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PO No: ARV /BME/19/01/0071 Date: 11/01/2019 PURCHASE ORDER Supplier: INTEGRA LIFE SCIENCES (IRELAND) LIMITED, IDA Business and Technology Park, Sragh Industrial Estate, Tullamore, Co. Offaly, Ireland Through M/s. Alliance Biomedica Pvt. Ltd Flat #15, Ashirwad, New No. 30(Old No 12), Puliyur First Lane, Trustpuram, Chennai - 600 024. TamilNadu, India Sub: Purchase Order for Supply and Installation of Cusa Excel + Ultrasonic Tissue Ablation System. Dear Sir, ‘This is with reference to our Inquiry and your quotations and the various techno- commercial discussions we had with you. We are pleased to issue you this confirmed: Purchase Order for Supply and Installation of Cusa Excel + Ultrasonic Tissue Ablation System. as per the annexure. feels (Total CIF Price at Bangalore Port . USD. Forty Five thousand only Sl Description ey frotal No_| 1 [Cusa Excel + Ultrasonic Tissue Ablation System - Integra Life. | 1 sciences i Set/USD. 45000.00 Detailed specifications and quantities of the individual sub-components more specifically as set out in Annexure J forming integral part of this purchase order and subject to other terms & conditions stated as follows 1of8 ‘Aster DM Healthcare Limited (Formerly Aster OM Healthcare Private Limited) ‘cin: Uss110K12008P1c021703 W/A7SL, Aster Medelty Kutlsahib Road, "Near Kethad Bridge, South Chittoor P.O. CCheranalloor, Kochi- 682027, Kerala, Inia Tel: 493 484 6699999, Fax: +31 484 6699862 Email: admn.india@dmhealtheare.com Website: wwaasterdmheathcare.com PO No: ARV /BME/19/01/0071 Date: 11/01/2019 1. DEFINITIONS: In this Purchase order the following terms shall have the meanings as specified hereunder: Purchaser: Aster DM Healthcare Limited, , No.CA-37, 24 Main, 1* Phase, ).P.Nagar, Banglaore 560078 (Billing address) (here in after referred as the “Aster” which expression shall unless repugnant to the context or meaning thereof include its successors, administrators and assigns) Supplier : INTEGRA LIFE SCIENCES (IRELAND) LIMITED, IDA Business and Technology Park, Sragh Industrial Estate, Tullamore, Co. Offaly, Ireland (Hereinafter both referred to collective as" Integra Life Sciences ” which expression shall unless repugnant to the context or ‘meaning thereof include its successors, administrators and assigns) Site : Aster RV Super specialty Hospital, No.CA-37, 24" Main, 1% Phase,, J.P.Nagar, Banglaore 560078 (Delivery Address) PTI PPLY ‘The scope of work will include Supply, Installation, Acceptance and Handing over of the complete System at the respective site as per the individual specifications and quantity attached herewith. Acceptance would mean ensuring satisfactory working performance of the system as per the original service manual, and to the satisfaction of the ‘Aster’ who will issue the “Satisfactory Handing over certificate” on the handing over of the system to them 3. PRICE: ‘The price of the Complete Systems at CIF Bangalore as described in Annexure | shall be USD. 45000.00 (USD. Forty Five thousand only) inclusive for supply, acceptance and handing over of the complete system 4. PAYMENT TERMS: 100% Wire Transfer on receipt of equipment upon customs clearance. 5, DELIVERY PERIOD: “Integra Life Sciences/ Alliance Biomedica’ has agreed to deliver the system within 8-10 weeks from date of Purchase Order. The delivery terms is CIF Bangalore, not including any customs 2of8 ‘Aster DM Healthcare Limited (Formerly Aster DM Healthcare Private Limited) ‘cn uss410K12008P1c021703 8751, aster Medciy, KUtUsahib Koad, Near Kothad Bridge, South Chittoor P.O. Cheranalloor Kochi - 682027, Kerala, Inia “Tel: #91 484 6699999, Fax: +91 484 6699862 E-mail: admmnindia@dmhealthcare.com Website: wwwasterdmhealthcare.com % WB a PO No: ARV /BME/19/01/0071 OM HER Date: 11/01/2019 duties, clearing charges, taxes, cost for local transportation up to site etc., which will be on Aster to be paid at actual at the time of delivery. G.INSURANCE: “Integra Life Sciences/ Alliance Biomedica’ will provide insurance coverage from “Integra Life Sciences/ Alliance Biomedica’ warehouse up to Bangalore port. LP, Each of the items of supply shall be carefully packed in weather-proof wooden cases or cartons, or the most appropriate method of packing for such systems, in a manner suitable to provide adequate protection against loss, breakages or damage in transit i.e. from the "Integra Life Sciences/ Alliance Biomedica’ warehouse up to the final site 8, REPLACEMENTS OF ITEMS OF SUPPLY: ‘The entire system and all items forming part of the supply as per the specifications set out in ‘Annexure I supplied to Aster shall be free from any manufacturing defect, and in case the material is found to be defective the same shall be promptly and unconditionally replaced by. “Integra Life Sciences/ Alliance Biomedica’ ‘9, INSTALLATION & ACCEPTANCE: "Integra Life Sciences/ Alliance Biomedica’ shall be responsible for complete installation, acceptance and satisfactory handing of the entire system at supplier's site. "Integra Life Sciences/ Alliance Biomedica’ will initiate the installation process as soon as the Site & goods are ready for installation, ‘Integra Life Sciences/ Alliance Biomedica’ will make the System ready for acceptance within one month of starting the installation process at site. "Integra Life Sciences/ Alliance Biomedica’ shall bear the cost of its personnel for this assistance including loading, unloading & hauling at site, to & fro travel and lodging and boarding, where required. “Integra Life Sciences/ Alliance Biomedica’ shall confirm in advance the date of deputation of its engineer for such acceptance. 10. SHIPMENT & DELIVERY OF GOODS: As soon as the goods are shipped, one complete set of documents including the Invoice, Packing list, Airway Bill /Bill of Lading/Courier Receipt, Country of origin certificate, EMC documents (Formerly Aster DM Healthcare Private Limited) 7 Gc Ue ciency eee tees { ee cee Seater conte tea ay tate iene tera sonsess Patt nntaceaniecescs eo Paarl 30f8 ‘Aster DM Healthcare Limited a PO No: ARV /BME/19/01/0071 (HERS. Date: 11/01/2019 etc. should be handed over to Biomedical & Materials Department at’ Aster RV Super specialty Hospital, No.CA-37, 24% Main, 1* Phase, J.P.Nagar, Banglaore 560078, 11, PART SHIPMENT: Not Allowed 12. TRANS SHIPMENT: Allowed 13.TRAINING: “Integra Life Sciences/ Alliance Biomedica’ shall be responsible for training of our technical staff and end users on site on the operation and the preventive maintenance procedure of the entire system to the satisfaction of Aster. In addition to the initial training “Integra Life Sciences/ Alliance Biomedica’ shall as and when necessary provide training support to any ‘technical staff or staff of the hospital if and when called for as per the quotation. 14. GUARANTY/ WARRANTY: ‘The entire system shall be under warranty for a period of 36 Months (3 Years,18 months for 36KHZ and 23 KHZ straight CUSA hand Piece) from the date of installation, acceptance and handing over of the entire system to Aster, which shall be jointly certified by the representative of Aster and "Integra Life Sciences/ Alliance Biomedica’. During this warranty period “Integra Life Sciences/ Alliance Biomedica’ shall provide all breakdown maintenance services and replacement of defective equipment/parts to ensure smooth and satisfactory working of the entire system, UPTIME GUARANTEE: "Integra Life Sciences/ Alliance Biomedica’ guarantees 97% uptime on 340 Working days x 8 hours/day working basis for all supplied equipment during the period of warranty and the annual maintenance period thereof. Further "Integra Life Sciences/ Alliance Biomedica’ also guarantees that all complaints will be satisfactorily attended within 24 hours of its notification to them, In case of uptime being less than that specified above, the Warranty to be extended by double number of Days for the total down time. Also “Integra Life Sciences/ Alliance Biomedica’ will supply and install all the defective part replacements including the customs clearance and transportation to the site during the warranty period and the Comprehensive Annual Maintenance period thereof, / 40f8 wt ‘Aster DM Healthcare Limited (Formerly Aster OM Healtheare Private Limited) ‘IN: UBsi10K12008P1c021703 ( IX/47SL, Aster Medcty Kutsahib Near Kothad Bridge, South Chittoor P.O. Cheranalloor, Koch - 682027, Kerala, Inia. Tel: #93 484 6599909, Fax: +91 484 6699862 E-mail: admn.india@dmhealthcare.com Website: wwaasterdmhealtheare com PO No: ARV /BME/19/01/0071 Date: 11/01/2019 However, in case of the default being of a perennial and continuing nature so as to affect the performance of the system, then it shall be binding on “Integra Life Sciences/ Alliance Biomedica’ to unconditionally replace the entire system on such inadequacies being pointed out by Aster during such warranty period. 15. COMPREHENSIVE MAINTENANCE CONTRACT/WARRANTY: ‘As mentioned above Integra Life Sciences/ Alliance Biomedica’ shall maintain the entire system for a period of 3 years from the date of installation and handing over free of cost. During this period, Integra Life Sciences/ Alliance Biomedica’ shall provide all breakdown maintenance services and replacement of defective system/equipment/parts free of cost. Further beyond the initial period of Free Comprehensive warranty as stated above, 4" year onwards Integra Life Sciences/ Alliance Biomedica’ would undertake a Comprehensive Maintenance Contract(CMC) including Labor and all spares at the rate of 5% of the PO Value, and an escalation of 5 % on the CMC value from 5% year onwards. This annual maintenance contract will in no way contain any reduced warranties and services than those offered under during the free comprehensive warranty period. Integra Life Sciences/ Alliance Biomedica’ will also do the CMC which includes, annually. > All Breakdown calls > Four quarterly preventive Maintenance. > Yearly Performance audit. 16. PENAL’ The Supplier has agreed to deliver the equipment as per the delivery terms. Further the supplier has also committed to commission the entire system within one month of starting the installation works. In case of delay in the delivery and satisfactory handing over schedule as mentioned the supplier shall pay a penalty of 0.5% per week of delay, subject to a maximum of 5% of the total order value. This penalty will be in addition to the right of Aster to cancel the P.O. Further the supplier shall guarantee and certify that no item of supply of the entire system is refurbished. In case any of the items are found to be refurbished then "Integra Life Sciences/ Alliance Biomedica’ will be liable to forthwith replace the items free of cost. However such replacement will not prejudice the right of Aster to sue "Integra Life Sclences/ Alliance Biomedica’ for breach of Contract and claim compensatory damages. All the other terms and conditions of our Purchase Order will remain valid and would be applicable to the order. 50f8 Y ‘Aster DM Healthcare Limited L (former Aster DM Meathcare Pate Ud) ‘CIN: U8S110K120081¢021703 IW/A7SL, Aster Medcty, Kutsahib Road, Near Kothad Bridge, South Chittoor RO. | ‘Cheranalloor, Kochi - 682027, Kerala, Indl, ‘Tel: #91 484 6699559, Fax: +91 484 6599862 Email: admnindia@dmhealtheare.com Website: www.asterdmhealthcare.com PO No: ARV /BME/19/01/0071 Date: 11/01/2019 ‘The following documents shall also be supplied free of cost with the system supplies i. Complete set of the operation and Maintenance/service manuals fi, Factory test certificates / inspection reports. 18. ARBITRATION; ‘Any dispute or difference or claim arising out of or in relation to this transaction, construction validity performance or breach thereof shall, failing amicable settlement be referred to arbitration under the Arbitration and Conciliation Act of 1996, and any subsequent amendments thereof for time being in force. Such arbitration shall take place in Bengaluru. All disputes shall be subject to the Jurisdiction of Courts of Judicature of Bengaluru. Kindly sign the duplicate copy and return the same to us to signify acceptance of all terms and conditions mentioned above. Yours cordially For Aster DM Healthcare Limited J “may N Sr. Manager - Biomedical & Materials Sunil Kumar M1 Head Finance - India 6of8 Accepted For Karl Storz GmbH & Co. KG Authorized Signatory ‘Aster DM Healthcare Limited (Formerly Aster DM Healthcare Private Limited) ‘cin: U8s110K12008P1c021703. IK/475\, Aster Medeity Kutisahib Road, "Near Kothad Bridge, South Chittoor Po. Cheranalloor, Koch - 682027, Kerala, ina, Tel, 491 484 6699999, Fax: +91 484 6599862 E-mail: sdmnindia@dmhealthcare com Website: www.asterdmhealtheare.com PO No: ARV /BME/19/01/0071 ANNEXURE I Date: 11/01/2019 S.No. Description Quantity Price in US Dollars CUSA Excel+ Console containing : 1No. + Foot switch, Cooling reservoir. + Contamination Guard, in-service Video featuring user friendly control panel guide with simplified hand piece and manifold tubing, laparoscopic mode for effective minimal invasive procedures. + Unique tissue select feature allows surgeons the freedom. to choose the selectivity of tissue fragmentation, maximizes tactile feedback, enabling the surgeon to avoid vital structures, offer Greater control and precision for dissection near delicate structures. + Pumps run at lower values to reduce noise in the OR. Enters a quiet “resting” state when not in use. + Power maximum amplitude. + Provides maximum suction power to increase tip/tissue coupling and fragmentation ability. C5600 Tip Torquing Set Set | €2600 23KHz Straight HandPiece 1 Piece + Straight hand piece is the most powerful available-- to fragment even tough, fibrous, calcified tumors. + Expanded Tip Choices consisting of : MicroTip™ for improved Visualization. MacroTip™ for greater tissue | fragmentation, One piece curved and straight extended standard tips for better visibility and access. Laparoscopic tip for minimally invasive procedures. + Steam sterilization reduces turnaround time, and is in compliance with industry standards. + Redesigned color coded packaging provides easy identification of tips and manifold tubing. USD. 45000 70f8 ‘Aster DM Healthcare Limited (Formerly Aster DM Healthcare Private Limited) ‘CIN: Ussax0Kt2008PLC021703, DY/ATSL, Aster Medeity, Kutisahio Road, Near Kothad Bridge, South Chittoor 20. CCheranalloor, Kochi - 682027, Kerala, Inia. Tel: +91 484 6699999, Fax: +91 484 6699862 E-mail: adtnn.india@dmhealtheare.com ‘Website: wwasterdmealthcare.com PO No: ARV /BME/19/01/0071 Date: 11/01/2019 4601S 23KHz Standard Tip - 1.98mm inner diameter, 4 Pieces 3600 23 KHz Tubing Set. 6 Pieces 2623 23 KHz Sterilization Case. 1 Piece sJoye]= 2602 36KHz Straight HandPiece 1 Piece + _Lightest hand piece of any ultrasonic aspirator system providing delicate control, ‘+ Magnetostrictive technology utilized for increased surgeon confidence and reliability. + Curved tips provide greater visibility under an operating microscope. + Selection of nine tips for a wide variety of surgical applications. + _CEM™ nosecone available to provide simultaneous or independent activation of ultrasonic and electrosurgical functions. + Complete disassembly of the handpiece for cleaning with no inaccessible channels to trap tissue. + Steam sterilizable handpi and is in compliance with industry standards. duces turnaround time + Redesigned color coded packaging provides easy identification of tips and manifold tubing. 4612S 36 KHz Standard Tip - 1.98 mm inner Diameter, 4 Pieces 3601 36 KHz Tubing Set. 6 Pieces 2636 36 KHz Sterilization Case 1 Piece C0005 - Contamination Guard (2 Nos. per Box) 1 Box 2000mI suction receptacle, reusable CEM Nosecone to be used with all the tips as Electrocautery: C6623 - Excel 23KHz CEM Nosecone 1) 6636 - Excel 36KHz CEM Nosecone Grand Total USD. Forty Five thousand onl USD. 45000 Bof8 ‘Aster DM Healthcare Limited (Formery Aster DM Healthcare Private Limited) ‘IN: uBsi0K12008P1c021703 X/A75L, Aster Medeity, Kuttsahib Road, Near Kothad Bridge, South Chittoor PO. Cheranalloor, Kochi -682027, Kerala, India, Tel 491 484 6699000, Fax: +91 434 6699862 E-mail: aden inaia@dmhealthcare.com Website: wow asterdmhealtheare.com

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