Detail Package

Project

SIHREN Parallel Financing

Project Description

Strengthening Indonesia's Healthcare Referral Network (SIHREN IsDB): a parallel financing IsDB for the referral hospital component.

Package Name

Procurement of Linac

Loan No.

IDN-1070

Activity Reference No.

KS.02.03/A.VI/3644/2025

Market Approach

International Open

Procurement Method

Request for Bids (RFB) - 1 Stage 2 Envelope (Rated Criteria)

Estimated Total Cost

€55,517,515.00

Currency

Euro

Stages

Financial Evaluation

Bid Submission Deadline

15 Sep 2025

Package Lot

Name Of Lots	Units	Amount
Lot 1: Procurement of Linac (Single Energy)	3	€7,241,415.00
Lot 2: Procurement of Linac-West Indonesian (Variable Energy)	11	€26,551,855.00
Lot 3: Procurement of Linac-East Indonesian (Variable Energy)	9	€21,724,245.00

Documentation

Published Date	Document Name
2025-06-20	Specific Procurement Notice - Procurement of Linac
2025-06-20	Bidding Document - Procurement of Linac
2025-06-20	Technical Specification - Procurement of Linac
2025-07-21	Minutes of Prebid Meeting - Procurement of Linac
2025-08-07	1st Amendments to Bidding Document - Procurement of Linac
2025-08-29	2nd Amendment to Bidding Document - Procurement of Linac
2025-08-29	Technical Specification (Updated file as per the issued 2nd Amendment to Bidding Document) - Procurement of Linac

Responses to Clarification of Bidding Document (Procurement of Linac)

No.	Date of Received	Question	Responses	Part (RFB)	Cluster	Sub Cluster
1	2025-07-02	Mr./Mrs. Procurement Committee Kemenkes PC-1 We, from PT. X, would like to kindly submit a few questions regarding the registration for the Pre-Bid Meeting for the Sihren Linac tender on July 7, 2025. Based on the attached notification letter, we are unable to access the Zoom registration link provided (https:/link.kemkes.go.id/PreBidLinac). Do you have an alternative suggestion for accessing the Zoom registration link? Additionally, we would like to ask whether vendors are allowed to attend the meeting in person/on-site at the UPBJ Bureau, 14th Floor. These are the questions we wish to convey, and we sincerely hope this email receives a prompt response. Thank you for your attention. Best regards, PT. X	Thank you for bringing this to our attention. We apologize for the inconvenience caused by the intermittent downtime of our website. We understand the importance of ensuring that all potential bidders have timely and transparent access to critical updates and documents. Please be assured that we are actively working to resolve the issue and improve the website's uptime and availability.	Other	Unrelated Questions	Unrelated Questions
2	2025-07-04	(For Variable Energy) 5. In row 144, there is a requirement to provide Radiation Protective Equipment. The required Radiation Protective Equipment is only used for modalities with radioactive sources, and since Linac uses electricity to produce ionizing radiation, we propose that it is not required in this tender.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Radiation protection provides users protection against generated radiation from x-rays and electrons produced by LINAC. As mentioned by the users, radiation protective equipment is also part of the BAPETEN licensing requirements.	Supply Requirements	Evaluation Process	Technical Evaluation
3	2025-07-04	(For Single Energy) 7. In rows 155 and 156, there is a requirement for an electron applicator and its storage rack. Does this requirement only apply to vendors that will supply electron beams in their Linac, as stated in row 154? If yes, does that not make the bidder who will offer only a photon Linac more beneficial?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The current specification for the Electron Beam accessories (Row 154 to 156) is mandatory for LINAC models that generates both photon & electron beam. The electron applicators supports electron therapy mode to further spread the electron beam from LINAC to patient.	Supply Requirements	Evaluation Process	Technical Evaluation
4	2025-07-04	(For Variable Energy) 6. In row 154, there is a requirement for an invivo dosimeter. What kind of invivo dosimeter is needed in a tender? Please specify the required invivo dosimetry. Is invivo dosimetry Detector based? Or EPID Image-based invivo dosimetry (such as Mobius 3D, Dosisoft EPIgray, PTWVERIQA RT EPID 3D, and LAP Radcalc 3D EPID)? Please standardize these requirements for all providers.	Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications. Amend description from; "Required" to "Required; To measure radiation dose delivered directly to a patient during radiotherapy treatments, in order to verify treatment accuracy and identify potential errors early in the treatment process." In vivo dosimetry measures radiation dose delivered directly to a patient during radiotherapy treatments. This is a part of QA to verify treatment accuracy and identify potential errors early in the treatment process.	Supply Requirements	Evaluation Process	Technical Evaluation
5	2025-07-04	(For Single Energy) 5. In row 138, there is a requirement to provide Radiation Protective Equipment. The required Radiation Protective Equipment is only used for modalities with radioactive sources, and since Linac uses electricity to produce ionizing radiation, we propose that it is not required in this tender.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Radiation protection provides users protection against generated radiation from x-rays and electrons produced by LINAC. As mentioned by the users, radiation protective equipment is also part of the BAPETEN licensing requirements.	Supply Requirements	Evaluation Process	Technical Evaluation
6	2025-07-04	(For Single Energy) 8. In the Installation Activities sheet, section Project Site kick-off, scope and content alignment, and approval to proceed, there is a statement about Definition of a “bluebook" for the formalization of all project details, it is stated that Bidder responsibility include supply, installation and complete commissioning of the room, including wet works and painting, wall and floor finishing, ceiling works, necessary radiation shielding (walls, doorframes, doors, and frames, etc.) according to the local radiation regulations, safety devices, air conditioning system, audio-video communication system, fire alarm and protections system, etc. However, referring to the 10th Vendor Conference Linac Technical Specification Feedback of the Ministry of Health of the Republic of Indonesia on Tuesday, May 20, 2025, it was conveyed and emphasized by Ms. X) that the Bidder is only responsible for providing medical devices. The building and other preliminary works must be provided by the purchaser or the recipient hospital in accordance with the guidelines and permits of BAPETEN and PERMENKES. Please explain. We would really appreciate it if you could us an answer to our question, Thank you.	Many thanks for this feedback. MoH will retain the current specification. The responsibilities for installation activities between the bidder and the MoH are clearly detailed in the "Installation Activities" section of the Excel Technical Specification Sheet. Please refer to sheet "Installation Activities".	Contract	Contract Management	Contract
7	2025-07-04	(For Single Energy) 2. In row 48, a new requirement was added, namely, Beam Stopper. This requirement leads to specifications that only the X Linac has. This change has led to and benefited the brand and the type to earn an additional 10 points. We propose to remove this requirement or give it a value of 0 if this requirement is to be maintained. For information, referring to the attached publication1,2, the Beam Stopper on the Linac has the risk of unnecessarily increasing the radiation dose in the patient due to increased radiation scattering from the Beam Stopper.	Many thanks for this feedback. As this specification is rated criteria, the bidder can choose to comply or not. MoH will retain the current specification. The beam stopper enhances safety by effectively absorbing unwanted radiation, thereby protecting staff and the surrounding environment. It allows for a reduction in the required thickness of both primary and secondary shielding in the treatment bunker, providing cost savings in construction and materials and major structural changes to the bunker, supporting smoother implementation and lowering overall project risk.	Bidding Procedure	Procurement Regulations	Rated Criteria (Scoring Methodology)
8	2025-07-04	(For Variable Energy) 4. In rows 85, 87, and 89, there is a requirement for Display Monitor Size that has 1 point, Display Monitor Resolution that has 2 points, and Display type that has 1 point. Why are the points different from the same requirement in the Single Energy Linac sheet that gets 3 points for each category? Please standardize the three categories with the same points in the procurement of Linac Single Energy.	Many thanks for this feedback. As this specification is rated criteria, the bidder can choose to comply or not. MoH will retain the current specification. The requirement for better megapixels enhances the image quality and outcome. Hence, were given more preference as compared to display size and display type.	Bidding Procedure	Procurement Regulations	Rated Criteria (Scoring Methodology)
9	2025-07-04	We, PT X, who are the official authorized Distributor of X, headquartered at X, request for clarification to the committee of the Strengthening Indonesia’s Healthcare Referral Network (SIHREN) Project, RFB No: KS.02.03/A.VI/3644/2025, related to the specifications of Linac Variable Energy equipment as follows. (For Variable Energy) 1. In row 12, Bidder needs to attach a picture of the model proposed, but we can't insert any picture into the Excel, maybe due to some cell lock from the committee. Please help fix it.	Many thanks for this feedback. The Bidder may attach a Picture of the Proposed Model in the supporting documents along with the other Technical Proposal Documents.	Bidding Procedure	Procurement Regulations	Forms
10	2025-07-04	(For Single Energy) 3. In row 72, there is a change in the number of lasers from 4, to 4 lasers for C-type Linac and 3 lasers for Bore-type Linac. This only benefits the X. We propose to revise the required number of lasers to 3 units per Linac for all types of Linac.	Many thanks for this feedback. As this specification is white cell, the bidder can provide information. MoH will retain the current specification. This requirement is considered a informational specification, hence it is dependent on the vendor to decide on the laser unit configuration to ensure that cross laser line is available from the right, left, front of the patient plus a long sagittal line simultaneously, for patient alignment.	Supply Requirements	Evaluation Process	Technical Evaluation
11	2025-07-04	(For Variable Energy) 7. In the Installation Activities sheet, section Project Site kick-off, scope and content alignment, and approval to proceed, there is a statement about Definition of a “bluebook” for the formalization of all project details, it is stated that Bidder responsibility include supply, installation and complete commissioning of the room, including wet works and painting, wall and floor finishing, ceiling works, necessary radiation shielding (walls, doorframes, doors, and frames, etc.) according to the local radiation regulations, safety devices, air conditioning system, audio-video communication system, fire alarm and protections system, etc. However, referring to the 10th Vendor Conference Linac Technical Specification Feedback of the Ministry of Health of the Republic of Indonesia on Tuesday, May 20, 2025, it was conveyed and emphasized by Ms.X that the Bidder is only responsible for providing medical devices. The building and other preliminary works must be provided by the purchaser or the recipient hospital in accordance with the guidelines and permits of BAPETEN and PERMENKES. Please explain. We would really appreciate it if you could us an answer to our question, Thank you.	Many thanks for this feedback. MoH will retain the current specification. The responsibilities for installation activities between the bidder and the MoH are clearly detailed in the "Installation Activities" section of the Excel Technical Specification Sheet. Please refer to sheet "Installation Activities".	Contract	Contract Management	Contract
12	2025-07-04	We, PT X, who are the official authorized Distributor of X, headquartered at X, request for clarification to the committee of the Strengthening Indonesia’s Healthcare Referral Network (SIHREN) Project,RFB No: KS.02.03/A.VI/3644/2025, related to the specifications of Linac Single Energy equipment as follows. (For Single Energy) 1. In row 12, Bidder needs to attach a picture of the model proposed, but we can't insert any picture into the Excel, maybe due to some cell lock from the committee. Please help fix it.	Many thanks for this feedback. The Bidder may attach a Picture of the Proposed Model in the supporting documents along with the other Technical Proposal Documents.	Bidding Procedure	Procurement Regulations	Forms
13	2025-07-04	(For Variable Energy) 2. In rows 23 and 25, there is a requirement for energy adjustment. What does that mean?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The "Energy Adjustment" requirement refers to the ability for operators/users to select the desired energy level that is pre-set in the LINAC during treatment.	Supply Requirements	Evaluation Process	Technical Evaluation
14	2025-07-04	(For Single Energy) 6. In row 146, there is a requirement for an invivo dosimeter. What kind of invivo dosimeter is needed in a tender? Please specify the required invivo dosimetry. Is invivo dosimetry Detector based? Or EPID Image-based invivo dosimetry (such as Mobius 3D, Dosisoft EPIgray, PTW VERIQA RT EPID 3D, and LAP Radcalc 3D EPID)? Please standardize these requirements for all providers.	Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications. Amend description from; "Required" to "Required; To measure radiation dose delivered directly to a patient during radiotherapy treatments, in order to verify treatment accuracy and identify potential errors early in the treatment process." In vivo dosimetry measures radiation dose delivered directly to a patient during radiotherapy treatments. This is a part of QA to verify treatment accuracy and identify potential errors early in the treatment process.	Supply Requirements	Evaluation Process	Technical Evaluation
15	2025-07-04	(For Variable Energy) 3. In row 51, a new requirement was added, namely, Beam Stopper. This requirement leads to specifications that only the X Linac has. This change has led to and benefited the brand and the type to earn an additional 10 points. We propose to remove this requirement or give it a value of 0 if this requirement is to be maintained. For information, referring to the attached publication1,2, the Beam Stopper on the Linac has the risk of unnecessarily increasing the radiation dose in the patient due to increased radiation scattering from the Beam Stopper.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification.	Bidding Procedure	Procurement Regulations	Rated Criteria (Scoring Methodology)
16	2025-07-04	(For Variable Energy) 3. In row 51, a new requirement was added, namely, Beam Stopper. This requirement leads to specifications that only the X Linac has. This change has led to and benefited the brand and the type to earn an additional 10 points. We propose to remove this requirement or give it a value of 0 if this requirement is to be maintained. For information, referring to the attached publication1,2, the Beam Stopper on the Linac has the risk of unnecessarily increasing the radiation dose in the patient due to increased radiation scattering from the Beam Stopper.	Thank you for your feedback. MoH will revise our "Responses" for this clarification that was published on August 4, 2025, titled "Responses to Clarification of Bidding Document, Currently written in the clarification: "Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification." To be revise as follows: "Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications."	Bidding Procedure	Procurement Regulations	Rated Criteria (Scoring Methodology)
17	2025-07-04	(For Single Energy) 4. In row 96, there is a change in the requirements for Base Rotation from the previous preferred to Bidder to specify, and there is a change in points from 6 to 0. This change has led to and benefited the X Linac, while the existing Linac brands (X, etc.) currently have the Linac type with base rotation capabilities. This change has also impaired Linac providers who have base rotation capabilities. For further consideration, base rotation (as well as column rotation capabilities) provides benefits for handling non- coplanar cases in patients and is also useful for facilitating Dosimetry QA. We propose to return this category to preferred and give 6 points to providers that offer Linac types with a base rotation feature.	Many thanks for this feedback. As this specification is white cell, the bidder can provide information. MoH will retain the current specification. With consideration of different gantry configurations (i.e. c-arm and ring/o- arm gantry) and its varying ranges of movement in base rotations, the specification is an informational specification to ensure neutrality of the specification to LINAC models available in the market.	Bidding Procedure	Procurement Regulations	Rated Criteria (Scoring Methodology)
18	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Imaging Spatial accuracy, mm: Required; ≤ 1 Amendments Request: Spatial resolution ≥ 5 lp/cm Justification: The specification given is for the KV imaging system as the inbuilt KV imaging system is used only for patient positioning and not for whole sole imaging purpose.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Spatial accuracy refers to the accuracy of the alignment between the imaging modality and the treatment isocenter, ensuring precision of the LINAC to deliver the radiation to the intended target.	Supply Requirements	Evaluation Process	Technical Evaluation
19	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: START-UP CONSUMABLES, where applicable REQUIREMENTS Radiochromic Film Required; Bidder to supply quantity for 100 typical patient procedures Amendments Request: We request you to mention the number of Radiochromic Film per year.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The stated quantity ensures the equipment can be used at start-up. Bidders are expected to provide sufficient consumables to support initial operation.	Supply Requirements	Evaluation Process	Technical Evaluation
20	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Stereotactic Treatment Techniques: Required; Stereotactic Radiosurgery (SRS), Stereotactic Radiotherapy (SRT) and Stereotactic Body Radiotherapy (SBRT) Amendments Request: Required; Stereotactic Body Radiotherapy (SBRT). Upgradable to Stereotactic Radiosurgery (SRS) and Stereotactic Radiotherapy (SRT) Justification: Specification is confined to single manufacturer.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Radiotherapy modes (3D‑CRT, IMRT, VMAT, IGRT) deliver moderate doses over many fractions, focused on conformality and daily imaging; while Stereotactic/Radiosurgery modes (SRS/SBRT) use high‑dose, high‑precision beams in fewer sessions, often leveraging image guidance and frameless/invasive immobilization. The variation of dosage delivery in treatment modes supports different treatment requirements depending on the tumor type, size and location.	Supply Requirements	Evaluation Process	Technical Evaluation
21	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: START-UP CONSUMABLES, where applicable REQUIREMENTS System Upgradeable in Future Required; Software and hardware updates and upgrades at no cost Amendments Request: Software / hardware updates/ upgrades at no cost	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. This requirement is intended to ensure the long-term usability and functionality of the equipment, reducing future cost burdens and minimizing the risk of using an outdated system, allowing a continuity in terms of hardware and software maintenance based on manufacturer recommendation, in the near future.	Supply Requirements	Evaluation Process	Technical Evaluation
22	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Immobilization/Positioning devices Required; 2 set per unit Starter Kit for Head & Neck Treatment Required Amendments Request: We request you to provide us more clarity on the specification	Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications. Amend description from; "Required" to "Required; Bidder to propose starter kit that is inclusive, but not limited to: thermoplastic mask, neck pilows/cushions for support of different head positions, base plate with locking mechanism.", The starter kit for head & neck treatment is to maintain patient comfort and position during treatment to reduce patient's involuntary movement during treatment session, ensuring accuracy and consistency of the treatment beam. As per user's comment, it should include components such as, but not limited to: thermoplastic mask, neck pilows/cushions for support of different head positions, and base plate with locking mechanism.	Supply Requirements	Evaluation Process	Technical Evaluation
23	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Treatment Planning System (TPS) Type Preferred; Colour LCD with touchscreen Amendments Request: Preferred; Colour LCD with touchscreen/LED Justification: As each manufacturer has Different configuration, we request for varied options.	Many thanks for this feedback. MoH has considered this input and updated the specification on 2nd amendment to the specifications. Amend requirement from: Preferred; Colour LCD with touchscreen to Preferred; Colour LCD/LED with touchscreen	Supply Requirements	Evaluation Process	Technical Evaluation
24	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Treatment Modes: Required; Radiotherapy and Radiosurgery (including SRS, SRT and SBRT) Amendments Request: Required; Radiotherapy and upgradeable to Radiosurgery (including SRS, SRT and SBRT) Justification: Specification is confined to single manufacturer.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Radiotherapy modes (3D‑CRT, IMRT, VMAT, IGRT) deliver moderate doses over many fractions, focused on conformality and daily imaging; while Stereotactic/Radiosurgery modes (SRS/SBRT) use high‑dose, high‑precision beams in fewer sessions, often leveraging image guidance and frameless/invasive immobilization. The variation of dosage delivery in treatment modes supports different treatment requirements depending on the tumor type, size and location.	Supply Requirements	Evaluation Process	Technical Evaluation
25	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Immobilization/Positioning devices Required; 2 set per unit Invivo Dosimeter Required Amendments Request: We request you to delete the specification	Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications. Amend description from; "Required" to "Required; To measure radiation dose delivered directly to a patient during radiotherapy treatments, in order to verify treatment accuracy and identify potential errors early in the treatment process." In vivo dosimetry measures radiation dose delivered directly to a patient during radiotherapy treatments. This is a part of QA to verify treatment accuracy and identify potential errors early in the treatment process. Hence, it is beneficial for the treatment process.	Supply Requirements	Evaluation Process	Technical Evaluation
26	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Immobilization/Positioning devices Required; 2 set per unit Radiation Protective Equipment Required; Bidder to supply the following: 1. Lead Apron (2 pcs per unit) 2. Thyroid Shield (2 pcs per unit) 3. Pb Glasses (2 pcs per unit) Amendments Request: Required; Bidder to supply the following: 1. Lead Apron (2 pcs per unit) 2. Thyroid Shield (2 pcs per unit) Justification: Pb Glasses is not required for treatment machine.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Radiation protection provides users protection against generated radiation from x-rays and electrons produced by LINAC. As mentioned by the users, radiation protective equipment is also part of the BAPETEN licensing requirements.	Supply Requirements	Evaluation Process	Technical Evaluation
27	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: START-UP CONSUMABLES, where applicable REQUIREMENTS Laser Printer Toner Required; Bidder to supply quantity for 100 typical patient procedures Amendments Request: We request you to mention the number of Toner per year.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The stated quantity ensures the equipment can be used at start-up. Bidders are expected to provide sufficient consumables to support initial operation.	Supply Requirements	Evaluation Process	Technical Evaluation
28	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Immobilization/Positioning devices Required; 2 set per unit Stereotactic Dosimetry QA Required Amendments Request: We request you to provide us the clarity on the requirement.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Stereotactic dosimeters are specialised devices or phantoms used to measure and verify radiation dose delivered during stereotactic radiotherapy. They design to mimic human tissue and allow for precise 3D dose measurement. The QA device proposed should accompass the ability to perform 1. Dose verification 2. Geometric accuracy check 3. Small field dosimetry 4. End-to-end testing The accessories typical for this criteria including but not limited to: 1. SRS QA phantoms for conducting Winston-Lutz test for full end to end testing, ideal SRS/SRT workflows. 2. High Spatial Resolution film widely adopted SRS/SBRT used as a dosimetric tool. 3. 2D and/or 3D diode arrays for patient specific QA for SRS/SBRT treatments	Supply Requirements	Evaluation Process	Technical Evaluation
29	2025-07-08	With respect to tender terms for said solution, we request your kind authority to look into following points and amend the same: Technical Specification: Treatment Couch Load Limit, kg: Preferred; 220 kg and above; Larger load limit is preferred Amendments Request: Preferred; 200 kg and above; Larger load limit is preferred Justification: Specification is confined to single manufacturer.	Many thanks for this feedback. As this specification is rated criteria, the bidder can choose to comply or not. MoH will retain the current specification. The preferred requirement is with consideration for models that have higher load limit, in cases involving bariatric patients	Supply Requirements	Evaluation Process	Technical Evaluation
30	2025-07-21	Single Energy Linac Row 101 Patient Modelling For the required specification on the Patient Modeling under the section Treatment Planning System (TPS), we kindly request the committee to clarify if it is referring to the anatomical modeling for planning ?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The Patient Modeling requirement in the Treatment Planning System (TPS) refers to the computational modelling of the patient's body, anatomy, and tissue properties used for accurate radiation dose calculation and planning optimization. Hence, it is referring to the anatomical modelling for planning.	Supply Requirements	Evaluation Process	Technical Evaluation
31	2025-07-21	Single Energy Linac Row 182 DICOM Modality Worklist For the preferred specification on the DICOM Modality Worklist under the section IT Requirements, we kindly request the committee to clarify below questions : a. Is the intent of this requirement to connect between the Oncology Information System (OIS) and third-party imaging modalities (e.g., CT simulator) for patient scheduling and data transfer?	Many thanks for this feedback. As this specification is rated criteria, the bidder can choose to comply or not. MoH will retain the current specification. The specification on the DICOM Modalist Worklist is a preferred specification, hence it is not mandatory for vendors to comply. The intent of this requirement is to enable connection between the LINAC's imaging modality and the Oncology Information System (OIS).	Supply Requirements	Evaluation Process	Technical Evaluation
32	2025-07-21	Single Energy Linac Row 32 CT Beam Technology For the required specifications on the CT Beam Technology under the section Imaging, we kindly request the committee to clarify below questions : b. Is it to accept only the 3D Volumetric imaging solutions ?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Volumetric 3D image is generated by reconstructing multiple 2D X-ray images acquired using a CT beam technology (e.g. CBCT, FBCT and others). A LINAC that is capable of both 3D volumetric CT scanning and orthogonal 2D X‑ray imaging is acceptable. Bidders are required to describe the CT-beam technology of their proposed device. (e.g. CBCT, FBCT and others).	Supply Requirements	Evaluation Process	Technical Evaluation
33	2025-07-21	Variable Energy Linac Row 35 CT Beam Technology For the required specifications on the CT Beam Technology under the section Imaging, we kindly request the committee to clarify below questions : a. Does the requirement exclude basic 2D Imaging system (orthogonal 2D X-Rays) ? Is it to accept only the 3D Volumetric imaging solutions ?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Volumetric 3D image is generated by reconstructing multiple 2D X-ray images acquired using a CT beam technology (e.g. CBCT, FBCT and others). Bidders are required to describe the CT-beam technology of their proposed device. Orthogonal 2D X-ray technology is not a CT technology, hence it is not accepted for this requirement.	Supply Requirements	Evaluation Process	Technical Evaluation
34	2025-07-21	Variable Energy Linac Row 105 Data Management For the required specification on the Data Management under the section Treatment Planning System (TPS), we kindly request the committee to clarify below questions : b. Is the intent to support import of full DICOM-RT objects, such as RT Images, RT Structure Sets, RT Dose, and RT Plan, in line with standard radiotherapy interoperability workflows? c. How is patient data expected to flow and be managed between systems (from OIS to TPS to LINAC)? d. Is there a requirement for the system to support centralized management of patient data for streamlined and safe clinical workflow?	Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications. Amend specification from "DICOM RT image input" To "Capable to support import of DICOM-RT objects (e.g. RT Images, RT Structure Sets, RT Dose, and RT Plan, etc.) The stated Data Management requirement is intended to ensure full DICOM-RT interoperability for the Treatment Planning System. This requirement ensures the bidder’s TPS can import full DICOM‑RT objects, enabling full integration into the system. The Bidder may propose a method for managing patient data between the Oncology Information System (OIS), Treatment Planning System (TPS) and the LINAC system, based on recommendations from AAPM Task Group 201 on Quality management of external beam therapy data transfer. While centralized patient data management is not specifically required, the Bidder may propose a system that includes this feature.	Supply Requirements	Evaluation Process	Technical Evaluation
35	2025-07-21	Single Energy Linac Row 100 Data Management For the required specification on the Data Management under the section Treatment Planning System (TPS), we kindly request the committee to clarify below questions : a. Is the intent to support import of full DICOM-RT objects, such as RT Images, RT Structure Sets, RT Dose, and RT Plan, in line with standard radiotherapy interoperability workflows?	Many thanks for this feedback. MoH has considered this input and will update the specification and included in a forthcoming amendment to the specifications. Amend specification from "DICOM RT image input" To "Capable to support import of DICOM-RT objects (e.g. RT Images, RT Structure Sets, RT Dose, and RT Plan, etc.)" DICOM-RT is a crucial component in radiotherapy data management and exchange in the TPS. This requirement ensures the bidder’s TPS can import full DICOM‑RT objects, enabling full integration into the system.	Supply Requirements	Evaluation Process	Technical Evaluation
36	2025-07-21	Variable Energy Linac Row 190 DICOM Modality Worklist For the preferred specification on the DICOM Modality Worklist under the section IT Requirements, we kindly request the committee to clarify below questions : a. Is the intent of this requirement to connect between the Oncology Information System (OIS) and third-party imaging modalities (e.g., CT simulator) for patient scheduling and data transfer?	Many thanks for this feedback. As this specification is rated criteria, the bidder can choose to comply or not. MoH will retain the current specification. The specification on the DICOM Modalist Worklist is a preferred specification, hence it is not mandatory for vendors to comply. The intent of this requirement is to enable connection between the LINAC's imaging modality and the Oncology Information System (OIS).	Supply Requirements	Evaluation Process	Technical Evaluation
37	2025-07-21	Single Energy Linac Row 100 Data Management For the required specification on the Data Management under the section Treatment Planning System (TPS), we kindly request the committee to clarify below questions : c. Is there a requirement for the system to support centralized management of patient data for streamlined and safe clinical workflow?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The stated Data Management requirement is intended to ensure full DICOM-RT interoperability for the Treatment Planning System. While centralized patient data management is not specifically required, the Bidder may propose a system that includes this feature.	Supply Requirements	Evaluation Process	Technical Evaluation
38	2025-07-21	Variable Energy Linac Row 105 Data Management For the required specification on the Data Management under the section Treatment Planning System (TPS), we kindly request the committee to clarify below questions : d. Is there a requirement for the system to support centralized management of patient data for streamlined and safe clinical workflow?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The stated requirement for Data Management is intended to asks for full DICOM-RT interoperability for the Treatment Planning System. While centralized patient data management is not specifically required, the Bidder may propose a system that includes this feature.	Supply Requirements	Evaluation Process	Technical Evaluation
39	2025-07-21	Single Energy Linac Row 182 DICOM Modality Worklist For the preferred specification on the DICOM Modality Worklist under the section IT Requirements, we kindly request the committee to clarify below questions : b. If so, would a CT scanner that is DICOM compliant and capable of receiving modality worklists from the OIS be considered meeting this requirement?	Many thanks for this feedback. As this specification is rated criteria, the bidder can choose to comply or not. MoH will retain the current specification. The specification on the DICOM Modalist Worklist is a preferred specification, hence it is not mandatory for vendors to comply. A CT scanner that is DICOM compliant and capable of receiving modality worklist from the OIS does not meet this requirement. This criteria specifically refers to the LINAC's compatibility with DICOM Modality Worklist.	Supply Requirements	Evaluation Process	Technical Evaluation
40	2025-07-21	Variable Energy Linac Row 190 DICOM Modality Worklist For the preferred specification on the DICOM Modality Worklist under the section IT Requirements, we kindly request the committee to clarify below questions : b. If so, would a CT scanner that is DICOMcompliant and capable of receiving modality worklists from the OIS be considered meeting this requirement?	Many thanks for this feedback. As this specification is rated criteria, the bidder can choose to comply or not. MoH will retain the current specification. The specification on the DICOM Modalist Worklist is a preferred specification, hence it is not mandatory for vendors to comply. A CT scanner that is DICOM compliant and capable of receiving modality worklist from the OIS does not meet this requirement. This criteria specifically refers to the LINAC's compatibility with DICOM Modality Worklist.	Supply Requirements	Evaluation Process	Technical Evaluation
41	2025-07-21	Refer to The Technical Part Form, Room Requirements section at Row 225- 237, it is stated that Bidder shall support MOH on the room requirements in line with regulatory requirement, Authorities approval and room set up to ensure a fully operational model. Which on Row 228 required: Bidder to provide the method and equivalent lead thickness, meanwhile according to Pre-Bid Meeting the room protection including the control room & treatment room is not under the medical device supplier or bidder. Could you please confirm	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The room requirements in the technical specification refers to the supply and installation of hardware necessary for the proper operation of the LINAC (e.g., shielding materials, AV equipment). The Bidder is not responsible for the construction of the treatment or control rooms; this remains the responsibility of the hospital. However, the Bidder must provide the method and equivalent lead thickness as specified in Row 228 to support compliance with regulatory and authority requirements.	Supply Requirements	Evaluation Process	Technical Evaluation
42	2025-07-21	"Single Energy Linac Row 54 Number of leaves The Beam shaping remains a critical factor in enhancing the accuracy, efficiency, and overall quality of radiation treatments. Over the years, multiple MLC designs have been introduced, each aiming to optimize clinical outcomes and improve treatment quality. Recent innovations demonstrate that performance is no longer solely dependent on the number of leaves. One of the most notable advancements is the stacked-and-staggered dual-layer MLC design, which offers significant improvements in dose conformity and leakage reduction. The innovative stacked and staggered dual-layer MLC design provides significant advantages, including high leaf positioning accuracy continuously verified by daily Machine Performance Checks (MPC). The system achieves positional accuracy within ≤0.1 mm and reproducibility of <1 mm. Its measured transmission values comply with AAPM TG-50 and IEC standards for average leaf transmission. Compared to the conventional Millennium™ 120-leaf MLC, the dual-layer design demonstrates substantially lower transmission, resulting in reduced dose to surrounding critical structures1. Other studies have demonstrated that the dual-layer MLC achieves exceptionally low transmission, with combined leakage through both layers measured at approximately 0.008%, significantly reducing unintended dose2. Therefore, we kindly request the committee to amend requirement of MLC number of leaves from ≥120 to ≥ 100. 1 Lim, T. Y., Dragojević, I., Hoffman, D., Flores-Martinez, E., & Kim, G. (2019). Characterization of the Halcyon™ multileaf collimator system. Journal of Applied Clinical	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Dual-layer MLC is a beam‑shaping system in some modern LINACs that uses two vertically stacked banks of independently movable leaves, rather than the single layer of leaves found in most conventional LINAC MLCs. The specification is neutral to both single-layer and dual-layer MLC technologies in LINAC. To maintain neutrality in models available, the minimum leaves is 80 to help ensure the system delivers accurate and advanced treatments. e.g., IMRT and VMAT. The bidder may offer higher leaves that provides better accuracy and clinical outcomes due to increased precision and conformality in radiation therapy.	Supply Requirements	Evaluation Process	Technical Evaluation
43	2025-07-21	Variable Energy Linac Row 106 Patient Modelling For the required specification on the Patient Modeling under the section Treatment Planning System (TPS), we kindly request the committee to clarify if it is referring to the anatomical modeling for planning ?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The Patient Modeling requirement in the Treatment Planning System (TPS) refers to the computational modelling of the patient's body, anatomy, and tissue properties used for accurate radiation dose calculation and planning optimization. Hence, it is referring to the anatomical modelling for planning.	Supply Requirements	Evaluation Process	Technical Evaluation
44	2025-07-21	Variable Energy Linac Row 105 Data Management For the required specification on the Data Management under the section Treatment Planning System (TPS), we kindly request the committee to clarify below questions : c. How is patient data expected to flow and be managed between systems (from OIS to TPS to LINAC)? d. Is there a requirement for the system to support centralized management of patient data for streamlined and safe clinical workflow?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The stated requirement for Data Management is intended to asks for full DICOM-RT interoperability for the Treatment Planning System. The Bidder may propose a method for managing patient data between the Oncology Information System (OIS), Treatment Planning System (TPS) and the LINAC system, based on recommendations from AAPM Task Group 201 on Quality management of external beam therapy data transfer. While centralized patient data management is not specifically required, the Bidder may propose a system that includes this feature.	Supply Requirements	Evaluation Process	Technical Evaluation
45	2025-07-21	Single Energy Linac Row 100 Data Management For the required specification on the Data Management under the section Treatment Planning System (TPS), we kindly request the committee to clarify below questions : b. How is patient data expected to flow and be managed between systems (from OIS to TPS to LINAC)?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The stated Data Management requirement is intended to ensure full DICOM-RT interoperability for the Treatment Planning System. The Bidder may propose a method for managing patient data between the Oncology Information System (OIS), Treatment Planning System (TPS) and the LINAC system, based on recommendations from AAPM Task Group 201 on Quality management of external beam therapy data transfer.	Supply Requirements	Evaluation Process	Technical Evaluation
46	2025-07-21	Single Energy Linac Row 32 CT Beam Technology For the required specifications on the CT Beam Technology under the section Imaging, we kindly request the committee to clarify below questions : a. Does the requirement exclude basic 2D Imaging system (orthogonal 2D X-Rays) ?	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Volumetric 3D image is generated by reconstructing multiple 2D X-ray images acquired using a CT beam technology (e.g. CBCT, FBCT and others). Bidders are required to describe the CT-beam technology of their proposed device. Systems that use orthogonal 2D X-ray imaging do not employ CT beam technology and will not be accepted for this requirement.	Supply Requirements	Evaluation Process	Technical Evaluation
47	2025-07-28	Linac Lot 2 & 3: Variance Energy Technical Specification Row 24: Energy Type, Electron energy range, MeV, 6 to 15 MeV To ensure technical specification is open to newest technology of LINAC Treatment, Bidder suggests the following “Energy type, electron energy range” requirement changed into “Energy type, electron energy range /Alternative to Energy Beam”. This is because currently there is new technology named orthovoltage radiotherapy which is particularly useful for treating superficial tumours, such as skin cancers, due to its ability to deliver a high dose to the tumour while sparing deeper tissues.	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. Electron beam provides better treatment flexibility (deeper penetration) and spares the surrounding healthy tissues better than orthovoltage. For this reason, electron beam remains the standard configuration for most modern LINACs and is required in the specification.	Supply Requirements	Evaluation Process	Technical Evaluation
48	2025-07-28	Linac Lot 2 & 3: Variance Energy Technical Specification Row 22: Photon Energy Range, 6 and 10 MV To ensure clinical outcome that is effective and poses less harm to patient, Bidder would like to raise that 6 MV has presented at least equivalent, and in some cases superior, to 10 MV plans for organ-at-risk protection [5–8] in IMRT Treatment Mode. Since in row 28 IMRT is mandatory, then Bidder believed 6 MV is enough and minimizes neutron contamination and 10MV can be made as optional requirement. More clinical evidences can be found in two files named “3D CRT vs IMRT” and “Dosimetric Comparison”	Many thanks for this feedback. As this specification is mandatory, the bidder can choose to comply or not. MoH will retain the current specification. The penetration depth of 6MV photon energy may not be sufficient to reach to anatomical sites such as the pelvis or lung. To ensure the flexibility to deliver appropriate radiotherapy for all clinical scenarios, both 6 MV and 10 MV photon energies must be provided.	Supply Requirements	Evaluation Process	Technical Evaluation
49	2025-07-28	Linac Lot 1: Single Energy Technical Specification Row 49: Collimator Row 50: Collimator Angle To ensure technical specification is open to newest technology of LINAC Treatment, Bidder suggests the following “Collimator” requirement changed into “Collimator/Orthogonal MLC/Alternative Rotation Technique”. The approach in using Collimator is to maximize the amount of radiation passing through the target area with sufficient thickness. Currently there is a new technology using a different approach to achieve the same treatment objective, by utilizing orthogonal double-layer MLCs, which have inherent structural advantages over traditional single-layer MLC or parallel double-layer MLC. Orthogonal double-layer MLC can form shapes of the Beam’s Eye View (BEV) contour in any desired pattern and providing a better conformality compared to the jaw combined with single-layer MLC. More technical details regarding how this alternative solution offers better performance compared to collimator technology can be found in the attached file named “Orthogonal MLC alternative to collimator tilt” and published clinical test of this function in a Breast Cancer Case.	Many thanks for this feedback. As this specification is mandatory (Row 49), the bidder can choose to comply or not. MoH will retain the current specification. The "collimator" requirement is open to all types of collimator technology, including binary collimator, orthogonal collimator or other designs. Bidders must describe the technology offered in their submission. The ‘collimator angle’ requirement is neither mandatory nor preferred. It is included in the specification as additional information and will not be scored or affect the technical evaluation in any way.	Supply Requirements	Evaluation Process	Technical Evaluation
50	2025-07-28	GCC 16.5 The payment-delay period after which the Purchaser shall pay interest to the supplier shall be 45 days after submission by the Supplier of invoices supported by relevant documents. The interest rate that shall be applied is 0.1% per day. In the case of Purchaser is late in payment to Supplier during the contract performance, how much interest will the Purchaser pay to Supplier? Is the 0.1% per day here will be flat for during all the years of contract performance or will it increase (per annum / not)?	In accordance with GCC 16.5, the mechanism for late payment interest is set at 0.1% per day after 45 days from the submission of the invoice and complete supporting documents. This provision applies as stated in the bidding document SCC 16.5, and the MoH is responsible for managing payments in accordance with the terms specified in the contract.	Contract	Contract Management	Payment Term
51	2025-07-28	Linac Lot 2 & 3: Variance Energy Technical Specification Row 52: Collimator Row 53: Collimator Angle To ensure technical specification is open to newest technology of LINAC Treatment, Bidder suggests the following “Collimator” requirement changed into “Collimator/Orthogonal MLC/Alternative Rotation Technique”. The approach in using Collimator is to maximize the amount of radiation passing through the target area with sufficient thickness. Currently there is a new technology using a different approach to achieve the same treatment objective, by utilizing orthogonal double-layer MLCs, which have inherent structural advantages over traditional singlelayer MLC or parallel double-layer MLC. Orthogonal double-layer MLC can form shapes of the Beam’s Eye View (BEV) contour in any desired pattern and providing a better conformality compared to the jaw combined with single-layer MLC. More technical details regarding how this alternative solution offers better performance compared to collimator technology can be found in the attached file named “Orthogonal MLC alternative to collimator tilt”	Many thanks for this feedback. As this specification is mandatory (Row 52), the bidder can choose to comply or not. MoH will retain the current specification. The "collimator" requirement is open to all types of collimator technology, including binary collimator, orthogonal collimator or other designs. Bidders must describe the technology offered in their submission. The ‘collimator angle’ requirement is neither mandatory nor preferred. It is included in the specification as additional information and will not be scored or affect the technical evaluation in any way.	Supply Requirements	Evaluation Process	Technical Evaluation