Request for Proposal for Selection of PPSA (Patient Provider Support Agency) Cluster-2

FINANCIAL PROPOSAL

Request for Proposal for Selection of Patient Provider Support Agency (PPSA) for TB Care in Private sector in the State of Uttar Pradesh (Cluster – 2 in 17 Districts) (To be submitted online only)

Tender Inviting Authority National Health Mission, Uttar Pradesh

Document Type Financial Proposal Submission for e-tender for Selection of Patient Provider Support Agency (PPSA) for TB Care in Private sector in the State of Uttar Pradesh (Cluster – 2 in 17 Districts)

Name of the Bidder

I/We, the Bidder, having read & examined in detail, the RFP document, the receipt of which is hereby duly acknowledged. I/ we, undertake that the Financial Proposal has been/shall be submitted online as per the prescribed timeline set out in the RFP document. This Proposal read with the Technical and Financial Proposal shall constitute the Proposal which shall be binding on us.

S. No. Particulars Unit Cost (INR) (Amount In Figure) (Per Patient ) Amount In Word (INR )

1 Fee per Patient for the complete scope of work defined in the RFP. Rate should be inclusive of all appliocable taxes.

Note: Terms and Conditions

(i) While preparing the Financial Proposal, Bidders are expected to consider the various requirements and conditions stipulated in this RFP document and read clause 2.4.6 & 2.4.7 Financial proposal and scope of work as mentioned in Section 4.

(ii) The amount mentioned in the Financial Proposal shall be without any condition attached or subject to any assumption and shall be final and binding. Any tampering with the Financial Proposal format will lead to disqualification of Bidder.

(iii) This financial proposal must be submitted along with the financial bid, and not with the technical bid. If it is submitted with the technical bid, the bidder will be summarily disqualified from the selection process.