PURCHASE ORDER

Purchaser Information: Supplier Information:

Clinton Health Access Initiative (CHAI)
Meskel Flower Road, WMG BIOMEDICAL ENGINEERING
Addis Ababa, Ethiopia LIMITED
Headquarters Address: Addis Ababa, Ethiopian, City Lideta Sub City,
383 Dorchester Avenue, Suite 400 Woreda 08, House number:383
Boston, MA 02127 USA
AFR1MED MEDICAL SUPPLIES
139 Nortei Ababio Loop, Airport Residential Area,
Accra- Ghana
Tel: 251-114-166993 TEL: +251 11 4 42 38 42. Fax (251-011)442 09
Fax: 251-114-166988 47
Contact: Rahel Belete, PHD Contact: WMG BIOMEDICAL
Title: Country Director, Ethiopia ENGINEERING LIMITED
Email: rbelete@clintonhealthaccess.org Name: Tamiru Ebisa
Title: General Manager
Telephone Numbers: +251 9-38 818181
Email: tamiru@lemon.com.et,
wmgbme@gmail.com

Contact: AFR1MED MEDICAL SUPPLIES

Name: Emmanuel Cobbinah
Title: Managing Director
Telephone Numbers: +233 302799661/ +233
244713457
Email: emmanuel@afrimed.biz
sarah@servymed.com
Are the goods being delivered by Supplier or Delivered by Supplier DDP, in accordance with
picked up by CHAI? incoterms 2021, to:
Name of Hospitals Region
Mohamed Akile hospital Afar
Debretabor Specialized hospital Amhara
Woldia Specialized hospital Amhara
Assosa General Hospital Benishangul
Delivery Location: Adama Hospital Medical College Oromia
Adolla General Hospital Oromia
Yirgalem Hospital Sidama
Arba Minch General Hospital SNNPR
Gode Hospital Somali
Adigrat Hospital Tigray
21-23 Weeks upon signing of the contract against
Delivery Date:
equivalent bank guarantee

Page 1 of 16
Goods **:
Exchange rate as of July 28/2021; Buying rate = 53.12, applied to items 3- 8
Grand Total
SN Item and Description Model Unit Qty Price Sub Total VAT
(US$)
Supply, installation, and commissioning of
Containerized Pressure Swing Adsorption
(PSA) Oxygen generation plant
manufactured by MEDISAM INSAAT SAGLIK
SISTEMLERI LIMITED SIRKETI, at IVEDIKKOY
MAH MELIH GOKCEK BLV, ARKANLAR
1 GRAND PLAZA BLOK NO 138 IC KAPI NO:28 OXW-500 Set 7 $465,780.00 - $3,260,460.00
YENIMAHALLE /ANKARA/TURKIYE with a
total minimum capacity of 60 N m3/hr. For
seven hospitals. With mandatory duplex
configuration with each production line
capable of producing minimum of 30 N
m3/hr. Oxygen each.
supply, installation, and commissioning
of non- containerized pressure swing
adsorption (PSA) oxygen generation plant
manufactured BY MEDISAM INSAAT
SAGLIK SISTEMLERI LIMITED SIRKETI, AT
IVEDIKKOY MAH MELIH GOKCEK BLV,
ARKANLAR GRAND PLAZA BLOK NO 138 IC
2 KAPI NO:28 YENIMAHALLE OXW-500 Set 3 $392,280.00 - $1,176,840.00
/ANKARA/TURKIYE with a total
minimum capacity of 60 n m3/hr. for three
hospitals. with mandatory duplex
configuration with each production line
capable of producing minimum of 30 n
m3/hr. oxygen each.
Cost of delivery to facility (shipping,
At Ten
3 inland transportation, and other till 20 $23,697.20 $ 473,994.00 $ 71,091.60 $545,035.60
Hospital
destination)
Cost of installation including construction
At Ten
4 of shade and footage for PSA plants, 10 $10,000.00 $100,000.00 $15,000.00 $115,000.00
Hospital
testing, and commissioning at the facility
5 Warranty 2 years
Total price for Supply, installation, and commissioning of all sites (in US$), including 15% VAT $5,097,335.60
NB: Local portion will pay after completion of the work Locally, prevailing exchange rate, during time of payment and 10% after warranty period

Page 2 of 16
* *See Annex A for detailed breakdown of the Goods and specifications, and Annex C for additional operational
requirements.

Supplier: Please follow steps 1-4 in fulfilling this Purchase Order:

1. By signing this Purchase Order or supplying Goods, you agree that the specifications of this Purchase Order and the
attached Terms and Conditions apply to all Goods delivered under this Purchase Order and invoices pertaining thereto.
2. Process and fill this order in accordance with the price and specifications above, the attached Terms and Conditions and
any additional delivery information communicated to you from time-to-time.
3. Email all invoices to the e-mail address indicated above for approval and processing. Send all other correspondence to
the above local address.
4. Notify us immediately if you are unable to ship as specified

Clinton Health Access Initiative, Inc. WMG BIOMEDICAL ENGINEERING LIMITED

By: _______________________

By: _____________________________
Name: Dr. Rahel Belete Name: Tamiru Ebisa
Title: County Director Title: General manager
Date: 24 January 2023 Date:24 January 2023

AFR1MED MEDICAL SUPPLIES

By:
Name: Emmanuel Cobbinah
Title: Managing Director
Date: 24 January 2023

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 PURCHASE ORDER | Terms and Conditions

1. Acknowledgement Copy
The agreement by Supplier to furnish the materials or services hereby ordered, or its commencement of such
performance, or acceptance of any payment, shall constitute acceptance by Supplier of this Purchase Order subject to
these Terms and Conditions.

2. Delivery Terms
a) Goods shall be delivered in accordance with the location and date details specified in the Purchase Order. Supplier
shall bear all risk of loss to Goods until Purchaser's receipt of Goods and final commissioning/plant handover.
Supplier shall be responsible for facility management services including, clearing customs, local transportation of
the item Dubti General Hospital, Debretabor Specialized hospital, Woldia Specialized hospital, Assosa General
Hospital, Adama Hospital Medical College, Adolla General Hospital, Yirgalem Hospital, Arba Minch General
Hospital, Gode Hospital and Adigrat hospital, and installation including the concrete leveling/footage and shading
construction work of the 10 selected hospitals.
b) CHAI & the Federal Ministry of Health (FMOH) shall have a reasonable time after delivery of the Goods to inspect
them and to reject and refuse acceptance of Goods not conforming to the Purchase Order and the Terms and
Conditions. Delivery or pickup shall not constitute acceptance.
c) Supplier commits to submitting an invoice and itemized packing list either before or at the time of delivery of Goods
indicated on the Purchase Order.
d) Supplier is responsible for arranging all customs clearances, shipment/transportation to initiation or destination of
goods. No charges will be allowed for packing, crating, freight, local cartage, customs duties and/or any other
services unless specified in the Purchase Order.
e) Time is of the essence and failure to deliver in accordance with the delivery schedule under this Purchase Order, if
unexcused, shall be considered a material breach of this Purchase Order. Supplier shall notify Purchaser
immediately of any actual or potential delay and take responsibility for any additional costs that may happen

3. Payment Terms
(a) Payments shall be made after receipt of invoice(s) from the Supplier in accordance with the following schedule:

Invoice # Description Amount (in

Supplier
US$)
Upon signing of contract and equivalent bank guarantee
Against documents AFRIMED 727,350.00
1
Against documents AFRIMED 3,184,000.00
Upon on delivery of PSA pants to the specific sites AFRIMED 654,928.48
2 Local portion
2.1 Against Document WMG Engineering 120,000.00
Upon completion of installation and all checks
2.2 AFRIMED 411,052.62
performed/certification complete see article 2C & 6.
Upon completion of the whole work half the total amount retained shall repaid to
WMG/AFRIMED and half when the defect liability period has passed/24- month warranty
5%
period/ and FMOH and CHAI certify that all servicing has been satisfactory with in warranty
period substitute the retention “on demand” Bank guarantee.
Total 5,097,335.60

Each invoice shall specify bank wiring instructions or delivery instructions for cash transfers to take place. Payment
will be in United States dollars unless otherwise agreed to by specific reference in the Purchase Order.
(b) If price is not stated in this Purchase Order, it is agreed that the goods shall be billed at the price last quoted, or
billed at the prevailing market price, whichever is lower. This Purchase Order must not be filled at a higher price
than last quoted or charged, nor may prices be increased, without Purchaser's specific authorization.
(c) Unless this Purchase Order specifies otherwise, the price of this Purchase Order includes, and Seller is liable for
and shall pay, all taxes, impositions, charges, and exactions imposed on or measured by this Purchase Order except
for applicable sales, use and value-added taxes that are separately stated on Seller's invoice. To the extent that CHAI
is exempt from all direct taxes and is exempt from customs duties in respect of articles imported or exported for its
official use, then accordingly, the Supplier authorizes CHAI to deduct from the Supplier's invoice any amount
representing such taxes or duties charged by the Supplier to CHAI. Payment of such corrected invoiced amount

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 shall constitute full payment by CHAI. In the event any taxing authority refuses to recognize the exemption status
from such taxes, the Supplier shall immediately consult with CHAI to determine a mutually acceptable procedure
for allocation of responsibility for payment of taxes.
(d) Payment for Goods pursuant to the Purchase Order shall not be deemed an acceptance of the Goods.
(e) Payment account details;

AFRIMED WMG ENGINEERING PLC

Beneficiary Name WMG BIOMEDICAL ENGINEERING
Bank Name: Mashreq Bank
PLC
Beneficiary Name: AFRIMED FZ-LLC Beneficiary Account Number 2168174800001
Country Dubai Beneficiary Bank Oromia Bank s.c
Account No: 019101093851 Beneficiary Bank Branch Finfine
AE770330000019101 Beneficiary Bank Address Addis Ababa, Ethiopia
IBAN No:
093851
Branch: Mashreq NEO [099] Beneficiary Swift Code ORIRETAA
Currency: USD Intermediary Bank CITI BANK NA
Intermediary Bank Address 111 Wall Street, New York, NY10043
Intermediary Bank Swift CITIUS33 ABA Number :021000088
Code ORIRETAA Account Number at
CITIUS33:36914365
Country Ethiopia

4. Warranties
Supplier hereby warrants that the Goods:
(a) Are fit for the purposes for which such Goods are ordinarily used and for purposes expressly made known to the
Supplier by CHAI and are free from defects in workmanship and materials.
(b) Are adequately packaged for protection during shipping and subsequent use or storage;
(c) Meet the specifications and standards according to Annex A, as approved by all international standards (ISO, CE
marking, or FDA indicated in attachments to this purchase order) as well as the standards detailed in PO agreement
(including misappropriation) of third-party intellectual property rights.
(d) Are manufactured, sold, used and rendered in compliance with all relevant national or local laws and regulations
regarding the manufacture, labeling, transport, import, export, licensing, approval or certification of the Goods,
including laws relating to environmental matters, import/export controls, hiring, wages, hours and conditions of
employment, subcontractor selection, discrimination, occupational health or safety and motor vehicle safety.
(e) Have no substitutions, regarding the manufacturer, where specified, will be made without advance, written
approval from CHAI quality.
(f) CHAI can reject shipment if the product delivered doesn’t comply with the manufacturer specified

Supplier shall be liable for and hold CHAI harmless from any loss, damage, or expense whatsoever that CHAI may
suffer from breach of any of these warranties. Remedies shall be at CHAI's election, including repair, replacement, or
reimbursement of the purchase price of nonconforming Goods, as well as any remedy allowed under law or otherwise
in this Purchase Order. These warranties are not exclusive of any other warranties, express or implied, arising by
operation of law or made by the Supplier. These warranties shall survive acceptance and payment.

5. Product Warranty
(a) Supplier shall, for a period of 24 months (2 years) from the date of installation of the Goods at the location detailed
above, provide a warranty for the factory defect only. The Supplier agrees to provide the Parts and/or Services in a
professional manner and in accordance with recognized good practices; meet the technical standards applicable in
the country of delivery, or any other standards that may be expressly and unequivocally discussed and agreed to
between the Parties.
(b) During the warranty period, the Supplier shall, at its costs and option, repair or replace any defective part.
CHAI/FMOH shall provide all facilities and access to the Supplier in order to observe these defects and to remedy
them.
(c) Unless otherwise agreed to in writing, the costs and risks of loss or damage to repaired or replaced parts during
transport shall be borne in accordance with the same incoterm used for delivery of the Equipment.
(d) CHAI/FMOH shall notify the Supplier in writing of any defects from which claim is made under this warranty as
promptly as possible after discovery thereof.
(e) The Supplier shall have no obligation for any defects discovered after the end of the warranty period, subject
additionally to the expiry date of the warranty period.

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 (f) If the Supplier fails to remedy the defects within 30 days of the date of notification, CHAI may proceed to take such
remedial actions as may be necessary at the supplier's own risk and expense, without prejudice to any rights, which
the Purchaser may have against the Supplier.
(g) The Supplier shall remedy, at its own expense defects against which the Product is guaranteed under this article, by
making all necessary replacements.
(h) The supplier shall define the costs for preventative and corrective maintenance for a period of a least 5 years from
date of installation. Supplier must propose the maintenance routines and the predetermined system for procuring
spare parts that are brand/model related, this includes spare parts list per recommended preventative maintenance
program clearly defined in a disaggregated list comprising part numbers, descriptions, and unit cost, as well as
indicating manufacturer/brand/model specifics (e.g., for circuit breaker, printed circuit board, sieve beds,
compressor components, valves, wheels, motor capacitor, analyzer, etc.).
(i) The supplier will supply the spare parts and accessories required for functioning the oxygen plants after warranty
period with fixed agreed price in USD for a minimum of five years. This will be done in a separate
agreement/included in After Sale Service Document.

6. Installation, Servicing and Transition

Supplier shall note and report any signs of external or internal damage upon plant delivery. Supplier shall install and
commission the product at the Mohammed Akile Hospital, Debretabor Specialized hospital, Woldia Specialized hospital,
Assosa General Hospital, Adama Hospital Medical College, Adolla General Hospital, Yirgalem Hospital, Arba Minch
General Hospital, Gode Hospital and Adigrat hospital for supply of the oxygen PSA plants and construction of the
concrete leveling/footage and shading construction work of the 10 selected hospitals.
(a) Installation definition: The installed containerized and non-containerized PSA plants will produce oxygen
concentrated to 93 +/- 3% delivered via a pipeline system, and filled into cylinders via a filling ramp. The following
will confirm installation & commissioning:
i. Leakage tests, across a representative sample of terminal units (and supply units, inclusive of cylinders);
ii. Particulate contamination tests.
iii. Validation and verification exercise detailing nominal pipeline distribution pressure, test flow, plant
pressure.
iv. Report from monitoring system to include gas identification/quality, oxygen concentration and flow.
v. Verify oxygen concentration and pressure level meets specifications when device is operational.
vi. Verify operation of oxygen analyzer and all alarms, including power failure alarms.
vii. Verify automatic switch to secondary supply when failure.
viii. Any other legally required elements of commission required, per regulatory authorities and any other
standard manufacturer commissioning protocols; and
ix. Conformity of installation shall be verified by manufacturer's authorized local agent.
x. Delivery of commissioning report to CHAI/FMOH prior to final handover.
(b) Supplier shall be responsible for the ongoing servicing and maintenance of the equipment when installed at the
Mohammed Akile General Hospital, Debretabor Specialized hospital, Woldia Specialized hospital, Assosa General
Hospital, Adama Hospital Medical College, Adolla General Hospital, Yirgalem Hospital, Arba Minch General
Hospital, Gode Hospital and Adigrat hospital, for 24 months from the completion of the installation and will sign
separate agreement with the 10 hospitals accordingly.
(c) Supplier shall include appropriate transition to MOH or Regional Health Bureau, including capacity building and
training of MOH, Regional Health Bureau Bio-Medical Engineers and staff of the ten hospitals Mohammed Akile
Hospital, Debretabor Specialized hospital, Woldia Specialized hospital, Assosa General Hospital, Adama Hospital
Medical College, Adolla General Hospital, Yirgalem Hospital, Arba Minch General Hospital, Gode Hospital and
Adigrat hospital. All such details concerning the transition and capacity building will be separately agreed.

7. Rights of CHAI
a. Nothing in these Terms and Conditions or in this Purchase Order implies any exclusivity of supply agreement or
obligation by CHAI to issue future purchase orders to Supplier.
b. CHAI may terminate this Purchase Order, for convenience and without cause, in whole or in part, at any time, and
such termination shall not constitute default. In such case, Supplier shall be reimbursed for actual, reasonable,
substantiated, and allowable costs, plus a reasonable profit for work performed to date of termination.
c. In the event of Supplier's default hereunder, including a breach of any warranty, CHAI may exercise any or all
rights accruing to it. Without limitation, CHAI shall have the right to:
i. Procure all or part of the Goods under this Purchase Order from other sources, in which event CHAI may
hold the Supplier responsible for any excess cost occasioned thereby.

Page 6 of 16
 ii. Refuse to accept delivery of all or part of the Goods.
iii. Terminate the Purchase Order.

8. No Assignment
Neither the Purchase Order nor any interest under it may be assigned by the Supplier to any entity without the prior
written consent of the Purchaser. The Purchase Order shall not be deemed an asset of the Supplier.

9. Indemnification
Supplier shall, without limitation, indemnify, defend and hold CHAI and its officers, directors, employees and agents
harmless from and against all claims attributed to or caused by the Goods, including but not limited to (i) all claims
(including claims under Workers' Compensation or Occupational Disease laws) and resulting costs, expenses and
liability which arise from personal injury, death, or property loss or damage, or (ii) any claims by third parties for
infringement of intellectual property rights. This obligation shall survive termination of the Purchase Order.
10. Legal Compliance
(a) Supplier agrees to conduct all work under this Agreement in accordance with all applicable laws, regulations, and
rules and will not infringe, misappropriate, or violate the intellectual property, privacy, or publicity rights of CHAI
or any third party.
(b) Supplier certifies that it, its agents and contractors (i) do not, and will at no point during the Term of this Agreement,
appear on the master list of Specially Designated Nationals and Blocked Persons, which list is maintained by the
U.S. Treasury's Office of Foreign Assets Control ("OFAC"), and (ii) have not been, and will at no point during the
Term of this Agreement be designated by the United Nations Security Council (UNSC) sanctions committee
established under UNSC Resolution 1267 (1999) (the "1267 Committee"). To determine whether there has been a
published designation of an individual or entity by the 1267 Committee, Supplier should refer to the consolidated
list available online at the Committee's website: https://www.un.org/sc/suborg/en/sanctions/un-sc-consolidated-list.
(c) Supplier shall take no part in acts of bribery, fraud, or other corrupt practices. Supplier shall furthermore take
reasonable steps to minimize the opportunities for loss, bribery, fraud, conflicts of interest, or other corrupt practices
to arise or occur. For the purposes of this Section 13: "Loss" is understood as the irreversible consequences of
unintentional and uncontrollable events on the financial resources provided by CHAI, or the medicines and other
products funded by CHAI; "Bribery" is the offering, giving, receiving, or soliciting, directly or indirectly, of
anything of value to improperly influence the actions of another party. "Fraud" is any act or omission that knowingly
or recklessly misleads, or attempts to mislead, a party to obtain financial or other benefit or to avoid an obligation,
including misrepresentation or any intellectual fraud, such as the falsification of the data (including clinical or other
trial results), diversion or financial misappropriation. Fraud also includes coercive or collusive practices. "Conflicts
of Interest" include any situation where the impartial and objective implementation of the Project is compromised
for reasons involving economic interest, political or national affinity, family or emotional ties, or any other shared
interest. Supplier shall fully cooperate with any independent investigation commissioned by CHAI or CHAI's
Donors into any of the preceding acts or circumstances that occur during the Term of this Agreement.
(d) (d) Supplier is aware of CHAI's commitment to anti-corruption and shall not engage in Corrupt Practices, directly
or indirectly, in relation to the Project. Corrupt Practices include, but are not limited to, Collusive Practices,
Coercive Practices, and Obstructive Conduct. "Collusive Practice" includes the proposing or entering into an
arrangement between two or more parties designed to achieve an improper purpose, including to influence
improperly the actions of another party. "Coercive Practice" includes impairing or harming, or threatening to impair
or harm, directly or indirectly, any party or the property of the party to influence improperly the actions of a party.
"Obstructive Conduct" includes (i) any act which deliberately and in an effort to compromise an falsifies, alters or
conceals information or documents that may be relevant to a fraud material that could become evidence as a result
of such investigation; or (ii) to investigators during such an investigation. Supplier shall fully cooperate with any
independent investigation commissioned by CHAI or CHAI's Donors into any of the preceding acts or
circumstances that occur during the Term of this Agreement. Supplier is expected to adhere to the United States
Foreign Corrupt Practices Act (FCPA), which applies to all international activities by representatives of a U.S.
company including CHAI, as well as any other local anti-bribery laws and regulations.

11. Use of Name, Emblem or Official Seal

This Purchase Order shall not be construed to grant Supplier any license to use CHAI's name or logo, in any format (the
"CHAI Marks"). Any requests for use of CHAI Marks shall be submitted in writing to CHAI. CHAI shall have the
right, in its sole discretion, to determine whether or not to grant any rights of usage to the CHAI Marks to Supplier. In
order for an authorization to be valid, it must be documented in writing from an authorized CHAI representative.

12. Modification

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 None of the terms and conditions contained in this Purchase Order may be added to, modified, superseded or otherwise
altered except by a written instrument signed by an authorized representative of Purchaser and Supplier. Purchaser
may, from time to time, orally communicate shipment or delivery instructions to Supplier.

13. Governing Law and Disputes

The validity and interpretation of the agreement between the Purchaser and the Supplier shall be governed by the laws
of the State of New York, United States, but without reference to the principles of choice of law. The application of
the United Nations Convention on Contracts for the International Sales of Goods (1980) is excluded. Purchaser and
Supplier agree to personal jurisdiction in any action brought in any court, Federal or State, within New York, New
York, United States, having subject matter jurisdiction over the matters arising under this Purchase Order, and that any
suit arising out of or relating to this Purchase Order shall only be instituted in said courts.

14. Severability
If any provision of this Purchase Order or application thereof is found invalid, illegal or unenforceable by law, the
remainder of this Purchase Order will remain valid, enforceable and in full force and effect, and the parties will negotiate
in good faith to substitute a provision of like economic intent and effect.

15. No Agency
It is understood that Supplier is an independent contractor and is not a partner or agent of CHAI or any entity affiliated
with CHAI. Supplier has no power or authority to act for, represent or bind CHAI or any entity affiliated with CHAI.
CHAI will not be responsible for any act or commission of Supplier or any of its employees, contractors, or agents.

16. Documents that are part and parcel of this contract

➢ CHAI –Invitations for Bid

➢ Copy of Award letter
➢ Service level agreement
➢ Price schedule sheet
➢ Delivery schedule
➢ Copy of warranty certificate
➢ Copy of power of Attorney

Page 8 of 16
 Annex A: EQUIPMENT SPECIFICATIONS
Annex A1: Medical Grade PSA Oxygen plant Technical Specification (Containerized Solution)
Table 1: Technical Specification for Containerized Solution
SN Component Specification
1 Plant size: The total minimum capacity of 60 N m3/hr. for seven hospitals. PSA technology (Pressure Swing Adsorption
Technology) with mandatory duplex configuration capable of producing minimum of 30 N m 3/hr oxygen
each.
2 Plant quantity 7 duplexes (Number of plants dependent on containerized solution configurations to meet minimum capacity)-
Refer to the plant size described above.
3 Oxygen Purity: 93±3% with continuous output
Pressure between 300-600 kPa (3-6bar), the range fall between the minimum and maximum is acceptable.
All analyzers included with +/- 1% accuracy
4 Filters • Including air filtration package consisting of the particulate filter (>5 microns), coalescing 0.01micron, oil filter
and (optional) carbon absorption filter
• Bacterial outlet (product) filter and other standard filters
5 Operating conditions: • Supplying oxygen concentration continuously in ambient temperature from 10-45°C and < 95% Relative
Humidity
• Compatible at an elevation of Debretabor hospital 2706 m, Adama 1712 m, Woldia 2112 m, Assosa 1570 m,
Adolla 1758 m, Yirgalem 1777 m, Adigrat (Tigray) 2457 m above sea level
6 Power Requirement: 380 volts /50 Hz (3 Phase) The plant must operate with the backup generator of 175-200KW/200 – 250KVA
power; The plant with power requirement above 250KVA is not acceptable.
8 Compressors: Input feed air compressor:
• The compressor can be oil-injected (Class- 1) or oil-free (Class- 0)
• Has the capacity to fill >2000L Air receiver tank
• Certificate is requested of the medical-grade (Medical Air) compressor
Maximum of 750 kPa/7.5 bar
• application
• Screw-type technology
• External air dryer
Oxygen boosting compressor:
• Rix (or equivalent) (need to bind certification for Rix Equivalent)
• 20,000 kPa output pressure (150 bar)
• 30Nm3/hr with filling ramp of-at least 100 Cylinders/day output
• One boosting compressor for each of 7 quantities of 30Nm3/hr producing PSA oxygen plant for refilling
cylinders.
9 System Operation Program logic-controlled System
Touch-screen control panel in English
• All displayed in SI units
• Air receiver tank capacity, >2000L
• Function of the purge of low concentration of oxygen
• Integrated Automatic Oxygen sample concentration analyzer and monitor (two Sample analyzers, 1 per each
PSA plant)
• The capacity of Oxygen tank shall be >2000L
10 User Interface/Control Touch screen control panel with clearly visible, digital display in English
panel at least:
• Oxygen concentration [%]
• Oxygen production trending [Nm3/hour]
• Output pressure in PSI/bar
• System status, including current maintenance need
• Cumulative hours of operation (digital or analog meter)
Audible and visual alarms for:
• High temperatures
• Low/high pressure (ex., output pressure < 3 bar / 44 psi)
• Low oxygen concentration (<90%)
• Power failure; system failure
• Second/reserve source active
• Air dryer pressure dew point (>3°C)
10 Mobility/Installation • Containerized solution, pre-configured with requisite intake, ventilation, HVAC, and exhaust vents and
ready louvres.
• Containerized solution with interior air conditioning and precooling of intake air system
• Detail Container specification is as in Annex A3
11 Maintenance service Minimum of two (2) years’ post-installation to provide maintenance services and provision of requisite spares
parts and consumables
12 Warranty 1. All components of the PSA oxygen plant system should have at least 2 years warranty period after
commissioning (this includes managing the designing problem, and related curative maintenance). Within this

Page 9 of 16
SN Component Specification
warranty period, the manufacturer will be responsible for the prompt repair of malfunctioning equipment within
the system.
2. The supplier must ensure the availability of spare parts for at least 5 years
13 Testing and Pre-shipment: Certificate of quality, calibration, and inspection
commissioning On-site: Inspection, testing, and commission should be done before handover.
14 Company Certified • The supplier will provide operator’s training on the site.
Training • Advanced and intensive company training for biomedical engineers/technicians shall be given separately on
the PSA Oxygen plant. See Annex A6. Training Package for detail
15 Regulatory and Regulatory approval as per WHO recommendation: Australia, Canada, Japan, USA, or European Community
Standards: (e.g., FDA and/or CE under MDR)
Standards: the following certificates given by a certified third-party for the system proposed (or an equivalent
thereof):
General:
• Certified Quality Management Systems (ISO 13485, ISO 9001)
• Met Healthcare Technology Memorandum (HTM)-02-01
Component-specific:
• ISO 7396-1: Medical gas pipeline systems — Part 1: Pipeline systems for compressed medical gases and vacuum.
• ISO 8573-1: Compressed air – Part 1: Contaminants and purity classes.
• ISO 8573-2: Compressed air – contaminant measurement – Part 2: Oil aerosol content.
• ISO 8573-4: Compressed air – contaminant mesurément – Part 4: particule content.
• ISO 5011: Inlet air cleaning equipment for internal combustion engines and compressors – performance testing.
• ISO 12500 – Simplifying Compressed Air Filter Selection
• ISO 21969: High pressure flexible connections for use with medical gas systems.
All pressurized vessels to be:
▪ Designed according to PED or ASME VIII, or equivalent.
▪ Certified PED or ASME III, or equivalent.
▪ Cleaned according to ISO 15001, ASTM G93, or equivalent.
16 Documentation Hard and soft copies, in English language of:
• life span of minimum 10 years; guaranteed by a letter from the manufacturer.
• certificate of quality, calibration and inspection.
• user manual, detailing:
✓ specific protocols for operation.
✓ list of equipment and procedures required for cleaning, disinfection, troubleshooting, calibration, and
routine maintenance.
• Service manual.
• Equipment Drawings,
• Foundation, layout, and assembly drawings,
• Process Flow Diagram (PFD) or Block Schematic,
• Piping & Instrumentation Diagram (PID),
• contact details of manufacturer, and authorized distributors (if applicable), and local service agent.
• Pressure testing certificates for all pressure equipment, in accordance with relevant standards and country
regulations.
• Certificate of conformance
• Certificate of calibration for instrumentation including transmitters, analysers.
• Electrical/control wiring diagrams
• Sequence of operation, including system controls and interlocks
• Installation manual.
• Operating and maintenance manuals.
• Equipment specifications (including compressors, blowers, filters, dryers, refrigerators, vessels, absorber
vessels).
• Piping and fitting specifications.
• Pressure regulators and safety valve specifications.
✓ Instrumentation specifications, including pressure and temperature gauges, temperature/flow/pressure
transmitters, including oxygen analysers, carbon monoxide/carbon dioxide analysers, differential pressure
analyser.
• Performance test of the PSA unit(s) including certificate and testing report.
• Hazard review.
• SDS - Safety data sheets for the material used.
17 Product labelling • Electrical power input requirements (voltage, frequency and socket type)
• Manufacturer serial number for tracking/inventory management
• Labelling as required to meet international safety standards for medical O2 systems
• Designating required environmental conditions for storage and operation (e.g. temperature, pressure, light,
humidity)

Page 10 of 16
 Annex A2: Detail lists of PSA plant with accessories for containerized solution1
Table 2: List of Plant Components and Accessories
Item No. Item Description Model Supplier Manufacturer
1 PSA Oxygen Generator
1.1 Screw Air Compressor
1.2 Refrigerate Air Dryer
1.3 Air Buffer Tank
1.4 Air Purification Filters
1.5 PSA Oxygen concentrator
1.6 Oxygen Analyzer (ultrasonic sensor)
1.7 Pressure Transmitter
1.8 Oxygen Flowmeter
1.9 Oxygen Buffer Tank
1.1 Oxygen Purification Filters
1.11 HMI Control Cabinet
1.12 Pipes and Accessories
1.13 APP Monitoring Platform
1.14 Maintenance Tools
2 Oxygen Booster
-Required certificate for quality standards
2.1 Including accessories, consumables, and spare parts

2.2 Water Cooling Machine

Oxygen Cylinders Filling Station including vacuum/purge
2.3
compressor
3 Customized Containerized Design

1 Please add any major components that might be missed from the list of Annex A2 table

Page 11 of 16
 Annex A3: Technical Specifications for Container… (Parts of Lot 1)
Standard containers are to be accessed via double doors at one end of the container whereas full side access containers
offer bi-folding doors along the longest side of the container. This can make the process of integrating the PSA
plant and easy installation, operation/use and maintenance and repair activities.
1. The floor should be checkered steel plate with > = 4mm thickness
2. A door must be opened in the parallel position of the plant parts for ease of use and maintenance
3. Required features:
3.1. The exterior paint is pure white (to reflect the direct sun light),
3.2. The interior is gray (since gray is the perfect neutral, soothing presence),
3.3. Heat insulated wall and ceiling (non-toxic insulation for temperature reduction)
(Supplier has to state the insulation type and guarantee the material has no side effect on users’ health),
3.4. Sound and noise-proof (< 6 dB) or sound-absorbing,
3.5. Fireproof and equipped with the fire extinguisher,
3.6. Aesthetically and ergonomically built machine for best performance
3.7. Insect nets need to be welded on the inside of all blinds.
3.8. All doors and walls must be waterproof and sealed.
4. Container Types and Sizes: -
4.1. Size: Length of L = 40ft (12m), W = 2.35m – 2.65m, H = 2.9m
4.2. Type: Special container
4.2.1. Full side access containers (bi-folding doors along the longest side of the container)
4.2.2. Made up of steel
5. Decoration: internal 50mm porous sound-absorbing cotton + explosion-proof lamps + darkening of the top and
sides: (the end of the thread (dark line) is reserved at the electrical control cabinet)
6. Containers should be required to come with active air conditioning (mini split system), that will be critical for plant
performance in high temperature conditions.
7. Ventilation exhaust fan (large 6500m3/h) *2 sets, power connector, pre-configured by manufacturer. It cannot be
left or right and shakes back and forth. (Explosion-proof lamp, exhaust fan line concealed installation, top surface,
pipe through, wire recessed in trough or within trucking, access to electrical control cabinet)
8. The internal equipment is required to be fixed, and the equipment shall be made of a movable fixed base (the
movable fixed base is fixed to the container, and the equipment is fixed to the movable fixed base). The manufacturer
shall consider the fixed base and load-bearing issues.
9. There is an exhaust vent on the box. Note that due to a large amount of equipment inside the box, heat needs to be
removed, and a high-power exhaust fan is required.
10. The air compressor equipment has a reserved heat dissipation duct outlet, the outside of the box is shuttered, and
the inside is fixed with a duct adapter.
11. The oxygen filter holder is processed by the manufacturer and fixed with bolts and nuts.
12. There are drainage holes outside the container, and the location of the power inlet (the window should be equipped
with a movable door cover)
13. The sheet metal parts of the manual filling station are processed by the factory, including the sheet metal accessories
such as the filling station control box
14. At the position of the manual filling station, a movable ramp plate needs to be processed so that the oxygen cylinder
can be moved to the table. When not in use, the movable slope plate can be disassembled and placed in the manual
filling station with the door closed.
15. Cylinder manifold should be outside the container, but booster can be inside the container.

Page 12 of 16
 Annex A4: Medical Grade PSA Oxygen plant Technical Specification (Onsite Installation Required) – Lot 2
Table 3: Technical Specification for Non-containerized Solution
SN Component Specification
1 Plant size: The total minimum capacity of 60 N m3/hr. for three hospitals. PSA technology (Pressure Swing Adsorption
Technology) with mandatory duplex configuration capable of producing minimum of 30 N m3/hr oxygen each.
2 Plant quantity 3 duals (Number of plants dependent on configurations proposed to meet minimum capacity)-Refer to the plant
size described above
3 Oxygen Purity: 93±3% with continuous output
Pressure between 300-600 kPa (3-6bar), the range fall between the minimum and maximum is acceptable
All analyzers included with +/- 1% accuracy
4 Filters • Including air filtration package consisting of the particulate filter (>5 microns), coalescing
0.01micron oil filter and (optional) carbon absorption filter
• Bacterial outlet (product) filter and other standard filters
5 Operating 10-45°C and < 95% Relative Humidity
conditions: Compatible at an elevation of Dubti hospital 378 m, Gode hospital 358 m, Arba Minch hospital 1285 m above
sea level
6 Power Requirement: 380 volts /50 Hz (3 Phase) The plant must operate with the backup generator of 175-200KW/200 – 250KVA
power; The plant with power requirement above 250KVA is not acceptable.
8 Compressors: Input feed air compressor:
• The compressor can be oil-injected (Class-1) or oil-free (Class- 0)
• Has the capacity to fill >3000L Air receiver tank
• Certificate is requested of the medical-grade (Medical Air) compressor
Maximum of 750 kPa/7.5 bar
• application
• Screw-type technology
• External air dryer
Oxygen boosting compressor:
• Rix (or equivalent) (need to bind certification for Rix Equivalent)
• 20,000 kPa output pressure (150 bar)
• 30 Nm3/hr with filling ramp of-at least 100 Cylinders/day output
• One boosting compressor for each of 3 quantities of 30Nm3/hr producing PSA oxygen plant.
9 System Operation Program logic-controlled System
Touch-screen control panel in English
• All displayed in SI units
• Automatic drain on the air receiver tank
• Air receiver tank capacity, >3000L
• Function of a purge of low concentration of oxygen
• Integrated Automatic Oxygen sample concentration analyzer and monitor (two Sample analyzers,
1 per each PSA plant)
• The capacity of Oxygen thank shall be >3000L
10 User Touch screen control panel with clearly visible, digital display in English
Interface/Control at least:
panel • Oxygen concentration [%]
• Oxygen production trending [Nm3/hour]
• Output pressure in PSI/bar
• System status, including current maintenance need
• Cumulative hours of operation (digital or analogue meter)
Audible and visual alarms for:
• High temperature
• Low/high pressure (ex., output pressure < 3 bar / 44 psi)
• Low oxygen concentration (<90%)
• Power failure; system failure
• Second/reserve source active
• Air dryer pressure dew point (>3°C)
10 Mobility/Installation • Onsite installation required.
ready • Open air ventilation or Ventilated room with appropriate AC
• All the required material should be avail by vendor including the building (Which will be
constructed by the supplier)
11 Maintenance service Minimum of two (2) years’ post-installation to provide maintenance services and provision of requisite spares
parts and consumables
12 Warranty 1. All components of the PSA oxygen plant system should have at least 2 years warranty period after
commissioning (this includes managing the designing problem, and related curative maintenance). Within this
warranty period, the manufacturer will be responsible for the prompt repair of malfunctioning equipment
within the system.
Page 13 of 16
SN Component Specification
2. The supplier must ensure the availability of spare parts for at least 5 years
13 Testing and Pre-shipment: Certificate of quality, calibration, and inspection
commissioning On-site: Inspection, testing, and commission should be done before handover.
14 Company Certified • The supplier will provide operator’s training on the site.
Training • Advanced and intensive company training for biomedical engineers/technicians shall be given
separately on the PSA Oxygen plant. See Annex A6. Training Package for detail
15 Regulatory and Regulatory approval as per WHO recommendation: Australia, Canada, Japan, USA, or European Community
Standards: (e.g. FDA and/or CE under MDR)
Standards: the following certificates given by a certified third-party for the system proposed (or the equivalent
thereof):
General:
• Certified Quality Management Systems (ISO 13485, ISO 9001)
• Met Healthcare Technology Memorandum (HTM)-02-01
Component-specific:
• ISO 7396-1: Medical gas pipeline systems — Part 1: Pipeline systems for compressed medical
gases and vacuum.
• ISO 8573-1: Compressed air – Part 1: Contaminants and purity classes.
• ISO 8573-2: Compressed air – contaminant measurement – Part 2: Oil aerosol content.
• ISO 8573-4: Compressed air – contaminant mesurément – Part 4: particule content.
• ISO 5011: Inlet air cleaning equipment for internal combustion engines and compressors –
performance testing.
• ISO 12500 – Simplifying Compressed Air Filter Selection
• ISO 21969: High-pressure flexible connections for use with medical gas systems.
All pressurized vessels to be:
a. Designed according to PED or ASME VIII, or equivalent.
b. Certified PED or ASME III, or equivalent.
c. Cleaned according to ISO 15001, ASTM G93, or equivalent.
16 Documentation Hard and soft copies, in English language of:
• life span of minimum 10 years; guaranteed by a letter from the manufacturer.
• certificate of quality, calibration, and inspection.
• user manual, detailing:
✓ specific protocols for operation.
✓ list of equipment and procedures required for cleaning, disinfection.
✓ troubleshooting, calibration, and routine maintenance.
• Service manual.
• Equipment Drawings,
• Foundation, layout, and assembly drawings,
• Process Flow Diagram (PFD) or Block Schematic,
• Piping & Instrumentation Diagram (PID),
• contact details of manufacturer, and authorized distributors (if applicable), and local service agent.
• Pressure testing certificates for all pressure equipment, in accordance with relevant standards and
country regulations.
• Certificate of conformance
• Certificate of calibration for instrumentation including transmitters, analyzers.
• Electrical/control wiring diagrams
• Sequence of operation, including system controls and interlocks
• Installation manual.
• Operating and maintenance manuals.
• Equipment specifications (including compressors, blowers, filters, dryers, refrigerators, vessels,
absorber vessels).
• Piping and fitting specifications.
• Pressure regulators and safety valve specifications.
• Instrumentation specifications, including pressure and temperature gauges,
temperature/flow/pressure transmitters, including oxygen analyzers, carbon monoxide/carbon dioxide
analyzers, differential pressure analyzer.
• Performance test of the PSA unit(s) including certificate and testing report.
• Hazard review.
• SDS - Safety data sheets for the material used.
17 Product labelling • Electrical power input requirements (voltage, frequency, and socket type)
• Manufacturer serial number for tracking/inventory management
• Labelling as required to meet international safety standards for medical O2 systems
• Designating required environmental conditions for storage and operation (e.g., temperature,
pressure, light, humidity)
Page 14 of 16
 Annex A5: Detail lists of PSA plant with accessories for non-containerized solution-Lot 22
Table 4: List of Plant Major Components for Non-containerized Solution
Item No. Item Description Model Supplier Manufacturer
1 PSA Oxygen Generator
1.1 Screw Air Compressor
1.2 Refrigerate Air Dryer
1.3 Air Buffer Tank
1.4 Air Purification Filters
1.5 PSA Oxygen concentrator
1.6 Oxygen Analyzer (ultrasonic sensor)
1.7 Pressure Transmitter
1.8 Oxygen Flowmeter
1.9 Oxygen Buffer Tank
1.1 Oxygen Purification Filters
1.11 HMI Control Cabinet
1.12 Pipes and Accessories
1.13 APP Monitoring Platform
1.14 Maintenance Tools
2 Oxygen Booster
Required Certificate quality standards Including accessories,
2.1
consumables, and spare parts
2.2 Water Cooling Machine
Oxygen Cylinders Filling Station including vacuum/purge
2.3
compressor
3 Customized Containerized Design

2
Please add any major components that might be missed from the list on table Annex A5

Page 15 of 16
 Annex A6: Training Package

Provision of company certified training for Biomedical Engineers/Technicians (BMET) and operators /proposal
for any cost-effective approach is advantageous
• A Training of Trainers (TOT) on maintenance or any cost-effective and innovative approach (certification
required) will be provided to BME/T by the manufacturer-certified trainer.
• The number of trainees will be two BME/T per plant, 5 BMET from FMoH and RHB, total of 25 Biomedical
Engineers with close monitoring and certification of cascading trainings as required.
• The training should be conducted before the handover and commissioning of the plants.
• The training cost should submit separately as per individual Breakdown cost.

Annex A7: Infrastructure preparation for oxygen PSA plant location

The vendor is expected to make ready the plant location for both containerized and non-containerized solution PSA
plants in advance:
• Ground concrete leveling based on the Plant size for non-containerized and container size for containerized
solution PSA plants.
Standard shade with strong metal column and metal sheet-which is well ventilated and should protect the plants from
direct sunlight and rain exposure for containerized and non-containerized solution

Page 16 of 16