Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...
Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...
Ten form Allopathic DDVS AMBIKAPUR - Chhattisgarh State ...
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LAST DATE OF SUBMISSION<br />
16-07-2012 UP TO 3.00 PM<br />
OPENING DATE<br />
16-07-2012 AT 4.00 PM<br />
YEAR 2012-13<br />
DEPUTY DIRECTOR<br />
VETERINARY SERVICES<br />
<strong>AMBIKAPUR</strong> DISTT. SURGUJA<br />
SURGUJA, CHHATTISGARH
CHECK LIST<br />
Sr.<br />
Name of Documents<br />
Page No.<br />
No.<br />
1 2 3<br />
1 Earnest Money Deposit in the <strong>form</strong> of BD/FD<br />
2 Duly attested photocopy of License for products duly<br />
approved by the Licensing authority and quoted medicines<br />
should be clearly marked.<br />
3 Market standing certificate issued by the Licensing<br />
Authority<br />
4 Manufacturing units should have minimum turnover of<br />
annual Rs. Five crores during last financial year.<br />
5 Good manufacturing Practices certificate<br />
6 Valid sales Tax certificates issued by concerned<br />
Authorities<br />
7 Farm duly signed by authorized person<br />
(From page No. 1 to 19)<br />
8 Agreement Bond<br />
9 Non-conviction certificate
2<br />
Deputy Director, Veterinary Services<br />
Ambikapur Distt. Surguja<br />
( <strong>Chhattisgarh</strong> )<br />
No..................2012 - 2013/<strong>Ten</strong>der/Surguja,<br />
Date....................<br />
To,<br />
Subject: -<br />
Ref : -<br />
M/s.........................................<br />
.........................................<br />
.........................................<br />
.........................................<br />
<strong>Ten</strong>der for supply of Veterinary <strong>Allopathic</strong> Medicines.<br />
Your Letter No............................. Date......................................<br />
*****<br />
Please find herewith-enclosed tender <strong>form</strong> along with agreement bond,<br />
terms and condition of contract, list of products.<br />
Last date of Submission of tender 16-07-2012 up to 3.00 PM and will<br />
be opened on the 16-07-2012 at 04:00 PM.<br />
The tender will be received at Office of the Deputy Director of<br />
Veterinary Services, Ambikapur, Distt. Surguja ,<strong>Chhattisgarh</strong>.<br />
Encl: - 33 Pages only.<br />
Deputy Director<br />
Veterinary Services<br />
Ambikapur Distt. Surguja<br />
<strong>Chhattisgarh</strong>
3<br />
APPENDIX--A<br />
ABSTRACT INFORMATION REGARDING TENDER<br />
1. Name of the Firm ...............................................................................................<br />
2. Address of Firm for Correspondence: ..................................................................<br />
...................................................................................................................................<br />
3. Ownership of the Firm .........................................……………………………….<br />
4. In case of partnership, name of partner for signing the tender: - ......................<br />
....................................................................................................................................<br />
(Encl. Power of attorney and Deed letter)<br />
5. Valid license of the Firm No.: - .................................. Date .......................<br />
Validity renewed up to: -...........................................................(enclosed copy)<br />
6. No. of Appendix filled in tender: -.......................................................................<br />
....................................................................................................................................<br />
7. If Firm is registered under SSI/GOI/Unit enclose copy: -<br />
8. Details of Bank Draft/F.D.R. for-<br />
9. Details of enclosed documents: -.............................................................................<br />
....................................................................................................................................<br />
Signature of Contractor<br />
with seal
APPENDIX-B<br />
TENDER NOTICE FOR THE SUPPLLY OF VETERINARY<br />
ALLOPATHY MEDICINE<br />
Sealed tender are invited for the supply of Veterinary Allopathy Medicine from<br />
LICENSED VETERINARY ALLOPATHY MEDICINES MANUFACTURES and authorize<br />
dealers THOSE HOLDING GOOD MANUFACTURING PRACTICE CERTIFICATE,<br />
GOOD MARKET STANDING AND NON CONVICTION CERTIFICATE FOR THREE<br />
YEARS by the Director of Veterinary Services, <strong>Chhattisgarh</strong> Raipur.<br />
1. The tender must be submitted in sealed cover envelope and should reach the office of<br />
the undersigned on or before 16-07-2012 up to 3.00 PM. The committee will open<br />
the tender on 16-07-2012 at 4.00 PM. The tender can be submitted personally or by<br />
registered post A.D. The envelope shall bear the address of the tenderer and shall be<br />
super scribed with the words "TENDER FOR SUPPLY OF VETERINARY<br />
ALLOPATHY MEDICINES.<br />
2. The prices should be quoted inclusive of all taxes packing forwarding insurance and<br />
freight charge F.O.R. Ambikapur, distt. Surguja. The time and limit for execution of<br />
such order shall be 60 days from the date of issue of Purchase order. The tender must<br />
be accompanied with earnest money/ security deposit equql to 3% of the value of<br />
budgetary estimate in the <strong>form</strong> of: -<br />
(a) The Bank draft of any scheduled Bank.<br />
(b) Bank draft/ FD (Fix Deposit Receipt) be prepared in favor of the undersigned<br />
by designation.<br />
(c) The depositor agrees in the writing to undertake any risk involved in the<br />
investment.<br />
(d) The amount of EMD will be refunded to the unsuccessful competitors or<br />
rejection of their tender at their cost. It will be retained from the successful<br />
competitors as per term and conditions of the contract.<br />
(e) Cash or Cheques will not accepted.<br />
3. Each tender should be accompanied with the Signed and sealed agreement bond.<br />
Attested Photocopy of License Sale/Commercial Tax Registration certificate.<br />
4. THE TENDER WILL HOLD GOOD UP TO 31 March 2013.<br />
5. The D.D.V.S. reserves the right of the accepting the tender in whole lot or distinct<br />
part of it or the supply can be distributed between more than one tenderer.<br />
6. The tenderer should tender in the enclosed <strong>form</strong> only. The same on acceptance will<br />
constitute the contract in terms specified there in.<br />
7. The tender thus received will be opened on 16-07-2012 in the Office of Deputy<br />
Director of Veterinary Services, Ambikapur, Distt. Surguja at 3.00 PM by a<br />
committee appointed for the purpose of such <strong>Ten</strong>ders or his/their authorized<br />
representative who choose to attend at the time of opening the tender in person.<br />
8. No tender shall be taken into consideration unless it satisfies all the requirements<br />
prescribed above and is presented within prescribed time limit.Deputy Director,<br />
4
Veterinary Services, Ambikapur, distt. Surguja, <strong>Chhattisgarh</strong>, however reserve the<br />
right to give any relaxation in this connection.<br />
9. The conditional tenders are liable to be rejected.<br />
10. The undersigned may reject all or any of the tenders without assigning any reasons<br />
there of.<br />
11. A list showing the names of those persons, who are working with Veterinary<br />
Department C.G., should be appended with the tender.<br />
12. If tender being submitted by a firm it must be signed separately by each partner and<br />
in the event of absence of any partner it must be signed on his behalf of a person<br />
holding power of attorney which should be issued by the person who will be absent,<br />
authorizing him to do so which should be produced with the tender and it must<br />
disclose that the firm is registered under Indian Partnership Act along with<br />
specification of No. of partners who constitute the firm with their names & address.<br />
13. NO PERSON OR FIRM IS PERMITTED TO SUBMIT MORE THAN ONE<br />
TENDER UNDER DIFFERENT NAME.<br />
14. The rates tendered shall not be altered by the tenderer during the terms of the<br />
contract.<br />
15. If the rates quoted by the firm in tender documents i.e. proposed rates & M. R. P.<br />
rates, got any difference on product in<strong>form</strong>ation slip at the time of supply then the<br />
same must be in<strong>form</strong>ed to Deputy Director of Veterinary Services, Ambikapur, distt.<br />
Surguja, <strong>Chhattisgarh</strong> well in time (before supply). Regarding above term it is<br />
clarified that :-<br />
(a) After approval of <strong>Ten</strong>der rate, if M. R. P. increases, their will be no change in<br />
approved rates and tenderer have to supply the order on approved tender rates how<br />
ever.<br />
(b) If M. R. P. decreases from approved tender rate than the rates will also decreased in<br />
same proportionate and the decreased rate will be treated as approved rate, <strong>Ten</strong>derer<br />
have to supply the medicines other wise Deputy Director Veterinary Services has the<br />
right to take legal action.<br />
Again if Deputy Director Veterinary Services came to know that there<br />
is a difference in the rate mentioned in tender documents and in supply goods then<br />
Deputy Director have right to take appropriate action & difference amount will be<br />
declutch from security deposit. <strong>Ten</strong>derer are directed to in <strong>form</strong> the Authorized agent<br />
through which the Medicine will be supplied.<br />
16. Each page of the <strong>Ten</strong>der and its enclosures should be signed at the bottom by the<br />
tenderer.<br />
17. The serial No. of the articles referred in Appendix should be quoted in the tender for<br />
reference.<br />
18. In case of spurious preparation the rates should be quoted inclusive of excise duties.<br />
19. The undersigned of the department bears no liability for arranging import permits for<br />
the goods ordered by us.<br />
5
20. All dues regarding taxes including sales tax, Octroi duties etc. levied on the supply<br />
shall be payable by the contractor himself. The department shall grant certificate for<br />
total quantity of supply made but shall not entertain any claim on this account.<br />
21. The amount of Earnest money shall be refunded in full in case tender of the firm is<br />
totally rejected otherwise the amount of earnest money shall be adjusted against<br />
security deposit of 3 % of the value of budgetary estimate. However, in case the<br />
amount so deposited as found short to cover the full value of security deposit the<br />
contractor shall have to deposit the difference within 15 days of the notice so issued<br />
by the undersigned under registered cover otherwise the contract shall stand<br />
terminated and security deposit would be forfeited.<br />
22. Illegible and over writing cutting artifice etc. in the rates will make the tender liable<br />
for rejection.<br />
23. The abstract in<strong>form</strong>ation regarding tender be submitted duly signed by the tenderer.<br />
24. Market standing certificate Good manufacturing certificate Non conviction certificate<br />
issued by the Authority with at least three years continuous manufacturing license.<br />
25. Manufacturing units should have minimum turnover of annual Rs. Five crores during<br />
last financial year .<br />
26. Medicines & drugs shall be IP-BP standard quality only.<br />
27. The expiry date of medicines must be of minimum one year from the date of supply.<br />
28. TENDER EVALUATION: - The evaluation of the cover-A and B<br />
(Technical and Commercial bid) opened by the <strong>Ten</strong>der opening Committee to<br />
provisionally assign the item-wise selection in the order of preference as under.<br />
First Preference -L-I<br />
Second Preference - L-II<br />
Third Preference - L- III<br />
If the L-I contractor fails to execute the purchase order within the mutually<br />
agreed delivery period, the order will be cancelled at firms risk and cost and<br />
thereafter, the purchaser shall opt for L-II and L-III in the order of priority and<br />
the difference of cost will be recovered from the defaulting contractors i.e. L-I<br />
29. This office will issue ‘D’ Form for C.S.T.<br />
30. Deputy Director of Veterinary Services shall have the right to decide the rates of<br />
medicine after negotiations/mutual discussions if required.<br />
31. The original drug license must be produces at the time of opening of technical<br />
bid before the tender committee.<br />
32. THOSE TENDERER WHO OBTAIN TENDER DOCUMENT THROUGH<br />
WEB-SITE ARE REQUIRED TO SUBMIT THE TENDER FEE RS. 500/- (RS.<br />
FIVE HUNDRED ONLY) ALONG WITH DULY FILLED TENDER FORM.<br />
6<br />
Deputy Director of Veterinary Services<br />
Ambikapur, distt. Surguja, C.G.
7<br />
AGREEMENT BOND<br />
(TENDER FOR SUPPLY OF VETERINARY<br />
ALLOPATHY MEDICINE)<br />
I/We hereby tender for the supply to the Governor of <strong>Chhattisgarh</strong> acting<br />
through the Deputy Director Veterinary Services, distt. Surguja, <strong>Chhattisgarh</strong> (hereinafter<br />
called Governor of C.G.) for supply of Veterinary Allopathy Medicine at the rates mentioned<br />
in the schedule of this memorandum in accordance with the terms and condition. I/We here<br />
by agree to abide by and fulfill the terms of this tender and all conditions of contract opened<br />
here to, or in default there of to forfeit the security deposit and pay to the said Government<br />
of C.G. or his successors, the penalties of sum of the money mentioned in the said condition.<br />
The sum of 3 % of the value of the budgetary estimate is forwarded herewith<br />
as earnest money, the full value of which is to be absolutely forfeited to the said Governor or<br />
his successor in office without prejudice to any other rights or remedies of the said Governor<br />
or his successors in the office. In case I/We fail to undertake the supply of commodities, or<br />
fail to deposit the full amount of security in accordance with condition No.-1 of the said<br />
terms and conditions of contract dated this day of 2012.<br />
Witness ...................................<br />
Address ...................................<br />
Occupation ..............................<br />
Signature of Contractor<br />
(Name...........................)<br />
The above tender is hereby accepted by me on behalf of Governor of<br />
<strong>Chhattisgarh</strong>, Dated ..........................2012.<br />
DEPUTY DIRECTOR<br />
Veterinary Services<br />
Distt. Surguja (C.G.)<br />
NOTE- This agreement bond must be typed on Non-Judicial stamps worth Rs.50 (Rs. Fifty only)<br />
and must be signed accordingly Nitrified.
8<br />
PROCEDURE FOR SUBMIT ION OF<br />
TENDER FORM<br />
FIRST TENDER ENVELOPE “A” HAS: -<br />
1. Earnest Money Deposit in the <strong>form</strong> of BD/FD.<br />
2. Duly attested photocopy of License for products duly approved by the Licensing<br />
authority and quoted medicines should be clearly marked.<br />
3. Market standing certificate issued by the Licensing Authority.<br />
4. Manufacturing units should have minimum turnover of annual Rs. Five crores during last<br />
financial year.<br />
5. Good manufacturing Practices certificate.<br />
6. Valid sales Tax clearance certificates issued by concerned Authorities.<br />
7. <strong>Ten</strong>der Farm duly signed by authorized person. (Form Page No. 1 to 11)<br />
8. Agreement bond.<br />
9. Non-conviction certificate.<br />
Note - The above documents should be arranged in serially as given in above<br />
manner with paging.<br />
2- ENVELOPE –“ B”: - PRICE BID<br />
<strong>Ten</strong>derer should submit terms & conditions and prices in hard copy as well as in<br />
computer CD in a separate sealed cover, hereafter called "Cover B". (The soft copy<br />
given in CD should be in MS Excel).<br />
3- Envelope "C" - Contain other related document<br />
4- The set of tender document Technical Bid (Envelope A) , Financial Bid (Envelope B)<br />
and Envelope "C" dully completed in all respects shall be submitted in notice inviting<br />
tender in a sealed envelope so as to reach within time.<br />
.
9<br />
TERMS & CONDITIONS OF CONTRACT<br />
1. The tenderer whose contract may be accepted (herein after called the contractor) shall<br />
within fifteen days of receipt of in<strong>form</strong>ation of the acceptance of the tender by him,<br />
should deposit sum equal to 3% of the value of order placed with him, either in cash<br />
or in any of the Government Treasury or furnish approved Government securities for<br />
this amount duly endorsed to the Deputy Director of Veterinary Services, Distt.<br />
Surguja C.G. The amount may also be deposited in any other manner accepted to the<br />
Deputy Director in terms of general orders of Government issued from time to All<br />
damages or to be born by the contractor otherwise sum of money payable by the<br />
contractor to the Governor of <strong>Chhattisgarh</strong> under the terms of this contract, may be<br />
deducted from the amount of security deposit after the proper completion of the<br />
contract.<br />
2. The prices will hold good for end of 31 March 2013. The delivery of goods by the<br />
contractor should be at Deputy Directorate of Veterinary Services, Ambikapur. The<br />
cost of packing, forwarding, freight and other charges for effecting delivery at the<br />
destinations shall be borne by the contractor.<br />
3. The Deputy Director of Veterinary Services, distt. Surguja, C.G. reserves the right to<br />
increase or decrease any one or more items of supply during the contract. The<br />
contractor will be bound to comply without any claim for the compensation.<br />
4. All dues regarding taxes and duties including sales tax commercial tax excise duty,<br />
octroi duties levied on the supply shall be payable by the contractor himself. The<br />
Department shall grant a certificate of total quantity of supply made but not entertain<br />
any claim on this account.<br />
5. All losses during transit due to breakage and shortage, spoilage etc. will have to be<br />
made by the contractor at his own cost.<br />
6. The contractor shall not sublet the contract assigned to any other party or parties, the<br />
whole or any portion of the contract.<br />
7. In case commodities indented are not supplied with in the time limit or loss is not<br />
made good according to the terms & conditions of this contract, the tenderer shall be<br />
liable to pay liquidated damages and by the way of penalty the sum of 2% of the cost<br />
of order placed, shall be deducted from bill. Further it shall be lawful for the Deputy<br />
Director of Veterinary Services, Ambikapur to purchase the articles indented from<br />
open market at the risk and cost of the contractor who in addition to the liquidated<br />
damages, aforesaid shall also be liable for any losses or damages caused by the said<br />
purchases to the Governor. Incase, however, no supply is made even after expiry of<br />
60 days from the issue of order of supply before closing of financial year, the amount<br />
of security deposit shall be forfeited to the Government of <strong>Chhattisgarh</strong> and the<br />
contract shall stand terminated. However, if the Deputy Director is satisfied that the<br />
delay in supply was caused by the circumstances beyond the control of contractor, he<br />
may grant him in writing, extension of time which will not exceed 90 days in case. In<br />
such case the Head of the Department may for go the whole or part of the liquidated<br />
damages as the Deputy Director may deem proper except the actual extra cost<br />
incurred in making purchases from open market.
8. THE RATES WHICH ARE QUOTED WILL REMAIN VALID UP<br />
31 MARCH 2013.<br />
9. In the event of the supply being not accepted at the destination, it shall be<br />
responsibility of the contractor to remove the same forthwith at his own charges and<br />
cost.<br />
10. In the event of breach of the terms & conditions of the contract by the contractor, the<br />
Deputy Director, shall forfeit the security deposit of the balance there as that may at<br />
that time be remaining, for the said breach, but without prejudice to the right of<br />
Governor of <strong>Chhattisgarh</strong> to recover further sum as damages from any sum which<br />
may become due to the contractor by the Government or otherwise however.<br />
11. Any amount due to the Governor of <strong>Chhattisgarh</strong> from the contractor on any account<br />
in respect of this tender may be recovered from him at arrears of land revenue.<br />
12. M. R. P. should be mentioned in the quoted price list, without which tender will not<br />
be consider.<br />
13. In case of any dispute arising out of this contract or any of the provisions herein<br />
contained or anything arising here out except in respect of matters on which the<br />
decision of the Deputy Director, Veterinary Services, Ambikapur is herein before<br />
declared to be final and binding to all. The same shall be referred to the Secretary<br />
(Agriculture), Government of <strong>Chhattisgarh</strong>, Raipur for arbitration and his decision<br />
thereon shall be final and binding to all concerned.<br />
14. The contractor shall be held responsible for the supply of any spurious equipment &<br />
apparatus and the cost involved in testing and other legal proceeding shall have to be<br />
borne by him.<br />
15. In comparison of rates between tenderer of state and tenderer of other states,<br />
commercial tax should be subtracted from rates of tenderer of <strong>Chhattisgarh</strong><br />
registered under commercial tax Act.<br />
16. The original drug license must be produces at the time of opening of technical<br />
Bid before the tender committee.<br />
10<br />
SIGNATURE OF CONTRACTOR WITH<br />
SEAL NAME & DATE
11<br />
DECLARATION-1<br />
I/we hereby agree to undertake any risk involved in the investment of<br />
sum equal to 3 % of the value of the budgetary estimate as earnest money/security deposited<br />
with the<br />
tender...............................................................dated.......................of....................... ...... (Name<br />
of Bank).....................................in favor of the Director of Veterinary Services Raipur (C.G.).<br />
Signature of Contractor<br />
DECLARATION-2<br />
A list showing the name of the persons who are working with the contractor and are<br />
near relations of any Gazetted officers of Vet. Departments C.G.<br />
Sr.<br />
No.<br />
1<br />
Name of persons<br />
working with<br />
contractor<br />
Related to<br />
which Gazetted<br />
Officer of Vet.<br />
Dep’t.<br />
Nature of<br />
relation<br />
Remark<br />
2<br />
3<br />
4<br />
Signature of Contractor
12<br />
Specimen 1: Covering Letter<br />
Dated:<br />
To,<br />
Deputy Director of Veterinary Services, Ambikapur,<br />
Distt. Surguja ,<br />
<strong>Chhattisgarh</strong><br />
Subject: Technical and Financial Proposal for Supply of ALLOPATHIC Medicine for<br />
the year 2012-13 to the office of Deputy Director of Veterinary Services, Ambikapur, Distt.<br />
Surguja , <strong>Chhattisgarh</strong><br />
Dear Sir,<br />
This is in reference to your tender notice dated ________ inviting proposals for the above<br />
supply. We _______________________ (name of the Organization) are pleased to submit<br />
our proposal for the above supply.<br />
We have enclosed supporting in<strong>form</strong>ation/documents with respect to technical proposal in<br />
Envelope1 to aid in evaluation of our proposal and financial Bid in Envelope 2 (and or 3) in<br />
separate sealed cover.<br />
We hereby certify that all the documents and in<strong>form</strong>ation contained in the submissions are<br />
true and correct to the best of our knowledge. We also state that we have read and understood<br />
the terms and conditions mentioned in the tender document and agree to abide by them. We<br />
further state that we are ready to undertake such supply order as per requirements laid down<br />
in the tender document.<br />
We understand that submission of this bid does not confer any right to us for selection. We<br />
also understand that the Purchaser reserves the right of the accepting the tender in whole lot<br />
or distinct part of it or the supply can be distributed between more than one tenderer.<br />
For any clarifications Mr. ____________<br />
Telephone Number) may be contacted.<br />
, of __________ (Name and Address with<br />
Thanking You,<br />
Yours truly,<br />
Name and Signature of Authorized Signatory<br />
(Note: Proprietor/Partner of Firm/Director of Company will sign the letter)
13<br />
Specimen 2: General In<strong>form</strong>ation about Bidders<br />
1. Name of the Firm ...............................................................................................<br />
2. Address of the Firm for Correspondence: ...............................................................<br />
..................................................................................................................................<br />
3. Constitution of the Firm .........................................……………………………….<br />
(Proprietorship, Company, Partnership etc)<br />
4. PA Number of the Firm<br />
5. Year of Incorporation of the Firm …………………………………………………<br />
6. In case of non proprietary firm, Name of Authorized Person for signing the tender:<br />
- ......................<br />
....................................................................................................................................<br />
(Encl. Power of attorney and Deed letter)<br />
7. Name and Address of all the Partners/Directors (in case of Partnership<br />
firm/Company): …………..<br />
Signature of Contractor<br />
With seal
14<br />
Specimen 3: Agreement Bond (Non Judicial Stamp<br />
Paper of Rs 100/- Signed and Notarized)<br />
AGREEMENT BOND<br />
I/We hereby tender for the supply of ALLOPATHIC Medicine to the Government of<br />
<strong>Chhattisgarh</strong> acting through the Deputy Director of Veterinary Services, Ambikapur, Distt.<br />
Surguja , <strong>Chhattisgarh</strong>, (hereinafter called purchaser) for supply of <strong>Allopathic</strong> Medicine at<br />
the rates mentioned in the schedule of this memorandum in accordance with the terms and<br />
condition. I/We here by agree to abide by and fulfill the terms of this tender and all<br />
conditions of contract opened here to, or in default there of to forfeit the security deposit and<br />
pay to the said Government of C.G. or his successors, the penalties of sum of the money<br />
mentioned in the said condition.<br />
In case I/We fail to undertake the supply of commodities or violate any of the said terms and<br />
conditions of contract dated this day of 2012, I/We understand that the<br />
sum of security deposit, the full value of which will be absolutely forfeited by the said<br />
purchaser without prejudice to any other rights or remedies to the said purchaser in the office.<br />
Witness...................................<br />
Address...................................<br />
Occupation..............................<br />
Signature of Contractor<br />
(Name & Seal...........................)<br />
The above tender is hereby accepted by me on behalf of Government of <strong>Chhattisgarh</strong>,<br />
Dated ..........................2012.<br />
Deputy Director of Veterinary<br />
Services, Ambikapur,<br />
Distt. Surguja , <strong>Chhattisgarh</strong>
15<br />
Specimen 4: Manufacturing and Marketing<br />
Certificate<br />
This is to certify that M/s ___________________________________ are holding valid<br />
manufacturing license no. __________________ Date ____________of the state and they<br />
are manufacturing the following products since the last two years.<br />
It is further certified that the following products are also being marketed for the last two<br />
years .<br />
The products are as follows:<br />
S.No. Name of the Product Specification Strength<br />
1.<br />
2.<br />
3.<br />
4.<br />
5.<br />
6.<br />
7.<br />
8.<br />
9.<br />
10.<br />
Date:-<br />
Sign & Seal<br />
<strong>State</strong> Drug Controller
16<br />
Specimen 5: Per<strong>form</strong>ance <strong>State</strong>ment in an affidavit<br />
before the Executive Magistrate/Public Notary<br />
executed on a Non judicial stamp paper of Rs<br />
50/-<br />
PERFORMANCE STATEMENT<br />
(For a period of last two years)<br />
(2010-2011 & 2011-2012)<br />
Order<br />
placed by<br />
(full<br />
address of<br />
Purchaser)<br />
Order<br />
No. and<br />
date<br />
Description<br />
and quantity<br />
of ordered<br />
Drugs &<br />
Medicines<br />
Value<br />
of<br />
order<br />
(Rs)<br />
Delivery period<br />
As per<br />
Original<br />
contract<br />
Actual<br />
Remarks<br />
indicating<br />
reasons for late<br />
delivery, if any<br />
Was the supply of<br />
Drugs & Medicines<br />
satisfactory(attach a<br />
certificate from the<br />
Purchaser/Consignee)<br />
Name of the Firm:__________________________________________<br />
Signature and seal of the Bidder<br />
______________________________<br />
______________________________
17<br />
Specimen 6: Acceptance of Terms and Conditions in<br />
an affidavit before the Executive<br />
Magistrate/Public Notary executed on a Non<br />
judicial stamp paper of Rs 50/-<br />
Acceptance of Terms and Conditions<br />
To,<br />
Deputy Director of Veterinary Services,<br />
Ambikapur, Distt. Surguja , <strong>Chhattisgarh</strong><br />
Dear Sir,<br />
We submit here with our proposal on your <strong>Ten</strong>der Notice................. Dated ......... with our<br />
quotation against respective items. We have carefully perused the Terms & Conditions of<br />
the <strong>Ten</strong>der document and accept the same.<br />
For, and on Behalf of the firm<br />
(Firm’s Name & Address)<br />
(Signature of Authorized Signatory)<br />
WITNESS:<br />
Signed in my presence:<br />
Name :……………………….<br />
Designation :………………………..<br />
Seal : ……………………….<br />
Notary Public<br />
(With Name & Complete Address)
18<br />
Specimen 7: Details of Persons who are working<br />
with the Manufacturer/Contractor who have<br />
relatives of any Gazetted officers of Veterinary<br />
departments of CG<br />
A list showing the name of the persons who have working with the contractor and are<br />
near relations of any Gazetted officers of Vet. Departments in C.G.<br />
Sr.<br />
No.<br />
1<br />
Name of persons<br />
working with<br />
contractor<br />
Related to which<br />
Gazetted Officer<br />
of Vet. Dep’t.<br />
Nature of<br />
relation<br />
Remark<br />
2<br />
3<br />
4<br />
Signature of Contractor
19<br />
Specimen 8: Details of Manufacturing Unit(s) of the<br />
Contractor<br />
DETAILS OF MANUFACTURING UNIT<br />
Name of the <strong>Ten</strong>derer & Full Address ............................................................<br />
Phone Nos. .............................................................<br />
Fax .............................................................<br />
E-Mail .............................................................<br />
Date of Inception .............................................................<br />
License No. & Date ..............................................................<br />
Issued by .............................................................<br />
Valid up to .............................................................<br />
Details of Installed Production Capacity and Actual Production for the year<br />
2011-12<br />
Tablets/bolus/capsules :<br />
Injections (Ampoules/Vials) :<br />
I.V. Fluids :<br />
Liquids :<br />
Suspension :<br />
Syrups :<br />
Drops :<br />
Ointment :<br />
Powders :<br />
Antiseptics/<br />
Disinfectants :<br />
Name & designation of the authorized signatory :<br />
Signature of the authorized signatory :<br />
*The details of manufacturing unit shall be for the premises where items quoted are actually<br />
manufactured.
Annexure 1: Format for Financial Bid and List of Medicines/Items<br />
S.No. Name of Drugs Specification Packing<br />
Approx Rate Per Unit<br />
Approx. requirement<br />
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17<br />
Approx. Value<br />
SD Amount<br />
Trade Name<br />
Drug licence NO.<br />
Manufactured & Marketed by<br />
servicesBasic price inclusive of incidental<br />
Packing & forwarding charges<br />
Excise duty<br />
Freight insurance charges<br />
Sales tax applicable<br />
Total landed price (Rs)<br />
MRP<br />
1<br />
Amoxycillin +<br />
Cloxacillin<br />
Injection; 1.5 gm +<br />
1.5 gm/vial<br />
3gm 33.00 600 19800 594<br />
2<br />
Amoxycillin +<br />
Tazobacam<br />
Injection:3 gm +<br />
375 mg/vial<br />
3375mg 160.00 120 19200 576<br />
3<br />
Ampicillin<br />
Na+Cloxacillin Na<br />
Ointment:75 mg +<br />
200 mg/tube<br />
10g 12.00 800 9600 288<br />
4 Cefotaxime Injection 3gm 3gm 48.00 500 24000 720
2<br />
5 Ceftriaxone Injection 2 gm vial 2gm 32 500 16000 480<br />
6 Cephalexin Bolus: 1.5 gm 2 bolus 52 500 26000 780<br />
7 Cephalexin powder 7.5%w/w 20gm 13 1000 13000 390<br />
8 Cefotaxime 500mg inj. 500mg 22 400 8800 264<br />
9 Enrofloxacin inj.100mg 100 ml 52 800 41600 1248<br />
10 Enrofloxacine<br />
10% w/v solution<br />
(oral)<br />
1 lit 440 22 10000.00 300<br />
11 Ciprofloxacine inj. 40mg/ml 100ml 85 300 52500 765<br />
12<br />
Ciprofloxacine +<br />
Tinidazole<br />
Bolus: 1200mg +<br />
1800 mg/bolus<br />
4 bolus 30 1000 30000 900<br />
13 Gentamicin inj. 40mg/ml 30ml 17 588 10000.00 300<br />
14<br />
Norfloxacin+<br />
Tinidazole<br />
1200 mg + 1800<br />
mg/bolus<br />
4 bolus 30 500 15000 450<br />
15 Oxytetracycline inj. 50mg 100ml 24 1000 24000 720
3<br />
16<br />
Streptomycin +<br />
Penicillin(Proc &<br />
Benzyl)<br />
inj 0.5g+3llac+1lac 500mg 12 833 10000.00 300<br />
17<br />
Streptomycin +<br />
Penicillin(Proc &<br />
Benzyl)<br />
Inj:2.5 gm + 15 lac<br />
+ 5 lac<br />
2.5g 17 800 13600 408<br />
18 Chloram phenicol Inj:3gm 3 gm 45 500 22500.00 675<br />
19<br />
Sulphadiazine+Trim<br />
ethoprim<br />
Inj.200 mg + 40<br />
mg/30 ml<br />
30 ml 26 400 10400 312<br />
20 Sulphadimidine Bolus: 5 gm<br />
50<br />
boli/box<br />
150 150 22500 675<br />
21 Ceftriaxone+sulbactam inj 2g+1g 3 gm 52 400 20800 624
4<br />
22<br />
Vitamin B complex<br />
+ liver extract<br />
Injection 30ml 20 1000 20000.00 600<br />
23<br />
Vitamin B complex<br />
+ liver extract<br />
oral liq 500ml 78 500 39000 1170<br />
24<br />
Vitamins B1 + B6 +<br />
B12<br />
Injection: 50 mg+50<br />
mg +0.5 mg/ml<br />
30 ml 28 357 10000 300<br />
25 Vitamins A,D and E<br />
26<br />
27<br />
Vitamins A,D, E<br />
and B12<br />
Iron sorbitol-citric acid<br />
complex<br />
28 Cattle Mineral<br />
Mixture,<br />
Injection: 2.5 lacIU+0.25<br />
lacIU+150mg/ml<br />
Liquid : 12000<br />
IU+6000IU+48mg+20mcg/<br />
ml<br />
inj. Elemental iron folic<br />
acid .5mg hydr.<br />
Cobalm.<br />
Powder: Calcium,<br />
cobalt, copper,<br />
iodine, iron, iron,<br />
magnesium, zinc<br />
and phosphorus<br />
with methionin<br />
and lysine<br />
10 ml 38 263 10000 300<br />
60 ml 55 185 10000 300<br />
10 ml 48 500 24000 720<br />
1kg 36 416 15000 450
5<br />
29 Albendazole 3 gm bolus 4 bolus 36 500 18000 540<br />
30 Amprolium 20% w/w powder 150gm 118 42 5000 150<br />
31 Fenbendazole Bolus 3 gm 4 bolus 48 500 24000 720<br />
32 Albendazole Suspension:2.5% 1 lit 108 138 15000 450<br />
33 Ivermectin Injection 10 mg/ml 50ml 54 300 16200 486<br />
34<br />
Oxyclozanide +<br />
Levamisole<br />
Suspension: 6% +<br />
3% w/v<br />
90ML 96 500 48000 1440<br />
35<br />
Piperazine<br />
hexahydrate<br />
Solution: 45 % w/v 500ml 140 200 28000 840<br />
36<br />
Diminazine<br />
aceturate<br />
Injection 70 mg/ml 30ml 70 300 21000 630<br />
37 Quinapyramine<br />
Inj:Sulphate 1gm +<br />
Chloride 1.5 gm each<br />
2.5g 68 147 10000 300<br />
38 Analgin 500mg/ml 30ml 29 172 5000 150<br />
39 Ketoprofen Injection 100 mg/ml 100ml 102 200 20400 612
6<br />
40 Meloxicam Bolus: 100 mg 4 bolus 13 1000 13000 390<br />
41 Meloxicam Injection: 5 mg/ml 100ml 28 500 14000 420<br />
42<br />
Meloxicam +<br />
Paracetamol<br />
Inj: 5 mg + 150<br />
mg/ml<br />
100ml 42 357 15000 450<br />
43 Dicyclomine hcl Injection: 20 mg/ml 30ml 30 600 18000 540<br />
44 levamisol injection:75mg/ml 10ml 22 400 8800 264<br />
45 Cypermethrin Liquid: 10 % w/v 15ml 25 1500 37500 1125<br />
46 Cypermethrin Liquid: 10 % w/v 1000ml 200 200 40000 1200<br />
47<br />
Calcium<br />
Magnesium<br />
Borogluconate<br />
Injection<br />
:Cal.gluconate +<br />
Boric acid + Mg<br />
hypophos +<br />
Dextrose<br />
450ml 72 400 28800 864<br />
48 Dextrose Injection 25 % 540ml 26 400 10400 312<br />
49<br />
Dextrose sodium<br />
chloride<br />
Injection: 5% + 0.9<br />
% solution<br />
500ml 14 357 5000 150<br />
50 Dextrose inj. 10% 500ml 20 500 5000 150
7<br />
51 Atropine sulphate 0.6 mg/ml 10ml 12 500 6000 180<br />
52 Ketamine 50mg/ml 10ml 55 90 5000 150<br />
53 Xylazine 20mg/ml 30ml 200 25 5000 150<br />
54<br />
Lignocaine+adrenal<br />
ine<br />
inj.<br />
21.33mg+.01mg/ml<br />
30ml 22 227 5000 150<br />
55 Dexamethasone 4 mg/ml injection 30ml 26 1000 26000 780<br />
56 Prednisolone 10 mg/ml injection 10ml 18 500 9000 270<br />
57<br />
Chlophenaramine<br />
maleate<br />
Injection 10 mg/ml 100ml 14 714 10000 300<br />
58 amikacin<br />
Injection 250 mg/2<br />
ml<br />
2ml 30 600 18000 540<br />
59 Dinoprost Injection 2 ml 2 ml 145 137 20000 600<br />
60 Adrenocrome inj. 5mg/ml 10ml 12 833 10000 300<br />
61<br />
Valethamafe<br />
bromide<br />
Injection: 10 mg/ml 10ml 18 500 9000 270
8<br />
62<br />
Progesterone<br />
(hydroxy<br />
progest.caproate)<br />
Injection:250 /ml 2ml 22 454 10000 300<br />
63 Clotrimazole solution 1%w/w 400g 200 50 10000 300<br />
64<br />
Gamma<br />
BHC+Proflavin+Cet<br />
rimide<br />
Cream 0.1%+0.1%<br />
+0.45%w/w<br />
100gm 33 303 10000 300<br />
65 PGF2-α Inj: 2ml 2ml 60 300 18000 540<br />
66<br />
Proc.Penici+Strepto<br />
my+Sulfameraz+Hy<br />
drocorti.<br />
Oint:1lacIU+100mg<br />
+500mg+29<br />
mg/tube6ml<br />
6g 12 833 10000 300<br />
67<br />
Activated<br />
Dimethicone<br />
(Semethiocone)<br />
1% w/v<br />
Suspension,<br />
100ml 32 312 10000 300
9<br />
68 Rumenotrics<br />
Ferrous sulphate<br />
100mg.+cobalt<br />
chloride 40mg.<br />
+liver extract50mg.<br />
+ Vitamin B1 IP<br />
50mg. + Live yeast<br />
culture 10 x 109<br />
C.F.U Fungal<br />
Dieasafe IP 40mg.<br />
+ Chlorine<br />
Bitartrate USP<br />
80mg.<br />
4's 18 1000 18000 540<br />
69 Furesamide 50 mg/ml injection 10ml 9 555 5000 150<br />
70<br />
Calcium Oral for<br />
Livestock<br />
Valcium Gluconate<br />
889mg+ Calcium D<br />
Saccharate 4mg +<br />
Cholecalciferol<br />
1600IU + Ferric<br />
Ammonium Citrate<br />
167mg + Vitamin<br />
B12 16.70 mcg<br />
500ml 67 298 20000 600
10<br />
71<br />
Multivitamin<br />
Injection<br />
Vitamine A-<br />
2000IU,Vitamine<br />
D3-<br />
2000IU,Vitamine E-<br />
4mg,Niacinamide-<br />
10mg,Pyridoxine<br />
HCL (Vit. B6)-<br />
5mg,Thiamine HCL<br />
(Vit. B1)-10MG,<br />
Riboflavine 1mg,<br />
Cynocobalamin (vit<br />
B12) 10mcg, D-<br />
Panthenol-<br />
1mg,Biotin-<br />
10mcg,Cal.<br />
Glycerophosphate-<br />
10mg ,<br />
30ml 27 740 20000 600<br />
72<br />
Lithium Antimony<br />
Thiomalate<br />
Injection 6 % w/v 50ml 88 113 10000 300<br />
73<br />
Ciprofloxacin +<br />
Tinidazole<br />
125 mg + 150 m/5 ml<br />
Suspension<br />
60ml 22 454 10000 300
11<br />
74<br />
Ciprofloxacin HCl +<br />
Tinidazole<br />
250 mg + 300 mg<br />
tablets<br />
10 tab 24 208 5000 150<br />
75<br />
Clomefene 1tab +<br />
Copper Sulphate<br />
2Tab (Fertility Kit)<br />
Tablet 300mg +<br />
750mg<br />
1kit 20 1000 20000 600<br />
76 Flumethrin 1% solution 30ml 38 263 10000 300<br />
77 Enrofloxacin<br />
10% w/v solution<br />
(oral)<br />
1lit 440 22 10000 300<br />
78 Tylosin Tartrate Powder: 50 % w/w 120gm 585.34 117 10000 300<br />
79 Tetracycline Powder: 50 mg/gm 100gm 30 1500 45000 1350<br />
80 Disinfectant<br />
Glutaradehyde<br />
10gm+1,6-<br />
Dithydroxy 2.5-<br />
Dioxahexane<br />
10.2gm+<br />
Polymethylol Urea<br />
Derivatives 4.6gm<br />
500ml 298.35 16 5000 150
12<br />
81<br />
Liver Tonic with<br />
yeast & Vitamin<br />
Liquid 500ml 120.00 500 60000 1800<br />
82<br />
Vitamin E +<br />
Selenium<br />
Powder 20gm+<br />
200ppm/200gm<br />
200gm 148.00 101 15000 450<br />
83<br />
Neomycin Sulphate<br />
+Doxycycline Hcl<br />
Powder:100mg+10<br />
0mg<br />
50gm 92 54 5000.00 150<br />
84 Vitamin B-Complex<br />
Liquid : Vit B12-<br />
1.25mg+ D-<br />
Panthenol 0.65mg<br />
+ Vitamin b6<br />
0.62mg + Vit b12<br />
6.25mg +<br />
Nicotinamide 18.75<br />
mg+ Choline<br />
Chloride 10 mg +<br />
Lysin 10mg /5ml<br />
5lit. 270 100 27000 810
13<br />
85<br />
Calcium Oral for<br />
Livestock<br />
Valcium Gluconate<br />
889mg+ Calcium D<br />
Saccharate 4mg +<br />
Cholecalciferol<br />
1600IU + Ferric<br />
Ammonium Citrate<br />
167mg + Vitamin<br />
B12 16.70 mcg<br />
5 lit 300 100 30000 900<br />
86<br />
Poultry Mineral<br />
Mixture with<br />
Vitamines<br />
Powder Each<br />
250gm - Vit. A -<br />
5,00,000 IU + Vit.<br />
D3 - 1,02,500 IU +<br />
Vit. B2 - 0.13g +<br />
Vit. E - 87.5 IU +<br />
Vit. K - 0.1g +<br />
Calcium<br />
pantothenate –<br />
0.25g Zinc - 1.5g<br />
+ Iron - 0.75g +<br />
Manganese -<br />
2.75g + Iodine -<br />
0.1g + Vit. B12 -<br />
0.75mg + Choline<br />
chloride - 6%w/v +<br />
Copper - 2g +<br />
Cobalt - 0.045g +<br />
Calcium - 85g<br />
2.5kg 140 100 14000 420<br />
87<br />
Bolus ketoprofen<br />
and paracetamol<br />
Ketoprofen 225<br />
mg+ paracetamol<br />
1750 mg<br />
4’s 35 500 15000 450
14<br />
88<br />
89<br />
90<br />
Inj clorsulon and<br />
ivermectin<br />
Inj oxytetracycline<br />
trihydrate<br />
Inj ketoprofen and<br />
paracetamol<br />
clorsulon USP 10<br />
mg + ivermectin<br />
USP 100 mg<br />
oxytetracycline<br />
trihydrate 250<br />
mg/ml<br />
ketoprofen 75mg/ml<br />
+ paracetamol<br />
50mg/ml<br />
10 ml 60 166 10000.00 300<br />
30 ml 70 300 21000 630<br />
30 ml 20 500 10000 300<br />
91<br />
Intra mammary<br />
tube<br />
Cefoparazone<br />
sodium 250mg/8gm<br />
8 gm<br />
syringe<br />
18 555 10000 300<br />
92 Dusting powder<br />
93<br />
Intra uterine<br />
solution<br />
Sulphanilamide IP<br />
15% w/w +<br />
acriflavin BP 63<br />
0.015 % w/w +<br />
boric acid IP q.s. to<br />
100% + propoxur<br />
5% w/w<br />
Povidone Iodine IP<br />
5% w/w +<br />
Tinidazole IP<br />
1.25% w/w +<br />
Clotrimazole IP<br />
1.25% w/w<br />
50 gm 40 500 20000 600<br />
60ml 40 500 20000.00 600<br />
94<br />
Sulphadimidine Injection 333 mg/ml 100ml 80.00<br />
400 32000 960
15<br />
95<br />
Piperazine<br />
hexahydrate<br />
Solution: 45 % w/v 500ml 140.00<br />
150 21000 630<br />
96<br />
Calcium + Vit D3 &<br />
B12<br />
Inj.<br />
76.4mg+500IU+50<br />
mcg<br />
30ml 18.00<br />
555 10000 300<br />
97<br />
Disinfectant<br />
Sodium Chloride<br />
1.5% w/w +<br />
Postassium<br />
Hydrogen<br />
Sulphate/Potassiu<br />
m Sulphate 49.8%<br />
w/w/100gm<br />
100gm 220.56<br />
22 5000 150<br />
98<br />
Sulphamethoxazole<br />
+Trimethoprim<br />
Powder:2gm +400<br />
mg/5gm 100gm 92.00 108 10000 300<br />
99<br />
Liver Tonic with<br />
yeast & Vitamin Liquid 500ml 120.00 83 10000 300<br />
100 Electrolyte Powder : Sodium<br />
citrate 6gm+ Pot<br />
Chloride 3 gm+<br />
Sod Chloride<br />
2.5gm+ Sod Bi<br />
Carb 1.7gm+ Cal<br />
Lactate 1.7gm+<br />
Mag Sul 1 gm+ Sod<br />
Acid Phosphate<br />
0.8gm+ Ascorbic<br />
1kg 180.00 55 10000 300
16<br />
Acid<br />
1.164gm/100gm<br />
101<br />
Vitamins A,D, E<br />
and B12<br />
Liquid : 12000<br />
IU+6000IU+48mg+<br />
20mcg/ ml<br />
500ml 240.00<br />
41 10000.00 300<br />
102<br />
B-complex with<br />
liver extract<br />
Liquid:<br />
Liver extract:<br />
125mg, Soluble<br />
liver function:<br />
31.25mg with B12<br />
activity equivalent<br />
to : 7.5mcg, yeast<br />
extract: 0.5gm,<br />
alcohol IP: 1ml,<br />
Nicotinic acid BP<br />
(Vet) 24mg,<br />
acalcohal<br />
content9.4% V/V,<br />
aq base 10ml<br />
500ml 110.00 90 10000.00 300<br />
103 Vitamin A 125000 IU 10ml 25 400 10000 300<br />
104 Albendazole 1 gm bolus 4 bolus 15 1000 15000 450<br />
105 Albendazole 500 mg 4 bolus 8 1000 8000 240
17<br />
106<br />
s<br />
Meloxicam<br />
+paracitamol+clorz<br />
oxazone Bolus<br />
Meloxicam 100mg<br />
+paracitamol<br />
1500mg+clorzoxaz<br />
one1000mg<br />
4 bolus 30 1000 30000 900<br />
Deputy Director, Vety Services<br />
Ambikapur Surguja, (C.G.)