White washingPainting of Equipment Structures in the Switch yard

Name of Package : Conductor Pkg. P214-CD01R for supply of 134 km of ACSR Bersimis conductor and 3265 km of ACSR Moose conductor associated with Northern Region System Strengthening Scheme – XXVIII

Package No : CD01R

Specification No. : CC-CS/236-NR1/CD-1764/3/G7

Completion Period 18 Months

: Attachments : General guidelines for filling up the Attachments White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265

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

2 Attachments 1, 2, 3, 4, 5 & 6& 6a and Bid Form are included here.

3 Copy of Cancelled Cheque to be uploaded separately

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Proprietorship 1

Partnership Firm 2

Enter following details of the bidder Private Limited Company

Public Limited Company

Specify type of Bidder [Select from drop down menu] #REF!

Address of Registered Office

MSE-Yes/No, if yes, MSME no: (enclose copy)

Printed Name 01/Dec/12

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-1

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

Bidder's Name and Address 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 Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-1

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

Date : Printed Name :

Place : Designation :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-2

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

Information regarding Ex-employees of POWERGRID in our Organisation

Bidder's Name and Address 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

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 :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-2

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

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

Bidder's Name and Address 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.(available in POWERGRID website) 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 Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-2

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

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

Bidder's Name and Address 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 Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-2

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

Declaration by the bidder regarding events encountered

Bidder's Name and Address To:

Name : Power Grid Corporation of India Ltd.,

Address : Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

PO: Uppalwadi, Nagpur (MS) -440026

In accordance with the relevant provisions of the bidding documents inter-alia including for assessment of capacity and capability, we furnish herewith our data/details/documents along with other information, as follows: Sr. No. Event 1. Whether there was Termination of Contract(s) due to Contractor’s default Yes/ No 2. Whether there was Encashment of CPG(s) due to non-performance Yes/ No 3. Whether there was repeated failure of major Equipment(s) while in service* Yes/ No 4. Whether substantial portion of works (more than 50% of the Contract**) is sub-contracted, under an existing Contract Yes/ No 5. Whether more than 25% of the Contract price (awarded value), in aggregate, is paid to sub-contractors/suppliers as Direct payment, under an existing Contract, due to financial position of Contractor / Yes/ No 6. Firm has been referred to NCLT under Insolvency & Bankruptcy Code (IRP has been appointed or Liquidation proceedings have been initiated under IBC) Yes/ No Note: 1. Information regarding events at Sl. No. 1 to 5 shall be furnished for events occurred during last one year under the contract(s) executed by you for POWERGRID (Owned as well as Consultancy) *2. In case POWERGRID has issued a letter in this regard wherein the firm has been put on hold from award of further contract(s) for a specified period and this specified period of hold is yet to expire, the bidder shall indicate “Yes” against this event.

**3. For the purpose of working out 50% of the Contract, following shall be taken into account suitably: (a) Scope of the contract which is permissible to be sub-contracted as per bidding documents, shall be excluded. (b) Scope of the Contract which primarily relates to the Qualification Requirement (QR) of the bidder as illustrated below: Sl. No. Type of Package/ Contract Main aspect of the QR Criteria for working out 50% of the Contract (i)

Regarding Sl. No. 6, in case of ‘Yes’, following information shall be submitted additionally: Date on which the firm has been referred to NCLT under Insolvency & Bankruptcy Code (IRP has been appointed or Liquidation proceedings have been initiated under IBC) ………… Whether the process under IBC has been concluded (If yes, supporting documents be submitted) Yes/ No

2.0 We confirm that the above information/declarations and documents submitted in support of the same are true and correct to the best of our knowledge. We understand that any false declaration and/or misrepresentation of facts and/or false/forged documents/information may lead to our debarment from participation in Purchaser tenders and that our Bid Security/Contract Performance Guarantee may be forfeited besides other actions as deemed to be appropriate as per the provisions of the Bidding Documents/Integrity Pact/Purchaser’s policy.

Date : Printed Name :

Place : Designation :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-3

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

Guarantee Declaration

Bidder's Name and Address 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 to be resposible to make good and remedy at our own expense within Defect Liability period, any defect which may develop or may be noticed before the expiry of the defect Liabilty Period mentioned in SCC/GCC, hereto counting from the certified date of completion and intimation of which has been sent to the us by a letter sent by hand delivery or by registered post within seven days of the expiry of the said period.

Date : Printed Name :

Place : Designation :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-4

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

Information for E-payment, PF details and declaration regarding Micro/Small & Medium Enterprises

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

Power Grid Corporation of India Ltd.,

Name : 0 Western Region -I Headquarters

Address : 0 Sampriti Nagar, Nari Ring Road

0 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,

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] Yes Proprietory MSE

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 No Partenership MSE

Enter your MSE- Udyam number Private Limited Company

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

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) Yes

4. Permanent Account (PAN) No.

5 Work Contract Tax No.

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 Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-5

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

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

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

Power Grid Corporation of India Ltd.,

Name : 0 Western Region -I Headquarters

Address : 0 Sampriti Nagar, Nari Ring Road

0 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 : 0-Jan-00 00-Jan-00 Printed Name :

Place : 0 Designation :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-6

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

(Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order, 2017 & MoP order December 2018 )

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 & MoP order December 2018 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 content) in respect of transmission Power Sector" order dated 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 supplied by me for ……………………………………. (Enter the name of the package). That the local content for all inputs which constitute the said goods has been verified by me and I am responsible for the correctness of the claims made therein. That the goods supplied by me for ……………………………………. (Enter the name of the package) meet the ‘Minimum Local Content ‘as defined in the PPP-MII order & MoP order December 2018 for FY 2018-19 and value of Minimum Local Content (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 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.

Date : 00-Jan-00 Printed Name :

Place : Designation :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-6A

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

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 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 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 xii. List and total cost of input which are domestically sourced. Value addition certificates from suppliers, if the input is not in-house to be 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.> 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 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 xii. List and total cost of input which are domestically sourced. Value addition certificates from suppliers, if the input is not in-house to be 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.>

Authorized signatory (To be duly authorized by the Board of Directors) <Insert Name, Designation and Contact No.>

Date : 0-Jan-00 00-Jan-00 Printed Name :

Place : 0 Designation :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-7

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

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

NOT APPLICABLE FOR INSTANT PACKAGE

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 & MoP order December 2018, if applicable [to be submitted on the letter head of the issuer]

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 Order”] issued by Department of Industrial Policy and Promotion (DIPP), Ministry of Commerce and Industry, Government of India. Public Procurement (Preference to Make in India)to provide for Purchase Preference (linked with local content) in respect of transmission Power Sector" order dated 20/12/2018 issued by Ministry of Power (hereinafter MoP order December 2018) any any subsequent modifications/amendments ,if any.

In line with the provisions of the PPP-MII Order and MoP order December 2018, 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 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 and MoP order December 2018.

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 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 Order & MoP order December 2018, for goods 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 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 : 0-Jan-00 00-Jan-00 Printed Name :

Place : 0 Designation :

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 Attachment-14

White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh.

(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.>

Digitally Signed

Date : 00-Jan-00 Printed Name : 0

Place : 0 Designation : 0

Specification Ref No.: WR-1/RPC/AT/298:2025 /Rfx- 5005012265 1 one 1 st 1 January

2 two 2 nd 2 February

BID FORM 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 0 6 June

7 seven 7 th 1 7 July

To: 8 eight 8 th January 8 August

Power Grid Corporation of India Ltd., 9 nine 9 th 1900 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

Sub: White washing/Painting of Equipment Structures in the Switch yard at POWERGRID 765/400 kV KOTRA PS, Raigarh. 15 fifteen 15 th

Dear Sir, Bank Draft 18 eighteen 18 th

1.0 We have read and examined the following documents relating to subject package Banks certified Cheque Zero 20 twenty 20 th

S.N. Name of Document Bank Guarantee (0) 21 st

1 Covering Letter 22 th

2 Instruction to the Bidders : Annexure-I Applicable 23 th

3 Special Conditions of Contract : Annexure-II & Sample Forms & Procedure :Annexure IIA

4 Technical Specification & tender drawing : Annexure-III 25 th

5 Bid Form and Attachment Excel File : Annexure-IV comprising of following worksheets :- 26 th

Enter details of the EMD here.

Bid Security Currency Amount Validity of bid security in Days 28 th

Bank Draft 29 th

Please note that if amount of bid security is less than Rs. 16000/- EMD amount, your bid may be rejected Pay Order 30 th

Banks certified Cheque 31 st

We confirm that Bid Form and Prices have been filled up by us as per the provisions of the Instruction to Bidders. Further, we have noted that the same shall be evaluated as per the provisions of the Bidding Documents. Further, We declare that the work, if awarded to us, shall be executed strictly in accordance with bid documents except for the variations & deviations all of which have been detailed out exhaustively in this proposal. We agree that any additional conditions, if found in the proposal other than those stated in Deviation Statement at Attachment 1, save those pertaining to any rebate offered, shall not be given effect to.

2.0 PRICES / VALIDITY OF BID

2.1 All prices and price components stated in the bid are firm and not subject to any price adjustment, in line with the bidding documents. All prices and other terms and conditions of this proposal are valid for a period of 180 days from the date of opening of the price bids. We further declare that prices stated in our proposal are in accordance with your bidding documents.

2.2 Further, we confirm that we have read all the provisions in Special Conditions of Contract (SCC) (inclusive of those regarding applicable taxes, duties and levies in relevant clauses) & the Instruction to Bidders and have submitted the bid accordingly.

2.3 We do hereby confirm that our lump sum bid prices quoted in BOQ (on https://etender.powergrid.in ) shall be in line with the clause "CONTRACT PRICE" in the SCC

2.4 We are aware that the BOM do not generally give a full description of the work/s to be performed under each item and we shall be deemed to have read other Bidding Documents to ascertain the full scope of work/s included in each item while filling in the rates and prices. We agree that the entered rates and prices shall be deemed to include for the full scope as aforesaid, including overheads and profits.

2.6 We declare that rates of items left blank in the Line Items will be deemed to have been included in other items. The total for each line item and the total of grand summary shall be deemed to be the total price for executing the facilities and sections thereof in complete accordance with the Contract, whether or not each individual item has been priced.

3.0 BID SECURITY

3.1 In envelope-I, we have enclosed a Bid Guarantee/Earnest Money Deposit in the form of ____________________ for a sum of EMD amount/-. If I/We fail to keep the bid open as aforesaid or make any modifications in the terms and conditions of the bid which are not acceptable to the Owner, We agree that the Owner shall, without prejudice to any other right or remedy, be at liberty to forfeit the said bid Guarantee absolutely.

3.2 Should this bid be accepted, we hereby agree to abide by and fulfill all the terms, conditions and provisions of the aforesaid documents.

3.3 If, after the bid is accepted, we fail to commence the execution of the work/s as provided in the Conditions, We agree that the Owner shall without prejudice to any other right or remedy be at liberty to forfeit the said bid Guarantee absolutely.

4.1 We declare that Contract shall be executed strictly in accordance with the bid documents except for the variations and deviations stated in the Attachment-1

Further, we hereby confirm that except as mentioned in the Attachment -1 (Deviations) hereof

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

5.0 WORK SCHEDULE

5.1 If this bid is accepted by you, we agree to complete the entire work/s in accordance with the completion schedule indicated in SCC. We fully understand that the time schedule stipulated in bid documents is the essence of the Contract.

SECURITY DEPOSIT / CONTRACT PERFORMANCE GUARANTEE

6.1 We further agree that if our proposal is accepted, we shall abide by the Clause of SCC regarding Security Deposit / Contract Performance Guarantee.

7.1 Our total price is for the entire scope of the work as specified in the specifications and documents.

8.0 We confirm that we stand committed to comply with all requirements of Social Accountability Standards i.e. SA 8000 (latest standard available at www.sa-intl.org) and maintain necessary records. 9.0 We, hereby, declare that only the persons or firms interested in this proposal as principal or principals are named herein and that no other company, persons or firms other than those herein mentioned, have any interest in this proposal or in the Contract, to be entered into, if we are awarded the Contract; and that this proposal is made without any connection with any other company/ person, firm or party like-wise submitting a proposal and that this proposal is in all respects for and in good faith without collusion or fraud.

9 Notes for declarations: 1.0 The statement of declarations/policies shall be accepted/followed and submitted in the bid. In case Declaration statement is blank/not submitted, same shall be construed as accepted/submitted without deviations. 2.0 In case bidder does not upload the Attachment and Bid Forms/declarations in the bid, it shall be construed to be accepted/followed declaration with nil remarks

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