FORM. 1. Name & Address of the Firm/ Agency/Company and Telephone/ Mobile Number : 2. Registration No. (if any) :

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1 Cost of tender form Rs. 500/- only TENDER FOR SUPPLY OF FRESH FRUITS & VEGETABLES ETC AT ESI HOSPITAL, OKHLA PHASE-I, NEW DELHI. FORM 1. Name & Address of the Firm/ Agency/Company and Telephone/ Mobile Number : Affix duly attested P.P.size recent photograph of the prospective bidder 2. Registration No. (if any) : 3. Name, Designation, address & telephone No. of authorised person. : 4. Please specify as to whether Tenderer is a sole proprietor/ Partnership firm /private or Limited company. (documentary proof attached) : 5. Name, Address & Telephone No. of Directors/Partners fax No. / address (documentary proof attached) : 6. Please attach a copy of Income Tax Return for the Assessment Year alongwith a copy of Income Tax Clearance Certificate & copy of Income Tax PAN No. : Contd..

2 7. Details of Experience : (Documentary proof attached) 8. Details of Earnest Money Deposit : a) Amount:. b) DD/Pay order/ Banker s Cheque No.:. c) Date of Issue:. d) Name of Issuing Bank:. 9. Any other information: 10. Previous experience(s) of Fresh vegetables and fruits supply Services provided by the Agency in any of the Govt./ Semi Govt, Departments and reputed/ Ltd Hospitals having 150 or more beds. (Minimum three years experience is essential). Please attach documentary proof/testimonial(s) etc in support of claim. Tender which do not contained any of the above listed documents will be rejected. CERTIFICATE It is certified that the particulars given above are true to the best of my knowledge/belief and I/We have read terms & conditions and have also understood the same and do hereby undertake to abide by the same without any reservation on any grounds whatsoever. In case of any breach of the said conditions. I/We shall be responsible for the consequences of the same. Date: Place: Name & Signature Of authorised signatory of the Agency with Seal of the Agency affixed

3 E.S.I. HOSPITAL SREE MAA ANAND MAYEE MARG OKHLA PHASE-I, NEW DELHI-20 F.No:-114-U-12/1/2003-OKH Date:- From:- The Medical Superintendent ESI Hospital, Okhla Phase-I, New Delhi To M/s Subject:- Tender for supply of fresh vegetables, fruits, paneer, bread & butter to the ESI Hospital, Okhla Phase-I, New Delhi. Sir, Sealed tenders are invited in the name of Medical Superintendent, ESI Hospital, Okhla Phase-I, New Delhi-20 for supply of fresh vegetables, fruits, paneer, bread & butter to the ESI Hospital, Okhla Phase-I, New Delhi. A list of items with specifications which are to be supplied is also enclosed. The Tender forms duly filled up will be accepted by this office from to between 10 AM to 3 PM and on upto 1 PM on all working days except Saturday and Sunday alongwith Earnest Money of Rs /- (Rs. Twenty Two Thousand only) in the form of Demand Draft/Pay Order/Banker s Cheque drawn in favour of ESI Fund Account No.1 payable at New Delhi. Please note that tender form not accompanied with requisite earnest money will be rejected outright without assigning any reason/entertaining any correspondence. The earnest money of unsuccessful tenderers will be refunded without accrual of any interest, in due course. The sealed envelope containing the tender should be marked in capital letters Tender for supply of fresh vegetables, fruits, paneer, bread & butter to the Hospital kitchen and the same may be dropped in the tender box available in Room No The envelope should also bear the sender s name and address. The sealed tenders will be opened on at 2.30 PM in Room No. 210 at ESI Hospital, Okhla Phase-I, New Delhi. In case it happens to be a declared holiday then it shall be opened on the next working day at the same time. (A.N.Prasad) Joint Director (Admn.) For Medical Superintendent

4 TERMS AND CONDITIONS OF THE TENDER FOR SUPPLY OF FRESH VEGETABLES, FRUITS, PANEER, BREAD & BUTTER TO THE E.S.I. HOSPITAL, OKHLA PH-I, NEW DELHI. The tender shall be submitted in the format enclosed. The tenderer shall give an undertaking that he shall abide by the Terms & conditions of the tender. 1. Earnest Money:- The Tender forms duly filled up will be accepted by this office from to between 10 AM to 3 PM and on upto 1 PM on all working days except Saturday and Sunday alongwith Earnest Money of Rs /- (Rs. twenty two thousand only) in the form of Banker s Cheque /Demand Draft/Pay Order by any Nationalised Bank in favour of the ESI Fund Account No. 1 payable at New Delhi. Please note that tender form not accompanied with requisite earnest money will be rejected outright without assigning any reason/entertaining any correspondence. The earnest money of unsuccessful tenderers will be refunded without accrual of any interest, in due course. In the event of withdrawal/revocation of the tender before the date of acceptance, the earnest money will be forfeited. It may be noted that the unsuccessful tenderer will not be informed of the result of his tender. Tenderer are advised to submit pre-receipt alongwith application for refund of EMD, which will be released as soon as the tender is finalized. 2. Experience:- The Contractor/supplier should have at least minimum three years experience of supplying of fresh vegetables, fruits, paneer & butter etc to the Govt. Hospitals/Organisations and should submit evidence in the form of an experience certificate from the Competent Authority/Medical Superintendent of the hospital he had served.

5 3. Particulars of the tenders: The tenderers shall provide the Income Tax PAN No. and proof of his residential address i.e. Voter I.D.Card/ Electricity bill/ Telephone bill/driving licence/ration card etc. 4. Period of Contract:- Normally, the contract will be valid for one year but the same can be extended by the Medical Superintendent on the existing rates and terms and conditions. In the event of services rendered found unsatisfactory by the hospital, the contract is liable to be terminated with 15 days prior notice. 5. Validity of Rates:- The price will be valid for one year (unless extended otherwise) from the date of commencement of tender or upto expiry of contract. 6. Place of delivery:- Kitchen Department, ESI Hospital, Okhla Phase-I, New Delh Delivery Schedule:- Delivery schedule will be decided by the Medical Superintendent, ESI Hospital, Okhla, New Delhi or any other person authorised by him/her or on his/her behalf. Supply will be made available between 10 AM to 1 PM or any time convenient to the Hospital Authorities. In case supply is not received till 1 PM or if the supply is not upto the standard, the supply will be returned back and the hospital authorities may purchase vegetables and other items from the open market and amount incurred, if any, over and above the agreed rates plus cartage charges will be deducted /recovered from the bill(s) payable to the contractor. The supply for Sunday and holidays will be made on previous working day. In case of non supply or late supply due to some unavoidable circumstances, or logistic problem an advance, intimation will be given by the Contractor as early as possible.

6 8. System of payment:- The contractor will prepare a challan in the form specified by Medical Superintendent (in duplicate) each time the supply of items is made showing inter-alia the date & quantity supplied. The challan will carry the signature of the Contractor in token of his having made the supply and he will also obtain the signature of the dietician of this hospital or any other officer appointed by the Medical Superintendent in token of his having received the supply. The supplies shall be with credit facility for 30 days and at the end of each calendar month, the contractor will present a bill (in duplicate) showing datewise supplies made by him and the amount that has fallen due to him. The payment of the bill will be made to the contractor through cheque after following the prescribed procedure. 9. Freight & cartage charges:- The freight and cartage charges will be borne by the contractor for the items delivered. 10. Security deposit:- The successful tenderer will have to deposit interest free security money amounting to Rs. 55,000/- in the form of Banker s Cheque /Demand Draft/Pay Order issued by nationalised Bank in favour of ESI Fund Account No. 1 payable at New Delhi. The tenderer /contractor will have to sign a contract agreement deed on a non-juridical stamp paper of worth Rs. 100/- (Rs. One hundred only) and the expenses on this account will be borne by the contractor. In case the contractor discontinues the contract prematurely or the contract is terminated during its currency due to unsatisfactory performance or any act in contravention of the terms and conditions of the contract agreement, the security deposit will be forfeited and no correspondence in this regard will be entertained. 11. Jurisdiction:- All disputes arising out of or in connection with the contract shall be settled by sole arbitration of the Medical Superintendent, or a person appointed by him/her in this behalf. The contract may be terminated by either party after giving written prior notice of not less than 60 days. Medical Superintendent reserves the right to accept or reject any or all the tenders without assigning any reasons thereof.

7 Tender for supply of fresh vegetables, fruits, paneer, bread & butter to the ESI Hospital, Okhla Phase-I, New Delhi (Year ) List of items S.No. Name of Items Specification Approx. quantity per month subject to variation 1 Potatoes By weight not less 600 kg than 100 gm each 2 Onions By weight not less 120 kg than 80gm each 3 Tomatoes Reddish firm,by weight 120 kg not less than 80gm each 4 Fresh/Green vegetables Baigan, Lauki, Sitaphal, Palak, Gazar, Tinda, Tori, Shalgam, PhoolGobhi, Pattagobhi, Shimla Mirch, Parmal, Methi, Sarson, Bhindi, Arbi, Phalia, Karela, Bathua, Kheera, Mooli Peas (Safal matar) Hara Dhaniya Podina Lemon Adrak Lahsun (The vegetables would be supplied according to season) Total Require- Ment 1500 kg. 6 kg. 6 kg. Rate per Kg. (Rs.) (Signature & Seal of Tenderer with date)

8 Tender for supply of fresh vegetables, fruits, paneer, bread & butter to the ESI Hospital, Okhla Phase-I, New Delhi (Year ) S.No. Name of Items Specification Approx. quantity per month subject to variation Rate per Kg. (Rs.) 1 FRUITS Unless specified otherwise Fresh, Ripe, thin skinned, firm, each piece weighing between gms. 1.1 Oranges/Kinno As above All fruits 8000 nos. 1.2 Apples As above 1.3 Mangoes Fresh, firm and ripe, Medium size, Weight gms 1.4 Bananas Ripe, firm, without blemishes, gms 1.5 Mausammies (sweet lemon) Yellowish, green skin firm Weight gms 1.6 Pears Green (thin skin) Weight gms 1.7 Amrud (Guava) Yellow fresh Weight gms (Signature & Seal of Tenderer with date)

9 Tender for supply of fresh vegetables, fruits, paneer, bread & butter to the ESI Hospital, Okhla Phase-I, New Delhi (Year ) S.No. Name of Items Specification Approx. quantity per month subject to variation Rate per Kg. (Rs.) 1 Butter (500 grams packing) fresh and pure without any unpleasant odour. Amul/ Britannia/ Mother Dairy/Vita/ Vijya As per Require- Ment 2 Paneer Fresh and firm, odourless As per Require- Ment 3 Bread Whole wheat Britannia-Enrich Harvest Soft & fresh (380/760gm) 1500 loafs (Signature & Seal of Tenderer with date)