EXPRSSION OF INTEREST For OPERATING 108 (KEMP) AND … · 283 Patient Transport ambulances under...

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

Thycaud P.O,

Thiruvananthapuram, KERALA 695 014

EXPRSSION OF INTEREST

For

OPERATING 108 (KEMP) AND PATIENT

TRANSPORT (JSSK) AMBULANCES

IN THE ENTIRE STATE OF KERALA (EOI NO: KMSCL/EP/E/391/2012/4)

Name of Bidder :

Address :

Signature of Bidder :

Date and time for pre-bid meeting: 11.00 AM; 17/09/2012 11

NOT TRANSFERABLE

For details;

www.kmscl.kerala.gov.in

Email: [email protected]

KMSCL: Expression of Interest for OperatiOperatiOperatiOperating KEMP and JSSK ambulancesng KEMP and JSSK ambulancesng KEMP and JSSK ambulancesng KEMP and JSSK ambulances in the in the in the in the entire state of Kerala.entire state of Kerala.entire state of Kerala.entire state of Kerala.

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INDEXINDEXINDEXINDEX

S/nS/nS/nS/n.... DESCRIPTIONDESCRIPTIONDESCRIPTIONDESCRIPTION PAGE NOPAGE NOPAGE NOPAGE NO

1. SECTION – I INTRODUCTION 2

2. SECTION – II BRIEF SCOPE AND DESCRIPTION OF

CONTRACT 4

3. SECTION – III EOI SCHEDULE 6

4. SECTION - IV SCOPE OF WORK 7

5. SECTION - V GENERAL CONDITIONS OF THE

CONTRACT 24

6. ANNEXURE I CHECK LIST 33

7. ANNEXURE II GENERAL INFORMATION OF THE

BIDDER 39

8. ANNEXURE III EXPERIENCE OF THE BIDDER 41

9. ANNEXURE IV POWER OF ATTORNEY 43

10. ANNEXURE V TECHNICAL SPECIFICATION OF THE

EXISTING ALS AMBULANCE 44

11. ANNEXURE VI DETAILS OF THE EXISTING ALS

AMBULANCE 53

12. ANNEXURE VII TECHNICAL SPECIFICATION OF BLS /

ALS AMBULANCE FOR EXPANSION 54

13. ANNEXURE VIII TRAINING OF EMS PERSONNEL 63


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SECTION I

INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION

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

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

for providing services to the various health care institutions under the

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

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

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

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

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

Paramedical or medical based ancillary facilities such as hospitals,

pathological labs, diagnostic centers,

x-ray/scanning facilities.

1.2.1.2.1.2.1.2. The Government has entrusted KMSCL as the management agency for

‘108’ emergency ambulance service which is called as “Kerala Emergency

Medical services Project” (KEMP). The KEMP project was initially launched

as a pilot study in the district of Thiruvananthapuram on 19th May 2009 with

25 Advanced Life Support Ambulances (ALS), which has so far attended

more than 50,000 emergencies. On successful pilot study the project was

expanded to Alappuzha district on 20th April 2012 with 18 ambulances. The

project is soon to be expanded along the national highways in the district of

Kollam so that the national highway from the stretch of Parassala to Aroor is

completely covered by KEMP services. Now the State was sanctioned with

283 Patient Transport ambulances under Janani Shishu Suraksha

Karyakram (JSSK) and 218 Basic Life Support Ambulances. Hence it was

decided to invite tender for providing KEMP services to the entire State of

Kerala.

1.3.1.3.1.3.1.3. In this tender,,,, Expression of interest is invited from the firms who are willing

to operate 24x7 pre-hospital emergency ambulance service in the entire

State of Kerala and also to operate referral transport for pregnant women

under JSSK. The patient transport ambulances will be used for inter

hospital patient transfer when not used for JSSK service. The present control

room and available 50 ALS ambulances will be transferred to the successful

bidder. It is proposed to set up one more control at a different location


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which shall function on a disaster recovery site/redundancy. The

procurement of ambulances has to be done by the bidder and the capital

expense will be reimbursed by Tender Inviting Authority.

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

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

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

The corporation will not wait for the mandatory 30 days period to provide

any information under Right to Information Act and will provide the

information within the minimum possible time. Bidders could prefer appeal

to the government against all decisions of the corporation.

Looking forward for a long standing relation with you.

Best wishes,

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

BIJU PRABHAKARBIJU PRABHAKARBIJU PRABHAKARBIJU PRABHAKAR.... IAIAIAIASSSS Date : 05/09/2012 Managing Director, KMSCL & Tender Inviting Authority


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SECTION IISECTION IISECTION IISECTION II

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

2.1.2.1.2.1.2.1. BRIEF BRIEF BRIEF BRIEF SSSSCOPECOPECOPECOPE

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

medical service under KEMP and also transport pregnant women during

their routine visits to hospitals at various stages of pregnancy and during

emergencies under JSSK and assist in any disaster situations for the entire

state of Kerala with centralized control room having one single toll free

number ‘108’.

2.1.2. This Expression of Interest (EOI) is invited for operating 551 ambulances

service for a period of 5 years from the date of signing the agreement which

can be extended further to a period of 2 years with mutual consent.

2.1.3 The successful bidder has to scale up the existing control room, establish a

new control room at another location in Kerala, procure ambulances, establish training centre, recruit human resources and effectively operate the ambulance service with minimum 99.5% uptime. At any given instance only a maximum 2% of the vehicles should be withdrawn from the field for routine maintenance etc.

2.1.4 Bidders are expected to submit EOI documents and based on the proposal

submitted eligible firms will be short listed. Only short listed firms will be

provided Request for Proposal (RFP) Document and shall be requested to

submit final proposal. The request for proposal document will have the

detailed terms of reference. The specific criteria for evaluation will be

mentioned in the RFP document.

2.22.22.22.2 Brief DescriptionBrief DescriptionBrief DescriptionBrief Description of the EOIof the EOIof the EOIof the EOI processprocessprocessprocess

2.3.2 The bids shall be submitted in a single sealed envelope and super

scribed as ““““EOIEOIEOIEOI NoNoNoNo………………. ………………. ………………. ………………. (here mention the EOI no as

specified in Section III) ““““Operating KEMP and JSSK ambulance service Operating KEMP and JSSK ambulance service Operating KEMP and JSSK ambulance service Operating KEMP and JSSK ambulance service

for the entire state of Keralafor the entire state of Keralafor the entire state of Keralafor the entire state of Kerala””””


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

Annexure I.

2.3.4 The EOI documents could be downloaded from the website of the

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

office of the Tender Inviting Authority.

2.3.5 The EOIs should be prepared and submitted as per the EOI formats only

prescribed in the EOI document and should be addressed to:

The Managing Director The Managing Director The Managing Director The Managing Director Kerala Medical Services Corporation Ltd Thycaud .P.O. Thiruvananthapuram -695014 Kerala State Phone Fax: 0471-2335374/73 Email: [email protected]

*****


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SSSSECTION IIIECTION IIIECTION IIIECTION III

EOIEOIEOIEOI SCHEDULESCHEDULESCHEDULESCHEDULE

3.1.3.1.3.1.3.1. Expression of Interest Expression of Interest Expression of Interest Expression of Interest DetailsDetailsDetailsDetails

1. EOI No. KMSCL/EP/E/391/2012/4

2. Name of Assignment

Operating 108 (KEMP) and patient transport Operating 108 (KEMP) and patient transport Operating 108 (KEMP) and patient transport Operating 108 (KEMP) and patient transport

(JSSK) ambulances in the entire State of (JSSK) ambulances in the entire State of (JSSK) ambulances in the entire State of (JSSK) ambulances in the entire State of

KeralaKeralaKeralaKerala

3. Method of Selection PrePrePrePre----Qualification Criteria and Qualification Criteria and Qualification Criteria and Qualification Criteria and Evaluation of Evaluation of Evaluation of Evaluation of

Technical Proposal.Technical Proposal.Technical Proposal.Technical Proposal.

4. Validity Period of the Proposal Six Months from the date of Submission.

5. Period of Contract

Shall be valid for an initial period of 5 years Shall be valid for an initial period of 5 years Shall be valid for an initial period of 5 years Shall be valid for an initial period of 5 years

which may be extended which may be extended which may be extended which may be extended to 2 more years to 2 more years to 2 more years to 2 more years on on on on

mutually agreed termsmutually agreed termsmutually agreed termsmutually agreed terms....

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

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

1. Date of release of EOI From From From From 05/0905/0905/0905/09/201/201/201/2012222, , , , 11110000:00 am, :00 am, :00 am, :00 am,

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

KMSCL, KMSCL, KMSCL, KMSCL,

2. Date of Pre-Offer Meeting 17/09/201217/09/201217/09/201217/09/2012, , , , 11111111....00000000 am, am, am, am,

3. Last date for submission of filled

up EOI

To be finalized To be finalized To be finalized To be finalized during the preduring the preduring the preduring the pre----

offer meetingoffer meetingoffer meetingoffer meeting

4. Presentation of technical bid by

short listed bidders, If required

To be finalized during the preTo be finalized during the preTo be finalized during the preTo be finalized during the pre----

offer meetingoffer meetingoffer meetingoffer meeting


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SECTION SECTION SECTION SECTION IIIIVVVV

SCOPE OF WORKSCOPE OF WORKSCOPE OF WORKSCOPE OF WORK

4.1 4.1 4.1 4.1 Objective of EoIObjective of EoIObjective of EoIObjective of EoI

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

proven expertise and experience of operating a network of emergency

medical ambulance services to provide 24x7 pre hospital emergency

medical ambulance service for the entire State of Kerala and to operate

patient transfer ambulances under one toll free number.

4.2 4.2 4.2 4.2 Scope of Work Scope of Work Scope of Work Scope of Work

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

ambulance services in the entire State of Kerala and also operate referral

transport for pregnant women under Janani-Sishu Suraksha Karyakram

(JSSK). The ambulances for JSSK shall be used for patient transfer

during the rest of the time. All these ambulance services shall be

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

4.2.2 The successful bidder has to operate 283 patient transfer ambulances,

218 BLS ambulances and 50 old ALS ambulances. Out of the 283

patient transfer ambulances 10 ambulances shall be 4 wheel drives

suitable for providing service in hilly areas.

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

Thiruvananthapuram with 25 ALS ambulances and Alappuzha with 18

ALS ambulances and 4 ALS ambulances to be deployed at NH – 47

passing through Kollam district and 2 ALS ambulances has to be

replaced by insurance company under Public Private Partnership.


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4.2.4 The existing 50 ALS ambulances will be transferred to the successful

tenderer and have to be redeployed across the State, which at this stage

will be on the high accident prone areas of National Highway and Main

Central (MC) road (SH-1). The maintenance of the 50 old ALS

ambulances has to be taken care of by the successful tenderer for the

entire period of the contract. The detailed technical specifications and

other facilities of the existing ALS ambulances are provided in Annexure

V & VI.

4.2.5 The existing control room located at Technopark Thiruvananthapuram

will be transferred to the successful tenderer. This control room shall be

expanded to provide services to 7 districts and one more control room

shall be established at a different location preferably Kozhikode in the

State of Kerala for providing service to another 7 districts. In case of

disaster like fire, etc at one control room the entire operation has to be

switched over to the available second control room without any major

downtime, the other control room should be able to provide

uninterrupted service to the entire State.

4.2.6 The present control room at Thiruvananthapuram is located at

Technopark. The rental charges should be paid by the successful

tenderer on behalf of the Government. The ideal location for the new

control room has to be identified by the successful tenderer.

4.2.7 Capital expense (CAPEX): The expenses of the following capital cost

shall be paid upfront to the successful bidder with 90% down payment

and remaining 10% on the basis Bank Guarantee. The Tender Inviting

Authority shall pay the following expense on a lump sum amount.


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4.2.7.1 Scaling up of the present control room for 7 districts.

4.2.7.2 Establishing a new control room for the rest of 7 districts in another

mutually agreed location. This includes rental, designing, refurbishing,

IT infrastructure (hardware and software), office furniture and fittings,

communication hardware and accessories.

4.2.7.3 Procuring ambulances, fabricating and equipping, obtaining registration

and related formalities, insurance, GPS device and deployment.

4.2.7.4 Setting up training centre (Land to be provided by Government/TIA.

4.2.7.5 Setting up of Network Operation Centre (NOC) at KMSCL Head

quarters

4.2.8 Operating expense:(OPEX)

4.2.8.1 Control room staff salary 24 hours per day and 365 days a year

4.2.8.2 Salary of ambulances and field staff 24 hours per day and 365 days a

year

4.2.8.3 Insurance, statutory cost, Maintenance cost of Ambulances and control

room

4.2.8.4 Fuel cost for the ambulances

4.2.8.5 Recruitment, training, administration, travelling, telephone, electricity,

housekeeping, security etc

4.2.8.6 Repair, if any, of the existing 50 ALS ambulances.

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

consumables and other expenses.

4.2.8.8 Awareness creation among the public about the service.

4.2.9 The ambulances with fabrication and equipments for the operation shall

be purchased by the successful bidder in the name of Director of Health

services and the specification will be provided by the Tender Inviting

Authority. All related formalities for the procurement and registration of

the ambulances as per the prevailing Kerala State rules has to be done

by the successful bidder. The capital expense of the ambulance


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procurement will be paid on completion of job.

4.2.10 10% of the entire capital expense will be withheld or released on

submission of equivalent amount of bank guarantee for the entire

period of contract.

4.2.11 It is proposed to collect user charges from the patients who are using the

service for going to private hospitals.

4.2.12 A state of the art training center has to be established by the successful

bidder in the premises provided by the Tender Inviting Authority.

Periodical training has to be provided to doctors and paramedical staff

of the Government hospitals engaged in the service.

4.2.13 The successful bidder should have the assistance of doctors 24x7 for

monitoring and guiding EMTs during the emergency service.

4.2.14 The successful bidder should provide on-line access to the location

specified by the Tender Inviting Authority for all MIS like GPS tracking,

Voice recording, report dashboards etc. Also a network operating center

(NOC) for the tender inviting Authority to monitor the

deployment/movement of vehicles, CCTV from the two control centre

GPS/GPRS logs and thean MIS for managing the project should be

established at a place suggested by the tender inviting authority.

4.2.15 It is proposed to have one pilot (driver) and one Emergency Medical

Technician (EMT) for all KEMP ambulances. The patient transport

ambulance shall have only one driver.


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4.2.16 It is also proposed to operate boat ambulances in some parts of Kerala

during the period of contract. The terms and the conditions shall be

finalized with the successful bidder on mutual agreement.

4.2.17 It is proposed to invite financial proposal for operational expense with

1500 km per ambulance per month and for additional kilometer will be

reimbursed at the rate of Rs. 15/- per kilometer for KEMP ambulance

and Rs.8/- for JSSK ambulance. Additional kilometers payment will be

reimbursed only if the average kilometer travelled by all the ambulances

deployed in the State, crosses the 1500 kilometer mark. This shall be

calculated separately for KEMP and JSSK ambulances.

4.2.18 Retaining the existing staff of 108 services in Thiruvananthapuram and

Alappuzha district shall be finalized by the successful bidder with the

present operating agency namely M/s. Ziqitza Health Care Ltd..

4.34.34.34.3 Responsibility of successful bidderResponsibility of successful bidderResponsibility of successful bidderResponsibility of successful bidder

4.3.1 The emergency ambulance service and the system shall be implemented

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

medical, road transport, etc and to provide a smooth efficient service

without legal and operational complications.

4.3.2 Provide technological, leadership, administrative and managerial

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

mutually agreed outcomes.

4.3.3 Develop a suitable integrated solution including Computer Technology

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


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Geographical positioning systems (GPS), Automatic vehicle Location &

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

communication systems.

4.3.4 Operate the Emergency Response Center for 24 hours through the

dedicated toll free telephone number “108”. Shall provide sufficient

number of parallel lines with hunting facilities and enhance upon the

increase in number of calls receiving during the contract period.

Emergency Response Center may receive emergency call of the nature

of medical, police and fire fighting service.

4.3.5 Provide the Application Software for the project and the hardware

components. The successful bidder shall also update the software

periodically as per requirement. Any hardware which requires

replacement/upgradability with respect to the latest technological

advancement, which in turn enables to make the Emergency response

service faster and more efficient. An analysis in the most accident prone

areas/Zones shall be periodically handed over to the tender inviting

authority so as to liaise with the police and other departments to make

engineering modification to reduce accidents at such locations.

4.3.6 Serve as a vital emergency management information and assistance

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

Management and Response mechanisms and thus save lives and reduce

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

appropriate awareness, education and capacity building programs.

4.3.7 Operate the ambulances and ensure that ambulance services are

available on 24 hours per day and 365 days a year basis to the people

of Kerala without any charges being levied from the public opting

Government hospitals / healthcare institutions. The ambulances shall


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reach the required spot within 20 minutes of alert.

4.3.8 Provide redundant systems for all the important components including

voice logger, call taking, vehicle dispatch, etc to provide hassle free 24

hours per day and 365 days a year basis emergency medical services.

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

Center to provide un-interrupted services.

4.3.10 All the ambulances should have GPS/GPRS device on it and two active

mobile phone connections of different service providers with maximum

local coverage. The Emergency Response Center shall communicate

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

includes the destination name, landmark and other relevant information

shall flash on the GPRS device monitor kept on each of the ambulance.

The map shall be displayed on this monitor with current position of

ambulance, destination and all the nearest hospitals. In the later stage it

should be possible to highlight the shortest distance to the destination as

well as the hospital on the map displayed on the monitor. The device

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

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

and evaluation.

4.3.11 On receiving call of medical emergency, Emergency Response Center

shall communicate with the nearest ambulance and the caller, and

arrange to take the patient to the nearest hospital depending upon the

severity of the patient’s condition. On best effort basis, the concerned

hospital should be informed in advance. Any call requiring assistance

from police or fire fighting authorities shall be transferred accordingly.

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


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ambulance shall be deployed depending upon the condition within a

short time span.

4.3.13 It is necessary to introduce a foolproof system for collecting user fee from

patients and crediting it to an account and maintain a separate

accounting process.

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

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

present in the ambulance while shifting an emergency case to a hospital

as per the Appendix 10. The recruitment and training has to be

completed prior to the launch of the project in every district without

creating any additional expense to Tender Inviting Authority.

4.3.15 Ensure that in every ambulance operated under KEMP scheme, shall

have at least one Pilot and one EMT present at any given point of time

to provide patient-stabilization, first-aid and other pre-hospital care. An

illustrative list of total number of personnel involved in pre hospital

emergency management and shall be appointed/hired by the successful

bidder is attached as per (Appendix 10). All ALS ambulance should

have EMT-advanced at any given time.

4.3.16 All the break-down and maintenance problems of the Ambulance

vehicles are to be done by bidder at its cost. Any warranty claims of the

vehicle shall be coordinated and executed by bidder at Tender Inviting

Authority’s satisfaction.

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

the ambulance with tools and equipments of same specification from the

supplier of the ambulance equipments and tools.

4.3.18 Bidder shall meet all expenses towards insurance, Annual Fitness


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

batteries etc.

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

register and status register in all ambulance with relevant details in

consultation with Tender Inviting Authority. Bidder shall also implement

any system which Tender Inviting Authority intends to introduce.

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

reports and quarterly (fund utilization) statements to the Tender Inviting

Authority through the MIS integrated with the call center and data logger

systems of the vehicle on a real time basis.

4.3.21 Attend periodical review meetings held by the Government or Tender

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

operationalization of the scheme.

4.3.22 Maintain separate financial accounts and records of its operations in

Kerala. These accounts shall be duly audited by a Chartered Accountant

firm as approved by Tender Inviting Authority and furnished to Tender

Inviting Authority by the end of the first quarter of the succeeding year.

A trust may be formed by Tender Inviting Authority consisting of both

parties for monitoring and evaluation of the project.

4.3.23 Make all attempts to attend every emergency call that is received at the

Emergency Response Center.

4.3.24 Bring in technology and service excellence and work towards improving

delivery of emergency response of global standards over a period of

time.

4.3.25 Liaise with various departments and agencies of the Government of


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India and the Government of Kerala to facilitate easy and early

establishment of Emergency Response Center by allotting suitable toll

free number.

4.3.26 Establish standards and procedures for accrediting various service

providers such as hospitals and ambulances so that quality standards are

met.

4.3.27 Conduct periodic training programs for paramedics, nurses, doctors and

others engaged in Emergency Response Service in the Government

healthcare institutions and also other academic activities

(workshops/seminars) as required for government doctors, nurses,

paramedics and others. Periodic training programs has also to be

conducted for the operational staff including Driver and Emergency

Medical Technician. Training should be given for at least one doctor,

two paramedics from all the hospitals where ambulances are parked and

few more doctors, staff whom SHFWS nominates.

4.3.28 Conduct periodic training programs to policy makers, government

personnel, school and college students and others.

4.3.29 Strive for continuous improvement in emergency management through

strategic partnerships, innovative programs, and collaborative policies.

4.3.30 Undertake applied research assignments in implementing Emergency

Response Services in the field.

4.3.31 Provide awareness building about the KEMP and JSSK across the state.

4.3.32 Prepare the standard operating procedure framework (SOPF) for

Emergency Response Center in consultation with Tender Inviting

Authority.


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4.3.33 Provide arrangements with telecom service providers to route the calls

through a common number.

4.44.44.44.4 AMBULAMBULAMBULAMBULAAAANCE NCE NCE NCE TYPETYPETYPETYPE

4.4.1 The details of existing ALS ambulance are given in Annexure V & VI.

4.4.2 The proposed specifications of ALS and BLS ambulances to be procured

are provided in Annexure VII.

4.4.3 The base ambulance vehicle for the BLS and Patient transfer

ambulances are to be proposed by the bidder.

4.4.4 The specification will be finalized and issued along with the RFP

documents.

4.54.54.54.5 TimelinesTimelinesTimelinesTimelines::::

4.5.1 The period of contract shall be for period of five years and shall be

extendable to a period of 2 more years on mutually agreed terms.

4.5.2 The service of ambulances shall be started district wise and the first launch

shall be in 2 months of signing the agreement.

4.5.3 The ambulance service shall be provided to the entire state within 8

months of signing the agreement by deploying all the vehicles.

4.64.64.64.6 Pre Pre Pre Pre Qualification CriteriaQualification CriteriaQualification CriteriaQualification Criteria::::

4.6.1 The bidder should be a registered organization having two years


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experience in managing centralized Medical / Emergency ambulance

service.

4.6.2 Should have experience in operating and managing a fleet of over 100

ambulances for a period one year supported by a centralized control

room, in India or abroad.

4.6.3 Should have one year experience in computer telephony integration with

the ability to log calls combined with geographical information system

and GPRS integrate system to facilitate quick dispatch of vehicles.

4.6.4 Should have comprehensive training system for service and supervisor

personnel in the implementation of the emergency response system.

4.6.5 Consortium is allowed and the lead member shall meet the first two

criteria mentioned above.

4.6.6 Bidders who submit all the necessary documents as prescribed for

inclusion in the technical bid under cl.4.8 without any ambiguity, errors

etc.

4.6.7 Bidders who have been blacklisted/ debarred by Tender Inviting

Authority or blacklisted / debarred by any State Government or Central

Government department/Organization should not participate in the EOI

during the period of blacklisting.

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

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

4.6.9 In case of consortium the lead member of the consortium shall meet all

the above pre-qualification criteria. The bidder shall submit a copy of

agreement indicating roles and responsibilities of the partners in

managing the assignment must be included in this part


19

4.74.74.74.7 Selection Criteria Selection Criteria Selection Criteria Selection Criteria

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

participate in the RFP process.

4.7.2 Bidders failing to meet pre-qualification criteria or not submitting

requisite supporting documents / documentary evidence for supporting

prequalification criteria are liable to be rejected summarily.

4.7.3 The short-listed bidders shall be invited to make a presentation at a date,

time and location notified by the Tender Inviting Authority. The purpose

of such presentations would be to allow the bidders to present their

technical solution, approach & Methodology & quality of the

professionals proposed to the committee and other key points in the

proposals.

4.7.4 Request for proposal (RFP) document will be provided only to the short

listed bidders. It may also be decided to invite open RFP document at

the sole discretion of the Tender Inviting Authority.

4.7.5 RFP document will be provided after opening the technical proposal.

4.84.84.84.8 Technical ProposalTechnical ProposalTechnical ProposalTechnical Proposal

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

Organization including structure, man power strength, statutory

compliance etc.

4.8.2 In case of consortium the profile and curriculum vitae of all the agencies

in the consortium has to be submitted along with the role of each agency

in the contract shall be specified. The Copy of legal document which

prove the formation of consortium should be produced on a date prior

to the last date of submission of document.


20

4.8.3 Documents showing the identity of Board members of the tenderer and

in case of consortium partner the identity of board members of all the

consortium partner has to be submitted. In case of foreign partners,

clearance from appropriate authorities such as police, Ministry of

External Agencies, etc are to be submitted.

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

emergency ambulances through a centralized control room with

photographs shall be submitted. The detail shall include curriculum vitae

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

in each project, technical details of the control rooms established,

hardware and software used, technical specification, make & model of

the ambulance, equipments, standard operating procedures, details of

training provided so far and achievements in each of the project

handled.

4.8.5 The documents proving that the tenderer is managing centralized

Medical / Emergency ambulance service for two calendar years.

4.8.6 The documents proving that the tenderer is having experience in

operating and managing a fleet of over 100 ambulances for a period of

one calendar year supported by a central control room in India or

abroad.

4.8.7 The documents proving that the tenderer have one year experience in

computer telephony integration with the ability to log calls combined

with GPS, geographical information system and GPRS integrate system

to facilitate quick dispatch of vehicles.

4.8.8 The documents proving that the tenderer have comprehensive training

system for service and superviser personal in the implementation of the

emergency response system.

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

incorporation, proving the registration of place of business and showing

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


21

4.8.10 The details of training offered so far, duration of each training,

curriculum vitae of the trainers, facilities available in the training center

and photographs of the existing training facility shall be submitted.

4.8.11 The details of hardware and software used for computer telephony

integration, server, voice equipment, GPS, GIS, GPRS, and details of

maps used in the existing project.

4.8.12 The solution, approach & Methodology & quality of the professionals

proposed for operating emergency medical service and patient transport

ambulance for the state of Kerala. (clause 4.2.15 shall be referred).

4.8.13 The bidder shall provide criteria for performance evaluation of

Emergency Medical Service and also the key performance indicators.

The methodology for monitoring and evaluation of the performance

indicators has to be submitted.

4.8.14 Curriculum vitae of the proposed key personnel to be assigned for the

project in Kerala.

4.8.15 The details of vehicles proposed for Patient Transport Ambulances like

Make & model of the vehicle proposed, technical specification,

fabrication and equipments. Maximum cost is Rs. 5.5 Lakhs per

ambulance.

4.8.16 The details of vehicles proposed for BLS Ambulances like Make & model

of the vehicle proposed, technical specification, fabrication and

equipments.

4.8.17 The details of vehicles proposed for 4 wheel drive Ambulances like Make

& model of the vehicle proposed, technical specification, fabrication and

equipments.

4.8.18 Bidders shall comment on providing digital odometer / black box on all

the ambulances to be operated with facility to transmit the odometer

reading to the Network operating center of Tender Inviting authority on

a daily basis.


22

4.8.19 Bidder shall offer comment on providing on-line access of all data and

setting up of Network operating center in the premises of Tender Inviting

Authority. The bidder shall also provide an MIS to the bidder for

customized reports including the reading of digital odometer on a daily

basis.

4.8.20 Bidder shall offer the methodology to be adapted for operating water

(boat) ambulances where ever required with details of required man

power, facilities, equipments, etc. Photographs shall be submitted if

water ambulances are presently operated.

4.8.21 Bidder should submit comments and opinion on the Objective, Scope,

Time Line, Output, Outcome on the manner in which the Tender

Inviting Authority proposes to carry out the assignment.

4.8.22 If the procurement of ambulances is entrusted with the bidder the mode

of procurement of ambulances, fabrication and equipping shall be

submitted.

4.8.23 Description on the modality of collection of user fees from patients

opting private hospitals.

4.8.24 Rough schematic of the proposed training center to be established in

Kerala with training equipments, furniture, facilities, manpower to be

deployed etc.

4.8.25 Schedule of roll out of the project for the entire state of Kerala to be

submitted by the bidder district-wise.

4.8.26 Bidder should submit comments and opinion on the draft specification of

BLS/ALS ambulances provided in Annexure VII

4.8.27 Mode of recruitment of the team and minimum qualification proposed

for each position for Kerala operations.

4.8.28 Notarized audited copies of the P& L Accounts, Balance Sheet, annual


23

report for the last two completed years certified by the auditors.

4.8.29 Annual turnover statement for last two years certified by the auditor

4.8.30 Notary attested copy of IT returns filed for the last two completed years.


24

SECTION VSECTION VSECTION VSECTION V

GENERAL CONDITIONS OF EOIGENERAL CONDITIONS OF EOIGENERAL CONDITIONS OF EOIGENERAL CONDITIONS OF EOI

5.1.5.1.5.1.5.1. Contents of the EOI Document Contents of the EOI Document Contents of the EOI Document Contents of the EOI Document

5.1.1. Introduction (Section I)

5.1.2. Scope and Description of Contract (Section II)

5.1.3. EOI Schedule (Section III)

5.1.4. Scope of Work (Section IV)

5.1.5. General Conditions of Contract (Section V)

5.1.6. Appendix & Annexure–supporting documents for submission with EOI

5.2.5.2.5.2.5.2. EOIEOIEOIEOI DocumentDocumentDocumentDocument

5.2.1 The EOI document can be downloaded from website

www.kmscl.kerala.gov.in.www.kmscl.kerala.gov.in.www.kmscl.kerala.gov.in.www.kmscl.kerala.gov.in. There is no cost for the EOI document.

5.3.5.3.5.3.5.3. Guidelines for preparation of EOI Guidelines for preparation of EOI Guidelines for preparation of EOI Guidelines for preparation of EOI

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

submission of its EOI and Corporation, will in no case be responsible or

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

process.

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

for the EOI submitted so as to enable the Corporation to prima facie

verify the compliance of submission of requisite documents at the time of

opening of EOI.

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

correspondence and documents relating to the EOI exchanged by the

Bidder and the Corporation, shall be in English language. Supporting

documents and printed literature furnished by the Bidder may be written

in another language provided they are accompanied by an authenticated

accurate translation of the relevant passages in the English language in


25

which case, for purposes of interpretation of the EOI, the English

translation shall govern.

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

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

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

the EOI document.

5.4.5.4.5.4.5.4. PrePrePrePre----offer Meeting offer Meeting offer Meeting offer Meeting

5.4.1 Date of pre-offer meeting is mentioned in Section III.

5.4.2 Pre-Offer meeting is called by the Tender Inviting Authority to explain

briefly about the scope of the contract of the EOI document and to get

the views of the prospective bidders, as part of ensuing transparency in

the tender process.

5.4.3 It is an opportunity for the prospective bidder to obtain all the details

about the EOI, conditions governing the EOIs and also to get the

explanation of any ambiguous condition that may be present in the EOI

document.

5.4.4 All prospective bidders can attend. The venue, date and time indicated

in Section III.

5.4.5 Failure to attend the Pre-Offer meeting will not be a disqualification, but

a loss of opportunity for the prospective bidders to understand about

the Expression of Interest and scope of contract.

5.4.6 Filled up technical proposal will be accepted only after the date of pre-

offer meeting.

5.5.5.5.5.5.5.5. Amendment of EOIAmendment of EOIAmendment of EOIAmendment of EOI

5.5.1. At any time prior to the dead line for submission of EOI, the Corporation

may, for any reason, modify the EOI document by amendment.


26

5.5.2. There will not be any individual communication in respect

of general notices, amendments, etc. The prospective offers

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

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

exceptional cases, at the discretion of the Corporation. All

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

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

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

basis till the EOI is concluded.

5.6.5.6.5.6.5.6. Method of Submission of EOIMethod of Submission of EOIMethod of Submission of EOIMethod of Submission of EOI

5.6.1. EOI shall contain the complete technical specifications and details on the

competency of the Bidder and also the EOI package with terms and

conditions of implementation of the proposed service. Apart from the

documents and signed copy of the EOI, the necessary enclosures shall be

submitted with EOI. In short, the EOI shall contain all the necessary

documents to prove the technical competency and capability of the

Bidder for implementing project and the ability of the Bidder for

providing efficient service and support to the satisfaction of the

Corporation.

5.6.2. Minor infirmities in the submission of documents will be allowed to be

rectified so as to ensure qualification of maximum number of competitive

Bidders to the next level.

5.6.3. The EOI offers, duly filled, shall be submitted in a sealed cover super

scribed as ““““EOI EOI EOI EOI NO:NO:NO:NO: KMSCL/EPKMSCL/EPKMSCL/EPKMSCL/EP////EEEE////391391391391////2020202011112222/0/0/0/04444 “EOI for “EOI for “EOI for “EOI for Operating Operating Operating Operating

KEMP and JSSK ambulance service for the entire state of KeralaKEMP and JSSK ambulance service for the entire state of KeralaKEMP and JSSK ambulance service for the entire state of KeralaKEMP and JSSK ambulance service for the entire state of Kerala”.”.”.”.

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

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

shall be addressed to;

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


27

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

the Corporation shall assume no responsibility for the offer’s

misplacement or premature opening and consequential rejection.

5.6.6. The EOI shall be sent by registered post or by courier to the above

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

Kerala Medical Services Corporation Ltd at Thycaud,

Thiruvananthapuram -14.

5.6.7. EOI sent by telex or fax or email is void.

5.7.5.7.5.7.5.7. Contents of the EOIContents of the EOIContents of the EOIContents of the EOI

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

Organization including structure, man power strength, statutory

compliance etc.

5.7.2 In case of consortium the profile and curriculum vitae of all the agencies

in the consortium has to be submitted along with the role of each agency

in the contract shall be specified. The Copy of legal document which

prove the formation of consortium should be produced.

5.7.3 Documents showing the identity of Board members of the tenderer and

in case of consortium partner the identity of board members of all the

consortium partner has to be submitted. In case of foreign partners,

clearance from appropriate authorities such as police, Ministry of

External Agencies, etc are to be submitted.

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

emergency ambulances through a centralized control room with

photographs shall be submitted. The detail shall include curriculum vitae

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

in each project, technical details of the control rooms established,

hardware and software used, technical specification, make & model of

the ambulance, equipments, standard operating procedures, details of

training provided so far and achievements in each of the project

handled.


28

5.7.5 The documents proving that the tenderer is managing centralized

Medical / Emergency ambulance service for two calendar years.

5.7.6 The documents proving that the tenderer is having experience in

operating and managing a fleet of over 100 ambulances for a period of

one calendar year supported by a central control room in India or

abroad.

5.7.7 The documents proving that the tenderer have experience in computer

telephony integration with the ability to log calls combined with GPS,

geographical information system and GPRS integrate system to facilitate

quick dispatch of vehicles.

5.7.8 The documents proving that the tenderer have comprehensive training

system for service and supervisor personal in the implementation of the

emergency response system.

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

incorporation, proving the registration of place of business and showing

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

5.7.10 The details of training offered so far, duration of each training,

curriculum vitae of the trainers, facilities available in the training center

and photographs of the excising training facility shall be submitted.

5.7.11 The details of hardware and software used for computer telephony

integration, server, voice equipment, GPS, GIS, GPRS, and details of

maps used in the existing project.

5.7.12 The solution, approach & Methodology & quality of the professionals

proposed for operating emergency medical service and patient transport

ambulance for the state of Kerala. (clause 4.2.15 shall be referred)

5.7.13 The bidder shall provide criteria for performance evaluation of

Emergency Medical Service and also the key performance indicators.

The methodology for monitoring and evaluation of the performance

indicators has to be submitted.


29

5.7.14 Curriculum vitae of the proposed key personnel to be assigned for the

project in Kerala.

5.7.15 The details of vehicles proposed for Patient Transport Ambulances like

Make & model of the vehicle proposed, technical specification,

fabrication and equipments. Maximum cost is Rs. 5.5 Lakhs per

ambulance.

5.7.16 The details of vehicles proposed for BLS Ambulances like Make & model

of the vehicle proposed, technical specification, fabrication and

equipments.

5.7.17 The details of vehicles proposed for 4 wheel drive Ambulances like Make

& model of the vehicle proposed, technical specification, fabrication and

equipments.

5.7.18 Bidders shall comment on providing digital odometer / black box on all

the ambulances to be operated with facility to transmit the odometer

reading to the Network operating center of Tender Inviting authority on

a daily basis.

5.7.19 Bidder shall offer comment on providing on-line access of all data and

setting up of Network operating center in the premises of Tender Inviting

Authority. The bidder shall also provide an MIS to the bidder for

customized reports including the reading of digital odometer on a daily

basis.

5.7.20 Bidder shall offer the methodology to be adapted for operating water

(boat) ambulances where ever required with details of required man

power, facilities, equipments, etc. Photographs shall be submitted if

water ambulances are presently operated.

5.7.21 Bidder should submit comments and opinion on the Objective, Scope,

Time Line, Output, Outcome on the manner in which the Tender

Inviting Authority proposes to carry out the assignment.


30

5.7.22 If the procurement of ambulances is entrusted with the bidder the mode

of procurement of ambulances, fabrication and equipping shall be

submitted.

5.7.23 Description on the modality of collection of user fees from patients

opting private hospitals.

5.7.24 Rough schematic of the proposed training center to be established in

Kerala with training equipments, furniture, facilities, manpower to be

deployed etc.

5.7.25 Schedule of roll out of the project for the entire state of Kerala to be

submitted by the bidder district-wise.

5.7.26 Bidder should submit comments and opinion on the draft specification of

BLS/ALS ambulances provided in Annexure- VII

5.7.27 Mode of recruitment of the team and minimum qualification proposed

for each position for Kerala operations.



5.7.29 Annual turnover statement for last two years certified by the auditor

5.7.30 Notary attested copy of IT returns filed for the last two completed years.



5.7.32 Copy of the complete EOI document duly signed in all pages by the

Bidder or the authorized signatory.


31

5.85.85.85.8 Deadline for submission of EOIDeadline for submission of EOIDeadline for submission of EOIDeadline for submission of EOI.

5.8.1 EOIs must be received in the office of the Corporation at the above address

at Thiruvananthapuram not later than the time and date specified in the EOI

Schedule (Section III).

5.8.2 In the event of the specified date for submission of EOI being declared

holiday, the EOI shall be received up to the appointed time on the next

working day.

5.8.3 If the EOI is sent by Registered post or by Courier, it shall reach the above

office on or before the time and date stipulated for the receipt of EOI. The

Corporation shall not be held liable for the delay in transit where the EOI is

sent by post or courier.

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

of EOI by amending the EOI Document, in which case, all rights and

obligations of the Corporation and the Bidders previously subjected to the

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

5.95.95.95.9 Clarification of EOIClarification of EOIClarification of EOIClarification of EOI

5.9.1 During evaluation of EOI, the Corporation may, at its discretion, give

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

evaluation committee on its EOI submitted.

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

through email or fax or by post.

5.105.105.105.10 NoticesNoticesNoticesNotices

5.10.1 The Corporation shall publish the following information on its website at

the appropriate time as part of ensuring transparency in the EOI process;

5.10.1.1 The EOI notices, documents, etc if any.

5.10.1.2 Amendments to the EOI conditions, if any, especially after the pre-offer

meeting.


32

5.10.1.3 Results of the responsiveness of the EOI and minor

infirmities/clarifications sought.

5.10.1.4 Results of the evaluation of bid, reasons for rejections and provisional list

of Bidders qualified.

5.10.1.5 Final List of short listed bidders.

5.115.115.115.11 General/ Miscellaneous ClausesGeneral/ Miscellaneous ClausesGeneral/ Miscellaneous ClausesGeneral/ Miscellaneous Clauses

5.11.1 Further details could be obtained from the office of the Managing

Director of Kerala Medical Services Corporation Ltd during office hours

at 0471-3045600/2337353.

Date : Date : Date : Date : 05050505....09.201209.201209.201209.2012....

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

BIJU PRABHAKAR. IASBIJU PRABHAKAR. IASBIJU PRABHAKAR. IASBIJU PRABHAKAR. IAS Managing Director, KMSCL


33

Annexure IAnnexure IAnnexure IAnnexure I CHECK LISTCHECK LISTCHECK LISTCHECK LIST

Sl. Sl. Sl. Sl.

NoNoNoNo ItemItemItemItem

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

Yes / NoYes / NoYes / NoYes / No

Page Page Page Page

No.No.No.No.

1 Check list as per Annexure I.

2 General information about the bidder as per

Annexure II.

3 Power of Attorney as per format in Annexure IV

4

Bidder should submit the profile of the agency

in brief writing on the Organization including

structure, man power strength, statutory

compliance etc

5

In case of consortium the profile and curriculum vitae of all the agencies in the consortium has to be submitted along with the role of each agency in the contract shall be specified. The Copy of legal document which prove the formation of consortium should be produced.

6

Documents showing the identity of Board members of the tenderer and in case of consortium partner the identity of board members of all the consortium partner has to be submitted. In case of foreign partners, clearance from appropriate authorities such as police, Ministry of External Agencies, etc are to be submitted.

7

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


34

Sl. Sl. Sl. Sl.




Page Page Page Page

No.No.No.No.

the control rooms established, hardware and software used, technical specification, make & model of the ambulance, equipments, standard operating procedures, details of training provided so far and achievements in each of the project handled

8

The documents proving that the tenderer is managing centralized Medical / Emergency ambulance service for two calendar years.

9

The documents proving that the tenderer is having experience in operating and managing a fleet of over 100 ambulances for a period of one calendar year supported by a central control room in India or abroad.

10

The documents proving that the tenderer have experience in computer telephony integration with the ability to log calls combined with GPS, geographical information system and GPRS integrate system to facilitate quick dispatch of vehicles.

11

The documents proving that the tenderer have comprehensive training system for service and supervisor personal in the implementation of the emergency response system.

12

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


35

Sl. Sl. Sl. Sl.




Page Page Page Page

No.No.No.No.

13

The details of training offered so far, duration of each training, curriculum vitae of the trainers, facilities available in the training center and photographs of the excising training facility shall be submitted.

14

The details of hardware and software used for computer telephony integration, server, voice equipment, GPS, GIS, GPRS, and details of maps used in the existing project.

15

The solution, approach & Methodology & quality of the professionals proposed for operating emergency medical service and patient transport ambulance for the state of Kerala. (clause 4.2.15 shall be referred)

16

The bidder shall provide criteria for performance evaluation of Emergency Medical Service and also the key performance indicators. The methodology for monitoring and evaluation of the performance indicators has to be submitted.

17

Curriculum vitae of the proposed key personnel to be assigned for the project in Kerala.

18

The details of vehicles proposed for Patient Transport Ambulances like Make & model of the vehicle proposed, technical specification, fabrication and equipments. Maximum cost is Rs. 5.5 Lakhs per ambulance.


36

Sl. Sl. Sl. Sl.




Page Page Page Page

No.No.No.No.

19

The details of vehicles proposed for BLS Ambulances like Make & model of the vehicle proposed, technical specification, fabrication and equipments.

20

The details of vehicles proposed for 4 wheel drive Ambulances like Make & model of the vehicle proposed, technical specification, fabrication and equipments.

21

Bidders shall comment on providing digital odometer / black box on all the ambulances to be operated with facility to transmit the odometer reading to the Network operating center of Tender Inviting authority on a daily basis.

22

Bidder shall offer comment on providing on-line access of all data and setting up of Network operating center in the premises of Tender Inviting Authority. The bidder shall also provide an MIS to the bidder for customized reports including the reading of digital odometer on a daily basis.

23

Bidder shall offer the methodology to be adapted for operating water (boat) ambulances where ever required with details of required man power, facilities, equipments, etc. Photographs shall be submitted if water ambulances are presently operated.

24 Bidder should submit comments and opinion on the Objective, Scope, Time Line, Output,


37

Sl. Sl. Sl. Sl.




Page Page Page Page

No.No.No.No.

Outcome on the manner in which the Tender Inviting Authority proposes to carry out the assignment.

25

If the procurement of ambulances is entrusted with the bidder the mode of procurement of ambulances, fabrication and equipping shall be submitted.

26 Description on the modality of collection of user fees from patients opting private hospitals.

27

Rough schematic of the proposed training center to be established in Kerala with training equipments, furniture, facilities, manpower to be deployed etc.

28

Schedule of roll out of the project for the entire state of Kerala to be submitted by the bidder district-wise.

29

Bidder should submit comments and opinion on the draft specification of BLS/ALS ambulances for expansion provided in Annexure VII

30

Mode of recruitment of the team and minimum qualification proposed for each position for Kerala operations.

31

Notarized audited copies of the P& L Accounts, Balance Sheet, annual report for the last two completed years certified by the auditors.


38

Sl. Sl. Sl. Sl.




Page Page Page Page

No.No.No.No.

32 Annual turnover statement for last two years certified by the auditor

33 Notary attested copy of IT returns filed for the last two completed years.

34

Notarized audited copies of the P& L Accounts, Balance Sheet, annual report for the last two completed years certified by the auditors.

35

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


39

Annexure Annexure Annexure Annexure IIIIIIII

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

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

2.

Registered Address of the

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

3. Office AddressOffice AddressOffice AddressOffice Address

E-mail

website

4. Contact PersonContact PersonContact PersonContact Person

Designation

Mobile Phone No

Telephone No

Fax No

e-mail

5.

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

(Chairman / Managing

Director/Managing Partner etc)

6 Total number of ambulances

operated so far

7. Registration No. & Date of

Incorporation of Company

8. Principal Place of Business

9. Act/Rule under which the firm

was registered

10.

Type of Company

(Limited, Pvt. Ltd, Partnership,

Proprietary, PSU, etc.)


40

11. Turn Over of the company

2009-10

2010-11

2011-12

12. Number of offices / centers in

Kerala/South India/India

13.

Whether any criminal case was

registered against the company

or any of its promoters in the

past

Yes/ NoYes/ NoYes/ NoYes/ No

14. Other relevant Information

provided *

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

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

In case of consortium all the firms in consortium shall provide the details.

Date : Office seal Signature of the bidder/ Authorised

signatory


41

Annexure Annexure Annexure Annexure IIIIIIIIIIII

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

EXPERIENCE OF THEEXPERIENCE OF THEEXPERIENCE OF THEEXPERIENCE OF THE BIDDERBIDDERBIDDERBIDDER

Relevant Experience of the ApplicantRelevant Experience of the ApplicantRelevant Experience of the ApplicantRelevant Experience of the Applicant [Details to be provided only for the Applicant/Lead Member (in case of Consortium)]

IIII Details of OrganizationDetails of OrganizationDetails of OrganizationDetails of Organization

i. Name of the organization

ii

Does Memorandum of Association permit the organization to carry out the business of ambulatory services

IIIIIIII Relevant Experience Relevant Experience Relevant Experience Relevant Experience

i Years of Experience in ambulance service operations

ii Current areas of operation – specify all locations

2010 2011

IIIIIIIIIIII Fleet Details, Ownership & OperationsFleet Details, Ownership & OperationsFleet Details, Ownership & OperationsFleet Details, Ownership & Operations

i Number of ALS ambulance operated

ii Number of BLS ambulance operated

iii Number of patient transport vehicles operated

iv No of boat ambulances operated

v No of air ambulances operated

vi Number of first responders operated

vi Number of ambulances owned at present

vii Number of ambulances leased

viii

Number of ambulances provided by other agencies for operation

ix Staff per ambulance

x Total staff strength of EMS operation

xi Number of patients transported per ambulance per annum on an average

xi Distance travelled per ambulance per month on an average (in kms)

xii EMS operation for any Government

xiii Whether providing EMS for any Government

xiv No of ambulances

xv Population covered

xvi Area covered

xvii Average trip / ambulance / day


42

xviii Average kilometer / trip

xix Average kilometer travelled per month

xx Average response time

IVIVIVIV Control Room/Call Centre: Ownership and Control Room/Call Centre: Ownership and Control Room/Call Centre: Ownership and Control Room/Call Centre: Ownership and Operations Operations Operations Operations

i Average number of calls received per month in each control room

ii Manpower deployed category wise

iii. Toll Free Number used

iv Software (developed by self/purchased)

v Ownership of control room

Date : Office seal Signature of the bidder/ Authorised

signatory


43

Annexure Annexure Annexure Annexure IIIIVVVV

POWER OF ATTORNEYPOWER OF ATTORNEYPOWER OF ATTORNEYPOWER OF ATTORNEY

(On a Stamp Paper of relevant value)

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

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

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

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

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

no…………………………………… for operationalizing KEMP and JSSK ambulances. I/ We hereby also undertake that I/we will be responsible for all action of

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

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

Dated this the ___day of 201_

For__________________ (Name, Designation and Address)

Accepted

_________________________(Signature)

(Name, Title and Address of the Attorney)

Date : __________


44

Annexure Annexure Annexure Annexure VVVV

TECHNICAL SPECIFICATIONS OF THE EXISTING ALS AMBULANCE

I. I. I. I. VEHICLE : VEHICLE : VEHICLE : VEHICLE : Force Traveller 3350

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

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

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

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

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

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

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

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

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

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

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

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

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

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


45

n. Oxygen Manifold System – High pressure tubing regulator, low pressure tubing, Oxygen outlets 2 No for ventilator with dial gauges and alarms for indicating low pressure, with flow meter and tubing supplying oxygen to victim using Face mask/ nasal prong. Two Oxygen cylinders housed under the medical drug racks with easy push pull type arrangement for easy loading and unloading of heavy Oxygen Cylinders.

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

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

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

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

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

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

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

FABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONS

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

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

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

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


46

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

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

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

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

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

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

ELECTRICALSELECTRICALSELECTRICALSELECTRICALS

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

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

• Rated power 75 watts

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

• Module voltage 12V

• Min Voltage Open Circuit 21.00

• Current short circuit 4.75 • Voltage Max power 17.00

• Min Voltage Max power 16.30

• Current max power 4.35

• Voltage reference 15

• Current reference 4.57


47

• Series fuse size 20 • Min Bypass Diode size 6

• Max system Voltage 600

• Hi pot Test Voltage 2200

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

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

• Inverter Capacity - 600 watts / 800 VA

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

• Frequency - 50Hz.

• Power Factor – 0.8

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

• Waveform - Single Pulse PWM

• Efficiency - 85%

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

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

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

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

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

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

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

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

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

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


48

patients. Side rails to restrict movements of irritable patients. Head end elevation facility.

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

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

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

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

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

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

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

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

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

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

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


49

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

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

MEDICAL EQUIPMENTMEDICAL EQUIPMENTMEDICAL EQUIPMENTMEDICAL EQUIPMENT

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

1

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

1

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

1

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

1


50

Front wheels : 12.5 cm Seat height : 45 cm Wheel chair height : 88 cm Net weight should not be more than 7 kgs.

5

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

1

6

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

1

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

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

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

1

10 Needle Destroyer 1

11 Refrigerated medicine cabinet 1

12 Non re-breather mask 1

13 Pedestal mercurial BP apparatus with various cuff sizes 1

14 Stethoscope 1

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

1

16 Pediatric Bag Valve Mask 1

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

1

18 Disposable Delivery Kit (DDK) 1

19 Oxygen Flow Meter with mask and tubing 2


51

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

1

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

1

22 Bed pan (Plastic material preferred) 1

23 Urine pan ( Plastic) 1

24 Sputum cup 1

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

2 sets

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

27 Dorso Lumbar Spinal brace 1

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

29 Thermal baby warmer 1

30 Luminous warning torch 1

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

32 Tourniquets 2

33 Pulse Oxymeter ( Motion Tolerance ) 1

34 Nebuliser 1

35 Tongue Depressor 1

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

37 Oxygen canula 5

38 Foetal Monitor 1

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

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

41 Spacer - (Aerospace Small) 1

42 Glucometer 1 with 50 Strips 1

43 pupilary torch (AA battery x 2 nos) 1

44 Thermometer 5

45 surgical gloves one box containing 100 pairs 2 Boxes

RESCUE TOOLSRESCUE TOOLSRESCUE TOOLSRESCUE TOOLS

1 12” Wrench , Adjustable, Open End 1

2 12” Screw Driver Standard Square bar 1

3 8” Screw Driver Phillips Head # 2 1

4 Hacksaw with 12” carbide wire blades 1

5 Vise grips pliers, 10” 1

6 5 Lb hammer with 15” handle 1


52

7 Fire ax, butt, 24” handle 1

8 Wrecking bar with 24” Handle. 1

9 51” Crowbar pinch point 1

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

11 Folding Shovel pointed blade 1

12 Tin Snips, double action 8” minimum 1

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

14 Rescue Blanket 1

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

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

17 Spring load centre punch 1

18 Pruning saw 1

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

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


53

Annexure Annexure Annexure Annexure VVVVIIII

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

Kilometers run by 43 ALS ambulances up to 30/08/2012

Ambulances Ambulances Ambulances Ambulances running at Thiruvananthapuramrunning at Thiruvananthapuramrunning at Thiruvananthapuramrunning at Thiruvananthapuram Ambulances running at AlappuzhaAmbulances running at AlappuzhaAmbulances running at AlappuzhaAmbulances running at Alappuzha

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

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

1 KL01AY1945 VARKALA THQH 21949 1 KL 01 AY 1907 Kayamkulam THQH 34001

2 KL01AY1606 NAVAYIKULAM PHC 85852 2 KL 01 AY 1956 Nooranad PHC 24952

3 KL01AY1965 KESAVAPURAM CHC 88120 3 KL 01 AY 1696 Mavelikkara DH 32944

4 KL01AY1911 CHIRAYINKEEZHU

THQH 21685 4 KL 01 AY 1687 Harippad THQH 28893

5 KL01AY1949 ATTINGAL CHC 70459 5 KL 01 AY 1643 Chenganoor THQH 17233

6 KL01AY1924 VAMANAPURAM

PHC 82826 6 KL 01 AY 1624 Edathuva CHC 11882

7 KL01AY1648 KALLARA CHC 36947 7 KL 01 AY 1695 Thrikunnapuzha

THQH 12721

8 KL01AY1975 MANGALAPURAM

PHC 12387 8 KL 01 AY 1974 UHC Ambalapuzha 26195

9 KL01AY1941 TECHNOPARK 3503 9 KL 01 AY 1935 Veliyanadu 16725

10 KL01AY1908 KANYAKULANGARA

CHC 67662 10 KL 01 AY 1640 Alappuzha GH 24118

11 KL01AY1611 VIDHURA CHC 85778 11 KL 01 AY 1932 Cherthala THQH 44663

12 KL01AY1901 NEDUMANGADU

THQH 81975 12 KL 01 AY 1969 Thuravoor THQH 29941

13 KL01AY1951 PEROORKADA DH 50621 13 KL 01 AY 1627 Aroorkutti(Ezhupunna) 18529

14 KL01AY1912 GH HOSPITAL 56803 14 KL 01 AY 1647 Muhamma 31651

15 KL01AY1669 VELLANADU CHC 74732 15 KL 01 AY 1665 Mararikulam 24714

16 KL01AY1943 VALIYATHURA CHC 68589 16 KL 01 AY 1680 Champakulam 9171

17 KL01AY1676 MALAYINKEEZHU

PHC 82905 17 KL 01 AY 1689 Mannar 9040

18 KL01AY1937 KATTAKADA CHC 95336 18 KL 01 AY 1926 Muthukulam 19271

19 KL01AY1605 NEMOM CHC 71003

20 KL01AY1656 VIZHINJAM CHC 88081

21 KL01AY1596 NEYYATTINKARA

CHC 29553

22 KL01AY1976 PARASSALA THQH 7099

23 KL01AY1581 VELLARADA 27460

24 KL01AY1982 VATTIYOORKAVU

PHC 51560

25 KL01AY1884 AIRANIMUTTOM 64017


54

Annexure Annexure Annexure Annexure VVVVIIIIIIII

TECHNICAL SPECIFICATION FOR ALS AND BLS AMBULANCETECHNICAL SPECIFICATION FOR ALS AND BLS AMBULANCETECHNICAL SPECIFICATION FOR ALS AND BLS AMBULANCETECHNICAL SPECIFICATION FOR ALS AND BLS AMBULANCE FOR EXPANSIONFOR EXPANSIONFOR EXPANSIONFOR EXPANSION

List of Fabrication features and EquipmentsList of Fabrication features and EquipmentsList of Fabrication features and EquipmentsList of Fabrication features and Equipments

S/nS/nS/nS/n FabricationFabricationFabricationFabrication EquipmentsEquipmentsEquipmentsEquipments

1 Wall panels – single seamless FRP Stretcher cum trolley

2 Flooring - Vinyl Scoop stretcher

3 Folding Doctors seat Spine board

4 Squad bench Folding wheel chair

5 Medicine cabinet Suction pump

6 Wash basin Needle destroyer

7 Dust bins Non re-breather mask

8 Head racks BP Apparatus

9 Grab rails Stethoscope

10 Oxygen delivery system Bag Valve mask adult

11 Scoop stretcher hold Bag Valve mask paediatric

12 Fire extinguisher hold Airways

13 Ventilator hold Disposable delivery kit

14 Defibrillator and multiparameter monitor hold Oxygen flowmeter with mask and tubings

15 Air conditioner Bulk Oxygen cylinder – 2 nos

16 Inverter – pure sine wave Trauma and first aid kit

17 Light bar with public address system Bed pan

18 LED interior light – 4 nos Urine pan

19 LED spot lights – 3 nos (interior) Sputum cup

20 LED examination lamp – 1 no (interior) Splints

21 High intensity LED blinkers – 6 nos (Exterior) Cervical collars

22 Spot/ flood LED lights – 3 nos (Exterior) Mackintosh

23 Exterior sticker LED rechargeable torch

24 Portable oxygen cylinder

25 Tourniquet

26 Tongue depressor 27 Oxygen mask with tube 28 Oxygen cannula 29 Laryngoscope

30 Glucometer

31 Pupilary torch


55

32 Thermometer

33 Examination gloves 34 Rescue tools (19 nos)

I. FABRICATION & EXTERIOR DESIGNINGFABRICATION & EXTERIOR DESIGNINGFABRICATION & EXTERIOR DESIGNINGFABRICATION & EXTERIOR DESIGNING

a. Patient’s cabin shall be ergonomically designed and fabricated with Fire retardant FRP (Fiber Reinforced Plastic) and having a 2 layered section consisting of FRP, PUF/ thermocol to have a noise free atmosphere and maintain the internal temperature. The panels should be fire retardant, fully washable, have highest tensile stress to weight ratio. Should be of medical grade and should withstand corrosion caused by fumigation chemicals.

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

c. Overhead racks shall be provided for storage of stocks with lockable sliding toughened Glass in Aluminum frame with rounded corners and guide rails, which shall ensure that during fast movement, the glass of the cabinet do not open out.

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

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

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

g. There should be provision of stainless steel wash basin with foot operated control for hygienic washing of hands without touching of tap. Should have soap dispenser.

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

i. Adequate power supply for medical equipment and other electronic equipment is provided with both 12 Volts DC and 220 Volts A/c.


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j. There should be a provision of hooks for hanging IV bottles with secured straps on the roof side.

k. Syringe destroyer for disposal of Sharp wastes and needles. All equipment should be placed appropriately to help Emergency Medical Technician to provide better care without much inconvenience & hooked tightly to the wall.

l. Centrally ducted Air conditioning with Parallel flow condenser with twin roof mounted blower fans in addition to adequate insulation of the patient’s cabin which shall help to provide immediate cooling for patient comfort.

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

n. Oxygen Manifold System – High pressure tubing regulator, low pressure tubing, Oxygen 2+1 Common rail nipple with needle valve for ventilator in Advanced Life Saving (ALS) ambulance with flow meter and tubing supplying oxygen to victim using Face mask/ nasal prong. Two Oxygen cylinders shall be housed under the medical drug racks with easy push pull type arrangement for easy loading and unloading of heavy Oxygen Cylinders.

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

p. Should have LED flash lights one red and orange pair on each side and both red on the rear indicating emergency when ambulance is moving on the road

q. Should have one flood light on both side and one on rear side of the ambulance which shall provide lighting when operating in dark conditions.

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

s. Fire extinguisher – ABC type should be provided to extinguish fire for rescuing victims in fire accidents.


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

FABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONSFABRICATION SPECIFICATIONS

Wall paneling Wall paneling Wall paneling Wall paneling : Should be reinforced with steel rib cage and all Interiors, internal sides, cover to close the wheel hump and roof should be paneled in Fire retardant (as per IS – 6746 of 1988 or latest) Fiber Reinforced Plastic (FRP), inbuilt Colour, meeting lamination standard IS – 10192 or latest with minimum 3.0mm thickness. PUF / PU or thermocol insulation 40 mm thick for reduction of heat and noise within the patient compartment. A provision should be made for holding the defibrillator and ventilator in FRP, with sufficient reinforcement for holding 40 kgs.

Vinyl Flooring Vinyl Flooring Vinyl Flooring Vinyl Flooring shall be with 12mm water proof marine grade ply board, good quality vinyl flooring of matching colour approved by Tender Inviting Authority and 304 grade stainless steel sheet (1200mmx850mm) under the patient cot.

Folding Folding Folding Folding ---- Doctors Seat withDoctors Seat withDoctors Seat withDoctors Seat with High quality fabric/ Fire Retardant Rexine covers with ARAI approved seat belts on the head side of the patient. Dimensions (±5% tolerance): length= 46cm, width=46cm and height=38~46cm. Facing rear wall, at head end of the patient and should be integrated with the steel cabinet. Shall be comfortable with cushion and upholstered with non absorbent rexine. Back rest and head rest should be provided.

Squad bench / Attendant Seat to seat 4 persons with ARAI approved Seat belts Squad bench / Attendant Seat to seat 4 persons with ARAI approved Seat belts Squad bench / Attendant Seat to seat 4 persons with ARAI approved Seat belts Squad bench / Attendant Seat to seat 4 persons with ARAI approved Seat belts and with storage area beneath in concealed finish. Squad bench/ attendant seat- (4 seater with seat belts) with storage for Emergency Medical rescue tools. A squad bench shall be installed along the left hand wall and open able top. Shall be made in Fire retardant FRP with inbuilt colour in gel coat finish. Dimensions (±5% tolerance) of the bench are length = 180cm, width =56cm, height = 48cm. This shall provide storage space in the interior for emergency rescue tools and seating for three passengers. Seat belts, back and headrest cushions to be provided for 4 seats. A minimum 50mm thick high density cushion to be provided for comfort. The same should be upholstered with non absorbent Rexine.

Steel / plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust Bins : Steel / plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust Bins : Steel / plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust Bins : Steel / plywood cabinet for storing medical equipment / supplies/ Wash basin/ dust Bins : Dimensions Dimensions Dimensions Dimensions (±5% tolerance) : length = 1600mm, width = 600 mm and height = 900mm, Placed along side the partition behind the pilot compartment. Made of Fire retardant ply board cladded with stainless sheet (SS- 304). Houses the Stainless steel wash basin with foot operated water tap, left side corner, fresh water and drain water tank below the wash basin. The provision for storing medicines is made by providing drawers on telescopic steel guide ways of Ebco/Hettich or equivalent brand. The top surface of the cabinet can be used as table top. The draws should be provided with ball socket locks to arrest the draws from opening out during motion of the ambulance. Concealed portable steel dust bin with spring loaded lids, colour coded for waste disposal are provided under the wash basin.

Head racks and grab rails Head racks and grab rails Head racks and grab rails Head racks and grab rails in the ceiling. Dimensions (±5% tolerance): length =1800mm, width = 350mm, height = 260mm to be integrated with roof above the squad bench. Made in Fire retardant FRP with required reinforcements to be provided with toughened glass slide doors. Inner surface to be pasted with soft heatlon film. The head rack should have suitable oval shaped closures to cover the opening which are easy to operate and do not have any sharp edge at the openings. One partition in the center of the head rack to be provided inside the head racks.


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Stainless steel Grab Rail in the roof with minimum length of 2380mm pipe with a dia of 30mm and1.5mm thickness to be placed on the ceiling wall with support brackets. The Grab rail should not protrude outside the ceiling panel (i.e. proper cavity should be made inside the ceiling for the grab rail). A 600mm long pipe of 30mm dia made up of SS is to be placed as grab rail near the LHS rear door at LHS wall 550mm from the floor with firm brackets at the ends.

Oxygen Delivery SystemOxygen Delivery SystemOxygen Delivery SystemOxygen Delivery System: A door for the Trolley to be cut and fabricated with bonnet type locking with a lever in the driver compartment. This trolley should be designed to hold two oxygen cylinders under medicine cabinet securely with a toggle clamp for fast locking/unlocking the trolley. With 280 bar, Flame/Fire proof, high pressure tubing from the cylinders to the two stage regulators 2 nos. Integrated Oxygen Supply System in the vehicle with cylinder manifold cabinet and integrated piping system terminating at the 2+1 four ports common rail brass assembly with 3/8” nipples with needle valves at the patient head end on the side wall. (distance between the patient head and oxygen 2+1 Common rail brass assembly to be less than 89cm). Two nipples normally meant for Oxygen therapy through flow meter, one meant for driving breathing equipment like ventilators and one standby to drive aspirators etc. There should be not electrical wires or wiring near the oxygen delivery system, cylinder storage area etc.

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

Fire extinguisher hold Fire extinguisher hold Fire extinguisher hold Fire extinguisher hold : provision with straps / Velcro tapes and mounting on the flooring for placing a fire extinguisher should be provided. All the reinforcement provided for the fabrication shall be properly painted. Ventilator and defibrillator and multiparameter monitor holdVentilator and defibrillator and multiparameter monitor holdVentilator and defibrillator and multiparameter monitor holdVentilator and defibrillator and multiparameter monitor hold : The fabrication shall have provision to fix ventilator and defibrillator with multiparameter monitors.

Exterior design / painting. Exterior design / painting. Exterior design / painting. Exterior design / painting. Exterior design / painting. All vinyl / reflective stickers/ retro reflective stickers/films to be used. After finishing the sticker works as per the design provided by the Tender Inviting Authority has to be laminated or coated with suitable transparent paint.

ELECTRICALSELECTRICALSELECTRICALSELECTRICALS

Air Conditioner: Air Conditioner: Air Conditioner: Air Conditioner: Roof Mounted with Fiber cowl, multi-flow aluminum condenser (min 70x61x25 cm) with 2 nos 120W cooling fans, single aluminum evaporator coil with double blower and vehicle driven compressor of mim 160cc, with ducts in the roof of the patient cabin. Digital microprocessor based temperature controller with fully automatic PCB based power supply suitable for heat load to cool 10 cubic meter volume.

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

• Inverter Capacity - 600 watts / 800 VA

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

• Frequency - 50Hz.

• Power Factor – 0.8


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

• Waveform – Pure sine waveform

• Efficiency - 85%

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

Light barLight barLight barLight bar: LED flashers, and lights indicating emergency while transferring a serious patient, Long life span, high luminance, Voltage: DC 12V, with integrated PAS of 100W with dual

diaphragm. (Grand or equivalent brands only)

HHHHigh intensity LED blinkersigh intensity LED blinkersigh intensity LED blinkersigh intensity LED blinkers ---- 6 Nos, red-orange pair on either side, and both red on the rear of the vehicle.

LED Spot/flood lights - 3 nos on three sides except the front.

Interior lighting Interior lighting Interior lighting Interior lighting : 12V DC LED lights 4 nos, with mimimum 300 Lux each, LED Spot lights 3 nos, and 1 nos. LED examination light.

Fans 2 nos. bush less 12V DC 12” diameterFans 2 nos. bush less 12V DC 12” diameterFans 2 nos. bush less 12V DC 12” diameterFans 2 nos. bush less 12V DC 12” diameter

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

Electrical wiring with separate fuse boxes Electrical wiring with separate fuse boxes Electrical wiring with separate fuse boxes Electrical wiring with separate fuse boxes other than regular OEM. All wires/harness used for should be Fire retardant (Havells / flexicab / finolex or equivalent make). All electrical accessories should be of ARAI/ISI/automobile standards.

External charge port with spring loaded lid. Has to be located at the rear, near the step well.

All wirings shall be concealed through fire retardant pipes. There shall be no wire running through the oxygen cabinet.

All wirings shall be properly tagged. The wires in the back side of the switch boxes shall be completely covered.

II. AMBULANCE EQUIPMENT

Detailed specifications of Ambulance Equipment are given below:

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

1

Stretcher cum trolleyStretcher cum trolleyStretcher cum trolleyStretcher cum trolley, Multifunctional Automatic Loading, Collapsible Stretcher cum trolley should Slide into the ambulance automatically with ease without manual pressing of any levers. Provision for head end elevation, Sitting posture for breathless patients, trouble free, rails to prevent fall on both sides, I V Stand, should be light, safe and reliable, made of high strength aluminum alloy which can easily adjust to various positions for emergency treatment under any complicated situations. With 50 mm thick high density cushion (mm-foam / u-foam) up holstered with non-absorbent rexine. Through the controlling automatic lever, one single person can raise and lower it into an ambulance easily not exceeding the below dimensions. Equipped with Belts to Strap the patient with front and back fixation support design. CE certified

1


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Stretcher dimensions : 190x54x90cms , Net weight : 40 Kgs max, Load bearing : 150Kgs (±5% tolerance on all dimensions)

2

Scoop StretcherScoop StretcherScoop StretcherScoop Stretcher---- Should be light, safe and reliable, made of aluminum alloy and detachable stretcher enables medics to transport the patient without mobilizing the body. Easy to lock and unlock, Features Safety belts for patient, length adjustable, Should open into two halves, Size: 190x44x8 cms, Net weight : 9Kgs, Load bearing : 150Kgs. CE certified (±5% tolerance on all dimensions)

1

3

Spine Board Spine Board Spine Board Spine Board –––– Should be made of High density PE, light weight and strong. Spine board Compatibility with Head Immobilizes and patient restraints Radio lucent to be compatible with X Ray CT and MRI scan compatible, Should float in water and should be ideal for water rescue. The fabrication 1 shall have provision to secure the spine board. Size : 183X45X5 cms, net weight 8 Kgs max, Load bearing 150 Kgs. CE certified (±5% tolerance on all dimensions)

4

Folding WheelFolding WheelFolding WheelFolding Wheel chairchairchairchair: Wheeled chair shall be required for carrying patients through narrow lifts where trolley stretcher cannot go.

1 Made up of high strength Aluminium with four wheels.

Flip up armrest, Drop back handle, Locking brake, with seat belt

Size : 93x52x16, net weight 8 kgs, load bearing 150 Kgs. CE certified

(±5% tolerance on all dimensions)

5

AC/DC and Manual 3 in1 Suction Pump AC/DC and Manual 3 in1 Suction Pump AC/DC and Manual 3 in1 Suction Pump AC/DC and Manual 3 in1 Suction Pump - with collection capacity of 200ml with 20 liters per minute flow rate with pressure of suction of Minimum 300 mm of Hg. Non-breakable, transparent collection bottle

1

6 Needle Destroyer 1

7 Non re-breather mask 1

8 Pedestal mercurial BP apparatus with various cuff sizes 1

9 Stethoscope 1

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

1

11 Pediatric Bag Valve Mask

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

13 Disposable Delivery Kit (DDK) 1

14 Oxygen Flow Meter with mask and tubing 1

15

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

2

16

Trauma and first aid kit consisting of bandage cloths, crepe bandage,

1 6" scissors 2 pairs, scalpel with blade, forceps, toothed forceps, artery

forceps, adhesive tape, beta dine solution and ointment, Kidney Tray and trauma related equipment.


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RESCUE TOOLSRESCUE TOOLSRESCUE TOOLSRESCUE TOOLS

1 12” Wrench , Adjustable, Open End 1

2 12” Screw Driver Standard Square bar 1 3 8” Screw Driver Phillips Head # 2 1111

4 Hacksaw with 12” carbide wire blades 1

5 Vise grips pliers, 10” 1

6 5 Lb hammer with 15” handle 1

7 Fire axe- butt 24” handle 1

8 Wrecking bar with 24” Handle. 1

9 51” Crowbar pinch point 1

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

11 Folding Shovel pointed blade 1

12 Tin Snips, double action 8” minimum 1

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

1

14 Rescue Blanket 1

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

17 Bed pan (Plastic material preferred) 1

18 Urine pan ( Plastic) 1

19 Sputum cup 1

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

2 sets

21 Ambulance Cervical Collar - 3 sizes ( Small, Medium and large ) 2 sets 22 Mackintosh ( 2 x 2 Mts ) 1 set consists of 4 mts each 2 sets 23 LED rechargeable torch 1

24 Portable Oxygen Cylinder (350L oxygen capacity) 1

25 Tourniquets 2

26 Tongue Depressor 1

27 Oxygen mask with tube ( 1 set consists of 1 adult and 1 child ) 5 sets 28 Oxygen cannula 5

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

1

30 Glucometer 1 with 50 Strips, CE certified 1

31 Pupilary torch (AA battery x 2 nos), CE certified 1

32 Thermometer 5

33 Surgical examination gloves one box containing 100 pairs 1 Box


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

17 Spring load centre punch 1

18 Pruning saw 1

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

EQUIPMENT SPECIFICATION FOR ALS EQUIPMENTS:

Ventilator – Time cycled constant volume control, Oxygen or medical air as driving gas, Provision for (100% O2 or 50% O2 and 50% atmospheric air), Tidal volume 200CC to 1200CC, 10 to 30 BPM, Audio-visual alarm for high pressure (pressure above 60cm/H2O), alarm for patient disconnection, Push button for hyper ventilation, supply with reusable silicon patient circuit, drive hose, Anti shock mounting for gauge and internal pneumatics. Should have safety certificate from a competent authority CE / FDA (US) / STQC CB certificate / STQC S certificate or valid detailed electrical and functional safety test report from ERTL. Copy of the certificate / test report shall be produced along with the technical bid

Defibrillator with Multiparameter Monitor - Bi-phasic defibrillator which shall deliver shock up to 200 joules with Multi-para monitor to monitor ECG, Heart Rate, Oxygen Saturation, NIBP and respiration rate, Should have TFT display with facility to display 4 wave forms and numeric display simultaneously. The waveforms should be user selectable. Should have at least four hours battery back up. Should have Adult and pediatric NIBP cuff of different size. Should have reusable adult and paediatric probes for pulse oxymetry. Should have AED and 2 nos of pads shall be provided.

Should print out ECG, should be motion tolerant. Should have safety certificate from a competent authority CE / FDA (US) / STQC CB certificate / STQC S certificate or valid detailed electrical and functional safety test report from ERTL. Copy of the certificate / test report shall be produced along with the technical bid


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Annexure Annexure Annexure Annexure VIIIVIIIVIIIVIII

Training for EMS Personnel

Prehospital Personnel Ambulance Drivers

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

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

• Primary Care Theory

• Trauma Care Theory

• IV Administration and Theory • Nasopharyngeal Suctioning

• D50W Administration Theory

• Pharmacology

• Cardiac Monitoring • Oxygen Delivery Theory and Practical

• Patient Assessments

• Communications

• Transportation

• Ambulance Operations • Trauma

• CPR

• AED

• Clinical Hospital Practice • Ambulance Practice

• Basic Life Support

• Disaster Management Protocols Emergency Medical Technician - Advanced

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


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

Communication Officer • Priority Dispatch System

• Telecommunication Essentials

• Protocol Instruction and Practice • Roles of the Communication Officer

• Operations

• Legal issues

• Dispatch Stress

• Quality Improvement Dispatch Officer

• The science of prioritized dispatch

• Ethical and Medical Legal issues

• Dispatch Life Support • Dispatch Protocols

• Practice drills

Ambulance Control Officer

• The Science of prioritized dispatch

• Ethical and Medical Legal issues • Dispatch Life Support

• Dispatch Protocols

• Practice drills

• GIS/GPS Navigation • Vehicle Tracking

• Telecommunications

• Disaster Management

• Fleet Management

• Emergency Medical Technician issues • Communication Skills

Online Medical Control • The science of prioritized dispatch

• Ethical and Medical Legal issues

• Dispatch Life Support

• Dispatch Protocols

• Full Emergency Medicine Curriculum Supervisors


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• Administrative issues

• Curriculum of the respective supervisory role Hospital PersonnelHospital PersonnelHospital PersonnelHospital Personnel Emergency PhysiciansEmergency PhysiciansEmergency PhysiciansEmergency Physicians

• Core Emergency Medicine • Basic Life Support

• Advanced Cardiac Life Support

• Advanced Trauma Management

• Airway Management

• Pediatric Management • Disaster Management

• Communication Skills Emergency Nurses

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

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

o Staff Management o Financial Planning


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