1 Alternativa

ALTERNATIVA N 1 (Considerando demolicin total y construccin nueva)

METODOLOGIA / NORMAS LEGALES Y AREAS (FUNCIONALES + COMPLEMENTARIAS + %CIRC. Y MUROS)SEGUNDO NIVELII-1METODOLOGIA / NORMAS LEGALES Y LAS AREAS (FUNCIONALES+COMPLEMENTARIAS+% CIRCULACION Y MUROS)PRECIOS EN LA COSTAACABADOSUNIDADES DE SERVICIOMUROS Y COLUMNASTECHOSPISOSPUERTAS Y VENTANASREVESTIMIEFACTOR x ACAB.VALOR/M2 ACABADOSBAOSINST ELECTRIC, SANITFACTOR x INST.VALOR/M2 INSTALACIONESCOSTO/M2 ( S/. )A (FUN)F.A.Comp.(P.U.)1CONSULTA EXTERNABABBCCB285.54268.99142.38126.69145.63414.7046.12182.944.00731.7625771,719.140.18464.4327464.43266379290.00002EMERGENCIABABBCCA0.0000285.54268.99142.38126.69145.63414.7046.12252.275.001,261.353358773.600.08272.3424272.342350040.00003HOSPITALIZACIONBABBCCA0.0000285.54268.99142.38126.69145.63414.7046.12252.275.001,261.3533581,453.950.15511.8538511.85381647540.00004CENTRO OBSTETRICOBAAAABA0.0000285.54268.99237.55240.35259.071.60735.3766.47252.278.002,018.174977294.840.03153.8471153.84714112450.00005CENTRO QUIRURGICOBAAAABA0.0000285.54268.99237.55240.35259.071.80735.1766.47252.2711.002,774.986093538.270.06343.8440343.84395880820.00006CENTRAL DE ESTERILIZACION (CEYE)BAAAABB0.0000285.54268.99237.55240.35259.071.40735.5766.47182.9413.002,378.225509186.730.02107.8384107.83841419390.00007PATOLOGIA CLINICABAAABCA0.0000285.54268.99237.55240.35196.27674.1846.12252.274.001,009.083369202.610.0271.552571.552472150.00008ANATOMIA PATOLOGICABBAAACA0.0000285.54175.49237.55240.35259.07736.9746.12252.274.001,009.083323146.660.0251.099051.09902410240.00009DIAGNOSTICO POR IMAGINES + ECOGRAFIABAAAACB0.0000285.54268.99237.55240.35259.071.60735.3746.12182.945.00914.703320274.430.0395.507795.50767554080.000010MEDICINA FISICA Y REHABILITACIONBAABBCB0.0000285.54268.99237.55124.89196.27558.7146.12182.944.00731.762789293.330.0385.775485.775358510.000011UPSS NUTRICIN Y DIETTICABABABCB0.0000285.54268.99142.38240.35196.27579.0146.12182.945.00914.703089419.580.04135.8798135.87981800650.000012CENTRO DE HEMOTERAPIA Y BANCO DE SANGREBAABBCB0.0000285.54268.99237.55126.69196.27560.5246.12182.944.00731.762792257.800.0375.456975.45693376210.000013FARMACIABABBDCB0.0000285.54268.99142.38126.69111.74380.8146.12182.944.00731.762527329.620.0387.319587.31947089090.000014ADMINISTRACIONBBCCCCB0.0000285.54175.4993.7281.89145.63321.2546.12182.949.001,646.463650484.060.05185.2398185.23982716580.000015TRANSPORTEBBEEECB0.0000285.54175.4955.4061.3876.88193.6546.12182.943.00548.82184380.190.0115.494915.494885990.000016GESTION DE LA INFORMACIONBBBBECB0.0000285.54175.49142.38126.6976.88345.9546.12182.9483.0015,184.0023655291.600.03723.1058723.10583981080.000017SALA DE USO MULTIPLEBBBBCCB0.0000285.54175.49142.38126.69145.63414.7046.12182.945.00914.702709158.920.0245.131245.13122031660.000018UPS SALUD AMBIENTALBBEEECB0.0000285.54175.4955.4061.3876.88193.6546.12182.943.00548.821843188.810.0236.483436.48341337640.000019CASA DE FUERZABBEEECB0.0000285.54175.4955.4061.3876.88193.6546.12182.9435.006,402.8910478386.370.04424.4008424.40076417510.000020CADENA DE FRIOBACCCCB0.0000285.54268.9993.7281.89145.63321.2546.12182.944.00731.762439126.120.0132.248432.24838662540.000021CENTRAL DE GASESBBEEECB0.0000285.54175.4955.4061.3876.88193.6546.12182.9430.005,488.199129110.810.01106.0425106.04246411660.000022LAVANDERIABBCCCCB0.0000285.54175.4993.7281.89145.63321.2546.12182.9413.002,378.224730177.880.0288.196888.19681051740.000023UPS TALLERES PARA MANTENIMIENTOBBEEECB0.0000285.54175.4955.4061.3876.88193.6546.12182.943.00548.821843268.270.0351.837451.83743676640.000024CONTROL Y SEGURIDADBBCECCB0.0000285.54175.4993.7261.38145.63300.7346.12182.943.00548.82200153.950.0111.317011.31703464960.000025CASA MATERNABBCCCCB0.0000285.54175.4993.7281.89145.63321.2546.12182.943.00548.822031130.490.0127.789027.78896258360.000026RESIDENCIA BBCCCCB0.0000285.54175.4993.7281.89145.63321.2546.12182.944.00731.76230187.480.0121.104121.1040729690.000027UPS ALMACEN BBCEECB0.0000285.54175.4993.7261.3876.88231.9846.12182.944.00731.762170103.520.0123.544323.540.0000

9,539.021.000

SOLES (S/.)4,248.68

DOLARES( $ )1,430.53COSTO DE LA UPSS40,528,281.99

UNDMETRADOC.USUB TOTAL1.-INFRAESTRUCTURA1.1COSTO DE LAS UPSSM29,539.024,248.6840,528,281.991.2ASCENSORUND.4.00661,500.002,646,000.02

2.-OBRAS EXTERIORES2.1MURO PERIMETRICO O CERCOSM22,046.10349.01714,118.572.2AREA DE CIRCULACION EXTERIOR (PAVIMENTO DE CONCRETO)M22,409.15183.25441,486.832.3PATIO DE MANIOBRAS (PAVIMENTO DE CONCRETO)M2452.63183.2582,946.262.4ESTACIONAMIENTO DE EMERGENCIA (PAVIMENTO DE CONCRETO)M2651.40183.25119,371.662.5ESTACIONAMIENTO DE PUBLICO Y PERSONAL (PAVIMENTO DE CONCRETO)M21,386.00183.25253,990.042.6TRATAMIENTO DE AREA AREAS VERDES (JARDINERAS SEMBRADO DE GRASS)M2684.4855.9938,324.722.7VEREDAS EXTERIORES (LOSA DE CONCRETO ARMADO E= 4")M2529.64150.3579,630.252.8PUERTAS DE ACCESOS M263.00528.1433,272.733.-DEMOLICIONES 3.1DEMOLICION (INFRAESTRUCTURA EXISTENTE)M20.00154.880.003.2DEMOLICION DE CERCO PERIMETRICOML0.0080.000.00

4SISTEMA DE AHORRO DE ENERGIASistema de ahorro de energaGLB1.000.000.005CIMENTACION ESPECIALLosa de cimentacinM20.00680.030.006AISLAMIENTO SISMICOSubestructura para aisladores sismicosM23,249.45421.181,368,588.443,249.45Aisladores ssmicosGLB1.00851,187.40851,187.407OBRAS DE REFORZAMIENTO ESTRUCTURAL (Columnas, Vigas)Cortes, picados, resanes, rellenos y apuntalamientos sobre estructuras antiguasM2

9INSTALACIN DE LAS REDES DE MEDIA TENSIN Y SUBESTACIN9.1Instalacion de Red Primaria AereaKM0.3380,000.0026,067.209.2Instalacin de la red primaria subterranea M19.1622.0011,880.209.3 Instalacin de la subestacin hospitalaria UND1.00480,000.00480,000.00

TOTAL PRESUPUESTO47,675,146.30JUSTIFICACION2.1Normas legales del 30/10/2013 para la sierra (3) inc/ mas IGV+25%GGY UTILIDADES2.2Normas legales del 30/10/2013 para la sierra (95) inc/ mas IGV+25%GGY UTILIDADES2.3Normas legales del 30/10/2013 para la sierra (95) inc/ mas IGV+25%GGY UTILIDADES2.4Normas legales del 30/10/2013 para la sierra (95) inc/ mas IGV+25%GGY UTILIDADES2.5Normas legales del 30/10/2013 para la sierra (95) inc/ mas IGV+25%GGY UTILIDADES2.6Analisis en el S10 inc/ mas IGV+25%GGY UTILIDADES2.7Normas legales del 30/10/2013 para la sierra (33) inc/ mas IGV+25%GGY UTILIDADES2.9Normas legales del 30/10/2013 para la sierra (11) inc/ mas IGV+25%GGY UTILIDADES3.1Analisis en el S10 inc/ mas IGV+25%GGY UTILIDADES PARSALUD3.2Analisis en el S10 inc/ mas IGV+25%GGY UTILIDADES4.1Analisis en el S10 inc/ mas IGV+25%GGY UTILIDADES4.2Analisis en el S10 inc/ mas IGV+25%GGY UTILIDADES4.3Analisis en el S10 inc/ mas IGV+25%GGY UTILIDADES4.4Analisis en el S10 inc/ mas IGV+25%GGY UTILIDADES

METRADOSUNDALT. IALT II1.-INFRAESTRUCTURA1.1COSTO DE LAS UPSSM21.2ASCENSORUND.4.004.00

2.-OBRAS EXTERIORES2.1MURO PERIMETRICO O CERCOSM22854.251555.752.2AREA DE CIRCULACION EXTERIOR (PAVIMENTO DE CONCRETO)M22004.251123.30AREA TTOTAL9400.55MENOS AREA A-1726.09MENOS AREA B-1625.07MENOS AREA C-2682.49MENOS AREA D-722.83MENOS AREA E-728.52F88.70

2.3PATIO DE MANIOBRAS (PAVIMENTO DE CONCRETO)M2544.171100.002.4ESTACIONAMIENTO DE EMERGENCIA (PAVIMENTO DE CONCRETO)M2338.37350.00

2.5ESTACIONAMIENTO DE PUBLICO Y PERSONAL (PAVIMENTO DE CONCRETO)M21,033.20250.002.6TRATAMIENTO DE AREA VERDES (JARDINERAS SEMBRADO DE GRASS)M21396.921374.00
Luffi: SE REALIZA EL MANT. DE 98% DEL AREA VERDE.2649.00AREA 1212.32A2360.00A3416.71A4113.63A572.41A6132.30A789.55A8

VEREDAS EXTERIORES (LOSA DE CONCRETO ARMADO E= 4")M2476.462.7PUERTAS DE ACCESOS M263.0054.003.-DEMOLICIONES 3.1DEMOLICION (INFRAESTRUCTURA EXISTENTE)M21,075.322468.003.2DEMOLICION DE CERCO PERIMETRICOML815.25330.00

SUSTENTO DE METRADOS FUENTE PLANOS DE ZONIFICACION

Inversin

PRESUPUESTO DE INVERSIN Alternativa N 1 - En Nuevos Soles (S/.)PRESUPUESTO DE INVERSIN Alternativa N 1 - En Nuevos Soles (S/.)

TANGIBLESTANGIBLES

ItemDescripcinUnidadCantidadParcialItemComponente del C.D% Participacin (B)Monto Participacin x Comp. C.D.(C)=(AxB)Factor de Conversin (*) (D)Parcial

01.00.00OBRAS CIVILES 01.01.00EstructurasGlb1.0001.00.00OBRAS CIVILES 01.02.00ArquitecturaGlb1.0001.01.00- MOC12.05%3,894,817.040.9263,606,312.0701.03.00Inst. Sanitarias, Elect.Glb1.0001.02.00- MONC 25.42%8,216,286.230.6004,929,771.7401.04.00Inst. Mecnicas y ComunicacionesGlb1.0001.03.00- Materiales y Equipos62.53%20,211,029.820.84717,127,991.37Costo Directo (A)32,322,133.09Costo Directo a P.S25,664,075.18Gastos Generales y Utilidad (25% del C.D.)8,080,533.27Gastos Generales 3,849,611.28
Luffi: Se considera solo GG.Sub-total40,402,666.36Sub-total29,513,686.46I.G.V. (18%)7,272,479.94

Luffi: En Precios Sociales no se considera.SUB-TOTAL 0147,675,146.30SUB-TOTAL 0129,513,686.46

02.00.00EQUIPAMIENTO02.00.00EQUIPAMIENTO02.01.00Equipamiento Mdico y MobiliarioGlb1.0020,994,786.1402.01.00Equipamiento Mdico y Mobiliario100%20,994,786.140.84717,792,191.64

SUB-TOTAL 0220,994,786.14SUB-TOTAL 0217,792,191.64

INTANGIBLESINTANGIBLES

ItemDescripcinUnidadCantidadParcial ItemDescripcinUnidadCantidadParcial

03.00.00EXPEDIENTE TCNICO DE OBRAEstudio1.00981,443.7603.00.00EXPEDIENTE TCNICO DE OBRAEstudio1.00628,510.0704.00.00SUPERVISION DE EXPEDIENTE TECNICOGlb1.00222,607.0004.00.00SUPERVISION DE EXPEDIENTE TECNICOGlb1.00158,207.7805.00.00SUPERVISIN Y LIQUIDACIN DE OBRAEstudio1.002,377,157.2005.00.00SUPERVISIN Y LIQUIDACIN DE OBRAEstudio1.001,609,591.0906.00.00PLAN DE MITIGACIN DE IMPACTO AMBIENTALGlb1.00102,318.5106.00.00PLAN DE MITIGACIN DE IMPACTO AMBIENTALGlb1.0088,064.1807.00.00PLAN DE MANTENIMIENTO DE INFRAESTRUCTURAGlb1.00168,700.0007.00.00PLAN DE MANTENIMIENTO DE INFRAESTRUCTURAGlb1.00150,958.0708.00.00PLAN DE MANTENIMIENTO DE EQUIPAMIENTOGlb1.0065,690.0008.00.00PLAN DE MANTENIMIENTO DE EQUIPAMIENTOGlb1.0058,764.5609.00.00IMPLEMENTACION DEL PLAN DE CAPACITACIONGlb1.00224,780.0009.00.00IMPLEMENTACION DEL PLAN DE CAPACITACIONGlb1.00208,129.6310.00.00PLAN CAPACITACION Glb1.0014,800.0010.00.00PLAN CAPACITACION Glb1.0011,775.89

SUB-TOTAL 034,157,496.47SUB-TOTAL 032,914,001.28

MONTO DE INVERSIN A PRECIOS DE MERCADO72,827,428.91MONTO DE INVERSIN A PRECIOS DE MERCADO50,219,879.38

C&M SS.BB.COSTOS DE OPERACIN DE SERVICIOS BASICOS DE ENERGIA ELECTRICA

I. CALCULO DE POTENCIA INSTALADA1.1 ILUMINACIONUnidades Productoras de ServiciosArea m2Carga Bsica 20W/m2Carga Alta Intensidad 100W/m2Potencia Instalada (W)Potencia Instalada (KW)

1CONSULTA EXTERNA1,719.1434,382.8834,382.8834.382EMERGENCIA773.6015,472.0815,472.0815.473HOSPITALIZACION1,453.9529,079.0029,079.0029.084CENTRO OBSTETRICO294.845,896.805,896.805.9030.003,000.003,000.003.005CENTRO QUIRURGICO538.2710,765.4410,765.4410.7735.003,500.003,500.003.506CENTRAL DE ESTERILIZACION (CEYE)186.733,734.643,734.643.737PATOLOGIA CLINICA202.614,052.164,052.164.058ANATOMIA PATOLOGICA146.662,933.282,933.282.939DIAGNOSTICO POR IMAGINES + ECOGRAFIA274.435,488.565,488.565.4910MEDICINA FISICA Y REHABILITACION293.335,866.565,866.565.8711UPSS NUTRICIN Y DIETTICA419.588,391.608,391.608.3912CENTRO DE HEMOTERAPIA Y BANCO DE SANGRE257.805,155.925,155.925.1613FARMACIA329.626,592.326,592.326.5914ADMINISTRACION484.069,681.129,681.129.6815TRANSPORTE80.191,603.801,603.801.6016GESTION DE LA INFORMACION291.605,832.005,832.005.8317SALA DE USO MULTIPLE158.923,178.443,178.443.1818UPS SALUD AMBIENTAL188.813,776.223,776.223.7819CASA DE FUERZA386.377,727.407,727.407.7320CADENA DE FRIO126.122,522.342,522.342.5221CENTRAL DE GASES110.812,216.162,216.162.2222LAVANDERIA177.883,557.523,557.523.5623UPS TALLERES PARA MANTENIMIENTO268.275,365.445,365.445.3724CONTROL Y SEGURIDAD53.951,078.921,078.921.0825CASA MATERNA130.492,609.822,609.822.6126RESIDENCIA 87.481,749.601,749.601.7527UPS ALMACEN 103.522,070.362,070.362.07REA DE CIRCULACIN5,583.66111,673.25111,673.25SUB TOTAL 0115,187.68197,280.38197.28

1.2 CALEFACCIONAIRE ACONDICIONADO/CALEFACIONArea m2Cantidad Carga Unitaria WPotencia Instalada (W)Potencia Instalada (kW)

UNIDADES INTERIORES (Evaporadores) 145.0090.004,050.004.05UNIDAD EXTERIOR (Condensador) 11.0033,300.0033,300.0033.30UNIDADES INTERIORES (Evaporadores) 238.0090.003,420.003.42UNIDAD EXTERIOR (Condensador) 21.0029,300.0029,300.0029.30UNIDADES INTERIORES (Evaporadores) 324.0090.002,160.002.16UNIDAD EXTERIOR (Condensador) 31.0025,200.0025,200.0025.20UNIDADES INTERIORES (Evaporadores) 430.0090.002,700.002.70UNIDAD EXTERIOR (Condensador) 41.0028,070.0028,070.0028.07SALA DE PARTOS (Condensador + Evaporador)2.006,800.0013,600.0013.60SALA DE OPERACIONES (Condensador + Evaporador)2.006,800.0013,600.0013.60DATA CENTER (Condensador + Evaporador)2.004,800.009,600.009.60

SUB TOTAL 020.00165,000.00165.00

1.3 CARGAS ESPECIALESCARGAS DE POTENCIAPotencia Instalada (W)Potencia Instalada (KW)

EQUIPAMIENTO MEDICO3000030.00BOMBAS DE AGUA FRIA56005.60BOMBAS DE AGUA CALIENTE32003.20BOMBAS DE DESAGUE25002.50BOMBA CONTRA INCENDIO2500025.00ELECTROBOMBAS PARA CALDEROS36003.60BOMBA DE VACIO80008.00COMPRESOR DE AIRE80008.00COMUNICACIONES50005.00VENTILACION MECANICA75007.50ESTERILIZADORES3600036.00EQUIPOS RX5000050.00

SUB TOTAL 03184,400.00184.40

SUB TOTAL 01 + SUBTOTAL 03381,680.38381.68

D. MAX.M2W/M2CARGA UNITARIA W/M2381,680.3815,187.6825.13

II. CALCULO DE MAXIMA DEMANDA

DESCRIPCIONCarga Unitaria w/m2Potencia Instalada (W)Factor de DemandaDemanda Mxima (W)Maxima Demanda (KW)

AREA TOTALCARGA HASTA 900 MT279.6471,676.000.8057,340.8057.34CARGA AREA RESTANTE.79.64688,009.960.65447,206.47447.21EQUIPOS DE CALEFACCION165,000.000.75123,750.00123.75TOTAL924,685.96628,297.27628.3075%471222.9555471.22III. CALCULO DE CONSUMO ENERGIA ELECTRICA CON POTENCIA PROMEDIO EN (KWh)

Consumo al mes (30%MD*30Dias*24Horas) = 14,136.69IV. CALCULO DE COSTO DE SERVICIO DE ENERGIA ELECTRICA AL MES (S/.)

Consumo al mes (S/. 0.35/KWh) = 4,947.84COSTOS DE OPERACIN SERVICIOS BASICOS DE COMBUSTIBLEDESCRIPCIONUNIDADCANTIDAD/ MESPRECIO UNITARIO (S/.)SUBTOTAL (S/.)OBSERVACION

PETROLEOGLN80.0012.00960.00GLPKG100.003.00300.00TOTAL/MES1,260.00COSTOS DE OPERACIN SERVICIO DE TELEFONICAlocidadPrecio Promocional con servicioPrecioPrecio Promocional sin servicioPreciotelefnico asociadoEstablecidotelefnico asociadoEstablecido-1-2500 Kbps--55S/.64.00(4)641 MbpsS/. 59.58115S/.84.00(4)1252 MbpsS/. 89.00-380943903 MbpsS/. 99.00-4101044204 MbpsS/. 109.004751194856 MbpsS/.138.00-7151497258 MbpsS/.139.00850S/. 154.00(4)86015 MbpsS/.179.00-973189983Fuente: Informacin de telefnica(4) Sin servicio telefnicoCOSTOS DE OPERACIN SERVICIO DE AGUA Y DESAGUEDOTACION TOTAL DE AGUA FRIAITEMDESCRIPCIONCANTDOT UNITUNDDOT PARCDOT MENSUAL1Camas hospitalarias61600Lt/da x cama36,600Lt1,098,0002Consultorios12500Lt/consult6,000Lt150,0003Consultorios dentales21,000Lt/consult2,000Lt50,0004Lavandera24440Lt/kg9,760Lt244,0005Cocina2008Lt/cubierto1,600Lt48,0006Residencia20150Lt/persona3,000Lt90,0007Oficina 3506Lt/m22,100Lt63,0008Unidad de Lavado de Carros08000Lt/unidad0Lt09Auditorio403Lt/persona120Lt2,40010Personal Mantto y Seguridad2080Lt/unidad1,600Lt32,00011Tina Hubbard8750Lt/unidad6,000Lt150,00012Tina de remolino (brazos)850Lt/unidad400Lt10,00013Tina de remolino (piernas)8150Lt/unidad1,200Lt30,000

TOTAL :70,380Lt1,967,400Fuente: Memoria Descriptiva de Instalaciones Sanitarias1967.4M3P.U.P.U.1.03
Luffi: resolucin N 036-2014 http://www.larepublica.pe/26-12-2014/sunass-aprobo-incremento-en-tarifa-de-agua-potable2026.422

Cost.Mant.

REPOSICIN

DESCRIPCION CANT.PRECIOFLETE DE TRANSPORTE Y FLETETIPO DE EQUIPAMIENTO Y MOBILIARIOVALOR

EQUIPOS BIOMEDICOS354140235750.014023575EQUIPOS BIOMEDICOS20,300NOTASE CONSIDERA ESTOS MONTOS, SE DESCARTA LOS MONTOS DE INSTRUMENTAL Y COMPLEMENTARIOSCOMPLEMENTARIOS5759863500.0986350ELECTROMECANICO500ELECTROMECANICO806647010.0664701MOBILIARIO ADMINISTRATIVO0INSTRUMENTAL2028011590.0801159MOBILIARIO CLINICO0MOBILIARIO ADMINISTRATIVO14814750480.0475048TRANSPORTE16,500MOBILIARIO CLINICO141413647590.01364759COMPLEMENTARIOS700MENAJERIA Y LENCERIA3267600.026760INSTRUMENTAL0TRANSPORTE000.00.0MENAJERIA0OFIMATICA2811152434TOTAL EQUIPAMIENTOEquipos Informaticos0 4390194947860.0019494786TOTAL38,0001 PESO APROXIMADO POR GRUPO GENERICO194947862 COSTO REFERENCIAL DE LA ZONA 1000 X TN. (MEJORAMIENTO DE LA CAPACIDAD OPERATIVA Y RESOLUTIVA DEL HOSPITAL DE OXAPAMPA - RED N 03)9837168

CLAVE EQAMBIENTES / EQUIPAMIENTOTIPO EQCANTID.EQ. RECUP.BRECHACOSTO

MONITOR FETAL (EQUIPO DOPPLER)B1105,300.00ASPIRADOR DE SECRECIONESB110500.00PULSOXIMETRO ADULTO PEDIATRICOB1101,750.00MONITOR DE PRESION ARTERIALY FRECUENCIA CARDIACAB1105,300.00ECOGRAFO DOPPLER COLORB1101,050.00ECOGRAFO DE USO GENERALB1101,050.00ELECTROCARDIOGRAFO DE 01 CANALB1101,500.00GLUCOMETROB110350.00INCUBADORA DE TRANSPORTEB1101,300.00INCUBADORA DE TRANSPORTEB1101,300.00MICROSCOPIOB110450.00MICROSCOPIO B110450.00CONSERVADOR PARA VACUNAS E110250.00CONSERVADOR PARA VACUNAS E110250.00BALANZA DIGITAL CON TALLIMETRO- LACTANTESC110350.00BALANZA DIGITAL CON TALLIMETRO- LACTANTESC110350.00CAMIONETA 4X4V1105,500.00CAMIONETA 4X4V1105,500.00AUTOMOVIL - STATIONV1105,500.00COSTOS DE MANTENIMIENTO DE EQUIPAMIENTODESCRIPCION CANT.PRECIOTIPO DE MANT.Ao 1Ao 2Ao 3Ao 4Ao 5Ao 6Ao 7Ao 8Ao 9Ao 10Ao 11Ao 12Ao 13Ao 14Ao 15

EQUIPOS BIOMEDICOS35414,023,575GARANTIAPREVENTIVO0.67%1.00%1.33%1.67%2.00%2.33%2.67%3.00%CORRECTIVO6.50%EXISTENTE1.33%1.67%2.00%2.33%2.67%3.00%1.33%1.67%REINV. EXIS100.00%REINV. NUE50.00%50.00%COMPLEMENTARIOS575986,350REINVERSION100%ELECTROMECNICO80664,701GARANTIAPREVENTIVO0.27%0.61%0.94%1.27%1.61%1.94%2.27%2.61%2.94%CORRECTIVO8.00%EXISTENTE0.27%0.61%0.94%1.27%1.61%1.94%2.27%2.61%2.94%REINV. EXIS100%REINV. NUEREINVERSIONINSTRUMENTAL202801,159GARANTIAPREVENTIVO1.00%1.20%1.40%1.60%1.80%2.00%2.20%2.40%2.60%2.80%CORRECTIVOEXISTENTE1.00%1.20%1.40%1.60%1.80%2.00%2.20%2.40%2.60%2.80%REINV. EXIS100%REINV. NUE50.00%REINVERSIONMOBILIARIO ADMINISTRATIVO1481475,048GARANTIAPREVENTIVO1.00%1.13%1.26%1.39%1.52%1.65%1.78%1.91%2.04%2.17%2.30%CORRECTIVOEXISTENTE1.00%1.13%1.26%1.39%1.52%1.65%1.78%1.91%2.04%2.17%2.30%2.43%REINV. EXISREINV. NUEREINVERSIONMENAJERIA Y LENCERIA326,760GARANTIAPREVENTIVOCORRECTIVOEXISTENTEREINV. EXISREINV. NUEREINVERSIONMOBILIARIO CLINICO14141,364,759GARANTIAPREVENTIVO1.00%1.13%1.26%1.39%1.52%1.65%1.78%1.91%2.04%2.17%2.30%CORRECTIVOEXISTENTE1.00%1.13%1.26%1.39%1.52%1.65%1.78%1.91%2.04%2.17%2.30%2.43%REINV. EXISREINV. NUEREINVERSIONEQUIPOS DE OFIMTICA2811,152,434GARANTIAPREVENTIVO1.0%1.4%1.8%2.2%2.6%3.0%1.0%1.4%1.8%2.2%CORRECTIVOEXISTENTE1.0%1.4%1.8%2.2%2.6%1.0%1.4%1.8%2.2%2.6%REINV. EXIS100%REINV. NUE50%50%REINVERSION100%50%50%0%0%0%0%TRANSPORTE00GARANTIAPREVENTIVO1.00%1.13%1.26%1.39%1.52%1.65%1.78%1.91%2.04%2.17%CORRECTIVO6.5%EXISTENTE1.00%1.13%1.26%1.39%1.52%1.65%1.78%1.91%2.04%2.17%2.30%2.43%REINV. EXISREINV. NUEREINVERSIONTOTAL439019,494,786

DESCRIPCION CANT.PRECIOTIPO DE MANT.Ao 1Ao 2Ao 3Ao 4Ao 5Ao 6Ao 7Ao 8Ao 9Ao 10Ao 11Ao 12Ao 13Ao 14Ao 15

EQUIPOS BIOMEDICOS35414,023,57527033940694,431140,778187,123234,1941,192,004326,749374,429420,977339GARANTIAPREVENTIVO93,958140,236186,514234,194280,472326,749374,429420,707CORRECTIVO911,53220,300EXISTENTE270339406473542609270339REINV. EXIS20,300REINV. NUE7,011,7887,011,788REINVERSION00000020,3000007,011,7887,011,788COMPLEMENTARIOS575986,350000000000000GARANTIAPREVENTIVOCORRECTIVO700REINV. EXIS700ELECTROMECNICO80664,7011351,8014,0636,2588,45363,89112,91015,08917,34919,542GARANTIA000000000000PREVENTIVO0001,7954,0556,2488,44210,70212,89515,08917,34919,542CORRECTIVO000000053,1760000500EXISTENTE135681011131500REINV. EXIS500REINV. NUEREINVERSION00000000000500INSTRUMENTAL202801,15908,0129,61411,21612,81914,42116,02317,62619,22820,83022,4320GARANTIAPREVENTIVO8,0129,61411,21612,81914,42116,02317,62619,22820,83022,4320CORRECTIVO0EXISTENTE000000000000REINV. EXISREINV. NUE400,580REINVERSION00000000000400,580MOBILIARIO ADMINISTRATIVO1481475,04804,7505,3685,9866,6037,2217,8388,4569,0739,69110,30910,926GARANTIA000000000000PREVENTIVO4,7505,3685,9866,6037,2217,8388,4569,0739,69110,30910,926CORRECTIVO0000000000000EXISTENTE000000000000REINV. EXISREINV. NUEREINVERSION000000000000MENAJERIA Y LENCERIA326,760000000000000GARANTIA000000000000PREVENTIVO000000000000CORRECTIVO000000000000REINVERSIONMOBILIARIO CLINICO14141,364,759013,64815,42217,19618,97020,74422,51924,29326,06727,84129,61531,389GARANTIA000000000000PREVENTIVO013,64815,42217,19618,97020,74422,51924,29326,06727,84129,61531,389CORRECTIVO0000000000000EXISTENTE000000000000REINV. EXISREINV. NUEREINVERSION000000000000EQUIPOS DE OFIMTICA2811,152,434011,52416,13420,74425,35429,96334,573011,52416,13420,74425,354GARANTIA000000000000PREVENTIVO11,52416,13420,74425,35429,96334,573011,52416,13420,74425,354CORRECTIVO0EXISTENTEREINV. EXISREINV. NUE576,217576,217REINVERSION000000576,217576,2170000TRANSPORTE00165186208229251272294315337358380401GARANTIA000000000000PREVENTIVO000000000000CORRECTIVO00000000000016,500EXISTENTE165186208229251272294315337358380401REINV. EXISREINV. NUEREINVERSION000000000000TOTAL439019,516,28643638,46347,156151,603208,837266,002323,8931,306,584405,888464,372521,80687,951COSTOS DE MANTENIMIENTO DE EQUIPAMIENTO43638,46347,156151,603208,837266,002323,8931,306,584405,888464,372521,80687,951

COSTOS DE REPOSICION000000596,517576,217007,011,7887,413,567COSTOS DE MANTENIMIENTO DE INFRAESTRUCTURA - ALTERNATIVA I0123456789101112DescripcinTipos de MantenimientoPartidasUNDCANTACUCOSTO REF.COSTO / AOPeriodicidadINVERSION INFRA.Ao 1Ao 2Ao 3Ao 4Ao 5Ao 6Ao 7Ao 8Ao 9Ao 10Ao 11Ao 12Ao 13Ao 14Ao 15x AoARQUITECTURAPREVENTIVA00061,37261,37261,37261,37261,37261,37261,37261,37261,37261,37261,37261,372Pintura en exterioresM2614.5414.739,052.209,052.20anual9,0529,0529,0529,0529,0529,0529,0529,0529,0529,0529,0529,052Limpieza de pisos, escaleras y otrosGLB1.006397.006,397.006,397.00gasto mensualincluye personal e insumos6,3976,3976,3976,3976,3976,3976,3976,3976,3976,3976,3976,397Carpinteria metalicaM2398.497.723,076.323,076.32anual3,0763,0763,0763,0763,0763,0763,0763,0763,0763,0763,0763,076Carpinteria de maderaM21732.5011.7620,374.2020,374.20anual20,37420,37420,37420,37420,37420,37420,37420,37420,37420,37420,37420,374Mantenimiento de canaletasML1300.503.274,252.644,252.64anual4,2534,2534,2534,2534,2534,2534,2534,2534,2534,2534,2534,253Areas verdes y jardinesM21374.0013.2618,219.2418,219.24gasto mensual18,21918,21918,21918,21918,21918,21918,21918,21918,21918,21918,21918,219CORRECTIVO001,92451,922340,611053,8460340,61151,9221,9240392,532Cambio de Maylicas o CermicasM2583.4965.9438,475.0138,475.01cada 4 aos38,47538,47538,475Retoques de pintura en pared (interior)M22909.6112.1135,235.3635,235.36cada 3 aos35,23535,23535,23535,235Retoques de pintura en pared (exterior)M2852.7214.7312,560.6012,560.60cada 3 aos12,56112,56112,56112,561Pintura en aleros exterioresM2280.1014.734,125.874,125.87cada 3 aos4,1264,1264,1264,126Reparacion de falso cielos rasoM21226.3778.5296,294.7096,294.70cada 4 aos96,29596,29596,295Retoques de Pintura para Carpintera de FierroM2249.247.721,924.161,924.16cada 2 aos1,9241,9241,9241,9241,9241,924Cambio de Piso de LosetaM2817.58105.3186,099.4786,099.47cada 4 aos86,09986,09986,099Reparacin de Pisos de Cemento en exterioresM2119.5041.244,928.184,928.18cada 4 aos4,9284,9284,928Reparacin de cubiertas de planchas pre fabricadasM21215.1675.9492,279.4292,279.42cada 4 aos92,27992,27992,279Vidrios M2714.5413.229,446.249,446.24cada 4 aos9,4469,4469,446CerradurasUND168.3066.3311,163.3411,163.34cada 4 aos11,16311,16311,163SUB TOTAL61,37263,296113,293401,98261,372115,21861,372401,982113,29363,29661,372453,904PORCENTAJE DE INCIDENCIA47,675,146.300.13%0.13%0.24%0.84%0.13%0.24%0.13%0.84%0.24%0.13%0.13%0.95%ESTRUCTURASM2

INSTALACIONES SANITARIASPREVENTIVOC.U.16,34416,34416,34416,34416,34416,34416,34416,34416,34416,34416,34416,344AGUA POTABLEMEDIDORUND210.00240.001 MES240240240240240240240240240240240240VALVULASUND1541.00616.004 X AO616616616616616616616616616616616616APARATOS SANITARIOSUND2240.258064.0012 MES8,0648,0648,0648,0648,0648,0648,0648,0648,0648,0648,0648,064GRIFERIASUND2240.25672.002 AO672672672672672672672672672672672672DESAGUE000000000000CAJA DE REGISTROUND1171.001404.001 MES1,4041,4041,4041,4041,4041,4041,4041,4041,4041,4041,4041,404REGISTROS ROSCADOSUND1171.00351.003 AO351351351351351351351351351351351351TRAMPASUND1201.00240.002 AO240240240240240240240240240240240240SUMIDEROSUND1170.50117.002 AO117117117117117117117117117117117117DRENAJE PLUVIAL000000000000CANALETAS DE TEJADOM8001.001600.002 AO1,6001,6001,6001,6001,6001,6001,6001,6001,6001,6001,6001,600SUMIDEROSUND151.00180.001 MES180180180180180180180180180180180180CAJAS DE REGISTROUND401.00160.004 AO160160160160160160160160160160160160ABRAZADERAS DE FIJACIONUND1600.5080.001 AO808080808080808080808080AGUA CONTRAINCENDIO000000000000GABINETES CONTRAINCENDIOSUND25100.002500.001 AO2,5002,5002,5002,5002,5002,5002,5002,5002,5002,5002,5002,500VALVULASUND600.50120.004 AO120120120120120120120120120120120120CORRECTIVO4,0954,09524,4804,09568,13024,4807,7954,09524,480207,7674,09524,480AGUA POTABLETUBERIAS DE COBRE 2"M150350.0052500.0010 AOS52,500TUBERIAS DE PVC 2"M45037.0016650.0010 AOS16,650ACCESORIOS DE COBRE 2"UND15050.007500.0010 AOS7,500ACCESORIOS DE PVC 2"UND2148.001712.0010 AOS1,712VALVULASUND10760.006420.0010 AOS6,420ACOMETIDAUND2170.00340.005 AOS340340MEDIDORUND2400.00800.003 AOS800800800800APARATOS SANITARIOSUND224250.0056000.005 AOS56,00056,000GRIFERIASUND22460.0013440.003 AOS13,44013,44013,44013,440DESAGUETUBERIAS PVC PESADASM40065.0026000.0010 AOS26,000TUBERIASUND6735.002345.003 AOS2,3452,3452,3452,345CAJAS DE REGISTROUND11715.001755.0010 AOS1,755REGISTROS ROSCADOSUND11735.004095.005 AOS4,0954,095TRAMPASUND12030.003600.005 AOS3,6003,600SUMIDEROSUND11735.004095.001 AO4,0954,0954,0954,0954,0954,0954,0954,0954,0954,0954,0954,095DRENAJE PLUVIALCANALETAS DE TEJADOM20020.004000.0010 AOS4,000TUBERIASM10065.006500.0010 AOS6,500CAJAS DE REGISTROUND4035.001400.003 AOS1,4001,4001,4001,400SUMIDEROSUND1580.001200.007 AOS1,200ABRAZADERAS DE FIJACIONUND16015.002400.003 AOS2,4002,4002,4002,400AGUA CONTRAINCENDIOTUBERIASM5080.004000.0010 AOS4,000GABINETES CONTRAINCENDIOSUND25100.002500.007 AOS2,500VALVULASUND6060.003600.0010 AOS3,600MANGUERASUND25360.009000.0010 AOS9,000SUB TOTAL20,43920,43940,82420,43984,47440,82424,13920,43940,824224,11120,43940,824PORCENTAJE DE INCIDENCIA47,675,146.300.04%0.04%0.09%0.04%0.18%0.09%0.05%0.04%0.09%0.47%0.04%0.09%INSTALACIONES ELECTRO MECANICASPREVENTIVO96,96796,96796,96796,96796,96796,96796,96796,96796,96796,96796,96796,967SUBESTACIONTRANSFORMADOR DE 200V/24V11876.591876.591,8771,8771,8771,8771,8771,8771,8771,8771,8771,8771,8771,877TABLEROS ELECTRICOS000000000000MANTENIMIENTO DEL TABLERO GENERAL NORMAL TGN1225225225225225225225225225225225225225225MANTENIMIENTO DEL TABLERO GENERAL PRINCIPAL TGP1225225225225225225225225225225225225225225MANTENIMIENTO DEL TABLERO DE TRANSFERENCIA AUTOMATICA TTA1302.15302.15302302302302302302302302302302302302MANTENIMIENTO DEL TABLERO DE BANCO DE CONDENSADORES TBC1302.15302.15302302302302302302302302302302302302MANTENIMIENTO DEL TABLERO GENERAL DE EMERGENCIA TGE1302.15302.15302302302302302302302302302302302302MANTENIMIENTO DEL TABLERO PRINCIPAL DE EMERGENCIA TGP1302.15302.15302302302302302302302302302302302302MANTENIMIENTO DEL TABLEROS DE DISTRIBUCION NORMAL TDN1922.2922.2922922922922922922922922922922922922MANTENIMIENTO DEL TABLEROS DE DISTRIBUCION DE EMERGENCIA TDE1750750750750750750750750750750750750750750MANTENIMIENTO DEL TABLEROS DE CONTROL DE MOTORES ELECTRICOS TC1614.8614.8615615615615615615615615615615615615PUESTA A TIERRA000000000000MANTENIMIENTO DE POZOS A TIERRA12750.42750.42,7502,7502,7502,7502,7502,7502,7502,7502,7502,7502,7502,750SISTEMA DE ENERGIA ININTERRUMPIDA UPS000000000000MANTENIMIENTO DE UPS2604.31208.61,2091,2091,2091,2091,2091,2091,2091,2091,2091,2091,2091,209SISTEMA DE GASES MEDICINALES000000000000MANTENIMIENTO DE CENTRAL DE OXIGENO2198.91397.82398398398398398398398398398398398398MANTENIMIENTO DE CENTRAL DE VACIO2198.91397.82398398398398398398398398398398398398MANTENIMIENTO DE CENTRAL DE AIRE MEDICINAL2198.91397.82398398398398398398398398398398398398MANTENIMIENTO DE CENTRAL DE OXIDO NITROSO2198.91397.82398398398398398398398398398398398398SISTEMA DE COMBUSTIBLE000000000000MANTENIMIENTO DE TANQUE DE PETROLEO1177.91177.91178178178178178178178178178178178178MANTENIMIENTO DE TANQUE DE GLP1168.91168.91169169169169169169169169169169169169SISTEMA DE GENERACION DE VAPOR000000000000MANTENIMIENTO DE CALDERA1774.94774.94775775775775775775775775775775775775ASCENSOR000000000000MANTENIMIENTO DE ASCENSOR355001650016,50016,50016,50016,50016,50016,50016,50016,50016,50016,50016,50016,500MANTENIMIENTO DE MONTACARGA1110001100011,00011,00011,00011,00011,00011,00011,00011,00011,00011,00011,00011,000SISTEMA DE AIRE ACONDICIONADO Y VENTILACION MECANICA0000000000000MANTENIMIENTO DE CONDENSADORES2999.751999.52,0002,0002,0002,0002,0002,0002,0002,0002,0002,0002,0002,000MANTENIMIENTO DE EVAPORADORES315239.8845719.6445,72045,72045,72045,72045,72045,72045,72045,72045,72045,72045,72045,720MANTENIMIENTO DE EXTRACTORES DE AIRE2737.921475.841,4761,4761,4761,4761,4761,4761,4761,4761,4761,4761,4761,476MANTENIMIENTO DE INYECTORES DE AIRE2650.241300.481,3001,3001,3001,3001,3001,3001,3001,3001,3001,3001,3001,300SISTEMA DE GRUPO ELECTROGENO000000000000MANTENIMIENTO DE GRUPO ELECTROGENO1150015001,5001,5001,5001,5001,5001,5001,5001,5001,5001,5001,5001,500MANTENIMIENTO DE TANQUE DIARIO DE COMBUSTIBLE1231.26231.26231231231231231231231231231231231231SISTEMA DE CALENTAMIENTO DE AGUA000000000000MANTENIMIENTO DE TANQUE DE ALMACENAMIENTO DE AGUA1387.82387.82388388388388388388388388388388388388MANTENIMIENTO DE COLECTORES SOLARES11255.21255.21,2551,2551,2551,2551,2551,2551,2551,2551,2551,2551,2551,255SISTEMA DE BOMBEO DE AGUA000000000000MANTENIMIENTO DE ELECTROBOMBAS21551.283102.563,1033,1033,1033,1033,1033,1033,1033,1033,1033,1033,1033,103CORRECTIVO33,11033,11033,11033,11033,11033,11033,11033,11033,11033,11033,11033,110TABLEROS ELECTRICOSCAMBIO DE INSTERRUPTORES TERMOMAGNETICOS0.53355.921677.961,6781,6781,6781,6781,6781,6781,6781,6781,6781,6781,6781,678PUESTA A TIERRACAMBIO DE VARILLA DE COBRE0.52402.161201.081,2011,2011,2011,2011,2011,2011,2011,2011,2011,2011,2011,201SISTEMA DE CIRCULACION VERTICALCAMBIO DE FAJAS DE TRANSMISION31689.85069.45,0695,0695,0695,0695,0695,0695,0695,0695,0695,0695,0695,069SISTEMA DE AIRE ACONDICIONADO Y VENTILACION MECANICACAMBIO DE FAJAS DE TRANSMISION31520.824562.464,5624,5624,5624,5624,5624,5624,5624,5624,5624,5624,5624,562REPARACION DE MOTORES ELECTRICOS15069.15069.15,0695,0695,0695,0695,0695,0695,0695,0695,0695,0695,0695,069CAMBIO DE FILTRO DE AIRE31652.64957.84,9584,9584,9584,9584,9584,9584,9584,9584,9584,9584,9584,958CAMBIO RODAMIENTOS21229.42458.82,4592,4592,4592,4592,4592,4592,4592,4592,4592,4592,4592,459SISTEMA DE GRUPO ELECTROGENOCAMBIO BATERIA DE ARRANQUE0.51178.98589.49589589589589589589589589589589589589SISTEMA DE BOMBEO DE AGUAREPARACION DE MOTORES ELECTRICOS15069.15069.15,0695,0695,0695,0695,0695,0695,0695,0695,0695,0695,0695,069REPARACION DE BOMBAS DE AGUA12455.282455.282,4552,4552,4552,4552,4552,4552,4552,4552,4552,4552,4552,455SUB TOTAL130,077130,077130,077130,077130,077130,077130,077130,077130,077130,077130,077130,077PORCENTAJE DE INCIDENCIA47,675,146.300.27%0.27%0.27%0.27%0.27%0.27%0.27%0.27%0.27%0.27%0.27%0.27%COMUNICACIONESPREVENTIVO5,5305,5305,5305,5305,5305,5305,5305,5305,5305,5305,5305,530Sistema de Procesamiento CentralizadoEQUIPOS2100.00200.00200.00ANUAL200200200200200200200200200200200200Sistema de Almacenamiento CentralizadoEQUIPOS2200.00400.00400.00ANUAL400400400400400400400400400400400400Sistema de Conectividad y Seguridad InformaticaEQUIPOS7100.00700.00700.00ANUAL700700700700700700700700700700700700Sistema de Gestion en SaludSISTEMA11000.001,000.001,000.00ANUAL1,0001,0001,0001,0001,0001,0001,0001,0001,0001,0001,0001,000Sistema de Gestion de ImgenesSISTEMA11000.001,000.001,000.00ANUAL1,0001,0001,0001,0001,0001,0001,0001,0001,0001,0001,0001,000Sistema de VideovigilanciaEQUIPOS3210.00320.00640.00SEMESTRAL640640640640640640640640640640640640Sistema de TelevisionEQUIPOS1110.00110.00220.00SEMESTRAL220220220220220220220220220220220220Sistema de Llamada de EnfermerasESTACIONES1315.00195.00390.00SEMESTRAL390390390390390390390390390390390390Sistema de Deteccion de Alarma de IncendiosZONAS1415.00210.00420.00SEMESTRAL420420420420420420420420420420420420Sistema de comunicacin por Radio VHF/HFUND1300.00300.00300.00ANUAL300300300300300300300300300300300300Sistema Sonido ambiental y perifoneoEQUIPOS1310.00130.00260.00SEMESTRAL260260260260260260260260260260260260CORRECTIVO0027,650040,37527,6500027,65043,175027,650Sistema de Procesamiento Centralizado0Reparacion de fuente de alimentacionUND2200.00400.0010 AOS400Sistema de Almacenamiento CentralizadoCambio de Discos DurosUND21,000.002000.0010 AOS2,000Reparacion de Fuente de AlimentacionUND2200.00400.0010 AOS400Sistema de Conectividad y Seguridad InformaticaCambio de switchUND52,500.0012500.005 AOS12,50012,500Cambio de firewallUND24,500.009000.005 AOS9,0009,000Sistema de videovigilanciaCambio de video camarasUND30900.0027000.003 AOS27,00027,00027,00027,000Sistema de TelevisionReparacion de TelevisoresUND675.00450.005 AOS450450Sistema de Llamada de EnfermerasCambio de pulsadoresUND750.00350.005 AOS350350Sistema de Deteccion de Alarma de IncendiosCambio de sensoresUND100100.0010000.005 AOS10,00010,000Cambio de luz estroboscopicaUND14250.003500.005 AOS3,5003,500Sistema Sonido ambiental y perifoneoReparacion de parlantesUND1350.00650.003 AOS650650650650Equipamieto ofimaticoReparacion de fuente de alimentacionUND9250.004575.005 AOS4,5754,575SUB TOTAL5,5305,53033,1805,53045,90533,1805,5305,53033,18048,7055,53033,180PORCENTAJE DE INCIDENCIA47,675,146.300.01%0.01%0.07%0.01%0.10%0.07%0.01%0.01%0.07%0.10%0.01%0.07%

TOTAL217,418219,342317,374558,028321,828319,299221,118558,028317,374466,189217,418657,985Nota: Los metrados, costos fueron trabajados por los Especialistas segn su experiencia.12140

O&M-CPRECURSOS HUMANOS - CON PROYECTO

NPersonal Asistencial y AdministrativoCantidad RR.HH. 2017Cantidad RR.HH. 2029Remuneracin MensualRemuneracin AnualTotal Anual20132014201520162017Total Anual 201820192020202120222023202420252026202720282029

2020202120222023202420252026202720282029201320142015201620172018201920202021202220232024202520262027202820291Mdico Cirujano5,726.7568,720.9968720.99200000000000000000000000000002Mdico Especialista en Medicina Familiar y Comunitaria6,435.2577,222.9977222.9920154,446154,446154,446154,446154,446154,446154,446154,446154,446154,446154,446154,4460002222222222223Medicina Especialista en Medicina Interna6,435.2577,222.9977222.9920617,784617,784695,007695,007772,230772,230849,453849,453849,453849,453849,453849,453000889910101111111111114Mdico Especialista en Pediatra6,435.2577,222.9977222.9920617,784617,784695,007695,007772,230772,230849,453849,453849,453926,676926,676926,676000889910101111111212125Medico Especialista en Ciruga General6,435.2577,222.9977222.9920540,561540,561617,784617,784695,007695,007772,230772,230772,230772,230772,230772,2300007788991010101010106Mdico Especialista en Otorrinolaringologa6,435.2577,222.9977222.992077,22377,22377,22377,22377,22377,22377,22377,22377,22377,22377,22377,2230001111111111118Mdico Especialista en Anestesiologa6,435.2577,222.9977222.9920617,784617,784617,784617,784617,784617,784617,784617,784617,784695,007695,007695,00700088888888899913Mdico Especialista en Traumatologa y Ortopedia6,435.2577,222.9977222.9920386,115386,115386,115386,115386,115463,338463,338463,338463,338463,338463,338463,33800055555666666614Mdico Especialista en Ginecologa y Obstetricia6,435.2577,222.9977222.9920617,784617,784695,007695,007772,230772,230849,453849,453926,6761,003,8991,003,8991,003,8990008899101011111213131315Mdico Especialista en Oftalmologa6,435.2577,222.9977222.992077,22377,22377,22377,22377,22377,22377,22377,22377,22377,22377,22377,22300011111111111116Mdico Especialista en Patologa Clinica6,435.2577,222.9977222.9920231,669231,669231,669231,669231,669231,669231,669231,669231,669231,669231,669231,66900033333333333317Mdico Especialista en Dermatologia6,435.2577,222.9977222.992000000000000000000000000000018Mdico Especialista en Psiquiatra6,435.2577,222.9977222.992000000000000000000000000000019Mdico Especialista en Radiologa6,435.2577,222.9977222.992077,223154,446154,446154,446154,446154,446154,446154,446154,446154,446154,446154,44600012222222222220Cirujano Dentista3,526.2242,314.6942314.692084,62984,62984,62984,62984,62984,62984,62984,62984,629126,944126,944126,94400022222222233321Enfermera 3,491.8941,902.6741902.67202,388,4522,430,3552,472,2582,514,1602,556,0632,556,0632,597,9662,639,8682,723,6742,765,5762,765,5762,807,47900057585960616162636566666722Bilogo3,526.2242,314.6942314.692000000000000000000000000000023Obstetra3,491.8941,902.6741902.67201,047,5671,047,5671,047,5671,089,4691,089,4691,089,4691,089,4691,089,4691,089,4691,089,4691,131,3721,131,37200025252526262626262626272724Psiclogo 3,526.2242,314.6942314.692084,62984,62984,62984,62984,62984,62984,62984,62984,62984,62984,62984,62900022222222222225Nutricionista3,526.2242,314.6942314.6920126,944126,944126,944126,944126,944126,944126,944126,944126,944126,944126,944126,94400033333333333326Qumico Farmacutico3,526.2242,314.6942314.6920253,888253,888296,203296,203338,518338,518380,832380,832380,832380,832380,832380,83200066778899999927Tecnlogo Medico en Radiologa3,526.2242,314.6942314.692084,62984,62984,62984,62984,62984,62984,62984,62984,62984,62984,62984,62900022222222222228Tecnlogo Medico en Terapia Fisica y Rehabilitacin3,526.2242,314.6942,314.69084,62984,62984,62984,62984,62984,62984,629126,944126,944126,944126,944126,94400022222223333329Biologo o Tecnlogo Medico en Laboratorio Clinico y Anatomia Patologica3,526.2242,314.6942,314.690338,518338,518380,832380,832423,147423,147423,147423,147423,147423,147423,147423,1470008899101010101010101030Tecnlogo Medico en Optometria3,526.2242,314.6942,314.69042,31542,31542,31542,31542,31542,31542,31542,31542,31542,31542,31542,31500011111111111131Tcnico en Enfermera2,348.7028,184.3728,184.3702,395,6712,395,6712,423,8562,452,0402,480,2242,480,2242,508,4092,508,4092,564,7772,564,7772,592,9622,592,96200085858687888889899191929232Tcnico en Farmacia2,348.7028,184.3728,184.370281,844281,844281,844281,844281,844281,844281,844281,844281,844281,844281,844281,84400010101010101010101010101033Tcnico en nutricin2,348.7028,184.3728,184.370253,659253,659253,659253,659253,659253,659281,844281,844281,844281,844281,844310,02800099999910101010101134Tcnico en Laboratorio2,348.7028,184.3728,184.370197,291197,291197,291197,291197,291197,291197,291197,291197,291197,291197,291197,29100077777777777735Tcnico en Terapia Fsica y Rehabilitacin2,348.7028,184.3728,184.37056,36956,36956,36956,36956,36956,36956,36984,55384,55384,55384,55384,55300022222223333336Tcnico en Radiologa2,348.7028,184.3728,184.370140,922140,922140,922140,922140,922140,922140,922140,922140,922140,922140,922140,92200055555555555537Asistenta Social2,348.7028,184.3728,184.37084,55384,553112,737112,737112,737112,737112,737112,737112,737112,737112,737112,73700033444444444438TOTAL ASISTENCIAL0.000.00000000000000000028128329229530330431231532032532732939Administrativos1,800.0021,600.0021,600.0002,160,0002,160,0002,224,8002,246,4002,246,4002,268,0002,289,6002,311,2002,332,8002,354,4002,354,4002,376,0000001001001031041041051061071081091091101,756,148.041756148.036011,877,55211,996,67812,460,28612,572,27613,035,88413,113,10713,562,58513,674,98713,892,38414,208,27014,278,35814,348,445COSTOS DE BIENES E INSUMOS - CON PROYECTO

NDescripcinCosto Promedio MensualCosto Anual 2018Costos AnualTotal Anual20132014201520162017201820192020202120222023202420252026202720282029

20142015201620172018201920202021202220232024202520262027202820291Consulta Externa60,996731,948731947.8460692360731,948750,105768,662787,626807,007826,812847,050867,731888,864910,457932,520955,0622Emergencia16,085193,015193014.9141076670193,015198,357203,823209,415215,136220,988226,975233,099239,364245,771252,324259,0273Centro Obsttrico2,34828,17228172.1361587908028,17228,63629,10729,58730,07430,56931,07231,58432,10432,63233,17033,7164Centro Quirrgico43,185518,217518217.3616074080518,217530,915543,891557,149570,697584,540598,684613,136627,901642,986658,397674,1425Hospitalizacin4,88358,59558594.5173454074058,59560,02061,47762,96564,48666,03967,62769,24870,90572,59874,32776,0936Apoyo al Diagnstico134,8491,618,1911618190.8864847501,618,1911,661,2811,705,4351,750,6861,797,0701,844,6221,893,3841,943,3971,994,7072,047,3622,101,4132,156,918262,3453,148,13803,148,1383,229,3153,312,3953,397,4283,484,4693,573,5713,664,7923,758,1953,853,8433,951,8054,052,1514,154,958SERVICIOS BSICOS - CON PROYECTO

NDescripcinCosto MensualMeses por AoCostos AnualTotal Anual20132014201520162017201820192020202120222023202420252026202720282029

20142015201620172018201920202021202220232024202520262027202820291Servicio de Energa Elctrica4,947.841259,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.0959,374.092Servicio de Agua y Desague2,026.421224,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.0624,317.063Servicio de Telefona Fija1,450.001217,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.0017,400.004Combustible1,260.001215,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.0015,120.00116,211.16116211.1563930.00116,211.16116,211.16116,211.16116,211.16116,211.16116,211.16116,211.16116,211.16116,211.16116,211.16116,211.16116,211.16COSTOS DE MANTENIMIENTO - CON PROYECTO - ALTERNATIVA I

NDescripcinCosto Promedio MensualCosto AnualCostos AnualTotal Anual20132014201520162017201820192020202120222023202420252026202720282029

20142015201620172018201920202021202220232024202520262027202820291Mantenimiento de Infraestructura18,118.13217,417.60217,418219,342317,374558,028321,828319,299221,118558,028317,374466,189217,418657,9852Mantenimiento de Equipos36.36436.3443638,46347,156151,603208,837266,002323,8931,306,584405,888464,372521,80687,95118,154.50217,853.940217,854257,804364,531709,631530,664585,300545,0111,864,612723,263930,561739,223745,936NDescripcinTarifaEntidad20132014201520162017201820192020202120222023202420252026202720282029201320142015201620172018201920202021202220232024202520262027202820292014201520162017201820192020202120222023202420252026202720282029SERVICIO DE SALUDAo 0Ao 0Ao 1Ao 2Ao 3Ao 4Ao 5Ao 6Ao 7Ao 8Ao 9Ao 10Ao 11Ao 12Ao 13Ao 14Ao 15CONSULTA EXTERNACONSULTA EXTERNAMedicina Interna10.69SIS38,39839,46140,54841,66142,79943,96345,15446,37347,61948,89350,19751,531Medicina Interna3,5923,6913,7933,8974,0044,1134,2244,3384,4554,5744,6964,820Pediatra10.69SIS69,67471,60273,57575,59477,65979,77281,93384,14386,40588,71891,08393,503Pediatra6,5186,6986,8837,0717,2657,4627,6647,8718,0838,2998,5208,747Ciruga General10.69SIS11,56511,88512,21312,54812,89113,24113,60013,96714,34214,72615,11915,521Ciruga General1,0821,1121,1421,1741,2061,2391,2721,3071,3421,3781,4141,452Otorrinolaringologa10.69SIS13,36413,73314,11214,49914,89515,30015,71516,13916,57317,01617,47017,9341,2501,2851,3201,3561,3931,4311,4701,5101,5501,5921,6341,678Gineco Obstetricia10.69SIS32,58033,48234,40535,34936,31437,30238,31339,34640,40441,48542,59243,723Gineco Obstetricia3,0483,1323,2183,3073,3973,4893,5843,6813,7803,8813,9844,090Medicina Familiar10.69SIS76,22378,33280,49182,69984,95887,27089,63492,05294,52697,05699,644102,291Medicina Familiar7,1307,3287,5307,7367,9478,1648,3858,6118,8429,0799,3219,569Oftalmologa10.69SIS15,30315,72616,16016,60317,05717,52117,99518,48118,97819,48620,00520,5371,4321,4711,5121,5531,5961,6391,6831,7291,7751,8231,8711,921Traumatologa y Ortopedia10.69SIS18,33518,84319,36219,89320,43720,99321,56122,14322,73823,34723,96924,6061,7151,7631,8111,8611,9121,9642,0172,0712,1272,1842,2422,302Anestesiologia10.69SIS16,19416,61717,04917,49117,94318,40518,87719,36019,85420,35920,87421,402Anestesiologia1,5151,5541,5951,6361,6781,7221,7661,8111,8571,9041,9532,002

CRED5.32SIS276912814728610290812956030047305423104431556320753260333140CRED5,2055,2915,3785,4665,5565,6485,7415,8355,9326,0296,1286,229Inmunizaciones2.45SIS676968816994710972267345746675897714784179708101Inmunizaciones2,7632,8082,8552,9022,9492,9983,0473,0983,1493,2003,2533,307Estimulacin Temprana6.69SIS1538115634158911615316419166891696417243175271781618109184072,2992,3372,3752,4142,4542,4952,5362,5772,6202,6632,7072,751Control Prenatal5.47SIS788580158147828184188556869788408986913492849437Control Prenatal1,4421,4651,4891,5141,5391,5641,5901,6161,6431,6701,6971,725Planificacin Familiar5.47SIS203382067221013213592171022068224312280023176235572394524340Planificacin Familiar3,7183,7793,8413,9053,9694,0344,1014,1684,2374,3074,3784,450Psicoprofilaxis5.47SIS5914601161106211631364176523663067396850696370781,0811,0991,1171,1351,1541,1731,1921,2121,2321,2521,2731,294Servicio al Adolescente5.32SIS102361043610639108471105811274114931171711945121781241412656Servicio al Adolescente1,9241,9622,0002,0392,0792,1192,1602,2022,2452,2892,3342,379Adulto Mayor10.69SIS254212593326455269872753028083286462922129807304043101331633Adulto Mayor2,3782,4262,4752,5252,5752,6272,6802,7332,7882,8442,9012,959ITS/VIH/SIDA10.69SIS266622740028155289272971830526313533219933064339493485535780ITS/VIH/SIDA2,4942,5632,6342,7062,7802,8562,9333,0123,0933,1763,2603,347TBC10.69SIS301143084231586323463312233916347263555436400372643814739049TBC2,8172,8852,9553,0263,0983,1733,2483,3263,4053,4863,5683,653Cncer10.69SIS263222675527195276432809828561290312950929995304893099131501Cncer2,4622,5032,5442,5862,6282,6722,7162,7602,8062,8522,8992,947Psicologa3.46SIS9648991510189104681075411047113461165211965122851261312948Psicologa2,7892,8662,9453,0253,1083,1933,2793,3683,4583,5513,6453,742Odontologa General5.5SIS181521845118755190641937719697200212035020686210262137221724Odontologa General3,3003,3553,4103,4663,5233,5813,6403,7003,7613,8233,8863,950Odontologa Con Rayos x13.19SIS322853317934093350283598536964379653899040038411094220643327Odontologa Con Rayos x2,4482,5152,5852,6562,7282,8022,8782,9563,0353,1173,2003,285Nutricin8.55SIS107871108611391117041202412351126851302813378137361410214477Nutricin1,2621,2971,3321,3691,4061,4451,4841,5241,5651,6071,6491,693Teleconsulta10.69SIS584846010261758634536518666960687747062972527744697645478485Teleconsulta5,4715,6225,7775,9366,0986,2646,4336,6076,7856,9667,1527,342Tpico de Procedimientos26.05SIS538695536056885584466004361676633476505666804685937042272292Tpico de Procedimientos2,0682,1252,1842,2442,3052,3682,4322,4972,5642,6332,7032,775Monitoreo Fetal12.92SIS106951087111050112321141711605117961199112188123891259312800Monitoreo Fetal828841855869884898913928943959975991Procedimientos Traumatologa21.66SIS1723117708181961869519206197282026320810213692194122526231247968188408638879119359619871,0131,0401,068Procecimientos Oftalmologa21.66SIS143811477915187156031603016466169121736817835183121880019300664682701720740760781802823845868891Sala de Atencin Extramural10SIS120461224512446126511286013071132871350513728139541418314417Sala de Atencin Extramural1,2051,2241,2451,2651,2861,3071,3291,3511,3731,3951,4181,442ENF-TBCENF-TBCOBS-GestanteOBS-GestanteOBS-Recin NacidoOBS-Recin NacidoENF-CREDENF-CREDENF- Adulto MayorENF- Adulto Mayor

EMERGENCIAEMERGENCIAInyectables y Nebulizaciones3.81SIS224542307523711243622502725708264052711727846285912935330133Nebulizaciones y Rehidratacin Oral5,8936,0576,2236,3946,5696,7486,9307,1177,3097,5047,7047,909Medicina15.08SIS517025313354597560955762759195607986243964117658336758969384Medicina3,4283,5233,6203,7203,8213,9254,0324,1414,2524,3664,4824,601Pediatra15.08SIS381703922740307414134254543702448864609747336486034989951224Pediatra2,5312,6012,6732,7462,8212,8982,9773,0573,1393,2233,3093,397Ciruga15.08SIS273742813228907297003051231342321913305933948348563578636737Ciruga1,8151,8661,9171,9702,0232,0782,1352,1922,2512,3112,3732,436Gineco Obstetricia15.08SIS727474757681789281078328855387849020926295099761Gineco Obstetricia482496509523538552567583598614631647Sala de Observacin24.47SIS460414731648619499535131852714541425560357097586266018961788Sala de Observacin1,8821,9341,9872,0412,0972,1542,2132,2722,3332,3962,4602,525Unidad de Vigilancia IntensivaERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!ERROR:#REF!CENTRO OBSTTRICOCENTRO OBSTTRICOParto Normal68.83SIS281722863629107295873007430569310723158432104326323317033716Parto Normal409416423430437444451459466474482490

CENTRO QUIRRGICOCENTRO QUIRRGICOSOP Ginecologa y Obstetricia398.1SIS274199280143286209292398298713305157311732318441325287332271339397346668SOP Ginecologa y Obstetricia689704719734750767783800817835853871SOP Ciruga General277.38SIS117852121114124452127866131359134933138588142327146152150064154066158158SOP Ciruga General425437449461474486500513527541555570SOP Multifuncional277.38126166129658133230136886140625144451148364152367156462160650164934169315SOP Multifuncional455467480493507521535549564579595610

HOSPITALIZACINHOSPITALIZACINHospitalizacin de Medicina21.01SIS147121512015536159631639916845173011776818245187341923319744Hospitalizacin de Medicina700720739760781802823846868892915940Hospitalizacin de Ciruga21.01SIS148621527315694161241656517016174771794818430189241942819944Hospitalizacin de Ciruga707727747767788810832854877901925949Hospitalizacin de Pediatra21.01SIS493250685208535154975647580059566116628064476619Hospitalizacin de Pediatra235241248255262269276283291299307315Hospitalizacin de Gineco Obstetricia000000000000Hospitalizacin de Gineco ObstetriciaGinecologa21.01SIS659067726959715073457545774979598172839186158844Ginecologa314322331340350359369379389399410421Obstetricia21.01SIS8424856287038846899291409291944495999757991810081Obstetricia401408414421428435442449457464472480Cesareas21.01SIS758577107837796680978230836685048644878689319078Cesareas361367373379385392398405411418425432Hospitalizacin de Gestantes con Complicaciones12.92SIS111511331152117111901209122912501270129113121334Hospitalizacin de Gestantes con Complicaciones868889919294959798100102103Hospitalizacin de Recin Nacido Patolgico3.65SIS199202205209212216219223226230234238Hospitalizacin de Recin Nacido Patolgico545556575859606162636465Hospitalizacin de Recin Nacido Normal3.65SIS176179182185188191195198201204208211Hospitalizacin de Recin Nacido Normal484950515252535455565758

APOYO AL DIAGNSTICO Y TRATAMIENTOAPOYO AL DIAGNSTICO Y TRATAMIENTOLaboratorio Clnico Tipo II-133.62SIS113754911679731199091123091712634661296753133079413656041401200143759714748141512866Laboratorio Clnico Tipo II-133,83534,74035,66636,61337,58138,57139,58340,61941,67842,76043,86744,999Consulta Externa000000000000Consulta ExternaHospitalizacin000000000000HospitalizacinEmergencia000000000000EmergenciaAnatoma Patolgica10.28SIS135271390114284146761507715487159071633616775172241768318153Anatoma Patolgica1,3161,3521,3901,4281,4671,5071,5471,5891,6321,6761,7201,766Radiologa20.84SIS745487655378603806998284485037872808957491919943189677199278Radiologa3,5773,6733,7723,8723,9754,0804,1884,2984,4114,5264,6434,764Consulta Externa000000000000Consulta ExternaHospitalizacin000000000000HospitalizacinEmergencia000000000000EmergenciaEcografa General23.36SIS498055118452594540375551357024585686014961765634186511066839Ecografa General2,1322,1912,2512,3132,3762,4412,5072,5752,6442,7152,7872,861Ecografa Obsttrica26.46SIS546055550556418573475829159251602276121862226632516429265351Ecografa Obsttrica2,0642,0982,1322,1672,2032,2392,2762,3142,3522,3902,4302,470Mamografa32.75SIS623566349064644658196701568232694727073472018733267465776012Mamografa1,9041,9391,9742,0102,0462,0832,1212,1602,1992,2392,2802,321Medicina Fsica y Rehabilitacin7.49SIS8077903110098112911262414115157821764619730220612466627580Medicina Fsica y Rehabilitacin1,0781,2061,3481,5071,6851,8852,1072,3562,6342,9453,2933,682Banco de Sangre13.2SIS215932213522690232562383524427250322565026282269272758728261Banco de Sangre1,6361,6771,7191,7621,8061,8511,8961,9431,9912,0402,0902,141Farmacia000000000000FarmaciaConsulta Externa5SIS128832132397136046139778143597147503151499155587159768164045168419172893Consulta Externa25,76626,47927,20927,95628,71929,50130,30031,11731,95432,80933,68434,579Hospitalizacin5SIS127301303413344136611398514316146541499915352157121607916455Hospitalizacin2,5462,6072,6692,7322,7972,8632,9313,0003,0703,1423,2163,291Emergencia5SIS545685607857623592046082262476641696590067671694837133573230Emergencia10,91411,21611,52511,84112,16412,49512,83413,18013,53413,89714,26714,646Nutricin y DietticaNutricin y Diettica10,34210,59710,85711,12311,39511,67311,95712,24712,54312,84613,15513,471Central de EsterilizacinCentral de Esterilizacin9,5739,82910,09110,35910,63310,91311,20011,49311,79312,10012,41312,734

TOTAL ATENCIONES

Costos Increm.

COSTOS INCREMENTALES A PRECIOS DE MERCADOAlternativa N 1 - En Nuevos Soles (S/.)72,827,42972,827,4290DESCRIPCION123456789101112131415201520162017201820192020202120222023202420252026202720282029A) COSTOS INVERSIN1,115,00834,871,40036,841,021

B) COSTO DE REPOSICIN000000000596,517576,217007,011,7887,413,567

C) COSTOS DE OPER. MANT. CON PIP00015,359,75515,600,00816,253,42316,795,54717,167,22817,388,19017,888,60019,414,00618,585,70119,206,84719,185,94219,365,550c.1.) Costos de Operacin15,141,90115,342,20415,888,89216,085,91516,636,56416,802,88917,343,58917,549,39317,862,43918,276,28618,446,71918,619,613Recursos Humanos11,877,55211,996,67812,460,28612,572,27613,035,88413,113,10713,562,58513,674,98713,892,38414,208,27014,278,35814,348,445Bienes e Insumos3,148,1383,229,3153,312,3953,397,4283,484,4693,573,5713,664,7923,758,1953,853,8433,951,8054,052,1514,154,958Servicios Bsicos116,211116,211116,211116,211116,211116,211116,211116,211116,211116,211116,211116,211c.2.) Costos de Mantenimiento217,854257,804364,531709,631530,664585,300545,0111,864,612723,263930,561739,223745,936Mantenimiento de Infraestructura217,418219,342317,374558,028321,828319,299221,118558,028317,374466,189217,418657,985Mantenimiento de Equipos43638,46347,156151,603208,837266,002323,8931,306,584405,888464,372521,80687,9511 TOTAL COSTOS CON PROY. (A + B + C)1,115,00834,871,40036,841,02115,359,75515,600,00816,253,42316,795,54717,167,22817,388,19018,485,11719,990,22318,585,70119,206,84726,197,73026,779,117

D) COSTOS DE OPER. MANT. SIN PIP0007,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,536D.1.) Costos de Operacin7,221,9887,221,9887,221,9887,221,9887,221,9887,221,9887,221,9887,221,9887,221,9887,221,9887,221,9887,221,988Recursos Humanos6,900,5696,900,5696,900,5696,900,5696,900,5696,900,5696,900,5696,900,5696,900,5696,900,5696,900,5696,900,569Bienes e Insumos242,645242,645242,645242,645242,645242,645242,645242,645242,645242,645242,645242,645Servicios Bsicos78,77378,77378,77378,77378,77378,77378,77378,77378,77378,77378,77378,773D.2.) Costos de Mantenimiento67,54867,54867,54867,54867,54867,54867,54867,54867,54867,54867,54867,548Mantenimiento de Infraestructura43,04343,04343,04343,04343,04343,04343,04343,04343,04343,04343,04343,043Mantenimiento de Equipos24,50524,50524,50524,50524,50524,50524,50524,50524,50524,50524,50524,505 2 TOTAL COSTOS SIN PROYECTO (D)0007,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,5367,289,536

TOTAL COSTOS INCREMENTALES (1-2)1,115,00834,871,40036,841,0218,070,2198,310,4728,963,8879,506,0119,877,69310,098,65411,195,58212,700,68711,296,16611,917,31218,908,19419,489,581Fuente: Equipo Tcnico VACT129,334,107CE66.51Sin PIPCon PIPIncrementalIE1,944,608Atenciones019446081944608INV.72,827,429

EVALUACIN SOCIAL COSTO - EFECTIVIDADAlternativa N 1 - En Nuevos Soles (S/.)50,219,87950,219,8790DESCRIPCION123456789101112131415201520162017201820192020202120222023202420252026202720282029A) COSTOS INVERSIN768,88024,046,40025,404,599

B) COSTO DE REPOSICIN000000000505,523488,319005,942,1936,282,684

C) COSTOS DE OPER. MANT. CON PIP00013,948,75314,161,70514,751,82515,220,03915,571,40215,764,71716,224,06417,525,60016,840,70617,391,88817,379,67217,537,381c.1.) Costos de Operacin13,764,13113,943,22614,442,90014,618,65715,121,68715,268,70015,762,19015,945,42016,227,77216,603,27716,753,21116,905,231Recursos Humanos10,997,73311,108,03511,537,30211,640,99612,070,26312,141,76612,557,94912,662,02512,863,31913,155,80613,220,70113,285,597Bienes e Insumos2,667,9132,736,7072,807,1142,879,1772,952,9393,028,4503,105,7563,184,9113,265,9693,348,9873,434,0263,521,151Servicios Bsicos98,48498,48498,48498,48498,48498,48498,48498,48498,48498,48498,48498,484c.2.) Costos de Mantenimiento184,622218,478308,924601,382449,716496,017461,8741,580,180612,934788,611626,460632,149Mantenimiento de Infraestructura184,252185,883268,961472,905272,735270,592187,388472,905268,961395,075184,252557,614Mantenimiento de Equipos37032,59539,963128,477176,980225,425274,4861,107,274343,973393,536442,20874,5351 TOTAL COSTOS CON PROY. (A + B + C)768,88024,046,40025,404,59913,948,75314,161,70514,751,82515,220,03915,571,40215,764,71716,729,58618,013,92016,840,70617,391,88823,321,86423,820,065

D) COSTOS DE OPER. MANT. SIN PIP0006,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,048D.1.) Costos de Operacin6,661,8046,661,8046,661,8046,661,8046,661,8046,661,8046,661,8046,661,8046,661,8046,661,8046,661,8046,661,804Recursos Humanos6,389,4166,389,4166,389,4166,389,4166,389,4166,389,4166,389,4166,389,4166,389,4166,389,4166,389,4166,389,416Bienes e Insumos205,631205,631205,631205,631205,631205,631205,631205,631205,631205,631205,631205,631Servicios Bsicos66,75766,75766,75766,75766,75766,75766,75766,75766,75766,75766,75766,757D.2.) Costos de Mantenimiento57,24457,24457,24457,24457,24457,24457,24457,24457,24457,24457,24457,244Mantenimiento de Infraestructura36,47736,47736,47736,47736,47736,47736,47736,47736,47736,47736,47736,477Mantenimiento de Equipos20,76720,76720,76720,76720,76720,76720,76720,76720,76720,76720,76720,767 2 TOTAL COSTOS SIN PROYECTO (D)0006,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,0486,719,048

TOTAL COSTOS INCREMENTALES (1-2)768,88024,046,40025,404,5997,229,7047,442,6568,032,7768,500,9918,852,3549,045,66910,010,53811,294,87110,121,65810,672,84016,602,81617,101,016Fuente: Equipo TcnicoVACST102,369,585CE52.64IE1,944,608INV.50,219,879

RESUMEN EVALUACION DE LAS ALTERNATIVAS

IndicadoresAlternativa IPrecios de MercadoPrecios Sociales

Costos de Inversin72,827,42950,219,879VACT129,334,107102,369,585Atenciones1,944,6081,944,608Costo-Efectividad66.5152.64

ImplementacinPLAN DE IMPLEMENTACIN: EESS COTAHUASI - AREQUIPA

PROYECTO SELECCIONADO MetasResponsableRcursosUM (Tarea / Accin)CANT (Tarea / Accin)INICIOFIN201520162017Mes891011121234567891011121234567891011Elaboracin de Expediente Tcnico y Ejecucin (Plan de Contingencia)1. Actos Previos (Marco Presupuestal, inclusin al PAC, creacin del Comit Especial, Elaboracin de TDR, Estudio de Mercado, Elaboracion y aprobacin de Bases para el proceso de convocatoria "LLAVE EN MANO" Modalidad de ejecucin de Expediente Tcnico de contingencia, Obra y equipamiento )*DOCUMENTOS28/1/159/30/15XXBases AprobadoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional2. Proceso de seleccin y contratacin de la empresa responsable del E.T. (LP)ACCION210/1/1531/11/2015XXFirma ContratoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional3. Elaboracin de E.T de ObraDOCUMENTOS112/1/1512/31/15XExpediente tcnico inicialEmpresa Contratista4. Evaluacin del E.T. de ObraDOCUMENTOS112/1/1512/31/15XInforme de Obs.Gerencia Regional de Infraestructura GRI (UE)5. Levantamiento de Observaciones del E.T. del ObraDOCUMENTOS112/1/1512/31/15XExpediente tcnico finalEmpresa Contratista6. Aprobacin del E.T. de ObraDOCUMENTOS112/1/1512/31/15XExpediente tcnico aprobadoGerencia Regional de Infraestructura GRI (UE)7. Ejecucin de la ObraACCION31/1/163/31/16XXXObra concluidaEmpresa Contratista8. Traslado e instalacin de Equipos ACCION14/1/164/30/16XPlan de contingencia implementadoEmpresa ContratistaElaboracin de Expediente Tcnico y Ejecucin (Obra y Equipamiento)1. Actos Previos (Marco Presupuestal, inclusin al PAC, creacin del Comit Especial, Elaboracin de TDR, Estudio de Mercado, Elaboracion y aprobacin de Bases para el proceso de convocatoria "LLAVE EN MANO" Modalidad de ejecucin de Expediente Tcnico de Obra y equipamiento )*DOCUMENTOS28/1/159/30/15XXBases AprobadoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional1. Proceso de seleccin y contratacin de la empresa responsable del E.T. (LP)ACCION210/1/1531/11/2015XXFirma ContratoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional2. Elaboracin de E.T de Obra y EquipamientoDOCUMENTOS412/1/153/31/16XXXXExpediente tcnico preliminarEmpresa Contratista3. Evaluacin del E.T. de Obra y EquipamientoDOCUMENTOS31/1/163/31/16XXXInforme de Obs.Gerencia Regional de Infraestructura GRI (UE)4. Levantamiento de Observaciones del E.T. de Obra y EquipamientoDOCUMENTOS22/1/163/31/16XXExpediente tcnico finalEmpresa Contratista5. Obtencin de la Licencia de Construccin y otras relacionadasDOCUMENTOS14/1/164/30/16XAutorizacin de construccinGerencia General Regional (UE)6. Conformidad del E.T. de Obra y EquipamientoDOCUMENTOS14/1/164/30/16XInforme tcnicoOficina Regional de Estudios - Gerencia General (UE)7. Elaboracin del Informe de ConsistenciaDOCUMENTOS14/1/164/30/16XInforme tcnicoOficina de Evaluacin de Proyectos (UE)8. Aprobacin de Informe de ConsistenciaDOCUMENTOS14/1/164/30/16XInforme tcnicoOficina de Evaluacin de Proyectos (UE)9. Resolucin de Aprobacin de Expediente TcnicoDOCUMENTOS14/1/164/30/16XExpediente tcnico aprobadoGerencia Regional de Infraestructura (UE)10. Ejecucin de la InfraestructuraACCION165/1/168/30/17XXXXXXXXXXXXXXXXInfraestructura concluidaEmpresa Contratista11. Adquisicin e instalacin de equipamiento11.1. Adquisicin e inst. de equipos biomdicosACCION73/1/178/30/17XXXXXXXEquipamiento biomdicoEmpresa Contratista11.2. Adquisicin e inst. de equipos informticosACCION65/1/1710/31/17XXXXXXEquipamiento informticoEmpresa Contratista11.3. Adquisicin e inst. de mobiliarioACCION29/1/1710/31/17XXEquipamiento mobiliarioEmpresa Contratista11.4. Adquisicin de unidades mvilesACCION29/1/1710/31/17XXAdquisicin de unidad movilEmpresa ContratistaSupervisin de Expediente tcnico de Obra y equipamiento1. Actos Previos (Marco Presupuestal, inclusin al PAC, creacin del Comit Especial, Elaboracin de TDR, Estudio de Mercado, Elaboracion y aprobacin de Bases)DOCUMENTOS28/1/159/30/15XXBases AprobadoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional2. Proceso de seleccin del Supervisor de elaboracin de E.T. de Obra y Equipamiento (ADP)ACCION210/1/1531/11/2015XXFirma ContratoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional3. Ejecucin labores de supervisin de Expediente Tcnico de Obra y Equipamiento.ACCION412/1/153/31/16XXXXInforme de supervisinEmpresa Supervisora4. Conformidad del Informe de Supervisin de Expediente tcnico de Obra y EquipamientoDOCUMENTOS14/1/164/30/16XInforme de conformidadSubgerencia de Supervicin y Liquidacin (UE)Supervisin de Ejecucin y Liquidacin de Obra1. Actos Previos (Marco Presupuestal, inclusin al PAC, creacin del Comit Especial, Elaboracin de TDR, Estudio de Mercado, Elaboracion y aprobacin de Bases)DOCUMENTOS21/1/162/28/16XXBases AprobadoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional2. Proceso de seleccin del Supervisor de E.T. de Obra y Equipamiento (CP)ACCION23/1/164/30/16XXFirma ContratoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional3. Ejecucin labores de supervisin y Liquidacin de ObraACCION185/1/1610/31/17XXXXXXXXXXXXXXXXXXInforme de supervisinEmpresa Supervisora4. Conformidad del Informe de Supervisin de Obra y LiquidacinDOCUMENTOS111/1/1711/1/17XInforme de Liquidacin AprobadoSubgerencia de Supervicin y Liquidacin (UE)5 Supervisin del E.T., adquisicin e instalacin de Equipamiento5.1. Ejecucin labores de supervisin ACCION83/1/1710/30/17XXXXXXXXSupervisinEmpresa Supervisora5.2. Conformidad del Informe de Supervisin y liquidacin.DOCUMENTOS111/1/1711/1/17XInforme de Liquidacin AprobadoSubgerencia de Supervicin y Liquidacin (UE)Elaboracin de Plan de Mantenimiento (Obra y Equipamiento)1. Actos Previos (Marco Presupuestal, inclusin al PAC, creacin del Comit Especial, Elaboracin de TDR, Estudio de Mercado, Elaboracion y aprobacin de Bases)DOCUMENTOS23/1/174/30/17xxBases AprobadoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional2. Proceso de seleccin de responsable de la elaboracin del Plan de Mantenimiento (ADP)ACCION25/1/176/30/17xxFirma ContratoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional3. Elaboracin de Plan de Mantenimiento de Infraestructura.DOCUMENTOS27/1/178/30/17xxPlan de Mantenimiento de InfraestructuraEmpresa Contratista4. Elaboracin de Plan de mantenimiento de Equipos.DOCUMENTOS27/1/178/30/17xxPlan de Mantenimiento de equiposEmpresa Contratista5. Evaluacin del Plan de Mantentinimento de Obra y EquipamientoDOCUMENTOS18/1/178/30/17xInformeEmpresa Contratista6. Levantamiento de Observaciones del Plan de Mantenimiento de Obra y EquipamientoDOCUMENTOS19/1/179/30/17xAprobacin de los planes de mantenimientoEmpresa Contratista7. Conformidad del Plan de Mnto. de Obra y EquipamientoDOCUMENTOS110/1/1710/30/17xInforme de conformidadOficina Regional de Estudios - Gerencia General (UE)Elaboracin del Plan de Capacitacin de Personal1. Actos Previos (Marco Presupuestal, inclusin al PAC, creacin del Comit Especial, Elaboracin de TDR, Estudio de Mercado, Elaboracion y aprobacin de Bases)DOCUMENTOS26/1/167/30/16xxBases AprobadoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional2. Proceso de convocatoria y seleccin de proveedores de servicio (ADP)ACCION28/1/169/30/16xxFirma ContratoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional3. Elaboracin de expediente de capacitacinDOCUMENTOS210/1/1611/30/16xxExpediente de capacitacinEmpresa Contratista4. Conformidad del Plan de Capacitacin de PersonalDOCUMENTOS111/1/1611/30/16xInforme de conformidadOficina Regional de Estudios - Gerencia General (UE)5. Resolucin de Aprobacin de Plan de CapacitacinDOCUMENTOS111/1/1611/30/16xResolucionGerencia Regional de Infraestructura (UE)6. Implementacin y Capacitacin del PersonalACCION1212/1/1611/30/17xxxxxxxxxxxxPersonal CapacitadoUnidad ejecutora/GERESAElaboracin e Implementacin del Programa de Difusin y Sensibilizacin1. Actos Previos (Marco Presupuestal, inclusin al PAC, creacin del Comit Especial, Elaboracin de TDR, Estudio de Mercado, Elaboracion y aprobacin de Bases)DOCUMENTOS22/1/173/30/17xxBases AprobadoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional2. Proceso de convocatoria y seleccin de proveedores de servicio (ADS)ACCION24/1/175/30/17xxFirma ContratoOficicna de abastecimiento y patrimonio fiscal (UE)Equipo Profesional3. Elaboracin del Programa de Difusin y SensibilizacinDOCUMENTOS16/1/176/30/17xDocumento tcnicoEmpresa Contratista4. Conformidad del Programa de Difusin y SensibilizacinDOCUMENTOS16/1/176/30/17xInforme de conformidadOficina Regional de Estudios - Gerencia General (UE)5. Ejecucin del Programa de Difusin y SensibilizacinACCION57/1/1711/1/17xxxxxPoblacin informada y sensibilizadaEmpresa Contratista