Civil Surgeon
Gurugram
Request for Proposal (RFP)
2018-19
E-tenders are invited on behalf of the Civil Surgeon Gurugram for Appointment of
Concurrent Auditor for District Health & Family Welfare Society (DH&FWS) of
Gurugram for Audit of all programs under NHM & Non NHM
The Civil Surgeon Gurugram shall have the authority to cancel the tender process if
does not find a suitable tender. Civil Surgeon Gurugram shall have the right to call for
fresh tender in these circumstances, where in prior bidders shall have the right to
participate in the fresh process.
Please note that tender is to be uploaded on e-tender website of Haryana government
https://etenders.hry.nic.in before closing date mentioned on the same website.
By the order of
Civil Surgeon
Gurugram.
Request for Proposal (RFP)
[2018-19]
For Appointment of Concurrent Auditor for
District Health & Family Welfare Societies
(DH&FWS) of State Haryana for Audit of all
programs under NHM & Non NHM
REQUEST FOR PROPOSAL (RFP)
District Health & Family welfare Society (DH&FWS), Gurugram seeks to invite Proposal from
Chartered Accountant (CA) Firms and Cost and Management Accountant(CMA) Firms
meeting the minimum eligibility criteria for conducting the Concurrent audit of District
Health & Family Welfare Society, Gurugram under the National Health Mission for the
financial year 2018-19.
1. Tender Value: Maximum ceiling for financial bid is Rs78000/- (Exclusive of GST).
2. Tender Fee: Rs. 500/- (Non-Refundable) by way of demand draft/Banker's cheque/ in
favor of "District Health & Family Welfare Society Gurugram" payable at
Gurugram and must have validity of at least 3 months.
3. Performance Security:- On selection, the Successful bidder/L-1 agency's shall
deposit performance security @ 5% of estimate cost and same will be refunded after 6
months of successful completion of the contract period mentioned in the Award of
Contract (AOC).
4. Period of Validity of Bid: The bid shall remain valid for a period of at least 90 days.
In the case of the successful bidder, rates quoted shall be valid for the entire period of
the contract.
5. The time period of contract: 1 year from date of AOC and shall be extendable for a
period of one more year at the same rate, terms and conditions, only if the services of
the auditor are found satisfactory during the normal period of contract.
6. Pre-Bid Meeting: Pre-bid meeting will be held in meeting Hall of office of Civil
Surgeon Gurugram according to Time and date mentioned on e-tender website to hear
the query's of bidders.
7. Tender process details:
1. Bids must be uploaded on e-tender website of Haryana government
https://etenders.hry.nic.in before closing date as mentioned on website. Crossed
Demand Draft with Technical Bids and also original copy of Technical Bids along
with all related documents & DD will be submitted in sealed envelopes in Tender
Box kept at O/o Civil Surgeons Gurugram.
2. The Bidder should upload to signed bids documents (all page) technical and financial
bids.
3. The Technical Proposal shall be marked "ORIGINAL" or "COPY" as appropriate. All
required copies of the Technical Proposal are to be made from the original. If there are
discrepancies between the original and the copies of the Technical Proposal, the
original governs. Each page, Form, Annexure and Appendices of the Technical and
Financial Proposal must be signed by the Authorized signatory of the firm.
4. The District Audit Committee would first download the technical bids from e-Tender
portal and evaluate them on the basis of the criteria as prescribed in the guidelines. The
base minimum figures/threshold will be 60% and CA/CMA firms scoring above the
base minimum figure would be deemed to be considered as technically qualified to
undertake the job.
5. Financial bids of only technically qualified firms would be opened by the committee
and audit should be awarded on the basis of Quality cum cost based selection (QCBS)
process, 70% weightage would be given to the Technical Evaluation and 30%
weightage would be given to the financial bid.
6. CA/CMA Firms shall have to depute one dedicated team consisting of at least one
Qualified Chartered Accountant/Qualified CMA and at least one Semi Qualified
Chartered Accountant/Assistant/Trainees of CMA for successful completion of
Concurrent audit as per the requirement of RFP.
7. The bids will be opened by the District Audit Committee as per Date and time
mentioned above in the presence of the authorized representatives of the bidders. The
representatives attending the bid opening proceedings must bring an authorization
letter from the bidders
8. Tender Fee must be submitted in office of Civil Surgeon in a single envelop super
subscribed with details of E-tender i.e. Tender Title, Tender ID. I any bidders fail to do
the same then his/her bid shall be thoroughly rejected or depend upon the discretion of
committee members
9. The financial bids of only those bidders will be opened and considered, who are
technically qualified by the technical evaluation committee.
Date and time of opening of financial bid shall be conveyed to the technically qualified
bidders through email / telephone one day in advance or through the website
"https://etenders.hry.nic.in".
Important note: (1) Distrcit Health Society (SHS) reserves the right to
accept or reject any proposal without giving any explanation after taking
approval from State Audit Committee and State Health Society,Haryana
can change the evaluation criteria as per its requirements in the interest of
the organization.
(2)If the required constitution of the team is not deployed or Audit is not
performed as per guidelines of RFP, the state may take appropriate action
as it deems fit (including blacklisting of the firm) against the firm, keeping
the Ministry informed.
· If the lowest financial bidder does not agree to undertake the audit work within
the prescribed audit fee or the audit committee deems it unfit for any reason
(reasons to be recorded in writing), the job may be awarded to the next eligible
bidder if the firm agrees to undertake the job. However, the work may only be
awarded to a technically qualified bidder (the firms which are above the base
minimum figure of the technical evaluation)
· The firm or any partners of the firm should not be black listed by any PSUs or
Government. Company or any other organization in respect of any assignment or
behavior. [Self attested affidavit on Rs.100/- stamp paper to be given in this
regard by the authorized person of the firm].
· The final appointment will be done only after obtaining the concurrence of
State Audit Committee and Director Finance in the prescribed format.
· Chartered Accountant Firms and Cost Accountant firms are eligible for
participating in tender.
Technical & Financial Proposal will consist:
i. Letter of Transmittal ( Form T-1) format attached below
ii. Details of the Firm along with Details of Partners (Form T-2 attached at Appendix
H).
iii. Financial Bid (Form F-1) attached below
Important Dates & Address are as follow:
Start Date & Time of Bid : 13-12-2018 10:30 hours
Preparation & Submission
Pre Bid Meeting : 17-12-2018 11:30 hours
Last Date & Time for Tender : 28-12-2018 11:00 hours
Document Fees deposit ( non
refundable)
Closing Date & Time of Bid : 28-12-2018 13:00 hours
Preparation & Submission
Technical Bid opening : 28-12-2018 15:00 hours
Particulars Address
Place of pre bid conference for the O/o Civil Surgeon Gurugram
audit of District Health Societies
Place for opening of Technical Bids O/o Civil Surgeon Gurugram
for the Concurrent Audit of District
Health Societies
Contact number 0124-
2322412,8586976898,9654230570
E-mail ID dhs.csgur@hry.nic.in
Terms of Reference (ToR)
Following Sections must be read carefully:
Section 1: Introduction of Concurrent Audit
Section 2: Background of National Health Mission
Section 3: Object of Concurrent Audit
Section 4: Scope & Coverage of Concurrent Audit of District Health Societies
Section 5: Frequency of Concurrent Audit
Section 7: District Audit Committee
Section 8: Auditing Standards to be followed by the CA/CMA Firms
Section 9: Terms for appointment of Concurrent Auditors (including maximum
numbers of District Health Societies by one CA/CMA Firm)
Section 10: Content of Concurrent Audit Report & Executive Summary Report
Section 11: Key Timelines
Section 12: Appointment & Selection of Concurrent Auditors (including
guidelines for submission of proposal)
Section 13: District wise detail of Health Institutions Under NHM,HARYANA
Section 14: Responsibility of District Health Societies.
Section 15: Facilitation of the Audit
Section 16: Some important Issues
Section 17: Monitoring & Evaluation
Section 18: Technical evaluation & selection methodology.
Section 19: Monthly Financial Reporting at District level.
Section 20: Penalty Clause
SECTION 1: INTRODUCTION OF CONCURRENT AUDIT
Concurrent Audit is a systematic examination of financial transactions on
regular basis to ensure accuracy, authenticity, compliance with procedures
and guidelines. The emphasis under concurrent audit is not on test
checking but on substantial checking of transactions. Independent
Chartered Accountant firms/Cost and Management Accountant Firms are
needed to be appointed at District level to undertake monthly audit
National Health Mission (NHM) & Non NHM Programs.
SECTION 2: BACKGROUD OF NATIONAL HEALTH
MISSION
1. National Rural Health Mission (NRHM)( at present known as National
Health Mission) of the Ministry of Health & Family Welfare was launched on
12th April, 2005 by the Government of India to improve medical facilities in
all the area in the country. The NHM seeks to provide accessible, affordable
and quality health care to the population, especially the vulnerable sections. It
also seeks to reduce the Maternal Mortality Ratio (MMR) in the country from
407 to 100 per 1,00,000 live births, Infant Mortality rate (IMR) from 60 to 30
per 1000 live births and the Total Fertility Rate (TFR) from 3.0 to 2.1 within
the 7 year period of the Mission. It has now been termed as National Health
Mission (NHM). NHM is overarching NUHM also and includes Non-
Communicable Diseases (NCD) as well.
2. One of the visions of the Mission is to increase public spending on health
from 0.9% to 2-3% of GDP, with the improved arrangement for community
financing and risk pooling. The NHM has provided an umbrella under which
the existing Reproductive and Child Health Programme (RCH) and various
National Disease Control Programmes (NDCPs) have been repositioned.
National Urban Health Mission (NUHM) has also been added as submission
of National Health Mission.
3. At present the following Programmes/Schemes falls under the National
Health Mission:
A. NHM-RCH Flexible Pool:
· RCH Flexible Pool (including Routine Immunization (RI),
Pulse Polio Immunization (PPIP) & National Iodine
Deficiency Disease Control Programme (NIDDCP)
· Health System Strengthening (including AYUSH, National
Programme for Prevention and Control of Deafness
(NPPCD), National Oral Health Programme (NOHP),
National Programme for Palliative Care (NPPC), Assistance
to State for Capacity building (Burn Injury), National
Programme for Fluorosis(NPF).
B. National Urban Health Mission (NUHM).
C. Flexible Pool for Communicable Disease:
National Vector Borne Disease Control Programme (NVBDCP)
Revised National Tuberculosis Control Programme (RNTCP)
National Leprosy Eradication Programme (NLEP)
Integrated Disease Surveillance Project (IDSP)
D. Flexible Pool for Non-Communicable Disease:
National Programme for Control of Blindness (NPCB)
National Mental Health Programme (NMHP)
National Programme for Health Care of the Elderly (NPHCE)
National Tobacco Control Programme (NTCP)
National Programme for control of Deafness
National Programme for Prevention and Control of Cancer, Diabetes,
Cardiovascular Diseases and Stroke (NPCDCS)
In addition to the above programmes covered under the umbrella of NHM, the following
Non NHM Grants are also handled by the State as well as District Health Societies:
(1) HUDA Grant
(2) Construction worker Grant
(3) IMR Grant
(4) TFC/PWD Grant
(5) ASHA/ANM State Budget
4. Funding & Accounting Arrangements:
Funds are transferred by the State Health Societies to the District Health Societies under
the common pool Grant and funds are further transfer by the Districts to the
DH/SDH/CHC/PHC/SC under the common pool, however NHM funds are to be utilized as
per approved RoP of respective District and Non NHM funds are to be utilized as per the
guidelines of the respective Programme.
5. Constitutions of State Health Societies and District Health Societies:
At the state level State Health Mission has been constituted under the
Chairmanship of Honorable Chief Minister while the State Health Society has
been constituted under the chairmanship of Chief Secretary of Haryana.
Similarly at the district level District Health Mission has been constituted under
the chairmanship of Honorable Minister In-charge of the district while District
Health Society (DHS) has been formed under the Chairmanship of Deputy
Commissioner.
For achievement of NHM goals and for effective implementation of NHM
activities additional resources and capacities at various levels have been created,
viz., State Programme Management Unit (SPMU) at the state level, District
Programme Management Unit (DPMU) at district level and Block Programme
management (BPMU) at block level.
SECTION 3: OBJECTIVE OF CONCURRENT AUDIT
(i) The primary objective of the monthly concurrent audits is to enable the
concurrent auditors to examine the accounts pertaining to the National
Health Mission programme & Non NHM funds maintained by the State
Health Societies & District Health Societies on a continuous basis,
provide necessary technical and hand holding support with a view to
ensure timely preparation of accounts and financial Monitoring reports
(FMRs), reliability of information, effective monitoring of programme
activities and advances, etc.
(ii) Inter unit reconciliation
(iii) Verification of Monthly Financial Reporting (as per Appendix A).
(iv) Others key objectives:-
To ensure voucher/ evidence based payments to improve
transparency,
To ensure accuracy and timeliness in maintenance of books of
accounts,
To ensure timeliness and accuracy of periodical financial
statements,
To improve accuracy and timeliness of financial reporting
especially at sub-district levels ,
To ensure compliance with laid down systems, procedures and
policies,
To regularly track, follow up and settle advances on a priority basis,
To access & improve overall internal control systems.
SECTION 4: SCOPE OF CONCURRENT AUDIT
1. The scope of audit covers all activities being implemented by the District
Health Societies, viz.
- RCH Flexipool
- Mission Flexipool( including AYUSH)
- Routine immunization
- Pulse Polio
- NUHM
- RNTCP
- NLEP
- IDSP
- NVBDCP
- NPCDCS
- NPHCE
- NPCB
- NMHP
- NPCD
- HUDA Grant
- IMR Grant
- TFC/PWD Grant
- Construction worker Grant
- ASHA/ANMs State Budget
2. The concurrent auditors are required:
To review of the Books of Accounts of District Health Societies and
expenditure incurred by the DHS
To audit of Financial Statements of DHS
To verification of the Monthly Financial Reporting of District Health
Societies ( as per Appendix A)
To review and analysis of the Age wise and Party wise Advances Report.
To comparison between financial and physical performance and analysis
To filling in the checklist provided.
To vetting of the District ATRs and providing observations thereon
To examine and ensure that the books of accounts of DHS are maintained
accurately and in are updated in a timely manner as per operational
guidelines for financial management.
To express an opinion on whether the expenditure reported by the DHS
to the higher authorities for the NHM project through the Financial
Management Report (FMR)/ statement of expenditure (SOE), presents
fairly and accurately, in all material aspects.
To any other evaluation work, as desired by the Audit committee.
3. Specific work of CHCs/PHCs/SDH/DH
District Concurrent auditor shall visit to sample
CHCs/PHCs/SDH/DH/FRUs/DTC (in a way to cover all
CHCs/PHCs/SDH/DH/FRUs/DTC in a year). Following is essential works of
CHCs/PHCs/SDH/DH
Checking of transaction posted by Accounts Assistant in tally EPR- 9
customized software.
Audit of at least 2 sub-centres located within the CHC every month.
Verification of Mandatory books of accounts( Yes/No format as mentioned
at Appendix G)
Important Note: (1) Concurrent auditor of state health society will function
as nodal auditor for the NHM who will oversee the work of all District
Concurrent Auditors. For ensuring quality and timely completion of the
whole audit exercise, the District Auditors are expected to cooperate and
comply with the directions of the nodal auditor as and when given and will
provide necessary information when demanded.
(2) It must be noted first of all the District Health Society shall compiled the
expenditure report of all health institution on or before 8 th of month and
then concurrent auditors will start monthly audit between 9th to 12th of each
month.
(3) Concurrent auditors of District Health Societies shall start audit between
15 to 20 of every month subject to exception as mentioned in the notes of
key timelines section.
SECTION 5: FREQUENCY OF AUDIT
Concurrent Audit will be carried out on a "Monthly basis". Districts shall
complied the monthly Financial Reporting( including Tally Data) on or before
8th of month immediately succeeding the relevant month and the concurrent
auditor shall visit for the Audit between 9th to 12th of month immediately
succeeding the reporting month. After the completion of Audit and after making
rectification entries as recommended by the Concurrent Auditors, DHS shall
send the monthly FMR to the SHS on or before 12th of month immediately
succeeding the reporting month. State level auditors shall visit for audit between
15th to 20th of every month subject to the exception mentioned in the notes of key
timelines.
Section 8: Auditing Standards to be followed by the CA/CMA
Firms
The audit will be carried out in accordance with Engagement & Quality Control
Standards (Audit & Assurance Standards) issued by the Institute of Chartered
Accountants of India in this regard. The auditor should accordingly consider
materiality when planning and performing (except where a certain minimum
coverage of implementing units is specified) the audit to reduce the risk to an
acceptable level that is consistent with the objective of the audit. In addition the
auditor should specifically consider the risk of material misstatements in the
financial statements resulting from fraud.
Section 9: Terms for appointment of Concurrent Auditors
(including maximum numbers of District Health Societies by one
CA Firm)
District level
1. At the District level, the concurrent auditor appointed once can be
retained/ reappointed for a maximum total term of two financial years i.e.
current year and next year.
2. However, the contract awarded should be for one year at a time and
should be renewed next year on the basis of auditor's performance review.
3. A CA/CMA Firm may take the audit of maximum three Districts subject
to approval of State Audit Committee.
Section 10: Content of Monthly Concurrent Audit Report &
Quarterly Executive Summary Report
(1) Contents of Monthly Concurrent Audit Report & Quarterly
Executive Summary Report for District level Auditors
It may be noted that the Concurrent Audit Report of a District Health
Society is required to be submitted on monthly basis and the Executive
Summary Report of District Health Society is required to be submitted on
quarterly basis.
(a) Content of Monthly Concurrent Audit Report of DHS
(b) Content of Quarterly Executive Summary Report of DHS
(a) Content of monthly concurrent audit report of DHS
The monthly Concurrent Audit report of DHS should contain the following
reports and documents:
· Audited Trail Balance of DHS
· Audited Monthly FMR
· Age wise List of Advances of DHS
· Bank Reconciliation Statement of all the banks(NHM & Non NHM) of
DHS
· Audited Monthly Financial Reporting( as per Appendix A)
· Mandatory Books of Accounts Status(Yes/No format as per Appendix G)
· Observations and Recommendations of the auditor(including observations
on CHCs/PHCs/SDH/DH/DTC/FRUs visited)
· Action taken by District Health Society on the previous audit
observations, along with his observations on the same.
Important Notes:
· The District level Concurrent Auditors shall submit their monthly
concurrent audit report( both soft and hard copies) to the District Health
Society on or before 15th of month immediately succeeding the reporting
month and District Health Society shall submit the soft copy of
Concurrent Audit Report to State head quarter on quarterly basis ie
monthly concurrent audit report for the month of october, November and
december 2018 shall be submitted to the state head quarter on or before
15th January . It must further be noted that the soft copy of Monthly Audit
Report be submitted at dfa.rhm@gmail.com & also the concern
Programme Division mail id e.g RNTCP, NLEP, NPCB, NVDBCP, IDSP,
NPCDCS,NPHCE, Ayush etc on quarterly basis.
· The Audit observations & recommendations must be classified into
the following categories so that the same may be monitor by the concerned
Programme Officer:
i) RCH Flexipool, Mission Flexipool( including AYUSH). Routine
immunization, Pulse Polio and Non NHM Grant.
ii) Non Communicable Disease.
iii) Communicable Diseases.
iv) NUHM
(b) Content of Quarterly Executive Summary Report of DHS
Attached at Appendix B
SECTION 11: KEY TIMELINES
The Key Timelines which need to be adhered to are summarized below:
Concurrent Audit for the Period April 2018 to December 2018
Activity Timelines for submission of Concurrent
Audit Report and Executive summary
Report
Carrying out Concurrent Audit of District Submission of Quarterly Concurrent Audit
Health Society for the Period April 2018 Report and Quarterly Executive Summary
to June 2018. Report by Concurrent Auditor for the
period April 2018 to June 2018 District
Health Society on or before 11.01.2019
Carrying out Concurrent Audit of District Submission of Quarterly Concurrent Audit
Health Society for the Period July 2018 to Report and Quarterly Executive Summary
September 2018. Report by Concurrent Auditor for the
period July 2018 to September 2018 to
District Health Society on or before
21.01.2019
Carrying out Concurrent Audit of District Submission of Quarterly Concurrent Audit
Health Society for the Period October to Report and Quarterly Executive Summary
December 2018. Report by Concurrent Auditor for the
period October to December 2018 to
District Health Society on or before
31.01.2019
Note: Action taken report for Audit observations for the period April 2018 to
December 2018 is required to be submitted to the State Head Quarter on or
before 15.02.2019
Concurrent Audit from the Period January 2018 onwards
Activity Timelines
Carrying out concurrent audit Monthly
Submission of Audit Report by Auditor to 15th of the next month
DHS
Submission of soft copy of District Audit On Quarterly basis( on or before 15th of the
report of previous three month to the month immediately succeeding the relevant
Director Finance & Accounts at State quarter)
level
Submission of Hard Copy of District On Quarterly basis( on or before 20th of the
Concurrent audit reports of previous three month immediately succeeding the relevant
month to the SHS quarter)
Submission of scanned soft copy( duly 20th of the month immediately succeeding
verified by the Civil Surgeon, Concurrent the reporting Quarter. e.g the soft copy of
Auditor & DAM) of Quarterly Executive Quarterly Executive summary for the third
Summary Report of DHS along with the quarter of Financial year 2018-19 ( Oct-
Action taken Report on the Audit Paras of Dec) along with the Action taken report on
previous three months by the District the Audit paras of the concurrent audit
Health Societies to the State Head Quarter report for October, November and
at dfa.rhm@gmail.com December 2018 shall be submitted to the
State Head Quarter on or before 20th of
January 2019.
Submission of Hard copies ( duly verified 25th of the month immediately succeeding
by the Civil Surgeon, Concurrent Auditor the reporting Quarter
& DAM) of Quarterly Executive
summary Report of DHS along with the
Action Taken report on Audit Paras of
previsous three month by the DHS to the
State Head quarter at dfa.rhm@gmail.com
Submission of soft copy of the Quarterly 25th of the month immediately succeeding
Executive summary (SHS & DHS) & the reporting quarter
Action taken report of previous three
month Audit Report by the SHS to the
Mission Director, MoHFW, GoI
Submission of Hard copy of the 30th of the month immediately succeeding
Quarterly Executive summary (SHS & the reporting month
DHS) & Action taken report of previous
three month Audit Report by the SHS to
the Mission Director, MoHFW, GoI
Section 13: DISTRICT WISE DETAIL OF HEALTH
INSTITUTIONS UNDER NHM,HARYANA
Detail attached at Appendix D
Section 14: RESPONSIBILITIES OF DISTRICT HEALTH
SOCIETIES
· Compliance of Audit Observations
The members of District Audit Committee shall be responsible for
compliance of audit observations made in the audit report within the
limit prescribed.
· Timely Closure of Books of Accounts
District Health Societies' finance personnel need to ensure timely
closure of books of accounts. All the relevant records belong to the
section of content of Audit Report should be prepared and kept
ready. This will facilitate in commencing audit quickly.
· Production of relevant documents for Audit
DHS along with CHCs/PHCs and other RCH Programme
implementing agencies shall be under obligation to provide the
following:
· Books of Accounts
· Prescribed registers
· Files regarding purchase of all types of goods/items
· Files of Construction works
· Any other document requested by auditor in support/ reference of the
above. The responsibility for the same shall lie with District Audit
Committee at the District level.
SECTION 15: FACILITATION OF THE AUDIT
The following arrangements need to be made for the auditors by the District
Audit Committee:
· To provide proper space for sitting during conduct of audit.
· To provide requisite explanations & documents on the queries raised by
the auditor during audit.
· To provide auditors with ATRs on previous audit observations without
any delay.
· To arrange payments to the auditor on Quarterly basis after fulfillment of
conditions as mentioned in section 13.
SECTION 16: SOME IMPORTANT ISSUES
· In case of districts/ blocks visited during the audit, the audit report should
contain a separate checklist for each unit covered and respective
observations should also be included.
· The audit report should also cover qualitative issues emerging from the
audit other than the financial statements.
· The District Audit Committee Shall meet atleast 6 times in a year ( i.e.
once every 2 months) for follow up on the observations made by the
auditor.
SECTION 17: MONITORING & EVALUATION
· In order to ensure follow up of observations at the CHC/PHC/SDH/DH
level, discussion on the audit observation and the way forward should be
carried out during the monthly meeting convened by the CMO held at the
district in the presence of District accounts Manager.
· In order to effectively handle the audit observations, they should be
classified as `material' and `non- material' based on their impact. Observations
related to system deficiency should also be separately noted for system
improvements.
SECTION 18: TECHNICAL EVALUATION & SELECTION
METHODOLOGY
Attached at Appendix F
SECTION 19: MONTHLY FINANCIAL REPORTING AT
DISTRICT LEVEL
Attached at Appendix A
SECTION 20: PENALTY CLAUSE
a. The State Audit Committee/ District Audit Committee may impose
penalty up to 10% of the respective month audit fee, if monthly /
quarterly concurrent audit report is not submitted by the concurrent
auditor in stipulated period.
b. In case concurrent auditor at District Level fails to complete the work
as per RFP/TOR or instructions given by the District Audit Committee
or latter on if any major point/ serious irregularities pointed out by the
Statutory Auditor/ Divisional / State level Audit Team which the
concurrent auditor expected to report in their report, then State Audit
Committee on suomoto or on recommendation received from the
District Audit Committee may decide to black list the firm for the audit
of National Health Mission work for three years.
Form T-1
Letter of Transmittal
To,
The Civil Surgeon
District Health & Family Welfare Society Gurugram
Dear Sir/Madam,
We, the undersigned, offer to provide the audit services for District Health Society ( as
applicable) in accordance with your Request for Proposal dated [Insert Date]. We are hereby
submitting our Proposal, having details about the firm and proposed audit fees.
We hereby declare that all the information and statements made in this Proposal are true
and accept that any misinterpretation contained in it may lead to our disqualification.
The Fees quoted by us is valid for 1 Year from date of award of work oder. We confirm
that this proposal will remain binding upon us and may be accepted by you at any time before the
expiry date.
Prices have been arrived independently without consultation, communication, agreement
or understanding (for the purpose of restricting competition) with any competitor.
We agree to bear all costs incurred by us in connection with the preparation and
submission of the proposal and to bear any further pre-contract costs.
We understand that State Health Society, Haryana is not bound to accept the lowest
or any proposal or to give any reason for award, or for the rejection of any proposal.
I confirm that I have authority of [Insert Name of the C.A. /CMA Firm] to submit the
proposal and to negotiate on its behalf.
Yours faithfully,
( )
APPENDIX-A (FINANCIAL REPORTING FOR COMMUNICABLE DISEASE)
Monthly Fund Status of RNTCP Grant
Figures in Rs.
Opening
Balance
as on Total
1/4/18 Fund
including available
interest Fund with
up to received Interest Districts Expenditure
31/3/19( during earned ( during incurred Closing
as per 2018-19( from 2018-19( during balance as
the up to the 1/4/18 till till the 2018-19( till on the last
audited end of the end of end of the end of date of
Name of balance reporting reporting reporting reporting reporting
S.no District sheet) month) month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
Monthly Fund Status of NLEP Grant
Figures in Rs.
Opening Expendit
Balance as on Fund Interest Total Fund ure
1/4/18 received earned ( available with incurred Closing
including during from Districts during balance
interest up to 2018-19( 1/4/18 during 2018- 2018-19( as on the
31/3/19( as up to the till the 19( till the till the last date
per the end of end of end of end of of
S.n Name of audited reporting reportin reporting reporting reporting
o District balance sheet) month) g month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
Monthly Fund Status of IDSP Grant
Figures in Rs.
Total Fund
Opening Balance Fund Interest available Expenditur
as on 1/4/18 received earned ( with Districts e incurred Closing
including during from during 2018- during balance as
interest up to 2018-19( up 1/4/18 till 19( till the 2018-19( till on the last
31/3/19( as per to the end the end of end of the end of date of
Name of the audited of reporting reporting reporting reporting reporting
S.no District balance sheet) month) month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
Monthly Fund Status of NVBDCP Grant
Figures in Rs.
Opening
Balance
as on
1/4/18 Total Fund
including available
interest Fund with
up to received Interest Districts Expenditure
31/3/19( during earned ( during incurred Closing
as per 2018-19( from 2018-19( during balance as
the up to the 1/4/18 till till the end 2018-19( till on the last
audited end of the end of of the end of date of
Name of balance reporting reporting reporting reporting reporting
S.no District sheet) month) month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
APPENDIX-A (FINA NCIAL REPORTING FOR NON- COMMUNICABLE DISEASE)
Monthly Fund Status of NPCDCS Grant
Figures in Rs.
Opening
Balance as Total Fund
on 1/4/18 Fund available
including received Interest with Expenditure Closing
interest up during earned ( Districts incurred balance
to 31/3/19( 2018-19( from during during as on the
as per the up to the 1/4/18 till 2018-19( till 2018-19( till last date
audited end of the end of the end of the end of of
Name of balance reporting reporting reporting reporting reporting
S.no District sheet) month) month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
Monthly Fund Status of NPHCE Grant
Figures in Rs.
Opening
Balance
as on Total
1/4/18 Fund
including available
interest Interest with
up to Fund earned ( Districts Expenditure Closing
31/3/19( received from during incurred balance
as per during 2018- 1/4/18 till 2018-19 ( during as on the
the 19( up to the the end till the 2018-19 ( till last date
audited end of of end of the end of of
Name of balance reporting reporting reporting reporting reporting
S.no District sheet) month) month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
Monthly Fund Status of NPCB Grant
Figures in Rs.
Opening
Balance
as on Total Fund
1/4/18 available
including Fund with
interest received Interest Districts Expenditure Closing
up to during earned ( during incurred balance
31/3/19 ( 2018-19( from 2018-19 ( during as on the
as per the up to the 1/4/18 till till the end 2018-19 ( till last date
audited end of the end of of the end of of
Name of balance reporting reporting reporting reporting reporting
S.no District sheet) month) month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
Monthly Fund Status of Mental Health
Figures in Rs.
Opening
Balance Total
as on Fund
1/4/18 available
including Fund with
interest received Interest Districts Expenditure Closing
up to during earned ( during incurred balance
31/3/19 ( 2018-19 ( from 2018-19( during as on the
as per the up to the 1/4/18 till till the end 2018-19( till last date
audited end of the end of of the end of of
Name of balance reporting reporting reporting reporting reporting
S.no District sheet) month) month) month month) month
1 2 3 4=1+2+3 5 6=4-5
1 Gurgaon 0 0
Total 0 0 0 0 0 0
APPENDIX-A (FINA NCIAL REPORTING FOR NON- NHM FUNDS)
Monthly fund status of ASHA, ANM State budget
(figures
in lacs)
Ope
ning
Bala
nce
Funds
as Closing
released Total
on balance
by the availa Total
01.0 as on the
State Interest bity Expend
4.20 last date
Health earned of iture
18 Incent Pay of
Society on funds Mont on
inclu ives to ment reportin
exclusivel ASHA/ with hly ASHA/
ding ASHA to g month
y for the ANM DHS Monthly adde ANM
inter for AN availabl
payment funds( for fixed d State
est facilita Ms( e with
SR. DISTRICTS to from paym honorari incen Budget
up ting out Districts
NO. NAME ASHAs/A 1.4.201 ent to um to tives ( from
to institu of for
NMs out 8 till ASH ASHA( to 1.4.201
31.3. ional State making
of State the end A, X1) ASH 8 till
2019 deliver Budg payment
Budget( of ANM As( the end
( as ies( et) to
from reporti s out X2) of
per X3) (X4) ASHAs/
1.4.2018 ng of reporti
Audi ANMs
till the month) State ng
ted out of
end of Budg month)
bala State
reporting et
nce Budget
month)
shee
t of
2017
-18)
4=1+ 9=5+6+
1 2 3 5 6 7 8 10=4-9
2+3 7+8
1 GURGAON 0.00 0.00 0.00
TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Verified by the
Dy Civil Civil Verified by the
DAM Surgeon surgeon Concurrent Auditor
Monthly Fund Status of Districts for IMR Grant
(Figure in
Rs)
S.N Name Openin Funds Funds Funds Interest Total Expenditu Closing
O. of g Transfer by transfe used by earned in IMR funds e incurred balanc
Distri Balance State r by the Bank Account( available for imr e as on
ct as on exclusively the Districts from 1.4.2018 with activities the last
01.04.20 for IMR District out of till the end of District during day of
18 Grant( from s out of common reporting for IMR 2018-19( reporti
includin 1.4.2018 till commo pools month) Activities( from ng
g the end of n pools grant for as on the 1.4.2018 month
interest reporting bank making last date of till the end availab
up to month) accoun payment reporting of le with
31.3.201 t to for IMR month) reporting District
9( as IMR Activities( month) under
per Bank i.e IMR
Audited Accoun payment Grant
balance t( from made by
sheet of 1.4.201 Districts
2015- 8 till out of
16) the end Common
of pool bank
reporti account
ng for IMR
month) activities)(
from
1.4.2018
till the
end of
reporting
month)
1 2 3 4 5 6=1+2+3+ 7 8=6-7
4+5
Gurga
1 on 0.00 0.00
Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Verified by
the
Dy Civil Civil Verified by the Concurrent
DAM Surgeon surgeon Auditor
Monthly Fund Status of Districts for Construction worker Grant
(Figure in
RS)
S.N Name Openin Funds Funds Funds Interest Total Expendit Closing
O. of g Transfer by transfer used by earned in the funds ue balance
Distri Balance State by the the Construction available incurred as on the
ct as on exclusively Districts Districts worker Bank with for last date
01.04.2 for out of out of Accounts( District Construct of
018 Constructio common common from 1.4.2018 for ion reporting
includi n worker pools pools till the end of Construct worker month
ng Grant( from bank grant for reporting ion during available
interest 1.4.2018 till account making month) worker 2018-19( with
up to the end of to payment Activities( from District
31.3.20 reporting Construc for on the last 1.4.2018 under
19( as month) tion Construct day of till the Construc
per worker ion reporting end of tion
Audite Bank worker month reporting worker
d Account( Activities before month) Funds
balance from ( i.e expenditu
sheet of 1.4.2018 payment re)
2017- till the made by
18) end of Districts
reporting out of
month) Common
pool
bank
account
for
Construct
ion
worker
Activities
)( from
1.4.16 till
the end of
reporting
month)
1 2 3 4 5 6=1+2+3+ 7 8=6-7
4+5
Gurga
1 on 0.00 0.00
Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Verified by
the
Dy Civil Civil Verified by the Concurrent
DAM Surgeon surgeon Auditor
Monthly Fund Status of District for HUDA Grant
(Figure in Rs
S.NO Name Opening Funds Tranfer Funds Interest Total funds Expenditue Closing
. of Balance by State used by earned in available with incurred for balance
Distric as on exclusively for the the HUDA District for HUDA Grant as on
t 01.04.201 HUDA Grant Districts Grant HUDA Grant Activities the last
8 during 2018- out of Bank Activities during 2018- date of
including 19( from 1/4/18 common Accounts( 19( up to the reportin
interest till the end of pools from 1/4/18 end of g month
up to reporting grant for till the end reporting availabl
31.3.2019 month) making of reporting month) e with
( as per payment month) District
Audited for under
balance HUDA HUDA
sheet of Grant Grant
2017-18) Activities
( i.e
payment
made by
Districts
out of
Common
pool
bank
account
for
HUDA
Grant
Activities
)( from
1/4/18 till
the end of
reporting
month)
1 2 3 4 5=1+2+3+4 6 7=5-6
Gurgao
1 n 0.00 0.00
Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Verified by the
Dy Civil Civil Verified by the Concurrent
DAM Surgeon surgeon Auditor
Monthly Fund Status of Districts for PWD Grant
(Figure in Rs)
S.NO Name Opening Funds Tranfer Funds Interest Total funds Expenditue Closing
. of Balance by State used by earned in available with incurred for balance
Distric as on exclusively for the the PWD District for PWD Grant as on
t 01.04.201 PWD Activities Districts Grant PWD Grant Activities the last
8 during 2018- out of Bank Activities during 2018- date of
including 19( from common Accounts( 19( till the end reportin
interest 1/4/2018 till the pools from 1/4/18 of reporting g month
up to end of grant for till the end month) availabl
31.3.2019 reporting making of reporting e with
( as per month) payment month) District
Audited for PWD under
balance Grant PWD
sheet of Activities Grant
2017-18) ( i.e
payment
made by
Districts
out of
Common
pool
bank
account
for PWD
Grant
Activities
)( from
1/4/18 till
the end of
reporting
month)
1 2 3 4 5=1+2+3+4 6 7=5-6
Gurgao
1 n 0.00 0.00
Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Verified by the
Dy Civil Civil Verified by the Concurrent
DAM Surgeon surgeon Auditor
APPENDIX-A (FINANCIAL REPORTING FOR PART A,B,C ,POLIO & NUHM)
Monthly Fund Status of Districts for RCH, Mission & Routine immunization activities
S. Name O Fu Fun Fun Fun Fun Fun Fun Fund Fund Interest Net Total Expe Closi
N of p nd ds ds ds ds ds ds s s credited in Fund funds nditu ng
O. Distri e s tra use tra use tra use trans used the bank available avail re balan
ct ni rel nsfe d by nsfe d by nsfe d by fer by accounts of with able incur ce as
n eas r the r the r the by the A, B and C( Districts with red on the
g ed by Dist by Dist by Dist the Distr Districts,CH for Distr by last
B by the ricts the ricts the ricts Distr icts C/DH/SDH/P RCH, ict Distr day of
al Sta Dist out Dist out Dist out icts out HC/SC level)( Mission for icts repor
a te rict of rict of rict of out of from 1.4.2018 and RCH for ting
n to s com s com s com of com till the end of routine , RCH mont
ce Dis out mon out mon out mon com mon reporting immuniz Missi , h
as tri of pool of pool of pool mon pools month) ation on Missi availa
o cts co s co s co s pools grant activities and on ble
n un mm gra mm gra mm gra to for ( i. e for Routi and with
0 de on nt on nt on nt Cons maki Part A, ne routi Distri
1. r poo for poo for poo for tructi ng B and C imm ne ct
0 Co ls mak ls mak ls mak on paym Activitie unzat imm under
4. m to ing to ing ban ing work ent s) ( till ion unzat RCH,
2 mo NU pay Pul pay k pay er for the end Activ ion Missi
0 n HM men se men acc men Bank Cons of ities( activi on
1 po ban t for Poli t for oun t for acco tructi reportin i.e ties( and
8 ol( k NU o Puls t to IM unts( on g month) for i.e Routi
in fro acc HM Ban e IM R from work Part for ne
cl m oun ( i.e k poli R Acti 1.4.2 er A, B Part immu
u 1.4 ts( pay acc o( Ban vitie 018 Activ and A, B nizati
di .20 fro men oun i.e k s( till ities( C and on( i.e
n 18 m t ts( pay Acc i.e the i.e Activ C for
g till 1.4. mad fro men oun pay end paym ities)( Activ Part
in the 201 e by m t t( men of ent till ities)( A, B
te en 8 Dist 1.4. mad fro t repor made the from and C
re d till ricts 201 e by m mad ting by end 1.4.2 Activi
st of the out 8 Dist 1.4. e by mont Distr of 018 ties)
u re end of till ricts 201 Dist h) icts repor till
p po of Co the out 8 ricts out ting the
to rti rep mm end of till out of mont end
3 ng orti on of Co the of Com h) of
1. mo ng pool rep mm end Co mon repor
3. nt mo ban orti on of mm pool itng
2 h) nth k ng pool rep on bank mont
0 ) acco mo ban orti pool acco h)
1 unt nth k ng ban unt
9( for ) acco mo k for
as NU unt nth acco Cons
p HM for ) unt tructi
er acti Puls for on
A vitie e IM work
u s)( poli R er
di fro o acti activi
te m acti vitie ties)(
d 1.4. vitie s)( from
b 201 s)( fro 1.4.2
al 8 fro m 018
a till m 1.4. till
n the 1.4. 201 the
ce end 201 8 end
sh of 8 till of
ee rep till the repor
t orti the end ting
of ng end of mont
2 mon of rep h)
0 th) rep orti
1 orti ng
7- ng mon
1 mon th)
8) th)
1 2 3 4 5 6 7 8 9 10 11 12=2+11 13=1 14 15=13
- +12 -14
(3+4+5+
6+7+8+9
+10)
Gurga
1 on 0.00 0.00 0.00
0.
0 0.0 0.0 0.0 0.0
Total 0 0 0 0.00 0 0.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Monthly Fund Status of Districts for NUHM Grant
(Figure in Rs
S.NO Name Opening Funds transfer Funds Interest Total funds Expenditue Closing
. of Balance by the Districts used by earned in available with incurred for balance
Distric as on out of common the the NUHM District for NUHM at the
t 01.04.201 pools bank Districts Bank NUHM Activities end of
8 account to out of Accounts( Activities( up during 2018- reportin
including NUHM Bank common from to reporting 19( from g month
interest Account( up to pools 1.4.2018 till month) 1.4.2018 till the for
up to reporting grant for the end of end of NUHM
31.3.2019 month i.e from making reporting reporting funds
( as per 1.4.2018 to the payment month) month)
Audited end of for
balance reporting NUHM
sheet of month) Activities
2017-18) ( i.e
payment
made by
Districts
out of
Common
pool
bank
account
for
NUHM
Activities
)( from
1.4.2018
till the
end of
reporting
month)
1 2 3 4 5=1+2+3+4 6 7=5-6
Gurgao
1 n 0.00 0.00
Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Verified by the
Dy Civil Civil Verified by the Concurrent
DAM Surgeon surgeon Auditors
Monthly Fund Status of District for Pulse Polio
(Figure in
Rs)
S.N Name Openin Funds Funds Funds Interest earned Total funds Expendit Closin
O. of g transfer by transfe used by in the Pulse available ue g
Distri Balance the State to r by the polio Bank with incurred balanc
ct as on Districts the Districts Accounts( District for for Pulse e as on
01.04.20 exclusively Distric out of from 1/4/2018 Pulse polio polio the last
18 for Pulse ts out common till the end of Activities( Activities date of
includin polio of pools reporting as on last during reporti
g Activities( commo grant for month) date of 2018-19( ng
interest from n pools making reporting till the month
up to 1/4/2018 till bank payment month end of availab
31.3.201 the end of accoun for Pulse before reporting le with
9( as reporting t to polio expenditure month) Distric
per month) Pulse Activities( ) t under
Audited Polio i.e Pulse
balance Bank payment polio
sheet of Accou made by
2017- nt( Districts
18) from out of
1/4/201 Common
8 till pool bank
the end account
of for Pulse
reporti polio
ng Activities)
month) ( from
1/4/2018
till the
end of
reporting
month)
1 2 3 4 5 6=1+2+3+4 7 8=6-7
+5
Gurga
1 on 0.00 0.00
Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Verified by
the
Dy Civil Civil Verified by the Concurrent
DAM Surgeon surgeon Auditors
Appendix B: Quarterly Executive Summary report of DHS
(To be submitted to FMG wing of State Haryana by the District Audit
Committee, District Health & Family Welfare Society.)
Name of District: Gurugram.
For the Quarter ended........................................
Question no 1 to 4 related with Coverage of Audit
Question no 1: Whether monthly Concurrent Audit has been taken?
Question no 2: Mentioned the name of SKS where field visit made by the Concurrent Auditors
during this quarter ?
Question no 3: Mentioned the number of SKS where filed visit not made by Auditors.
Question no 4: Mentioned the list of SKS where mandatory books of Accounts not maintained as per
the MoHFW, Guidelines and where no audit has been done in the previous year.
Question no 5 to 9 related with Books of Accounts:
Question no 5: Name of DHS/CHC/DH and SDH where books of Accounts not maintained in Tally
ERP 9 Customized software.
Question no 6: Name of Health Institution (DHS/CHCs/PHCs/DH/SDH/FRUs) where Manual Cash
book is not being maintained.
Question no 7: Name of Health Institution ( DHS/CHCs/PHCs/DH/SDH/FRUs) where BRS is not
maintained on monthly basis.
Question no 8: Name of Health Institutions( DHS/CHCs/PHCs/DH/SDH/FRUS) where ledger is not
maintained properly.
Question no 9: Name and number of Health Institutions( DHS/CHCs/PHCs/SDH/DH/FRUs) where
trail balance is not maintained on monthly basis.
Questions no 10 to 13 related with Reporting
requirement & guidelines
Question no 10: Name of Health Institutions ( CHCs/PHCs/SDH/DH/FRUs) that have not submitted
the monthly financial reports.
Question no 11: Whether audit report has been submitted by the concurrent auditor within the
prescribed time limit, if no then mentioned the extent of delay along with reasons.
Question no.12: Provide CHC/PHC list of Advances which are outstanding for more than a year.
Question no. 13: Whether delegation of Adminstrative & Financial powers have been taken place as
per the instruction of State Health Society?
Question no 14 related with District Level Audit
Committee
Question no 14: Mentioned the number of meeting held by District level audit Committee during the
current financial year.
DAM Dy Civil Surgeon Civil Surgeon Concurrent Auditor
ANNEXURE Executive Summary
(To be submitted to FMG, MoHFW, GoI by the State Programme Management
Support Unit, State Health Society)
Name of the District________________________
For the Quarter (due dates: 31st July/31st Oct/31st January/30th April)/ Year
Note: Based on_ the three monthly reports, this report has to be submitted along with
the Quarterly Financial Monitoring Report
Part:-A District level issues:
Coverage
1. Name of the Districts where monthly concurrent audit has not
taken place. (specify the reason)
2. Number of districts where all the blocks have not been covered
at least once in the course of audit. (indicate the numbers in each
district)
3. Number of blocks (district wise)where the peripheral units have
not been visited.
4. Number of Rogi Kalyan Saminites (distrct wise) where last
annual audit has not been done.
Book of Accounts
5. Name of the Districts where books of accounts are
computerized. Provide a district wise breakup of health facilities
for the same.
6. Name of the Districts where Cash Books are not being
maintained/closed on a daily basis. Provide a district wise
breakup of health facilities for the same.
7. Name of the Districts where bank reconciliations is not being
done on a monthly basis Provide a district wise breakup of
health facilities for the same.
Reporting
8. Name of the Districts which have not submitted the Statement of
Fund Position in the last three months.
9. Name of districts that have not submitted their concurrent audit
reports on time. Also mention the extent of delay.
10. Name of the Districts which have not submitted FMRs/SOEs in
the last three months.
11. Name of the Districts where the SOEs/FMRs are not being
submitted in prescribed format.
12. Whether the SOE/FMR submitted by the districts includes the
SOE from all the Blocks/CHC/PHC etc. on regular basis and on
the basis of the Books of Accounts only? Report the exceptions
to the same.
13. Provide a list of advances and total amount involved District-
wise which are outstanding for more than a year. Mention the
follow up action taken for the same.
Audit Committee
14. Number of districts where audit committee has not been
constituted/ is not meeting at regular intervals (Indicate names).
Others
15. Number of Districts where unification of finance and accounting
processes has not taken place as per GOI guidelines.
16. Number of districts where posts of District Accounts Manager
has been vacant for more than 3 months.
17. Number of Districts where Delegation of Administrative and
Financial powers have not taken place as per GOI guidelines
(circulated vide D.O. No 118/RCH-Fin 2006-07 dated 1st may,
2007)
Part-B: Pending issues:
Whether the issues raised in the last Quarterly Executive Summary have been
addressed? List down the details of major pending issues.
CONCURRENT AUDITOR, DISTRICT
ACCOUNTS MANAGER
DISTRICT HEALTH & FAMILY WELFARE SOCIETY DISTRICT
HEALTH & FAMILY WELFARE SOCIETY
APPENDIX-D Detail of Health Institution Under NHM
Sr. No. Name of Name of Phone Number Number Number Number
District DAM/AA Number of of CHC of DH of SDH of PHC
Health Dam/AA
Welfare
Society
1 District Mr. 9654230570 3 2 2 10
Health & Sandeep
Family
Welfare
Society ,
Gurgaon
Total 3 2 2 10
Appendix F: Technical Evaluation and Selection
Methodology
Maximum Marks
S.no Particulars Notes Marks Obtained
No of Partners- 1 10
1 FCA/ACA/FCMA/ACMA
Year of experience(
Partner A+ Partner B+ 2 10
2 Partner C and more)
No of Staff (Qualified
CA/Semi Qualified/Other 3 10
3 Clerical Staff)
Nature of Experience
(RCH,NRHM,NHM
Audit/Government social 4 20
Sector Audit/ Other Social
4 Sector Audits/NGOs)
5 Branches in Districts 5 10
Total Turnover of the firm
for previous three years i.e 6 10
2015-16, 2016-17 & 2017-
6 18)
Total 70
Note: All the relevant documents must be attached with the Technical Proposal so
that Audit committee may analysis the proposal
Notes:
1. 3 marks for each FCA/FCMA partner and 2 marks for each
ACA/ACMA Partner, subject to maximum of 10 marks. In case of
Sole Proprietorship 3 marks in case of FCA/FCMA and 2 marks
in case of ACA/ACMA .
2. 1 marks for each 1 completed year experience of each partner with
maximum 5 marks for each partner, subject to overall limit of 10
marks for all partners. In case of sole proprietorship 1 marks for
each 1 completed year experience, subject to maximum 5 marks.
3. i) 3 marks for each Qualified CA/CMA.
ii) 2 marks for each Semi Qualified CA/CMA .
iii)1 marks for each Other clerical Staff
subject to maximum 10 marks.
4. RCH,NRHM,NHM Audit/Government Social Sector Audit/ Other
Social Sector Audits/NGOs - 5 marks for each Complete audit
subject to maximum 20 Marks.
5. In case of Concurrent audit of District Health Society: 10 marks for
CA/CMA Firm having Head Office/Branch in the District where
Audit is to be conducted.
6. 2 Marks for each 2 Lakh of Average Turnover for previous three
years i.e. FY 2015-16, 2016-17 and 2017-18 (Any fractions of 2
lakhs will be ignored), subject to maximum of 10 marks. For
Example: Raj & Associates having turnover for the previous three
Financial as follow:-
2015-16- 4.00 Lakh
2016-17- 6.00 Lakh
2017-18- 7.00 Lakh
The Average Turnover of Raj & Associates is 4+5+6 = 5.66 Lakh
3
Then, marks allotted to Raj & Associates is as follow:
Turnover Marks Alloted
2 lakh 2 marks
2 lakh 2 marks
1.66 lakh NIL (any fractions of 2 lakh will
be ignored)
Total- 5.66 lakh Total Marks-4
Important notes:
1. The base minimum figures/threshold will be 60% and CA firms
scoring above the base minimum figure would be deemed to be
considered as technically qualified to undertake the job.
2. Financial bids of only technically qualified firms would be opened by
the committee and audit should be awarded on the basis of Quality cum
cost based selection (QCBS) process, 70% weightage would be given
to the Technical Evaluation and 30% weightage would be given to the
financial bid.
3. All the relevant documents must be attached with the proposal so that
the Audit committees can analysis the proposal of Firms.
Appendixe- G(Yes/No )
Is
entri
es
are
Nam
com
e of
Fu plete
SHS C FIXE CHE SKS
ADV nd d in
S /DH AS TRI STO D QUE MEE Miscel Sal
ANC Rec Tall
r S/ H LE AL B CK ASS ISSU TIN laneo ary
E ive y
. GH / B DG BAL R REG ETS E G us Reg
REG d Soft
N SDH O ER ANC S ISTE REG REG REG Regist iste
ISTE Reg war
o / O E R ISTE ISTE ISTE er r
R iste e up
CH K R R R
r to
C/
repo
PHC
rtin
g
mon
th ?
Appendix:H
Expression of Interest for short listing of Chartered Accountant Firms/Cost &
Management Accountant Firms for the audit of accounts of State Health Societies and
District Health Societies on Monthly basis.
Status of Firm Partnership Sole Proprietorship
1. (a) Name of the Firm (in Capital
Letters)_________________________________________________________
(b) Address of the Head Office
____________________________________________________________________
(With Telephone no. & e-mail
address)________________________________________________________
____________________________________________________________________________
____________________
(c) PAN of the Firm
____________________________________________________________________________
____
2.ICAI/CMA Registration No.___________________________________Region
Name__________________________
Region Code __________________________
3. Date of constitution of the
firm:_______________________________________________________________
Note: Please attach the copy of the Firm's constitution certificate issued by
ICAI/Institute of Cost Accountant of India as on 01.01.2018
4. Number of Full time Chartered Accountant as on 1st January
2018.................................................
Number of audit staff employed full time with the firm
Articles/Audit Clerks/Trainees
_____________________________________________________________
Other Audit Staff (With knowledge of book keeping & accountancy &
Tally)_______________________
Other Clarical Staff (Please
Specify)____________________________________________________
Turnover of the firm during past three years
2015-16 ________________________________
2016-17________________________________
2017-18 _______________________________
(Please provide copy of ITR and Profit and loss Statement duly verified for the relevant
Financial Year.)
Number of Branches if any (Please mention Places & Locations)
____________________________________________________________________________
____________________________________________________________________________
_________________________________________________________
Whether the firm engaged in any internal Or External (RCH,NRHM,NHM
Audit/Government social Sector Audit/ Other Social Sector Audits/NGOs)?
Yes/No
(If yes, then please provide detail with documentary evidence)
Whether there are any court/arbitration/any other
legal case against the firm? Yes/No
(If yes, give a brief note of the case indicating its present status)
Undertaking
I/We do hereby declare that the above mentioned information are true & correct and
I/We also undertake to aid the terms & conditions of the contract and would make the
compliance of term laid down in the contract if executed by us with the State Health
Society (NHM)/District Health & Family welfare Society.
Date: Signature of Partner/
Place: Sole Proprietor with stamp
Form -F-1
FORMAT OF FINANCIAL BIDS
PARTICULARS TOTAL AMOUNT(In Rupees)
AUDIT FEES Both in Numeric and in Words
1 Audit Fees (Including Cost of TA/DA)
2 GST Rs._____________________________________
3 Total Fees (1+2) 0
(Rupees _______________________________
______________________________________)
Note 1: Percentage of funds involved shall not be a basis of quoting the Audit Fee.
Note2: In case of change in the rate of GST the revised GST shall be paid.
Signature Not Verified
Digitally signed by SHIV KUMAR PARASHAR
Date: 2018.12.12 14:31:37 IST
Location: Haryana
|
