.7. The CT number accuracy must be better than ± 4 HU for water and ±
                 10HU for air.
         3.9.8. All necessary phantoms to check the spacial resolution of the scanner
                 should be provided.
         3.9.9. A special phantom to check the electron density-HU relationship for
                 different body tissues must be provided.
         3.9.10. Spiral parameters: Different selection of pitch should be possible, from
                 0.5 to 3 in 0.1 increments.
         3.9.11. Interscan delay in different group of spiral should not be more than 5
                 seconds.

    3.10. COMPUTER SYSTEM OF CT-SCANNER
       3.10.1. A very high-end main computer system, latest available in the market
               must be provided. The system must have two processors (parallel).
       3.10.2. RAM size must be at least 4 GB or better.
       3.10.3. There must be two monitors in the console and they must be 21-inch TFT
               flat screen LCD monitors. One of this will be used for acquisition and
               other will be used for review and processing.
       3.10.4. The hard disk capacity of the main computer system must be at least 275
               GB or more.
       3.10.5. In the hard disk meant for image storage, the number of uncompressed
               512 x 512 images that can be stored should be at least 250,000 or more.
               The maximum possible hard disk capacity must be provided.
       3.10.6. For archiving, either DVD writer should be provided. The images should
               be able to convert to JPEG/MEPG to be recorded on to recordable CD
               and DVD.
       3.10.7. Please supply 1000 re-writable DVDs.
       3.10.8. The CT simulator system should be fully DICOM compliant. The DICOM
               should support the following:
          3.10.8.1. DICOM 3.0 Print and service class as a user
          3.10.8.2. DICOM 3.0 Storage class as a user.
          3.10.8.3. DICOM 3.0 Storage class as a provider.
          3.10.8.4. DICOM 3.0 Send/Receive.
          3.10.8.5. DICOM 3.0 Query/Retrieve service class as a user.

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            3.10.8.6. DICOM 3.0 Query/Retrieve service class as a provider.
         3.10.9. DICOM compliance statement must be provided.
         3.10.10.       A bidirectional speaker communication must be provided between
                 the operator and the patient.

    3.11. STANDARD SOFTWARES
       3.11.1. Complete scanning and evaluation software.
       3.11.2. 3-D surface shaded and 3-D volume rendering.
       3.11.3. Quantitative CT measurement tools should be provided.
       3.11.4. 3-D small volume analysis software for solitary nodules is desirable.

    3.12. ESSENTIAL ACCESSORIES
       3.12.1. All sets of patients‟ positioning accessories should be of
               MEDTEC/STANDARD IMAGING/WFR/ORFIT make and should include
               the following:
          3.12.1.1. Head holding positioning kit-1 no.
          3.12.1.2. Standard supine base plate (head and neck) – 1 set.
          3.12.1.3. Lateral base plate – 1 set.
          3.12.1.4. Carbon fiber tilting base plate (head and neck) – 1 set.
          3.12.1.5. Head and neck prone base plate – 1 set.
          3.12.1.6. Knee crutch and arm position with handgrip – 1 set.
          3.12.1.7. Belly board for hip and pelvis positioning and fixation – 1 set.
          3.12.1.8. Hip fix – 1 set.
          3.12.1.9. Breast and thorax positioning system – CT compatible – 1 set.
          3.12.1.10. Overhead arm positioner – 1 set.
          3.12.1.11. Breast board (carbon fiber) – CT compatible – 1 set.
       3.12.2. Lead glass: 60 cm x 120 cm or more with 2 mm lead equivalent to meet
               the radiation safety requirements.
       3.12.3. Laser film printer: A laser film printer (networked) should be provided.
               Remove filming should be possible.
       3.12.4. Pressure injector should be supplied along with 500 reusable syringes.
       3.12.5. Voltage stabilizer: Servo voltage stabilizer for whole unit including
            accessories.

4. LASER SYSTEM (Fixed LAP green lasers)
   4.1. The CT simulator should have at least four fixed green lasers for making field
        reference points.
   4.2. In addition to the above fixed lasers the CT scanner should have
        conventional in-built lasers for positioning the patient.

5. CT-SIMULATION WORKSTATION
   5.1.    GENERAL
       5.1.1. One CT simulation workstations must be provided.
       5.1.2. The workstation should have advanced CT simulation tools for radiation
              therapy treatment planning.
       5.1.3. All necessary calibration/QA phantoms/check devices should be
              provided. Please specify the kits above.
       5.1.4. The workstation should be able to provide complete volume definition and
              geometric beam placement for radiotherapy.




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         5.1.5. It should have complete compatibility and error-free DICOM networking
                 with a CT scanner computer and with TPS. All licenses required should
                 be permanent and included in the offer.
         5.1.6. The CT simulation should generate digitally reconstructed radiographs
                 (DRRs) in a true volumetric environment.
         5.1.7. It should be possible to overlay the beams on any DRRs or on any slice
                 (obtained and reconstructed).
         5.1.8. It should be possible to load over 250 CT images per patient for
                 reconstruction and simulation.
         5.1.9. Visualization of beam entry on patients‟ skin should be possible.
         5.1.10. SSD calculation should be available.
         5.1.11. Facility to display BEV on an MPR (including oblique MPR) with fields and
                 blocks displayed divergently.
         5.1.12. Automatic conforming to treatment fields and blocks.

    5.2.    HARDWARE
        5.2.1. Hardware specification should be mentioned clearly.
        5.2.2. The system should be running on a high-end workstation platform of
               reputed brand like Sun Microsystems/HP workstation/Dell/Silicon
               Graphics with at least 2 GB RAM or more. Minimum 128 bits processor
               with minimum of 120 GB hard disk or more.
        5.2.3. The user interface should be windows based and menu driven.
        5.2.4. Display should be on a 21” high-resolution color LCD monitor with a high
               resolution of 1408 x 1024 pixels or better.
        5.2.5. A compatible 56 Kb internal/external modem should be provided for
               remote diagnostics and upgrades.
        5.2.6. The latest archiving media should be provided. Provide details.
        5.2.7. Networking with TPS: All the software with licences required should be
               included. Complete DICOM-RT export/import license should be available.
        5.2.8. Laser printer should be provided.
        5.2.9. It should be possible to take printouts on this printer from any of the CT
               simulation workstation.

    5.3.    SOFTWARE
        5.3.1. Complete software doing all the functions of CT simulator as per the
                requirement and should have following features:
            5.3.1.1.    Software should be windows based system.
            5.3.1.2. Software should have a volume accelerator for high speed 3-D
                      rendering at full spacial resolution.
            5.3.1.3.    On the monitor screen it should be possible to view at least 36
                      images or more.
            5.3.1.4.    The standard screen layout should consist of one main view port
                      and three sub-view ports for frequent usage of other images, quick
                      manipulation of images or for displaying reference views, while the
                      main view port is used for high resolution display.
            5.3.1.5.    Image manipulation such as changing window width and window
                      level, hot keys activated, automated study archive, deletion, screen
                      layout changes, disk space display, archiving, and graphic overlays
                      such as annotation.




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             5.3.1.6.    It should be possible to simulate all kinds of teletherapy machines
                       in the simulation workstation. It should conform to IEC and other
                       international standards for linear accelerator conventions.
             5.3.1.7.    It should be possible to visualize interactively reference views in
                       axial, coronal, sagittal, isocenter image planes in any oblique
                       directions with overlay of beams on DRRs.
             5.3.1.8.    DRR must provide fully divergent beam‟s eye view of 512 x 512
                       matrix.
             5.3.1.9.    The DRR/BEV and Room Eye View should display the machine
                       diagram to allow real time checking of machine and patient
                       geometry.
             5.3.1.10. Facility for multimodality fusion to accept data from other DICOM
                       compatible       and     DICOM       supporting      modalities   like
                       MRI/CT/PET/SPECT and should be able to fuse them.
         5.3.2. Support for asymmetric collimators and multilead collimators (MLCs).
                 The department has got a linear accelerator with asymmetric jaws. One
                 more high-energy linear accelerator is being procured in this tender. It
                 should be possible to define this asymmetric collimator feature where
                 both X- and Y- pairs of jaws are asymmetric, in the CT simulation
                 software. Similarly software should allow multileaf collimator placement
                 up to 40 pairs or more. Any software that cannot handle 40 pairs of MLC
                 leaves is not acceptable.

    5.4.    CONTOURING
        5.4.1. Volume definition should be possible using volume segmentation using
                threshold, free hand contour tracing, contour editing, 3-D anisotropic
                margins, etc., and any other advanced tools.
        5.4.2. System must be able to contour in axial, sagittal, coronal, and oblique
                projections.
        5.4.3. It should be possible to do manual, semi-automated, fully automated
                contouring /segmentation in the images by defining volume of interest.
        5.4.4. Mention the time taken for automatic contouring with a single mouse
                operation for 50 slices.
        5.4.5. The software should have facility for automated uniform or nonuniform
                margins. For example it should be possible to expand the clinical target
                volume (CTV) on all three dimensions by same magnitude or by different
                magnitudes to define planning target volume (PTV). Any software without
                this automated uniform/nonuniform feature will be considered as
                inadequate.
        5.4.6. It should be possible to copy one organ to another with margin add
                margins on a single slice, a range of slices or all slices.
        5.4.7. It should also be possible to interactively edit the contours with user‟s
                choice of segments to reject or accept.
        5.4.8. Interpolate algorithm should be available to provide interactive, shape
                based interpolation i.e. after contouring only in selected slices, the
                algorithm should automatically interpolate the closely fitting contours in
                other slices.
        5.4.9. Interpolated contour may be edited; accepted or rejected.
        5.4.10. Tracking of source to skin distance should be possible.
        5.4.11. Contouring and editing and extraction of wall should be possible.



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    5.5.    ISOCENTER MANAGEMENT
        5.5.1. The software should support separate isocenters for multiple target
               volumes or general regions.
        5.5.2. Marked and final isocenters should be reported and displayed in the
               localization package for easy confirmation of a physical simulation
               session.
        5.5.3. Hard copy of the isocenter coordinates should be possible for record of
               the simulation session.
        5.5.4. Isocenter positioning should be automatic.
        5.5.5. No limit on number of isocenters per target.

    5.6.    3-D VIEW AND VOLUME RENDERING CAPABILITIES
        5.6.1. Post-processing features like Volume Rendering, Real-time multi-axial
               volume reconstruction, 3-D surface rendering, color 3-D should be
               available.
        5.6.2. It should allow complete 3-D volume to be defined including complex 3-D
               volumes, user selectable multi-image views, BEV, DRR, etc.
        5.6.3. DICOM-RT plans and data structure set with import/export of data should
               be possible. The DICOM compliance statement should be provided.
        5.6.4. Accuracy of locating any point in 3-D should be 0.1 mm or less.

    5.7.    BEAM PLACEMENT & DEFINITION
        5.7.1. It should support extensive beam shapers (shielding blocks etc.) and
               beam definition methods.
        5.7.2. Manual or automatic beam placement tool.
        5.7.3. Tools for Real-time checking of machine geometry.
        5.7.4. Beam shaping should be possible in multiple ways like automatic
               shielding block definition conforming to selected volume, definition as
               aperture or shielding, manual free hand definition, automatic collimator
               jaw or multileaf position definition, etc.

    5.8.    DRR FEATURES
        5.8.1. Interactive DRR calculation mode must be available.
        5.8.2. Automatic window width/level selection for DRR.
        5.8.3. DRR should be interactively updated when the isocenter position is
             modified.
        5.8.4. It should be possible to highlight or suppress different density regions in
                the DRR.
        5.8.5. Printing of DRR images should be possible.
        5.8.6. DRR presets should be user defined.
        5.8.7. Macro-function to save a series of frequently used steps should be
             available.
        5.8.8. Specify DRR image enhancement tools to improve DRR image quality.
        5.8.9. Reconstruction of DRRs should be Real-time or in sub-seconds.
        5.8.10. Direct printing of DRR on laser film should be possible (remote printing).
        5.8.11. Real time display of DRR as beam parameters are changed.




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    5.9.    DEPTH CONTROL
        5.9.1. The system should support depth control mode creating a DRR from slab
               of 3-D mode, perpendicular to beam axis.
        5.9.2. DRR must be calculated over a user defined thickness.
        5.9.3. Depth control in oblique projections must be possible.
        5.9.4. It should be possible to merge two DRR images on the same beam.
        5.9.5. Cross-hair display on DRR to provide scale information should be
             available.

    5.10. DATA IMPORT / EXPORT
       5.10.1. System should be able to export image, volume and plan data in DICOM
               3.0 standard along with all radiotherapy specific data and private objects,
               DICOM-RT plans and data sets.
       5.10.2. System should be able to import DICOM-RT data to the linear accelerator
               of any vendor.
       5.10.3. The CT simulation system should be fully integrated with the quoted TPS
               in this tender. The vendor should inspect and will be responsible for
               complete integration.
       5.10.4. All import and export licenses should be provided.
       5.10.5. It should be possible to rotate 3-D models on the screen and export the
               display output as an AVI file on the CD so that it can be viewed on any
               PC.
       5.10.6. The entire CT simulation system must be interconnected (all the
               workstations, laser system, printers, etc.) and must be integrated in to the
               linear accelerator systems and brachytherapy system for smooth
               transferring of images and DICOM-RT structures.

    5.11. DOCUMENTATION & ARCHIVING
       5.11.1. Should be on a color dye sublimation or alternative.
       5.11.2. Suitable and economic printer to be supplied along with the system.
       5.11.3. DICOM print should be possible.
       5.11.4. Adobe Post Script printing should be available.
       5.11.5. Archiving should be on DVD in DICOM format.

    5.12. MEASUREMENT PACKAGE
       5.12.1. The software should provide the density value (in Hounsfield Unit) of a
               particular point on an image. It should compute distance along straight
               lines and curved lines, angle between the lines, and radius of curvature
               for curves.
       5.12.2. For specific region of interest (ROI) the area, minimum and maximum
               voxel values, mean and standard distribution and a density histogram
               should be available.
       5.12.3. The software should be able to calculate the volume of a displayed 3-D
               object.

    5.13. IMAGE MANIPLATION
       5.13.1. Different kinds of image manipulation features should be available like
               multiplanar reconstruction and curved reformatting.
       5.13.2. 3-D reconstruction with no waiting for reprocessing




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6. ENVIRONMENTAL FACTORS
   6.1.    Complete installation should include:
       6.1.1. Room planning, designing and construction as per AERB guidelines and
               approval.
       6.1.2. Air conditioning and monitoring of temperature and relative humidity and
               air changes (to specify number per hour) to be installed by the vendor.
       6.1.3. The unit shall be capable of being stored continuously in ambient
               temperature of 0 to 50 degree Celsius and relative humidity of 15 to 90%.
       6.1.4. The unit shall be capable of operating in ambient temperature of 20 to 30
               degree Celsius and relative humidity of less than 70%.
   6.2.    The unit shall meet IEC-60601-1-2:2001 (or equivalent BIS) General
           Requirements Of Safety For Electromagnetic Compatibility or should comply
           with 89/366/EEC;EMC-directive.

7. POWER SUPPLY
   7.1. Should work on three phase 400 to 440 volts/50 Hertz Power.
   7.2. Online UPS of suitable rating should be supplied for the complete system
        including gantry, computer system, anesthesia delivery system, monitor and
        defibrillators with at least 30 minutes back up.
   7.3. Reset-table over-current breaker shall be fitted for protection.

8. ACCESSORIES & DOCUMENTS
   8.1.    User/technical/maintenance manuals to be supplied in English.
   8.2.    Certificate of calibration and inspection.
   8.3.    The following QA kits for CT-Simulator should be included in the offer
       8.3.1. CT-Simulation Phantom (Fluke Biomedical or equivalent)
       8.3.2. Electron Density Phantom (Fluke Biomedical or equivalent)
       8.3.3. Meter for measuring kV, time, dose, dose rate, HVL, total filtration,
               waveform, (Piranha or equivalent) with CT Slice probe for CT dose profile
               measurements
       8.3.4. Set of Aluminium filters for HVL measurements
   8.4.    List of equipment available for providing calibration and routine preventive
           maintenance support as per manufacturer documentation in service/technical
           manual.
   8.5.    List of important spare parts and accessories with their part number and cost
           should be provided.
   8.6.    Logbook with instruction for daily, weekly, monthly and quarterly maintenance
           should be provided.

9. WARRANTY
   9.1. The vendor shall give a minimum of five years comprehensive, on-site
        warranty for the entire CT-Sim system (inclusive of x-ray tube, detector
        system, vacuum and non-vacuum parts and of all locally supplied items). Pro-
        rata warranty is not acceptable. Similarly Comprehensive Maintenance
        Contract offered by the local agents is also not acceptable. The warranty &
             subsequent CAMC include the quoted UPS and its accessories.
    9.2.     For the next 5 years after the expiry of warranty period i.e., from 6 th year to
             10th year, manufacturers shall quote figures year-wise (in Indian rupees only)
             for on-site comprehensive maintenance contract that includes both labor
             plus spare parts.


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    9.3.     Please note that the price SHALL INCLUDE ALL EXPENSES including
             the Customs clearance, insurance, freight, customs duty, clearance
             charges and also all expenses towards the maintenance and repairs of
             the entire CT-Sim assembly including spare-parts, electrical and
             electronic items, Air-conditioning, cooling systems, networking,
             accessories, etc. The institute will not be held responsible for payment
             under any head during these 10 years.
    9.4.     It is again stressed that if any spares are to be imported during warranty
             period & subsequent five AMC periods, the cost, insurance, freight, customs
             duty and clearance charges should be borne by the vendor. In case the
             manufacturer, owing to any reasons, discontinues production of the
             said unit (model) it is the responsibility of the vender to keep adequate
             spare parts for any repair and replacement of parts. Moreover, the
             vender should supply adequate spare parts to the customer at the end
             of Warranty and CAMC period (i.e. at the end of 10th year).
    9.5.     List of consumable items like printer cartridges, etc which are not covered by
             the warranty clauses must be clearly identified and declared by the vendors
             in the tender. The cartridges and other consumable items of the printer must
             be available locally for a minimum period of 5 years.
    9.6.     During the warranty and subsequent five CAMC periods, the vendor shall
             give an uptime guarantee of 95% based on 24 hrs a day, 365 days a year
             basis. Penalty at the rate of Rs.5,000 per day will be levied for short falling of
             95% uptime guarantee. If the machine lies non-functional for a period of more
             than one week continuously, the same penalty (at the rate of Rs. 5,000 per
             day) will be imposed even if 95% uptime clause is met with. Any bid without
             agreeing to the above-mentioned warranty and penalty clauses will be
             summarily rejected.

10. TRAINING
    10.1. The vendor should provide comprehensive training by application specialist
          for the CT simulator at the site on installation and to full satisfaction of the
          Head, Department of Radiotherapy. The training period should be at least for
          four weeks. The institution reserves rights to split this four-week training in
          phases for optimal learning and usage of the unit.
    10.2. One week training at a reputed center where similar mode is used within the
          country for one Oncologist, one Physicist and one Technologist.


3.1.4 HIGH DOSE RATE BRACHYTHERAPY SUITE

1. MANDATORY REQUIREMENTS
   1.1. The unit should have FDA approval
   1.2. The quoted model should have Type Approval Certificate from AERB.
   1.3. The above certificates should be enclosed with the bids.

2. GENERAL REQUIREMENTS
   2.1. The HDR system should have a minimum of 20 channels remote afterloader
        and should be capable of giving all types of remote afterloading HDR -
        Bracytherapy treatments like intracavitary, interstitial, intraluminal,
        intraoperative and surface mould radiation treatments. .
   2.2. It should have CE & ISO certification.

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    2.3.     The HDR system should be microprocessor based with PC control.
    2.4.     The HDR system must be from a well-established company with a
             documented history of reliability.
    2.5.     The HDR system should be in use in recognized centres in India / abroad.
             There should be at least 3 installations of HDR systems in India.
    2.6.     The tender offer must be accompanied with letters of reference with
             performance certificates from the existing users. The users should certify the
             satisfactory after-sales services including prompt radioactive sources supply
             and prompt rectification of repairs of the unit during breakdown calls by the
             customers (apart from Preventive maintenance visits).
    2.7.     The tender offer should include the source supply for 5 years apart from other
             conditions like warranty etc.
    2.8.     The HDR system should use one 10 Ci Iridium-192 source.
    2.9.     For the systems that use 10 Ci Ir-192 sources, there should be three source
             replacements every year. Thus, the price quoted in clause 2.8 should be for
             15 number of 10 Ci Ir-192 sources. Whenever there is a mismatch arises
             between number of sources and number of years, then the number of
             sources mentioned in this clause supersedes the number of years. However,
             the offered sources should be supplied only as and when requested by the
             department of radiotherapy, JIPMER, without any limitations on the time
             period.
    2.10.    The HDR system must be DICOM compliant and should be possible to import
             images from Simulator and other systems. On-site demonstration of image
             and plan imports should be given.
    2.11.    The HDR system must be able to use both flexible and rigid needles of less
             than 1.5 mm diameter with source step sizes between 1 to 10 mm.
    2.12.    A certified should be enclosed regarding the integrity & ruggedness of source
             transfer mechanism during the treatments and during the source life in the unit.
    2.13.    The inbuilt radiation safety features in the treatment unit & the control unit
             should be listed out including the source retrieval mechanisms during electrical
             power failures and during emergencies. Also, there should be fail-safe
             mechanisms that prevent treatments whenever there is any mismatch between
             treatment plan and its execution. This should include verification system for
             channel number, connectivity of the applicator, channels indexer and source.
    2.14.    There should be Check cable mechanism that automatically checks the
             feasibility of safe source transits prior to every treatment. The check cable must
             also use a “Dummy source” to allow simulation of particular source locations.
    2.15.    One emergency container should be supplied for keeping the radioactive source
             during emergencies.
    2.16.    Any other specific advantage of the equipment may be mentioned for
             evaluation.


3. TREATMENT UNIT – HDR

    3.1.     The treatment unit should be on wheels for easy mobility within the treatment
             room.
    3.2.     The treatment unit should have a telescopic head to adjust for various heights.
    3.3.     Separate stepper motors to control the dummy check cable and radiation
             source cable.
    3.4.     A safe to contain the radiation source, which complies with internation safety

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             standards.
    3.5.     Treatment unit should have a built-in integrated radiation detector (GM-tube
             type).
    3.6.     Multichannel indexer with a minimum of 20 channels having automatic/ optical
             verification of channel number and applicator connection should be offered.
    3.7.     The radioactive source must be retractable in the event of an emergency /
             power failure by following methods: (1) By an independent DC motor and (2)
             Manual source retraction through hand crank.
    3.8.     Battery backup and a detailed circuit for checking the battery condition.
    3.9.     Any other built-in feature offered with the unit should be mentioned.

4. RADIATION SOURCE AND TRANSFER MECHANISM

    4.1.     As mentioned in clauses 2.9, the system can use one Ir-192 stepping source
             (minimum activity 10 Ci)
    4.2.     Mention the source half-life and clinical working life of Ir-192.
    4.3.     Mention the diameter of the source quoted and its characteristics of clinical
             usage, transfer guarantee and usability.
    4.4.     The source cable connection must be tested and guaranteed to withstand
             maximum number of transfers per source. The source transfer guarantee must
             be high enough to ensure optimal usage of each individual source.
    4.5.     The source cable must be a multistrand type and must be able to negotiate
             treatment curve of 1 cm radius safely and smoothly.
    4.6.     The source cable should have a safe movement (forward / backward) with
             accuracy of ± 1 mm and must be controlled by stepper motors.
    4.7.     The source drive out length from indexer should be mentioned along with step
             size (smaller is preferred) and treatment length (higher is preferred). The
             following should be specified:

             4.7.1.        The maximum source extension
             4.7.2.        The step size (multiple steps is preferred)
             4.7.3.        The number of dwell positions per catheter
             4.7.4.        The maximum dwell time per position in a catheter
             4.7.5.        The maximum treatable length in centimeters (higher is preferred)
             4.7.6.        The source position accuracy in millimeters
             4.7.7.        The mode of source movement in each channel of the unit
             4.7.8.        Any other special feature of the system quoted and its unique
                           advantage

    4.8.     All charges including customs charges, insurance and freight cost of the
             Sources during both onward and return of used source, and the charges
             towards clearance and transport of the sources and the re-export / disposal of
             the decayed sources must also be included in the offer. Thus, the price quoted
             for the HDR system should include all the expenditures expected to occur
             during this 5 years period or up to the supply of last source in this offer,
             whichever is latter.

5. CONTROL UNIT

    5.1.     Standalone and independent PC-based control unit with colour monitor,
             keyboard, mouse, printer (for hardcopy), built-in audio card, network card and

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             a backup media.
    5.2.     Control should be of user-friendly console and a graphical user interface and
             should contain an extensive reporting facility.
    5.3.     Control unit software should run on Windows application.
    5.4.     Control unit should have a self-testing feature including battery, indexer / RAM.
    5.5.     Control unit must allow storage of multiple standards and keep track of patients‟
             fractionated treatments.
    5.6.     Access must be limited to the authorized users with password protection.
    5.7.     The treatment times must be automatically corrected for the decay of the
             radioactive source.
    5.8.     There should be higher dwell positions for the source in each channel.
    5.9.     Dwell times for each source step should have wide range.
    5.10.    Control unit should display the total reference air-kerma rate
    5.11.    The control unit should an in-built protection circuit to prevent the starting of
             treatments whenever an applicator is not connected properly or an indexer is
             not locked properly.
    5.12.    The control unit should display the status of the treatment graphically, the set
             time, the treatment elapsed time, power failure alarm, source stuck alarm and
             also display the error codes with an indication of the action required.
    5.13.    Large patient database should be provided in the control unit with an external
             storage device for backup of data.
    5.14.    The control unit should contain an in-built logbook and all events should be
             recorded.
    5.15.    Provision for checking complete operation of the system prior to actual
             treatment including electronic and radiation safety checks should be available

6. APPLICATORS & ACCESSORIES.
The offer should include the supply of applicators for brachytherapy treatments for
        cervix, vaginal, oesophagus, breast, head & neck, bronchus, nasopharynx and
        prostate cancers. It also should include all standard accessories. All applicators
        must be supplied with transfer tube and treatment tube to connect all applicators
        and channels quoted should be consistent. The offer should consists at least the
        following applicators and accessories:
   6.1.      Intracavitary set
        6.1.1. Fletcher type (Shielded) cervix applicator – 2 sets
        6.1.2. CT / MR – compatible Ring applicator (titanium based) – 5 sets
        6.1.3. Ring Applicator Set – 2 Sets
        6.1.4. CT / MR – compatible vaginal cylinders – 5 sets
        6.1.5. Shielded Vaginal Applicator Set – 2 Sets
        6.1.6. Endometrial Applicator Set – 1 Set
        6.1.7. All other accessories like connecting / transfer tubes, etc., required for
                 intracavitary treatments to be indicated and quoted for 2 sets.
   6.2.      Interstitial set
        6.2.1. Rigid needle implants complete set with at least 30 needles – 3 sets
        6.2.2. Flexible implants nylon catheters complete set with at least 250 numbers
                 of numbers of nylon catheters – 3 sets
        6.2.3. Transfer tubes (for every channel) – 3 sets
        6.2.4. All other accessories like connecting / transfer tubes, etc., required for
                 interstitial implants to be indicated and quoted for 2 sets.
   6.3.      Intraluminal set
        6.3.1. Esophagus applicator – 3 sets

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         6.3.2. Endobronchial applicator with dummies and x-ray marker set – 5 sets.
         6.3.3. Nasopharynx applicator (Balloon Applicator Set) - 2 sets.
    6.4.     Templates
         6.4.1. Breast Template – 6 sets
         6.4.2. Perineal implant template – 1 set
         6.4.3. Anal Applicator Set – 1 set
         6.4.4. Tongue Template Set – 1 set
    6.5.     Surface Mould
         6.5.1. Surface Mould Applicator set (with at least 15 channels) – 2 Sets.

7. TREATMENT PLANNING SYSTEM

The HDR Brachytherapy system should have a separate 3D Treatment planning system
compatible to it so that the planning can be transferred directly through network for
execution to the control unit of the HDR treatment unit linked to it. The Brachytherapy
TPS should be from the same company and form an integral part of the HDR system.

    7.1.      Workstation / Server

           7.1.1. The workstation should have a most modern graphics workstation with
                   suitable processor with speed of at least 2 GHz.
           7.1.2. Minimum of 1 GB RAM
           7.1.3. Hard disk capacity more than 100 GB
           7.1.4. External mass storage unit of 12 GB or higher
           7.1.5. DVD R/RW 48x
           7.1.6. 2 x USB portal, 2x serial, 1 x parallel and Ethernet ports and SCSI ports to
                   connect SCSI devices like scanner, etc.
           7.1.7. Should be capable of connecting to Broadband Internet for remote
                   servicing.
           7.1.8. 19” LCD monitors
           7.1.9. Multimedia keyboard with palm rest
           7.1.10. Optical mouse
           7.1.11. Windows XP Professional with latest service pack
           7.1.12. Norton Antivirus – free up grade during the entire warranty period
           7.1.13. The system should have either a digitizer or a film scanner to transfer
                   images from x-ray, patient contour to the TPS
           7.1.14. A colour printer capable of printing the plans with isodose curves, contours
                   and other data on A4 as well as A3 size papers

    7.2.      Brachytherapy software

           7.2.1. TPS should have 3D brachytherapy software and must support all of the
                  brachytherapy treatment modalities including Intracavitary, Interstitial,
                  Intraluminal as well as Surface mould techniques.
           7.2.2. Software should include advanced DVH, inverse planning and difference
                  methods of optimization of the treatment plan for higher number of
                  channels.
           7.2.3. Drawing tools for contouring: All the latest tools including Continuous or
                  polygon drawing, Contouring on axial, sagittal, coronal planes and on any
                  arbitrary plane, 3D and 2D Magic Wand tool for automatic contouring, Rapid
                  Volume contouring, Magnifying glass, distance and angle measurement

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                tools. Any other tools available may be indicated.
         7.2.4. Margining tools: 3D margining & differential margining tools should be
                available.
         7.2.5. Should have all types of reconstruction techniques like:

                  7.2.5.1.Orthogonal
                  7.2.5.2.Semi-orthogonal
                  7.2.5.3.Variable angle
                  7.2.5.4.Isocentric
                  7.2.5.5.CT/MR image based reconstruction including 3D tomographic
                              catheter reconstruction including slice-by-slice reconstruction.
                  7.2.5.6.Reconstruction from images from existing Simulator (fluoroscopic
                              images), CT, MRI units transferred via CDs / flash drives.
                  7.2.5.7.Should have the latest DICOM 3 for image transfer from CT-
                              Simulator.    The image transfer from CT-SIM should be
                              demonstrated and permanent licence should be available for all
                              type of import / export of DICOM images and for all type of
                              planning.

         7.2.6. Spyglass tool should be available for contouring and catheter reconstruction
                on fused images.

         7.2.7. DICOM connectivity: Comprehensive DICOM implementation including
                DICOM RT Import & Export for:

             7.2.7.1.      DICOM RT images
             7.2.7.2.      DICOM RT structure sets
             7.2.7.3.      DICOM RT Plans
             7.2.7.4.      DICOM RT Doses
             7.2.7.5.      DICOM Query and Retrieve
             7.2.7.6.      DICOM Gateway to other DICOM Compliant treatment planning
                           systems.

         7.2.8. NETWORKING:
             7.2.8.1. This offer should include networking of this brachytherapy TPS and
                      its treatment unit for their complete integration with Oncology
                      Information System that will be available in the offered Linac and
                      TPS systems.
             7.2.8.2. Moreover, networking has to be established with the offered CT-Sim
                      workstation for all image imports and with the existing Radiotherapy
                      Simulator System, model: Acuity iX from M/s Varian Medical
                      Systems for images (fluoroscopic) imports of brachytherapy
                      patients.
             7.2.8.3. All the hardware and software, including all necessary DICOM
                      Licenses should be included in this offer.
             7.2.8.4. It is the responsibility of the brachytherapy supplier to establish such
                      networking.
             7.2.8.5. It is mandatory to establish such networking and to demonstrate its
                      successful integration at the time of handing over the unit to the user
                      department. Mere declaration that the system is capable of being
                      networked with such OIS is not sufficient and any offer with such

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                              vague declaration will be summarily rejected.
                7.2.8.6.      The offer should clearly indicate that the brachytherapy
                              systems would be completely networked with aforesaid
                              systems including DICOM connectivity and their permanent
                              licenses.

            7.2.9. Should support 3D dose calculation based on TG-43
            7.2.10. Advance optimization using dose points like geometry based, full or
                    polynomial for irregular, regular large volume implants should be available in
                    order to give dose conformity on implant volume and dose points.
            7.2.11. Optimization on dose points on target should be available.
            7.2.12. Fast and accurate dose calculation should take into account for tissue
                    absorption and scatter factor, source anisotropy and shielding around
                    applicator should be available.
            7.2.13. Rapid reconstruction of catheter using applicator database manager on
                    reconstructed images and indication of corresponding isodose lines on the
                    images should be present.
            7.2.14. Plan evaluation and analysis: Should give live dose display tool in any plan
                    and 3D, cold and hot spot display on any slice, cold and hot spot display in
                    3D view, Multiple plan comparison.
            7.2.15. Plan export to Treatment Unit: There should be seamless integration
                    between the TPS and the control system of the Treatment unit.
            7.2.16. The planning system software should have necessary international
                    approval.
            7.2.17. Teletherapy and Brachytherapy cumulative dose display feature should be
                    available.

7.3.            Accessories

            Offer should include the following accessories:
            7.3.1. Source Position Check Ruler – 1 set
            7.3.2. Source Position Simulator (to find indexer length) – 2 sets
            7.3.3. Autoradiographic Check Device – 1 set
            7.3.4. Radiographic Markers – 2 sets
            7.3.5. Transfer tubes for Gynae., Needles and Flexibles – Each 2 complete sets
            7.3.6. Applicator Clamp and Base-Plate – 2 nos.
            7.3.7. High-end electrometer with Well-type chamber (Preferably PTW make).
                    Calibrated in either Primary or secondary standard laboratories for Ir. 192.
                    Calibration certificate should be enclosed with the equipment.
            7.3.8. Reconstruction jig for orthogonal and semi-orthogonal x-ray reconstructions
            7.3.9. Gamma-Zone Monitors /Radiation Monitor – 2 nos.
            7.3.10. Survey Meter/ contamination monitor (Calibration certificate should be
                    enclosed).
            7.3.11. Pocket dosimeter 2 nos.
            7.3.12. PermaDoc GC HDR Phantom for source positioning and stepping accuracy
                    evaluation –1 no.
            7.3.13. Gafchromic RTQA film pack - 5o nos.
            7.3.14. Rectal markers – 3 nos.
            7.3.15. Spare parts for smooth running of the unit for 5 years.




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8. FUTURE UPGRADES:

    8.1.      All upgrades pertaining to the quoted model including the software and
              hardware in the TPS and Treatment unit during warranty and CAMC period
              should be done free of cost.

9. LOCAL SUPPLY ITEMS

    9.1.      Online UPS for the entire system with 30 minutes back up.
    9.2.      Colour CCTV camera and monitor
    9.3.      Air-conditioning with 4-ton split-type AC

10. TRAINING TO STAFF

    10.1.     Necessary training for optimal usage of equipment should be provided at an
              existing setup/ factory for one Radiation Oncologist, one Physicist and one
              Radiotherapy Technologist.
    10.2.     10 days on-site training should be provided. Institution reserves rights to split
              these days of on-site training into phases for optimal learning and usage of the
              equipment.

11. WARRANTY & OTHER CONDITIONS

    11.1.     The Brachytherapy system including all the accessories (including UPS, air-
              conditioning systems, CCTVs i.e., both local supply items and the items
              supplied with the Brachytherapy unit from the principals ) should have Five-year
              comprehensive warranty followed by 5-year comprehensive AMCs (both labour
              and parts). The rates from 6th year to 10th year should be quoted year-wise and
              be frozen.
           11.1.1. Please note that the price quoted SHALL INCLUDE ALL EXPENSES
                   including the Customs clearance, insurance, freight, customs duty,
                   clearance charges and also all expenses towards the maintenance and
                   repairs of the entire HDR Brachytherapy suite including spare-parts,
                   electrical and electronic items, Air-conditioning, cooling systems,
                   networking, accessories, etc. The institute will not be held responsible
                   for payment under any head during these 10 years.
           11.1.2. It is again stressed that if any spares are to be imported during warranty
                   & subsequent five AMC periods, the cost, insurance, freight, customs
                   duty and clearance charges should be borne by the vendor.

    11.2.     UPTIME WARRANTY: The quoted model should have 95% uptime warranty
              During the warranty and subsequent five CAMC periods, the vendor shall
              give an uptime guarantee of 95% based on 24 hrs a day, 365 days a year
              basis. Penalty at the rate of Rs.5000 per day will be levied for short falling of
              95% uptime guarantee. If the machine lies non-functional for a period of more
              than one week continuously, the same penalty (at the rate of Rs. 5000 per
              day) will be imposed even if 95% uptime clause is met with. Any bid without
              agreeing to the above-mentioned warranty and penalty clauses will be
              summarily rejected.




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    11.3.    Posting of a resident engineer on site will be highly preferred. A list of
             certified service engineers available should be provided.

    11.4.    Internet broadband connectivity for remote servicing shall be provided.

    11.5.    Should enclose the list of similar models installed in INDIA & abroad

    11.6.    The installation of the UNIT shall be done by the experienced engineer(s),
             who has installed at least 5 installations of similar model.

    11.7.    If any/more item(s) which is/are essential for commissioning the system
             and maintaining it at least for 10 years and does/do not form part of the
             above specifications shall be supplied by the vendor.



3.2 PART II

Equipping the new equipment block and the existing RCC block with OT, lab and
diagnostic equipment and medical furniture; networking various facilities as listed below.

         General:
         The following Medical equipment and furniture (both medical and general) shall
         be supplied according to the specifications available at the MoHFW web site
         http://mohfw.nic.in/pmssy.html . For items not covered under these specifications
         the vendor shall propose the specs for approval of JIPMER.

         In addition to the equipments listed below, OT instruments and linen shall be
         supplied according to the requirement given in relevant Annexure.




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Volume I
             Classification                Name of the equipment            Qty       Remarks
             of equipment
   1        OT                      1. OT Light (Ceiling mounted)           1     As per PMSSY
            EQUIPMENT                                                             specification.
                                    2. OT Light (Pedestal)                  1     As per PMSSY
                                                                                  specification
                                    3. OT Table Hydraulic                   1     As per PMSSY
                                        (Low end)                                 specification

   2        ICU &                   4. Ventilator (ICU) High End            1     As per PMSSY
            ANESTHESIA                                                            specification
            EQUIPMENT               5. Defibrillator with ECG Monitor       1     As per PMSSY
                                                                                  specification
                                    6. Multi-Parameter Monitor              4     As per PMSSY
                                                                                  specification
                                    7. Pulse Oximeter                       2     As per PMSSY
                                                                                  specification
                                    8. Suction Machine – Battery            1     As per PMSSY
                                    Operated                                      specification
                                    9. Syringe Infusion Pump                8     As per PMSSY
                                                                                  specification
   3        DIAGNOSTIC              10. Mobile X-ray unit – Low end         1     As per PMSSY
            EQUIPMENT               (100mA)                                       specification
                                    11. X-Ray Unit 500 Ma                   1     As per PMSSY
                                                                                  specification
                                    12. Fully Automatic X-Ray film          1     As per PMSSY
                                    processor                                     specification
   4        CLINICAL                13. Cell counter (5 Part Differential   1     As per PMSSY
            LABORATORY              Automated Hematology Analyzer)                specification
            EQUIPMENT               (with chemical, reagents and
                                    disposables for 2000 tests).
                                    14. Semi automated Clinical             1     As per PMSSY
                                    Chemistry analyser (with chemicals,           specification
                                    reagents and disposables for 2000
                                    tests)



3.2 PART III

Part III consists of the following elements to be provided both in the existing and the
proposed blocks of the Regional Cancer Center.

    3.3.1 The existing RCC block and the new equipment block shall be provided with
          general furniture as detailed in the relevant Annexure.




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    3.3.2 Supply, Installation and commissioning of centralized gas manifold: Centralized O2
          supply / suction: 2 points in each general wards; in all special wards; in all ICU beds;
          2 points in Day Care Center.

              The bidder shall ensure that all plants installed and all works carried out are to the
              recommendation made in the Department of Health and Social Securities Health
              Technical Memorandum number 2022 (HTM 2022) & C11 and appropriate British
              Standards.

              Where possible the later National Health Services, Model engineering specification
              number C11 should be used. The bidder shall be responsible for the supply of all
              medical gas equipment and plant and also the installation and commissioning.
              Personnel fully familiar with medical gas installation shall carry out all works. The
              medical gas contractor shall be not responsible for any electrical work or cable
              installation, other, than connecting pre-run wires to this equipment.

    3.3.3 Nurses‟ call system shall be provided in Daycare centres, General wards (Male &
          Female), ICU, observation rooms, deluxe bedrooms, single bedrooms, double bed
          rooms & treatment rooms. Preferably wireless system shall be adopted.
      S.No.




              Classification of
                                          Name of the equipment                      Remarks
                 equipment

       1      GAS MANIFOLD          Centralized O2 supply / suction    2 points in each general wards; in
                                                                       all special wards; in all ICU beds; 2
                                                                       points in Day Care Center.

                                                                       The package should also include:
                                                                          1. Flow adjustment oxygen
                                                                              flow meter for cylinder – 10
                                                                              nos.
                                                                          2. Oxygen flow rate meter wall
                                                                              mountable type – 10 nos.
                                                                          3. Wall vacuum control unit –
                                                                              10 nos.
                                                                          4. Oxygen Cylinder key

       2      MEDICAL AND           Medical Furniture, Ward cots and   Details as per enclosed Excel
              GENERAL               General Furniture                  sheet.
              FURNITURE
                                                                       The items to be quoted under
                                                                       medical and general furniture
                                                                       should be manufactured by the
                                                                       standard medical & general
                                                                       manufacturers and samples of the
                                                                       items should be submitted to the
                                                                       appropriate committee to be
                                                                       constituted by JIPMER for approval
                                                                       and supply.




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                                                                                                ANNEXURE I

 SUMMARY OF MEDICAL & DIAGNOSTIC EQUIPMENT AND GENERAL FURNITURE REQUIRED UNDER RCC
                                  PROJECT PHASE – II
IMPORTANT NOTE: All the items in this list, including the consumables and linen, should be of standard quality and
make/brand. Moreover, before effecting full supply, samples of these items should be submitted to the committee to
be nominated by the institute for its approval and only then the full supply should be made.

OT EQUIPMENTS                                                                       FURNITURE FOR PATIENT

ITEM Name                            QTY     ITEM    NAME                     QTY   ITEM   Name                        QTY
#                                            #                                      #
1    Arteries forceps                12      67      SS circular jar big      15    101    Mayo Table                  1
                                             68      SS circular jar medium   16    102    Instrument Table            2
2      Anesthesia machine            1       69      SS circular jar small    20    103    Instrument trolley          2
3      Anesthesia pendant            1       70      SS jug 1 ltrs            6     104    Gynae examination table     3
                                                                                           (ss) with stirrups
4      Aspiration tray               4       71      SS jug 2 ltrs            6     105    Trolly to carry medicine    10
5      Biopsy forceps                5       72      SS kidney tray big       26    106    Examination table (for      10
                                                                                           OPD)
6      Bivalve speculam              50      73      SS kidney tray medium 20       107    Foot steps (2 step)         20
7      Blood warmer                  1       74      SS kidney tray small  32
8      Bolder sack (free             1       75      SS long tray with lid 5        108    Patient trolley             10
       standing)
9      Bowl plaster mobile           10      76      SS tray big              20    109    Revolving top stool         10
10     Bowl double mobile            10      77      SS tray medium           16    110    Skeletal rack ( 4 X 1 1/2   3
                                                                                           feet)
11     Bowl single mobile            10      78      SS tray small            16    111    Skeletal rack ( 4 X 3 feet) 5

12     BP apparatus table type 9             79      SS urinal                7     112    Stainlessteel instrument    4
                                                                                           cabinet
13     BP apparatus Standing         4       80      Sterilizers big size     10    113    Streacher trolley        5
14     BP handle                     10      81      Sterlizer small          4     114    Threefold screen stand 10
15     Cathetarisation tray          4       82      Stethascope              4     115    Wheel chair metal wheels 5

16     Chittle forceps               30      83      Straight artery forceps 12     116    Bed side locker             84
17     Curved artery forceps         12      84      Surgeons Pendant        1      117    Cupboard racks for          6
                                                                                           emergency drugs
18     Diathermy unit                1       85      Surgical aspirator       1     118    Dressing trolley            8
19     Dressing bin medium           8       86      Syringe pump             10    119    Fowler's cots with          15
                                                                                           mattresses
20     Dressing bin small            11      87      Thumbforceps non         16    120    Alfa beds                   15
                                                     toothed
21     Dressing pack                 16      88      Thumbforceps toothed 16
22     Forceps non toothed           20      89      Tongue depressor     12
23     Forceps toothed               20      90      Towel clips          50




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24     Hegars dilator full           2       91      Trolley with emergency 6
                                                     facilities
25     I V stand                     14      92      Uterine sound         20
26     IL mirror                     12      93      Venesection tray      4
27     Indent trolly                 15      94      Venturi mask          10
28     Infusion pump                 10      95      Vulsulam              12
29     Layrngoscope with             6       96      Wall vaccum control   33
       ambubags                                      unit
30     Linus forceps                 6       97      SS Scissors Big       4          LINEN
31     Lizzers assorted              10      98      SS Scissors Small     10   ITEM Name                       QTY
                                                                                #
32     Long Forceps straight         6       99      Knife holder          4    121  Centre hole towels         100
33     Long forceps curved           6       100     Female metal urinal   10   122  Color bedsheets            250
                                                     catheter
34     Mosquito forceps              12                                         123   Cotton blanket            20
       (Curved)
35     Mosquito forceps              12                                         124   Dhothi                    140
       (Straight)
36     Nasal speculum                12                                         125   Door mats big             10
37     Needle holder                 6                                          126   Door mats medium          20
38     Nelsens inhaler               8                                          127   Draft sheet               300
39     O.T. Monitor                  1                                          128   Hand towel                190
40     Oral thermometer              50                                         129   OT gowns                  100
41     OT light Celing mounted       1                                          130   Patient wrapping sheet    50
42     OT light Pedestal             1                                          131   Pillow                    280
43     Otoscope                      6                                          132   Pillow case               280
44     Oxygen flow meter wall        33                                         133   Saree                     150
       type
45     Oxygen mask                   20                                         134   Shirts                    130
46     Packing forceps               4                                          135   Three fold screen cloth   20
47     Pap smear jars                30                                         136   Towel Small size          100
48     Pap spatula                   100                                        137   Towels Big Size           50
49     Portable electronic           4                                          138   White bedsheets           630
       suction app
50     Portable Oxygen cylinder 4                                               139   White gown                200
51     Portable Oxygen cylinder 6                                               140   White leggings            200
       with trolley
52     Post-nasal mirror             12                                         141   Wollen blanket            20
53     Proctoscope                   1                                          142   Window curtains           50
54     Pulse oxymeter                2                                          143   Table cloth               5
55     PV tray                       4
56     Rack swap                     1
57     Sims speculam Big             20
58     Sims speculam medium          30
59     Sims speculam small           30
60     Sponge holder                 15


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61     SS basin big                  14
62     SS basin small                20
63     SS bedpan                     25
64     SS bowl with lid medium       20
65     SS bowl with lid small        20
66     SS bucket big                 8
  FURNITURE GENERAL                                ELECTRICALS &                   MISCELLANEOUS
                                                    ELECTRONICS
ITE    NAME OF ITEM                  QTY       ITEM          Name          QTY ITEM          Name          QTY
M#                                               #                               #
144 Armed steel chair                     10    169 Nurses calling bell      12
                                                    system in wards
145 White board for                       3     170 Digital X-Ray lobbies    15 193 Dust bin open type      150
    teaching                                        (2 feet x 1-1/2 feet)
146 Conference chairs                     20    171 Digital X-Ray lobbies     4 194 Dust bins foot operated 50
                                                    (4 feet x 1-1/2 feet)
147 Consultant table                      30    172 Empty CD                200 195 Duster                    2
148 Visitors chair                        60    173 Extention board wire      5 196 Kick bucket              12
                                                    with switches and
                                                    plugs with 10m
149 Dinning chair                         40    174 Focus light (FOR          4 197 Mirrors                  30
                                                    EXAMINATION)
150 Dinning table                         10    175 Head lamp                 8 198 Pen stand                 5
151 Executive chairs                       2    176 Laser pointers            2 199 Plastic bucket 10ltrs    63
152 Glass fronted shelf for                2    177 Desktop computers        12 200 Plastic bucket 15ltrs    18
    keeping books                                   with MS office
                                                    software (Latest
                                                    configuration to be
                                                    provided)
153 Glass fronted shelf                   2     178 LCD projector - latest    1 201 Plastic mug             100
    crockery 6 feet                                 model with USB
                                                    drive
154 Metal perforated                      5     179 Microwave oven            1 202 Scrub sink                3
    powder coated 2
    seater
155 Metal performed                       20   180 OHP projector            1   203 Slippers ICU            50
    powder coated 3
    seater
156 Moulded chair with                    50   181 Pedestal fans           10   204 Slippers OT             50
    handrest
157 Office table                          10   182 Printers                 2   205 Soap box               100
                                                   (Specification to be
                                                   provided)
158 Computer table                        15   183 Pen drive 2 GB           5   206 SS plates Big           10
159 Opens shelf                            2   184 Refrigerator big         8   207 SS plates small         10
160 Pigeon-hole cabinet                   15   185 Geysors                 20   208 Scissors                 3
    (15 cabinet)



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161 Attender beds with                  26    186 Telephone intercom     15   209 SS spoons                20
    mattress
162 Standard slotted angle                5   187 Television             3    210 SS tumblers              50
    MS racks                                      (specification to be
                                                  provided)
163 Steel cupboard                      21    188 Torch digital          6    211 SS water jugs            5
                                                  (Chargebale type)
164 Stool multipurpose                  20    189 Torch light            6    212 Stainless steel tray     5
    steel                                                                         with lid - medium
165 Tea Table                           30    190 Wall mounted           6    213 Stainless steel tray     5
                                                  examination lamp                with lid - small
166 Teapoy                              10    191 Hard disk 40 GB        2    214 Plastic urinals          25
167 Towel stand in all                  20    192 Hand lamp 10 m         3    215 Thermoflask 2 ltrs SS     2
    places with washbasin
168 TV stand floor                        5                                   216 Thermoflask 10 ltrs SS    1
                                                                              217 Tubs for washing         30
                                                                                  clothes plastic
                                                                              218 Wall clock               10
                                                                              219 Water cooler with         3
                                                                                  acquaguard
                                                                              220 Water filter              5
                                                                              221 Weighing machines         5
                                                                              222 White board marker       10
                                                                                  pen
                                                                              223 Writing pads             5
                                                                              224 Notice cum display       5
                                                                                  boards
                                                                              225 6 lever locks with 3     20
                                                                                  keys
                                                                              226 Magnifing lens Big        5
                                                                              227 Wall mounted apron       10
                                                                                  stand
                                                                              228 Box files                25
                                                                              229 General purpose tool      1
                                                                                  box




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                                                                      ANNEXURE II




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                                                                        ANNEXURE III




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                                                                     ANNEXURE IV




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