R E Q U E S T F O R P R O P O S A L ( R F P )

SELECTION OF CONSULTANT FOR TECHNICAL SUPPORT TO GUJARAT

MEDICAL SERVICES CORPORATION LIMITED (GMSCL)

IN PREPARATION OF

COMPREHENSIVE DRUG PROCUREMENT MANUAL

(& RELATED ACTIVITIES FOR STRENGTHENING PROCUREMENT AND SUPPLY CHAIN MANAGEMENT (PSM) SYSTEM OF DRUGS AND

COMMODITIES)

FOR

THE GUJARAT MEDICAL SERVICES CORPORATION LIMITED (GMSCL)

INCLUDING ITS REGIONAL WAREHOUSES

Gujarat Medical Services Corporation

Limited (GMSCL) (A Government of Gujarat Undertaking)

GOALS OF THIS REQUEST FOR PROPOSAL (RFP):

Gujarat Medical Services Corporation Limited invites proposals from interested bidders

to provide technical support to Gujarat Medical Services Corporation ltd. (GMSCL) in

preparation of Comprehensive and collaborative Drug Procurement Manual & related

activities for strengthening Procurement and Supply Chain Management (PSM) Systems

of Drugs & Commodities for GMSCL and its regional warehouses.

1 Project Title Selection of consultant for technical support to

Gujarat Medical Services Corporation ltd. (GMSCL) in

preparation of Comprehensive Drug Procurement

Manual & related activities for strengthening

Procurement and Supply Chain Management (PSM)

Systems of Drugs & Commodities for GMSCL and its

regional warehouses.

2 Project Initiator

Details

Managing Director,

Gujarat Medical Services Corporation Limited,

Block No. 14, First Floor, Dr. Jivraj Mehta Bhavan, Sector-

10, Gandhinagar

3

Department Health & Family Welfare Department

4

Contact Person Ms. Jyoti Pandya

Deputy General Manager (Drug Procurement/QC),

Gujarat Medical Services Corporation Limited,

Block No. 14, First Floor, Dr. Jivraj Mehta Bhavan, Sector-

10, Gandhinagar

5

Contact Person

(Alternate)

Mr. Vikas Patel (Manager Logistic and supply chain)

Gujarat Medical Services Corporation Limited,

Block No. 14, First Floor, Dr. Jivraj Mehta Bhavan, Sector-

10, Gandhinagar

6 Website https://gmscl.gujarat.gov.in

7 Address for

proposal

submission

(Physical copy):

Submission of proposals in original should be

addressed to:

Managing Director,

Gujarat Medical Services Corporation Limited, Block No.

14, First Floor, Dr.Jivraj Mehta Bhavan, Sector-10,

Gandhinagar

1.1 Background

To ensure access to free essential drugs to the citizens of Gujarat, the State Government

formed Central Medical Stores Organization, which was later transformed into Gujarat

Medical Services Corporation, as per GR MSP/102012/58/G dated on 20 July 2012 as

an autonomous body, to ensure timely procurement & distribution of drugs and

medical equipment for all the State Health Institutions.

With the view to match the changing demands and pace of development in the

sector, CMSO was transformed into “Gujarat Medical Services Corporation

Limited” (GMSCL) as an autonomous body and was incorporated under companies act,

for systematic procurement, inventory management, Management information system

and to infuse professional management with establishment, development and

strengthening the use of information technology in medical store organization.

To further strengthen the supply chain and logistics of drugs, GMSCL wishes to

engage a consultant to guide in formulation of comprehensive procurement manual and

related activities as detailed in this bid document for which this RFP is being floated.

1.2 Schedule of the bidding process:-

The following Table enlists important dates and timelines for completion of bidding

activities:

S.

No Event

(dd-mm-yyyy)

Time

( hh:mm)

1. Release of Request for

Proposal(RFP) 15/3/2017

2. Last date of Receiving Queries/

Clarifications (RFP) 28.03.2017

3. Pre-Bid 30.03.2017

4. Last date of written representation

by interested bidders 03.04.2017

5. Approximate date of uploading of

Corrigendum (if any) 07.04.2017

P A R T I : I N T R O D U C T I O N

6. Last date for online Submission of

bid 15.05.2017 (4.00 PM)

7. Last date of physical submission 16.05.2017 (6 PM)

8. Opening of Technical Bid

17.05.2017 (12.00 PM)

at GMSCL Head Office,

Block No. 14/1, JM

Bhawan, Sector 10,

Gandhinagar

9. Opening of Commercial Bid To be informed later

10. Declaration of Short listed Firms To be informed later

1.3 DEFINITIONS:

1. "The Purchaser" means the Managing Director, GMSCL

2. "The Tenderer / bidder" means the company that participates in the tender and

submits its bid.

3. "The services" means all the services which the bidder is required to provide to

the Purchaser under the contract.

4. "Letter of Intent (LOI)" means the written communication to the successful

Tenderer of the intention of the purchaser for the purchase of services as per the

Purchase / work order read with the tender documents.

5. "Purchase / Work Order" means the written order signed by the Purchaser for the

purchase of goods/services after the LOI has been accepted by the successful

bidder. It shall include all the attachments and appendices thereto and all the

documents incorporated by the reference therein. This along with the letter of

Intent and tender documents shall constitute the contract.

6. "The Contract Price" means the price payable to the tenderer under the Purchase

Work Order for the full and final compliance of his contractual obligations.

The objective of this RFP is to solicit proposals from the interested bidders Individual

Consultant / Consultation firms) for participation in a bid process for selection of

Consultant for preparation of Comprehensive Drug Procurement Manual & related

activities for GMSCL and its regional warehouses.

2.1 General Terms of Bidding:-

Detailed description of the objectives, scope of services, Deliverables and other

requirements relating to this Consultant are specified in this RFP. In case an applicant

possesses the requisite experience and capabilities required for undertaking the

Consultant, it may participate as an Individual Consultant / Consultation firm in a bid

process for selection of Consultant for preparation of Comprehensive Drug Procurement

Manual & related activities for GMSCL and its regional warehouses.

The Applicants are advised that the selection of Consultant shall be on the basis of

an evaluation by the Authority through the Selection Process specified in this RFP.

Applicants shall be deemed to have understood and agreed that no explanation or

justification for any aspect of the Selection Process will be given and that the Authority’s

decisions are without any right of appeal whatsoever. An applicant is eligible to submit

only one bid for entire assignment.

The Bid and all communications in relation to or concerning the Bidding Documents and

the Bid shall be in English language.

The Bidding Documents including this RFP and all attached documents are and

shall remain the property of the Authority and are transmitted to the Bidders solely for

the purpose of preparation and the submission of a Bid in accordance herewith. Bidders

are to treat all information as strictly confidential and shall not use it for any purpose

other than for preparation and submission of their Bid. The Authority will not return any

Bid or any information provided along therewith.

2.2 RFP ISSUING AUTHORITY:

This RFP is being issued by the Gujarat Medical Services Corporation Limited, intended

to short-list potential bidders. Purchaser’s decision with regard to the short-listing of

P A R T I I : I N S T R U C T I O N T O T H E B I D D E R

bidders shall be final and the Purchaser reserves the right to reject any or all the bids

without assigning any reason.

2.2 AVAILABILITY OF THE RFP DOCUMENTS:

RFP can also be downloaded from the https://gmscl.gujarat.gov.in and

https://gmscl.nprocure.com. The bidders are expected to examine all the instructions,

forms, terms, project requirements and other details in the RFP document. Failure to

furnish complete information as mentioned in the RFP documents or submission of a

proposal not substantially responsive to the RFP documents in every respect will be at

the bidder's risk and may result in rejection of the proposal.

2.3 Cost of bidding

Value of tender: The estimated value of tender is set to be Rs. 25,00,000/- (Rs.

Twenty five lac only)

Bid Processing Fees: The consultants would be required to pay Rs 1500/- (Rs.

Fifteen Hundred only) as bid processing fees in the form of demand draft in

favour of Gujarat Medical Services Corporation Limited. The demand draft must

be submitted along with the Proposal. Proposals not accompanied by bid

processing fees shall be rejected outright as non-responsive. The bid processing fees

is non-refundable.

The Bidder shall furnish, as part of his bid, a Bid Security / Earnest Money for Rs.

75,000 (Rs. Seventy Five Thousand only).

The Bid Security /Earnest Money is required to protect the Purchaser's interests

against the risk of bidder's conduct, which would warrant forfeiture of the security.

The Bid Security / Earnest Money shall be furnished as follows:

EMD should be paid in form of Demand Draft in favor of Managing Director, GMSCL,

Gandhinagar drawn on any bank in Gandhinagar OR irrevocable Bank Guarantee issued

by Nationalized Bank including the Public Sector Bank / Private Sector Bank / Regional

Rural Bank of Gujarat / Co-operative Bank of Gujarat mentioned in G.R.No.

EMD/10/2015/508/DMO, Dt. 27/04/2016 of Finance Department, Govt. of Gujarat as

amended from time to time will be followed. The DD/BG should be issued by bank after

the date of advertisement of tender enquiry.

No bidder shall be exempted from the requirement of Bid Security / Earnest Money

except as provided under Gujarat State Purchase Policy 2016.

A bid not secured in accordance with the provisions of this RFP shall be summarily

rejected at the time of bid opening as a non-responsive bid.

The amount deposited as Bid Security / Earnest Money shall carry no interest during

the entire period it remains with the purchaser.

The Bid Security / Earnest Money of the unsuccessful bidder(s) shall be refunded

only after the successful completion of the tender process.

The Bid Security / Earnest Money of the successful bidder shall be retained by the

purchaser till the tenderer accepts the purchase order and deposit performance

security / Bank guarantee.

On specific written request by the tenderer whose tender is accepted and on

acceptance of request by the Purchaser, Bid Security / Earnest Money may be

adjusted in performance security after acceptance of purchase order by the Tenderer.

2.4 The Bid Security / Earnest Money shall be forfeited: -

If a bidder withdraws his bid during the period of bid validity as specified by the bidder

on the Bid form.

OR

In case of a successful bidder, if the bidder fails to sign the contract in accordance to the

relevant clauses of the tender document(s).

OR

If the information / documents furnished by the bidder are found to be untrue or false

or manipulated.

2.5 Performance Security / Security Deposit:

Successful tenderers have to pay security deposit @ 5% of the value of the contract in

the form of Demand Draft in the name of Managing Director, Gujarat Medical Services

Corporation Limited drawn on any bank in Gandhinagar or Ahmedabad/ irrevocable

bank guarantee issued by Nationalized Bank including the Public Sector Bank / Private

Sector Banks authorized by RBI to undertake State Government Business / Commercial

Bank / Regional Rural Bank of Gujarat / Co-operative Bank of Gujarat mentioned in

G.R.No. EMD/10/2015/508/DMO, Dt. 27/04/2016 of finance Department, Government

of Gujarat as amended from time to time will be followed. Bank Guarantee valid for a

period not less than 9 months at the time of entering into agreement for the

performance of the contract and same to be extended by contractor as and when desired

by GMSCL.

2.6 PREPARATION OF BIDS

2.6.1. TECHNICAL BID:

The bidder shall have to submit technical bid physically as well as upload a soft copy

of the documents on Nprocure. The sealed envelope containing Technical Proposal

must indicate clearly as “TECHNICAL PROPOSAL”. The outer envelope shall bear the

title of the assignment “Selection of consultant for technical support to Gujarat

Medical Services Corporation ltd. (GMSCL) in preparation of Comprehensive Drug

Procurement Manual & related activities for strengthening Procurement and

Supply Chain Management (PSM) Systems of Drugs & Commodities for GMSCL and

its regional warehouses.” No document will be accepted after tender is opened.

CONTENT OF TECHNICAL PROPOSAL

The bidder shall provide documentary evidence that it meets all the eligibility conditions

as given in the RFP. Technical Proposal should be prepared considering the Terms of

Reference, Detailed Approach and Methodology, Activity Schedule and Deliverables,

Time period and any other information to highlight the capability of the certification

body.

The technical proposal of the bidders should contain the following minimum

information. Bidders are free to provide, any other information that they deem fit

and relevant in support of their bid.

Section-1: Description of the Approach, Methodology and Work Plan (Not more

than 10-15 pages)

Technical Approach and Methodology: In this chapter you should explain your

understanding of the TOR and the proposed methodology for carrying out the

activities. You should explain the technical approach you would adopt and explain

the methodology you propose to adopt and highlight the compatibility of the

methodology with the proposed approach.

Section- 2: Staffing of the team for this assignment.

In this chapter you should propose the structure and composition of the team (e.g.,

Team Leader, Advisor, Consultant, Associate consultant & field investigators etc .)

which will be deployed for this assignment along with their curriculum vitae (CVs),

highlighting years of experience as required in this project. Names of persons who

are working on temporary / consultant basis should be included in this list too

mentioning their role as temporary.

In nutshell, following are the components of Technical Bid

(a) Brief description about the bidder.

(b) Experience: In addition to overall experience of the bidder, details

of specific projects or studies undertaken may be provided

including assignment or project name, description of services

provided, approximate value of assignment, country and location,

duration of assignment, name of client, starting and completion

dates, names of associates (other than employees), if any.

Experience of helping Government Departments or Public Sector

Undertakings or large Public Limited Organisations in formulating

Procurement Manual and streamlining Procurement & Supply Chain

may be specifically mentioned.

(c) Approach

(d) Methodology

(e) Work Plan and Schedule

(f) Team size

(g) Profiles of various team members

Please enclose all the documents as required in absence of which the

purchaser shall treat the Tenderer as having no / inadequate capability and

therefore not eligible for taking up the work of this tender.

The purchaser reserves the right to verify the correctness of such details

provided by the Tenderer in whatever manner it considers fit and

appropriate.

The bidder shall properly fill, sign and stamp all the documents as per the

formats given in the annexure provided along with the tender document.

The bidder shall furnish as part of his bid, all supporting documents self-

attested as "True Copies" and duly signed & stamped by authorized signatory

of the company (plus notarized wherever required as per the bid document).

Bid Security / Earnest Money in accordance with should be enclosed with

Technical Bid

All the above details and their supporting documents are part of "Technical

Bid"

2.6.2 PRICE /COMMERCIAL BID

Offer of price bid in physical form will not be accepted and any such offer if received by

GMSCL will be out rightly rejected. Commercial bid shall be submitted ONLINE only.

Submission of Commercial Bid or rates in any other format physically would lead to

summary rejection of bid.

All taxes and levies should be included in the quoted price. The bid submitted with

conditional prices shall be rejected. The prices should be given in figures and words. No

over writing is allowed. No travel expenses, Boarding & Lodging or any other expenses

will be given to the bidder or their staff for execution of the tender. It should be

budgeted in the financial proposal. If there is a discrepancy between words and figures,

the amount in words shall prevail.

2.7. PERIOD OF VALIDITY OF BIDS

A bid shall remain valid for 90 days after the date of opening of technical bid(s). A

bid valid for a shorter period shall be rejected.

In exceptional circumstances, the Purchaser may seek the bidders consent for

extension of the period of validity of bid(s). The request and the responses there

to shall be made in writing.

The Bid Security / Earnest Money provided shall also be suitably extended. A

bidder shall however, has the right to refuse for an extension without any risk to

his Bid Security / Earnest Money. A bidder conceding to the request for extension

of time shall, however, not be permitted to modify his bid.

2.8 AMENDMENT TO THE BID DOCUMENTS The purchaser, for any reason, whether at its own initiative or in response to the

clarification(s) sought by the prospective bidder(s) may, at any time, prior to the last

date for submission of the bids amend the bid documents. These modifications /

amendments shall be binding on all concerned. To allow the prospective bidders

reasonable time for preparing the bids after taking into account the modification(s)

/amendments, the purchaser, at its discretion, may extend the date for submission of the

bids.

2.9 FORMATS AND SIGNING OF BID

2.9.1 Format of Bid

i. The original Bid shall be typed and signed by the bidder or a person or persons

duly authorized to bind the bidder to the contract. All pages of the bid shall be

signed by the person or persons signing the bid.

ii. The bid shall contain no erasures or overwriting except as necessary to correct

any errors made by the bidder in which case such corrections shall be signed

by the person or persons signing the bid.

2.9.2 SIGNING OF BID i. A person signing the bid form or any document forming the part of the contract

on behalf of the team/ firm shall be deemed to be having authority to sign the

document. If however, found to be otherwise, the purchaser, may, without

prejudice to other civil and criminal remedies, cancel the contract at the risk

and cost of such person and hold him liable for all costs and damages arising

from the cancellation of the contract including any loss which the purchaser

may suffer on account of execution of contract / intended contract.

2.10. CLARIFICATION OF TENDER DOCUMENTS

A prospective bidder, requiring any clarification(s) of tender documents may notify

the Purchaser in writing by post at the Purchaser's mailing address or deliver in person

at least three days before the date of pre-bid conference. The terms and conditions given

in the tender document, if in conflict with other terms given in tender document, should

be brought to the notice of the Purchaser & clarifications sought. The prospective

bidders should attend pre-bid conference for their clarifications, if any. All the

prospective bidders must register their name and other particulars before the start of

pre-bid conference. No request for clarifications shall be entertained after pre-bid

conference.

2.11. VENUE AND DEADLINE FOR SUBMISSION OF PROPOSALS:

Proposals, in its complete form in all respects as specified in the RFP, must be submitted

to the GMSCL at the address specified above, in exceptional circumstances and at its

discretion, extend the deadline for submission of proposals by issuing an addendum to

be made available on the their website, in which case all rights and obligations of

Corporation and the bidders previously subject to the original deadline will thereafter be

subject to the deadline as extended.

2.12. MODIFICATON(S) OR WITHDRAWAL OF BIDS

The bidder(s) cannot modify or withdraw the bid after submission of bid.

2.13. SUMMARY REJECTION OF BIDS

One or more of the following reasons / omissions will render a bid liable to summary

rejection:

i. Bid received late.

ii. A bid not accompanied by required Bid Security / Earnest Money along with

Technical bid.

iii. The bid(s) of those bidder(s) who do not have adequate capabilities as given in

eligibility conditions to bid.

iv. A bid, from an authorized bidder, not accompanied by a documentary proof

establishing itself eligible.

v. Bid received unsealed.

vi. Conditional bid or bid received with validity for a short period than prescribed.

vii. Bid in which details have not been quoted in the manner specified in the bid form.

viii. Non-receipt of clarification in time.

ix. Influencing the evaluation of bids.

x. Not providing the information as per the formats given along with the bid

document.

xi. The Purchaser reserves the right to disqualify such bidders who have a record of

not meeting the contractual obligations against earlier contracts entered into with

the Purchaser or with other state or central govt. organization(s).

2.14. INFLUENCING THE EVALUATION OF BIDS & AWARD OF CONTRACT:

No bidder shall attempt to influence the Purchaser on any matter(s) relating to the

tender. Any attempt to influence the purchaser, through any person whomsoever and in

any manner whatsoever, in the submission, evaluation and comparison of the bid(s) and

in award of the contract shall result in summary rejection of the bid(s) of such bidder(s).

3. Introduction

3.1 BACKGROUND

The 2030 agenda for sustainable development has major implications for health

monitoring. It also puts strong emphasis on country follow-up and review processes as

the basis for accountability. The main text of the SDG declaration endorsed by heads of

government in February 2015 puts UHC at the centre of the overall health goal, and

makes progress towards the UHC target a prerequisite for the achievement of all the

others. Accessible, affordable and availability of medicines play vital role in the efficient

delivery of health care system.

Despite improvements in recent decades, the availability of essential medicines at public

health facilities is often poor. Recent data show that, for selected essential medicines,

median availability was only 60% and 56% in the public sector of low-income and

middle-income countries respectively. Availability may be better in the private sector

but is still suboptimal at 66% and 67% respectively (WHO Health Statistics 2016).

Health care costs are more impoverishing than ever before and almost all

hospitalizations, even in public hospitals leads to CHE and over 63 million people are

facing poverty every year due to health care costs alone. Healthcare access in India is

affected with 70:70 paradox; 70 per cent of healthcare expenses are incurred by people

from their pockets, of which 70 per cent is spent on medicines alone, leading to

impoverishment and indebtedness (golecha M). As per the Commission's expert group

on universal health coverage, it is estimated that an increase in the public procurement

of medicines from around 0.1% to 0.5% of GDP would ensure universal access to

essential drugs, greatly reduce the burden on private out-of-pocket expenditures and

increase the financial protection for households." for strengthening and smooth

functioning of the Authority and hence the need was felt for hiring services of qualified

consultant.

P A R T I I I : S C O P E O F S E R V I C E S

3.2 SPECIFIC CONTEXT:

Availability and accessibility of medicines, vaccines are critical for a robust

healthcare system. Today, the discourse on public health needs to focus not just on

access, but also on affordable and equitable access to medicines, vaccines for all.

There are, however, several barriers to access to medicines, vaccines, viz. inadequate

public expenditure, inefficient public procurement and supply chain system,

insufficient financial risk protection, ineffective regulation and so on.

A well functioning supply chain is a vital component to increase the accessibility of

essential drug to the needy. Further, this affects largely to the health and socio-

economic indicators of the state. A reliable supply-chain consists of a system of

procurement and logistics. It is important that essential medicines are procured in

sufficient quantities at the lowest possible prices to secure maximum therapeutic

value to the largest number of beneficiaries, given the resources at hand. An efficient

procurement system involves: (i) preparation of an essential medicines list, that will

form the basis of the medicines to be procured; (ii) assessment of the quantity of

medicines to be procured or demand forecasting; (iii) procurement of medicines; (iv)

quality assessment; (v) supply-chain management including stores, inventory

management & distribution & it’s rational use and (vi) prompt payment to the

suppliers. One of the important ways to strengthen the supply chain is to manage the

supply chain operation in a way that maximizes efficiencies. Configuring a flexible,

adaptable and expandable supply chain helps timely response to the demands for

supplies. Adequate Planning, Procurement, Transportation, Warehousing and

Distribution are the most important components of supply chain of commodities, to

ensure that appropriate supplies in good condition and in the amounts

requested are delivered to the right places at right time.

3.3 PURPOSE

In order to improve the procurement and supply chain efficiency further, to improve

availability and access to essential medicines in Gujarat under the leadership of

GMSCL, there is a need to carry out the rapid assessment of Procurement and supply

chain (PSM) cycle to identify the possible risk areas (bottleneck analysis) in the PSM

cycle to understand the adequacy of policies, processes, practices and physical

infrastructure of essential drugs supply chain system and to find out various ways to

mitigate these by taking suitable remedial measures.

3.4 Scope of work and deliveries:-

In order to enhance the efficiency and effectiveness of overall supply chain management

system, GMSCL intends to appoint a consultant to conduct a detailed study for

assessment of Procurement and supply chain management system of drugs and develop

practicable and cost effective Procurement and SCM capacity development. The study

will include assessment of current state of Procurement and SCM along with gaps,

recommendations on overall Procurement and SCM system (considering all components

of Procurement and supply chain management system, details of the same is provided in

subsequent section) along with implementation strategy, phasing and budgetary

estimates.

To carry out bottleneck cum risk analysis on PSM of drugs and commodities

including drug utilization studies by using standard tools and suggesting roadmap

/ make recommendations for a more effectively functioning procurement and

supply chain (PSM) system with definite time frames for completion (instant,

short, medium and long term) with cost implications.

To assist the State Level EDL Committee in carrying out revision of existing EDL

and preparing facility specific EDL for procurement by GMSCL.

To assist the State Level Committee in carrying out drug utilization studies

through prescription audit, ABC & VED analysis and suggest roadmap / make

recommendations for efficient use of medicines.

To prepare Procurement and supply chain management (PSM) manual

incorporating all best practices and for all levels of supply chain and suggesting

standardized procedures for entire procurement and supply chain process,

keeping in view current scenario and practicability.

PS: The PSM Manual must incorporate all aspects relevant to Supply

Chain Management of drugs for Gujarat State covered in 'The

Logistics Handbook: A Practical Guide for the Supply Chain

Management of Health Commodities" published under the USAID

project. Apart from this, all issues pertaining to Supply Chain Policy

must be clearly stated in the manual, including but not limited to

mechanism of placement of orders based on ABC / VED

classification, Supply Scheduling, transportation, logistics and

storage protocols, standardized procedures and formats for

inspections and supervision etc.

To prepare detailed guidelines on ideal infrastructure for warehouse so that

gap analysis may be conducted and steps be taken for improvement (including

but not limited to):

o the requirements for warehouse / storage facility at all levels

o the level of quality standard of existing storage facility at all levels

o the space requirements for various products in all stores including cold

storage facilities

o guidelines on transportation and distribution systems including cold chain

transportation

To devise effective strategy and SOPs for conducting an effective market survey to

arrive at the reasonability of rates for the product so as to get Value for Money

(VfM). This should include listing out of all components of an effective Market

Survey. Also to suggest mechanisms for identification of potential vendors and

empanelment procedure.

To design program and training plan for all staff involved in PSM for future

trainings

3.5 Suggested Methodology And Deliverables To Be Accomplished:

This rapid assessment will have both desk review and field visit to regional

warehouses and corresponding warehouses at district, sub district and block level

and visits to selected PHCs, Sub centers. The objective of the data gathering is to

identify the main procurement and supply chain bottlenecks and identify the risk

areas in the PSM cycle and not to collect sufficient supply chain data for statistical

analysis. Therefore the selection of places and focus will be risk-based (purposive

sampling).

This assessment will have three phases and methodology that will be followed as under:

3.6 PHASE 1: PLANNING 3.6.1 Desk review and preparation of tools for PSM rapid assessment followed by

Interview with key officials at State HQ (GMSCL) / District / Block level

officials dealing with procurement and supply chain including other

stakeholders of PSM process for:

Current status and working pattern of GMSCL

Demographic data and district profiles.

Understanding of essential drugs supply chain system of Gujarat.

Preparing situational analysis of PSM system.

Information and documenting supply chain system of Gujarat and supply chain

planning including supplies by different agencies and schemes.

Drugs Forecasting system

Procurement systems and adopted procedures

Distribution and Transportation mechanism.

Warehousing arrangements and management.

Human resource engaged for procurement and supply chain.

Review of existing procurement and supply chain assessment reports.

3.6.2 Sampling

The objective is to understand the drug supply chain till the last point of usage and the

data collection is not intended to be statistically significant. Hence, sampling will be done

for Regional, District and block level using Purposive sampling.

3.6.3 Sites to be assessed (Minimum)

Regional warehouses –02 (Existing) and 01 (upcoming) District warehouses(CDHO) – 03 Medical College Warehouses - 03 District Hospital warehouse – 03 Sub-district hospital warehouses – 03 (1 in each district) Block level / CHC warehouses – 06 (2 CHC in each district)

3.6.4 Tool to be used

Standardized Risk Assessment matrix tool; Logistics Assessment indicator (LIAT) of

WHO-MSH and Prescription review / drug utilization studies tool of WHO for the

assessment.

3.6.5 Composition of the team

Bidder must have a team to work on the project whether the participant is an

individual consultant or a consulting firm.

In case the bidders is an individual consultant and has a team for the project, they

must not have a binding contract with any other firm / organization / institution

barring them to work on this project and an affidavit must be submitted along

with the bid documents in this regard. Any member of the team must not be a

member of another team participating in the bid or the bidders will be rejected.

Team should comprise as follows (minimum):

Sr. No.

Expert No. of Position

Qualification Experience

1. Team Leader 01 Doctorate degree in Medicine/Pharmacy /Management

Minimum 10 years of experience in the field of Procurement & Supply Chain Management.

Preference will be given to those, who have worked with Central or State Government Health Department / Medical corporations / bilateral or multilateral agencies or similar projects managed by these agencies. Team leader will be responsible for overall project deliverables & main person to liaise with GMSCL.

2 One Senior consultant

01 B. Pharm/ M.Pharm/ MBA / MPH / PG diploma in Health & hospital management / pharmaceutical management / procurement & Supply Chain Management

Minimum 5 years experience in pharmaceutical Procurement & Supply Chain management. Preference will be given to those, who have worked with Central or State Government Health Department / Medical corporations / bilateral or multilateral agencies or similar projects managed by these agencies and having experience managing research projects and data management.

3 One Associate consultant

01 B.Pharm / M.Pharm/ MBA / MPH / PG diploma in Health & hospital management / pharmaceutical management / procurement & supply chain management.

Minimum 3 years experience in Procurement and supply chain management.

If required, additional man power may be hired by the team depending on

requirement as per their plan & should be budgeted accordingly.

PHASE 2: FIELD VISITS, DATA COMPILATION & ANALYSIS: A. Field Visit The objective of the field visits will be

To Collect procurement and supply chain data in the structured format. Identify the main procurement and supply chain bottlenecks and risks in different

supply contexts. Timely delivery and adequacy of supply Stock outs / overstocking verification and understanding consumption pattern Compliance to First Expiry First Out (FEFO) principle Conduct interviews of key informants involved in the commodities supply chain

at field level. Conduct interviews with Department, region, district facility, Medical colleges,

CHC / Block level. Prescription review through review of sampled prescription, exit interviews with

patients, observation at drug dispensing counters. B. DATA COMPILATION & ANALYSIS

Data gathered through the mechanisms listed above will be used to map and

analyze the risk areas in the PSM cycle. If required a review / briefing workshop

can be organized with all stakeholders to gain feedback on preliminary findings,

and to further explore the supply chain processes. This will assist stakeholders to

clarify their understanding of the supply chain and identify major challenges

facing the commodities supply chain both now and in the future and the way

forward.

PHASE 3: DEVELOP AN ACTION PLAN:

Using the assessment described above, a suggestive action plan (instant, short,

medium and long term) has to be formulated by consultants for consideration of

GMSCL / Govt. of Gujarat with timeline, implementation plan and tentative budget

plan for putting recommendations into operation, that will help to improve

procurement and supply chain performance.

Improvement Plan development

In each of the categories of PSM cycle, a priority will be defined between 1 and 4

for each recommendation based on the score and criticality of indicator that affect

the essential commodities supply chain. These are listed below:

Risk Rating Nature of Action Time frame

1 Instant/Urgent To be implemented in next 3 months

2 Short To be implemented within the next 6 months,

3 Medium To be implemented within a year

4 Long To be implemented within the next 2 years.

3.7 TIME PERIOD:

The expected timeline for completion of this assignment is seven months from the

award of contract, including one month preparatory period and six months for the

completion of various stages of project.

AN INDICATIVE SEQUENCE OF ACTIVITIES TO BE PERFORMED PHASEWISE IS

STATED BELOW. THE CONSULTANT MAY FOLLOW THIS SEQUENCE OR MAY GO AS

PER HIS CONVENIENCE BUT ALL LISTED TASKS MUST BE COMPLETED IN THE

ASSIGNED PERIOD OF SEVEN MONTHS. THE PAYMENT STRUCTURE IS LINKED TO

THE INDICATIVE SEQUENCE SHOWN BELOW AND AS SUCH THE PAYMENTS WOULD

BE RELEASED ONLY AFTER ALL THE ACTIVITIES FOR THAT PARTICULAR PERIOD

ARE COMPLETE. THE DELAY PENALTY (AS PER CLAUSE 19) WOULD BE

CONSIDERED ONLY WITH RESPECT TO DELAY BEYOND SEVEN MONTHS FROM

AWARD OF CONTRACT.

Activities (Phase-wise) I II III IV V

Inception report including assessment tools & methodology and submission of work plan to GMSCL

Field visit as per sample plan, gap & risk assessment using the study tools / instruments, Preparation of Draft gap assessment Report & sharing for feedback

PS: DURING THE PERIOD OF STUDY, ALL TRAVEL AND LOGISTICS COSTS HAVE TO

BE BORNE BY THE BIDDER. HOWEVER, IF NEEDED BY THE SUCCESSFUL BIDDER,

GMSCL SHALL PROVIDE THE FOLLOWING DETAILS:

Authorization letter to conduct the study and to visit field including stores and to

interact with officials dealing with procurement and supply chain management

and necessary technical support at regional / district / sub-district level including

access to information on decentralized procurement & supply

Identification of Nodal person from GMSCL to coordinate on administrative and

logistics issues

Access to information on procurement and supply status of drugs and

commodities (2015-16, 2016-17) from GMSCL

Authorization to review existing PSM documents as applicable.

Any other support as required during the project period depending upon nature

of requirement

Submission of final Gap & risk assessment report to GMSCL, Preparation of PSM / QA manual including guidelines on ideal infrastructure for warehouse and submission to GMSCL

Completion of Drug utilization study through prescription audit, ABC & VED analysis & designing of road map for efficient use of medicines and Revision of existing EDL & preparation of revised facility specific EDL

Market survey & design market shaping strategy including but not limited to effective market survey for identification of potential vendors and empanelment procedure, product and price analysis for value for money (VfM); Design training program & training plan for all staff involved in PSM and submission of final report

4.1. CONDITIONS UNDER WHICH THIS RFP IS ISSUED:

(i) This RFP is not an offer and is issued with no commitment. GMSCL reserves the

right to withdraw the RFP and change or vary any part thereof at any stage.

GMSCL also reserves the right to disqualify any bidder, should it be so necessary

at any stage.

(ii) GMSCL reserves the right to withdraw this RFP if it determines that such action is

in the best interest of the Government.

(iii) Timing and sequence of events resulting from this RFP shall ultimately be

determined by GMSCL.

(iv) No oral conversations or agreements with any official, agent, or employee of

GMSCL shall affect or modify any terms of this RFP and any alleged oral

agreement or arrangement made by a bidder with any department, agency,

official or employee of Department shall be superseded by the definitive

agreement that results from this RFP process. Oral communications by GMSCL to

bidders shall not be considered binding on GMSCL, nor shall any written

materials provided by any person other than GMSCL.

(v) Neither the bidder nor any of the bidder’s representatives shall have any claims

whatsoever against GMSCL or any of their respective officials, agents, or

employees arising out of, or relating to this RFP or these procedures (other than

those arising under a definitive service agreement with the bidder in accordance

with the terms thereof).

(vi) Applicants who are found to canvass, influence or attempt to influence in any

manner the qualification or selection process, including without limitation, by

offering bribes or other illegal gratification, shall be disqualified from the process

at any stage.

(vii) Each applicant shall submit only one proposal. Alternative proposals are not

allowed.

P A R T I V : B I D D I N G T E R M S A N D C O N D I T I O N S

4.2. RIGHTS TO THE CONTENT OF THE PROPOSAL:

For all the bids received before the last date and time of bid submission, the proposals

and accompanying documentation of the proposal will become the property of GMSCL

and will not be returned after opening of the proposals. GMSCL is not restricted in its

rights to use or disclose any or all of the information contained in the proposal and can

do so without compensation to the bidders. GMSCL shall not be bound by any language in

the proposal indicating the confidentiality of the proposal or any other restriction on its

use or disclosure.

4.3. ACKNOWLEDGEMENT OF UNDERSTANDING OF TERMS:

By submitting a proposal, each bidder shall be deemed to acknowledge that it has

carefully read all the paragraphs of this RFP, including all forms, schedules and annexure

hereto, and has fully informed itself as to all existing conditions and limitations.

4.4 EVALUATION OF PROPOSALS:

The bidder's proposals in the bid document will be evaluated as per the requirements

specified in the RFP and adopting the qualification criteria spelt out in this RFP.

4.5 LANGUAGE OF PROPOSALS:

The proposal and all correspondence and documents shall be written in English.

4.6 RIGHT TO ACCEPT / REJECT ANY OR ALL BIDS:

The Purchaser is not bound to accept the lowest or any other Bid and reserves the right

to accept or reject any Bid, and to annul bidding process and reject all bids, at any time

prior to the award of the contract without assigning any reason(s) whatsoever and

without thereby incurring any liability towards the affected bidders on the ground. Since

this is a specialized and time bound project the purchaser can place work order to

eligible and commercially suitable tenderer even if a single bidder survives in the tender

process after the technical evaluation.

4.7 NOTIFICATIONS TO THE SUCCESSFUL BIDDER(S):

Before the expiry of the validity of bid, the Purchaser shall notify the successful

bidder(s), in writing by registered letter or by fax (to be confirmed in writing by

registered letter) about the acceptance of the successful bid(s).

4.8 THE EVALUATION OF PROPOSAL

The technical proposal will be evaluated as per the following criteria.

S. No

Description

Break up of

Maximum marks

Reference Document^ (Notarized copies to be

submitted)

1. Consultant's Responsiveness to the ToR, Appreciation of the Project and Suggested Methodology – Appropriateness, availability of expertise on proposed interventions, Innovation, Quality Assurance and Extent of Details

20 Marks 40 Marks

Presentation of the proposal before the evaluation committee 20 Marks

2 Skills & competencies 60 Marks 2.1 Professional Experience of Team Leader

Between 10 to 15 yrs (5 Marks) Above 15 years (10 Marks)

10 Marks Documents in support of experience

Professional Experience of Senior consultant Between 05 to 10 yrs (5 Marks) Above 10 years (10 Marks)

10 Marks Documents in support of experience

2.2 Team leader qualification a) Doctorate degree in Management/ Medicine(3 Marks) b) Doctorate degree in Pharmacy (5 Marks)

Senior consultant qualification a) B.Pharm/MBA/ MPH/ PG diploma in Health & hospital

management (3 marks) b) M.Pharm/ Master degree or PG diploma in

pharmaceutical management/ procurement & supply chain Management (5 Marks)

10 Marks Relevant Qualification Certificates

2.3 Prior experience of team leader in executing Pharmaceutical Supply Chain Consultancy projects with Central or State Government Health Department/Medical corporations/bilateral or multilateral agencies in India in the last five years:

Upto 3 projects (10 Marks) 4-6 projects (20 Marks) More than 6 projects (30 Marks)

30 Marks Contract or work orders indicating the details of assignment, client, value of assignment, date and year of award

Completion certificates/satisfaction reports of previous projects undertaken

submission of complete contact details (Telephone Number, address, organisation name) of the contact person where the work has been done is mandatory (need not be notarized)

Total 100 Marks

^Evaluation will be based on documentary evidence submitted by the applicant with respect to evaluation and selection criteria

**The Bidders (actual team members as per submitted bid) will have to make a 30 minute presentation before the technical

evaluation committee to explain their methodology and approach

Financials of only those firms receiving minimum of 70 marks (70%) out of the maximum 100 in technical evaluation will be

opened and the final selection will be made based upon the combined score ranking.

4.9 COMMERCIAL BID EVALUATION:

The Commercial bid evaluation would be on the basis of sum total of all costs (inclusive

of all taxes) and the bidder quoting the lowest price would be awarded the contract after

negotiations (if any)

4.10 ARBITRATION:

All disputes or differences whatsoever arising between the parties out of or relating to

the construction, meaning and operation or effect of this contract or the breach thereof

shall be settled by Jurisdictional Courts of Gujarat State and the reasoned award made in

pursuance thereof shall be binding on the parties.

If any dispute or difference of any kind whatsoever arises between the parties upon or in

relation to or in connection with or arising out of the Agreement, shall be referred to

arbitration. Arbitrator shall be an Officer of the Government and shall be appointed by

Managing Director. The decision of the sole Arbitrator will be final and binding on the

parties. The provisions of the Arbitration and Conciliation Act, 1996 shall apply to the

arbitration proceedings. The venue of the arbitration proceedings shall be either at

Ahmedabad or at Gandhinagar and language of the proceedings shall be English, Hindi or

Gujarati.

4.11 SUBJECT LAWS & JURISDICTION:

The contract shall be governed by Indian Laws and the Gujarat State Jurisdictional

Courts will have sole jurisdiction to entertain any dispute(s) or claim(s) arising out of

such dispute(s).

4.12 TERMINATION FOR INSOLVENCY:

The Purchaser may at any time terminate the contract by a written notice of one month

to the bidder, if the bidder becomes bankrupt or otherwise insolvent, provided that such

termination shall not prejudice or affect any right or action or remedy which had accrued

or might accrue.

4.13 TERMINATION FOR DEFAULT:

The Purchaser by a written notice of default, may, without prejudice to any other remedy

for breach of contract, terminate the contract, in whole or in part as the case may be.

i. If the Supplier fails to deliver any or all of the goods/services within the time period(s)

specified in the Contract, and also extension(s) thereof granted by the Purchaser.

ii. If the Supplier, under either of the above circumstances, does not remedy his failure(s)

within a period of 30 days (or such longer period as the Purchaser may allow in writing)

after the receipt of the default notice.

4.14 FORCE MAJEURE:

If at anytime, during the currency of this contract, the performance, in whole or in part,

of any obligation(s) by either party under this contract shall be prevented or delayed by

reason(s)of war, hostility, acts of the public enemy, civil disturbance, sabotage, fire,

floods, explosions, epidemics, quarantine restrictions, strikes, lockouts or act of God

(Herein after referred to as events) provided notice of happenings of any such event is

given by of occurrence thereof, either party shall by reason(s) of such event be entitled

to suspend this contract which shall resume as soon as practicable after such event(s)

may come to an end or cease to exist. The decision of Managing Director of GMSCL as to

whether an event justifies invocation of force majeure shall be final and conclusive. The

period for which invocation of Force Majeure is agreed by the Managing Director, that

period shall be excluded from the time frame given for completion of work and date for

completion of work shall be extended accordingly.

4.15. SUBCONTRACTS:

The bidder shall not subcontract its obligations under the contract to any other

company(s). Even if some services are outsourced to any other company/ individuals, all

the obligations shall remain with the bidding company and cannot be transferred to any

other company or group of companies.

4.16. DELAY IN PERFORMANCE BY THE BIDDER:

Services under the contract shall be provided in accordance with the delivery schedule

specified in the work order. If at any time during performance of the contract, the

supplier should encounter conditions impeding timely delivery of the services, the

supplier shall promptly notify the purchaser in writing of the full facts about the delay,

its likely duration and cause(s). If delay in Supplier Performance occurs due to any

genuine reasons, a request for extension of time should be submitted by the Supplier to

Purchaser. As soon as practicable after the receipt of the supplier's notice, the decision to

extend the period for performance of the contract will be taken by the Purchaser after

mutual discussion with Supplier.

4.17 LIQUIDATED DAMAGES:

The date of delivery of the services stipulated in the acceptance of tender shall be the

essence of the contract and delivery shall be completed not later than the dates specified

therein. Should the supplier fail to deliver the services within the period prescribed for

delivery, the purchaser shall be entitled to impose commensurate penalties. The decision

of the purchaser in this regard will be final.

4.18 WORK COMPLETION CERTIFICATE:

The supplier will intimate and demonstrate all tasks done by them to purchaser or his

authorized representative, after the completion of each stage. This intimation shall be

done in writing and submitted along with work progress report. Work completion

certificate will be issued after the last stage of work is completed successfully and to the

satisfaction of the Purchaser. If any issue is raised by the Purchaser regarding the quality

of work submitted by the Supplier, the Supplier would be under an obligation to make

necessary changes and resubmit the Work. Under no condition, the Supplier would be

allowed to raise his bills for a particular stage unless the Purchaser gives a "Satisfaction

Report" for the Completed Work.

4.19 DELIVERABLE AND PAYMENT SCHEDULE:

Deliverable Timeline Payment 1 Inception report including assessment tools

& methodology and submission of work plan to GMSCL

The Assigned works must be completed within 7 months from the date of award of Contract (Date of Acceptance of Tender or AT)

20%

2 Field visit as per sample plan, gap & risk assessment using the study tools/ instruments, Preparation of Draft gap assessment Report & sharing for feedback

20%

3 Submission of final Gap & risk assessment report to GMSCL, Preparation of PSM/QA manual including guidelines on ideal infrastructure for warehouse and submission to GMSCL

20%

4 Completion of Drug utilization study through prescription audit, ABC & VED analysis & designing of road map for efficient use of medicines and Revision of existing EDL & preparation of revised facility specific EDL

20%

5 Market survey & design market shaping strategy including but not limited to effective market survey for identification of potential vendors and empanelment procedure, product and price analysis for value for money (VfM); Design training program & training plan for all staff involved in PSM and submission of final report

20%

4.20 Penalty:

For any delay in completion of WORK solely attributable to BIDDER beyond the agreed

time schedule at the time of award of job, penalty shall be levied at the rate of ½ % per

week with cap of 10% of order value.

4.21 ASSIGNMENT:

BIDDER shall not assign the WORK or any part thereof or any share or interest therein

without the prior written consent of the GMSCL. BIDDER shall not sub-contract the

whole or any part of WORK without the prior written consent of GMSCL. On concurrence

of GMSCL, BIDDER may sub-contract any part of WORK to any of its affiliates, in which

event BIDDER shall remain fully responsible.

4.22 Confidentiality

All proprietary information, correspondence and documentations etc. possessed/owned

by GMSCL, exchanged between Parties in relation to the project shall be treated as

confidential and parties shall be under strict liability to maintain the confidentiality of

data.

ANNEXURE-A TECHNICAL PROPOSAL - STANDARD FORMS

TECH-1 Technical Proposal Submission Form

TECH-2 Brief Description of Experience of bidder

TECH-3 Curriculum Vitae (CV) for Proposed Professional Staff

Other Documents (notarized) in support of the technical qualification.

FINANCIAL BID-SAMPLE FORMAT

FORM TECH-1

TECHNICAL PROPOSAL SUBMISSION FORM

________________________________________________________________________________

[Date]

From: [Name, address and telephone nos. of the bidder]

To:

The Managing Director,

GMSCL, 14/1 Jivraj Mehta Bhawan, Sector 10,

Gandhinagar, Gujarat

Sir,

Subject: Selection of Consultant to provide technical support to Gujarat Medical

Services Corporation ltd. (GMSCL) in preparation of Comprehensive Drug

Procurement Manual & related activities for strengthening Procurement and

Supply Chain Management (PSM) Systems of Drugs & Commodities for GMSCL and

its regional warehouses 1. We, the undersigned, are submitting our proposal for the above mentioned work for

GMSCL in accordance with your bidding document dated [….]. We are hereby

submitting our proposal, which includes Technical Proposal sealed under a separate

envelope.

2. We confirm that we meet the Selection Criteria set out in your bidding document.

3. We confirm that our proposal is valid for your acceptance upto the validity period

stipulated in the Bidding Document.

4. We confirm that our Proposal is consistent with all the requirements / scope of work

as defined in the bidding document.

5. We hereby declare that all the information and statements made in this Proposal are

true and accept that any misinterpretation or false information / documentation

contained in it may lead to our disqualification.

6. Our Proposal is binding upon us and subject to the modifications resulting from

Contract negotiations, if any.

7. We undertake, if our Proposal is accepted, to initiate the consulting services related

to the assignment within one week from date of issue of LOA.

We understand you are not bound to accept any Proposal that you receive.

We remain,

Yours sincerely,

Authorized Signature [In full and initials]:

Name and Title of Signatory:

Name of Bidder:

Address:

Telephone (office):___________________________________

Telephone (Mobile):___________________________________

Fax: _______________________________________________

E-Mail:_____________________________________________

FORM TECH-2 BRIEF DESCRIPTION OF EXPERIENCE OF THE BIDDER

Brief Description of the experience of Bidder for similar kind of assignment

(To be provided separately for each team member)

S. No

Name of assignment (Brief Scope)

Name of Project

Name of client

Date of commencement

Date of Completion

Remarks

1 2 3 4 5 6 7

FORM TECH-3 CURRICULUM VITAE (CV) FOR PROPOSED PROFESSIONAL STAFF

(CVs of the minimum required team members as per the bid document shall be given

1. Proposed Position:

2. Name of Staff [Insert full name]:

3. Date of Birth:

4. Nationality:

5. Education [Indicate college/university and other specialized education of staff

member, giving names of institutions, degrees obtained, and dates of obtainment]:

6. Languages [For each language indicate proficiency: good, fair, or poor in speaking,

reading, and writing]:

7. Employment Record [Starting with present position, list in reverse order every

employment held by staff member, giving for each employment (see format here

below):

dates of employment

name of employing organization

positions held

Main project features

From [Year]: To [Year]

Detailed Tasks Assigned [List all tasks performed under this assignment]

Work Undertaken that Best Illustrates Capability to Handle the Tasks Assigned

8. Certification:

I, the undersigned, certify that to the best of my knowledge and belief, this CV correctly

describes myself, my qualifications, and my experience. I understand that any wilful

misstatement described herein may lead to my disqualification or dismissal, if engaged.

Date:

[Signature of staff member] Day/Month/Year

Full name of authorized representative:

Signature of authorized representative of Employer: _________________

Full Name: ________________ Address: __________________

FINANCIAL PROPOSAL: SAMPLE FORMAT (FILLED ONLINE ONLY)

TENDER NO.: GMSCL/LSS-02/2016-17

NAME OF ITEM: COMPREHENSIVE DRUG PROCUREMENT MANUAL

Fees For: Preparation of Comprehensive

Drug Procurement Manual and related

activities for strengthening

procurement & supply chain

management (PSM) system of drugs

and commodities for G.M.S.C.L. and its

regional warehouses

Service Tax in percentage

Service Tax in Rs.

Total Fees in Rs.

Note:-

1. Price Must Be Quoted in above Format which is available online & it should be

filled online only.

2. All Terms and Conditions As Per Bid Document.

ANNEXURE-B

Submission of Documents

A (Online Submission) B (Physical Submission)

Technical Bid EMD

Financial Bid Tender Fee

Technical Bid

Note:

The documents are differentiated in 2 parts Group A & Group B. Documents classified in Group A should be submitted online only and Group B should be submitted physical only, otherwise tender will be rejected.

ANNEXURE-C

LIST OF GMSCL WAREHOUSES (EXISTING AND UPCOMING)

1. Naroda, Ahmedabad

2. Vadodara

3. Surat

4. Patan

5. Himmatnagar

6. Bhuj

7. Rajkot

8. Jamnagar

9. Dahod

10. Amreli

11. Valsad