OFFICE OF THE MISSION DIRECTOR

NATIONAL HEALTH MISSION, ASSAM

Saikia Commercial Complex, Sri Nagar Path, Near Post office Bus Stand
G. S. Road, Christianbasti, Guwahati - 781005
Website : https://nhm.assam.gov.in    E_mail ID : mdnrhmasm@gmail.com

 

File No: NHM/MH/Printing/3476/2017-18/3/SPO-10925

Date: 20/11/2018

From:

J.V.N. Subramanyam, IAS
Mission Director
National Health Mission, Assam

To,

Subject: Printing & Supply of Consent & RMP form for MH

Ref: Your quotation against NHM, Assam Tender No. NHM/WIFS/2012-13/816(Part-2)/21195, DATE:- 02/11/2017

Sir,

With reference to above, we are pleased to place this order for Printing & Supply of Consent & RMP form for MH as per “DETAILS OF ITEMS & PRICES” and “TERMS & CONDITIONS” stated herein below:

 

FMR Code : 12.1.5

ITEM DETAILS & PRICE:

Item Name	Quantity	Rate(Exclussive of GST)	GST(%)	Total Amount(Incl. GST)	Delivery Destinations
RMP Opinion form ( )	2000	23.500	12	52,640.00	As per annexure A
Consent form ( )	2000	23.500	12	52,640.00	As per annexure A
Debit Voucher ( )	200	47.000	12	10,528.00	As per annexure A
Grand Total				115,808.00

Terms & Conditions of the Supply order is described below: -

 

Delivery: The supply order should be delivered within 21 days from the date of purchase order. The item should be delivered at NHM State warehouse, Guwahati.

 

 

Penalty:

1. In case there is delay in delivery beyond the stipulated period as mentioned in the purchase order, there shall be penal deduction @ 0.5 per cent of the value of the delayed goods per week of delay or part thereof subject to a maximum of 10 per cent of the total order value.

 

II)            Once the maximum price reduction is reached, termination of the contract may be considered. Non-compliance of the contract provisions shall make the successful bidder liable to be disqualified to participate in any tender for the next 5 years, in addition to forfeiture of Security Deposit and other penal actions.

 

 

 

All other Terms & Conditions as specified in the TENDER NO: NHM/WIFS/2012-13/816(Part-2)/21195, DATE:- 02/11/2017  shall be applicable.

 

 

Annexure A:

Sl	Item Name	Specification	Rate(Exclussive of GST)	GST(%)	Total quantity to be supplied	Total Amount	Delivery Destinations
1	RMP Opinion form		23.500	12	2000	52640	1) DDWH, Baksa 35 2) DDWH, Hailakandi 25 3) DDWH, Sonitpur 70 4) DDWH, Barpeta 50 5) DDWH, Jorhat 60 6) DDWH, Tinsukia 110 7) DDWH, Bongaigaon 70 8) DDWH, Kamrup Metro 65 9) DDWH, Udalguri 55 10) DDWH, Cachar 45 11) DDWH, Kamrup Rural 80 12) DDWH, Chirang 15 13) DDWH, Karbi Anglong 50 14) DDWH, Darrang 150 15) DDWH, Karimganj 35 16) DDWH, Dhemaji 150 17) DDWH, Kokrajhar 40 18) DDWH, Dhubri 180 19) DDWH, Lakhimpur 150 20) DDWH, Dibrugarh 55 21) DDWH, Morigaon 40 22) DDWH, Dima Hasao 15 23) DDWH, Nagaon 160 24) DDWH, Goalpara 60 25) DDWH, Nalbari 110 26) DDWH, Golaghat 50 27) DDWH, Sivasagar 75
2	Consent form		23.500	12	2000	52640	1) DDWH, Baksa 35 2) DDWH, Hailakandi 25 3) DDWH, Sonitpur 70 4) DDWH, Barpeta 50 5) DDWH, Jorhat 60 6) DDWH, Tinsukia 110 7) DDWH, Bongaigaon 70 8) DDWH, Kamrup Metro 65 9) DDWH, Udalguri 55 10) DDWH, Cachar 45 11) DDWH, Kamrup Rural 80 12) DDWH, Chirang 15 13) DDWH, Karbi Anglong 50 14) DDWH, Darrang 150 15) DDWH, Karimganj 35 16) DDWH, Dhemaji 150 17) DDWH, Kokrajhar 40 18) DDWH, Dhubri 180 19) DDWH, Lakhimpur 150 20) DDWH, Dibrugarh 55 21) DDWH, Morigaon 40 22) DDWH, Dima Hasao 15 23) DDWH, Nagaon 160 24) DDWH, Goalpara 60 25) DDWH, Nalbari 110 26) DDWH, Golaghat 50 27) DDWH, Sivasagar 75
3	Debit Voucher		47.000	12	200	10528	1) DDWH, Kamrup Metro 200

(J.V.N. Subramanyam, IAS) Mission Director National Health Mission, Assam

Memo No: NHM/MH/Printing/3476/2017-18/3/SPO-10925

Date: 20/11/2018

Copy to:
1) The Director Finance, NHM Assam for information
2) The MH Consultant, NHM Assam for information
3) The Store Manager, NHM Assam for kind information & necessary action
4) The DDSM/DME/DPM, NHM, Assam all district for kind information & necessary action

Mission Director National Health Mission, Assam