Supply, Delivery and Installation of CT Scanner in Albania

New clarification added: UNOPS Clarification 32:Attention to All International Bidders:UNOPS Clarifies that the name of the beneficiary to be put on the Bid Security as requested in this ITB under Particulars; Bid Security is required and the Bid security shall be the adress as stated below:"UN City, Marmorvej 51, 2100 København Ø, Denmark"The Bid Security is required as part of the  ITB/2020/15480 requirements under Particulars; Bid Security is required and the Bid security details:"Bidders shall submit a bid security as part of the proposal in the amount of EURO 5,000.00 in the form set out in the document titled Section III: Returnable Bidding Forms included in the Documents section." 

New clarification added: UNOPS Clarification 32:Attention to All BiddersUNOPS reconfirms that according to the ITB/2020/15480 requirements under Particulars; Bid Security is required and the Bid security details:"Bidders shall submit a bid security as part of the proposal in the amount of EURO 5,000.00 in the form set out in the document titled Section III: Returnable Bidding Forms included in the Documents section."IMPORTANT NOTE: In addition to uploading a scanned version of the proposal security in the appropriate document checklist of the eSourcing system, bidders are requested to submit the original version of the Proposal Security by mail (courier DHL or other) to the following UNOPS address within 5 days of the Submission Deadline:United Nations Office for Project ServicesPristina Project CentreUN House, Zagrebi Str., No. 58Pristina, 10,000 Kosovo

New clarification added: Clarification Request 31:We are having issues obtaining the bank guarantee before the deadline due to the banks being very slow. We would expect to have this in the next couple of weeks. In the meantime, if we send a cheque for you to hold is this is acceptable?UNOPS Clarification 31:UNOPS confirms that according to the ITB/2020/15480 requirements under Particulars; Bid Security is required and the Bid security details:"Bidders shall submit a bid security as part of the proposal in the amount of EURO 5,000.00 in the form set out in the document titled Section III: Returnable Bidding Forms included in the Documents section."IMPORTANT NOTE: In addition to uploading a scanned version of the proposal security in the appropriate document checklist of the eSourcing system, bidders are requested to submit the original version of the Proposal Security by mail (courier DHL or other) to the following UNOPS address within 5 days of the Submission Deadline:United Nations Office for Project ServicesPristina Project CentreUN House, Zagrebi Str., No. 58Pristina, 10,000 KosovoTherefore, the request is not acceptable.

New clarification added: Clarification Request 30:1. For the contrast injector it is requested: Suitable syringes: 50 ml, 100 ml, 200 ml;In this case contrast medium for syringe size 50 ml and 100 ml is covered in the syringe size 200 ml. We propose to change this specification suitable for syringes 200 ml and to remove the syringe capacity size 50 ml and 100ml.UNOPS Clarification 30:1. Kindly refer to UNOPS Clarification 14, question 7.

New clarification added: Clarification Request 29: 1. Can you please clarify if Spectral Imaging with the required CT is intended to be used for deeper examinations of lung, vascular, cardiac and abdominal pathologies with focus on Covid-19, as already proven through many studies and routine examinations in several countries worldwide.UNOPS Clarification 29:1. UNOPS hereby we confirms that Single Energy Spectral CT machine is aimed for detailed examinations of different clinical entities, primarily targeting patients suffering from Covid-19 pathologies and its consequences.

New clarification added: Clarification Request 28:1. It is required to have Effective Anode Heat Capacity min 7.5 MHU.- Could you please kindly consider anode heat capacity of 7 MHU ?2. It is required Maximum Power 100 kW (nominal).- Our suggestion is to change this request to 80 kW to allow us to compete for this procedure without having any impact in the final outcome.3. Temporal displacement between the scanning of any voxel with low and high energy (along the entire scan length):- Please kindly consider to have this phrase/specification removed from the specs.4. Reconstruction of images: from 40 keV to 140 keV:- Requested to be removed form Technical Specifications.5.Spatial Resolution in Z axis at least 0.24 mm:- Request to have such parameter at least 0.38.6. Dose for low contrast detectability: max 8 mGy (Conditions: Object size 5 mm); Reconstructed slice width 10 mm, Voltage 120 kV.- We kindly request the removal of such parameters from the specs.7. It is required: Two 19" LCD/LED color monitor(dedicated X-ray monitor min 1024x1280 resolution).- Please kindly consider to have our solution with one monitor being accepted.8. Intelligent motion correction for cardiac acquisitions:- Please kindly have this one removed or do accept equivalent cardiac acquisition technology.9. As far as it concerns the specs for post processing station, we do hereby kindly ask the following clarification:- Please kindly consider the number of users to be changed to 3 since in a previous clarification (more specifically Nr. 22) you do only ask for 3 Client PC's.UNOPS Clarification 28:1. Kindly refer to UNOPS Clarification 5, question 3;2. Kindly refer to UNOPSClarification 24, question 3;3. Kindly refer to UNOPS Clarification 24, question 2;4. Kindly refer to UNOPS Clarification 24, question 1;5. Kindly refer to UNOPS Clarification 5, question 5; and Clarification 13, question 1;6. Kindly refer to UNOPS Clarification 24, question 6;7. Kindly refer to UNOPS Clarification 24, question 10;8. Kindly refer to UNOPS Clarification 27, question 7;9. Kindly refer to UNOPS clarification 14, question 6; Further, UNOPS advises that the Number of users is specified according to the beneficiary's work load and organization, therefore it remains as specified.

New clarification added: Clarification Request 27:1. Reconstruction of images 40keV-140keV: Please consider to remove this specification, since with the passed amendments there is no required any more a dual energy CT. This specifications has been left form the previous specifications for Dual Energy CT Scanner.2. Maximum power of generator 100kW (nominal): Every producer has its own technology. Some rpoducers are leaderr in saving energy and aim to use as less power energy. Please, accept lower power energy generators of “72kW or more”.3. Temporal displacement between the scanning of any voxel with low and high energy (along the entire scan length) to be stated. Please, remove this specification.4. Dose for low contrast detectability - max 8mGy and Spatial resolution in Z axis - at least 0.24mm. Please change and increase these values.5. How many users do you need: 3 (since you ask for 3 workstations), 5, or 6 users since you ask for different number of users for different tools. We suggest that is more convenient if you ask for the same number of users for all items. Please consider our suggestion.6. Two 19” LCD/LED color monitor (dedicated x-ray monitor, min. 1024 x 1280 resolution): Usually one monitor is used for the scanning process and all the examinations after the scanning are transferred to the requested post processing station/workstation. The second monitor is not necessary for the scanning process and is unjustified expense so, please change this specification.7. Intelligent motion correction for cardiac acquisitions: It is a requirement that doesn’t effect clinic imaging quality or the workflow. Kindly add equivalent technology.8. In some cases you are requiring 3 licenses, and in other ones 5 licenses. Please, consider to have the same number of clinical application licenses for the users.UNOPS Clarification 27:1. Kindly refer to UNOPS Clarification 24, question 1;2. Kindly refer to UNOPS Clarification 24, question 3;3. Kindly refer to UNOPS Clarification 24, question 2;4. Kindly refer to UNOPS Clarification 24, question 6 (Dose for contrast detectability); and Clarification 13, question 1 (Space for resolution in Z - Axis);5. Kindly refer to UNOPS clarification 14, question 6; Further, UNOPS advises that the Number of users is specified according to the beneficiary's work load and organization, therefore it remains as specified;6. Kindly refer to UNOPS clarification 24, question 10;7. This requirement was specified according to the specific clinical needs of the beneficiary and it reflects diagnostic tools defined as necessary in clinical routine, therefore the request for change can not be accepted;8. This requirement was specified according to the specific needs of the beneficiary and it reflects the clinical needs and workflow, therefore the request for change can not be accepted.

New clarification added: Clarification Request 26:1. Required: Tube voltage range: at least from 80 kV to 140 kV;To get the same result in the image we have to have the following parameters: Voltage, Current and explosion time. Nowadays every producer is trying to reduce the dosage of radiation providing that getting the same or better image clinical results. So, the manufacturers committed to energy saving are progressively improving the performance by using less power and radiation. Please, change this specification to be from 80 kV to 135 kV.2. Required: Two 19” LCD/LED color monitor (dedicated x-ray monitor, min. 1024 x 1280 resolution);Request to change this specification to one monitor dedicated x-Ray Monitor;3. Required: SSD 1 TB storage capacity;Every producer has its own technology and based on this technology it produces the Console. The number of images saved are better as well as the performance of the console. Knowing that there are lots of different techniques of compressing the images, please remove this specification;4. Required: Client PCs with sufficient hardware to connect the server and 2x 21” LCD/LED color monitors (dedicated x- ray diagnostic monitors, at least 3MP resolution); Please remove this specification;5. Required: Reconstruction of monochromatic (monoenergetic) images: from 40 keV to 140 keV;Please, remove this specification;6. Required: Maximum power: min 100 kW (nominal);Please, change the maximum power generator to 72 kW.UNOPS Clarification 26:1. UNOPS clarifies that although tube voltage range requested represents regular range for every modern CT scanner, the request for change is considered as minor varioation, therefore, it is acceptable. Bidders to refer to the Amendmment 6 and the published ITB Section II: Schedule of Requirements V4;2. This requirement was specified according to the specific needs of the beneficiary and it reflects the clinical needs and workflow, therefore the request for change can not be accepted;3. This change is acceptable. Bidders to refer to the Amendmment 6 and the published ITB Section II: Schedule of Requirements V4;4. This requirement was specified according to the specific needs of the beneficiary and it reflects the clinical needs and workflow, therefore the request for change can not be accepted;5. UNOPS clarifies that the energy requirement reflects specific clinical applications, therefore remains as specified. Bidders to refer to UNOPS Clarification No. 23, Answer to question 1; and to refer to the Amendmment 6; the published ITB Section II: Schedule of Requirements V4;6. UNOPS confirms the requirement for the generator maximum power was specified according to the specific needs of the beneficiary and it reflects the clinical needs and workflow, therefore the request for change can not be accepted.

New clarification added: Clarification Request 25: 1. At the section Reconstruction: Reconstruction of monochromatic (monoenergetic) images: from 40 keV to 140 keV is requested to be removed.UNOPS Clarification 25:1. UNOPS clarifies that the energy requirement reflects specific clinical applications, therefore remains as specified. Kindly refer to UNOPS Clarification 24, Answer to question 1.Bidders are advised to refer to the Amendmment 6; the published ITB Section II: Schedule of Requirements V4.

New clarification added: Clarification Request 24:1. Reconstruction of monochromatic (monoenergetic) images from 40keV to 140 keV (to be removed);2.Temporal displacement between the scanning of any voxel with low and high energy (along the entire scan length) to be removed;3. Maximum power (nominal) min 100 kW to be 70 kW;4. Table load capacity to 220 kg at least to be 200 kg;5. Positioning accuracy 0.25 mm or better. Please kindly put it at least 1.0 mm; 6. Dose for low contrast detectability 8 mGy. Please place it 16 mGy;7. Gantry Tilt angle +/- 30 degrees. If there must be for sure a value at least put +/- 20 degrees;8. Fastest gantry rotation time (360°): 0.35 s or faster. Standard rotation times start from 0.40 s and it should be changed from 0.35 to 0.40s;9. 32GB DDR 3 RAM is very unusual and many manufacturers provide just 16GB which is more than enough for operation purposes;10. Requested for two LED/LCD monitors to be changed to one monitor which is capable of managing both data entry and x-ray images.UNOPS Clarification 24:1.  Accepted to delete the term "monochromatic (monoenergetic)" from TS, whereas the energy requirement reflects specific clinical applications, therefore remains as specified. Bidders to refer to Amendmment 6; the published ITB Section II: Schedule of Requirements V4;2. Specification of temporal displacement remains as specified, as it was created according to yhe specific clinical requirements of the beneficiary. The request for this change can not be accepted;3. Specification reflects the needs of beneficiary, primarly number of clinical applications and patient turnover. The request for this change can not be accepted;4. Accepted to be revised from "220 kg" to "at least 200 kg", since system performance is not affected. Bidders to refer to the Amendmment 6 and the published ITB Section II: Schedule of Requirements V4;5. This change does not influence the performance of the CT Scanner, therefore it is acceptable. Bidders to refer to Amendmment 6; the published ITB Section II: Schedule of Requirements V4;6. Specification of dose for low contrast detectability remains as specified, as it was created according to the specific clinical requirements of the beneficiary. The request for this change can not be accepted;7. This change is acceptable. Bidders to refer to the Amendmment 6 and the published ITB Section II: Schedule of Requirements V4;8. This change is acceptable since the accelerated rotation time increases image noise and streak artifacts, thereore slightly slower gantry rotation is acceptable as it is recommended for even better image quality. Bidders to refer to Amendmment 6; the published ITB Section II: Schedule of Requirements V4;9. Bidders to refer to Amendmment 6; the published ITB Section II: Schedule of Requirements V4;10. This requirement was specified according to the specific needs of the beneficiary and it reflects the clinical needs and workflow, therefore the request for change can not be accepted.

New clarification added: Clarification Request 23:We have sent a request clarification to revise specifications to allow us to participate. We hope you will make appropriate changes.UNOPS Clarification 23:UNOPS advises that the received clarification requests have been answered accordingly. We further advise to refer to the published Technical Specifications for the revisions. UNOPS confirms that ITB/2020/15480 Section II: Schedule of Requirements; Technical Specifications requirements have been created according to specific clinical requirements of the beneficiary and they allow for fair competition. 

New amendment added #6: UNOPS advises that the ITB/2020/15480; Section II: Schedule of Requirements V4 has been uploaded under the documents section of ITB, and this document superceeds the previous version;Bidders are advised to follow the RFP - Section II: Schedule of Requirements V4 document to provide the requiremens as per the revised Technical Specifications.In addition, UNOPS advises that NEW submission deadline is extended until 9th of September 2020 at 10:00am CET Time;The new Deadline for Clarifications period is extended until 4th of September 2020 at 11:00am CET Time.

New amendment added #5: UNOPS advises that the ITB/2020/15480 - Supply, Delivery and Installation of CT Scanner and Digital Radiography and Fluoroscopy in Albania NEW submission deadline is extended for another week until 7th of September 2020 at 10:00am CET Time;The new Deadline for Clarifications period is extended until 2nd of September 2020 at 11:00am CET Time.

New amendment added #4: UNOPS advises that the ITB/2020/15480; Section II: Schedule of requirements V3 has been uploaded under the documents section of ITB, and this document superceeds the previous version.Bidders are advised to follow the RFP - Section II: Schedule of Requirements V3 document to provide the requiremens as per the revised Technical Specifications.

New clarification added: Clarification Request 22:In relation to the ITB Technical Specifications; "Post Processing Station; Client PCs with sufficient hardware to connect the server and 2x 21" LCD/ LED color monitors (dedicated X-ray diagnostic monitors, at least 3MP resolution)"Questions:1. If the PCs and 2x21" LCD /LED color diagnostic monitors do exist in the hospital, or do they have to be offered by the bidders?2. If it they have to be offered by the bidders, kindly specify the exact quantity of Client PCs and 2x 21" LCD/LED color monitors.UNOPS Clarification 22:UNOPS advises that after a detailed review and considering the requirements as set by the end user and as agreed with the client, the Technical Specifications part of the Post Processing Station requirements, shall read follows:1. UNOPS confirms that the requested PCs and two (2) 21" LCD/LED color diagnostic monitors do not exist in the destinated hospital, therefore they must be included in the offer (required to be offered by the bidders).2.  UNOPS advises that the quantity required to be offered is "Three (3) Client PCs with sufficient hardware to connect the server and, for each PC two (2) 21" Led/ CD color monitors (dedicated X- ray diagnostic monitors, at least 3MP resolution)". In total six (6) monitors are required to be offered." 

New clarification added: Clarification Request 21:Request for clarification for CT scanner:1. Total number of detector elements: min 50,000; Answer: Is it possible min. 43,000?2. Temporal displacement between the scanning of any voxel with low and high energy (along the entire scan length): max 0.25 ms; Answer: Is it possible min. 0.12ms?3. Dedicated radiology laser dry printer; Answer: Is it possible min. SLP?4. Contrast Injector; Answer: Is it possible min. SLP?5. Real-time MPR; Answer: Is it possible without MPR?6. Request for clarification for Digital Radiography and Fluoroscopy.UNOPS Clarification 21:1. Bidder is advised to explain source of data stated in clarification. However, suggestion is not acceptable; Detector is a component of CT which collects information regarding the degree to which each anatomic structure attenuated the beam. Lower number of detector elements would mean significant change of stipulated specifications, since detector measures the intensity of transmitted x-ray radiation along a beam projected from the x-ray source to that particular detector element. Also, reference detectors help to calibrate data and reduce artifacts. 2. This question is not clear; Bidder is advised to explain from which source these data are taken? However, specified temporal resolution is vital during cardiac CT, particularly for evaluation of the coronary arteries that are only optimally imaged when there is the least cardiac motion. Therefore, the request to lower technical specifications can not be accepted.3. Bidder to confirm what term SLP refers to? 4. Bidder to confirm what term SLP refers to? 5. Multiplanar reformation or reconstruction (MPR) involves the process of converting data from an imaging modality acquired in a certain plane, usually axial, into another plane 1. It is most commonly performed with thin-slice data from volumetric CT in the axial plane, but it may be accomplished with scanning in any plane.This is considered as very important technical feature, therefore the offered device without this option it is not acceptable.6. Kindly refer to UNOPS Clarification 07. 

New clarification added: Clarification Request 20:We can offer a product with some differences comparing to the required specifications and we would kindly ask you to check and evaluate our offering possibilities. Please find below our request for clarification:1. For Dual Energy CT for Spectral Imaging, Dual Energy Acquisition and Dual Energy scan - we have standard CT scan without dual energy, is it acceptable?2. Length of metal free scan range: min 175 cm; we have 170cm, is it acceptable?3. Table load capacity: min 220 kg, we have 205 kg, is it acceptable?4. Single energy maximum power: min 100 kW (nominal), we have 80Kw, is it acceptable?5. Fastest gantry rotation time (360°) for single and dual energy scans: 0.35 s or faster: is standard CT scan without dual energy, is it acceptable?6. Highest available pitch for single and fast dual energy acquisitions: min 1.5; isstandard CT scan without dual energy, is it acceptable?7. Spatial resolution in Z axis at least 0.24 mm; , we have 0,25 mm, is it acceptable?8. Dose: ■ Dose for low contrast detectability: max 8 mGy; We don't comply with this specification, we have Low contrast detectability: 2mm@0.3%, 27mGy 3mm@0.3%, 16mGy 4mm@0.3%, 9.9mGy 120 kV, 2s rotation time, water phantom of 180mm diameter. Is it acceptable?9. Two 19” LCD/LED color monitor (dedicated x -ray monitor, min. 1024 x 1280 resolution); - We don't comply with this specification, OUR SYSTEM HAS one 24" with 1920x1200, is it acceptable?UNOPS Clarification 20:1. If all technical characteristics of the equipment offered are compatible with technical requirements from the ITB-2020-15480, the offer is acceptable.2. This is acceptable, if other technical requirements are fulfilled.3. This is acceptable, if other technical requirements are fulfilled.4. Kindly Refer to UNOPS Clarification 06; Answer 1.5. If all technical characteristics of the equipment offered are compatible with technical requirements from the ITB-2020-15480, the offer is acceptable. 6. If all technical characteristics of the equipment offered are compatible with technical requirements from the ITB-2020-15480, the offer is acceptable.7. This is acceptable, if other technical requirements are fulfilled.8. This is not in compliance with stipulated technical requirements, therefore it is not acceptable.  9. Kindly Refer to UNOPS Clarification 06; Answer 4.

New clarification added: Clarification Request 19:1. The specification of the CT scanner is too high. Previosuly, UN agencies have purchased standard level CT scanners with a unit cost one quarter to one third of the price of the current specified unit. Please confirm this is the UN's intention.2. The estimated lead time for the specified CT scanner is 30 weeks. Conversely, the lead time of our standard CT scanners is approximately 8 weeks.3. We request that the Bid Bond requirement for this tender be removed.UNOPS Clarification 19:1. UNOPS clarifies that the Schedule of Requirements has been drafted and approved jointly by all parties of the project. As a result, UNOPS confirms that the Technical Specifications pulished under the ITB/2020/15480 Section II: Schedule of Requirements comply with the requirements of the end user, and have been approved by all relevant authorities with the purpose to have the technologically updated equipment.2. UNOPS clarifies that based on the information gathered during the market analysis and the reseach done in regards to the availability prior to the approval and solicitation of this ITB, the decidion has been made for the delivery time set as requested on this ITB.3. UNOPS confirms the requirement for the submission of Bid Security as set out under the Particulars tab of ITB/2020/15480 is Mandatory. The request for this change can not be accepted. 

New clarification added: Clarification Request 18:1. Making reference to "Form E_DRIVE SUPPLIER'S SUSTAINABILITY QUESTIONAIRE_2020_FINAL VERSION_ENG" please kindly advise the following : Where could be found the following information : 1) UN GLOBAL COMPACT PARTICIPANT 2) PARTCIPANT NUMBER 3) DATE OF LAST COP 4) LEVEL OF COPUNOPS Clarification 18:1. UNOPS advises that the requested information is related to the UN Global Compact participation (a forum for discussion and a network for communication including governments, companies and labour organisations, whose actions it seeks to influence, and civil society organisations, representing its stakeholders, with the aim of encouraging businesses worldwide to adopt sustainable and socially responsible policies, and to report on their implementation).

New clarification added: Clarification Request 17:1. Clarification requested regarding ITB Section III: Returnable Bidding Forms; Form H: Manufacturer's Authorization Form. Paragraph 4 referring to Clause 4.5 instead of Clause 5.5 in UNOPS General Conditions of Contract for Goods and Services is requested to be clarified.2. The document/s related to Policies and Procedures followed, requested in this form, are available in local language. Do we have to present translations of the document/s ? Do all the supporting documents have to be submitted in the bid?UNOPS Clarification 17:1. UNOPS clarifies that the paragraph four of Form H: Manufacturer's Authorisation Form, whereby the Manufacturer Authorises the bidder to submit the bid, extending the guarantee and warranty of the goods to be offered in accordance with UNOPS GCC shall be changed to read as follows: "We hereby extend our full guarantee and warranty in accordance with Clause 5.5 of the General Conditions of Contract for the provision of Goods and Services, with respect to the goods and services offered by the above firm."2. UNOPS advises that bidders shall refer to the UNOPS Procurement Manual; 6. Solicitation; 6.5 Components of solicitation documents; 6.5.2 Particulars and instructions to bidders; k) Language of bids. The selected language for ITB/2020/15480 is English Language. Further, UNOPS confirms that all the supporting documents are required to be submitted in the bid dossier. 

New clarification added: Clarification Request 16:With respect to similar experiences, could you please kindly let us know if similar experiences carried out during the ongoing year could be considered as acceptable ones.UNOPS Clarification 16:UNOPS confirms the Proof of Experience requirement as set under the ITB Section: Criteria; Stage: Qualification criteria; "Proof of experience: The company should complete the Form H: Previous Experience Form for the previous implemented projects/ deliveries in the field of CT Scanner and Digital Radiography and Fluoroscopy. Bidder need to be in continuous business of supplying similar goods in the past three (3) years 2017, 2018 and 2019." UNOPS further clarifies that the previous similar experience during 2020 year will be considered in addition to the requirements set in ITB. 

New clarification added: Clarification Request 15:Clarification required refering to the published specifications: parameter determining the imaging quality, specified as: "Spatial resolution in Z axis: at least 0.24 mm"The way this specification has been written, it wrongly indicates that the values of this number should be equal or higher than 0.24 mm. Higher value of the number means lower resolution. On the contrary, the lower the number, the higher the spatial resolution (this number means the size of the detail that could be detected, which is needed to be as small as possible).UNOPS Clarification 15:UNOPS clarifies that being aware of the concept of the spatial resolution, the reference is made to the resolution in Z axis, and it clearly refers to the smallest distinguishable detail, for which "at least 0.24mm" is defined as the requirement ("smallest part distinguishable in Z axis: minimal 0.24mm"). Therefore, the specifications are considered clear and are not altered.

New clarification added: Clarification Request 14:6. Regarding the postprocessing station we want to know this info: How many concurent users must be provided since in one point there are required 6 users, and then 5, and then 3, and then 1, and then again 5. Could you please consider to change the number of concurent user to 4 or max 5. In our opinion 4 will be more than sufficient.Should the software required for postprocessing be available for all concurent users? In terms of clinical benefit will be better to ask for less users at least 4 which could have access on all required software. Please kindly consider this change.7. Required: Contrast Injector suitable sytinges 50 ml, 100 ml, 200 ml. Could please kindly consider to accept also 190 ml syringes since the change does not makes any significant impact to the clinical benefits and also contast injection volume of more than 190 ml will almost be needed in the clinical practice.8. Required: Availability of settings/ database for contrast media library and patient parameters. The requirement for database for contrast media library is exagerated. There are max 2-3 contrast media types cleared. All injectors have in built and laos user customized injection protocols but no contrast media library. This is not neccessary as per our suggestion.9. Required: Dedicated radiology Laser dry printer. Could you please accept also another technology like Thermal dry which ensures the same performance and image print quality as dry laser.UNOPS Clarification 14:6. UNOPS advises to refer to the required number of users as a minimum. This is based on the number of qualified personnel. So the software licensing should at least allow for the number of users as requested under the ITB Schedule of Requirements. Therefore, the request for change can not be accepted.7. UNOPS clarifies that 200ml is also a reference point in the industry and multiple brands are available that provide such capacity, therefore, the request for change can not be accepted.8. UNOPS advises that the contrast libraries are a convenient and reliable tool to improve the workflow of staff. And over the lifetime of the injector, the end user will likely accept more types of contrast fluids. The injector is required to be ready for this. Therefore, the request for change can not be accepted.9. UNOPS advises thet the Thermal dry technology is also accepted considering the required DPI. UNOPS confirms that the laser dry is still considered the technology of choice. 

New clarification added: Clarification Request 13:1. Required: Spatial resolution in Z-Axys at least 0.24 mm. Could you please change this to 0.38 mm? For the given modality has almost no impact on clinical benefits.2. Required: Dose for low contrast detectability max 8 mGy. Could you please consider to change this to max 12.5 mGy ?3. Required: Gantry tilt angle +/- 30 degrees. Could you please consider to also accept Digital Tilt Solution and not only mechanical one? Computing technology today is powerful and the solution with digital tilt allows to either program the protocol in advance to provide MPR at certain angles, or to program it real time on the scout. Since the CT has the fastest rotation in its own class, the mechanical tilting is physically not possible.4. Required: Two 19" LCD/LED color monitor (dedicated X-ray monitor; min 1024x1280 resolution). Could you please consider to accept a solution with one monitor. Generally, the second monitor is for image visualization of previous examination during a patient scan. But, since almost in every installation nowadays is required a postprocessing station (server-client) to be delivered with the second monitor is really not a must. This change will not impact the workflow and the clinical benefits.5. Required 32 GB RAM DDR3 RAM or better. Could you please consider to change also to 16 GB for the console? In term of clinical benefits this will change nothing. The power of the PC is adjusted with the software needs and every manufacturer provide its own solution.UNOPS Clarification 13:1. Kindly refer to UNOPS Clarification 5; Answer 5. Further more, UNOPS advises that this change would decrease the resolution quality by 58%, which would difficult imaging of small artefacts, tissue and bones. That is unacceptable in terms of imaging quality and intended use. Therefore, the request for change can not be accepted.2. UNOPS advises that lowering the dose of radiation patients are exposed to, is a key factor for the principle of not doing harm to patients. CT scans account for 50 percent - 70 percent of the radiation dose patients receive in hospitals in EU countries, clearly that is the one machine on the radiology department for which gains in radiation dose are important. Therefore, the request for change can not be accepted.3. UNOPS clarifies that mechanical tilting is an option seen in all many modern day CT scanners. Therefore, the request for change can not be accepted.4. Kindly refer to UNOPS Clarification 06; Answer 4.5. UNOPS clarifies that for the current day operations 16 GB is enough, but the CT scanner is intended with in mind the future. As software processing becomes more and more important, it is expected that 32 GB is needed in the lifetime of the CT scanner. Therefore, the request for change can not be accepted.

New clarification added: Clarification Request 12 (additional Clarifications to Clarification Request 01):Some of the required specifications are exclusive and create exclusionary circumstances for leading manufacturers in this field. Regarding to this, we kindly ask you to review the required specifications of CT to give the possibly to participate in this procedure by providing the equipment whose parameters give much more advantages than the parameters required in the Technical Specification documents. The required technical specification proposed to be changed are as below:1. Single energy maximum power: min 100 kW (nominal) - Should change to: Single energy maximum power: min 84 kW;2. Highest available pitch for single and fast dual energy acquisitions: min 1.5 - should be changed or be added "or equivalent" because other manufacturers use Normal Scan ( axial), the equipment makes twice the same slices with different kV;3. Highest gantry rotation time (360°) for single and dual energy scans: max 0.35 s - should be changed to Highest gantry rotation time (360°) for single and dual energy scans: max 0.5s.UNOPS Clarification 12:1. Most of the energy consumed during the diagnostic process is used to operate the X-Ray components. Energy is also required to operate a computer for digital image processing and controls, and drive an electric motor required to rotate the ring and the attached X-ray equipment while the machine is operating. Operating modes and predetermined use scenarios also influence energy consumption. All of these were carefully discussed with the beneficiary, and 100 kW was set as the minimum level of energy required for optimal performance.Therefore, the proposal to change specification is rejected, since this would decrease the stipulated performance level of equipment.2. Common clinical practice showed that with the use of two x-ray sources and two data acquisition systems, CT exams having a nominal temporal resolution per image of up to one-quarter of the gantry rotation time can be acquired using pitch values up to 3.2. The pitch value has impact on radiation dose and image noise when the effective tube current time product (mA s/pitch) is kept constant. In addition, artifacts are found to be less prevalent for the dual-source pitch = 1.5 scan mode when structures vary markedly.Therefore, the proposal to change specification is rejected, since this would decrease the performance level of equipment.3. To enable high-speed scanning with good temporal resolution, CT systems provide high gantry rotation speeds. For high-performance systems with mechanical roller gantry bearings, gantry rotation times of 0.35 seconds are achievable. Operating modes are available to acquire data over a partial arc (360 degrees) to shorten the apparent rotation time further. Air bearing technology enables even faster rotation speeds. Such rotation speeds are desirable to achieve cardiac imaging without using β-blockers to slow patients’ heart rates. Together with large-coverage detector arrays, scan times permit rapid acquisition of contiguous anatomic areas for volume data acquisitions. The ideal CT scanner for perfusion imaging is the one with the best possible temporal and spatial resolution that is capable of reconstructing high-quality images of the entire anatomy of interest at multiple time points while delivering the smallest radiation dose to the patient. Current technology allows up to 16 cm of body coverage in less than 300 milliseconds with 0.35-mm isotropic spatial resolution. In addition, a CT perfusion study is not complete without availability of a robust postprocessing method to quantify perfusion parameters with good inter operator reproducibility and great interscan repeatability when follow-up comparisons are required.Therefore, the proposal to change specification is rejected, since this would decrease the performance level of equipment.

New clarification added: Clarification Request 11:Form H: Manufacturer's Authorisation Form is unclear because in the Authorization of the Manufacturer no agreement can be made between the Manufacturer and the authorized Operator.Will you make changes to the Form H or can we submit the authorization of the manufacturer to whom we are authorized for such procedures according to the manufacturer form?UNOPS Clarification 11:UNOPS clarifies that as per the requirements, within the documents comprising the bid the applicable Returnable Bidding Forms are mandatory as per the set Criteria under this ITB. The completeness of bid requires all the returnable Bidding Forms to be submitted fully completed and signed. Specifically, Form H: Manufacturer's Authorisation Form is Mandatory to be submitted (criteria set under the Qualification stage of Evaluation). The published Form H (or text within) as part of ITB shall not be amended, as it provides the requirements to be submitted by the manufacturer as also stated in the first paragraph in Form H: "A letter issued by the manufacturer authorizing the applicant to participate in this particular ITB must be submitted with the bid in the format provided in this Form."UNOPS further clarifies that the submission of the Manufacturer's form (in addition to Form H) is acceptable subject to the evaluation depending on content. Moreover, the agreement made between the Manufacturer and the authorized Operator is also acceptable (in addition to Form H). 

New clarification added: Clarification Request 10:Referring to Section II: Schedule of Requirements; General requirements: What are the period of the Validity of the Warranty and the Warranty service requirements?UNOPS Clarification 10:UNOPS confirms that as per the ITB/2020/15480, Section II: Schedule of Requirements V2; General requirements: The warranty shall remain valid for 24 months after the Goods, or any portion thereof as the case may be, have been delivered to and accepted at the final destination. Within the warranty period of 24 Months, the Supplier or its authorized service center shall provide maintenance and/or repair services to the equipment operation site not later than 10 (ten) workdays from the date of receipt of written or E-mail notification from an authorized party.

New clarification added: Clarification Request 09:Due to the vacation time in many Countries, in order to obtain all the necessary information by the manufacturers, we kindly ask to extend the deadline at least for 1 week.UNOPS Clarification 09:UNOPS advises that the initial deadline for submission dated 17 Aug 2020 has been extended for two more weeks through Amendment 1 and Amendment 3 and the new deadline for submission is 31 Aug 2020 at 10:00am CET. In addition the deadline for clarifications has been extended until 26 Aug 2020 at 11:00am CET.

New clarification added: Clarification Request 08:1. Are the documents to be provided for this tender required be noterized?2. We noticed the info : For the goods supplied by the local vendors direct taxes will be paid by the vendors and they will be reimbursable by the beneficiary - Ministry of Health and Social Protection of Albania.Could you please refer the law/ agreement from which arises the obligation of Ministry of Health and Social Protection to reimburs direct taxes ?Your explanation will be a guarantee for the winer who to proced in order to be reimbursable.UNOPS Clarification 08:1. UNOPS advises that the submited documents are not required to be notarized.2. UNOPS advises that there is no specific law on this. Goods supplied through this tender and other tenders previously are financed by EU funds for assisting the Government of Albania in fighting Covid 19 but like other similar supplies in Albania are not exempted from the VAT and other local taxes and they will be paid either by supplier or by the beneficiary. UNOPS as a UN entity is globally exempted by paying local taxes and for this purpose has an understanding with the Ministry of Health and Social Protection (MoHSP) of Albania that the MoHSP as a beneficiary will pay respectively reimburse local taxes. For this purpose the MoHSP of Albania has allocated a budget for payment respectively to reimburse payment of VAT for the entire project financed by the EU in Albania including this tender also. The payment/reimbursement will be as the following:· The Local Contractor will prepay the VAT at the Customs and then reimbursed by the MoHSP upon presentation of the contract, Invoice with the VAT, Oorigin of goods document, the Acceptance letter from MoHSP certifying the compliance with the contract and inventory document (hospital warehouse certification), Declaration for the installation and functionality of the equipment, training for the personnel for use and servicing· For the International Contractor, the VAT will be paid by MoHSP at the Customs point upon presentation by the Contractor of the Contract, Invoice, Cmr, packing list, Catalogue, Origin of goods document, Custom declaration document (with the VAT value to be paid), Declaration for the installation and functionality of the equipment, training for the personnel for use and servicing. The contract, invoice, catalogue, origin of goods and the declaration, should be sent to the health institutions where the devices will be installed, for the acceptance and inventory purposes. 

New clarification added: Clarification Request 07:Clarification Requests received in relation to the Lot 2 of the ITB/2020/15480 - Supply, Delivery and Installation of Digital Radiography and Fluoroscopy Suite – Imaging Unit.​UNOPS Clarification 07:UNOPS advises that in accordance with Amendment rev 2 posted on 13 Aug 2020, Lot 2 of the ITB/2020/15480 - Supply, Delivery and Installation of Digital Radiography and Fluoroscopy Suite – Imaging Unit in Lezha Hospital has been Cancelled therefore ITB consists of only Lot 1.In relation to this Amendment bidders have been advised to follow the RFP documents uploaded and may bid for Lot 1: Supply, Delivery and Installation of CT Scanner in University Clinic in Mother Teresa Hospital, Tirana.

New clarification added: Clarification Request 06:1. For the generator it is requested “Single energy maximum power: min 100 kW (nominal)”; - In the latest generation of the CT production the generator power trend is to go lower since they use advanced dose reduction techniques that give the same or better output in terms of image quality. We kindly ask for 60 kW/72 kW to be accepted as it does provide the same or better result.2. Fastest gantry rotation time (360°) for single and dual energy scans: 0.35s or faster; - We kindly request this parameter of a difference of 0.15s to be accepted as well.3. Tube voltage range: at least from 80 kV to 140 kV; Our product to be proposed uses a very sensitive detector. For this reason, upper voltage range ceilings are not necessary in order to provide the same result, thus kindly allow a maximum voltage of “up to 140Kv”.4. Two 19” LCD/LED color monitor (dedicated x-ray monitor, min. 1024 x 1280 resolution); - Considering that the worldwide industry standard is a single dedicated monitor, can you specify why is there a need for two monitors 19”? Since one is used for the computer console, what would be the need of a mandatory second one?UNOPS Clarification 06:1. Most of the energy consumed during the diagnostic process is used to operate the X-Ray components. Energy is also required to operate a computer for digital image processing and controls, and drive an electric motor required to rotate the ring and the attached X-ray equipment while the machine is operating. Operating modes and predetermined use scenarios also influence energy consumption. All of these were carefully discussed with the beneficiary, and 100 kW was set as the minimum level of energy required for optimal performance. Therefore, the proposal to change specification is rejected, since this would decrease the stipulated performance level of equipment.2. To enable high-speed scanning with good temporal resolution, CT systems provide high gantry rotation speeds. For high-performance systems with mechanical roller gantry bearings, gantry rotation times of 0.35 seconds are achievable. Operating modes are available to acquire data over a partial arc (360 degrees) to shorten the apparent rotation time further. Air bearing technology enables even faster rotation speeds. Such rotation speeds are desirable to achieve cardiac imaging without using β-blockers to slow patients’ heart rates. Together with large-coverage detector arrays, scan times permit rapid acquisition of contiguous anatomic areas for volume data acquisitions. The ideal CT scanner for perfusion imaging is the one with the best possible temporal and spatial resolution that is capable of reconstructing high-quality images of the entire anatomy of interest at multiple time points while delivering the smallest radiation dose to the patient. Current technology allows up to 16 cm of body coverage in less than 300 milliseconds with 0.35-mm isotropic spatial resolution. In addition, a CT perfusion study is not complete without availability of a robust postprocessing method to quantify perfusion parameters with good inter operator reproducibility and great interscan repeatability when follow-up comparisons are required. Therefore, the proposal to change specification is rejected, since this would decrease the performance level of equipment.3. For DECT systems relying on different tube voltages for spectral separation, the standard peak energies used for scan acquisition are typically at 80 and 140 kVp; For the high-energy acquisitions, even 150 kVp may be used instead of 140 kVp with some models. Protocols may also vary depending on the specific application under consideration. High energy acquisitions are useful for specialized applications, as per beneficiary request. Therefore, the proposal to change specification is rejected, since this would decrease the performance level of equipment.4. Medical Imaging Displays are categorized into two main categories: primary and secondary. Primary displays are intended to be used by medical practitioners to interpret images for an official (billable) report that will be used by others to make healthcare decisions. Secondary displays are intended for multiple uses, not all of which are related to medicine (eg, office work, patient education in the examination room, review by clinicians and surgeons, image acquisition, and PACS quality assurance). It also reflects the workflow of the beneficiary institution. 

New clarification added: Clarification Request 05:1. Patient table: Length of metal free scan range: min 175 - Can we offer a range of 160 Cm?2. Generator and Xray Tube: Single energy maximum power: min 100 kw - Can we offer 75kW?3. Effective anode heat capacity: 7.5 MHU - Can we offer heat capacity 7.0 Mhu?4. Reconstrucion: Highest achievable temporal resolution max 60 ms - Can we offer Highest achievable temporal resolution max 85 ms?5. Spatial resolution in Z Axis 0.24 mm - Can we offer spatial resolution 0.33 mm?6. SSD 1 TB storage capacity - Can we offer storage capacity 720 GB?7. Contrast Injector. Suitable syringes: 50 ml, 100 ml. 200 ml - Can we offer only 200 ml syringes?UNOPS Clarification 05:1. Length of metal free scan range allows primarily for full body scanning with a reduced likelihood of needing to reposition the patient. It also allows scanning of a full range of patients (taller ones particularly). This feature is primarily defined by the beneficiary, according to specific needs, space and types of examinations. Therefore, the proposal to change specification is rejected, since this would decrease the performance level of equipment.2. Most of the energy consumed during the diagnostic process is used to operate the X-Ray components. Energy is also required to operate a computer for digital image processing and controls, and drive an electric motor required to rotate the ring and the attached X-ray equipment while the machine is operating. Operating modes and predetermined use scenarios also influence energy consumption. All of these were carefully discussed with the beneficiary, and 100 kW was set as the minimum level of energy required for optimal performance.3. Regarding the effective anode heat capacity, it is well known that in CT scanning, when anode heating is a limiting factor, a higher scan rate can be obtained by operating the anode with the highest safe heat content, since the cooling rate is higher for a hot anode and more scans can be obtained in a specific time than with a cool anode. Therefore, the proposal to change specification is rejected, since this would decrease the stipulated performance level of equipment.4.The main challenge in cardiac CT is temporal resolution - imaging fast enough to 'freeze' the motion of the heart. As per beneficiary request, this feature was identified as important, therefore the proposal to change specification is rejected, since this would decrease the stipulated performance level of equipment.5. Request to change the spatial resolution range is also not acceptable, since advanced spatial resolution, as per technical specifications, can benefit lung, temporal bone, musculoskeletal and vascular imaging. Here, specified spatial resolution is required to delineate small anatomy and pathology. Therefore, the request for change can not be accepted.6. Storage capacity, is again rejected since the host computer in CT has limited storage capacity, so image data can be stored only temporarily. Other storage mechanisms are necessary to allow for long-term data storage and retrieval. Usually, after reconstruction, the CT image data are planned to be transferred to another storage medium, with high memory capacity for archiving, therefore the request to downsize this capacity is not acceptable.7. In DECT scanning, the rate and volume of contrast injection and the scan delay should be customized to the specific catheter and injection site utilized. In addition, different sizes of syringes should allow variability of modalities and clinical applications when contrast is applied. Therefore, the proposal to change specification is rejected, since this would decrease the stipulated performance level of equipment.

New amendment added #3: UNOPS advises that the ITB/2020/15480 - Supply, Delivery and Installation of CT Scanner and Digital Radiography and Fluoroscopy in Albania NEW submission deadline is extended for an additional one more week until 31st of August 2020 at 10:00am CET Time;and the new Deadline for Clarifications period is extended until 26th of August 2020 at 11:00am CET Time.

New amendment added #2: UNOPS advises that the Lot 2 of the ITB/2020/15480 - Supply, Delivery and Installation of Digital Radiography and Fluoroscopy Suite – Imaging Unit in Lezha Hospital has been cancelled.The ITB published has been amended to read as follows:The ITB consists of only Lot 1: Supply, Delivery and Installation of CT Scanner in University Clinic in Mother Teresa Hospital, Tirana, Albania.Bidders may bid for Lot 1: Supply, Delivery and Installation of CT Scanner in University Clinic in Mother Teresa Hospital, Tirana; Bidders must submit the full and complete financial bid; Incomplete financial proposals shall be grounds for disqualification.Bidders are advised to follow the RFP documents uploaded under the Documents tab of this RFP:- Schedule I: Instructions to bidders V2- Section II: Schedule of Requirements V2- Section III: Returnable Bidding Forms V2- Section IV: UNOPS General Conditions for Goods and Services. 

New amendment added #1: UNOPS advises that the new ITB/2020/15480 - Supply, Delivery and Installation of CT Scanner and Digital Radiography and Fluoroscopy in Albania submission deadline is extended for one additional week until 24th of August 2020 at 10:00am CET Time;and the new Deadline for Clarifications period is extended until 19th of August 2020 at 11:00am CET Time.

New clarification added: Clarification Request 02:The Dual Layer system is highly demanded one, without any problem in technical specifications, but it has a worldwide delivery problems.If possible we would kindly demand to have a tender for monoenergy CT scanner for either 64, 128, or 256 slices.We would kindly demand to have the delivery period of time prolonged since there's a long queue in the factory production line and if we place the order now, the delivery will occur somewhere in January.UNOPS Clarification 02:Please refer to Clarification Request No. 01 above. UNOPS further clarifies that the delivery timeframe is as requested on this ITB and it can not be changed."Bidder shall deliver the entire goods as soon as possible, but no later than 60-90 days from the date of Contract Signature. Bidders are encouraged to provide their own earliest available delivery time frame under 90 days".

New clarification added: Clarification Request 04:1. Single energy maximum power: min 100 kW (nominal) - Should change : Single energy maximum power: min 84 kW2. Highest available pitch for single and fast dual energy acquisitions: min 1.5 - should be changed or be added " or equivalent"3. Highest gantry rotation time (360°) for single and dual energy scans: max 0.35 s - should be changed  Highest gantry rotation time (360°) for single and dual energy scans: max 0.5 sUNOPS Clarification 04:Please refer to Clarification request No. 01 above.

New clarification added: Clarification Request 03:For the CT system: 1. For the generator it is requested “Single energy maximum power: min 100 kW (nominal)”; - In the latest generation of the CT production the generator power trend is to go lower since they use advanced dose reduction techniques that give the same or better output in terms of image quality. We kindly ask for 60 kW/72 kW to be accepted as it does provide the same or better result.2. Fastest gantry rotation time (360°) for single and dual energy scans: 0.35s or faster; - We kindly request this parameter of a difference of 0.15s to be accepted as well.3. Tube voltage range: at least from 80 kV to 140 kV; Our product to be proposed uses a very sensitive detector. For this reason, upper voltage range ceilings are not necessary in order to provide the same result, thus kindly allow a maximum voltage of “up to 140Kv”.4. Two 19” LCD/LED color monitor (dedicated x-ray monitor, min. 1024 x 1280 resolution); - Considering that the worldwide industry standard is a single dedicated monitor, can you specify why is there a need for two monitors 19”? Since one is used for the computer console, what would be the need of a mandatory second one?For the Digital Radiography and Fluoroscopy Suite – Imaging Unit: 1. Output in fluoroscopy: 0.5-23 mA; - We kindly ask to accept the industry standard current in fluoroscopy i.e. to be 0.5 – 20 mA in 0.1 mA steps.2. Maximum heat storage capacity of the tube housing: 2000 kHU; - Since in digital system there is no need of heat capacity to go to higher values due to the use of digital detectors, x-ray tube heat capacity tend to go lower. Thus, please allow lower values like 1500 kHU because having a higher heat storage capacity does not imply a better imaging system.3. Min 3.1GHz I7, RAM: 8GB Processor, HDD: min 1TB, Win 10 or equivalent operating system - Hardware minimal console is defined based on the software that every manufacture selects, these are manufacture depended and could not be defined as strict tender technical requirement.UNOPS Clarification 03:Please refer to Clarification request No. 01 above.

New clarification added: Clarification Request 01:We, note that some of the required specifications are exclusive and create exclusionary circumstances for leading manufacturers in this field. Regarding to this, we kindly ask to review the required specifications of CT to give the possibly to participate in this procedure and provide equipment whose parameters give much more advantages than the parameters required in the Technical Specification documents. The required technical specification that needs to be changed are as below: - Single energy maximum power: min 100 kW (nominal) - Should change: Single energy maximum power: min 84 kW - Highest available pitch for single and fast dual energy acquisitions: min 1.5 - should be changed or be added " or equivalent" because other manufacturers use Normal Scan ( axial), the equipment make twice the same slices with different kV. - Highest gantry rotation time (360°) for single and dual energy scans: max 0.35 s - should be changed Highest gantry rotation time (360°) for single and dual energy scans: max 0.5s These technical requirements above do not make any difference in clinical examination compared with the advantages that our equipment offer.UNOPS Clarification 01:UNOPS advises that after a detailed internal review and considering the requirements as set by the end user and as agreed with the client, the Technical Specifications will not be adjusted as they will lower the performance level of the desired equpment. However, bidders are encouraged to participate in this tender and offer the item compatible with the one specified.