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National Health Mission, Panchkula, Haryana
December, 04th 2018
                             State Health Society,
                        National Health Mission,
                   HEALTH DEPARTMENT, HARYANA




                BAYS NO. 55-58, SECTOR-2, PANCHKULA
                  Tel. No. 0172-2573922/ Fax: 0172-2562939




 E-TENDER for Appointment of Concurrent Auditor for State Health Society,
Haryana for Audit of all programmes under NHM & Non NHM



                     Cost of Tender Document: Rs. 500/-
                       National Health Mission, Haryana
                             Bays no 55-58 Sec-2
                                  Panchkula
                                     e-TENDER NOTICE

Tender notice no. 5935            Dated:-28.11.2018

   TENDER for Appointment of Concurrent Auditor for State Health Society, Haryana

      E-tenders are invited online by the o/o Mission Director, National Health Mission,
Panchkula Haryana in two bid system (i.e. Part-I: Technical Bid and Part II: Financial Bid) for
hiring of services of Chartered Accountant Firms & Cost Accountant Firms for carrying out
Concurrent Audit of Accounts Records of State Health Societies , Haryana for 2018-19.

      1.   The detailed tender document can be downloaded from the website
           www.etenders.hry.nic.in & filled up from 03-12-2018 to 18.12.2018 (upto 1.00 PM)

      2.   Important dates for the tender are as follows:-

   Start Date & Time of Bid Preparation &         :   03-12-2018       10:30 hours
   Submission
   Pre Bid Meeting                                :   11-12-2018       11:30 hours
   Last Date & Time for Tender Document           :   18-12-2018       11:00 hours
   Fees deposit ( non ­refundable)
   Closing Date & Time of Bid Preparation         :   18-12-2018       13:00 hours
   & Submission
   Technical Bid opening                          :   18-12-2018          15:00 hours
   Date and time of Opening financial Bids            Opening date of Financial Bid Will be
                                                      intimated later on after evaluation of
                                                      Technical Bid
      Email address for communication for             dfa.rhm@gmail.com
      any queries/clarifications.
3. The interested CA/CMA Firms may submit the tenders online at
   www.etenders.hry.nic.in(i.e. Part-I: Technical Bid and Part II: Financial Bid) in the
   prescribed Performa. All the documents in support of eligibility criteria etc. are also to
   be scanned and uploaded during tender preparation and at submission stage. Tenders
   should be submitted online only, however The Bidders shall also dropped original copy
   of Technical Bids along with related documents and Demand Drafts for Tender Fee in
   tender box kept at O/o Mission Director, NHM, Sector-2, Panchkula on or before the
   last date and time of submission of the E-tender on portal.
4. 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.
5. The Bidder must be registered in e-procurement portal (www.etenders.hry.nic.in) and
   obtain valid class III Digital Signature Certificate (DSC) as per Information Technology
   (IT) Act,2000.
6. The Bidder is responsible for checking the e-procurement portal on regular basis for
   notification/amendments to the tender(if any).


   Proposal documents without tender fee will be rejected.




                                                                       -sd-
                                                                    Mission Director
                                                      National Health Mission, Haryana
                                     INTRODUCTION

         National Health Mission is a mission of Government of India to address the health needs
        of rural areas and Urban areas. NHM essentially focuses on strengthening health facilities
        and services up to the district level in urban and rural areas. NHM envisages achievement
        of universal access to equitable, affordable& quality health care services that are
        accountable and responsive to people's needs. In order to strengthen better
        communication facilities with the health functionaries at basic health care level viz:
        SCs,PHCs,CHCs, Urban Health Centers etc. and to facilitate monitoring and supportive
        supervision of various health activities, programmes under NHM as a part of routine
        procurement process,

        IMPORTANT INFORMATION
1.   Tender Inviting Authority, Designation Mission Director, National Health Mission, Bays
     and Address                            No. 55-58, Sector-2, Panchkula. Tel. No. 0172-
                                            2573922/ Fax: 0172-2562939
     Name of Work                           E-TENDER for Appointment of Concurrent
                                            Auditor for State Health Society, Haryana for Audit
                                            of all programmes under NHM & Non NHM.
     Tender reference                       No. NHM/E-tender/Con.Audit/2018/-19/_______
     Publication of Tender document and     Tender document & notice are available at
     Tender Notice on Website               www.etenders.hry.nic.in from 03-12-2018 by 10:30
                                            am
     Tender document availability for       03-12-2018 by 10:30 am onwards
     bidding
2.   Cost of Bidding                        (a). The payment for Tender Document fee Rs 500/-
                                            ( Rupees Five Hundred Only) can be deposited in
                                            the form of DD/Banker Cheque in favour of State
                                            Health Society, Haryana payable at Panchkula by
                                            the Bidders who apply for the Concurrent Audit of
                                            State Health Society, Haryana. The bid fees shall be
                                            deposited in the O/o Mission Director, NHM,
                                            Sector-2, Panchkula on or before the last date and
                                            time of Tender Fees submission.
                                            (b) The bidder shall submit the scanned copy of
                                            DD/banker cheque along with technical bid online.
                                            The bid fee is non-refundable. The bidder shall bear
                                            all costs associated with preparation and submission
                                            of bids and NHM Haryana will not be liable for the
                                                cost incurred, regardless of the outcome of the
                                                bidding process.
4.    Queries/clarifications/suggestions        May be send in writing through e-mails at below
      related to tender document.               mentioned e-mail IDs (dfa.rhm@gmail.com) latest
                                                by 08-12-2018 till 4:00 pm
                                                Note:- No queries/clarification will be entertained
                                                after 08-12-2018.

    a) Email address for communication          dfa.rhm@gmail.com
5.      for any queries/clarifications
    b) Clarification to vendor query            13-12-2018 till 4:00 pm.
        /release of corrigendum/ (if required
        by Committee)
6. Last date & time for submission of e-        18-12-2018 till 1:00 pm
    Tender
7. Date and Time of Opening of                  18-12-2018 at 3:00 pm
    Technical Bids
8. Date and time of Opening Commercial/         Will be intimated later on
    financial Bids
9. Validity of e-bids                           90 days from the date of opening of e-bids
10. Validity of price bid after finalization    1 Year from date of award of work order
    of successful bidder

11.     i.    Eligibility Criteria: Refer to Tender Document.
       ii.    Two Bid system i.e. Stage- 1 Prequalification cum Technical Bid:
              Stage 2 Financial Bids.
       iii. Bidder(s) will submit the sealed hard copy of technical bid as uploaded on above
              mentioned website upto the last date and time of submission of e-tender i.e.18-12-2018
              till 1:00 p.m. The hard copy must be submitted in the O/o National Health Mission ,
              Bays no 55-58 Sector-2 Panchkula ( Haryana) by the Bidders who apply for the
              Concurrent Audit of State Health Society, Haryana .
        v. Final decision will be as per the description of Technical & Financial evaluation.




                                                                    Sd/-
                                                                Mission Director
                                                             National Health Mission, Haryana
                Procedures for submitting Tenders

1.   Under this process, the Technical online bid Application as well as online
     Price Bid shall be invited online at single stage i.e. Technical & Financial
     Bid. Eligibility and qualification of the Applicant will be first examined
     based on the details submitted online under first cover (Technical Bids)
     with respect to eligibility and qualification criteria prescribed in this
     Tender document. The Price Bid under the second cover shall be opened
     for only those applicants whose Technical Bids Applications are
     responsive to eligibility and qualifications requirements as per Tender
     document.
2.    The Bidders shall have to submit their Bids online in Electronic Format
     with Digital Signatures. For participation in the e-tendering process, the
     Bidders need to register themselves on www.etenders.hry.nic.in & for
     registration, they will be provided with a user ID and a system generated
     password enabling them to submit their Bids online using Digital System
     Certificates (DSC).
3.   Tenders without digital signatures will not be accepted by the Electronic
     Tendering System. No Tender will be accepted in physical form and in
     case, it has been submitted in the physical form, it shall be rejected
     straightway. The interested CA/CMA firms have to submit the tenders
     through e-procurement portal as per required packet/cover contents,
     however hard copy must be submitted in the O/o National Health
     Mission , Bays no 55-58 Sector-2 Panchkula ( Haryana) by the Bidders
     who apply for the Concurrent Audit of State Health Society, Haryana
     upto the last date and time of submission of e-tender i.e.18-12-2018 till
     1:00 p.m.
4.   Bids will be opened online as per time schedule mentioned above.
5     National Health Mission, Haryana will not be responsible for any delay
     in online submission of the Bids due to any reason whatsoever.
6.   The conditional bids shall not be considered and may be out rightly
     rejected in very first instance. The Bidders are required to upload self-
     attested & scanned copies of the relevant documents required as per
     Terms & Conditions, failing which their bids may be out-rightly rejected
     and will not be considered.
7.   The Financial Bid through e-tendering of only those bidders shall be
     opened who will qualify in the technical bid.
8.   Technical bid should be in the format given in Appendix-H, duly filling
     in all required details and duly signed by the bidder/his authorized
     signatory on each page.

9.      All the requisite documents must be attached with the Technical bid
       duly signed by AUTHORISED SINGNATURED AS SPECIFICED
       IN Appendix-H
             Evaluation of Technical bids:


Technical Evaluation
The NHM Haryana may incorporate any changes in the RFP based on
acceptable suggestions received from the Vendors. The decision of the
NHM Haryana regarding acceptability of any suggestion shall be final
in this regard and shall not be called upon to question under any
circumstances.        The   prospective        bidders   shall   submit   their
queries/questions in writing through e-mail on dfa.rhm@gmail.com to
reach NHM Office on or before 08-12-2018 up to 4:00 pm.. No
queries/clarifications will be entertained after 08-12-2018. The
responses will be conveyed to all the prospective bidders through
NHM's official website posting by way of information regarding
amendments        /     clarifications    at      NHM      Haryana    website
http://www.nrhmharyana.gov.in             and no participant would be
intimated individually about the response of the NHM Haryana.
The eligibility criteria will be first evaluated as defined in Request for
Proposal (RFP) for each bidder. Detailed technical evaluation will be
taken up in respect of only those bidders, who meet with the
prescribed eligibility criteria. Scrutiny of the tender document will be
done by the Audit Committee to determine whether the documents
have been properly signed, Tender Fees paid and all relevant papers
submitted. Tenders not conforming to such requirements will be prima
facie rejected.
                              General Terms and Conditions
     1. E-Bids shall remain valid for 90 days after the date of opening of e-Bids
         prescribed by the NHM, Haryana. An e-Bid with validity of a shorter period
         than specified shall be rejected by the NHM , Haryana as non-responsive.

     2.   At any time prior to the date of submission of bid, NHM may for any reason,
          whether at its own initiative or in response to a clarification sought/requested
          by a prospective bidder, modify the bidding documents by an amendment. All
          prospective bidders who have received the bidding document will be notified
          of the amendment in writing/through e-mail/website and same will be binding
          on them. In order to allow reasonable time, for taking the amendment into
          account, NHM may at its discretion, extend the date and time for submission
          of bids.
3.        NHM Haryana reserves the right to cancel this invitation and / or invite fresh
          Proposals with or without amendments to this invitation, without liability or
          any obligation for such invitation and without assigning any reason.
Request for Proposal
(RFP)
For Appointment of Concurrent Auditor for
State Health Society, Haryana for Audit of all
programmes under NHM & Non NHM




[2018-19]
REQUEST FOR PROPOSAL (RFP)

   State Health Society Haryana, 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 State Health Society ,Haryana under the National Health
   Mission for the financial year 2018-19.
   This appointment will be for one year & can be renewable for next year
   subject to the satisfactory performance of Concurrent Auditors.
   A complete set of RFP specifying eligibility criteria, and other terms and
   conditions applicable for the above said assignment can be downloaded from
   Website www.etenders.hry.nic.in OR www.nrhmharyana.gov.in
   Important Dates & Address are as follow:
  Start Date & Time of Bid             :   03-12-2018       10:30 hours
  Preparation & Submission
  Pre Bid Meeting                      :   11-12-2018       11:30 hours
  Last Date & Time for Tender          :   18-12-2018       11:00 hours
  Document Fees deposit ( non ­
  refundable)
  Closing Date & Time of Bid           :   18-12-2018       13:00 hours
  Preparation & Submission
  Technical Bid opening                :   18-12-2018        15:00 hours

Particulars                               Address
Place of pre bid conference for the audit O/o Mission Director, NHM Haryana,
of State Health Society, Haryana          Bay No 55-58, Paryattan Bhawan, Sec-
                                          2 Panchkula-134109
Place for opening of Technical & Fin O/o Mission Director, NHM Haryana,
Bids for the Concurrent Audit of State Bay No 55-58, Paryattan Bhawan, Sec-
Health Societies                          2 Panchkula-134109
Contact number of State Health 0172-2581516
Societies
E-mail ID of State Health Societies       dfa.rhm@gmail.com
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 State Health Society,Haryana
Section 5: Frequency of Concurrent Audit
Section 6: State Audit Committee
Section 7: Auditing Standards to be followed by the CA/CMA Firms
Section 8: Terms for appointment of Concurrent Auditor
Section 9: Content of Concurrent Audit Report & Executive Summary Report
Section 10: Key Timelines
Section 11: Appointment & Selection of Concurrent Auditor (including guidelines
for submission of proposal)
Section 12: District wise detail of Health Institutions Under NHM,HARYANA
Section 13: Responsibility of District Health Societies.
Section 14: Facilitation of the Audit
Section 15: Some important Issues
Section 16: Monitoring & Evaluation
Section 17: Technical evaluation & selection methodology.
Section 18: Monthly Financial Reporting at District level.
Section 19: 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 and Cost & Management Accountant Firms are needed to
      be appointed at State level to undertake monthly audit of National Health
      Mission( NHM) & Non NHM Programmes.

SECTION 2: BACKGROUND 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 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 State
    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 State Health Societies and
    expenditure incurred by the SHS.
    To audit of Financial Statements of SHS.
    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 SHS 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 SHS 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.


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 State 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 12 th 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 6: STATE AUDIT COMMITTEE
   (1) Formation of State Audit Committee
   (2) Functions of State Audit Committee
   (1) Formation of State Audit Committee

   An audit committee is required to be formed at State level for monitoring and
   evaluation of Concurrent audit. The member of audit committee should be the
   following:




      Person                                                      Designation in
      Committee



      Director Finance & Accounts                       Member Secretary

      Deputy Director (NCD)                             Member

      Deputy Director (RNTCP)                            Member

       Programme Officer (NUHM)                          Member

      Sr. Account Officer (NHM)                          Member

      State Finance Manager                              Member
      IPAI Consultant                                     Member
      (YOGENDER KUMAR KAUSHIK)
(2) Functions of State Audit Committee



     · Selection and appointment of State Concurrent auditors

     · Issue of advertisement for appointment of District concurrent
       auditor and State Concurrent auditor.

     · Final concurrence for the appointment of District concurrent
       auditors.

     · Monitoring timely audits at State & District level and timely
       submission of audit reports.

     · Discuss the key audit findings with state concurrent auditor and
       suggest appropriate actions.

     · Monitoring whether adequate follow up action is being taken by the
       State Finance Personnel on the audit observations.

     · Authorize the payment of remuneration to the auditor (only after
       approving the Action taken report on the issues highlighted during
       the course of audit).

     · Carrying out an assessment of audits in case the auditors are being
       considered to be reappointed.

  The State Health Committee should meet at least 4 times in a year.
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

    State Level

    1. At the state level, the concurrent auditor appointed once can be retained
       reappointed for a maximum 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 review of auditor's
       performance.


Section 10: Content of Monthly Concurrent Audit Report &
Quarterly Executive Summary Report


    (1) Contents of Monthly Concurrent Audit Report &
        Quarterly Quarterly Executive Summary Report for State
        level Auditors
  (1) Content of Monthly Concurrent Audit Report and Quarterly
      Executive Summary Report for State level Auditor

    It may be noted that the Concurrent Audit Report of a State Health Societies
    is required to be submitted on monthly basis and the Executive Summary
    Report of State Health Societies is required to be submitted on quarterly
    basis.

    (a) Content of Monthly Concurrent Audit Report of SHS
    (b) Content of Quarterly Executive Summary Report of SHS

  (a) Content of monthly concurrent audit report of SHS



The monthly Concurrent Audit report of SHS should contain the following
reports and documents:

             · Audited Trail Balance of State Health Societies( including Non
               Communicable Disease & Communicable Diseases
               Programmes)

             · Bank Reconciliation Statement of SHS of all banks including
               Non NHM Banks(including Non Communicable Disease &
               Communicable Diseases Programmes)

             · List of advances of SHS (including Non Communicable
               Disease & Communicable Diseases Programmes)

               Audited FMR(including Non Communicable Disease &
               Communicable Diseases Programmes)

               Mandatory Books of Accounts Status(Yes/No format as per
               Appendix G)

       · Observations and recommendations of auditors particularly covering
         the following aspects:
          i. Deficiencies noticed in internal control

          ii. Suggession to improve the internal control

          iii. Extent of non compliance with guidelines issued by GOI.

          · Action taken by State Health Societies(including Non Communicable
            Disease & Communicable Diseases Programmes) on the previous
            audit observations, along with his observations on the same.

             Important Notes:.

      ·      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. 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 SHS

As per Appendix C



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 State 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 to State
                                           Health society on or before 11.01.2019.
Carrying out Concurrent Audit of State 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
                                           State Health society on or before
                                           21.01.2019.
Carrying out Concurrent Audit of State 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 State
                                           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 2019 onwards

Activity                                   Timelines
Carrying out concurrent audit              Monthly
Submission of Audit Report by Auditor to   15th of the next month
SHS
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 12: APPOINTMENT & SELECTION OF CONCURRENT
AUDITOR( INCLUDING GUIDELINES FOR SUBMISSION OF
PROPOSAL)

State Level Auditors
· Appointment and selection of the state level concurrent auditor will be done by
the State Audit Committee through e-Tender System. The tender document
would be advertised through a central advertisement at the state level.

· Interested Firms should upload their bids directly at e-tender portal in two parts
­Technical and Financial bids. The Bidder should upload scan copy of 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
by dropping in Tender Box kept at O/o Mission Director, NHM, Sector-2,
Panchkula. This should be opened in meeting of the State Audit Committee.

· The Bidder should upload to signed bids documents (all page) technical and
financial bids.

 ·The State 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.

· 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
Authorised signatory of the firm.

· 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.

·State Health Society (SHS) reserves the right to accept or reject any proposal
without giving any explanation and can change the evaluation criteria as per its
requirements in the interest of the organization.

·CA/CMA Firm 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.

·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].

· Chartered Accountant Firms and Cost & Management Accountant firms are
eligible for participating in tender.

· The bids will be opened by the 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.
        Technical & Financial Proposal will consist:

   i.   Letter of Transmittal ( Form T-1) 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 note: (1) State Health Society (SHS) reserves the right to accept or
reject any proposal without giving any explanation and 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.


Section 13: DISTRICT WISE DETAIL                                      OF       HEALTH
INSTITUTIONS UNDER NHM,HARYANA

Detail attached at Appendix D


Section 14:            RESPONSIBILITIES                    OF    STATE         HEALTH
SOCIETIES

    · Compliance of Audit Observations

               The members of State 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
           State Health Society 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

           SHS 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.

     SECTION 15: FACILITATION OF THE AUDIT
The following arrangements need to be made for the auditors by the 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 State Audit Committee Shall meet at least 4 times in a year (i.e. once
    every 3 months ) for follow up on the observations made by the auditor.

SECTION 17: MONITORING & EVALUATION


  ·   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 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 State Level fails to complete the work as
      per RFP/TOR or instructions given by the State 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 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 Mission Director
State Health Society(NHM)


Dear Sir/Madam,

       We, the undersigned, offer to provide the audit services for State Health Societies 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 order. 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
                    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   Ambala                                                            0                                  0
  2   Bhiwani                                                           0                                  0
  3   Faridabad                                                         0                                  0
  4   Fatehabd                                                          0                                  0
  5   Gurgaon                                                           0                                  0
  6   Hissar                                                            0                                  0
  7   Jind                                                              0                                  0
  8   Jhajjar                                                           0                                  0
  9   Karnal                                                            0                                  0
 10   Kaithal                                                           0                                  0
 11   Kurukshetra                                                       0                                  0
 12   Mewat                                                             0                                  0
 13   Narnaul                                                           0                                  0
 14   Palwal                                                            0                                  0
 15   Panchkula                                                         0                                  0
 16   Panipat                                                           0                                  0
 17   Rohtak                                                            0                                  0
 18   Rewari                                                            0                                  0
 19   Sirsa                                                             0                                  0
 20   Sonepat                                                           0                                  0
 21   Yamunanager                                                       0                                  0
      Total                0            0                 0             0               0                  0
                 Monthly Fund Status of NLEP Grant
                                                  Figures in Rs.
                 Opening
                 Balance as on                                               Expendit
                 1/4/18           Fund        Interest                       ure
                 including        received    earned (    Total Fund         incurred    Closing
                 interest up to   during      from        available with     during      balance
                 31/3/19( as      2018-19(    1/4/18      Districts          2018-19(    as on the
                 per the          up to the   till the    during 2018-       till the    last date
                 audited          end of      end of      19( till the end   end of      of
S.n   Name of    balance          reporting   reporting   of reporting       reporting   reporting
o     District   sheet)           month)      month)      month              month)      month

                              1           2           3 4=1+2+3                      5 6=4-5
 1 Ambala                                                               0                        0
 2 Bhiwani                                                              0                        0
 3 Faridabad                                                            0                        0
 4 Fatehabd                                                             0                        0
 5 Gurgaon                                                              0                        0
 6 Hissar                                                               0                        0
 7 Jind                                                                 0                        0
 8 Jhajjar                                                              0                        0
 9 Karnal                                                               0                        0
10 Kaithal                                                              0                        0
11 Kurukshetra                                                          0                        0
12 Mewat                                                                0                        0
13 Narnaul                                                              0                        0
14 Palwal                                                               0                        0
15 Panchkula                                                            0                        0
16 Panipat                                                              0                        0
17 Rohtak                                                               0                        0
18 Rewari                                                               0                        0
19 Sirsa                                                                0                        0
20 Sonepat                                                              0                        0
   Yamunanag
21 er                                                                   0                        0
   Total                      0           0           0                 0            0           0
                     Monthly Fund Status of IDSP Grant
                                                            Figures in Rs.

                                                                       Total Fund
                                          Fund           Interest      available with   Expenditure
                     Opening Balance      received       earned (      Districts        incurred       Closing
                     as on 1/4/18         during 2018-   from          during 2018-     during 2018-   balance as
                     including interest   19( up to      1/4/18 till   19( till the     19( till the   on the last
                     up to 31/3/19( as    the end of     the end of    end of           end of         date of
       Name of       per the audited      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   Ambala                                                                       0                            0
   2   Bhiwani                                                                      0                            0
   3   Faridabad                                                                    0                            0
   4   Fatehabd                                                                     0                            0
   5   Gurgaon                                                                      0                            0
   6   Hissar                                                                       0                            0
   7   Jind                                                                         0                            0
   8   Jhajjar                                                                      0                            0
   9   Karnal                                                                       0                            0
  10   Kaithal                                                                      0                            0
  11   Kurukshetra                                                                  0                            0
  12   Mewat                                                                        0                            0
  13   Narnaul                                                                      0                            0
  14   Palwal                                                                       0                            0
  15   Panchkula                                                                    0                            0
  16   Panipat                                                                      0                            0
  17   Rohtak                                                                       0                            0
  18   Rewari                                                                       0                            0
  19   Sirsa                                                                        0                            0
  20   Sonepat                                                                      0                            0
       Yamunanag
  21   er                                                                           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    Fund                          available
                    interest     received        Interest      with            Expenditure
                    up to        during          earned (      Districts       incurred        Closing
                    31/3/19(     2018-19(        from          during          during          balance as
                    as per the   up to the       1/4/18 till   2018-19( till   2018-19( till   on the last
                    audited      end of          the end of    the 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   Ambala                                                              0                             0
  2   Bhiwani                                                             0                             0
  3   Faridabad                                                           0                             0
  4   Fatehabd                                                            0                             0
  5   Gurgaon                                                             0                             0
  6   Hissar                                                              0                             0
  7   Jind                                                                0                             0
  8   Jhajjar                                                             0                             0
  9   Karnal                                                              0                             0
 10   Kaithal                                                             0                             0
 11   Kurukshetra                                                         0                             0
 12   Mewat                                                               0                             0
 13   Narnaul                                                             0                             0
 14   Palwal                                                              0                             0
 15   Panchkula                                                           0                             0
 16   Panipat                                                             0                             0
 17   Rohtak                                                              0                             0
 18   Rewari                                                              0                             0
 19   Sirsa                                                               0                             0
 20   Sonepat                                                             0                             0
 21   Yamunanager                                                         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
                    on 1/4/18                               Total Fund
                    including     Fund                      available
                    interest up   received    Interest      with            Expenditure     Closing
                    to            during      earned (      Districts       incurred        balance
                    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   Ambala                                                            0                           0
  2   Bhiwani                                                           0                           0
  3   Faridabad                                                         0                           0
  4   Fatehabd                                                          0                           0
  5   Gurgaon                                                           0                           0
  6   Hissar                                                            0                           0
  7   Jind                                                              0                           0
  8   Jhajjar                                                           0                           0
  9   Karnal                                                            0                           0
 10   Kaithal                                                           0                           0
 11   Kurukshetra                                                       0                           0
 12   Mewat                                                             0                           0
 13   Narnaul                                                           0                           0
 14   Palwal                                                            0                           0
 15   Panchkula                                                         0                           0
 16   Panipat                                                           0                           0
 17   Rohtak                                                            0                           0
 18   Rewari                                                            0                           0
 19   Sirsa                                                             0                           0
 20   Sonepat                                                           0                           0
 21   Yamunanager                                                       0                           0
      Total                   0           0            0                0              0            0
                Monthly Fund Status of NPHCE Grant
                                                    Figures in Rs.
                    Opening
                    Balance
                    as on                                    Total Fund
                    1/4/18                                   available
                    including                    Interest    with
                    interest     Fund            earned (    Districts    Expenditure    Closing
                    up to        received        from        during       incurred       balance
                    31/3/19(     during 2018-    1/4/18      2018-19 (    during         as on the
                    as per the   19( up to the   till the    till the     2018-19 (      last date
                    audited      end of          end of      end of       till the end   of
     Name of        balance      reporting       reporting   reporting    of reporting   reporting
S.no District       sheet)       month)          month)      month        month)         month

                             1               2           3 4=1+2+3                  5 6=4-5
  1   Ambala                                                          0                         0
  2   Bhiwani                                                         0                         0
  3   Faridabad                                                       0                         0
  4   Fatehabd                                                        0                         0
  5   Gurgaon                                                         0                         0
  6   Hissar                                                          0                         0
  7   Jind                                                            0                         0
  8   Jhajjar                                                         0                         0
  9   Karnal                                                          0                         0
 10   Kaithal                                                         0                         0
 11   Kurukshetra                                                     0                         0
 12   Mewat                                                           0                         0
 13   Narnaul                                                         0                         0
 14   Palwal                                                          0                         0
 15   Panchkula                                                       0                         0
 16   Panipat                                                         0                         0
 17   Rohtak                                                          0                         0
 18   Rewari                                                          0                         0
 19   Sirsa                                                           0                         0
 20   Sonepat                                                         0                         0
 21   Yamunanager                                                     0                         0
      Total                  0               0           0            0             0           0
                Monthly Fund Status of NPCB Grant
                                                       Figures in Rs.
                    Opening
                    Balance
                    as on
                    1/4/18                                     Total Fund
                    including    Fund                          available
                    interest     received        Interest      with           Expenditure    Closing
                    up to        during          earned (      Districts      incurred       balance
                    31/3/19 (    2018-19(        from          during         during         as on the
                    as per the   up to the       1/4/18 till   2018-19 (      2018-19 (      last date
                    audited      end of          the end of    till the end   till the end   of
     Name of        balance      reporting       reporting     of reporting   of reporting   reporting
S.no District       sheet)       month)          month)        month          month)         month

                             1               2             3 4=1+2+3                    5 6=4-5
  1   Ambala                                                             0                           0
  2   Bhiwani                                                            0                           0
  3   Faridabad                                                          0                           0
  4   Fatehabd                                                           0                           0
  5   Gurgaon                                                            0                           0
  6   Hissar                                                             0                           0
  7   Jind                                                               0                           0
  8   Jhajjar                                                            0                           0
  9   Karnal                                                             0                           0
 10   Kaithal                                                            0                           0
 11   Kurukshetra                                                        0                           0
 12   Mewat                                                              0                           0
 13   Narnaul                                                            0                           0
 14   Palwal                                                             0                           0
 15   Panchkula                                                          0                           0
 16   Panipat                                                            0                           0
 17   Rohtak                                                             0                           0
 18   Rewari                                                             0                           0
 19   Sirsa                                                              0                           0
 20   Sonepat                                                            0                           0
 21   Yamunanager                                                        0                           0
      Total                  0               0             0             0              0            0
                Monthly Fund Status of Mental Health
                                                      Figures in Rs.
                    Opening
                    Balance as                                 Total Fund
                    on 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   Ambala                                                              0                          0
  2   Bhiwani                                                             0                          0
  3   Faridabad                                                           0                          0
  4   Fatehabd                                                            0                          0
  5   Gurgaon                                                             0                          0
  6   Hissar                                                              0                          0
  7   Jind                                                                0                          0
  8   Jhajjar                                                             0                          0
  9   Karnal                                                              0                          0
 10   Kaithal                                                             0                          0
 11   Kurukshetra                                                         0                          0
 12   Mewat                                                               0                          0
 13   Narnaul                                                             0                          0
 14   Palwal                                                              0                          0
 15   Panchkula                                                           0                          0
 16   Panipat                                                             0                          0
 17   Rohtak                                                              0                          0
 18   Rewari                                                              0                          0
 19   Sirsa                                                               0                          0
 20   Sonepat                                                             0                          0
 21   Yamunanager                                                         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)
                 Openi
                    ng
                            Funds
                 Balan                                                                                        Closing
                           released               Total
                  ce as                                                                                       balance
                            by the                availa                                            Total
                    on                                                                                       as on the
                             State     Interest    bity                                           Expend
                 01.04.                                                                                      last date
                            Health      earned       of                                             iture
                  2018                                                         Incent     Pay                     of
                            Society       on      funds               Mont                            on
                 includ                                                        ives to    ment               reportin
                          exclusivel   ASHA/       with                 hly                       ASHA/
                   ing                                                         ASHA         to               g month
                           y for the     ANM       DHS     Monthly    adde                         ANM
                 intere                                                           for      AN                availabl
                          payment       funds(      for      fixed       d                          State
                  st up                                                        facilita   Ms(                  e with
SR.   DISTRICT                 to        from     paym     honorari   incen                       Budget
                    to                                                           ting      out               Districts
NO.    S NAME             ASHAs/A      1.4.201    ent to    um to      tives                       ( from
                 31.3.2                                                        institu      of                   for
                          NMs out        8 till    ASH      ASHA(        to                       1.4.201
                  019(                                                          ional     State               making
                           of State    the end       A,       X1)     ASH                           8 till
                 as per                                                        deliver    Budg               payment
                           Budget(         of     ANM                   As(                       the end
                 Audit                                                           ies(      et)                    to
                             from      reporti     s out                X2)                           of
                    ed                                                           X3)      (X4)               ASHAs/
                           1.4.2018       ng         of                                           reporti
                  balan                                                                                       ANMs
                            till the   month)     State                                               ng
                    ce                                                                                         out of
                            end of                Budg                                            month)
                  sheet                                                                                        State
                          reporting                  et
                    of                                                                                        Budget
                            month)
                  2017-
                   18)
                                                  4=1+                                            9=5+6+
                   1          2           3                   5         6         7        8                  10=4-9
                                                  2+3                                               7+8
  1   AMBALA                                       0.00                                              0.00        0.00
  2   BIHWANI                                      0.00                                              0.00        0.00
      FARIDAB
  3   AD                                           0.00                                              0.00        0.00
      FATEHAB
  4   AD                                           0.00                                              0.00        0.00
      GURGAO
  5   N                                            0.00                                              0.00        0.00
  6   HISAR                                        0.00                                              0.00        0.00
  7   JHAJJAR                                      0.00                                              0.00        0.00
  8   JIND                                         0.00                                              0.00        0.00
  9   KAITHAL                                      0.00                                              0.00        0.00
 10   KARNAL                                       0.00                                              0.00        0.00
      KURUkest
 11   ra                                           0.00                                              0.00        0.00
 12   MEWAT                                        0.00                                              0.00        0.00
      NARNAU
 13   L                                            0.00                                              0.00        0.00
 14   PLWAL                                        0.00                                              0.00        0.00
      PANHKU
 15   LA                                           0.00                                              0.00        0.00
 16   PANIPAT                         0.00                                          0.00   0.00
 17   REWARI                          0.00                                          0.00   0.00
 18   ROHTAK                          0.00                                          0.00   0.00
 19   SIRSA                           0.00                                          0.00   0.00
 20   SONIPAT                         0.00                                          0.00   0.00
      YAMUNA
 21   NAGAR                           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 of     Openin     Funds           Funds     Funds         Interest earned     Total         Expenditu    Closin
O.    District    g          Transfer by     transfe   used by       in IMR Bank         funds         e incurred   g
                  Balance    State           r by      the           Account( from       available     for imr      balanc
                  as on      exclusively     the       Districts     1.4.2018 till the   with          activities   e as on
                  01.04.2    for IMR         Distric   out of        end of              District      during       the
                  018        Grant( from     ts out    common        reporting           for IMR       2018-19(     last
                  includi    1.4.2018 till   of        pools         month)              Activities(   from         day of
                  ng         the end of      comm      grant for                         as on the     1.4.2018     reporti
                  interest   reporting       on        making                            last date     till the     ng
                  up to      month)          pools     payment                           of            end of       month
                  31.3.20                    bank      for IMR                           reporting     reporting    availa
                  19( as                     accoun    Activities                        month)        month)       ble
                  per                        t to      ( i.e                                                        with
                  Audite                     IMR       payment                                                      Distric
                  d                          Bank      made by                                                      t
                  balance                    Accou     Districts                                                    under
                  sheet of                   nt(       out of                                                       IMR
                  2015-                      from      Common                                                       Grant
                  16)                        1.4.201   pool
                                             8 till    bank
                                             the       account
                                             end of    for IMR
                                             reporti   activities)
                                             ng        ( from
                                             month     1.4.2018
                                             )         till the
                                                       end of
                                                       reporting
                                                       month)
                        1                2        3              4                   5   6=1+2+3+               7   8=6-7
                                                                                         4+5

  1   Ambala                                                                                   0.00                    0.00
  2   Bhiwani                                                                                  0.00                    0.00
  3   Faridabad                                                                                0.00                    0.00
  4   Fatehabd                                                                                 0.00                    0.00
  5   Gurgaon                                                                                  0.00                    0.00
  6   Hissar                                                                                   0.00                    0.00
  7   Jind                                                                                     0.00                    0.00
  8   Jhajjar                                                                                  0.00                    0.00
  9   Karnal                                                                                   0.00                    0.00
 10   Kaithal                                                                                  0.00                    0.00
      Kurukshet
 11   ra                                                                                       0.00                    0.00
 12   Mewat                                                                                    0.00                    0.00
 13   Narnaul                                                                                  0.00                    0.00
 14   Palwal                                                                                   0.00                    0.00
 15   Panchkula                                                                                0.00                    0.00
  16   Panipat                                                                       0.00          0.00
  17   Rohtak                                                                        0.00          0.00
  18   Rewari                                                                        0.00          0.00
  19   Sirsa                                                                         0.00          0.00
  20   Sonepat                                                                       0.00          0.00
       Yamunan
  21   ager                                                                          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 of     Openin      Funds           Funds       Funds         Interest          Total        Expendit     Closing
O.    District    g           Transfer by     transfer    used by       earned in the     funds        ue           balance
                  Balanc      State           by the      the           Construction      available    incurred     as on the
                  e as on     exclusively     Districts   Districts     worker Bank       with         for          last date
                  01.04.2     for             out of      out of        Accounts(         District     Construc     of
                  018         Constructio     common      common        from 1.4.2018     for          tion         reporting
                  includi     n worker        pools       pools         till the end of   Construc     worker       month
                  ng          Grant( from     bank        grant for     reporting         tion         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     1.4.2018     under
                  19( as      month)          tion        Construc                        last day     till the     Construc
                  per                         worker      tion                            of           end of       tion
                  Audite                      Bank        worker                          reporting    reporting    worker
                  d                           Account(    Activities                      month        month)       Funds
                  balanc                      from        ( i.e                           before
                  e sheet                     1.4.2018    payment                         expenditu
                  of                          till the    made by                         re)
                  2017-                       end of      Districts
                  18)                         reporting   out of
                                              month)      Common
                                                          pool
                                                          bank
                                                          account
                                                          for
                                                          Construc
                                                          tion
                                                          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

  1   Ambala                                                                                   0.00                      0.00
  2   Bhiwani                                                                                  0.00                      0.00
  3   Faridabad                                                                                0.00                      0.00
  4   Fatehabd                                                                                 0.00                      0.00
  5   Gurgaon                                                                                  0.00                      0.00
  6   Hissar                                                                                   0.00                      0.00
  7   Jind                                                                                     0.00                      0.00
  8   Jhajjar                                                                                  0.00                      0.00
  9   Karnal                                                                                   0.00                      0.00
 10   Kaithal                                                                                  0.00                      0.00
      Kurukshe
 11   tra                                                                                      0.00                      0.00
  12   Mewat                                                                      0.00          0.00
  13   Narnaul                                                                    0.00          0.00
  14   Palwal                                                                     0.00          0.00
       Panchkul
  15   a                                                                          0.00          0.00
  16   Panipat                                                                    0.00          0.00
  17   Rohtak                                                                     0.00          0.00
  18   Rewari                                                                     0.00          0.00
  19   Sirsa                                                                      0.00          0.00
  20   Sonepat                                                                    0.00          0.00
       Yamunan
  21   ager                                                                       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
       DAM               Surgeon                  surgeon    Concurrent Auditor
                                    Monthly Fund Status of District for HUDA Grant
                                                                                                  (Figure in Rs
S.N       Name of      Opening     Funds Tranfer     Funds         Interest       Total funds     Expenditue          Closing
O.        District     Balance     by State          used by       earned in      available       incurred for        balance
                       as on       exclusively for   the           the HUDA       with District   HUDA Grant          as on
                       01.04.20    HUDA Grant        Districts     Grant          for HUDA        Activities          the last
                       18          during 2018-      out of        Bank           Grant           during 2018-        date of
                       includin    19( from          common        Accounts(      Activities      19( up to the       reporti
                       g           1/4/18 till the   pools         from 1/4/18                    end of              ng
                       interest    end of            grant for     till the end                   reporting           month
                       up to       reporting         making        of                             month)              availabl
                       31.3.201    month)            payment       reporting                                          e with
                       9( as per                     for           month)                                             District
                       Audited                       HUDA                                                             under
                       balance                       Grant                                                            HUDA
                       sheet of                      Activities                                                       Grant
                       2017-18)                      ( 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


      1   Ambala                                                                           0.00                           0.00
      2   Bhiwani                                                                          0.00                           0.00
      3   Faridabad                                                                        0.00                           0.00
      4   Fatehabd                                                                         0.00                           0.00
      5   Gurgaon                                                                          0.00                           0.00
      6   Hissar                                                                           0.00                           0.00
      7   Jind                                                                             0.00                           0.00
      8   Jhajjar                                                                          0.00                           0.00
      9   Karnal                                                                           0.00                           0.00
  10      Kaithal                                                                          0.00                           0.00
          Kurukshetr
  11      a                                                                                0.00                           0.00
  12      Mewat                                                                            0.00                           0.00
  13      Narnaul                                                                          0.00                           0.00
  14    Palwal                                                            0.00                       0.00
  15    Panchkula                                                         0.00                       0.00
  16    Panipat                                                           0.00                       0.00
  17    Rohtak                                                            0.00                       0.00
  18    Rewari                                                            0.00                       0.00
  19    Sirsa                                                             0.00                       0.00
  20    Sonepat                                                           0.00                       0.00
        Yamunanag
  21    er                                                                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.N       Name of      Opening     Funds Tranfer     Funds         Interest       Total funds      Expenditue         Closing
O.        District     Balance     by State          used by       earned in      available with   incurred for       balance
                       as on       exclusively for   the           the PWD        District for     PWD Grant          as on
                       01.04.20    PWD               Districts     Grant          PWD Grant        Activities         the last
                       18          Activities        out of        Bank           Activities       during 2018-       date of
                       includin    during 2018-      common        Accounts(                       19( till the end   reporti
                       g           19( from          pools         from 1/4/18                     of reporting       ng
                       interest    1/4/2018 till     grant for     till the end                    month)             month
                       up to       the end of        making        of                                                 availabl
                       31.3.201    reporting         payment       reporting                                          e with
                       9( as per   month)            for PWD       month)                                             District
                       Audited                       Grant                                                            under
                       balance                       Activities                                                       PWD
                       sheet of                      ( i.e                                                            Grant
                       2017-18)                      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


      1   Ambala                                                                            0.00                          0.00
      2   Bhiwani                                                                           0.00                          0.00
      3   Faridabad                                                                         0.00                          0.00
      4   Fatehabd                                                                          0.00                          0.00
      5   Gurgaon                                                                           0.00                          0.00
      6   Hissar                                                                            0.00                          0.00
      7   Jind                                                                              0.00                          0.00
      8   Jhajjar                                                                           0.00                          0.00
      9   Karnal                                                                            0.00                          0.00
  10      Kaithal                                                                           0.00                          0.00
          Kurukshetr
  11      a                                                                                 0.00                          0.00
  12      Mewat                                                                             0.00                          0.00
  13      Narnaul                                                                           0.00                          0.00
  14      Palwal                                                                            0.00                          0.00
  15    Panchkula                                                         0.00                       0.00
  16    Panipat                                                           0.00                       0.00
  17    Rohtak                                                            0.00                       0.00
  18    Rewari                                                            0.00                       0.00
  19    Sirsa                                                             0.00                       0.00
  20    Sonepat                                                           0.00                       0.00
        Yamunanag
  21    er                                                                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


                                                                                                   (Figure in Rs
S.N       Name of      Opening     Funds             Funds        Interest        Total funds      Expenditue          Closing
O.        District     Balance     transfer by the   used by      earned in       available with   incurred for        balance
                       as on       Districts out     the          the NUHM        District for     NUHM                at the
                       01.04.20    of common         Districts    Bank            NUHM             Activities          end of
                       18          pools bank        out of       Accounts(       Activities( up   during 2018-        reporti
                       includin    account to        common       from            to reporting     19( from            ng
                       g           NUHM Bank         pools        1.4.2018 till   month)           1.4.2018 till       month
                       interest    Account( up to    grant for    the end of                       the end of          for
                       up to       reporting         making       reporting                        reporting           NUHM
                       31.3.201    month i.e from    payment      month)                           month)              funds
                       9( as per   1.4.2018 to the   for
                       Audited     end of            NUHM
                       balance     reporting         Activities
                       sheet of    month)            ( i.e
                       2017-18)                      payment
                                                     made by
                                                     Districts
                                                     out of
                                                     Common
                                                     pool
                                                     bank
                                                     account
                                                     for
                                                     NUHM
                                                     Activities
                                                     )( from
                                                     1.4.2018
                                                     till the
                                                     end of
                                                     reportin
                                                     g month)
                               1                2             3              4    5=1+2+3+4                        6   7=5-6


      1   Ambala                                                                            0.00                          0.00
      2   Bhiwani                                                                           0.00                          0.00
      3   Faridabad                                                                         0.00                          0.00
      4   Fatehabd                                                                          0.00                          0.00
      5   Gurgaon                                                                           0.00                          0.00
      6   Hissar                                                                            0.00                          0.00
      7   Jind                                                                              0.00                          0.00
      8   Jhajjar                                                                           0.00                          0.00
      9   Karnal                                                                            0.00                          0.00
  10      Kaithal                                                                           0.00                          0.00
          Kurukshetr
  11      a                                                                                 0.00                          0.00
  12      Mewat                                                                             0.00                          0.00
  13      Narnaul                                                                           0.00                          0.00
  14      Palwal                                                                            0.00                          0.00
  15    Panchkula                                                         0.00                       0.00
  16    Panipat                                                           0.00                       0.00
  17    Rohtak                                                            0.00                       0.00
  18    Rewari                                                            0.00                       0.00
  19    Sirsa                                                             0.00                       0.00
  20    Sonepat                                                           0.00                       0.00
        Yamunanag
  21    er                                                                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 of     Openin     Funds               Funds     Funds         Interest          Total          Expendit     Closin
O.    District    g          transfer by         transfe   used by       earned in the     funds          ue           g
                  Balance    the State to        r by      the           Pulse polio       available      incurred     balanc
                  as on      Districts           the       Districts     Bank              with           for Pulse    e as on
                  01.04.2    exclusively         Distric   out of        Accounts(         District for   polio        the last
                  018        for Pulse           ts out    common        from 1/4/2018     Pulse polio    Activities   date of
                  includi    polio               of        pools         till the end of   Activities(    during       reporti
                  ng         Activities(         comm      grant for     reporting         as on last     2018-19(     ng
                  interest   from                on        making        month)            date of        till the     month
                  up to      1/4/2018 till       pools     payment                         reporting      end of       availa
                  31.3.20    the end of          bank      for Pulse                       month          reporting    ble
                  19( as     reporting           accoun    polio                           before         month)       with
                  per        month)              t to      Activities(                     expenditur                  Distric
                  Audite                         Pulse     i.e                             e)                          t
                  d                              Polio     payment                                                     under
                  balance                        Bank      made by                                                     Pulse
                  sheet of                       Accou     Districts                                                   polio
                  2017-                          nt(       out of
                  18)                            from      Common
                                                 1/4/201   pool
                                                 8 till    bank
                                                 the       account
                                                 end 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

  1   Ambala                                                                                      0.00                    0.00
  2   Bhiwani                                                                                     0.00                    0.00
  3   Faridabad                                                                                   0.00                    0.00
  4   Fatehabad                                                                                   0.00                    0.00
  5   Gurgaon                                                                                     0.00                    0.00
  6   Hissar                                                                                      0.00                    0.00
  7   Jind                                                                                        0.00                    0.00
  8   Jhajjar                                                                                     0.00                    0.00
  9   Karnal                                                                                      0.00                    0.00
 10   Kaithal                                                                                     0.00                    0.00
      Kurukshet
 11   ra                                                                                          0.00                    0.00
 12   Mewat                                                                                       0.00                    0.00
 13   Narnaul                                                                                     0.00                    0.00
 14   Palwal                                                                                      0.00                    0.00
  15   Panchkula                                                                      0.00          0.00
  16   Panipat                                                                        0.00          0.00
  17   Rohtak                                                                         0.00          0.00
  18   Rewari                                                                         0.00          0.00
  19   Sirsa                                                                          0.00          0.00
  20   Sonepat                                                                        0.00          0.00
       Yamunan
  21   ager                                                                           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: ........................................
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
          Appendix-C: Quarterly Executive summary Report of State Health Society, Haryana

(To be submitted to FMG, MoHFW, GoI by the State Programme Management Support Unit, State
Health Society)
                                 Name of the State HARYANA
                               For the Quarter ended on ............

Part A: State level issues:

        Books of Accounts                                            Reply



                     1. Whether books of accounts of SHS are
                        computerized ? if yes, whether any ERP
                        system has been implemented?-

                     2. Whether registers related to budget
                        receipt and control, advances, staff
                        payments, stock investments etc. are
                        being maintained properly?

                     3. Whether the Quarterly FMRs and
                        Statement of Fund Position are based on
                        books of accounts and prepared in the
                        prescribed format?

                     4. Whether the Quarterly FMR and
                        Statement of Fund Position are audited by
                        the concurrent auditor?

Disbursement & utilization of funds

                     5. Provide a list of advances and total
                        amount involved which are outstanding
                        for more than a year. Mention the follow
                        up action taken for the same.


                     6. Whether the Provisional Utilization
                        Certificates sent to GOI have been audited
                        by the concurrent auditor?
              7. Whether there is any significant delay
              in disbursing the funds to Districts, after
              their receipts from GOI?

         8. Whether the posts of State Finance Manager
         and State Accounts Manager are filled up? If
         vacant, since when?




Monitoring & evaluation                                     Reply


         9. Whether the state audit committee has been
         meeting at regular intervals?    (Indicate the
         number of meetings held during the period)-

         10. Whether audit observations of the
         concurrent auditor have been complied with?-


         11. Whether Action Taken Report on
         observations has been submitted regularly?


         12. Whether the SHS has sent the Acton Taken
         Report (ATR) on the last concurrent audit
         report of the DHS to the GOI?


Others
         13. Whether unification of financial and
         accounting processes as per GOI Notification
         No.107/FMG/2005-06 dated 14.12.2006 has
         been completed?-



         14. Whether delegation of Administrative and
         Financial powers have taken place as per GOI
                    guidelines (circulated vide D.O. No. 118/RCH-
                    Fin/2006-07 dated 1st May, 2007).


Part-B: District Level issues:
Coverage

                    15. Name of the Districts where monthly
                    concurrent audit has not taken place (specify
                    the reason).

                    16. 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).

                    17. Number of blocks (district wise) where the
                    peripheral units have not been visited-.

                    18. Number of Rogi Kalyan Samities (district
                    wise) last annual audit has not been done.




Books of Accounts:
                                                                         Reply


                    19. Name of the Districts where books of
                    accounts are not computerized. Provide a
                    district wise breakup of health facilities for the
                    same.

                    20. 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.

                    21. Name of the Districts where Bank
                    Reconciliation is not being done on a monthly
                  basis. Provide a district wise breakup of health
                  facilities for the same.


Reporting
                  22. Name of the Districts which have not
                  submitted the Statement of Fund Position in
                  the last three months.

                  23. Name of districts that have not submitted
                  their Concurrent Audit Report on time. Also
                  mention      the     extent      of    delay.

                  24. Name of the District which have not
                  submitted FMRs/ SOEs in the last three months.
                  25. Name of the Districts where SOEs/ FMRs
                  are not being submitted in prescribed format..
                  26. Whether the SOE/FMR submitted by the
                  districts includes the SOE from all the
                  Block/CHC/PHC etc. on regular basis and on the
                  basis of the Books of Accounts only? Report the
                  exceptions to the same.

                  27. 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                                                      Reply



                  28.Number of Districts where Audit Committee
                  has not been constituted/is not meeting as
                  regular intervals (Indicate the names).


Others
                  29. Number of Districts where unification of
                  finance and accounting processes has not
                  taken place as per GOI guidelines-.
                  30. Number of Districts where post of District
                  Accounts Manager has been vacant more then
                  3 months.- .

                  31. Number of districts where Delegation of
                  Administrative and Financial Powers have not
                  taken place as per Guidelines

Part-C: 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          , DIRECTOR (FINANCE & ACCOUNTS)
                               (MISSION DIRECTOR)
                               State Health Society
                                 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 District    Name of        Phone      Number Number Number Number
        Health Welfare      DAM/AA         Number of of CHC of DH   of SDH of PHC
        Society                            Dam/AA
   1    District Health     Mr. Kunal      7027822049    5      1       2     16
        & Family
        Welfare Society ,
        Ambala
   2    District Health     Mrs. Tina      7027817639   10    2       3      34
        & Family            Singla
        Welfare Society ,
        Bhiwani
   3    District Health     Mr. Sandeep    9654218152   2     1       1      12
        & Family            Jain
        Welfare Society ,
        Faridabad
   4    District Health     Mr. Arun       7027819680   5     1       1      18
        & Family            Bansal
        Welfare Society ,
        Fathehabad
   5    District Health     Mr. Sandeep    9654230570   3     2       2      10
        & Family
        Welfare Society ,
        Gurgaon
   6    District Health     Mr. Parmod     7027830285   8     1       2      27
        & Family            Saini
        Welfare Society ,
        Hissar
   7    District Health     Mr. Virender   7027813707   6     1       2      22
        & Family            Goyal
        Welfare Society ,
        Jhajjar
   8    District Health     Mr. Hemant     7027812056   7     1       1      21
        & Family
        Welfare Society ,
        Jind
   9    District Health     Mrs. Reena     7027828330   6     1       0      17
        & Family
        Welfare Society ,
        Kaithal
  10    District Health     Mr. Ranbeer    7027825897   6     1       1      19
        & Family
        Welfare Society ,
        Karnal
11   District Health     Mr. Dinesh      7027824418    5    1    0    16
     & Family            Saini
     Welfare Society ,
     Kurukshetra
12   District Health     Ms.             7027841746    7    1    1    18
     & Family            Khushboo
     Welfare Society ,   Garg
     Narnaoul
13   District Health     Mr. Rishi Raj   7027838984    3    1    0    15
     & Family
     Welfare Society ,
     Mewat
14   District Health     Mr. Jatinder    7027840457    7    1    2    13
     & Family
     Welfare Society ,
     Palwal
15   District Health     Mrs. Yogita     7027826979    4    1    0    16
     & Family
     Welfare Society ,
     Panipat
16   District Health     Mr. Manoj       8558897643    2    1    0     8
     & Family            Bansal
     Welfare Society ,
     Panchkula
17   District Health     Mrs. Radha      7027810788    5    1    1    13
     & Family
     Welfare Society ,
     Rewari
18   District Health     Mr. Ajay        7027816596    7    1    0    16
     & Family            Dhingra
     Welfare Society ,
     Rohtak
19   District Health     Mr. Anshu       7027831551    8    2    0    21
     & Family            Munjal
     Welfare Society ,
     Sirsa
20   District Health     Ms. Tanisha     7015010266    6    1    1    29
     & Family
     Welfare Society ,
     Sonipat
21   District Health     Mrs. Sunita     7027823369    7    1    1    12
     & Family
     Welfare Society ,
     Yamunanagar
     Total                                            119   24   21   373
       Appendix F: Technical Evaluation and Selection Methodology
                                                        Maximum
S.no        Particulars                      Notes      Marks             Marks Obtained
           No of Partners-                       1             10
         1 FCA/ACA/FCMA/ACMA

           Year of experience( Partner
           A+ Partner B+ Partner C and           2             10
         2 more)

           No of Staff (Qualified CA/Semi
                                                 3             10
         3 Qualified/Other 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
                                                 6             10
           previous three years i.e 2015-
         6 16, 2016-17 & 2017-18)
           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. (a) 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. (b) In case of Concurrent audit of State Health Society: 10 marks for
      CA/CMA Firm having Head Office/Branch in the Tricity( Panchkula,
      Mohali and Chandigarh).

   7. 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
     Name
                                                                                               are
      of
                                                                                              comp
     SHS/                                FIXE                                   Fun
                       TRIA                             CHE     SKS                           leted
S    DHS/   CA                    STOC     D    ADVA                  Miscell    d     Sala
                        L     B                         QUE    MEE                              in
r.   GH /   SH   LED                K    ASSE    NCE                  aneous    Reci    ry
                       BAL    R                        ISSUE   TING                           Tally
N    SDH    BO   GER              REGI    TS    REGI                  Registe   ved    Regi
                       ANC    S                        REGI    REGI                           Softw
o      /    OK                    STER   REGI   STER                    r       Regi   ster
                        E                              STER    STER                            are
     CHC                                 STER                                   ster
                                                                                              up to
       /
                                                                                              repor
     PHC
                                                                                               ting
                                                                                              mont
                                                                                                h?
                                                        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
                              FORMAT OF FINANCIAL BID
    PARTICULARS                                                   TOTAL AMOUNT(In Rupees)
    AUDIT FEES                                                    Both in Numeric and in Words
1   Audit Fees (Including Cost of TA/DA)
                                                                  Rs._____________________________________
2   GST
                                                                  (Rupees _______________________________
3   Total Fees (1+2)                                              ______________________________________)



    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.

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