Hemodialysis Machine with SLED and HDF

Select, Excess (+), Less (-)

Tender Inviting Authority: Executive Director, AIIMS Raebareli

Name of Work: Procurement of Hemodialysis Machine with SLED & HDF

Tender Ref. Number: AIIMS/RBL/SLED/PEDIA/2025-26/82

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Brief description of Goods Item Code / Make Quantity Units Rate of Imported Item (For Foreign Bidders) Rate of indigenous Item (For Indian Bidders) Currency Convertion against each Item (For Goods imported from Aboard) Quoted Currency in INR / Other Currency (For Goods imported from Aboard) FOB price at port of Loading /FCA price at airport of loading price per unit in Foreign Currency (If Quoted Currency is not in Foreign Currency,Column No. 13 can't be blank, it is mandatory to fill 0.00 atleast) (For Goods imported from Aboard) Freight (port of loading to port of entry & Insurance (port of loading to the Consignee's site for a period including 3 months beyond date of delivery) and other Incidental costs till Consignee's site price per unit in Foreign Currency (For Goods imported from Aboard) Incidental Services (including Installation & Commissioning, Supervision, Demonstration and Training) at the Consignee’s site price per unit in Foreign Currency (For Goods imported from Aboard) Unit Price on CIP Named Port of Destination + Extended Insurance (local transportation and storage) in Foreign Currency (For Domestic Goods/Goods of Foreign origin located withhin India) Ex - factory/ Ex -warehouse / Ex-showroom /Off - the shelf including packing charges price per unit (If Quoted Currency is not in Foreign Currency,Column No. 13 can't be blank, it is mandatory to fill 0.00 atleast) in INR (For Domestic Goods/Goods of Foreign origin located withhin India) Inland Transportation, Insurance for a period including 3 months beyond date of delivery, loading/ unloading and Incidental costs till consignee’s site price per unit in INR + Incidental Services (including Installation & Commissioning, Supervision, Demonstration and Training) at the Consignee’s site price per unit in INR (For Domestic Goods/Goods of Foreign origin located withhin India) GST on Col 21, 22 in % (For Domestic Goods/Goods of Foreign origin located withhin India) Unit Price at Consignee's Site price Comprehensive Annual Maintenance Contract Cost for each unit for 3rd year in INR Comprehensive Annual Maintenance Contract Cost for each unit for 4th year in INR Comprehensive Annual Maintenance Contract Cost for each unit for 5th year in INR Comprehensive Annual Maintenance Contract Cost for each unit for 6th year in INR Comprehensive Annual Maintenance Contract Cost for each unit for 7th year in INR Comprehensive Annual Maintenance Contract Cost for each unit for 8th year in INR Comprehensive Annual Maintenance Contract Cost for each unit for 9th year in INR Comprehensive Annual Maintenance Contract Cost for each unit for 10th year in INR GST for Comprehensive Annual Maintenance Contract in % Total Comprehensive Annual Maintenance Contract Cost including GST (on NPV basis) in INR (For Goods imported from Aboard) IGST for Col 20 in % (For Goods imported from Aboard) Custom duty rate on Col 20 against CDEC related to Patient care Services in % (For Goods imported from Aboard) Total cost per unit Col 20 + Col 35 + Col 38 + Custom Clearance and local transportation @ 2% of Col 20 in Foreign Currency Country of Origin Indian Agent (Name and Address) HSN (Harmonized System of Nomenclature) for Goods SAC (Service Accounting Code) for Comprehensive Annual Maintenance Contract (For Goods imported from Aboard) Indian Agency Comission of FOB Price in % ( Indicative Only) (For Goods imported from Aboard) Total cost for total quantity Col 20 + Col 35 + Col 38 + Custom Clearance and local transportation @ 2% of Col 20 Unit Price at Consignee's Site price Quoted + Total Comprehensive Annual Maintenance Contract Cost for total quantity including GST (on NPV basis) in INR (For Goods imported from Aboard) Total cost for total quantity Col 20 + Col 35 + Col 38 + Custom Clearance and local transportation @ 2% of Col 20 (in Words)

1.01 Hemodialysis Machine with SLED & HDF item1 1 No Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

Total in Figures 4 Construction of chamber for 100mm sluice plates item5 10 Nos

Quoted Rate in Figures Select %

Quoted Rate in Words