Building

Name of work :-

Supply, Installation, Testing and Commissioning of Modular Operation Theatre at SDH Viramgam Ta.Viramam of Gujarat .

Memorandum showing items of works to be carried out.

It. Qty. Item of work Estimated Rates Unit Total amount

It. Qty. Item of work Estimated Rates Unit Total amount

No. Estimate In Figures In Words according to

2 3 4 5 6 estimated

Supply, Installation, Testing, and Commissioning wall and Ceiling System -

3 mm thick Solid Mineral Composite Sheet (SMS) panels for wall and

ceiling system.It shall consist of 3 mm thick solid mineral composite

sheet (SMS) with aluminium backing structural panel (minimum 15 mm

thick, consisting of a trapezoidal/honeycomb aluminium corrugated core

glued between two flats of aluminium sheets, with suitable substructure Rupees Fiftten Thousand

frame). Total panel thickness shall not be less than 18 mm (3 mm thick Five Hundrad Only

SMS + 15 mm thick aluminium back). SMS panel shall be of

bacteriostatic, dense, non-porous and non-flammable (Reaction to fire

class 1 norm) material. Anti-bacterial paint should not be applied and as

per detailed item specification.

Supply, Installation, Testing and Commissioning of PVC flooring including

Suitable self – levelling shall be done before PVC Flooring .The flooring Rupees Four Thousand

2 28.41 should have a mininum thickness 2 mm thick anti-static seamless PVC 4250.00 Sq Mtrs.

Two Hundred Fifty Only

flooring and as per detailed item specification.

Supply, Installation, Testing and Commissioning of Hermetically sealed

doors the door to the should be a hermetically sealed, single sliding Rupees Two Lacs Ninety-

3 1.00 door measuring 2.1 meters in height and 1.5 meters in width and as per 295000.00 Nos.

Five Thousand Only

detailed item specification.

It. Qty. Item of work Estimated Rates Unit Total amount

No. Estimate In Figures In Words according to

2 3 4 5 6 estimated

Supply, Installation, Testing and Commissioning of Touch screen control

panel the 20" or more. This control panel shall work as the central

control panel for the HVAC controls, instruction board, touch screen and

ON/OFF of MOT light. It shall be CE/US FDA/ETL/UL/BIS certified/ Rupees One Lacs Ninety-

listed.The Control Panel shall be able to display the Isolation Panel Alarm Five Thousand Only

Conditions along with MGPS Alarms and as per detailed item

Supply, Installation, Testing and Commissioning of Hatch boxes should

be equipped with two doors and the doors shall be operated

electrically/motorised.The hatch shall be designed in such a way that Rupees One Lacs Fiftten

5 1.00 only one door shall be openable at one time.Hatch Box material shall be 115000.00 Nos.

SS 304 grade. Length and width of the hatch box shall be minimum

600mm by 600mm and as per detailed item specification.

Supply, Installation, Testing and Commissioning of LED type flat panel X-

Ray Viewing panel of miniumum 14" x 17" size . The body shall be of Rupees Twenty-Eight

6 1.00 extruded aluminum powder coated with bacteria resistant and 28500.00 Thousand Five Hundred Nos.

disinfectant resistant finish and as per detailed item specification. Only

Supply, Installation, Testing and Commissioning of LED type Double Film

flat panel X-Ray Viewing panel of miniumum 28" x 17" size. The body Rupees Forty-One

7 1.00 shall be of extruded aluminum powder coated with bacteria resistant 41500.00 Thousand Five Hundred Nos.

and disinfectant resistant finish and as per detailed item specification. Only

It. Qty. Item of work Estimated Rates Unit Total amount

No. Estimate In Figures In Words according to

2 3 4 5 6 estimated

Supply, Installation, Testing and Commissioning of Double-Bay Scrub

Sink - Each fixture shall be fabricated from heavy gauge type

stainless steel (minimum thickness 1.5 mm) and shall be of seamless

welded construction, polished to a satin finish. The scrub sink shall be

provided with a front access panel which shall be easily removable for

Rupees One Lacs Twenty-

8 1.00 access to the water-controlled valve, waste connections, stoppers and 126000.00 Nos.

Six Thousand Only

strainers.Hands free operation shall include infra-red sensors with

programmable adjustment. It shall be provided with infrared sensors,

thermostatic control taps with fail safe temperature controls and as per

detailed item specification.

Supply, Installation, Testing and Commissioning of Storage Units -

Storage units should be made with at least 0.8 mm thick SS 304 stainless

steel panels and size and number of units be optimized taking input from

the hospital authorities.The storage unit shall be divided in 2 or more Rupees Eighty-Five

9 2.00 parts and each part shall have individual glass doors with high quality 85000.00 Nos.

locking system.The overall size shall be 200 cm x 120 cm x 35 cm

(approximately). It should be flushed with the wall and as per detailed

item specification.

Supply, Installation, Testing and Commissioning of double arm

moveable pendant for anesthetist and surgeon. It shall have double

moveable arms (any combination) with total coverage of minimum

mm and minimum 330 degree. Each arm shall have ability of horizontal

movement. Vertical movement shall be motorized and the arm height

shall remain at a height greater than 6.5 feet above floor level. The Rupees Two Lacs Eighty-

pendant shall be European CE Certified with 4 digit notified body Four Thousand Only

number/US FDA/ETL/UL/BIS certified/listed. Weight carrying capacity of

the arm shall not be less than 180 kg and it shall have

electromagnetic/pneumatic brakes and as per detailed item

It. Qty. Item of work Estimated Rates Unit Total amount

No. Estimate In Figures In Words according to

2 3 4 5 6 estimated

Supply, Installation, Testing and Commissioning of Medical gas lines

installation ( per OT).The medical gas pipeline shall cater to Oxygen (O₂),

Medical Vacuum, and Medical Compressed Air (4 bar / 7 bar, as Rupees Twenty-Five

11 1.00 specified),AGSS and nitrous oxide up to the OT pendant from the 25000.00 job

nearest existing supply line through the outer passage, as directed by

the Engineer-in-Charge and as per detailed item specification.

Supply, Installation, Testing and Commissioning of Laminar air flow

system. The ceiling filtration system shall be designed to ensure

unidirectional distribution of sterile air in the surgical theatre to ensure

cleanliness of all the area covered by the air flow. Final pressure drop : 390000.00 Rupees Three Lacs

600 Pa (maximum). Maximum operating temperature: 600°C . Size of Ninety Thousand Only

laminar airflow system shall be minimum 8 feet x 8 feet and as per

detailed item specification.

Supply, Installation, Testing and Commissioning of Pressure relief

dampers - Pressure relief dampers or over flow ports shall be provided Rupees Thirty-Six

13 1.00 in each room to prevent contamination of air from clean and dirty areas. 36800.00 Thousand Eight Hundred Nos.

The frame, body and blade shall be of grade SS 304 stainless steel and as Only

per detailed item specification.

Supply, Installation, Testing and Commissioning of Peripheral Lighting

and clean room luminaries with illuminance of minimum 500 Lux. These

shall be minimum 8 in numbers for each MOT and shall be with highly

specular anodized aluminum and optical antiglare system.Luminaries Rupees Twenty-Two Five

14 10.00 cover shall be made of highly resistant, disinfectant proof laminated 22500.00 Nos.

safety glass/acrylic with stylish fine-grained surface.Peripheral lighting

shall be done according to IP 65 regulations and as per detailed item

Supply, Installation, Testing and Commissioning of Double Dome OT

Light with Ceiling mounted having following features and enclosed Rupees Three Lacs

15 1.00 technical specifications, and as per detailed item specification. 390000.00 Nos.

Ninety Thousand Only

It. Qty. Item of work Estimated Rates Unit Total amount

No. Estimate In Figures In Words according to

2 3 4 5 6 estimated

Supply, Installation, Testing and Commissioning of LED OT Light, HD

Camera, HD Flat Head Panel Monitor. MOT light – LED : Number of light

heads: Two, Colour temperature range: 3800°K to 5000°K (±10%)-

Variable colour temperature , Field size diameter: 20cm to 28cm (+/-

10%), Working range: 750mm to 1100mm (+/- 10%), Illumination level:

minimum 160,000 lux (both for major dome and minor dome

separately). HD Camera System – 1080 p/i : Signal to noise ratio (S/N

Rupees Nine Lacs Eighty-

16 2.00 Ratio): >50 dB, Optical zoom: 10X, Digital zoom: 12-15X, White balance 985000.00 Nos.

Five Thousand Only

and gain: Automatic/Manual. HD LED Flat Panel Monitor : It shall be 30”-

32” medical grade high definition progressive scan flat-panel monitors

withceiling mounted spring arm suspension to support high

definition/HDTV progressive scan images and shall be able to support

and display DVI/HDTV, RGBHV, S-video, composite video signals and as

per detailed item specificaƟon.

Supply, Installation, Testing and Commissioning of Recording System

shall be full HD medical grade monitor LED minimum 19 inch touch Rupees Four Lacs Fifty

17 1.00 screen and having one TB storage space and as per detailed item 450000.00 Nos.

Supply, Installation, Testing and Commissioning of View Window (with Rupees Seventy-Five

Motorised Blinds) and as per detailed item specification. Thousand Only

Rupees Sixty-Six Lakhs Seventy-Two Thousand Four Hundred Eighty-Three and Paisa Forty-Eight Only

(A) Total Tender Amount

(B) % of above / Below on Tendered Amount

(C) Net Tendered Amount (A-B)

(D) Net Tendered Amount (In Words) (Rupees __________________________________________________)

*(please strike out whichever is not applicable)

It. Qty. Item of work Estimated Rates Unit Total amount

No. Estimate In Figures In Words according to

2 3 4 5 6 estimated

Note-1 All works shall be carried out as per Public Works Department Handbook and other specifications of Division or as directed.

Note-2 All the columns in Schedule-B should be filled in ink and the total of the entries in the last column should be struck by the contractor under this

Note-3 Rates quoted include clearance of site (prior commencement of work and its close) in all respects and hold good for work under all conditions, site,

moisture, weather etc.

Note-4 Serviceable material available (If any) after Demolishing / Deismentalling any item should be hand over to concered PIU site engineer in charge as per

Signature of the Contractor.

Deputy Executive Engineer Executive Engineer

PIU Ahmedabad (Rural) PIU Ahmedabad (Rural)