VRL-I-1092- PADGHE water storage tanks

Name of Package : Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

Package No : CD01R

Specification No. : WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx

Completion Period 12 Months

: Attachments : General guidelines for filling up the Attachments PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615

1 Fill up only green shaded cells in the relevent attachments.

2 Attachments 3(QR), 4, 5, 6, 7, 8, 9, 9(IP), 10, 11, 12, 13, 14, 15, 16 and Bid Form for 1st Envelope are included here. Attach-15 is not applicable.

3 Attachment 1 Bid Security : To be submitted as per proforma provided in the bidding document.

4 Attachment 2 Power of Attorney : No specific format is provided by POWERGRID. Bidder may use their own format.

पावर ग्रिड कारपोरेशन ऑफ इण्डिया लिमिटेड

(भारत सरकार का उद्यम)

Power Grid Corporation of India Limited

(A Government of India Enterprises)

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Proprietorship 1

Private Limited Company 2

Enter following details of the bidder Public Limited Company

Specify type of Bidder [Select from drop down menu]

Address of Registered Office

Specification No. :WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx Attachment-3(JV) CD01R CD01R

Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

(Joint Venture Agreement and Power of Attorney for Joint Venture*)

Bidder’s Name and Address (Bidder) : To:

Contract Services

Name : Power Grid Corporation of India Ltd.,

Address : "Saudamini", Plot No. 2, Sector 29

Gurgaon (Haryana) - 122001

Name(s) and Addresse(s) of other partner(s)

The Joint Venture Agreement (as per the proforma attached at no. 15 in Section-VI, Sample Forms and Procedures, Conditions of Contract, Vol.-I of the Bidding Documents) and Power of Attorney for Joint Venture (as per the proforma attached at no. 14 in Section-VI, Sample Forms and Procedures, Conditions of Contract, Vol.-I of the Bidding Documents) are enclosed herewith.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-3(QR)

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Qualifying Requirement Data

Bidder’s Name and Address (Bidder) :

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

Dear Ladies and/or Gentlemen,

In support of the Qualification Requirements (QR) for bidders, stipulated in Annexure-A (BDS) of the Section - III (BDS), Volume-I & additional information required as per the Bidding Documents, we furnish herewith our QR data/details/documents etc., alongwith other information, as follows (The QR stipulations have been reproduced in italics for ready reference, however, in case of any discrepancy the QR as given in BDS shall prevail).

We are furnishing the following details/document in support of qualifying requirement for the subject package(s).

A Technical Experience

As enclosed in Qualifying Requirement document in the tender document at 1-3A-Annex A (BDS)-QR

A Bidder is Manufacturer

Authorised Dealer/Sub dealer

Name of Manufacturer Authorised Representative

Authorization of Manufacturer Submitted

Please submit relevent document Certificate of Authorized Dealership Submitted

B Technical Experience Authorization of Manufacturer Submitted

1 AIS CB Equipped bays 220Kv or higher voltage Offered by the Bidder

Name of Manufacturer

2 Name of the Client

3 Address of Client

4 Contact Details of Client YES

5 Whether Client is having 400 kV or above Transmission System NO

Client should have 400 kV or above Transmission system

5 Documentary Evidence for above Uploaded Completion Certificate from Client

Please upload the Documentary Evidence Performance Report from Client

6 Purchase Order Details Acceptance of Final Bill by Client

Reference No. Certificate from CA

Date (dd-mm-yyyy) Any Other (Please Specify)

7 Make of Equipments supplied

7 Date of work done for AIS CB Equipped bays 220Kv or higher voltage (dd-mm-yyyy)

8 Proof of work done pertains to AIS CB Equipped bays 220Kv or higher voltage Uploaded Performance Report from Client

Please upload Proof of work done Any Other (Please Specify)

9 Document submitted as Proof of work done Specify document submitted as proof of Satisfactory Operation

10 Details of above Document

Date (dd-mm-yyyy)

1 Name of the work

2 Name of the Client

3 Address of Client

4 Contact Details of Client

5 Work Order Details

6 Copy of Work order uploaded

7 Date of Completion of Work

8 Completed Amount of work (Rs)

please ent=IF(C41>=H49,IF(C74>=H49,"",IF(C74>=H50,"please enter 01 more work of 14 lakh and above","work insufficient")))er 01 more work of 14 lakh and above

7 Document submitted as Proof of Completion

8 Details of Document for Proof of Completion

11 Proof of Completion Uploaded

1 Name of the work

2 Name of the Client

3 Address of Client

4 Contact Details of Client

5 Work Order Details

6 Copy of Work order uploaded

7 Date of Completion of Work

8 Completed Amount of work (Rs)

please ent=IF(C41>=H49,IF(C74>=H49,"",IF(C74>=H50,"please enter 01 more work of 14 lakh and above","work insufficient")))er 01 more work of 14 lakh and above

7 Document submitted as Proof of Completion

8 Details of Document for Proof of Completion

11 Proof of Completion Uploaded

B Financial Requirement - Performance Report from Client

As enclosed in Qualifying Requirement document in the tender document at 1-3A-Annex A (BDS)-QR Acceptance of Final Bill by Client

Certificate from CA

Any Other (Please Specify)

Sr. No. Financial Year Turnover (in Rs. Lakh) Copy of Balance Sheet & P/L Account Uploaded

Average Turnover for Best Three Years

C Statutory & General Requirements

PART-B : GENERAL (a) Following document shall be submitted by the bidder : ii) Copy of PAN Card iii) Copy of Partnership Deed/ Affidavit for Proprietorship/ Company MoA & AoA or Certificate of Incorporation, as applicable. iv) GSTIN Registration Certificate (b) POWERGRID, reserves the right to relax/waive of minor deviations with respect to QR as stipulated above, the decision of POWERGRID in this regard shall be final & binding on bidders. (c) POWERGRID reserves right to assess the capacity and capability of the bidder to successfully execute the contract, if felt necessary. This assessment may inter-alia include (i) document verification (ii) past experience and performance (iii) customer feedback (iv) bankers feedback (v) Litigation History YES

1 Copy of PAN Card Uploaded NO

Please upload Copy of PAN Card

2 Copy of Electrical contractor licence Uploaded

2 Status of the Bidder

3 Copy of GSTIN Registration Number

4 MOA & AOA/ Certificate of Incorporation Uploaded

5 Copy of Electrical Contractor License

Please upload Copy of Relavent document

Date : Printed Name :

Place : Designation :

Private Limited Company

Public Limited Company

Affidavit of Proprietorship Uploaded

Parnership Deed Uploaded

MOA & AOA/ Certificate of Incorporation Uploaded

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-4

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Form of Certificate of Origin and Eligibility

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

We hereby certify that equipment and materials to be supplied are produced in [Enter the name of country where from equipments & material shall be supplied] eligible source country. Equipments & Materials produced in [Name of countries] Company incorporated & registered in [Name of countries]

We hereby certify that our company is incorporated and registered in [Enter the name of country where from equipments & material shall be supplied] eligible source country.

Date : Printed Name :

Place : Designation :

country. country. [Enter the name of country where from equipments & material shall be supplied] [Enter the name of country where from equipments & material shall be supplied]

Specification No. :WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx Attachment-4(A) CD01R

Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

(List of Special Maintenance Tools & Tackles)

Bidder’s Name and Address (Bidder) : To:

Contract Services

Name : Power Grid Corporation of India Ltd.,

Address : "Saudamini", Plot No. 2, Sector 29

Gurgaon (Haryana) - 122001

We are furnishing below the list of special maintenance tools & tackles for various equipment under the subject package. The prices for these tools & tackles are included in our lumpsum bid price. We further confirm that the list of special maintenance tools & tackles includes all the items specifically identified in your bidding documents as brought out below:

Notwithstanding what is stated above, we further confirm that any additional special maintenance tools and tackles, required for the equipment under this package shall be furnished by us at no extra cost to the employer.

S.No. For Equipment Item Description Unit Quantity

Date : Printed Name :

Place : Designation :

Specification No. :WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx Attachment-4(B) CD01R

Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

(List of Special Maintenance Tools & Tackles)

Bidder’s Name and Address (Bidder) : To:

Contract Services

Name : Power Grid Corporation of India Ltd.,

Address : "Saudamini", Plot No. 2, Sector 29

Gurgaon (Haryana) - 122001

We are furnishing below the list of special maintenance tools & tackles for various equipment under the subject package. The prices for these tools & tackles which are to be taken back after the completion of the work by us are not included in our lumpsum bid price. We further confirm that the list of special maintenance tools & tackles includes all the items specifically identified in your bidding documents as brought out below:

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-4A

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Commentary on the Employer’s Technical Specifications

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

Make of the Equipment Offered

Model of the Equipment Offered

The Bidder should comply with all the Technical Parameters mentioned in "Technical Specifications (Volume-II) of the bid documents and scanned copy of the same duly signed and stamped on all pages shall be uploaded by the bidder along with the bid.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-5

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

The bidder shall itemize any deviation from the Specifications included in his bid. Each item shall be listed (separate sheets may be used and enclosed with this Attachment) with the following information:

Sl. No. Reference clause in the Specifications Deviation Cost of withdrawal of the deviation

The above deviations and variations are exhaustive. We confirm that we shall withdraw the deviations proposed by us at the cost of withdrawal indicated in this attachment, failing which our bid may be rejected and Bid Security forfeited.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-5

Sl. No. Reference clause in the Specifications Deviation Cost of withdrawal of the deviation

Date : Printed Name :

Place : Designation :

Specification No. :WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx Attachment-8 CD01R

Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

(Manufacturer's Authorization Form)

Contract Services

Power Grid Corporation of India Ltd.,

"Saudamini", Plot No. 2, Sector 29

Gurgaon (Haryana) - 122001 Name of Manufecture Name/Description of Goods Factory Address Name & Address of Bidder package name alongwith project name

…(insert name of the Manufacturer) .. …(insert name and/or description of the goods) … ..(insert address of factory) .. Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

WE …(insert name of the Manufacturer) .. who are established and reputable manufacturers of …(insert name and/or description of the goods) …. having production facilities at ..(insert address of factory) .., , , do hereby authorize , , , (hereinafter, the “Bidder”) to submit a bid, and subsequently negotiate and sign the Contract with you against IFB for Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track including the above plant & equipment or other goods produced by us.

WE …(insert name of the Manufacturer) .. who are established and reputable manufacturers of …(insert name and/or description of the goods) …. having production facilities at We hereby extend our full guarantee and warranty for the above specified goods offered supporting the supply by the Bidder against these Bidding Documents, and duly authorize said Bidder to act on our behalf in fulfilling these guarantee and warranty obligations.

We hereby extend our full guarantee and warranty for the above specified goods offered supporting the supply by the Bidder against these Bidding Documents, and duly authorize said Bidder to act on our behalf in fulfilling these guarantee and warranty obligations. We also hereby declare that we and have entered into a formal relationship in which, during the duration of the Contract (including warranty/defects liability). We, the Manufacturer or Producer, will make our technical and engineering staff fully available to the technical and engineering staff of the successful Bidder to assist that Bidder, on a reasonable and best effort basis, in the performance of all its obligations to the Purchaser under the Contract. ..(insert address of factory) .., , , do hereby authorize , , , (hereinafter, the “Bidder”) We also hereby declare that we and have entered into a formal relationship in which, during the duration of the Contract (including warranty/defects liability).

For and on behalf of the …(insert name of the Manufacturer) .. to submit a bid, and subsequently negotiate and sign the Contract with you against IFB for Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track including the above plant & equipment or other goods produced by us. We, the Manufacturer or Producer, will make our technical and engineering staff fully available to the technical and engineering staff of the successful Bidder to assist that Bidder, on a reasonable and best effort basis, in the performance of all its obligations to the Purchaser under the Contract.

In the capacity of

Date : Printed Name :

Place : Designation :

Note :1 The letter of Undertaking should be on the letterhead of the Manufacturer and should be signed by a person competent and having Power of Attorney to legally bind the Manufacturer. It shall be included by the bidder in its bid.

2 Above undertaking shall be registered or notarized so as to be legally enforceable.

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-6

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Guarantee Declaration

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

We conform that the material offered shall have minimum performance specified in Technical Specification. We further guarantee the performance/efficiency of the equipments in response to the Technical Specifications.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-6B

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Declaration by the bidder for ‘Code of Integrity for Public procurement’

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

1.0 We have read the provisions of the bidding documents regarding abiding by the ‘Code of Integrity for Public Procurement’. Accordingly, we hereby declare that we shall abide by the ‘Code of Integrity for Public Procurement’ as mentioned under ITB Clause 36 of the Bidding Documents. The details of any previous transgressions of the code of integrity with any entity in any country during the last three years or of being debarred by any other Procuring Entity are as under: (a) (b) (c) 2.0 We also accept that in case of violation/transgression of this code by us in competing for or in executing the Contract, Employer has the right to take punitive measures as per the provisions of the Bidding Documents and/or POWERGRID’s policy and procedure.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-6 C

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Declaration regarding adherence to the POWERGRID Whistle Blower and Fraud Prevention Policy

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

We, hereby, declare that we, along with our associate/ collaborators/ sub-contractors/ sub-vendors/consultants/ service providers shall strictly adhere to the POWERGRID Whistle Blower and Fraud Prevention Policy. We, along with our associate / collaborator / subcontractors / sub-vendors / consultants / service providers shall observe the highest standard of ethics and shall not indulge or allow anybody else working in our organization to indulge in fraudulent activities during execution of the contract and would immediately apprise the Employer about any fraud or suspected fraud as soon as it comes to our notice.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-7

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Information regarding Ex-employees of POWERGRID in our Organisation

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

We declare that we are aware of and have gone through the “Code of Business Conduct and Ethics for Senior Management Personnel” and “Code of Business Conduct and Ethics for Board Members” of POWERGRID (hereinafter referred to as the “Code of Conduct”). We further understand that as per the “Code of Conduct”, Senior Management Personnel including Board Members, who have retired/resigned from POWERGRID, shall not accept any appointment or post, as detailed in the referred “Code of Conduct”, within 1 year from the date of cessation of service/directorship unless approved by the Competent Authority.

Accordingle, We hereby furnish the details of ex-employees of POWERGRID who had retired/ resigned at the level of General Manager and above from POWERGRID and subsequently have been employed by us:

Sl. No. Name of the person with designation in POWERGRID Date of Retirement/ resignation from POWERGRID Date of joining and designation in our organisation

* In case the date of joining in the bidder's organization of such ex-employee is within 1 year from the date of retirement/ resignation from POWERGRID, No objection Certificate/ approval from the Competent Authority must be furnished along with the bid or subsequent through clarification pursuant to ITB Clause 21.

In case of non-submission of No Objection Certificate / approval of the Competent Authority, as required, we understand that POWERGRID shall deal with such cases as per its Policy and procedures in vogue, which may also result in rejection of our bid. We also confirm that POWERGRID shall be the sole judge in this regard.

We further declare that any misrepresentation or submission of false / forged documents / information in this regard shall be dealt with as per the provisions of the Integrity Pact and / or the Bidding Documents and / or POWERGRID’s policy and procedures.

Date : Printed Name :

Place : Designation :

1) “Code of Business Conduct and Ethics for Senior Management Personnel” and “Code of Business Conduct and Ethics for Board Members” are available on POWERGRID’s website https://www.powergridindia.com.

2) The information in similar format should be furnished for each partner of joint venture in case of joint venture bid.

3) In case bidder has furnished no details on ex-employees of POWERGRID or has left blank or has indicated ‘-‘ against the same, it shall be deemed that they have not employed any such person in their organization.

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-8

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Declaration regarding Social Accountability

Bidder’s Name and Address (Bidder) : To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

We conform that we stand committed to comply to all requirements of Social Accountability Standards i.e., SA8000 (latest Standard available at www.sa-intl.org) and maintain the necessary records.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-9

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Bidder’s Name and Address (Bidder) : To:

Contract Services

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

Integrity Pact is annexed herewith this volume

Integrity Pact is Not Applicable

Date : Printed Name :

Place : Designation :

Instruction for printing & submitting Integrity Pact

1. The requisite format of Integrity Pact is getting generated automatically and displayed here below.

2. Take print out of first page on a non-judicial stamp paper of Rs. 100/- and other seven pages on plain A4 size paper. Such two sets shall be prepared by the bidder.

3. All the pages of both the copies of the Integrity Pact shall be signed by the authorised representative of the bidder and duly stamped.

4. Both the original copies shall be submitted by the bidder in the form of Hard Copy as part of the first envelope before due date & time of submission of the bid.

5. For further details bidders may please refer ITB Clause 9.3 (n).

Power Grid Corporation of India Limited

having its Registered Office at B-9, Qutab Institutional Area, Katwaria Sarai, New Delhi – 110016 hereinafter referred to as

having its Registered Office at

hereinafter referred to as

"The Bidder/Contractor"

Preamble POWERGRID intends to award, under laid-down organisational procedures, contract(s) for

POWERGRID intends to award, under laid-down organisational procedures, contract(s) for PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION under Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615

(Signature) (Signature)

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

Integrity Pact Page 1 of 8

POWERGRID values full compliance with all relevant laws of the land, rules, regulations, economic use of resources, and of fairness/transparency in its relations with its Bidders/ Contractors.

In order to achieve these goals, POWERGRID and the above named Bidder/Contractor enter into this agreement called 'Integrity Pact' which will form a part of the bid.

It is hereby agreed by and between the parties as under:

Section I - Commitments of POWERGRID

(1) POWERGRID commits itself to take all measures necessary to prevent corruption and to observe the following principles :

a) No employee of POWERGRID, personally or through family members, will in connection with the tender, or the execution of the contract, demand, take a promise for or accept, for him/herself or third person, any material or other benefit which he/she is not legally entitled to.

b) POWERGRID will, during the tender process treat all Bidder(s) with equity, fairness and reason. POWERGRID will in particular, before and during the tender process, provide to all Bidder(s) the same information and will not provide to any Bidder(s) confidential/ additional information through which the Bidder(s) could obtain an advantage in relation to the tender process or the contract execution.

c) POWERGRID will exclude from evaluation of Bids its such employee(s) who has any personal interest in the Companies/Agencies participating in the Bidding/Tendering process and all known prejudiced persons.

(2) If POWERGRID obtains information on the conduct of any of its employee which is a criminal offence under the IPC/PC Act, or if there be a substantive suspicion in this regard, POWERGRID will inform its Chief Vigilance Officer and in addition disciplinary actions can be initiated under POWERGRID's Rules.

Section II - Commitments of the Bidder/Contractor

(1) The Bidder/Contractor commits itself to take all measures necessary to prevent corruption. The Bidder/Contractor commits itself to observe the following principles during his participation in the tender process and during the contract execution :

(Signature) (Signature)

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

Integrity Pact Page 2 of 8

a) The Bidder/Contractor will not, directly or through any other person or firm, offer, promise or give to any of POWERGRID's employees involved in the tender process or the execution of the contract or to any third person any material or other benefit which he/she is not legally entitled to, in order to obtain in exchange an advantage during the tender process or the execution of the contract.

b) The Bidder/Contractor will not enter into any illegal or undisclosed agreement or understanding, whether formal or informal with other Bidders/Contractors. This applies in particular to prices, specifications, certifications, subsidiary contracts, submission or non-submission of bids or actions to restrict competitiveness or to introduce cartelization in the bidding process.

c) The Bidder/Contractor shall not pass any information provided by POWERGRID as part of the business relationship to others and shall not commit any offence undre PC/IPC Act.

d) The Bidder/Contractor of foreign origin shall disclose the name and address of the Agents/representatives in India, if any, involved directly or indirectly in the Bidding. Similarly, the Bidder/Contractor of Indian Nationality shall furnish the name and address of the foreign principals, if any, involved directly or indirectly in the Bidding.

e) The Bidder/Contractor will, when presenting his bid, disclose any and all payments made, or committed to or intends to make to agents, brokers or any other intermediaries in connection with the award of the contract and/or with the execution of the contract.

f) The Bidder/Contractor will not misrepresent facts or furnish false/forged documents/informations in order to influence the bidding process or the execution of the contract to the detriment of POWERGRID.

g) The Bidder/Contractor shall ensure adoption of Integrity Pact by its sub-contractors and shall be responsible for the same.

(2) The Bidder/Contractor will not instigate third persons to commit offences outlined above or be an accessory to such offences.

(Signature) (Signature)

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

Integrity Pact Page 3 of 8

Section III- Disqualification from tender process and exclusion from future contracts

(1) If the Bidder, before contract award, has committed a transgression through a violation of Section II or in any other form such as to put his reliability or credibility as Bidder into question, POWERGRID may disqualify the Bidder from the tender process or terminate the contract, if already signed, for such reason.

(2) If the Bidder/Contractor has committed a transgression through a violation of Section II such as to put his reliability or credibility into question, POWERGRID may after following due procedures, ban/blacklist the Bidder/Contractor in line with POWERGRID's policy for " Blacklisting of Firms/Banning of Business" . The imposition and duration of the exclusion will be determined by the severity of the transgression. The severity will be determined by the circumstances of the case, in particular the number of transgressions, the position of the transgressors within the company hierarchy of the Bidder/Contractor and the amount of the damage. The ban will be imposed for a maximum of 3 years.

(3) If the Bidder/Contractor can prove that he has restored/recouped the damage caused by him and has installed a suitable corruption prevention system, POWERGRID may revoke the exclusion prematurely.

Section IV - Liability for violation of Integrity Pact

(1) If POWERGRID has disqualified the Bidder from the tender process prior to the award under Section III, POWERGRID is entiltled for forfeiture of the Bid Guarantee under the Bid.

(2) If POWERGRID has terminated the contract under Section III or if POWERGRID is entltled to terminate the contract under Section III, POWERGRID shall be entltled to forfeit the Contract Performance Guarantee of this contract, in full or part thereof as may be decided, besides resorting to other remedies under the contract.

Section V- Previous Transgression

(1) The Bidder shall disclose in its bid any itransgressions occurred in the last 10 years with any other Public Sector Undertaking or Government Department or any other company, in any country, that may impinge on the anti-corruption principle.

(Signature) (Signature)

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

Integrity Pact Page 4 of 8

(2) If the Bidder makes incorrect statement on this subject, he can be disqualified from the tender process or the contract, if already awarded, can be terminated for such reason and further action can be taken in line with POWERGRID's policies.

Section VI - Equal treatment to all Bidders / Contractors

(1) POWERGRID will enter into agreements with identical conditions as this one with all Bidders.

(2) POWERGRID will disqualify from the tender process any bidder who does not sign this Pact or violate its provisions.

Section VII - Punitive Action against violating Bidders / Contractors

If POWERGRID obtains knowledge of conduct of a Bidder or a Contractor or his subcontractor or of an employee or a representative or an associate of a Bidder or Contractor or his Subcontractor which constitutes corruption, or if POWERGRID has substantive suspicion in this regard, POWERGRID will inform the Chief Vigilance Officer (CVO).

(*)Section VIII - Independent External Monitor/Monitors

(1) POWERGRID has appointed a panel of Independent External Monitors (IEMs) for this Pact with the approval of Central Vigilance Commission (CVC), Government of India. The names of IEMs has been indicated in the Bidding documents.

(2) The panel of IEMs shall review independently and objectively, whether and to what extent the parties comply with the obligations under this agreement. The panel of IEMs has right of access to all project documentation. The panel of IEMs may examine any complaint received by them and submit a report to Chairman-cum-Managing Director, POWERGRID, giving joint findings, at the earliest. The panel of IEMs may also submit a report directly to the CVO and the CVC, in case of suspicion of serious irregularities attracting the provisions of the PC Act. However, for ensuring the desired transparency and objectivity in dealing with the complaints arising out of any tendering process, the matter shall be referred to the full panel of IEMs, who would examine the records, conduct the investigations and submit report to Chairman-cum-Managing Director, POWERGRID, giving joint findings.

(Signature) (Signature)

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

Integrity Pact Page 5 of 8

(3) The IEM is not subject to instructions by the representatives of the parties and performs his functions neutrally and independently. He/She reports to the Chairman-cum-Managing Director, POWERGRID.

(4) The Bidder(s)/Contractor(s) accepts that the IEM has the right to access without restriction to all documentation of POWERGRID related to this contract including that provided by the Contractor/Bidder. The Bidder/Contractor will also grant the IEM, upon his/her request and demonstration of a valid interest, unrestricted and unconditional access to their documentation. The same is applicable to Subcontractors. The IEM is under contractual obligation to treat the information and documents of the Bidder(s)/Contractor(s)/Subcontractor(s) with confidentiality.

(5) POWERGRID will provide to the IEM information as sought by him which could have an impact on the contractual relations between POWERGRID and the Bidder/Contractor related to this contract. The IEMs shall also sign declaration on 'Non-disclosure of Confidential Information" and of "Absence of Conflict of Interest". In case of any conflict of interest arising at a later date, the iEM shall inform Chairman-cum-Managing Director, POWERGRID and recuse himself/herself from that case.

(6) As soon as the IEM notices, or believes to notice, a violation of this agreement, he/she will so inform the Chairman-cum-Managing Director, POWERGRID and request the Chairman-cum-Managing Director, POWERGRID to discontinue or take corrective action, or to take other relevant action. The IEM can in this regard submit non-binding recommendations. Beyond this, the IEM has no right to demand from the parties that they act in a specific manner, refrain from action or tolerate action. However, the IEM shall give an opportunity to POWERGRID and the Bidder/Contractor, as deemed fit, to present its case before making its recommendations to POWERGRID.

(7) The IEM will submit a written report to the Chairman-cum-Managing Director, POWERGRID within 8 to 10 weeks from the date of reference or intimation to him by POWERGRID and, should the occasion arise, submit proposals for correcting problematic situations.

(8) If the IEM has reported to the Chairman-cum-Managing Director, POWERGRID, a substantiated suspicion of an offence under PC/IPC Act, and the Chairman-cum-Managing Director, POWERGRID has not, within the reasonable time taken visible action to proceed against such offence or reported it to the CVO, the Monitor may also transmit this information directly to the CVC, Government of India.

(Signature) (Signature)

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

Integrity Pact Page 6 of 8

(9) While representing any matter in relation to the integrity pact inter-alia including its transgression to the panel of IEMs, POWERGRID and Bidder/contractor shall not approach the court of law and await the decision of the IEM in the matter.

(10) The word ‘IEM’ would include both singular and plural.

(*) This Section shall be applicable for only those packages wherein the IEMs have been identified in Section – I : Invitation for Bids and/or Clause ITB 9.3 in Section – III: Bid Data Sheets of Conditions of Contract, Volume-I of the Bidding Documents.

Section IX - Pact Duration

This Pact begins when both parties have legally signed it. It expires for the Contractor after the closure of the contract and for all other Bidder's six month after the contract has been awarded.

Section X - Other Provisions

(1) This agreement is subject to Indian Law. Place of performance and jurisdiction is the establishment of POWERGRID. The Arbitration clause provided in the main tender document / contract shall not be applicable for any issue / dispute arising under Integrity Pact.

(2) Changes and supplements as well as termination notices need to be made in writing. Side agreements have not been made.

(3) If the Contractor is a partnership firm or a consortium or Joint Venture, this agreement must be signed by all partners, consortium members and Joint Venture partners.

(4) Nothing in this agreement shall affect the rights of the parties available under the General Conditions of Contract (GCC) and Special Conditions of Contract (SCC).

(5) Issue like Warranty/Guarantees etc. shall be outsied the purview of IEMs.

(6) Views expressed or suggestions/submissions made by the parties and the recommendations of the CVO/IEM# in respect of the violation of this agreement, shall not be relied on or introduced as evidence in the arbitral or judicial proceedings (arising out of the arbitral proceedings) by the parties in connection with the disputes/differences arising out of the subject contract.

# CVO shall be applicable for packages wherein IEM are not identified in Section IFB/BDS of Condition of Contract, Volume-I. IEM shall be applicable for packages wherein IEM are identified in Section IFB/BDS of Condition of Contract, Volume-I.

(Signature) (Signature)

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

Integrity Pact Page 7 of 8

(6) Should one or several provisions of this agreement turn out to be invalid, the remainder of this agreement remains valid. In this case, the parties will strive to come to an agreement to their original intentions.

Signature Signature

(For & On behalf of POWERGRID) (For & On behalf of Bidder/ Partner(s) of Joint Venture/ Contractor)

(Office Seal) (Office Seal)

Designation : Designation : …….. …… ………. …

Witness 1 : Witness 1 :

Designation : Designation :

Witness 2 : Witness 2 :

Designation : Designation :

Integrity Pact Page 8 of 8

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-10

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise)

Bidder’s Name and Address (Bidder) : To:

Power Grid Corporation of India Ltd.,

Name : Western Region -I Headquarters

Address : Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

I. We have read the provision in the Bidding Documents regarding furnishing the option for advance payment.

Accordingly, as per ITB Clause 9.3 as provided in Section BDS, Section III, Vol.-I of the Bidding Documents,

we hereby confirm to opt the following:

Interest Bearing Initial Advance: Supply Portion

(Select from drop down list)

We are furnishing the following details of Statutory Registration Numbers and details of Bank for electronic payment.

1. Name of the Supplier/ Contractor in whose favour payment is to be made

2. Address with PIN Code and State

Registered Office:

Correspondence Address:

3 (a) Status – Company/others

[Declaration of Micro/ Small/ Medium Enterprise under Micro/ Small & Medium Enterprises Development Act 2006, if applicable]

3 (b) Are you a MSE owned by SC/ST* enterpreuners in line with Public Procurement Policy for Micro and Small Enterprises (MSEs) order 2012 including subsequent amendment/notification/order

3 (c) If 3(b) is 'Yes', please mention whether you are (Proprietory MSE/ Partenership MSE/ Private Limited Company) owned by SC/ST Enterpreneurs Yes Proprietory MSE

3 (d) Are you a MSE owned by women in line with Public Procurement Policy for Micro and Small Enterprises (MSEs) order 2012, Public Procurement Policy for Micro and Small Enterprises (MSEs) Amendment Order 2018 including subsequent amendment/notification/order (Indicate Yes/No)

4. Permanent Account (PAN) No. No Partenership MSE

5 Work Contract Tax No. Private Limited Company

7 PF Registration No. of the Company

8 PF Regional Office covered (with Address)

9 Name of Contact Person

10 Telephone No(s)

11 Bank Details for Electronic Payment

Name of the Bank:

Address of Branch:

Type of Account:

Type of Account: Saving Account

12 9 digit MICR code printed at bottom in middle, next to cheque no.

13 IFSC (for RTGS)/NEFT Code (to be obtained from the Bank) Sample Cancelled Cheque to be enclosed

We hereby declare that the above information are true and correct and we agree that the payment on account of this Contract, in the event of award, be made in the above account maintained in the above mentioned Bank.

* The definition of MSEs owned by SC/ST is as given under:

a. In case of Proprietory MSE, proprietor(s) shall be SC/ST.

b. In case of Partenership MSE, the SC/ST partners shall be holding at least 51% shares in the unit.

c. In case of Private Limited Companies, at least 51% share shall be held by SC/ST promoters.

Documentary evidence: Please provide scanned copy(ies) of the SC/ST certificate(s) issued by District Authority as applicable for SC/ST MSE category as per (a), (b) or (c) above.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-11

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Additional Information

Bidder’s Name and Address (Bidder) : To:

Power Grid Corporation of India Ltd.,

Name : Western Region -I Headquarters

Address : Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

In support of the additional information required as per ITB Sub-Clause 9.3(k) of the Bidding Documents, we furnish herewith our data/details/documents etc., alongwith other information, as follows (the stipulations have been reproduced in italics for ready reference):

0.0 The Bidder shall furnish

0.0 Litigation History

The bidder should provide detailed information on any litigation or arbitration arising out of contracts completed or under execution by it over the last five years. A consistent history of awards involving litigation against the Bidder or any partner of JV may result in rejection of Bid. [Reference ITB clause 9.3(k)(i)]

Year Name of client, cause of litigation/arbitration and matter in dispute Details of Contract and date Award for or against the bidder Disputed amount

0.0 OTHER INFORMATION

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-12

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

Bidder’s Name and Address (Bidder) : To:

Power Grid Corporation of India Ltd.,

Name : Western Region -I Headquarters

Address : Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

I hereby declare that the documents submitted/uploaded by us to demonstrate the compliance to the specified Qualifying Requirement for this package are true, authentic and correct.

Further, we hereby confirm that except as mentioned in the Attachment -5 (Deviations) hereof , forming part of our First Envelope:

(i) there are no discrepencies/inconsistencies and deviations/omissions/reservations to the Bidding Documents, in the Second Envelope bid;

We also confirm that in case any discrepencies/inconsitencies and deviations/omissions/reservations, as referred to in para (i) and (ii) above, is observed in the Second Envelope, the same shall be deemed as withdrawn/rectified without any finacial implication, whatsoever to POWERGRID. However, in case of any artithmetical errors, the same shall be governed as per the provisions of ITB Sub-clause 27.2 read in conjuction with BDS.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-13

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

(Declaration for tax exemptions, reductions, allowances or benefits)

Bidder’s Name and Address (Bidder) : To:

Power Grid Corporation of India Ltd.,

Name : Western Region -I Headquarters

Address : Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

We confirm that we are solely responsible for obtaining following tax exemptions, reductions, allowances or benefits in respect of supplies under the subject package, in case of award. We further confirm that we have considered the same in our bid thereby passing on the benefit to POWERGRID while quoting our prices. In case of our failure to receive such benefits, partly or fully, for any reason whatsoever, the Employer will not compensate us

We are furnishing the following information required by the Employer for issue of requisite certificate if and as permitted in terms of the applicable Govt. of India policies/procedures (in case of award):"

Applicable Act, Notification No. and Clause Ref. No. Sl. No. Description of item on which applicable Country of origin Remarks, if any

(The requirements listed above are as per current Notification of Govt. of India indicated above. These may be modified, if necessary, in terms of the Notifications.)

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-14

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

(Format for Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order, 2017 and MoP Order December 2018, if applicable, to be provided on a non-judicial stamp paper of Rs. 100/-)

Bidder’s Name and Address (Bidder) : To:

Power Grid Corporation of India Ltd.,

Name : Western Region -I Headquarters

Address : Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

Format for Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order, 2017 if applicable, to be provided on a non-judicial stamp paper of Rs. 100/-. Date: -------------- I ________S/o, D/o, W/o, _____________________Resident of_________________________________________________________ hereby solemnly affirm and declare as under: That I will agree to abide by the terms and conditions of the Public Procurement (Preference to Make in India) Order, 2017 (hereinafter PPP-MII order) of Government of India issued vide Notification No:P-45021/2/2017 -BE-II dated 15/06/2017, its revision dated 28/05/2018, 'Public procurement (Preference to make in India) to provide for purchase preference (linked with local contenet) in respect of Transmission Power Sector Order dtd. 20.12.2018 issued by Ministry of Power (Hereinafter MoP Order December 2018) and any subsequent modifications/Amendments, if any and That the information furnished hereinafter is correct to the best of my knowledge and belief and I undertake to produce relevant records before the procuring entity/POWERGRID or any other Government authority for the purpose of assessing the local content of goods/services/works supplied by me for ……………………………………. (Enter the name of the package). That the local content for all inputs which constitute the said goods/services/works has been verified by me and I am responsible for the correctness of the claims made therein. That the goods/services/works supplied by me for ……………………………………. (Enter the name of the package) meet the ‘Minimum Local Content ‘as defined in the PPP-MII order and MoP Order December 2018 for FY 2018-19 and value of Minimum Local Contenet (In %) to be achieved 'Over the next five years in phased manner' as specified in the MoP Order December 2018. That the value addition for the purpose of meeting the ‘Minimum Local Content ‘has been made by me at ……………………… (Enter the details of the location(s) at which value addition is made).

That in the event of the local content of the goods/services/works mentioned herein is found to be incorrect and not meeting the prescribed Minimum Local Content criteria, based on the assessment of procuring agency (ies)/POWERGRID/Government Authorities for the purpose of assessing the local content, action shall be taken against me in line with the PPP-MII order, MoP Order December 2018 and provisions of the Integrity pact/ Bidding Documents. I agree to maintain the following information in the Company's record for a period of 8 years and shall make this available for verification to any statutory authority. i Name and details of the Local Supplier (Registered Office, Manufacturing unit location, nature of legal entity) ii. Date on which this certificate is issued iii. Goods/services/works for which the certificate is produced iv. Procuring entity to whom the certificate is furnished v. Percentage of local content claimed and whether it meets the Minimum Local Content prescribed vi. Name and contact details of the unit of the Local Supplier (s) vii. Sale Price of the product viii Ex-Factory Price of the product ix. Freight, insurance and handling x. Total Bill of Material

xi List and total cost value of input used to manufacture the Goods/to provide services/in construction of works xii. List and total cost of input which are domestically sourced. Value addition certificates from suppliers, if the input is not in-house to eb attached xiii. List and cost of inputs which are imported, directly or indirectly For and on behalf of……………………………………………… (Name of firm/entity) Authorized signatory (To be duly authorized by the Board of Directors) <Insert Name, Designation and Contact No.>

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-15

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

(Certificate from statutory auditor or cost auditor of the company )

(NOT APPLICABLE)

Bidder’s Name and Address (Bidder) : To:

Power Grid Corporation of India Ltd.,

Name : Western Region -I Headquarters

Address : Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

Certificate from statutory auditor or cost auditor of the company (in the case of companies) or from a practicing cost accountant or practicing chartered accountant (in respect of suppliers other than companies) giving the percentage of Local Content, in line with PPP-MII order, if applicable [to be submitted on the letter head of the issuer.] Dear Sir, We have read and understood the provisions of “Public Procurement (Preference to Make in India) Order, 2017” dated 15/06/2017, its revision dated 28/05/2018 and any subsequent modifications/Amendments, if any [hereinafter, “PPP-MII Order”] issued by Department of Industrial Policy and Promotion (DIPP), Ministry of Commerce and Industry, Government of India. In line with the provisions of the PPP-MII Order, M/s. ………[Enter the name of the Bidder] [hereinafter, “Local Supplier”] have submitted an Affidavit of self-certification to M/s. Power Grid Corporation of India Limited [hereinafter, POWERGRID] regarding Local Content in Goods/Services/Works to be supplied by the Local Supplier for ……………… [Enter the name of the package], wherein they have agreed to abide by the terms and conditions of the PPP-MII Order.

Further, in line with the PPP-MII Order, the statutory auditor or cost auditor of the company (in the case of companies) or a practicing cost accountant or practicing chartered accountant (in respect of suppliers other than companies) shall provide a certificate giving the percentage of Local Content in the Goods/Service/Works to be supplied by the Local Supplier for ……………… [Enter the name of the package]. Accordingly, we, the Statutory Auditor(s) / Cost auditor (applicable in the case of companies) of the Local Supplier / a practicing cost accountant or practicing chartered accountant (applicable in respect of suppliers other than companies), certify that the Local Content as defined under the PPP-MII, in the Goods/Service/Works to be supplied by the Local Supplier for ……………… [Enter the name of the package] is ……….. percentage [specify the percentage of Local content ]. For and on behalf of, Date: <<Statutory Auditor’s/ Cost auditor’s/ Cost accountant’s/ Chartered accountant’s attestation>> Firm Reg No. Membership No. Note: This is a guiding format. In case the bidder submits the certificate in a format different from the above, the same may be considered provided it meets the intent and purpose, as may be ascertained by POWERGRID.

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Attachment-16

PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION

(Compliance to the process related to the e-RA Terms & Conditions and the Business Rules governing the e-RA)

Bidder’s Name and Address (Bidder) : To:

Power Grid Corporation of India Ltd.,

Name : Western Region -I Headquarters

Address : Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

Date : Printed Name :

Place : Designation :

Specification No.:WR-1/RPC/VRL/I-1092/2026/Rfx-5005012615 Bid Form 1st Envelope 1 one 1 st 1 January

2 two 2 nd 2 February

BID FORM (First Envelope) 3 three 3 rd 3 March

4 four 4 th 4 April

Bid Proposal Ref. No. 5 five 5 th 5 May

Date : 6 six 6 th 6 June

7 seven 7 th 7 July

To: 8 eight 8 th 8 August

Power Grid Corporation of India Ltd., 9 nine 9 th 9 September

Western Region -I Headquarters 10 ten 10 th 10 October

Sampriti Nagar, Nari Ring Road 11 eleven 11 th 11 November

PO: Uppalwadi, Nagpur (MS) -440026 12 twelve 12 th 12 December

13 thirteen 13 th

14 fourteen 14 th

Name of Contract : PROVIDING AND FIXING WATER STORAGE TANKS WITH PIPELINE FOR OFFICE, GUEST HOUSE AND HORTICULTURE DRIP IRRIGATION WORK, INTER CONNECTION OF EXISTING BORES AND INTER CONNECTION OF OVERHEAD STORAGE TANK WITH RAINWATER HARVESTING TANK FOR DRIP IRRIGATION AT 765/400KV PADGHE SUBSTATION 15 fifteen 15 th

Dear Ladies and/or Gentlemen, Enter details here. 16 sixteen 16 th

0.0 Having examined the Bidding Documents, including Amendment Nos. NIL dated NA the receipt of which is hereby acknowledged, we the undersigned, offer to execute the work under the above-named package in full conformity with the said Bidding Documents. In accordance with ITB Clause 9.1 of the Bidding Documents, as per which the bid shall be submitted by the bidder under “Single Stage - Two Envelope” procedure of bidding. Accordingly, we hereby submit our Bid, in two envelopes i.e. First Envelope – Techno – Commercial Part & Second Envelope - Price Part (to be opened subsequently). NIL NA the receipt of which is hereby acknowledged, we the undersigned, offer to execute the work under the above-named package in full conformity with the said Bidding Documents. In accordance with ITB Clause 9.1 of the Bidding Documents, as per which the bid shall be submitted by the bidder under “Single Stage - Two Envelope” procedure of bidding. Accordingly, we hereby submit our Bid, in two envelopes i.e. First Envelope – Techno – Commercial Part & Second Envelope - Price Part (to be opened subsequently). 17 seventeen 17 th

0.0 Attachments to the Bid Form (First Envelope) (Attachment-15 not applicable) Bank Draft 18 eighteen 18 th

In line with the requirement of the Bidding Documents, we enclose herewith the following Attachments: Enter details here. Pay Order 19 nineteen 19 th

(b) Attachment 2 A power of attorney duly authorized by a Notary Public indicating that the person(s) signing the bid have the authority to sign the bid and thus that the bid is binding upon us during the full period of its validity in accordance with the ITB Clause 14. Please note that if amount of bid security is less than Rs.26000, your bid may be rejected Bank Guarantee (0) 21 st

(c) Attachment 3 The documentary evidence that we are eligible to bid in accordance with ITB Clause 2. Further, in terms of ITB Clause 9.3(c) & (e), the qualification data has been furnished as per your format enclosed with the bidding documents Attachment-3(QR). 22 th

Applicable 23 th

Not Applicable 24 th

(d) Attachment 4 The documentary evidence establishing in accordance with ITB Clause 3, Vol.-I of the Bidding Documents that the facilities offered by us are eligible facilities and conform to the Bidding Documents has been furnished as Attachment 4. 25 th

(e) Attachment 5 The variation and deviations from the requirements of the Conditions of Contract, Technical Specification and Drawings in your format enclosed with the Bidding Documents, including, inter alia, the cost of withdrawal of the variations and deviations indicated therein. 26 th

(f) Attachment 6 A Guarantee Declaration 27 th

B Declaration by the bidder for ‘Code of Integrity for Public procurement’

C Declaration regarding adherence to the POWERGRID Whistle Blower and Fraud Prevention Policy

(g) Attachment 7 Information regarding ex-employees of Employer in Bidder’s firm 28 th

(h) Attachment 8 Declaration regarding Social Accountability 29 th

(i) Attachment 9 Integrity Pact - Not applicable 30 th

(j) Attachment 10 Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise) 31 st

(k) Attachment 11 Additional Information

(l) Attachment 12 Declaration

(m) Attachment 13 Declaration for tax exemptions, reductions, allowances or benefits

(n) Attachment 14 Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order, if applicable

(o) Attachment 15 Certificate from statutory auditor or cost auditor of the company (in the case of companies) or from a practicing cost accountant or practicing chartered accountant (in respect of suppliers other than companies) giving the percentage of Local Content, in line with PPP-MII order, if applicable----NOT APPLICABLE

(p) Attachment 16 eRA

0.0 We are aware that, in line with Clause No. 27.1 (ITB), our Second Envelope (Price Part) is liable to be rejected in case the same contains any deviation/omission from the contractual and commercial conditions and technical Specifications other than those identified in this First Envelope.

0.0 We declare that as specified in Clause 11.10, Section –II:ITB, Vol.-I of the Bidding Documents, the RATES of all the Goods to be supplied under this contract shall remain FIRM during the currency of the contract and no price adjustment shall be applicable..

0.0 Construction of the Contract

0.9 We declare that we have studied relevant clausesrelating to mode of contracting for Domestic Bidders and we are making this proposal with a stipulation that you shall award us the Contracts covering all goods and related services.

0.0 We have read the provisions of following clauses and confirm that the specified stipulations of these clauses are acceptable to us:

(a) ITB 13 Bid Security

(b) GCC 8.0 Terms of Payment

(c) GCC 24.0 Performance Security

(d) GCC 10.0 Taxes and Duties

(e) GCC 21.0 Completion Time Guarantee

(f) GCC 22 Defect Liability

(g) GCC 25 Patent Indemnity

(h) GCC 38 Settlement of Disputes

(i) GCC 39 Arbitration

0.0 We undertake, if our bid is accepted, to commence the work immediately upon your Notification/Letter of Award to us, and to achieve the completion of works and related services within the time stated in the Bidding Documents.

0.0 If our bid is accepted, we undertake to provide a Performance Security in the form and amounts, and within the times specified in the Bidding Documents.

0.0 We agree to abide by this bid for a period of 180 days from the date initially stipulated for opening of bids (first envelope) as stipulated in the Bidding Documents, and it shall remain binding upon us and may be accepted by you at any time before the expiration of that period

0.0 Until a formal Contract is prepared and executed between us, this bid, together with your written acceptance thereof in the form of your Notification of Award shall constitute a binding contract between us.

0.0 We understand that you are not bound to accept the lowest or any bid you may receive.

Thanking you, we remain,

Yours faithfully,

For and on behalf of

Date : Printed Name :

Place : Designation :

Please provide additional information of the Bidder

Business Address :

Country of Incorporation :

State/Province to be indicated :

Name of Principal Officer :

Address of Principal Officer :

Note: Bidders may note that no prescribed proforma has been enclosed for Attachment 2 : Power of Attorney. Bidders may use their own proforma for furnishing the required information with the bid.

Note: If there are the statement of declerations shall be accepated and submitted. In case Decleration statement is blank/not submitted same construed as accepated/submitted without deviations. In case bidder does not upload the Attachment and Bid Form/declerations on the website, it shall be construed to be accepated declerations.

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Relevant Bid-Part Techical

ElectronicForm™ Template ID 7PG-2010-FT000010

Template Reference TECHNO-COMMERICIAL (First Envelope)

Template Description Tower Package CD01R Specification No. : WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx

Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

Section-2 (Outline of Requirements)

* 1 Integrity Pact Details

Submitted (Doc. Code No. DC-9008-April-2009-Rev-0) Yes

* 2 BID SECURITY DETAILS

2 (a) Submitted Yes

* 2 (b) Bid Security No.

* 2 (c) Issued by (Name of Bank)

* 2 (d) Bid Security Amount

* 2 (e) Valid upto

* 1. AUTHORIZED SIGNATORY (Sole Bidder / Lead Partner of JV)

1 (b) Designation

2. AUTHORIZED SIGNATORY (Other Partner of JV)

(If Bidder is JV)

2 (b) Designation

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