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Purchase Order Surgeon in Israel Jerusalem –Free Word Template Download with AI

Procurement of Surgeon Professional Services — Israel Jerusalem Document Reference: PO-IL-JER-2025-04782 Purchase Order No.: PO-IL-JER-2025-04782
Date of Issue: 14 June 2025
Valid Until: 14 September 2025
Issuing Authority: Ministry of Health, Israel Jerusalem
Procurement Division: Medical Staffing & Services
Location: Jerusalem, Israel
Role Entity / Individual Address
Buyer (Purchasing Entity) Israel Jerusalem Municipal Health Authority, Procurement & Medical Staffing Division 12 King George Street, Jerusalem 97100, Israel
Seller (Service Provider) Dr. Amira Levi, MD, FACS — Board-Certified General and Vascular Surgeon 45 Herzl Boulevard, Jerusalem 91000, Israel
Supervising Authority Israel Ministry of Health, Regional Office — Jerusalem District 10 Ben Yehuda Street, Jerusalem 91000, Israel

This Purchase Order is issued by the Israel Jerusalem Municipal Health Authority for the engagement of a qualified Surgeon to provide comprehensive surgical services within the public healthcare infrastructure of Israel Jerusalem. The Surgeon shall be responsible for performing, assisting in, and supervising a full range of general surgical and vascular surgical procedures at the designated medical facilities located in the Jerusalem district of Israel.

The Surgeon engaged under this Purchase Order must hold a valid medical license issued by the Israeli Medical Licensing Authority, maintain active board certification in General Surgery and Vascular Surgery, and possess a minimum of ten (10) years of post-residency clinical experience. The Surgeon shall operate in full compliance with all regulations set forth by the Israel Ministry of Health and the Jerusalem District Health Directorate.

Item No. Description of Surgeon Service Quantity / Duration Unit Rate (ILS) Total (ILS)
1 General Surgical Procedures (appendectomy, cholecystectomy, hernia repair, bowel resection) performed by the Surgeon at Israel Jerusalem Public Hospital 120 procedures / 12 months 4,500 540,000
2 Vascular Surgical Interventions (endarterectomy, bypass grafting, aneurysm repair) conducted by the Surgeon 40 procedures / 12 months 8,200 328,000
3 Emergency Surgical Call-Shift Coverage (24/7 on-call availability) for the Surgeon at Israel Jerusalem Emergency Medical Center 12 months continuous 15,000/month 180,000
4 Post-Operative Patient Follow-Up and Wound Management by the Surgeon 300 consultations / 12 months 350 105,000
5 Surgical Training and Mentorship of Junior Surgeons and Residents at Israel Jerusalem Medical School 48 sessions / 12 months 1,200 57,600
6 Participation in Multidisciplinary Tumor Board Meetings and Surgical Case Reviews 24 meetings / 12 months 800 19,200

TOTAL CONTRACT VALUE: ILS 1,229,800 (One Million Two Hundred Twenty-Nine Thousand Eight Hundred Israeli New Shekels)

  1. Compliance with Israeli Law: All services rendered by the Surgeon under this Purchase Order shall be performed in strict accordance with the laws of the State of Israel, the Israeli Medical Practice Regulations, and all applicable ordinances of the Israel Jerusalem Municipal Council governing healthcare delivery.
  2. Licensing and Certification: The Surgeon must maintain an active and unrestricted medical license throughout the duration of this Purchase Order. Any lapse in licensure shall constitute immediate grounds for termination by the Israel Jerusalem Municipal Health Authority.
  3. Payment Terms: Payment shall be disbursed in monthly installments within thirty (30) calendar days of the Surgeon's submission of a verified timesheet and procedure log to the Procurement Division in Israel Jerusalem. All payments shall be made in Israeli New Shekels (ILS) via bank transfer to the Surgeon's designated account.
  4. Performance Standards: The Surgeon shall adhere to the clinical protocols and quality benchmarks established by the Israel Ministry of Health. Surgical complication rates must not exceed the national average for the relevant procedure type. Failure to meet these standards for two consecutive quarters may result in contract review.
  5. Confidentiality and Patient Data: The Surgeon shall comply with the Israeli Privacy Protection Law (5741-1981) and all data protection regulations applicable in Israel Jerusalem. Patient records, surgical reports, and clinical data shall be handled with the utmost confidentiality and shall not be disclosed to any third party without written authorization.
  6. Insurance and Liability: The Surgeon shall maintain professional medical malpractice insurance with a minimum coverage of ILS 5,000,000 per occurrence, issued by an insurer licensed to operate in Israel. Proof of insurance shall be provided prior to the commencement of services under this Purchase Order.
  7. Termination: Either party may terminate this Purchase Order with sixty (60) days' written notice. The Israel Jerusalem Municipal Health Authority reserves the right to terminate immediately in the event of gross professional negligence, criminal conduct, or revocation of the Surgeon's medical license.
  8. Governing Law and Jurisdiction: This Purchase Order shall be governed by and construed in accordance with the laws of the State of Israel. Any disputes arising hereunder shall be subject to the exclusive jurisdiction of the competent courts in Israel Jerusalem.

By signing below, the parties acknowledge and agree to all terms, conditions, and obligations set forth in this Purchase Order for the engagement of the Surgeon in the provision of surgical services within Israel Jerusalem. This document constitutes a binding procurement instrument under the Israeli Public Procurement Regulations.

For the Buyer (Israel Jerusalem Municipal Health Authority):

Name: Director General, Procurement Division
Signature: ___________________________
Date: ___________________________

For the Surgeon (Service Provider):

Name: Dr. Amira Levi, MD, FACS
Signature: ___________________________
Date: ___________________________

This Purchase Order (PO-IL-JER-2025-04782) was issued by the Israel Jerusalem Municipal Health Authority for the procurement of Surgeon professional services. All references to Israel Jerusalem pertain to the municipal and administrative jurisdiction of Jerusalem, State of Israel. This document is valid for a period of ninety (90) days from the date of issue. Unauthorized reproduction or distribution of this Purchase Order is prohibited under Israeli law.

© 2025 Israel Jerusalem Municipal Health Authority — Procurement & Medical Staffing Division. All Rights Reserved.

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