Objective› Financing and completion of the hospital building at

Project Site through private sector participation

› Establish minimum 30 bedded Hospital with 10 beds each for Mother and Child at the Project Site

› Provide integrated mother and child healthcare in semi urban area that can provide continuity of care right from beginning of pregnancy to post natal period covering maternal, new born and child healthcare

› Provide the accessible, affordable and quality primary and secondary healthcare services to the population by providing the no-frill-low-cost Hospital

30 KMS FROM CHANDIGARH

LOCATION OF THE PROPOSED HOSPITAL

Site DetailsArea 23 Kanal 7 Marla i.e 2.91 acres (11777 Sqm)

Title of Land Department of Health and Family Welfare, GoP

Location 4 km from Entry Gate of Fatehgarh Sahib and 8km from Fatehgarh Town on Chandigarh –Fatehgarh sahib Road

Jurisdiction Pir Jain Village, District Fatehgarh Sahib; outside Municipal Limits

Existing construction

Rs.2.20 crore

Development Control

Max Permissible Height : 60mMaximum Ground Coverage – 40% of Total Plot AreaFAR : 1: 1.20 Setback: As shown in original building plan prepared by Office of Chief Architect.

Site Details

Site Details

Site Details

Site Details

Site Details

Scope of WorkHealthcare Services

The Hospital shall be designed for providing healthcare and shall provide following services for Mother & Child, and multi specialty

OPD Consultations In patient services Surgeries Diagnostics Pharmacy

Minimum Obligations

Developing Hospital with following minimum capacities and making it functional and operational on COD and provision of Healthcare services in respect thereof and ramping up of capacity for Mother and Child to total 60 beds during Concession Period as the demand builds up

Minimum Total Capacity – 30 beds

Minimum beds for Mother facility – 10 beds

Minimum beds for Child facility – 10 beds

Concessionaire shall provide minimum primary and secondary Healthcare services.

The Concessionaire shall have right to provide super specialty and multispecialty of his choice, provided that Concessionaire meet minimum obligations in terms of number of beds, facilities and staffing for Mother and Child and provide minimum primary and secondary Healthcare services at all time throughout the Concession Period.

Scope of WorkMother & Child Facility

The functional scope of the Healthcare services for Mother and Child shall at minimum include

Obstetrics and Gynecology Pediatric Neonatology Health examination Family welfare and planning Immunization

The facilities to be provided for Mother and Child Hospital shall at include

Maternal OPD Pediatric OPD Obstetric centre and obstetric surgical centre (Labour

Rooms) Neonatal Intensive Care Unit Intensive Care Unit Women ward Nursery / Pediatric Ward Private rooms Operation Theatres

Scope of Work

Ancillary Services and Amenities

The ancillary services at minimum shall include: Central Sterilization and Supply Department; Catering and Dietary Services (Optional); Laundry and Lenin; Porte ring and Transport Services (Ambulance Service);

Essential Amenities Kiosks (STD, Fax, Internet, ); Parking Area ; Canteen; 24 hours Pharmacy;

Implementation FrameworkImplementation Framework

Concessionaire shall complete, construct and manage the Mother & Child hospital on Design, Built, Operate and Transfer basis

The long term lease of land on nominal lease and initial investment made by GOP is considered as grant.

Phasing of capacity with minimum requirement specified allowed to reduce the upfront capital investment requirement and improve the project viability

GOP shall provide the project site to Concessionaire on nominal lease and Concessionaire shall provide the healthcare services at market rate. In lieu, the Concessionaire shall pay annual Concession Fee quoted by the bidder in the financial bid to GoP for award of concession

Longer concession period considered to ensure that efficient and quality services are available to the population

Fixed annual concession fee is the recommended arrangement in lieu of concession. The concession fee payable in the first year would be the bid parameter and for each subsequent year, it would increase at a rate specified

Health sector is unregulated and market driven. Also the Hospital shall be competing with private hospitals and nursing homes. Therefore hospital charges are not predetermined and shall be market driven

Provision for security to lenders in form of substitution rights and escrow account

Eligibility CriteriaQualification Criteria

The Bidder shall fulfill the following conditions for eligibility.

Technical Capacity: single entity Bidder or its Members of Consortium shall have experience of at least three years in operation and management of minimum 25(Twenty Five) bedded hospital; and

Financial Capacity : single entity Bidder or Lead Member of the Consortium shall have Average turnover of atleast Rs 3 crores in the last three preceding financial years.Minimum Net Worth of Rs 1.0 crores at the close of the preceding financial year.

Eligibility CriteriaQualification Criteria

The individual or organization with high Net Worth exceeding Rs 50 Cr or philanthropic foundations incorporated by the reputed corporate/business houses with backing from its high Net Worth parent companies for corporate social responsibility (CSR) shall be exempted from the technical capacity. It is expected that such Bidder shall be able to acquire/procure adequate technical and managerial skillset required for operation and management of the Hospital or enter into arrangement with entities having equivalent experience, as Conditions Precedent, failing which Concession Agreement shall be terminated.

Bidding ParameterBidding Parameter

Lowest financial grant (the “Grant”) or, instead of seeking a Grant, offer to pay a premium in the form of upfront payment of annual concession

Preferred Bidder

The Grant/ Premium amount shall constitute the sole criteria for evaluation of Bids. Subject to terms hereof, the Project will be awarded to the Bidder quoting the highest Premium, and in the event that no Bidder offers a Premium, then to the Bidder seeking the lowest Grant

Grant GOP agrees to provide to the Concessionaire a cash support by way of an outright grant but in no case greater than the Equity, and shall further restricted to sum not exceeding 40% (forty per cent) of the Total Project Cost. The Grant shall be disbursed to the Concessionaire by way of Equity Support in accordance with provision of Concession Agreement and balance remaining, if any, shall be disbursed as O&M Support in accordance with provisions of Concession Agreement

Annual Concession Fee

Fixed annual Concession Fee quoted by the concessionaire in the Bid shall be applicable on COD and shall be revised every three years by 15%.

Bid Security INR 10 Lacs in the form of bank guarantee or Demand Draft in favor of Punjab Infrastructure Development Board payable at Chandigarh.

Proposal Validity Period

120 days from the Bid Due Date

Submissions/Payments

Construction Performance Security

INR 50 lakh in form of bank guarantee in favor of Department of Health & Family Welfare from scheduled or nationalized Bank acceptable to GOP.

To be submitted within 3 weeks of date of notice of award

Operation Performance Security

INR 20 Lacs in form of bank guarantee in favor of Department of Health & family Welfare from scheduled or nationalized Bank acceptable to GOP indexed to WPI.

Performance Security

Pre Proposal Conference

Submission of Technical & Financial Proposal

Evaluation of Technical & Financial Proposal

Issue of Notice of Award

Compliance of Preconditions

Finalization of Concession Agreement

Issue of RFP document

Notice Inviting Proposal

Execution of Concession Agreement

17.09.2013

15.10.2013

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30.08.2013

30.08.2013

Timelines

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Compliance with Conditions Precedent (Compliance Date)

Operation & Management

90 Days

Time to Developer and Department of Health & Family Welfare for meeting Conditions Precedent

Beginning of Concession Period (Term of 50 years)

Project Execution Schedule4 Weeks

Compliance Period

Construction Period (12 months)

O&M Period

Concession AgreementConcesioning Authority Government of Punjab through Secretary,

Department of Health and Family WelfareConfirming Party Preferred Bidder in case the project is executed

through SPVParties to Concession Agreement Concessionaire

Department of Health and Family Welfare

Confirming PartyConcession design, finance , construct, operate, maintain

and manage the Hospital and under take Minimum Obligation

provision of healthcare services to patients as per Good Clinical Practice and Good Healthcare Practice

demand, collect, charge and retain the Hospital Charges as per market rates

Concession Period 50 YearsCondition Precedents for GOP Execution of Project Site Lease Deed

Handing over of Project Site free of any Encumbrances

Constitution of Design Approval Committee Approval of Detailed Project Report

Condition Precedents for Concessionaire

Obtain clearances for commencement of construction

made arrangement and procurement of firm commitment for financing the Project and executed Financing Documents

Compliance Period 90 days from the date of execution of concession agreement and extendable on mutual agreement

Lease of Project Site GOP to provide Vacant Possession of Project Site Co terminus with Concession Period As-is-where-is basis No sublease of Project Site

Construction Period 12 months from Compliance Date

Monitoring Mechanism Steering Committee constituted by GOP

Independent Engineer (IE) during Construction Period to be appointed by GOP

Cost of IE shall be borne by GOP and Concessionaire in equal proportion

Design Approval Committee Composition

The Design Approval Committee shall comprise of following members

Secretary, Health and Family Welfare, Government of PunjabManaging Director, Punjab Health System CorporationChief Architect Chief Engineer, Punjab Health System CorporationHealth Experts (maximum 3 members)

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