1st Perpetual WSA WC Empanelment

STATEMENT OF CREDENTIAL & BID SUBMISSION CHECKLIST

S N Particulars Details Uploaded:

(A) General Information

1 Name of the bidder:

2 Address of the Bidder

3 Login E-Mail id for portal

4 Correspondence E-Mail id as per portal

5 Name of Contact Person:

6 Contact Person's Mobile no -

7 Company details: Type of Firm

8 Copy of PAN card (For Indian bidders / Indian Agents of Foreign Bidders) Yes / No

9 Copy of GST Registration (For Indian bidders / Indian Agents of Foreign Bidders) Yes / No

10 Copy of PF registration Yes / No

11 Partnership deed (For Indian bidders – The deed should be registered with Registrar of Firms) Yes / No

Certificate of Incorporation with memorandum and articles of Association (as applicable for partnership firms and companies)

(B) PQC Documents

2 Turn Over Criteria (In Rs.)

2.1 FY 2022-23 (if 2025-26 not avalible) UDIN no.: Yes / No

2.2 FY 2023-24 UDIN no.: Yes / No

2.3 FY 2024-25 UDIN no.: Yes / No

2.4 FY 2025-26 UDIN no.: Yes / No

3 Similar Work: Work completed by the bidder, as main contractor, or as sub-contractor, during the last seven years ending last day of month previous to the original end date of bid submission. The value of completed work for evaluation shall be considered as under:

3.1 1st Work Order Yes / No

a Description of Work/Purchase/Services

b Name of Client with Address

c Contact Person & Contact details of End client

d E-mail id of End Client

e WO/PO Ref No / Date / Amount Yes / No

f Schedule of Rates/ Scope of Works Document Yes / No

g Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

h Date of Actual Completion as per Completion Certificate

i TDS Certificate/Bank Statement for proof of payment Yes / No

j CA certificate for executed work Yes / No

3.2 2nd Work Order Yes / No

a Description of Work/Purchase/Services

b Name of Client with Address

c Contact Person & Contact details of End client

d E-mail id of End Client

e WO/PO Ref No / Date / Amount Yes / No

f Schedule of Rates/ Scope of Works Document Yes / No

g Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

h Date of Actual Completion as per Completion Certificate

i TDS Certificate/Bank Statement for proof of payment Yes / No

j CA certificate for executed work Yes / No

3.3 3rd Work Order Yes / No

a Description of Work/Purchase/Services

b Name of Client with Address

c Contact Person & Contact details of End client

d E-mail id of End Client

e WO/PO Ref No / Date / Amount Yes / No

f Schedule of Rates/ Scope of Works Document Yes / No

g Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

h Date of Actual Completion as per Completion Certificate

i TDS Certificate/Bank Statement for proof of payment Yes / No

j CA certificate for executed work Yes / No

(C) OTHER ESSENTIAL COMMERCIAL CRITERIA:

1 Copy of PAN card (For Indian bidders / Indian Agents of Foreign Bidders) Yes / No

2 Copy of GST Registration (For Indian bidders / Indian Agents of Foreign Bidders) Yes / No

3 Copy of PF registration Yes / No

4 Power of Attorney / Authority of the person uploading the bids / Board Resolution along with Yes / No

a) Certificate of incorporation (COI),

Memorandum of Association (MOA) and Articles of Association (AOA) in case of Company. Or

b) Partnership Deed, Or

c) Declaration of sole proprietor

(D) OTHER DOCUMENTS:

1 Acceptance of all terms & conditions of tenderer- Annexure ‘A’ of Technical Bid Part-B. Yes / No

2 Declaration on NCLT/NCLAT/DRT/DRAT/Court receivership/ liquidation- Annexure ‘B’ of Technical Bid Part-B. Yes / No

3 Certificate for bidders from a country which shares a land border with India- Annexure ‘C’ of Technical Bid Part-B. Yes / No

4 Undertakings and declarations for non-tampering of data- Annexure ‘D’ of Technical Bid Part-B. Yes / No

5 Declaration of blacklisting / holiday listing clearly mentioning the details of Holiday listing or "NIL" in case of no details - Annexure ‘E’ of Technical Bid Part-B. Yes / No

6 Declaration "A", "B", "C" & "D"- Annexure ‘F’ of Technical Bid Part-B. Yes / No

7 Undertaking for business transaction status of bidders- Annexure ‘G’ of Technical Bid Part-B. Yes / No

8 Particulars of bidder firm- Annexure ‘H’ of Technical Bid Part-B. Yes / No

9 Undertaking on no multiple bidding- Annexure ‘I’ of Technical Bid Part-B. Yes / No

10 Declaration on purchase preference (linked with local content) (PP-MII) policy- Annexure ‘J (Part-I)’ of Technical Bid Part-B. Yes / No

11 Declaration on purchase preference (linked with local content) (PP-MII) policy- Annexure ‘J (Part-II/III)'’ of Technical Bid Part-B. Yes / No

12 Bid Security Declaration (BSD) from bidders in lieu of Earnest Money Deposit (EMD) / Bid Security (If Applicable)- Annexure K of Technical Bid Part-B. Yes / No

13 Integrity pact agreement along with covering letter Annexure ‘M’ of Technical Bid Part-B. Yes / No