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 Details Area23 Kanal 7 Marla i.e 2.91 acres (11777 Sqm) Title of LandDepartment 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 JurisdictionPir Jain Village, District Fatehgarh Sahib; outside Municipal Limits Existing construction Rs.2.20 crore Development Control Max Permissible Height : 60m Maximum Ground Coverage – 40% of Total Plot Area FAR : 1: 1.20 Setback: As shown in original building plan prepared by Office of Chief Architect.

Site Details

Scope of Work Healthcare 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 Work Mother & 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 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 Criteria Qualification 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 Criteria Qualification 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 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 Timelines

Signing of Joint Developme nt Agreement Compliance with Conditions Precedent (Compliance Date) ConstructionOperation & 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 Schedule Issue of Notice of Award 4 Weeks Compliance Period Construction Period (12 months) O&M Period

Concession Agreement Concesioning Authority Government of Punjab through Secretary, Department of Health and Family Welfare Confirming Party Preferred Bidder in case the project is executed through SPV Parties to Concession Agreement  Concessionaire  Department of Health and Family Welfare  Confirming Party Concession  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 Years Condition 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 Period90 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 Punjab  Managing Director, Punjab Health System Corporation  Chief Architect  Chief Engineer, Punjab Health System Corporation  Health Experts (maximum 3 members)

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