Supply of Fittings from Seamless Pipes (CS, AS AND SS)

Instruction to fill the format below-

Bidders to fill the format below( white cells) and submit with their offer . Please note that submission of this declaration is mandatory,otherwise offer shall be liable for rejection.

COMPLIANCE TO REQUIREMENT OF TENDER DOCUMENTS

[To be submitted by the bidder as a sheet of "Bid_Documents" in the Un-Priced Bid (Technical Bid) , otherwise the Offer shall be liable for rejection]

It is hereby declared that we have read and understood the entire tender documents available on IOCL e-tender portal https://iocletenders.nic.in under-

Tender Reference Number 6746-PPM-000-CA-0220

We hereby agree to fully comply with, abide by and accept without variation, deviation or reservation all technical, commercial and other condition whatsoever of the Bidding Documents including all Addenda / Corrigenda / Clarifications issued. We further, confirm that we have quoted the rates in the tender considering Inter-alia the 1. Tender Document(s) 2. Additional Document(s) (if any) 3. BOQ Document (Price Bid Format) 4. Corrigendum (if any) 5. Pre Bid Meeting Minutes (if any) We

Any and all deviations, variations, objections or reservations whatsoever hereto set out, given or indicated in our offer, clarifications, correspondence, communications, or otherwise stands null and void. hereby certify that we have fully read and thoroughly understood the tender requirements and accept all terms and conditions of the tender including all corrigendum/addendum issued, if any. Our offer is in confirmation to all the terms and conditions of the tender including all corrigendum/addendum, if any and minutes of the pre-bid meeting. In the event our offer is found acceptable and Order is placed /Contract is awarded to us, the complete tender document shall be considered for constitution of Order / Contract Agreement.

We further, confirm that we have quoted the rates in the tender considering Inter-alia the 1. Tender Document(s) 2. Additional Document(s) (if any) 3. BOQ Document (Price Bid Format) 4. Corrigendum (if any) 5. Pre Bid Meeting Minutes (if any) We Bidder to ENTER details hereby certify that we have fully read and thoroughly understood the tender requirements and accept all terms and conditions of the tender including all corrigendum/addendum issued, if any. Our offer is in confirmation to all the terms and conditions of the tender including all corrigendum/addendum, if any and minutes of the pre-bid meeting. In the event our offer is found acceptable and Order is placed /Contract is awarded to us, the complete tender document shall be considered for constitution of Order / Contract Agreement.

Offer Reference No. with date. Bidder to ENTER details

Vendor's Name Bidder to ENTER details

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

Mobile No. (s) Bidder to ENTER details

Tel. No. (s) Bidder to ENTER details

Fax No. Bidder to ENTER details

Address Bidder to ENTER details

Move to next Work Sheet ------>

SPECIAL TERMS & CONDITIONS OF THE TENDER

Tender Reference Number - 6746-PPM-000-CA-0220

1 Type of Bid Two bid

2 Preferred delivery 04 months on FOB basis. However vendor to indicate best possible FOB delivery period

3 Performance Bank Guarantee Applicable for 10% PO value valid upto guaranteed life of catalyst

4 Earnest Money Deposit Applicable

5 Third Party Inspection Not applicable

6 IBR Not applicable

7 Evaluation criteria: On techno-commercially acceptable overall lowest evaluated price basis for total catalyst charge

8 Integrity Pact Agreement Not applicable

9 DMEP Not applicable

10 Sample Not applicable

AGREED TERMS & CONDITIONS(ATC)-INDIGENOUS

THIS DOCUMENT IS APPLICABLE FOR INDIAN BIDDERS ONLY & QUOTATIONS IN INDIAN CURRENCY

IN THIS DOCUMENTS EACH POINT IS PRE FILLED AS CONFIRMED .ANY DEVIATION TO BE FILLED UP IN COMMERCIAL & TECHNNICAL DEVIATION SHEET ONLY IN "BID_DOCUMENTS" SPREAD SHEET.DEVIATIONS GIVEN ANYWHERE ELSE SHALL BE NULL & VOID.

Tender No 6746-PPM-000-CA-0220

Vendor Name Bidder to ENTER details

Offer Ref Bidder to ENTER details

Sl. No. Vendor’s confirmation/ acceptance/comments

1 (a) Quoted Prices are on FOT Dispatch Point basis CONFIRMED

1(b) Confirm that the Quoted Prices shall remain FIRM and FIXED till complete execution of the order and shall not be subject to variation on any account. CONFIRMED

1(c) In case of Variable Prices, please specify price variation formula with an upper ceiling and base indices.Unless otherwise specified in the tender, ceiling shall be loaded for evaluation purpose & offer received without any ceiling shall be liable for rejection unless all the bidders have asked for the same Price Variation formula without ceiling. CONFIRMED

1(d) Confirm that sample, wherever called for in tender documents, as required is submitted & submission proof of Tender Sample as per requirement in Technical section is attached. CONFIRMED

2(a) PACKING & FORWARDING CHARGES:- The Offer is inclusive of Packing and Forwarding (P&F) charges. CONFIRMED

2(b) THIRD PARTY INSPECTION CHARGES:- A) Quoted prices are: i) Inclusive of charges for all facilities required for testing and all inspection requirements specified in the technical specifications and documents enclosed with the TENDER inclusive of destructive testing charges (if any),all expenses like travel, incidental and fees payable to third party inspectors.} . ii) Inclusive of all IBR/IGC/NACE/Radiography charges as per IOCL’s technical specifications and the documents enclosed with the TENDER . B) If TPI charges are not included in the basic quoted prices, then bidder to furnish TPI charges in percentage of quoted basic prices OR/AND minimum-lumpsum in BIS-INDIGENOUS sheet enclosed.) CONFIRMED

2( c ) FREIGHT i. Confirm firm freight charges quoted extra. Indicate also GST rate applicable on it in BIS sheet/priced BOQ whereever applicable. ii. Vendor to despatch the materials only through reputed and bank approved transporters having office / godown at or nearby the Refinery Site. In case the material is despatched through any other transporter, the same shall be “door delivery, consignee copy attached” basis and payment shall be released only after receipt of materials at IOCL Stores irrespective of payment terms mentioned in any other clause. CONFIRMED

2( d) iii. If a supplier does not quote freight charges and indicates that the freight is on to pay basis or “extra at actual” then his ex-works price shall be loaded with the maximum freight charges quoted by other bidders or maximum pro-rated freight charges (with respect to approximate distance) quoted by other bidders or by 5% (for items other than pipes) or 7% (for pipes), whichever is most. After loading, if the same Bidder becomes L1 (lowest) then the order will be placed based on Freight Charges payable extra at actual subject to maximum freight charges by which the prices of the L1 bidder has been loaded. CONFIRMED

2(e) iv. If bidder has mentioned freight as “quoted” in the unpriced bid / Agreed terms & Conditions (ATC) but has not mentioned freight charges in priced bid , as asked to quote in the tender (bidder may be asked to quote freight charges in the priced bid or the bidder may be asked to quote freight charges in percentage of basic price in ATC), then the basic price quoted shall be considered as inclusive of freight charges and no further confirmation from vendor shall be sought. Evaluation and ordering shall be done considering freight charges as Nil. v. In case of ODC/OWC bidders shall have to mandatorily quote for freight upto Project site / Refinery Stores. In case the bidder does not quote the freight charges, their offer shall be liable for rejection. CONFIRMED

APPLICABLE TAXES:- Please Note, In case of single bid tendering, if rate of GST is not quoted by the bidder in the unpriced bid then evaluation shall be done considering maximum rate of GST quoted by other bidders against the tender. However, after evaluation if such bidder is L1 then actual applicable rate of GST shall be sought before ordering.

3 (a) Type of Vendor:- If Vendor is GST Composition Scheme vendor , Please submit the copy of the declaration i.e., FORM GST –CMP 01 or FORM GST CMP 02 alongwith the offer. CONFIRMED

3( b) GOODS & SERVICE TAX (GST) RATES:- Quoted rate of GST on supplies (including spars )/transportaion/TPI are extra. Also GST on Installation and Commissioning charge /Supervision/Site Work/Training/PWCAMC/PWAMC ( If any ) is Extra.The GST amount shall be released only on receipt of GST Invoice. In case there are different HSN/SAC for different items, same may be indicated in the Unpriced BOQ. CONFIRMED

3(c ) HSN & SAC CODE:- Please confirm that HSN (Harmonized System of Nomenclature) code of goods or SAC (Service Accounting Code) of services /PWCAMC/PWAMC if any are given in Bidder Input Sheet. In case there are different HSN/SAC for different items, same may be indicated in the Unpriced BOQ. CONFIRMED

3(d) Only statutory variations, if any, in the present rate of GST, shall be reimbursed as under: 1. Any statutory increase in the GST or any new or additional taxes or duties imposed within the Contractual delivery Date or extended Contractual Delivery Date shall be to IOCL’s account whereas if it is after contractual delivery it shall be to BIDDER’S account. Any corresponding decrease on account of above shall be passed on to IOCL 2. Any variation in GST at the time of supplies for any reasons, other than statutory, including variations due to turnover, shall be borne by bidder. 3. In case GST or any taxes or duties is not applicable at present but becomes applicable at the time of contractual delivery period due to any reasons other than statutory, the same shall be borne by bidder. CONFIRMED

3(d) As You were not eligible for input tax credit of Central & State Taxes in pre-GST period but under GST you are entitled to full credit of GST paid and you shall have benefit of incremental input tax credit under the GST regime as above. As such you need to pass on the benefit of your incremental input tax credit to IOCL. Accordingly, Please quote your best basic prices (In Priced BoQ ) CONFIRMED

4 PAYMENT TERM:- Please confirm acceptance to payment terms as per NIT/ITB. Initial Advance payment along with order is not acceptable. However, progressive payment as specified in the Commercial Terms enclosed on achievement of specific milestones (under applicable payment terms) shall be against equivalent Advance Bank Guarantee as per IOCL format along with GST Invoice for all payments before despatch. CONFIRMED

Please Note:- If bidder quotes any other payment terms, if acceptable to IOCL, loading for Simple Interest implication as per ITB. This loading shall be done for differential payment terms & time period.IOCL may accept the deviation given by vendor or offer may be rejected .

5 PERFORMANCE BANK GUARANTEE (PBG):- Please confirm that you will furnish Performance Bank Guarantee as per ITB, whenever called for in NIT. The PBG should be sent to us directly by your Banker and the bank should confirm regarding issue of BG on enquiry by IOCL. CONFIRMED

Please Note:- In case of non acceptance of the PBG, FOT dispatch point price shall be loaded as per ITB.

6 PRICE REDUCTION SCHEDULE DUE TO DELAY IN DELIVERY :- Confirm acceptance to Cl. No. 12 (Respect for Delivery dates & Price Discount) of IOCL’s GPC & Amendment to GPC. Bidder shall submit credit note / adjustment in GST Invoice for PRS, if applicable, on account of delay in delivery. This is with respect to cases wherein Bidder has not considered the applicable PRS in GST Invoice. CONFIRMED

Please Note:- In case the vendor does not accept Cl. No. 12 of GPC (Discount by way of Price Adjustment due to delayed delivery), their FOR/FOT despatch point prices shall be loaded as per ITB.

7 DELIVERY PERIOD AND TIME PERIOD FOR SITE WORK:- Please confirm acceptance to delivery period as stipulated in the TENDER . This delivery period shall be reckoned from the date of Letter of Acceptance (if issued) else from date of Purchase Order. CONFIRMED

8 Confirm that the goods shall be guaranteed as per Clause 1 d i or 1 d ii of IOCL GPC ( Applicability of 1 d i or 1 d ii shall be as per Clause 16 of Salient Points of ITB) , unless otherwise specifically mentioned in the Tender Documents. CONFIRMED

EARNEST MONEY DEPOSIT (EMD):-

9 Please confirm having submitted Earnest Money Deposit (EMD) as per NIT , wherever called for. CONFIRMED

Restriction for bidders from Countries which shares land border with India

10 Bidder to confirm that They are not from such a country which shares land border with India and they are eligible to be considered for this tender. ( in line with OM no 6/18/2019-PPD PUBLIC PROCUREMENT 1 &2 DTD 23.07.2020 AND 24.07.2020 FROM MINISTRY OF FINANCE, GOVT OF INDIA) Confirmed

11 In case of startup bidder , vendor to submit documents and Certificate of Recognition (generated by DPIIT, GoI/Certificate of incorporation/Audited P/L statement of all FY since incorporation) to prove your claim. The definition of startup shall be as per the latest Gazette Notification of Govt. of India. CONFIRMED

VALIDITY OF OFFER:-

12(a) Validity: Validity of the offer shall be shall be as per ITB /NIT CONFIRMED

12(b) On account of exigencies, if the bidder is requested to extend the validity of their offer, the same should be extended with or without price implication. Indian Oil will also have the option to cancel the tender in such cases and refloat the tender. CONFIRMED

IN CASE OF CHEMICALS:-

13(a) Certificate of Analysis (COA) will be sent along with consignment MSDS will be sent along with consignment Bidder to confirm that MSDS accompanies the consignment for incoming chemical material to Refinery / Project Site. Please confirm MSDS for return of empty cylinders will be same as that of incoming material CONFIRMED

13(b) If Cylinder is used as mode of packing as per Tender Requirement: Please confirm rent-free period of cylinders as per tender conditions. CONFIRMED

13(c) If Cylinder is used as mode of packing as per Tender Requirement: Please indicate per day per cylinder rent after expiry of offered rent-free period

14 Confirm whether the product offered is based on IOC formulation and have valid agreement to pay the royalty to IOCL on the basis of sale of such products . SELECT FROM DROPDOWN

15 If yes to above, give the extent of royalty inflow net of prevailing taxes/surcharge.

VENDOR DETAIL:-

16 If vendor who is not registered with IOCL for online payments / not having IOCL vendor code/existing vendor desiring to change the bank details, may submit requisite details as sought in "9-Bank_Mandate" Sheet of this document CONFIRMED

17(a) Please confirm that the Shelf Life as sought in Technical Specification is complied with CONFIRMED

17(b) If no Shelf Life Clause is stated in Technical Specification, please indicate the same

18 Please note that the best prices are given strictly as per Price BOQ CONFIRMED

19 Please note that you will dispatch the materials on “Freight paid basis” by IOCL / Bank approved Transporter having delivery office at Refinery location. Pl. note & confirm. CONFIRMED

20 Spares Parts, Tools & Tackles: Confirm that your quoted prices are inclusive of all commissioning spares as stipulated in the tender documents. Confirm that you have included / quoted for mandatory spares as required in the tender documents. Confirm that item wise unit price of Recommended spare parts for two years’ operation have been quoted separately, indicating Dispatch quantity, as required in the tender document. Special Tools and Tackles as specified in the MR/Technical Specification are included in the quoted prices. CONFIRMED

21 Transit risk insurance shall be covered by the Owner against their MCE (Marine cum Erection) Policy and the same shall not be included in the quoted prices. CONFIRMED

22 Please note that unless otherwise specified, part dispatches will not be allowed and vendor has to supply materials in one lot. CONFIRMED

23 Please note that all relevant Third Party Inspection Release Notes, IBR Certificate, Test Certificates etc. (as applicable) shall be submitted along-with the dispatch documents & supplied materials. CONFIRMED

24 Please confirm acceptance the following in toto. Bidder is not required to submit soft/ hard copy of them. a) NIT b) General Purchase Conditions c) Instructions to Bidder ( ITB ) d) Terms & Conditions for supervision of Erection, Testing & Commissioning for Indigenous Bidders ( if applicable ) e) Terms & Conditions for Site Work / HSE ( if applicable ) f) Integrity Pact ( if applicable ) g) Special Purchase Conditions ( if applicable ) CONFIRMED

25 DECLARATION:- Whether any of the Directors of BIDDER is a relative of any Director of Owner or the BIDDER is a firm in which any Director of Owner or his relative is a Partner or the BIDDER is a private company in which any director of Owner is a member or Director. List of Indian Oil Directors may be taken from www.iocl.com NO RELATIONSHIP

26 Please confirm you have not been banned or de listed by Indian Oil Corporation Limited or its Administrative Ministry (i.e. Ministry of Petroleum & Natural Gas, Government of India). If you have been banned, then this fact must be clearly stated. Confirm that the Proforma Of Declaration Of Black Listing / Holiday Listing has been attached CONFIRMED

27 Bidder confirms that they are not under liquidation, insolvency, court receivership or similar proceedings. CONFIRMED

28 Deviations to Terms & Conditions shall lead to loading of prices as per Commercial Terms of TENDER or rejection of offer. Please confirm acceptance. CONFIRMED

29 Any claim arising out of order shall be sent to IOCL in writing within 3 months from the date of last Dispatch. In case the claim is received after 3 months, the same shall not be entertained by IOCL. CONFIRMED

30 Please confirm submission of details, documents self-certifications and declarations for meeting Net Worth condition as per ITB ( if applicable ) CONFIRMED

31 Printed terms and conditions, if any, appearing in quotation, shall not be applicable in the event of order. In case of contradiction between the confirmations given above and terms & conditions mentioned elsewhere in the offer, the confirmation given above in this ATC shall prevail. Any deviation to tender terms to be indicated in deviation sheet only.Deviations given anywhere else will not be accepted. CONFIRMED

32 In the event of an irreconcilable conflict between the provisions of different documents ,order of precedence will be as below : 1)NIT 2)Agreed Terms & Conditions(ATC) 3)Special Terms & Conditions(SPC) 4)Instructions to Bidders(ITB) 5)General Purchase Conditions(GPC) Document higher in order will supercede. CONFIRMED

Printed terms and conditions, if any, appearing in quotation, shall not be applicable in the event of order. In case of contradiction between the confirmations given above and terms & conditions mentioned elsewhere in the offer, the confirmation given above in this ATC shall prevail.

Tender No 6746-PPM-000-CA-0220

BIDDER INPUT SHEET

(DOCUMENT IS APPLICABLE ON INDIAN BIDDERS ONLY)

1. This workbook is protected, except for cells where comments/confirmation is to be given by bidder. 2. Bidder is advised not to unprotect/tamper the sheet/ alter the terms mentioned in the sheet. 3. Any alteration to terms mentioned by IOCL will be considered as tampering and bidder's offer shall be liable for rejection. 4. Bidders are advised to only fill the unprotected cells ( white cells) by dropdown or writing the comments as applicable as their confirmation . Failure on the part of bidder in not returning this duly filled-up questionnaire with all the sets of unpriced quotation and/or submitting incomplete replies may lead to rejection of bidder’s quotation. 5. All the commercial terms and conditions shall be indicated by vendor in this format only and nowhere else in his quotation. However, in case the space for vendor’s reply is not sufficient against a particular question, the vendor shall furnish same by way of separate annexure/sheet attached to this questionnaire, indicating cross-reference of respective clauses. 6.Any deviation to be indicated in commercial /technical deviation sheet only. 7.Please Note if bidder does not mention anything against the below commercial terms, the same shall be considered as “nil/confirmed” and no further confirmation from vendor shall be sought. Evaluation and ordering shall be done considering commercial terms (charges) as Nil. 8.This "Bidder Input sheet"(BIS) to be read in conjuction with" Agreed Terms & Conditions" (ATC).In case of any conflict between BIS and ATC,the BIS will supersede.

1 NAME OF COMPANY ON WHOM ORDER TO BE PLACED

2 SPECIFY DESPATCH POINT

3 GSTIN NO. OF DESPATCH POINT

4 SPECIFY INVOICING PLACE

5 GSTIN NO. OF INVOICING PLACE

6(a) PERCENTAGE FRIEGHT CHARGES EXTRA UPTO SITE APPLICABLE ON QUOTED BASIC PRICE (bidder to ensure that freight charges are actually filled in percentage and not simply stated as “quoted” or “confirmed”) 0

6(b) Minimum Freight Charges in Amount INR (Lumpsum) in the event of Part Order.

6(c) TPI Charges in % (bidder to ensure that TPI charges are actually filled in percentage and not simply stated as “quoted” or “confirmed”) 0

6(d) Minimum TPI Charges in Amount INR (Lumpsum) in the event of Part Order.

7 HSN CODE OF GOODS

8 GST APPLICABLE EXTRA ON QUOTED FOT DESPATCH POINT PRICES In case there are different HSN/SAC code for different items, same may be indicated in the Unpriced BOQ.

9 GST RATE APPLICABLE ON FREIGHT be considered same as GST applicable on Materials/Supply.

10 SAC CODE FOR SITE SUPERVISION / SITE WORK / TRAINING CHARGES/ PWCAMC/PWAMC

11 GST APPLICABLE EXTRA ON QUOTED SITE SUPERVISION / SITE WORK / TRAINING CHARGES/ PWCAMC/PWAMC

12 INDICATE ANY OTHER GOVERNMENT TAX/LEVY APPLICABLE AND ITS RATES.

13 Part Order: i. Acceptance of Part Order (if applicable) as per GPC Clause No. 33 without any value / quantity limitation ii. Any charges quoted extra as lumpsum (like IBR, Testing, freight, etc.) shall be applicable prorata on value basis in the event of part order / part quantities / split order. Confirmed

14 Confirm acceptance of Repeat Purchase order(s) ((if applicable) as per IOCL's requirement as stated in GPC & ITB read together, with the same rate and terms & conditions within 6 months from the date of original Purchase Order. Note: Acceptance of Repeat Order does not guarantee Repeat Ordering and is not a part of evaluation. Confirmed

Public Procurement Policy for Micro & Small Enterprises (MSEs) Order, 2012

15 (a) Confirm whether the bidder is an MSE bidder or not. If MSE ,bidder to attach Udyam certificate to avail the benefits/preference to MSEs SELECT FROM DROPDOWN Dropdown of Yes/ No

15 (b) In case the bidder is an MSE bidder; please further confirm whether it is an SC/ST owned MSE.If yes ,bidder to attach the copy of SC/ST certificate issued by District Authority. SELECT FROM DROPDOWN Dropdown of Yes/ No

15 (c) In case the bidder is an MSE bidder; please further confirm whether it is an women owned MSE. If yes bidder to attach the relevant documents. SELECT FROM DROPDOWN Dropdown of Yes/ No

15 (f) UDYAM NUMBER Details to be stated

15 (g) Confirm that you are a Manufacturer of the Quoted Items. If not, you shall not be eligible for Purchase Preference. SELECT FROM DROPDOWN Not a Trader for Quoted Items

16 Preference to Make in India (MII 2020 Policy)

16(a) Bidder to select Class as per the LC of their quote in line with MII-2020 policy Bidder to submit " Local Content for Goods/Services" in unpriced BoQ in "Bid_Documents " spread sheet as per ITB SELECT FROM DROPDOWN

16(b) Bidder to submit "Undertaking" from Authorized signatory of Supplier or Statutory Auditor / Chartered Accountant of the bidder ( as the case may be ) as per ITB SELECT FROM DROPDOWN

17 DOMESTICALLY MANUFACTURED ELECTRONIC PRODUCTS (DMEP)

17(a) Confirm whether you are eligible for Purchase Preference linked with Public Procurement policy ( Local content) Electronic Products. For details please refer ITB SELECT FROM DROPDOWN

17(b) If so please confirm that you have submitted "Undertaking" from Authorized signatory of Supplier or Statutory Auditor / Chartered Accountant of the bidder ( as the case may be ) as per ITB SELECT FROM DROPDOWN

18 DOMESTICALLY MANUFACTURED IRON & STEEL PRODUCTS (DMI&SP)

18(a) Confirm whether you are eligible as per Policy related to Domestically Manufactured Iron & Steel Products (DMI&SP) . For details please refer ITB. SELECT FROM DROPDOWN

18(b) Manufacturers : In case of domestic manufacturers pls submit "Affidavit of Self-Certification" (Form -1) in line with DMI&SP policy as indicated in ITB SELECT FROM DROPDOWN

18(c) Non Manufacturers: i)In case of non manufacturer pls submit affidavit of self certification in line with DMI&SP policy from domestic manufacturer along with "Authorization Certificate" from domestic manufacturer in line with DMI&SP policy as indicated in ITB. ii)In case , non manufacturer bidder is not able to submit authorization certificate from domestic manufacturer ,pls submit following documents : a) Affidavit of self certification in line with DMI&SP policy in their own name. b)Declataion on their letter head that " They will submit affidavit of self certificaiton from domestic manufacturer in line with DMI&SP policy at the time of dispatch along with dispatch documents against which material acceptance is granted ." SELECT FROM DROPDOWN .

19 Following data to be provided in case of EMD applicability PRN No.of Online submitted EMD OR Bank Guarantee No. with Date of Issue & Expiry OR On date valid MSE/UAM certificate No. with date of issue.

20 Printed terms and conditions, if any, appearing in quotation, shall not be applicable in the event of order. In case of contradiction between the confirmations given above and terms & conditions mentioned elsewhere in the offer, the confirmation given above in this sheet shall prevail. Any deviation to tender terms to be indicated in deviation sheet only.Deviations given anywhere else will not be accepted. CONFIRMED

*In case of chemical procurement (with or without returnable cylinders ) ,relevant clauses of ATC will be applicable/filled.

1 We confirm that we have filled "Bidder Input Sheet" indigenous as per sheet "BFS(ind) " of this XL file.

2 We confirm that we have filled Deviations (If any) as per sheet "DEVIATIONS STATEMENT- TECHNICAL" & "DEVIATIONS STATEMENT- COMMERCIAL"of this XL File.

3 We confirm that we have filled Proforma for PQC as per sheet - “PQC Doc- details” of this XL file.(If Applicable)

4 We confirm that we have filled unpriced BOQ as per sheet "Unpriced-BOQ" of this XL file. Unpriced BOQ need not be filled in case GST Rates and HSN Codes are the same for all the line items to be added

5 We confirm that we have filled Holiday List Declaration as per sheet "Holiday-List-Declaration" of this XL file.

6 We confirm that we have filled Non Tampering Declaration as per sheet "NON-TAMPERING_DECLARATION" of this XL file.

7 We confirm that we have filled Contact Details as per sheet "Contact Details" of this XL file.

8 We confirm that we have filled Declaration NCLT ,DRT ETC as per sheet "Declaration_NCLT OR DRT ETC" of this XL file.

9 We confirm that we have filled Declaration of Land Border as per sheet "Declaration of Land Border" of this XL file.

Offer Reference No. with date. Bidder to ENTER details

Vendor's Name Bidder to ENTER details

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

Mobile No. (s) Bidder to ENTER details

Tel. No. (s) Bidder to ENTER details

Fax No. Bidder to ENTER details

Address Bidder to ENTER details

DEVIATIONS STATEMENT- TECHNICAL

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

The bidder confirms that: Following are the only deviations to the technical terms and conditions if considered unavoidable . Bidder also confirms that any deviation taken anywhere else in the offer shall be considered as invalid.

Sl. No. Referred document name/ Tender document page no. Clause No. Description of Clause Deviation proposed by bidder

Bidder should note that this Annexure has been included in the Tender Document solely for the convenience of the Bidder so as to facilitate them to list out the "TECHNICAL"deviation(s)/exception(s) from/to the Tender Documents. IOCL will not consider any "TECHNICAL"deviation(s)/exception(s) which is not listed in this Annexure, for evaluation of bidder's offer. Please note that bidders are, normally, not allowed to take deviations and any deviation listed above may make the Bid liable for rejection.

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

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DEVIATIONS STATEMENT-COMMERCIAL

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

The bidder confirms that: Deviations taken in Agreed Terms & Conditions, if any, and the below are the only deviations to the commercial terms and conditions, if considered unavoidable. Bidder also confirms that any deviation taken anywhere else in the offer shall be considered as invalid.

Sl. No. Referred document name/ Tender document page no. Clause No. Description of Clause Deviation proposed by bidder

Bidder should note that this Annexure has been included in the Tender Document solely for the convenience of the Bidder so as to facilitate them to list out the "COMMERCIAL"deviation(s)/exception(s) from/to the Tender Documents. IOCL will not consider any "COMMERCIAL"deviation(s)/exception(s) which is not listed in this Annexure, for evaluation of bidder's offer. Please note that bidders are, normally, not allowed to take deviations and any deviation listed above may make the Bid liable for rejection.

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

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DECLARATION CUM UNDERTAKING ON MICRO & SMALL ENTERPRISES STATUS

Instruction to fill the format below- Please Select as Applicable

Bidders to fill the format below( white cells). MSE bidders who do not fill this declaration may not be considered for any benefits applicable for MSEs as per the Tender Conditions for Benefits/Preference for Micro & Small Enterprises (MSEs) Important Note: 1. Bidders registered as MSE in “ Service Category “ are not eligible for EMD exemption as well as Purchase preference for material procurement tenders. 2. Bidders participating in a tender as “trader” are not eligible for EMD exemption as well as Purchase preference for material procurement tenders. 3. Bidders participating in a tender as a manufacturer but MSE certificate does not include the tendered item shall be eligible for only EMD exemption for material Procurement tenders. 4. Bidders participating in a tender as a manufacturer and MSE certificate includes the tendered item shall be eligible for EMD exemption as well as purchase preferance for material Procurement tenders. We are manufacturer of quoted item(s) but not MSE

MICRO & SMALL ENTERPRISES STATUS We are neither MSE nor manufacturer of quoted item(s)

SELECT YOUR MSE STATUS FROM DROPDOWN OF CELL B6 Please Select as Applicable We are MSE bidder for Services

Please Select as Applicable We are MSE bidder but participating as Trader in this tender

We are participating as a manufacturer but MSE certificate does not include the tendered item

We are participating as a manufacturer and MSE certificate includes the tendered item

We know that IOCL in its capacity has full right to cross check the authenticity and validity of the MSE certificate submitted by us, and if it is found that there is any misrepresentation of facts by us, IOCL has a right to take actions against us including but not limited to putting us on holiday list, and rejection of our offer etc.

Tender Reference Number 6746-PPM-000-CA-0220

Offer Reference No. with date. Bidder to ENTER details

Vendor's Name Bidder to ENTER details

Authorised Person's Name (s): Bidder to ENTER details In terms of Tender Conditions for Benefits/Preference for Micro & Small Enterprises (MSEs) attached with the Tender, we also declare as under- • We are a Micro / Small Enterprise, as on close date of this tender. • MSE certificate submitted by us is authentic and valid as on close date of the tender. • We ensure that the MSE certificate will be kept valid till the end of the contract period. • We have submitted notarized copy of the MSE certificate. • MSE certificate should clearly mention the nature of activity as "Manufacturing".

Designation Bidder to ENTER details In terms of Tender Conditions for Benefits/Preference for Micro & Small Enterprises (MSEs) attached with the Tender, we also declare as under- • We are a Micro / Small Enterprise, as on close date of this tender. • MSE certificate submitted by us is authentic and valid as on close date of the tender. • We ensure that the MSE certificate will be kept valid till the end of the contract period. • We have submitted notarized copy of the MSE certificate. • MSE certificate should clearly mention the nature of activity as "Manufacturing".

Email ID (s) Bidder to ENTER details

Move to next Work Sheet ------>

(This Annexure is applicable for tenders having Pre-qualification criteria)

Annexure -5- Not Applicable for this Tender

Important Instruction-

IOCL Reserves the right to complete the evaluation w.r.t. "Pre Qualification Criteria", based on the documents mentioned below only without taking cognizance of any other documents submitted towards "PQC", which is not mentioned below. In case required details are not mentioned in the relevant cells and merely enclosed/attached etc. is mentioned, IOCL may not take cognizance of such documents during evaluation. Please submit details of only those complete documents for relevant orders etc., which you consider are meeting IOCL tender PQC requirements in toto.

Details of documents submitted against Tender "Pre Qualification Criteria"

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

S.N. Clause Sl no. Documents submitted to support compliance Remarks Full address of the client and contact person (Name & Details i.e. Mail ID, Mobile No. etc) if applicable

In addition to above bidder to ensure submission of compliance statement with all necessary documents for meeting any other Technical PQC of IOCL tender document ( as applicable)

PQC Commercial -Experience

Note:- Order (s) which are executed as per tender PQC compliance of Bidder's offer. Accordingly, please submit details of only those complete documents for relevant orders etc., which you consider are meeting IOCL tender PQC requirements in toto.

Meeting through 01(One) executed order:

S.N. Required exceuted order value as per NIT (INR/USD) Executed order value ( On FOR despatch point / FCA / FOB Port of exit basis )as per bidder (INR/USD) Purchase order no. and date Purchase Order issued by (Client name) M/s Item description as per PO Documents submitted against completion/execution proof as specified in tender Full address of the client and contact person (Name & Details i.e. Mail ID, Mobile No. etc)

Meeting through 02(Two) executed orders:

S.N. Required exceuted order value as per NIT (INR/USD) Executed order value ( On FOR despatch point / FCA / FOB Port of exit basis )as per bidder (INR/USD) Purchase order no. and date Purchase Order issued by (Client name) M/s Item description as per PO Documents submitted against completion/execution proof as specified in tender Full address of the client and contact person (Name & Details i.e. Mail ID, Mobile No. etc)

Meeting through 03(Three) executed orders:

S.N. Required exceuted order value as per NIT (INR/USD) Executed order value ( On FOR despatch point / FCA / FOB Port of exit basis )as per bidder (INR/USD) Purchase order no. and date Purchase Order issued by (Client name) M/s Item description as per PO Documents submitted against completion/execution proof as specified in tender Full address of the client and contact person (Name & Details i.e. Mail ID, Mobile No. etc)

PQC Commercial-Financial ( Turnover )

S.N. Financial Year Annual Turnover required as per NIT (INR/USD) Annual turnover of your company (INR/USD) Details of Documentary evidence ( i.e. audited balance sheet/ profit and loss statement of audited balance sheet / published anual report / balance sheet in public domain etc.) Remarks if any.

1 2015-16 INR INR

2 2016-17 INR INR

3 2017-18 INR INR

Move to next Work Sheet ------>

Annexure- 6 " Unpriced BOQ"

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

Sl. No. Item Serial no. of BoQ Item Code and Size / Make Quantity UoM HSN Code GST Rate as applicable Quoted Currency in INR / Other Currency Please mention "Quoted" / "Not Quoted" Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category TOTAL AMOUNT, It will be convert TOTAL TAXES It will be convert only If you choose Full Conversion, Until it will be treated as INR TOTAL AMOUNT In Words

1 SUPPLY OF FITTINGS FROM SEAMLESS PIPE-CARBON STEEL (CPMSL CAT 1.52 AS PER FEBRUARY 2026)

0.999 ELB,90 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB E060SHN+1/2"+21.3+7.47+++ 7 Nos INR

0.000 NIPPLE,150 MM LONG,CS PN130SD+1/4"+++++ 3 Nos INR

0.999 CON RED, CS,, B16.9, BW ENDS, SCH XXS, A 234 GR WPB EO060S+2"+60.3+11.07+26.7+7.82+3/4" 2 Nos INR

0.000 45 DEG LATERAL TEE, CS, B16.9/MFG STD, BW ENDS, SCH STD, A234 GR WPB EL060HH+3"+++++ 1 Nos INR

0.999 TEE, CS,(NACE), B16.9, BW ENDS,SCH XXS, A234 GR WPB ET060SN+3/4"+26.7+7.82+26.7+7.82+3/4" 6 Nos INR

0.000 TEE, CS,(H2+NACE), B16.9, BW ENDS,SCH XXS, A234 GR WPB ET060SHN+3/4"+26.7+7.82+26.7+7.82+3/4" 27 Nos INR

0.999 ELB,45 DEG,LR, CS (NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB EF060SN+3/4"+26.7+7.82+++ 1 Nos INR

0.000 ELB,45 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB EF060SHN+3/4"+26.7+7.82+++ 16 Nos INR

0.999 ELB,90 DEG,LR, CS (NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB E060SN+3/4"+26.7+7.82+++ 3 Nos INR

1.01 ELB,90 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB E060SHN+3/4"+26.7+7.82+++ 96 Nos INR

0.999 ELB,90 DEG,LR, CS (H2 SERVICE), B16.9, BW ENDS,SCH 160, A 234 GR WPB E060RH+3/4"+26.7+5.56+++ 9 Nos INR

0.000 ECC RED, CS,(H2+NACE), B16.9, BW ENDS,SCH 160, A 234 GR WPB EX060RHN+4"+114.3+13.49+88.9+11.13+3" 2 Nos INR

0.999 ELB,90 DEG,LR,LTCS, B16.9, BW ENDS,SCH STD, A420 Gr.WPL6-S E290H+4"+114.3+6.02+++ 3 Nos INR

0.000 ELB,90 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH 160, A 234 GR WPB E060RHN+4"+114.3+13.49+++ 8 Nos INR

0.999 ELB,90 DEG,LR, CS, B16.9, BW ENDS,SCH STD, A234 GR WPB E060H+4"+114.3+6.02+++ 31 Nos INR

0.000 TEE, CS,(H2+NACE), B16.9, BW ENDS,SCH 160, A234 GR WPB ET060RHN+6"+168.3+18.26+114.3+13.49+4" 3 Nos INR

0.999 CON RED, CS, B16.9, BW ENDS,SCH STD, A234 GR WPB EO060H+6"+168.3+7.11+114.3+6.02+4" 3 Nos INR

0.000 TEE, CS(INT.EPOXY COATED), B16.9, BW ENDS, SCH STD, A234 GR WPB-W ETW060HCI+8"+219.1+8.18+219.1+8.18+8" 2 Nos INR

0.999 45 DEG LATERAL TEE, CS, B16.9/MFG STD, BW ENDS, SCH STD, A234 GR WPB EL060HH+8"+219.1+8.18+219.1+8.18+8" 2 Nos INR

1.02 CAP, CS(INT. EPOXY COATED), B16.9, BW ENDS,SCH STD, A234 GR WPB EK060HCI+8"+219.1+8.18+++ 1 Nos INR

0.999 ELB,45 DEG,LR,CS(GALV), B16.9, BW ENDS,SCH STD, A234 Gr.WPB-W,(GALV) EFWA11+8"+219.1+8.18+++ 4 Nos INR

0.000 ELB,45DEG,LR,CS,INT.EPOXY COAT, B16.9, BW ENDS,SCH STD, A234 GR WPB-W EFW060HCI+8"+219.1+8.18+++ 2 Nos INR

2 SUPPLY OF FITTINGS FROM SEAMLESS PIPE- ALLOY STEEL (CPMSL CAT 1.53 AS PER FEBRUARY 2026)

0.999 TEE, AS (H2+NACE), B16.9, BW ENDS, SCH 160, A234 GR.WP22 CL.1 ET755RHN+3/4"+26.7+5.56+26.7+5.56+3/4" 1 Nos INR

0.999 ELB,90 DEG,LR, AS (H2+NACE), B16.9, BW ENDS, SCH 160, A234 GR.WP22 CL.1 E755RHN+3/4"+26.7+5.56+++ 6 Nos INR

3 SUPPLY OF FITTINGS FROM SEAMLESS PIPE- S.S. (CPMSL CAT 1.54 AS PER FEBRUARY 2026)

0.999 TEE, SS, B16.9, BW ENDS, SCH XXS, A403 WP304-S ET360S+1 1/2"+48.3+10.15+33.4+6.35+1" 2 Nos INR

0.999 CON RED, SS, B16.9, BW ENDS, SCH XXS, A403 WP304-S EO360S+1 1/2"+48.3+10.15+21.3+3.73+1/2" 3 Nos INR

0.000 NIPPLE, SS,IC HOOK UP,PBE, B36.19M, PBE, SCH 80S, A312 TP 304 PNB360LII+1/2"+++++ 2 Nos INR

3.005 NIPPLE, SS,IC HOOK UP,TOE, B36.19M, PE x MNPT, SCH 80S, A312 TP 304 PNB360LI+1/2"+++++ 4 Nos INR

0.999 NIPPLE,150MM LONG,SMLS,SS, B36.19M, PE X TOE(M) TO B1.20.1,SCH 80S, A312 TP 304 PN360L+1/2"+++++ 2 Nos INR

0.000 TEE, SS, B16.9,MFG STD, BW ENDS, SCH 80S, A403 WP304-S ET360L+1/2"+21.3+3.73+21.3+3.73+1/2" 13 Nos INR

0.000 ELB,90 DEG,LR, SS, B16.9, BW ENDS, SCH 80S, A403 WP304-S E360L+1/2"+21.3+3.73+++ 22 Nos INR

0.999 CON RED, SS, B16.9, BW ENDS, SCH 40S, A403 WP304-S EO360J+2"+60.3+3.91+33.4+3.38+1" 4 Nos INR

Annexure- 6 " Unpriced BOQ"

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

Sl. No. Item Serial no. of BoQ Item Code and Size / Make Quantity UoM HSN Code GST Rate as applicable Quoted Currency in INR / Other Currency Please mention "Quoted" / "Not Quoted" Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category TOTAL AMOUNT, It will be convert TOTAL TAXES It will be convert only If you choose Full Conversion, Until it will be treated as INR TOTAL AMOUNT In Words

PROFORMA OF DECLARATION OF BLACK LISTING / HOLIDAY LISTING

In the case of Proprietary concern:

I hereby declare that neither I, in my personal name nor in the name of my Proprietary concern,M/s

which is submitting the accompanying Bid/Tender nor any

other concern in which I am proprietor nor any partnership firm in which I am involved as a Partner are presently on any

blacklist or holiday list declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum & Natural Gas (MOPNG), nor

any inquiry is pending by Indian Oil Corporation Ltd. or MOPNG, in respect of any corrupt or fraudulent practice(s) against

me or any other of my proprietorship concern(s) or against any partnership firm(s) in which I am or was at the relevant

time involved as a partner, except as indicated below:

(Here give particulars of black listing or holiday listing and/or inquiry and inabsence thereof state "NIL")

In the case of a Partnership Firm:

We, hereby declare that neither We, M/s.

which is submitting the acccompanying Bid/Tender nor any partner involved in the said firm either in his individual

capacity or as proprietor or partner of any other firm or concern presently are placed on any blacklist or holiday list

declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum & Natural Gas (MOPNG),nor any inquiry is pending

by Indian Oil Corporation Ltd. or MOPNG, in respect of corrupt or fraudulent practice(s) against us or any partner or

any other concern or firm of which he is proprietor or partner, except as indicated below:

(Here give particulars of black listing or holiday listing and/or inquiry and in the absence thereof state "NIL")

In the case of Company:

We, M/s hereby declare that we are presently neither placed on

any holiday list or blacklist declared by Indian Oil Corporation Ltd. Or by Ministry of Petroleum & Natural Gas (MOPNG),

nor any inquiry is pending by Indian Oil Corporation Ltd. or MOPNG, in respect of corrupt or fraudulent practice(s), except

as indicated below:

(Here give particulars of black listing or holiday listing and/or inquiry and in the absence thereof state "NIL")

In the case of consortium:

We, M/s hereby declare that none of the members of the

Consortium are presently placed on any holiday list or blacklist declared by Indian Oil Corporation Ltd. Or by Ministry

of Petroleum & Natural Gas (MOPNG),nor any inquiry is pending by Indian Oil Corporation Ltd. or MOPNG, in respect of

corrupt or fraudulent practice(s), except as indicated below:

(Here give particulars of black listing or holiday listing and/or inquiry and in the absence thereof state "NIL")

It is understood that if this declaration is found to be false in any particular, Indian Oil Corporation Limited shall have the right to reject my/our bid, and if the bid has resulted in a contract, the contract is liable to be terminated without prejudice to any other right or remedy ( including black listing or holiday listing) available to Indian Oil Corporation Ltd.

Offer Reference No. with date. Bidder to ENTER details

Vendor's Name Bidder to ENTER details

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

Mobile No. (s) Bidder to ENTER details

Tel. No. (s) Bidder to ENTER details

Fax No. Bidder to ENTER details

Address Bidder to ENTER details

GST REGISTRATION DETAILS

Name of the Vendor as registered:

Vendor Code with IOC

S.No Name of the State GST Number PAN Address of principal place of business in the state as per GST registration VENDOR CLASSIFICATION Type of business Contact Details of Concerned person(s)

Address City Postal Pin Code 0 Registered 1 Not Registered 2 Compounding Scheme 3 PSU/Government Organization Manufacturer/Trader / Service provider / works contractor / other (pls specify) Name Phone number E-mail id

[See sub-rule (1) of rule 21AB]

Information to be provided under sub-section (5) of section 90 or sub-section (5) of section 90A of the Income-tax Act, 1961

I *son/daughter of Shri

in the capacity of (designation) do provide the

following information, relevant to the previous year

*in my case/in the case of for the purposes of sub-section (5) of *

section 90/section 90A:-

Sl.No. Nature of information : Details#

(i) Status (individual; company, firm etc.) of the assessee :

(ii) Permanent Account Number (PAN) of the assessee if allotted :

(iii) Nationality (in the case of an individual) or Country or specified territory of incorporation or registration (in the case of others) :

(iv) Assessee’s tax identification number in the country or specified territory of residence and if there is no such number, then, a unique number on the basis of which the person is identified by the Government of the country or the specified territory of which the assessee claims to be a resident :

(v) Period for which the residential status as mentioned in the certificate referred to in sub-section (4) of section 90 or sub-section (4) of section 90A is applicable :

(vi) Address of the assessee in the country or territory outside India during the period for which the certificate, mentioned in (v) above, is applicable :

2. I have obtained a certificate to in sub-section (4) of section 90 of sub-section (4) of section 90A from

the Government of (name of country or

specified territory outside India)

Permanent Account Number:

I do hereby declare that to the best of my knowledge

and belief what is stated above is correct complete and is truly stated.

Verified today the day of

1. *Delete whichever is not applicable.

2. #Write N.A. if the relevant information forms part of the certificate referred to in sub-section (4) of section 90 or sub-section (4) of section 90A.

Vendor's Name Bidder to ENTER details

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

Mobile No. (s) Bidder to ENTER details

Tel. No. (s) Bidder to ENTER details

Fax No. Bidder to ENTER details

Address Bidder to ENTER details

VENDOR BANK DETAILS

To Indian Oil Corporation Ltd. (Refineries Divn) Scope Complex, Core- 2 Lodhi Road New Delhi – 110 003

Dear Sir, With reference to the P.O. / W.O / Contract if awarded to us by IOCL against this tender, we hereby give our consent to accept the related payments of our claims/ bills on IOCL through Cheques or Internet based online E-payments system at the sole discretion of IOCL. Our Bank account details for the said purpose is as under:

Sl.No. Particulars : Details

i Name and address of the Beneficiary :

ii Account Number of Beneficiary :

iii Account Classification (CA/ CC -11 or 29) & SB- 10 as per Cheque leaf. :

iv Name and address of the Bank Branch (where payments are to be sent by IOCL) :

v Branch Name / Code :

vi The 9 Digit MICR code of the Branch (as appearing on the MICR cheque) :

vii IFSC Code of the Bank Branch for RTGS mode. :

viii IFSC Code of the Bank Branch for NEFT mode :

ix E-mail ID of Beneficiary :

x Any other Particulars (to be advised by Beneficiary for the E-payments purpose). :

xi Vendor Code (to be filled by IOC’s Deptt. Only) :

xii PERMANENT ACCOUNT NUMBER :

xiii MOBILE NUMBER (FOR SMS ALERTS) :

xiv CIN No. Of Company (If Any) :

A blank copy of a cancelled cheque / photocopy of the cancelled cheque relating to the above account

number for verifying the accuracy of the bank account details is enclosed.

A copy of PAN Card duly attested by authorized signatory for verifying the accuracy of the PAN is enclosed.

I/We hereby declare that the particulars given above are correct and complete.

Encl.: (1) One cheque / photocopy of cheque duly cancelled (2) copy of PAN Card (3)Certificate of Incorporation with CIN details (4)Telephone or Electricity Bill for address proof

1. Verification from your bank on the above bank details required only in case : (a) Vendors not providing a cancelled cheque leaf or if vendors name is not printed / appearing on the cancelled cheque leaf submitted to IOCL Office. (b) Change in existing bank details.

Vendor's Name Bidder to ENTER details

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

Mobile No. (s) Bidder to ENTER details

Tel. No. (s) Bidder to ENTER details

Fax No. Bidder to ENTER details

Address Bidder to ENTER details

Declaration by the bidders regarding non-tampering of tender documents

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

We hereby declare that none of the tender documents have been tampered with. In case of tampering of tender documents, the bid shall be rejected outright and EMD forfeited without prejudice to any other rights or remedies available to IOCL.

Vendor's Name Bidder to ENTER details

Authorised Person's Name (s): Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

Mobile No. (s) Bidder to ENTER details

Tel. No. (s) Bidder to ENTER details

Fax No. Bidder to ENTER details

Address Bidder to ENTER details

Bidder to ENTER details

Contact Details of Vendor

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

Designation Bidder to ENTER details

Email ID (s) Bidder to ENTER details

Mobile No. (s) Bidder to ENTER details

Tel. No. (s) Bidder to ENTER details

Fax No. Bidder to ENTER details

Address Bidder to ENTER details

Please fill up the details below:

Designation Name Telephone Nos. Mobile nos. E mail ids

Country Manager

Marketing Manager

Contact Person(s) for this Tender

Contact Person at Delhi, if any

Note: 1. Designations are indicative only. Actual designations may please be mentioned. 2. All the concerned persons in the hierarchy must appear in the above list. 3. In case of multiple phone nos., mobile nos., e-mail IDs, the same may also please be given

ACKNOWLEDGEMENT OF TENDER

( ONLY IN CASE OF LIMITED TENDERS)

The Supplier is requested to mail the following statement within 2 working days of receipt of the enclosed Tender.

Proforma for Acknowledgement Letter to Tender

Email: IOCL e mail ids provided in Notice Inviting Tender

Vendor’s Ref. No.:

To : M/s Indian Oil Corporation Ltd., Refineries Division, New Delhi/ …………. Refinery

Attention: Tender inviting authority

Subject : Response against your “Tender” No.: __________for ___________ (specify item) for

______________ PROJECT

Dear Sir, We acknowledge receipt of your above referred TENDER and confirm that ( CHOOSE THE APPLICABLE OPTION):

i) We will be submitting offer so as to reach you within the due date. Yes

ii) We regret to quote as: No

Yours faithfully

(Authorized Signatory)

Company name, address and Seal:

PEROFORMA FOR DECLARATION ON NCLT / NCLAT /DRT /DRAT/ COURT RECEIVERSHIP/ LIQUIDATION

Tender No. 6746-PPM-000-CA-0220

Vendor's Name Bidder to ENTER details

Offer Ref No. Bidder to ENTER details

I/ We hereby declare that I/We /M/s Bidder to ENTER details declare that :

(i) I / We am/are not undergoing insolvency resolution process or liquidation or bankruptcy proceeding as on date. Yes

(ii) I / We am/are undergoing insolvency resolution process or liquidation or bankruptcy proceeding as on date as per details mentioned below. (Attached detail with technical bid) No

Note:- Select the appropriate choice against sl no i. Option against Sl no ii is conditional to chosen Option against Sl No i

It is understood that if this declaration is found to be false, Indian Oil Corporation Ltd. shall have the right to reject my/our bid, and forfeit the EMD. If the bid has resulted in a contract, the contract will be liable for termination without prejudice to any other right or remedy (including black listing or holiday listing) available to Indian Oil Corporation Ltd.

Name of Signatory :

CERTIFICATE FOR DECLARATION OF RESTRICTION FOR BIDDERS FROM COUNTRIES WHICH SHARE LAND BORDER WITH INDIA

Proforma for certification to Tender

Email: IOCL e mail ids provided in Notice Inviting Tender

Vendor’s Ref. No.:

To : M/s Indian Oil Corporation Ltd., Refineries Division, New Delhi/ …………. Refinery

Attention: Tender inviting authority

Subject : Response against your “Tender” No.: __________for ___________ (specify item) for

______________ PROJECT

Dear Sir, I have read the clause regarding restrictions on procurement from a bidder of a country which shares a land border with India. I certify that this bidder is not from such a country or, if from such a country, has been registered with the competant authority. I hereby certify that this bidder fulfills all requirements in this regards and is eligible to be considered.

Yours faithfully

(Authorized Signatory)

Company name, address and Seal:

Select, Excess (+), Less (-)

Tender Inviting Authority: Mr. Abhijeet Mithari (Gen.Manager – Procurement) thyssenkrupp Uhde India Private Limited

Name of Work: SUPPLY OF FITTINGS FROM SEAMLESS PIPE-CS, AS, SS FOR P25 PROJECT AT IOCL PANIPAT REFINERY

Contract / NIT / RFQ No: 6746-PPM-000-CA-0220

Notes- 1. Bid evaluation shall be done on lineitem wise lowest basis and as specified in SPC&ITB Document. 2. “The successful Bidder (i.e. L-1 Bidder/s) of this Tender is mandatorily required to be registered on GEM portal and must have obtained unique GeM seller ID from GeM prior to issuance of P.O./W.O”.

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate in Rs. P Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE In Figures To be entered by the Bidder in Rs. P GST (If applicable in Percentage) GST Amount in Rs. P HSN / SAC Code

1 SUPPLY OF FITTINGS FROM SEAMLESS PIPE-CARBON STEEL (CPMSL CAT 1.52 AS PER FEBRUARY 2026)

0.999 ELB,90 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB E060SHN+1/2"+21.3+7.47+++ 7 Nos Excess(+) 1 Full Conversion INR

0.000 NIPPLE,150 MM LONG,CS PN130SD+1/4"+++++ 3 Nos Excess(+) 1 Full Conversion INR

0.999 CON RED, CS,, B16.9, BW ENDS, SCH XXS, A 234 GR WPB EO060S+2"+60.3+11.07+26.7+7.82+3/4" 2 Nos Excess(+) 1 Full Conversion INR

0.000 45 DEG LATERAL TEE, CS, B16.9/MFG STD, BW ENDS, SCH STD, A234 GR WPB EL060HH+3"+++++ 1 Nos Excess(+) 1 Full Conversion INR

0.999 TEE, CS,(NACE), B16.9, BW ENDS,SCH XXS, A234 GR WPB ET060SN+3/4"+26.7+7.82+26.7+7.82+3/4" 6 Nos Excess(+) 1 Full Conversion INR

0.000 TEE, CS,(H2+NACE), B16.9, BW ENDS,SCH XXS, A234 GR WPB ET060SHN+3/4"+26.7+7.82+26.7+7.82+3/4" 27 Nos Excess(+) 1 Full Conversion INR

0.999 ELB,45 DEG,LR, CS (NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB EF060SN+3/4"+26.7+7.82+++ 1 Nos Excess(+) 1 Full Conversion INR

0.000 ELB,45 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB EF060SHN+3/4"+26.7+7.82+++ 16 Nos Excess(+) 1 Full Conversion INR

0.999 ELB,90 DEG,LR, CS (NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB E060SN+3/4"+26.7+7.82+++ 3 Nos Excess(+) 1 Full Conversion INR

0.000 ELB,90 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH XXS, A 234 GR WPB E060SHN+3/4"+26.7+7.82+++ 96 Nos Excess(+) 1 Full Conversion INR

0.999 ELB,90 DEG,LR, CS (H2 SERVICE), B16.9, BW ENDS,SCH 160, A 234 GR WPB E060RH+3/4"+26.7+5.56+++ 9 Nos Excess(+) 1 Full Conversion INR

0.000 ECC RED, CS,(H2+NACE), B16.9, BW ENDS,SCH 160, A 234 GR WPB EX060RHN+4"+114.3+13.49+88.9+11.13+3" 2 Nos Excess(+) 1 Full Conversion INR

0.999 ELB,90 DEG,LR,LTCS, B16.9, BW ENDS,SCH STD, A420 Gr.WPL6-S E290H+4"+114.3+6.02+++ 3 Nos Excess(+) 1 Full Conversion INR

0.000 ELB,90 DEG,LR, CS (H2+NACE), B16.9, BW ENDS,SCH 160, A 234 GR WPB E060RHN+4"+114.3+13.49+++ 8 Nos Excess(+) 1 Full Conversion INR

0.999 ELB,90 DEG,LR, CS, B16.9, BW ENDS,SCH STD, A234 GR WPB E060H+4"+114.3+6.02+++ 31 Nos Excess(+) 1 Full Conversion INR

0.000 TEE, CS,(H2+NACE), B16.9, BW ENDS,SCH 160, A234 GR WPB ET060RHN+6"+168.3+18.26+114.3+13.49+4" 3 Nos Excess(+) 1 Full Conversion INR

0.999 CON RED, CS, B16.9, BW ENDS,SCH STD, A234 GR WPB EO060H+6"+168.3+7.11+114.3+6.02+4" 3 Nos Excess(+) 1 Full Conversion INR

0.000 TEE, CS(INT.EPOXY COATED), B16.9, BW ENDS, SCH STD, A234 GR WPB-W ETW060HCI+8"+219.1+8.18+219.1+8.18+8" 2 Nos Excess(+) 1 Full Conversion INR

0.999 45 DEG LATERAL TEE, CS, B16.9/MFG STD, BW ENDS, SCH STD, A234 GR WPB EL060HH+8"+219.1+8.18+219.1+8.18+8" 2 Nos Excess(+) 1 Full Conversion INR

0.000 CAP, CS(INT. EPOXY COATED), B16.9, BW ENDS,SCH STD, A234 GR WPB EK060HCI+8"+219.1+8.18+++ 1 Nos Excess(+) 1 Full Conversion INR

0.999 ELB,45 DEG,LR,CS(GALV), B16.9, BW ENDS,SCH STD, A234 Gr.WPB-W,(GALV) EFWA11+8"+219.1+8.18+++ 4 Nos Excess(+) 1 Full Conversion INR

0.000 ELB,45DEG,LR,CS,INT.EPOXY COAT, B16.9, BW ENDS,SCH STD, A234 GR WPB-W EFW060HCI+8"+219.1+8.18+++ 2 Nos Excess(+) 1 Full Conversion INR

SUPPLY OF FITTINGS FROM SEAMLESS PIPE- ALLOY STEEL (CPMSL CAT 1.53 AS PER FEBRUARY 2026)

0.999 TEE, AS (H2+NACE), B16.9, BW ENDS, SCH 160, A234 GR.WP22 CL.1 ET755RHN+3/4"+26.7+5.56+26.7+5.56+3/4" 1 Nos Excess(+) 1 Full Conversion INR

0.999 ELB,90 DEG,LR, AS (H2+NACE), B16.9, BW ENDS, SCH 160, A234 GR.WP22 CL.1 E755RHN+3/4"+26.7+5.56+++ 6 Nos Excess(+) 1 Full Conversion INR

SUPPLY OF FITTINGS FROM SEAMLESS PIPE- S.S. (CPMSL CAT 1.54 AS PER FEBRUARY 2026)

0.999 TEE, SS, B16.9, BW ENDS, SCH XXS, A403 WP304-S ET360S+1 1/2"+48.3+10.15+33.4+6.35+1" 2 Nos Excess(+) 1 Full Conversion INR

0.999 CON RED, SS, B16.9, BW ENDS, SCH XXS, A403 WP304-S EO360S+1 1/2"+48.3+10.15+21.3+3.73+1/2" 3 Nos Excess(+) 1 Full Conversion INR

0.000 TEE, SS, B16.9, BW ENDS, SCH 160, A403 WP304-S ET360R+1"+33.4+6.35+21.3+3.73+1/2" 1 Nos Excess(+) 1 Full Conversion INR

0.000 NIPPLE, SS,IC HOOK UP,PBE, B36.19M, PBE, SCH 80S, A312 TP 304 PNB360LII+1/2"+++++ 2 Nos Excess(+) 1 Full Conversion INR

0.999 NIPPLE, SS,IC HOOK UP,TOE, B36.19M, PE x MNPT, SCH 80S, A312 TP 304 PNB360LI+1/2"+++++ 4 Nos Excess(+) 1 Full Conversion INR

0.999 NIPPLE,150MM LONG,SMLS,SS, B36.19M, PE X TOE(M) TO B1.20.1,SCH 80S, A312 TP 304 PN360L+1/2"+++++ 2 Nos Excess(+) 1 Full Conversion INR

0.000 TEE, SS, B16.9,MFG STD, BW ENDS, SCH 80S, A403 WP304-S ET360L+1/2"+21.3+3.73+21.3+3.73+1/2" 13 Nos Excess(+) 1 Full Conversion INR

0.000 ELB,90 DEG,LR, SS, B16.9, BW ENDS, SCH 80S, A403 WP304-S E360L+1/2"+21.3+3.73+++ 22 Nos Excess(+) 1 Full Conversion INR

0.999 CON RED, SS, B16.9, BW ENDS, SCH 40S, A403 WP304-S EO360J+2"+60.3+3.91+33.4+3.38+1" 4 Nos Excess(+) 1 Full Conversion INR

Total in Figures

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