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REPUBLIC OF LEBANON

COUNCIL FOR DEVELOPMENT AND RECONSTRUCTION

TYR GOVERNEMENTAL HOSPITAL

DESIGN OF THE INSTALLATION OF THE MEDICAL EQUIPMENT,

SURGICAL INSTRUMENT AND FURNITURE

TERMS OF REFERENCES

APPENDIX A - Medical

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1. INTRODUCTION

Based on the "Detailed institutional, economical social, technical and environmental

study" related to a future governmental Hospital located in Tyr City recommendation.

The required tasks consists of establishing the design, specifications, list of medical
equipment, instruments and furniture of Tyr general Hospital.

The above feasibility study will be the guideline and the basis of this scope

Design

2.1.1. Scope of Work

The Consultant scope of work are defined as follows:

2.1.1.1 Medical program and medical equipments

Based on the recommendation of the feasibility study prepare the final; medical program
and medical equipment waste plan, the specifications, quantities and cost estimate

2.1.1.2 Furniture
Establish the master plan, the specifications, the quantities and cost estimate for the
medical and non medical furniture.

2.1.1.3 Surgical instrumentation

I::.stablish the specifications, quantities and cost estimate for the surgical instrumentation.

2.1.1.4 Training of the personnel

Establish the term of references for the training of the Personnel.

2.1.1.5 Equipment needs

The technical specifications for the suggested equipment shall be detailed by article for
the proper identification of the appropriate equipment.

As for the heavy equipment, references and technical guidelines are to be

recommended. In addition, technical specifications shall indicate clearly all the
necessary accessories that are needed for the proper functioning of the equipment.

The list of equipment shall consider the following points:

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• All suggested items should conform to the ISO standards.

• All suggested items shall abide by the coding system adopted by the Ministry of
Health (MOH)
• The final list of medical equipment, as well as its distribution in various lots, shall
be validated by the MOH and CDR. A copy of the bidding documents shall be
submitted to the IDB Islamic Development Bank.

.::
~ectrical works;
~nsultant shall indicate the position and the power needed in every outlet.
The electrical consumption of every piece of equipment shall be specified by
hour, as well as the utilization pattern over 24 hours with a clear indication of
peak utilization. The consultant shall also indicate any special arrangements if
the need arises.
//.
I

Mechanical works:
~ant shall indicate the type of fluids and the position of outlets needed
for every equipment, as well as the nature, quantity and the mode of waste-water
disposal suggested for every piece of equipment
• The consultant shall indicate the heat dissipation of every piece of equipment, the
type of ventilation and the room temperature needed in the room and per
equipment, if need be.

The consultant shall make site visits to the hospital. For all civil, electrical and
mechanical works, he shall compare what is required for the installation and functioning
of each equipment to the works already executed in the hospital and shall integrate in
the tender documents all missing works to be completed or corrected.

2.1.2. Phases of the work

2.1.2.1 Phase I:

2.1.2.2 Program
Illustrate the recommended program of requirement according to the feasibility study.
Propose a final program in close coordination with the Client and get his approval.

2.1.2.3Ust of equipment
Define the list of equipment in coordination with the Client and upon his approval.

2.1.2.4 Loaded drawings

Based on the above, to establish the loaded drawings of all the spaces and the floors
and several sections for critical zone like x-ray, CSSD, OR, patient bedroom and others.

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2.1.2.5 Phase II :
• Establish the list, the specifications, the quantities, room by room and the cost
estimate related to medical equipments, instrumentation for surgery, laundry,
kitchen equipments and the medical and non medical furniture.
• Provide a room data sheet for each room in the hospital and the health centers..
• Provide a drawing showing the utilities needed for the medical equipment.

After the approval of Phase II, the tender documents shall be prepared. These
documents shall include:
• The loaded drawings,' (scale 1/100)
• The electromechanical drawing showing the modifications due to the medical
equipment '
• Room by room, Data sheet
• List of medical equipment,
• List of surgery instrumentation,
• List of medical and non medical furniture,
• Laundry and kitchen equipment,
• Specification,
• Bill of quantity,

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3.
•
•
Tender documents,
Detailed cost estimate.

TIME FRAME:

The time frame needed to implement the above work is 8 months from the date of
notification, subdivided as follows:
• Phase 1 : Phase 4 (Construction) +2 months
• Phase 2 : Phase 4 (Construction) +3 months
• Phase 3 : Phase 4 (Construction) +5 months

4. NUMBER OF COPIES:

The documents related to phases 1, 2 and 3 will be submitted in two hard copies and
one soft copy, and in 6 copies after the approval of phase 3.

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APPENDIX B

Consultant's Personnel

The consultant shall employ such staff as may be necessary to fulfill his obligations
under the agreement. The consultant shall make his own assessment of the staff
needed for carrying out the work but must comprise at least the minimum specified
here:

Project Manager
Senior Biomedical engineer
Electro-mechanical engineer
Additional staff or specialists (Biomedical engineers, technicians,... ) as needed.

a. Project manger:

Principal duties: represents the consultant to the client. Holds overall responsibility
for the direction uf the consultant's team. Maintains contact with the client and the
consultant main office. Liaises with all parties concerned in the implementation of the
project. Maintains control of programming and implementation and ensures that
works are proceeding according to schedule.

Qualifications: University degree in engineering or Architecture with a minimum of 15

years of experience since graduation with at least 5 years in fields directly related to
hospital projects. Out of these, the candidate should have acted as a project
manager in at least one hospital project for the past Seven years. He should have
been a permanent staff in the office of the consultant since at least one year.

b. Senior Biomedical engineer (or Biomedical firm):

Principal duties: ensures that all the equipment are confirm with the hospital needs,
check the architecture drawing to insure that areas can receive. the equipments
properly and to prepare the documents mentioned in the TOR.

Qualifications: University degree in the specialty with at least 15 years of experience.

Should have worked in at least one project of similar nature (design and supervision
of installation of MEDICAL EQUIPMENT & FURNITURE in a newly built or
rehabilitated or extended 70 beds hospital) in the last past Five (5) years.

c. Electrical and mechanical engineer

Principal duties: In addition with design task he should Coordinates between the -----­
--- and biomedical to ensure that all needed connections required for the adequate
installation of the equipment are in place. This shall be planned before the end of the
phase 4 period and shall ensure the needed step for the execution of works.

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Qualifications: University degree in the field with at least 10 years of experience in

building projects and at least three years of experience in the hospital sector. Should
have worked in at least one project of similar nature within the last five years.

The consultant shall express his staff list supporting the project team in management of
the mission.

The consultant should have a joint venture with a biomedical consultant (approved by
the client) or at least have in his team design a biomedical engineer (approved by the
client) with at least 10 years experience in hospital design and the following staff:

Architect 10 years experience with at least design of

1_ hospital not less than 75 beds
Structure Engineer 10 years expo familiar with Robot

d. Client authorization

Any staff allocate to the project should have the client (CDR) authorization, the client
have the right to refuse any staff, and the consultant should replace it within 15 days.

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APPENDIX C

Financial details: Consultant's fees

A - Construction

The consultant shall present a work plan for each task of the services.

The remuneration will be considered as a lump sum, detailed according to a schedule

that should show as a price analysis so that the rate of every task is seen clearly.

A -1 Design Fees

Desiqn Fees Lump sum US

Permit follow up Lump sum US
Total without VAT US
VAT 10% US
Total + VAT Lump sum

In letters _

A - 2 Method of payment

Phase 1 NO + 5 40% Upon approval

Phase 2 NO+ 7 40% Upon approval
Phase 3 NO + 8 20% Upon Submission
100%
Tender Evaluation 10,000$ Upon approval of committee report

A- 3 PERMIT COST

Any taxes, fees, stamp duties "Order des lnqenieurs" charges or taxes, or any
other municipality or governmental authorities taxes shall be paid directly by the
Client and are not considered within the fees amount of the Consultant.

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B - Medical Equipment and Furniture

B-1 DESIGN FEES

Design Fees Lump sum US

Total without VAT US
VAT 10% US
Total + VAT Lump sum

In letters _

B-2 METHOD OF PAYMENT

The fees shall be paid as follows:

Design Deliverable

Phase 1 Phase 4 (Construction) + 2 40% Upon approval

Phase 2 Phase 4 (Construction) + 3 40% Upon approval
Phase 3 Phase 4 (Construction) + 5 20% Upon Submission
100%
Tender 10,000$ Upon approval of committee
Evaluation report

Total price fees as follows:

Construction Design without VAT Lump sum US

Medical Equipment Design Lump sum US
VAT 10% US
Total price Lump sum

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APPENDIX F

SPECIMEN FORM

FORM OF BID SECURITY (BANK GUARANTEE)

To: Council for Development and Reconstruction

Tallet el Serail
P.O.Box 116/5351
Beirut, Lebanon

WHEREAS, (hereinafter called "the Bidder") has submitted his bid dated
for the supply/construction* of

(hereinafter called "the Bid").

WE [name and address of Bank] (hereinafter called "the

Bank") are bound unto the Council for Development and Reconstruction of Beirut, Lebanon
(hereinafter called CDR) in the sum of for which payment well and truly to be
made to the CDR the Bank binds himself, his successors and assigns by these presents.

The conditions of this obligation are:

(1) If the Bidder withdraws his Bid during the period of Bid validity;

or
(2) If the Bidder having been notified of the acceptance of his Bid by the CDR during
the period of Bid validity:

(a) fails or refuses to execute the Contract in accordance with the Instructions
to Bidders, if required; or
(b) fails or refuses to furnish the Bank Guarantee for Good Performance of the
Contract, in accordance with the Instructions to Bidders,

we undertake to pay to the CDR up to the above amount upon receipt of its first written demand,
without the CDR having to substantiate its demand, provided that in its demand the CDR will note
that the amount claimed by it is due owing to the occurrence of one or both of the two conditions
specifying the occurred condition or conditions.

This guarantee will remain in force up to and including the date 148 days after the end of the
deadline for submission of Bids, as it may be extended by the CDR, notice of which extension to
the Bank is hereby waived. Any demand in respect of this Guarantee should reach the Bank not
later than the above date. '

DATE:

SIGNATURE OF THE BANK:

Note: Please note that any modification in the Bid Security submitted by the Consultant compared to the Specimen of the Bid Security
hereabove, will lead to the rejection of the Bid.

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APPENDIX 0

SPECIMEN FORM
BANK GUARANTEE FOR GOOD PERFORMANCE OF THE CONTRACT

To: Council for Development and Reconstruction

Tallet el Serail
P.O.Box 116/5351
Beirut, Lebanon

Dear Sirs,

Re: Guarantee for Good Performance of the Contract No

According to the terms of Contract, dated , for the supply of

concluded between
the Council for Development and Reconstruction
(hereafter called CDR) and

(hereafter called the Consultants),

the Consultants undertakes to produce a Bank Guarantee for good performance of the contract of "
_% of the value of the contract or the amount of '

We hereby unconditionally and irrevocably guarantee jointly and severally with the Consultants
and as primary obligator and not as surety merely, to pay the CDR upon its first demand and
without cavil or argument, any amounts up to the maximum of , in
the event according to the binding opinion of the CDR, the Consultants would fail to comply with
their contractual obligations.
The failure of the Consultants to comply with their contractual obligations shall be advised to us in
writing with a copy to the Consultants.

In case of any claim under this guarantee, payments shall be made to the Council for
Development & Reconstruction - Beirut.

This guarantee shall enter into effect on the date of entry into force of the contract and shall
remain in full force and effect until (inserl date), or until Final Acceptance of the
Services, whichever comes later.

DATE:

SIGNATURE OF BANK:

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APPENDIX E

SPECIMEN FORM

BANK GUARANTEE FOR DOWN PAYMENT

To: Council for Development and Reconstruction

Tallet el Serail
P.O.Box 116/5351
Beirut, Lebanon

Dear Sirs,

Re: Guarantee for Advance payment No _

According to the terms of contract, dated , for the supply of

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, concluded
between
the Council for Development and Reconstruction
(hereafter called CDR) and

(hereafter called the Consultants),

the CDR undertakes to pay the Consultants _% of the value of the contract or the amount of
_ _ _ _ _ _ _ _ by way of down payment. The said down payment shall be paid to the
Consultants at their account number of the Bank upon receipt by
the CDR of the original of this guarantee.

We hereby unconditionally and irrevocably guarantee jointly and severally with the Consultants
and as primary obligator and not as surety merely, to pay the CDR upon its first demand and
without cavil or argument any amounts up to the maximum of , in
the event according to the binding opinion of the CDR, the Consultants would fail to comply with
their contractual obligations.

The failure of the Consultants to comply with their contractual obligations shall be advised to us in
writing with a copy to the Consultants.

In case of any claim under this guarantee, payments shall be made to the Council for
Development & Reconstruction - Beirut.

This guarantee shall enter into effect on the date of payment to the Consultants of the down
payment and shall remain valid until (insert date) or until the payments to the
Consultant reach 60% of the total value of the Contract.

DATE:

SIGNATURE OF THE BANK:

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