Annual Rate Contract for electrical maintenance works at NRPL Rewari Township

Instructions for Filling up all the Annexures

Data in Sky Blue cells on all the sheets are to be mandatorily filled by the bidder. At the end of the every annexure bidder is required to select " Agreed by the bidder" in the sky blue cells. Futher bidder may refer to instruction given at the bottom of each annexure to help them fill it properly. We confirm that we have read, understood and will comply with the Annexure

Unless status of all the Annexures mentioned below are "Annexure Complied" and changes color to Green, annexures shall be considered as invalid. Please ensure that the contents of this Annexures are the same as uploaded on the UDIN website against the mentioned UDIN no

Bidder is requested to kindly follow the instruction given in light yellow colour background in each annexure Class - I supplier Agreed by the bidder Refer to Annexures below all should be in Green

Class - II supplier Yes Please fill up information in the blue cells

Overall Status of Annexures Submitted by the bidder Please fill up information in the blue cells Non Local Supplier No

Name of the Bidder Acknowledged

Tender Number Annexure Complied

PAN Card Number Annexure Not Complied

Name of Person whose DSC has been used

CIN (If Applicable) else mention NA

Son/Daughter of

Overall Status of Annexures Submitted by the bidder Please fill up information in the blue cells Annexures have been filled properly

Important Check Points

Submission of Eanest Money Deposit for the tender or uploading of exemption Certificate (if applicable)

Submission of Integrity Pact (if applicable)

Notarized/ Attested copy of Power of Attorney for the Authorized Signatory who is having valid Digital Signature Certificate (DSC)

Please attach copies of Articles of Association, Memorandum of Understanding and Certificate of Incorporation in case of Limited Company/ Proprietary Firm/ Partnership Firm/JV.

Copies of audited balance sheets for last 3 Financial years

Copies of Work Order and Completion Certificate, supporting the qualification criteria

Copy of PF Code No. Certificate and PAN Card

Copy of GST Registration Certificate

Concurrent Commitment signed and Stamped from CA along with UDIN number seperately (if applicable as per Annexure-4)

Decleration of Networth signed and Stamped from CA along with UDIN number seperately (if applicable as per Annexure-5)

Certification by the Statutory Auditor /Cost Auditor/Practising cost accountant/Practising Chartered Accountant of the bidder for make in India policy seperately (if applicable as per Annexure-24)

Annexure No Heading Status of Individual Annexures

Annexure-1 Tender Forwarding Letter

Annexure-2 Exception and Deviations (Commercial)

Annexure-3 Statement of Credentials Annexure Not Complied

Annexure-6 Proforma for Bank Guarantee in lieu of Earnest Money Deposit (EMD) Annexure Not Complied

Annexure-7 Proforma for Bank Guarantee in lieu of Initial Security Deposit/ Security Deposit Annexure Not Complied

Annexure-8 GST (Goods & Service Tax) Details Annexure Not Complied

Annexure-9 Declaration of Black Listing/ Holiday Listing Annexure Not Complied

Annexure-10 Undertaking on letterhead regarding bidder sharing border with India and for tenders involving possibility of subcontractor

Annexure-11 "Form of Tender" for Commercial bid Annexure Not Complied

Annexure-12 "Form of Tender" for Price bid Annexure Not Complied

Annexure-13 Information regarding the bidder Annexure Not Complied

Annexure-14 Declaration of relationship with directors of IOCL Annexure Not Complied

Annexure-15 Declaration on proceedings under Insolvency and Bankruptcy Code, 2016

Annexure-16 Undertaking in support of not being under liquidation Annexure Not Complied

Annexure-17 Undertaking for non–engagement of child labour Annexure Not Complied

Annexure-18 Safety Declaration Annexure Not Complied

Annexure-19 Format for giving consent and bank details

Annexure-20 Proforma of Indemnity Bond to be submitted by Contractor along with request for issuance of Completion Certificate Annexure Not Complied

Annexure-21 Proforma of No Claim/ No Due Certificate Annexure Not Complied

Annexure-22 Format for giving payment currency option by bidder on official letter head

Annexure-23 Undertaking by bidder for applicability of PPP MII policy

Annexure-25 Micro, Small and Medium Enterprises Development Annexure Not Complied

Annexure-28 Undertaking On No Conflict Of Interest And Multiple Bidding Annexure Not Complied

Annexure-29 Proforma for Surety Bond in lieu of Earnest Money Deposit (EMD) Annexure Not Complied

Annexure-30 Proforma for Surety Bond in lieu of Initial Security Deposit/ Security Deposit Annexure Not Complied

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION FORM OF INSURANCE SURETY BOND IN LIEU OF SECURITY DEPOSIT/INITIAL SECURITY DEPOSIT

M/s Indian Oil Corporation Ltd. (Pipelines Division)

In consideration of Indian Oil Corporation Limited (Pipelines Division) (hereinafter called “the Corporation” which expression shall include its successors and assigns), having awarded certain work for and relative to (Name of the Project/Work) to (Name and address of the Contractor) (hereinafter called “the Contractor” which expression shall include its successors and assigns), upon certain terms and conditions inter-alia mentioned in the Corporation’s Letter of Acceptance No. __________________dated _______________________ read with the relative Tender Documents (hereinafter collectively called “the Contract”, which expression shall include any formal contract entered into between the Corporation and the Contractor in supersession of the said Letter of Acceptance and all amendments and/ or modifications in the contract) inclusive of the condition that the Corporation may accept a Surety Bond of an Insurer registered under Insurance Regulatory and Development Authority of India (IRDAI) in India in lieu of payment of the Initial Security Deposit/Security Deposit as provided for in General Conditions of Contract forming part of the said Tender Documents: I Agree

We (Name of the Surety Insurer), a body corporate registered/constituted under the laws of Insurance Regulatory and Development Authority of India (IRDAI) and having a branch at [branch address] (hereinafter called the Surety Insurer which expression shall include its successors and assigns), at the request of the Contractor and with the intent to bind the Surety Insurer and its successors and assigns, do hereby unconditionally and irrevocably undertake to pay to the Corporation at New Delhi forthwith on first demand without protest or demur or proof or satisfaction and without reference to this guarantee up to an aggregate limit of Rs. (Rupees ___________________only). AND the Surety Insurer doth hereby further agrees as follows:

(i) This Surety Bond shall be a continuing Bond and shall remain valid and irrevocable for all claims of the Corporation upon the Surety Insurer made up to the midnight of provided that the Surety Insurer shall upon the written request of the Corporation made upon the Surety Insurer at any time within 6 (six) months from the said date extend the validity of the Surety Bond by a further 6 (six) months so as to enable claims to be made under this Bond by a further 6 (six) months from the said date with the intent that the validity of this Bond shall automatically stand extended by a further 6 (six) months upon such request by the Corporation.

(ii) The Corporation shall have the fullest liberty without reference to the Surety Insurer and without affecting in any way the liability of the Surety Insurer under this Surety Bond, at any time and/or from time to time to amend or vary the Contract and/or any of the terms and conditions thereof or relative to the said Initial Security Deposit/Security Deposit or to extend time for performance of the said Contract in whole or part or to postpone for any time and/or from time to time any of the obligations of the Contractor and/or the powers or remedies exercisable by the Corporation against the Contractor and either to enforce or forbear from enforcing any of the terms and conditions of or governing the said Contract or the said Initial Security Deposit/Security Deposit or the securities available to the Corporation or any of them and the Surety Insurer shall not be released from its liability under these presents and the liability of the Surety Insurer hereunder shall remain in full force and effect notwithstanding any exercise by the Corporation of the liberty with reference to any or all the matters aforesaid or by reason of time being given to the Contractor or any other forbearance, act or omission on the part of the Contractor or of any indulgence by the Corporation to the Contractors or of any other act, matter or thing whatsoever which under the law relating to sureties or otherwise which could but for the provision have the effect of releasing the Surety Insurer from its liability hereunder or any part thereof and the Surety Insurer hereby specifically waives any and all contrary rights whatsoever.

(iii) The obligations of the Surety Insurer to the Corporation hereunder shall be as principal to principal and shall be wholly independent of the contract and it shall not be necessary for the Corporation to proceed against the Contractor before proceeding against the Surety Insurer and the Surety Bond herein contained shall be enforceable against the Surety Insurer notwithstanding the existence of any other Bond or security for any indebtedness of the Contractor to the Corporation (including relative to the said Security Deposit) and notwithstanding that any such undertaking or security shall at the time when claim is made against the Surety Insurer or proceedings taken against the Surety Insurer hereunder, be outstanding or unrealised.

(iv) The amount stated by the Corporation in any demand, claim or notice made with reference to this guarantee shall as between the Surety Insurer and the Corporation for the purpose of these presents be conclusive of the amount payable by the Surety Insurer to the Corporation hereunder.

(v) The liability of the Surety Insurer to the Corporation under this Bond shall remain in full force and effect notwithstanding the existence of any difference or dispute between the Contractor and the Corporation, the Contractor and the Surety Insurer and/or the Surety Insurer and the Corporation or otherwise howsoever touching or affecting these presents for the liability of the Contractor to the Corporation, and notwithstanding the existence of any instructions or purported instructions by the Contractor or any other person to the Surety Insurer not to pay or for any cause withhold or defer payment to the Corporation under these presents, with the intent that notwithstanding the existence of such difference, dispute or instruction, the Bank shall be and remain liable to make payment to the Corporation in terms hereof.

(vi) The Surety Insurer shall not revoke this undertaking during its currency except with the previous consent of the Corporation in writing and also agrees that any change in the constitution of the Contractor or the Surety Insurer or the Corporation shall not discharge the Surety Insurer’s liability hereunder.

(vii) Without prejudice to any other mode of service, a demand or claim or other communication may be transmitted by fax. If transmitted by by the Corporation to the Surety Insurer either by post or by email. If transmitted by email, the transmission shall be complete as soon as the mail is delivered to the mail id of the Surety Insurer mentioned in the Surety Bond.

(viii) Notwithstanding anything contained herein: (a) The Surety Insurer’s liability under thisSurety Bond shall not exceed (Amount in figures & words); (b) This Surety Bond shall remain in force up to and any extension(s) thereof; and (c) The Surety Insurer shall be released and discharged from all liability under this Surety Bond unless a written claim or demand is issued to the Surety Insurer on or before _______________or the date of expiry of any extension(s) thereof if this Bond has been extended.

(ix) The Surety Insurer doth hereby declare that Shri (Name of the person signing on behalf of the Surety Insurer) who is ______ (his designation), is authorized to sign this undertaking on behalf of the Surety Insurer and to bind the Surety Insurer hereby.

Dated this day of __________20________.

Yours faithfully, Signature: Name & Designation: Name of Issuing Branch: Complete Postal Address of Issuing Branch: Telephone No. Fax No. Email Address of the issuing Surety Insurer Officer/Surety Insurer Branch

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Annexure Commercial

Agreed by the bidder

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION INSURANCE SURETY BOND IN LIEU OF EARNEST MONEY DEPOSIT

M/s Indian Oil Corporation Ltd. (Pipelines Division)

In consideration of Indian Oil Corporation Limited (Pipelines Division) (hereinafter called “the Corporation” which expression shall include its successors and assigns), having agreed interalia to consider the tender of (Name of the Tenderer) having its Head Office/ Registered Office at (Address of the Tenderer) (hereinafter called the “Tenderer” which expression shall include its successors and assigns), for the work of (Name of the Project/Work) at to be awarded under Tender No upon the Tenderer furnishing an undertaking from the Surety Insurer as hereinafter appearing in lieu of cash deposit of the Earnest Money. I Agree

We (Name of the Surety Insurer) , a body corporate registered/constituted under the laws of Insurance Regulatory and Development Authority of India (IRDAI) and having a branch at [branch address Code] (hereinafter called "the Surety Insurer" which expression shall include its successors and assigns), at the request of the Tenderer and with the intent to bind the Surety Insurer and its successors and assigns do hereby unconditionally and irrevocably undertake to pay the Corporation at New Delhi forthwith on first demand without protest or demur or proof or satisfaction or condition and without reference to the Tenderer, all sums payable by the Tenderer as and by way of Earnest Money to the Corporation, upto an aggregate limit of (Amount in figures and words). AND THE Surety Insurer DOTH HEREBY FURTHER AGREES AS FOLLOWS:

1. This Surety Bond shall be a continuing bond and shall remain in full force and effect for all claims or demands made by the Corporation on the Surety Insurer until the Corporation discharges thisSurety Bond subject, however, that the Corporation shall have no claims under this Surety Bond after the midnight of or any written extension(s) thereof. PROVIDED that if the aforesaid work tendered for or any part thereof shall be awarded to the Tenderer on or before the said date, whether on the basis of accompanying tender or any other basis, then the validity of this Surety Bond shall stand automatically extended for all claims and demands made by the Corporation for further three months.

2. The Corporation shall have the fullest liberty without reference to the Surety Insurer and without affecting in any way the liability of the Surety Insurer under this Surety Bond at any time and/or from time to time any wise to postpone and/or vary any of the powers, rights, and obligations exercisable by the Corporation against the Tenderer and either to enforce or to forbear from enforcing all or any of the terms and conditions of or governing the said Tender and/or any contract consequent upon any award of work or the said Earnest Money Deposit or the securities available to the Corporation or any of them and the Surety Insurer shall not be released from its liability under these Presents and the liability of the Surety Insurer hereunder shall remain in full force and effect notwithstanding any exercise by the Corporation of the liberty with reference to any or all the matters aforesaid or by reason of any other act, matter or thing whatsoever which under law relating to the sureties or otherwise which could, but for this provision have the effect of releasing the Surety Insurer from all or any of its obligations hereunder or any part thereof, and the Surety Insurer specifically waives any and all contrary rights whatsoever.

3. It shall not be necessary for the Corporation to proceed against the Tenderer before proceeding against the Surety Insurer and the Surety Bond herein contained shall be enforceable against the Surety Insurer as principal debtor notwithstanding the existence of any other undertaking or security for any indebtedness of the Tenderer to the Corporation and notwithstanding that any such security shall at the time when claim is made against the Surety Insurer or proceedings taken against the Surety Insurer hereunder, be outstanding or unrealised.

4. The amount stated by the Corporation in any demand, claim or notice made with reference to this guarantee shall as between the Surety Insurer and the Corporation for the purpose of these Presents be conclusive of the amount payable by the Surety Insurer to the Corporation hereunder.

5. The liability of the Surety Insurer to the Corporation under this Guarantee/Undertaking shall remain in full force and effect notwithstanding the existence of any difference or dispute between the Tenderer and the Corporation, the Tenderer and the Surety Insurer and/or the Surety Insurer and the Corporation or otherwise howsoever touching these Presents or the liability of the Tenderer to the Corporation, and notwithstanding the existence of any instructions or purported instructions by the Tenderer or any other person to the Surety Insurer not to pay or for any cause withhold or defer payment to the Corporation under these Presents, with the intent that notwithstanding the existing of such difference, dispute or instructions, the Surety Insurer shall be and remain liable to make payment to the Corporation in terms thereof.

6. This Surety Bond shall not be determined or affected by the liquidation or winding up or dissolution or change of constitution or insolvency of the Tenderer or any change in the legal constitution of the Surety Insurer or the Corporation.

7. Without prejudice to any other mode of service, a demand or claim or other communication may be transmitted by the Corporation to the Surety Insurer either by post or by email. If transmitted by email, the transmission shall be complete as soon as the mail is delivered to the mail id of the Surety Insurer mentioned in the Surety Bond.

8 Notwithstanding anything contained herein: (i) The Surety Insurer’s liability under this Surety Bond shall not exceed (Amount in figures & words); (ii) This Surety Bond shall remain in force up to and any extension(s) thereof; and (iii) The Surety Insurer shall be released and discharged from all liability under this Surety Bond unless a written claim or demand is issued to the Surety Insurer on or before _______________or the date of expiry of any extension(s) thereof if this Surety Bond has been extended.

9. Our Surety Bond will be governed and construed in accordance with Indian Laws and subject to exclusive jurisdiction of Courts in India.

The Surety Insurer doth hereby declare that Shri who is authorised to sign this Surety Bond on behalf of the Surety Insurer and to bind the Surety Insurer thereby.

Dated this day of __________20________.

Yours faithfully, Signature: Name & Designation: Name of Issuing Branch: Complete Postal Address of Issuing Branch: Telephone No. Fax No. Email Address of the issuing Surety Insurer Officer/Surety Insurer Branch

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Mention Agreed by the bidder in cell D26

Annexure Commercial

Agreed by the bidder

DECLARATION BY THE TENDERER(S)

I/We, the authorized signatory of bidder participating in the subject Tender Ref. No.for the above mentioned job and do hereby declare:

(i) I/We have no conflict of interest as per clause 5.1.6 of the Special Instructions to Tenderers, and have not submitted multiple bids i.e. more than one bid either individually or in any combination of person (individual capacity, proprietor, affiliates, partnership, association of persons, Company, etc.) (ii) I/We am aware that, in case it is found that there exists conflict of interest as per clause 5.1.6 of the Special Instructions to Tenderers, or that multiple bids have been submitted, all such bids are liable for rejection and forfeiture of EMD. Please Note: (a) A person shall be deemed to have submitted multiple bids if he submits more than one bid either individually or in any combination of person (individual capacity, proprietor, affiliates, partnership, association of persons, Company. A person shall for this purpose mean an individual, proprietor, any partner, association of persons, affiliate, company, etc. (b) A company shall for this purpose include any artificial person whether constituted under the laws of Indian or of any other country. (c) A person shall be deemed to have bid in a partnership format or in association of persons format if he is a partner of the firm which has submitted the bid or is a member of any association of persons which has submitted a bid. (d) A person shall be deemed to have bid in a Company format if, the person holds more than 10% (ten percent) of the voting share capital of the company which has submitted a bid or is a Director of the Company which has submitted a bid or holds more than 10% (ten percent) of voting share capital and/or is a Director of a holding Company which has submitted the bid.

This declaration should be signed by the Tenderer's authorized representative who is signing the Bid.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill Agreed by the bidder in cell No E13

Annexure Commercial

Agreed by the bidder

Successful Bidder(s) against the subject tender who is not a Micro or Small Enterprise (MSE) as per the Micro, Small and Medium Enterprises Development Act, 2006 (MSMED Act 2006) and Micro, Small and Medium enterprises order- 2012, will have to furnish the following information to the Engineer-in-Charge upon award of work, in case they are sourcing any material/ services from any MSE sub-vendor(s) against the PO.

S. No. Name of the MSE sub vendor(s) Item(s) for which order(s) placed Value of the order(s) (Rs.) Whether MSE is SC/ST (Yes/ No

In case no material/ service is outsourced from MSE sub vendor(s), a certificate / declaration in this regard shall be submitted to the Engineer-in-Charge by the vendor as under

We certify that no material/ service has been outsourced from any Micro or Small Enterprise (MSE) as per the Micro, Small & Medium Enterprises Development Act, 2006 (MSMED Act 2006), against Purchase Order No.: …………dated …… placed on us by M/s Indian Oil Corporation Limited, Pipelines Division.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill Agreed by the bidder in cell No E17

Annexure Commercial

Agreed by the bidder

UNDERTAKING BY BIDDER FOR PURCHASE PREFERENCE AND APPLICABILITY OF MAKE IN INDIA

Name of Work: Yes

To, M/s Indian Oil Corporation Limited (Pipeline Division) Indian Oil Bhawan, A-1, Udyog Marg Sector-1, Noida

We, hereby confirm that following option on purchase preference is to be considered in the subject tender (Please read the notes mentioned below, before filling the format):-

We confirm that we have read Public Procurement (Preference to Make in India), Order 2017 and subsequent amendments (if any)

Policy Select Preference Percentage of Local Content (Enter between 0 to 100)

PPP-MII Order 2017 % (Mandatory)

Category as per Local Content

Non Local Supplier

Purchase Preference under Public Procurement Policy for MSE

Location of Value addition

Notes: i. The above preference shall be extended only after submission of Annexure 24 and its acceptance by IOCL (if mentioned in the Master Index). ii. Preference under PPP for MSEs, 2012 is applicable as per tender document. iii. Declaration of % age of local content is mandatory.

We further confirm that in case we fail to meet the minimum local content, IOCL may take action as per provisions of tender document.

Addition Decleration by PoA holder

I Son/ Daughter of do solemnly affirm and state as under:

That I am the of and I am duly authorized to furnish this undertaking declaration on behalf of

That the Company is fully aware of the provisions of PPP-MII Order 2017, enclosed in the above bidding document.

We hereby confirm that our offer is achieving the 0 % as per of PPP-MII Order 2017

I confirm that I am aware of the implication of the above undertaking and our liability on account of wrong declaration.

Annexure Complied

Annexure Not Complied

We confirm that we have read, understood and will comply with the Annexure Agreed by the bidder

Status Annexure Not Complied

Annexure Commercial

Agreed by the bidder

Different currencies can be filled in by the foreign bidders, Indian bidders should select only INR. Any other currencies selected by an Indian bidder shall not be applicable

M/s Indian Oil Corporation Ltd. (Pipelines Division) Indian Oil Bhavan, A-1 Udyog Marg, Sector-1, NOIDA-201 301 (UP). India. Ph.: 0120-2448 409 Fax: 0120-2448 025

Dear Sir, We have gone through the complete tender documents including all addendum(s)/ corrigendum(s) issued and we are hereby submitting our TECHNO COMMERCIAL offer for subject work tender. If the work is awarded to us, we hereby indicate following currency for the work award and payment as per Clause No. 23.0.0 and 29.0.0 of SIT (Commercial)

S. No. Currency Selected Please tick on one option

1. US Dollars US Dollars

2. European Euro European Euro

3. Australian Dollar Australian Dollar

4. British Pound British Pound

5. Japanese Yen Japanese Yen

6. Egypt Pounds Egypt Pounds

7. Swiss france Swiss franc

8. Singapore Dollar Singapore Dollar

9. Indian Rupee Indian Rupee

We hereby agree to receive payment in INR / foreign currency by converting INR amount at prevailing TT selling rate of SBI as on the date of payment as per the tender terms.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Please select one option

Annexure Commercial

Agreed by the bidder

The following No claim no due certificate needs to be signed and submitted to the EIC for payment of Final bill after obtaining completion certificate.

No claim/No due certificate Dated: Name of Department: Name of the work: Name of the contractor: SAP LOA No.: I Agree

No Claim certificate Certified that I/We have discharged our entire obligation under abolition of Contract Labour Act,1970 and I/We would indemnify the owner if there is any demand against the corporation on our account. I/we certify that I/We have no further claim than those given in the final bill and I/We accept the payment as full and final settlement of all My/Our claim. Sign of Contractor

No Due Certificate Certified that there is nothing due from this agency on account of T&P articles materials, electricity etc., and that the work has been completed as per specification of contract and/or except where reduced rates proposed (Strike which is not applicable).

Site Engg Manager Sr Manager Chief Manager Engineer-in-Charge

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill Agreed by the bidder in cell No C11

Annexure Commercial

Agreed by the bidder

The following needs to be submitted to the EIC for obtaining completion certificate.

PROFORMA OF INDEMNITY BOND TO BE SUBMITTED BY CONTRACTOR NON-JUDICIAL STAMP PAPER OF APPROPRIATE VALUE ALONG WITH REQUEST FOR ISSUANCE OF COMPLETION CERTIFICATE

This indemnity bond is executed on this ____ at ____ by ____ hereinafter referred to as ‘Indemnifier’ which expression shall, unless repugnant to the context or meaning thereof, include its successors, administrators, authorized representatives and assignees, having its address at __. I Agree

In favour of Indian Oil Corporation Limited (hereinafter referred to as ‘indemnified’) which expression shall, unless repugnant to the context include its successors and assignees, having its Corporate Office at 3079/3, J B Tito Marg, Sadiq Nagar, New Delhi – 110049. WHEREAS; the indemnifier has been awarded the contract of………………..vide………… (Hereinafter referred to as Contract) WHEREAS; the indemnifier declares that the work was completed on…………… WHEREAS the indemnifier under the contract, is inter alia bound by Clause No. 5.5.2.0 of the General Conditions of contract forming the part of contract signed by him with the indemnified.

WHEREAS Indemnifier in pursuant to Clause No. 5.5.2.0 (ix) of General Conditions of Contract, declares that he has cleared all dues, in totality of the following – 1. Labour/Piece Rate Workers 2. Sub – contractors 3. Suppliers 4. Vendors 5. Income Tax 6. Sales Tax 7. Octroi and Service Tax 8. Excise and Customs 9. Provident Fund 10. ESI and Royalties

AND WHEREAS the indemnifier has applied for issuance of completion certificate along with all the documents required under Clause No. 5.5.2.0 of General Conditions of Contract. NOW THIS INDENTURE WITNESSETH that in the event the completion certificate is issued by the Indemnified to the Indemnifier.

Then, the Indemnifier shall and will keep the said Indemnified fully and effectively and irrevocably indemnified from and against all claims, demands, actions, suits and/or proceedings that maybe made or taken by any person, body or authority claiming any interest whatsoever in respect of the amount which has to be paid to the indemnifier. Further, the said Indemnifier shall and will keep the said Indemnified fully and effectively and irrevocably indemnified from and against all claims, demands, actions, suits and/or proceedings that maybe made or taken by any Third party such as any person, body or authority claiming any amount or interest either against the indemnified directly or indirectly on account of the third party claiming to have remained unpaid by the indemnifier for any work whatsoever undertaken by such third party upon instructions from the Indemnifier.

Further, the said Indemnifier shall and will keep the Indemnified fully and effectively and irrevocably indemnified from and against all loss or damage that maybe caused to and or costs, charges, claims or expenses that may be suffered or incurred by the said Indemnified on account of any of the declarations as given by the indemnifier (in terms of Clause No. 5.5.2.0 (ix) of General Conditions of Contract) being untrue in totality or in part thereof: It is expressly agreed that this indemnity is independent of any other indemnity, guarantee, etc provided by the indemnifier otherwise under the contract.

Shri _______________________________who has signed this indemnity bond is duly authorised to sign this indemnity bond and to confer the authorities herein conferred for and on behalf of the Contractor.

WITNESSES: 1. 2. Note: i. This indemnity bond is to be stamped for the aggregate value of stamp duty payable on an indemnity bond in the State in which it is executed. ii. This indemnity bond is to be signed on behalf of the Contractor by a Director or other officer either authorized by the Board to execute this indemnity bond or generally authorized to execute contracts and powers of attorney on behalf of the Contractor. iii. The signature of this indemnity bond is to be Notarially Attested.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill Agreed by the bidder in cell No C14

Annexure Commercial

Agreed by the bidder

FORMAT FOR GIVING CONSENT AND BANK DETAILS

Name of Work: Applicable

Tender No.: Not Applicable

To, M/s Indian Oil Corporation Ltd., Pipelines Division, A-1, Udyog Marg, Sector-1, Noida-201301

Dear Sir, We hereby agree to accept henceforth all the payment of our bills through direct credit to our below mentioned Bank account through Internet banking.

1 Beneficiary’s Name

4 Address of the Branch

5 STD code & phone No. of Branch

7 9 Digit MICR code of Branch as appearing on the cheque (copy of cancelled cheque may be enclosed)*

8 Bank Account No

9 Account Type (SB/CA/CC)

11 Branch IFSC code

12 E mail Address of the Vendor

13 Mobile Telephone No. of Vendor

Please attach a blank cancelled cheque or photocopy of a cheque issued by your bank relating to your above account for verifying the accuracy of the 9 digit MICR code

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

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill out all the S No's

Annexure Commercial

Agreed by the bidder

SAFETY DECLARATION

I/We hereby declare and confirm that; I Agree

1 I/we shall strictly adhere to safety standards stipulated in the Safety Practices during construction stipulated in the Oil Industry Safety Directorate (OISD) without exception.

2 I/we shall provide, without any exception, safety helmets & safety shoes to all our employees/workmen/ labourers working at IOC locations (Terminals, Pump Station, Tanks Farms or any other location not specified here) for the purpose of rendering services to the Corporation under the subject Contract

3 I/ We shall provide, without any exception, Safety Belts to all our workmen/ labourers working at heights (Including building roof top, canopy roof top etc) for the purpose of rendering services to the Corporation under the subject Contract

4 I/We shall take safe height working permit for working at heights.

5 I/We shall be solely responsible for any accident resulting from unsafe practices or due to non-adherence to safety standard stipulated by the OISD. Any injury / loss of life resulting from the above shall be solely at our risk & cost and we shall bear and pay solely and absolutely all costs, charges and expenses including legal charges incurred in this connection

6 That the Corporation is not bound to be responsible, legally or otherwise, for any acts and/or consequences of unsafe practices during execution of works during the pendency of the contract.

7 I/We have gone through the guidelines to PPE attached with this tender and shall comply with them.

8 The person signing this declaration is the authorized signatory.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D19

Annexure Commercial

Agreed by the bidder

UNDERTAKING FOR NON-ENGAGEMENT OF CHILD LABOUR

I/We hereby declare that: I Agree

(a) We are committed to elimination of child labour in all its forms.

(b) Neither we nor any of our nominated sub-contractor(s) are engaging Child Labour in any of our work(s) in terms of the provisions of The Child Labour (Prohibition and Regulation) Act, 1986 and other applicable laws.

(c) We as well as our nominated sub-contractor(s) undertake to fully comply with provisions of The Child Labour (Prohibition and Regulation) Act, 1986 and other applicable labour laws, in case the work is awarded to us.

(d) It is understood that if I/We, either before award or during execution of Contract, commit a transgression through a violation of Article b/c above or in any other form, such as to put my/our reliability or credibility in question, the Owner is entitled to disqualify us from the Tender process or terminate the Contract, if already executed or exclude me/us from future contract award processes. The imposition and duration of the exclusion will be determined by the severity of transgression and determined by the Owner. Such exclusion may be for a period of 1 year to 3 years as per the procedure prescribed in the guidelines for holiday listing of the Owner.

(e) I/We accept and undertake to respect and uphold the Owner’s absolute right to resort to and impose such exclusion

If there is any change in status prior to the award of work, the same shall be promptly informed by us to IOC. We understand that Failure to do so will result in bids not being considered for evaluation.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D18

Annexure Commercial

Agreed by the bidder

Undertaking in support of not under liquidation

We hereby confirm that we are not under liquidation, and there is no court receivership or similar proceedings against us. I Agree

If there is any change in status prior to the award of work, the same shall be promptly informed by us to IOC. We understand that Failure to do so will result in bids not being considered for evaluation.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill Agreed by the bidder in cell No C11

Annexure Commercial

Agreed by the bidder

Declaration on proceedings under Insolvency and Bankruptcy Code, 2016

Name of Work: Applicable

Tender No.: Not Applicable

I/ We hereby declare that I/We, declare that

1 As on date, I/We am/ are not undergoing insolvency resolution process or liquidation or bankruptcy proceedings, and no application has been filed and is currently pending against me/us for initiation of insolvency resolution process, liquidation or bankruptcy proceedings whether under IBC or under any other applicable law (where IBC is not applicable).

2 As on date, I/We am/ are undergoing corporate insolvency resolution process (CIRP) / liquidation / bankruptcy proceedings , the details of which are attached, including copy of the relevant petition. (attached detail with technical bid)

2 As on date, application for initiation of CIRP/ liquidation/ bankruptcy proceedings is currently pending against me/us, under IBC or other applicable law (where IBC is not applicable), the details of which are attached, including copy of the relevant petition (attached detail with technical bid)

Bidder is to select Applicable or Not applicable for the above options

(iii) I/We undertake to notify to IOCL immediately and no later than one (1) working day therefrom, in a written form along with copy of the relevant petition, once a petition for initiation of insolvency process (CIRP)/ liquidation/ bankruptcy proceedings is filed against us/me, and also upon admission or dismissal of such petition by the NCLT or any other competent authority and the appeal proceedings, if any No

(iv) I undertake to provide an updated declaration on proceedings under IBC before award of contract, as per timelines stipulated by Indian Oil Corporation Limited.

It is understood that if this declaration is found to be false or in case I/we fail to comply with the undertakings given, Indian Oil Corporation Limited shall have the right to reject my/our bid and forfeit the EMD, and if the bid has resulted in a contract, the contract will be liable for termination, without any liability on the part of Indian Oil Corporation Limited, and such termination would be without prejudice to any other right or remedy (including black listing or holiday listing) available to Indian Oil Corporation Limited.

We confirm that we have read, understood and will comply with the Annexure Agreed by the bidder

Status Annexure Not Complied

Select at least one option as Applicable

Annexure Commercial

Agreed by the bidder

DECLARATION OF RELATIONSHIP WITH DIRECTORS OF IOCL Whether proprietor is a Director or is related to any Director of IOC present or retired within the past 2 years.

Whether any partner or member of the firm is a Director or is related to any Director of IOC present or retired within the last two years.

Name of Work: Whether any of the Directors of the Company is a Director or is related to any Director of IOC present or retired within past two years.

The Tenderer shall declare the following information in exhaustive details:-

S. No. Description Remarks Mention Yes/No Yes

1 Incorrect PAN No mentioned No

LIST OF DIRECTORS

The list of board of directors are available in our website at http://www.iocl.com/AboutUs/Profile.aspx

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Annexure Commercial

Agreed by the bidder

INFORMATION ABOUT TENDERER (To be furnished with Tender)

S. No. Incorrect PAN No mentioned Propritership Partnership Company

1 Incorrect PAN No mentioned Name of Business: Name of Partners Amount of paid up capital

2 Whether his business is registered Whether the partnership is registered: Name of Directors:

3 Incorrect PAN No mentioned Date of Commencement of business: Date of establishment of firm: Date of Registration of Company:

4 Incorrect PAN No mentioned Whether he pays Income Tax over Rs.10,000/- per year: If each of the partner of the firm pays Income tax over Rs. 10,000/- a year and if not, which of them pays the same Copies of the Balance Sheet of the company of the last two years:

5 Incorrect PAN No mentioned Whether he is a Director or is related to any Director of IOC present or retired within the past 2 years: Whether any partner of the firm is a Director or is related to any Director of IOC, present or retired within the past 2 years. Whether any of the Directors of the Company is a Director or is related to any Director of IOC, present or within the past 2 years:

6 Incorrect PAN No mentioned Permanent Account Number: Permanent Account Number: Permanent Account Number

7 Incorrect PAN No mentioned What are his profits/losses for the past 3 (three) years with a copy of Balance Sheet and Profit & Loss Account for the past 3 (three) years with a copy of the audited balance sheets and Profit & Loss account for the past 3 (three) years: What are the firm’s profits/losses for the past 3 (three) years with a copy of Balance Sheet and Profit & Loss Account for the past 3 (three) years: What are the Company’s profits/losses for the past 3 (three) years with a copy of the audited Balance Sheet for the past 3 (three) years:

8 Incorrect PAN No mentioned What are his concurrent job commitments: What are the firm’s concurrent job commitments: What are the company’s concurrent job commitments:

9 Incorrect PAN No mentioned How does he propose to finance the work if awarded to him How does the firm propose to finance the work if awarded to him: How does the Company propose to finance the work if awarded to it:

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Fill out all the details against S No's mentioned above

Annexure Commercial

Agreed by the bidder

FORM OF TENDER For Price Bid

S No 2022/1 Date

M/s Indian Oil Corporation Ltd. (Pipelines Division) Indian Oil Bhavan, A-1 Udyog Marg, Sector-1, NOIDA-201 301 (UP). India. Ph.: 0120-2448 409 Fax: 0120-2448 025

Having examined the Tender Documents consisting of the Short Tender Notice, General Instructions to Tenderers, General Conditions of Contract, Special Instructions to Tenderers, Special Conditions of Contract, Specifications, Plans (Exhibits to ), Drawings (Exhibits to )Time Schedule, Form of Contract, Form of Tender, Form of Schedule of Rates, and Addendum(a) to the Tender Documents, and having understood the provisions of the said Tender Documents and having thoroughly studied the requirements of Indian Oil Corporation Ltd. relative to the work tendered for in connection with the (Name of the Project) and having conducted a thorough study of the job site(s) involved, the site conditions, soil conditions, the climatic conditions, labour, power, water, material and equipment availability, the transport and communication facilities, the availability and suitability of borrow areas, the availability of land for right of way and temporary office accommodation and quarters and all other facilities and things whatsoever necessary for or relative to the formulation of the tender of the performance of work, I/we hereby submit my/our tender offer for the performance of proposed work in accordance with the terms and conditions and within the time mentioned in the Bid Documents at the rate(s) quoted by me/us in the accompanying Schedule of Rates based on the Form of Schedule(s) of Rates included within the Tender Documents and arrived at a total contract value of USD/INR <quoted in price bid> based on an application of the rates tendered in the accompanying Schedule(s) of Rates to the relative quantities indicated in the Form Schedule(s) of Rates forming part of the Tender Documents. I Agree

If the work or any part thereof is awarded to me/us, I/ We undertake to perform the work in accordance with the Contract Documents as defined in the Form of Contract forming part of the Tender Documents and accept the terms and conditions of Contract as laid down therein and undertake within 10 (ten) days of receipt of acceptance of Tender to pay to and/or deposit with the Accounts Officer, (Name of the Project) Indian Oil Corporation Ltd. (Pipelines Division) a sum which together with the amount of earnest money deposited by me/us in terms hereof, shall make 2 ½% (two and one-half percent) of total contract value as specified in the Acceptance of Tender for the purpose of security deposit, by any one or more of the modes of payments specified in this behalf in the General Conditions of Contract, and to commence work at each job site(s) involved within 10 (ten) days of handing over the job site or any part thereof to me/us, and to sign the formal Contract in the terms of the form of contract forming part of Tender Documents, within 10 (ten) days of receipt of Letter of Acceptance from and on behalf of Indian Oil Corporation Ltd., in this behalf failing which Indian Oil Corporation Ltd., shall be at liberty, without reference to me/us and without prejudice to any of its rights or remedies, to terminate the Contract and/or to forfeit the earnest money deposited in terms hereof.

In consideration of the sum of Rupee 1/- (Rupee one) only paid to me/us by Indian Oil Corporation Ltd., by adjustment in the price of Tender Documents, I/We further undertake to keep my/our this tender offer open for a period of not less than 4 (four) months from the scheduled date of opening of Tenders as specified in the General Instructions to Tenderer forming part of the Tender Documents.

I/We have annexed to this Bid the following documents: (i) Schedule of Rates in the prescribed Form. (ii) Original Power of Attorney or other proof of authority of the person who has signed the Tender OR copy of Power of Attorney or other authority duly certified by a Gazetted Officer or a Notary Public in proof of authority of the person who has signed the Tender.

I/We hereby undertake that the statements made herein/information given in the Annexures referred to above are true in all respects and that in the event of any such statement or information being found to be incorrect in any particular, the same may be construed to be a misrepresentation entitling Indian Oil Corporation Ltd. to avoid any resultant contract.

I/We further undertake as and when called upon by Indian Oil Corporation Ltd. to produce, for its inspection, original(s) of the document(s) of which copies have been annexed hereto.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Mention Agreed by the bidder in cell No D24

Annexure Commercial

Agreed by the bidder

FORM OF TENDER For Commercial Bid

S No 2022/1 Date

M/s Indian Oil Corporation Ltd. (Pipelines Division) Indian Oil Bhavan, A-1 Udyog Marg, Sector-1, NOIDA-201 301 (UP). India. Ph.: 0120-2448 409 Fax: 0120-2448 025

Having examined the Tender Documents consisting of the Tender Notice, General Instructions to Tenderers, General Conditions of Contract, Special Instructions to Tenderers, Special Conditions of Contract, Specifications, Plans (Exhibits to ), Drawings (Exhibits to )Time Schedule, Form of Contract, Form of Schedule of Rates, and Addendum(a) to the Tender Documents, and having understood the provisions of the said Tender Documents and having thoroughly studied the requirements of Indian Oil Corporation Ltd. relative to the work tendered for in connection with the (Name of the Refinery/Project) and having conducted a thorough study of the job site(s) involved, the site conditions, soil conditions, the climatic conditions, labour, power, water, material and equipment availability, the transport and communication facilities, the availability and suitability of borrow areas, the availability of land for right of way and temporary office accommodation and quarters and all other facilities and things whatsoever necessary for or relative to the formulation of the tender or the performance of work, I/we hereby submit my/our tender offer for the performance of proposed work in accordance with the terms and conditions and within the time mentioned in the Tender Documents. I Agree

In consideration of the sum of Rupee 1/- (Rupee one) only paid to me/us by Indian Oil Corporation Ltd., by adjustment in the price of Tender Documents, I/We further undertake to keep my/our this tender offer open for a period of not less than 4 (four) months from the scheduled date of opening of Tenders as specified in the General Instructions to Tenderers forming part of the Tender Documents.

I/We hereby further state that I/We/None of us (in the case of partnership firm) and none of our Directors (in the case of a Company) was/were employed as Directors of Indian Oil Corporation Ltd., during the period of 2 (two) years immediately preceding the date hereof OR I/We hereby declare that I/Mr. one of our partners (in the case of partnership firm/Directors in the case of a Company) was employed as a Director in Indian Oil Corporation Ltd., during the period of 2 (two) years immediately preceding the date hereof and that I/Shri have/has obtained previous permission of Indian Oil Corporation Ltd. to make this tender.

I/We have annexed to this Bid the following documents:

(i) Schedule of Rates in the prescribed form. (ii) Original Power of Attorney or other proof of authority of the person who has signed the Tender OR copy of Power of Attorney attested by a Gazetted Officer or a Notary Public in proof of the authority of the person who has signed the Tender. (iii) Original Income-tax Clearance Certificate OR copy of Income-Tax Clearance Certificate duly attested by a Gazetted Officer/Notary Public. (iv) Information regarding tenderer in the form annexed to the Form of Tender. (v) Information regarding experience of the tenderer in the performance of work of a comparable nature in the form annexed to the Form of Tender. (vi) Information regarding construction organization and equipment in the form annexed to the Form of Tender. (vii) Solvency Certificate from a Nationalized/Scheduled Bank. (viii) Set of Tender Documents, as issued duly signed. (ix) Additional Documents as listed below.

I/We hereby undertake that the statements made herein/information given in the Annexures referred to above are true in all respects and that in the event of any such statement or information being found to be incorrect in any particular, the same may be construed to be a misrepresentation entitling Indian Oil Corporation Ltd. to avoid any resultant contract.

I/We further undertake as and when called upon by Indian Oil Corporation Ltd. to produce, for its inspection, original(s) of the document(s) of which copies have been annexed hereto. I/We confirm having deposited Earnest Money of as applicable as detailed hereunder (Strike off whichever is not applicable)

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Mention Agreed by the bidder in cell No D25

Annexure Commercial

Agreed by the bidder

M/s Indian Oil Corporation Ltd. (Pipelines Division) Indian Oil Bhavan, A-1 Udyog Marg, Sector-1, NOIDA-201 301 (UP). India. Ph.: 0120-2448 409 Fax: 0120-2448 025

Name of Work: Applicable

Tender No.: Not Applicable

We have read the clause regarding Provisions for Procurement from a Bidder which shares a land border with India, we certify that, bidder is:

1 Not from such a country

2 If from such a country, has been registered with the Competent Authority. (Evidence of valid registration by the Competent Authority shall be attached)

Bidder is to select Applicable or Not applicable for the above options

We hereby certify that bidder fulfills all requirements in this regard and is eligible to be considered against the tender. No

We further certify that bidder will not sub-contract any work to an agency from such countries unless such agency is registered with the Competent Authority.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Select at least one option as Applicable

Annexure Commercial

Agreed by the bidder

PROFORMA OF DECLARATION OF BLACK LISTING/ HOLIDAY LISTING

Incorrect PAN No mentioned Propritership Partnership Company Consortium/Unincorporated JV

Incorrect PAN No mentioned I hereby declare that neither I in my personal name or in the name of my Proprietary concern M/s which is submitting the accompanying Bid. Tender nor any other concern in which I am proprietor nor any partnership firm in which I am involved as a Partner are presently on any black list or holiday list declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum and Natural Gas (MOPNG) nor any inquiry is pending by Indian Oil Corporation Ltd. Or MOPNG, in respect of any corrupt or fraudulent practice(s) against me or any other of my proprietorship concern(s) or against any partnership firm(s) in which I am or was at the relevant time involved as a partner, except as indicated below: We hereby declare that neither we, M/s submitting the accompanying Bid/Tender nor any partner involved in the said firm either in his individual capacity or as proprietor or partner of any other firm or concern presently are placed on any blacklist or holiday list declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum and Natural Gas (MOPNG)nor any pending inquiry is pending by Indian Oil Corporation Ltd. Or MOPNG in respect of corrupt or fraudulence practice(s) against us or any partner or any other concern or firm of which he is proprietor or partner, except as indicated below: We hereby declare that neither we M/s are presently neither placed on any holiday list or black list declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum and Natural Gas (MOPNG) nor any inquiry is pending by by Indian Oil Corporation Ltd or by MOPNG in respect of corrupt or fraudulent practice(s), except as indicated below: We hereby declare that none of the members of the consortium are presently placed on any holiday list or black list declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum and Natural Gas (MOPNG) nor any inquiry is pending by Indian Oil Corporation Ltd or by MOPNG in respect of corrupt or fraudulent practice(s), except as indicated below:

Yes, we have been blacklisted (List attached seperately)

Incorrect PAN No mentioned It is understood that if this declaration is found to be false in any particular, Indian Oil Corporation Ltd. Shall have the right to reject my/our bid, and if the bid has resulted in a contract, the contract is liable to be terminated without prejudice to any other right or remedy (including black listing or holiday listing) available to Indian Oil Corporation Ltd It is understood that if this declaration is found to be false in any particular, Indian Oil Corporation Ltd. Shall have the right to reject my/our bid, and if the bid has resulted in a contract, the contract is liable to be terminated without prejudice to any other right or remedy (including black listing or holiday listing) available to Indian Oil Corporation Ltd It is understood that if this declaration is found to be false in any particular, Indian Oil Corporation Ltd. Shall have the right to reject my/our bid, and if the bid has resulted in a contract, the contract is liable to be terminated without prejudice to any other right or remedy (including black listing or holiday listing) available to Indian Oil Corporation Ltd It is understood that if this declaration is found to be false in any particular, Indian Oil Corporation Ltd. Shall have the right to reject my/our bid, and if the bid has resulted in a contract, the contract is liable to be terminated without prejudice to any other right or remedy (including black listing or holiday listing) available to Indian Oil Corporation Ltd. No but there is an enquiry pending against us (Details attached seperatelty)

No, we havent been blacklisted by anyone

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Incorrect PAN No mentioned in master Index Incorrect PAN No mentioned in master Index

Annexure Commercial

Agreed by the bidder

GST (Goods & Services Tax) Details

[Please refer clause 6.3.1, 6.3.2 and its sub clauses of Chapter III Special Conditions of Contract Section (Commercial)]

Place of Service:

Name of Bidder:

Bidders is requested to quote as below:

Particulars Yes

Applicable Service Category (for GST purposes) Annual Rate Contract for electrical maintenance works at NRPL Rewari Township No

Applicable % of GST 0.18

Service Accounting Code(SAC) for selected Service Category 995469

Kindly confirm the following Yes or No:

1. Whether Service Covered under Reverse Charge? [ At present Services of GTA, Legal andSponsorship, among others, are covered under GST Laws]

2. Whether the bidder is exempted from registration under GST (Turnover of less than Rs 20 Lakh/ 10Lakh in case of special category States)

3.0 Whether Bidder is under Composition Scheme as defined under section 10of CGST Act, 2017?

Bidder to note that In case the bidder seeks any deviation w.r.t. category of service, Service Accounting Code (SAC) and GST rate as pre-determined by OWNER, Bidder should provide the details with proper justification.

Bidder to note that they should provide the relevant GST registration certificate along with the bid

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Mention agreed by the bidder in cell no E15 Mention agreed by the bidder in cell no E15

Annexure Commercial

Agreed by the bidder

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION FORM OF BANK GUARANTEE IN LIEU OF SECURITY DEPOSIT/ INITIAL SECURITY DEPOSIT

M/s Indian Oil Corporation Ltd. (Pipelines Division)

In consideration of Indian Oil Corporation Limited (Pipelines Division) (hereinafter called “the Corporation” which expression shall include its successors and assigns), having awarded certain work for and relative to (Name of the Project/Work) to (Name and address of the Contractor) (hereinafter called “the Contractor” which expression shall include its successors and assigns), upon certain terms and conditions inter-alia mentioned in the Corporation’s Letter of Acceptance No. __________________dated _______________________ read with the relative Tender Documents (hereinafter collectively called “the Contract”, which expression shall include any formal contract entered into between the Corporation and the Contractor in supersession of the said Letter of Acceptance and all amendments and/ or modifications in the contract) inclusive of the condition that the Corporation may accept a Bank Guarantee/ Undertaking of a Scheduled Bank in India in lieu of Cash Deposit of the Initial Security Deposit as provided for in General Conditions of Contract forming part of the said Tender Documents: I Agree

We (Name of the Bank), a body registered/constituted under the Act, having our Registered Office/ Head Office at (hereinafter called “the Bank” which expression shall include its successors and assigns), at the request of the Contractor and with the intent to bind the Bank and its successors and assigns, do hereby unconditionally and irrevocably undertake to pay to the Corporation at New Delhi forthwith on first demand without protest or demur or proof or satisfaction and without reference to the contractor up to an aggregate limit of Rs. (Rupees ___________________only). AND the Bank doth hereby further agrees as follows:

(i) This Guarantee/ Undertaking shall be a continuing guarantee and shall remain valid and irrevocable for all claims of the Corporation upon the Bank made up to the midnight of provided that the Bank shall upon the written request of the Corporation made upon the Bank at any time within 6 (six) months from the said date extend the validity of the Bank Guarantee by a further 6 (six) months so as to enable claims to be made under this Guarantee by a further 6 (six) months from the said date with the intent that the validity of this Guarantee shall automatically stand extended by a further 6 (six) months upon such request by the Corporation.

(ii) The Corporation shall have the fullest liberty without reference to the Bank and without affecting in any way the liability of the Bank under this Guarantee/ Undertaking, at any time and/ or from time to time to amend or vary the Contract and/ or any of the terms and conditions thereof or relative to the said Initial Security Deposit or to extend time for performance of the said Contract in whole or part or to postpone for any time and/ or from time to time any of the obligations of the Contractor and/ or the powers or remedies exercisable by the Corporation against the Contractor and either to enforce or forbear from enforcing any of the terms and conditions of or governing the said Contract or the said Initial Security Deposit or the securities available to the Corporation or any of them and the Bank shall not be released from its liability under these presents and the liability of the Bank hereunder shall remain in full force and effect notwithstanding any exercise by the Corporation of the liberty with reference to any or all the matters aforesaid or by reason of time being given to the Contractor or any other forbearance, act or omission on the part of the Contractor or of any indulgence by the Corporation to the Contractors or of any other act, matter or thing whatsoever which under the law relating to sureties or otherwise which could but for the provision have the effect of releasing the Bank from its liability hereunder or any part thereof and the Bank hereby specifically waives any and all contrary rights whatsoever.

(iii) The obligations of the Bank to the Corporation hereunder shall be as principal to principal and shall be wholly independent of the contract and it shall not be necessary for the Corporation to proceed against the Contractor before proceeding against the Bank and the Guarantee/ Undertaking herein contained shall be enforceable against the Bank notwithstanding the existence of any other Guarantee/ undertaking or security for any indebtedness of the Contractor to the Corporation (including relative to the said Security Deposit) and notwithstanding that any such undertaking or security shall at the time when claim is made against the Bank or proceedings taken against the Bank hereunder, be outstanding or unrealized.

(iv) The amount stated by the Corporation in any demand, claim or notice made with reference to this guarantee shall as between the Bank and the Corporation for the purpose of these presents be conclusive of the amount payable by the Bank to the Corporation hereunder.

(v) The liability of the Bank to the Corporation under this Guarantee/ undertaking shall remain in full force and effect notwithstanding the existence of any difference or dispute between the Contractor and the Corporation, the Contractor and the Bank and/ or the Bank and the Corporation or otherwise howsoever touching or affecting these presents for the liability of the Contractor to the Corporation, and notwithstanding the existence of any instructions or purported instructions by the Contractor or any other person to the Bank not to pay or for any cause withhold or defer payment to the Corporation under these presents, with the intent that notwithstanding the existence of such difference, dispute or instruction, the Bank shall be and remain liable to make payment to the Corporation in terms hereof.

(vi) The Bank shall not revoke this undertaking during its currency except with the previous consent of the Corporation in writing and also agrees that any change in the constitution of the Contractor or the Bank or the Corporation shall not discharge the Bank’s liability hereunder.

(vii) Without prejudice to any other mode of service, a demand or claim or other communication may be transmitted by fax. If transmitted by fax, the transmission shall be complete as soon as acknowledged by bank.

(viii) Notwithstanding anything contained herein: (a) The Bank’s liability under this guarantee/undertaking shall not exceed (Amount in figures & words); (b) This guarantee/ undertaking shall remain in force up to and any extension(s) thereof; and (c) The Bank shall be released and discharged from all liability under this guarantee/ undertaking unless a written claim or demand is issued to the Bank on or before _______________or the date of expiry of any extension(s) thereof if this guarantee/undertaking has been extended.

(ix) The Bank doth hereby declare that Shri (Name of the person signing on behalf of the Bank) who is ______ (his designation), is authorized to sign this undertaking on behalf of the Bank and to bind the Bank hereby.

Dated this day of __________20________.

Yours faithfully, Signature: Name & Designation: Name of Issuing Branch: Complete Postal Address of Issuing Branch: Telephone No. Fax No. Email Address of the BG issuing Bank Officer/Bank Branch IFSC Code of the Branch:

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Annexure Commercial

Agreed by the bidder

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION BANK GUARANTEE IN LIEU OF EARNEST MONEY DEPOSIT

M/s Indian Oil Corporation Ltd. (Pipelines Division)

In consideration of Indian Oil Corporation Limited (Pipelines Division) (hereinafter called “the Corporation” which expression shall include its successors and assigns), having agreed interalia to consider the tender of (Name of the Tenderer) having its Head Office/ Registered Office at (Address of the Tenderer) (hereinafter called the “Tenderer” which expression shall include its successors and assigns), for the work of (Name of the Project/Work) at to be awarded under Tender No upon the Tenderer furnishing an undertaking from the Bank as hereinafter appearing in lieu of cash deposit of the Earnest Money. I Agree

We (Name of the Bank) , a Bank constituted/Registered under the Act, having our Head Office/ Registered Office at (hereinafter called the “Bank” which expression shall include its successors and assigns), at the request of the Tenderer and with the intent to bind the Bank and its successors and assigns do hereby unconditionally and irrevocably undertake to pay the Corporation at New Delhi forthwith on first demand without protest or demur or proof or satisfaction or condition and without reference to the Tenderer, all sums payable by the Tenderer as and by way of Earnest Money to the Corporation, upto an aggregate limit of (Amount in figures and words) . AND THE BANK DOTH HEREBY FURTHER AGREES AS FOLLOWS:

1. This Guarantee/Undertaking shall be a continuing guarantee and shall remain in full force and effect for all claims or demands made by the Corporation on the Bank until the Corporation discharges this Guarantee/Undertaking subject, however, that the Corporation shall have no claims under this Guarantee/Undertaking after the midnight of or any written extension(s) thereof. PROVIDED that if the aforesaid work tendered for or any part thereof shall be awarded to the Tenderer on or before the said date, whether on the basis of accompanying tender or any other basis, then the validity of this guarantee/undertaking shall stand automatically extended for all claims and demands made by the Corporation for further three months.

2. The Corporation shall have the fullest liberty without reference to the Bank and without affecting in any way the liability of the Bank under this Guarantee/Undertaking at any time and/or from time to time any wise to postpone and/or vary any of the powers, rights, and obligations exercisable by the Corporation against the Tenderer and either to enforce or to forbear from enforcing all or any of the terms and conditions of or governing the said Tender and/or any contract consequent upon any award of work or the said Earnest Money Deposit or the securities available to the Corporation or any of them and the Bank shall not be released from its liability under these Presents and the liability of the Bank hereunder shall remain in full force and effect notwithstanding any exercise by the Corporation of the liberty with reference to any or all the matters aforesaid or by reason of any other act, matter or thing whatsoever which under law relating to the sureties or otherwise which could, but for this provision have the effect of releasing the Bank from all or any of its obligations hereunder or any part thereof, and the Bank specifically waives any and all contrary rights whatsoever

3. It shall not be necessary for the Corporation to proceed against the Tenderer before proceeding against the Bank and the Guarantee/Undertaking herein contained shall be enforceable against the Bank as principal debtor notwithstanding the existence of any other undertaking or security for any indebtedness of the Tenderer to the Corporation and notwithstanding that any such security shall at the time when claim is made against the Bank or proceedings taken against the Bank hereunder, be outstanding or unrealised.

4. The amount stated by the Corporation in any demand, claim or notice made with reference to this guarantee shall as between the Bank and the Corporation for the purpose of these Presents be conclusive of the amount payable by the Bank to the Corporation hereunder.

5. The liability of the Bank to the Corporation under this Guarantee/Undertaking shall remain in full force and effect notwithstanding the existence of any difference or dispute between the Tenderer and the Corporation, the Tenderer and the Bank and/or the Bank and the Corporation or otherwise howsoever touching these Presents or the liability of the Tenderer to the Corporation, and notwithstanding the existence of any instructions or purported instructions by the Tenderer or any other person to the Bank not to pay or for any cause withhold or defer payment to the Corporation under these Presents, with the intent that notwithstanding the existing of such difference, dispute or instructions, the Bank shall be and remain liable to make payment to the Corporation in terms thereof.

6. This Guarantee/Undertaking shall not be determined or affected by the liquidation or winding up or dissolution or change of constitution or insolvency of the Tenderer or any change in the legal constitution of the Bank or the Corporation.

7. Without prejudice to any other mode of service, a demand or claim or other communication may be transmitted by the Corporation to the Bank either by post or by fax. If transmitted by fax, the transmission shall be complete as soon as acknowledged by bank.

(viii) Notwithstanding anything contained herein: (a) The Bank’s liability under this guarantee/undertaking shall not exceed (Amount in figures & words); (b) This guarantee/ undertaking shall remain in force up to and any extension(s) thereof; and (c) The Bank shall be released and discharged from all liability under this guarantee/ undertaking unless a written claim or demand is issued to the Bank on or before _______________or the date of expiry of any extension(s) thereof if this guarantee/undertaking has been extended.

The Bank doth hereby declare that Shri who is authorised to sign this Guarantee/Undertaking on behalf of the Bank and to bind the Bank thereby.

Dated this day of __________20________.

Yours faithfully, Signature: Name & Designation: Name of Issuing Branch: Complete Postal Address of Issuing Branch: Telephone No. Fax No. Email Address of the BG issuing Bank Officer/Bank Branch IFSC Code of the Branch:

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Mention Agreed by the bidder in cell D26

Annexure Commercial

Agreed by the bidder

STATEMENT OF CREDENTIALS

NOTE: 1. Incorrect/ false declaration will result in disqualification. 2. Necessary supporting documents to be enclosed. 3. Corporation reserves the right to assess the tenderer’s capacity and capability if necessary by visiting/ inspecting recently executed / under execution of works. Agreed by the bidder

1. NAME AND CORRESPONDENCE ADDRESS OF THE TENDERER

PERMANENT ADDRESS OF THE TENDERER

2. TELEPHONE NO.

3. NAME OF CONTACT PERSON(s): SOLE PROPRIETORSHIP: - (Give Name of the Proprietor)

PARTNERSHIP FIRM:- (Give names of the Partners and enclose scan copy of Partnership deed)

4. NAME OF THE AUTHORIZED SIGNATORY PRIVATE OR PUBLIC LIMITED COMPANY (CIN no. (If applicable) Also upload list of Directors and copy of Certificate of Incorporation)

Consortium Bids Please mention CIN of both the companies

(B) TYPE OF BUSINESS ENTITY:- (Pl. provide the required applicable details as under)

1. DATE / YEAR OF ESTABLISHMENT OF THE FIRM / COMPANY:

Incorrect PAN No mentioned

Details of Completed Work Orders of minimum value as per Pre- qualification criteria (PQC) during last seven Years as specified in PQC of the tender:

S No Particulars WO-1 WO-2 WO-3 WO-4 WO-5 WO-6

A Party’s Name to whom executed, Clear Postal Address, Telephone/Fax Nos. and E-Mail Address

B Work Order (WO) Details-

WO Reference No.

WO Value ( Rs. in Lakh)

C Detail of works & Location

D Date of completion of work

E Completion certificate reference No. and date

F Completion Value of Work, as per Completion certificate

Note: Notwithstanding any other condition/ provision in the tender documents, Bidders are required to submit complete documents pertaining to Pre-Qualification Criteria (PQC) along with their offer. Failure to meet the PQC will render the bid to be rejected. IOC reserves the right to complete the evaluation based on the details furnished by the Bidder, with or without seeking any additional supporting documents/ clarifications. Tenderer should upload copy of the above-referred work orders and completion certificates/proof of payment as applicable In clase of any other clarification please upload it on a different sheet

(D) Annual Turnover (as per Signed and Audited Balance Sheet including P&L account) in following last THREE financial years:

S No Financial Year Value in Rs Lakhs

Note: Tenderer should upload copy of signed and audited Balance Sheet including P&L account as proof of turnover.

(E) INCOME TAX DETAILS:

(Tenderer is required to upload copy of PAN card)

Income Tax Returns Acknowledgement Filed for last three Assessment Years (i.e. corresponding financial years):

Assesment Year Date ACKNOWLEDGEMENT NO.

Note: Tenderer should upload copy of the Acknowledgement of Income Tax Return filed.

(F) TAX CERTIFICATE:

Particulars Registration Number Date Valid Upto

GST Identification No

Note: Tenderer should upload copies of above Tax Registration Certificates. Tenderer is also required to necessarily fill in the following details.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied Annexure Not Complied

Fill up the information in all the Blue cells

Tender Number Annexure Complied

Annexure Commercial

Agreed by the bidder

FORMAT FOR TENDERER’S EXCEPTIONS / DEVIATIONS COMMERCIAL

Agreed by the bidder

S. No. Ref chapter/ Page No. Tender Document Subject Deviation /

Cl. No. Para No. Exception

Any clarifications / deviation / exception appearing elsewhere in the tenderer’s offer shall not be considered. Failure to clearly define tender exceptions may be cause for Tender rejection. Bidder has certain deviations which are attached as separate sheet.

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied

Mention NIL deviations or have any deviations in cell E14

Annexure Commercial

TENDER FORWARDING LETTER

M/s Indian Oil Corporation Ltd. (Pipelines Division) Indian Oil Bhavan, A-1 Udyog Marg, Sector-1, NOIDA-201 301 (UP). India. Ph.: 0120-2448 409 Fax: 0120-2448 025

We confirm that we have quoted the rates in the tender considering Inter-alia the 1. Tender Document(s) 2. Additional Document(s) if any 3. BoQ Document (Price Bid Format) 4. Corrigendum (if any) 5. Pre Bid Meeting Minutes (if any) Yes

We hereby certify that we have fully read and thoroughly understood the tender requirements and accept all terms and conditions of the tender including all corrigendum/addendum issued, if any. Not Applicable

Our offer is in confirmation to all the terms and conditions of the tender including all corrigendum/addendum, if any and minutes of the pre-bid meeting. In the event our offer is found acceptable and contract is awarded to us, the complete tender document shall be considered for constitution of Contract Agreement. Agreed by the bidder

We have also confirm that we have quoted for all items of BoQ/SOR.

We also confirm that there is no conflict of interest with other bidders, as per clause no. 5.1.6 of Special Instruction to tenderers (Section B- Commercial)

We have pleasure in making our TECHNO-COMMERCIAL PROPOSAL in accordance with your BID requirements (except deviation as per Annexure-2) for your consideration. Moreover we have also undergone through Clause No. 8.0.0 of SIT (Section B Commercial) and hereby declare that we are submitting our bid as

S. No. Bidding Entity Please select Yes infront of the bidding entity appliable for you and Not Applicable for Others

1 Sole Bidder (Proprietary / Partnership/ Company)

2 Consortium /Joint Venture

If Yes than please also fill

3 Indian Subsidiary of a Foreign Company bidding on the Financial Strength of its Parent Company

If Yes than please also fill

Parent Company:-

We confirm that we have read, understood and will comply with the Annexure

Status Annexure Not Complied Annexure Not Complied

Please fill up all the options

Annexure Commercial

Select, At Par, Excess (+), Less (-) IOCL Select Not Quoted At Par Excess (+) Less (-)

Tender Inviting Authority: Tender Inviting Authority: Deputy General Manager (M&C), IndianOil Corporation Limited , Northern Region Pipeline, P.O. Panipat Refinery Baholi, Panipat 132140

Name of Work: Annual rate contract for electrical maintenance works at NRPL Rewari Township.

Tender No. : PNP25099 PREAMBLE OF SCHEDULE OF RATES 1. This preamble is an integral part of the Schedule of Rates and any definition and explanation given herein shall have as much force as though they are incorporated into the description of the items themselves in the Schedule of Rates. 2. Unless otherwise specifically stated in the Contract, all work under the Contract shall be covered and paid for in accordance with the items and relative rates mentioned in the Schedule of Rates. 3. The description given under the items of work in the Schedule of Rates shall be deemed to include, wherever applicable, mobilization, labour, equipment, materials, carriage, cartage, hoisting, setting, fitting and fixing in position of all materials and equipment, and all other labours and operations necessary whether specifically stated/implied or not, for the full and entire execution and completion of the relative works in all respects according to the contract. 4. The description given under the items of work in the Schedule of Rates shall be deemed to include the relative provisions in the Specifications, Drawings and other contract documents for the execution of the works in accordance therewith and the instructions of the Engineer-in-Charge. 5. The rates quoted shall be inclusive of all taxes and duties excluding GST. 6. No overwriting/ cutting/ use of white fluid are allowed in the SOR. 7. Without prejudice to any other right(s) the Owner may have under the contract, the Owner reserves the right to operate any and all items of work appearing in the Schedule of Rates. 8. The percentage quoted by the bidder against this item shall be uniformly applicable to all variable items. Units: LS: Lump Sump

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE In Figures To be entered by the Bidder Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category

10 Annual rate contract for electrical maintenance works at NRPL Rewari Township. Item 00010

10.01 Having examined the tender documents consisting of Notice Inviting Tender, SIT, SCC, General Conditions of Contract, Scope of Work regarding various jobs, Time schedule, Unpriced SOR-Part II etc. and having thoroughly studied the requirement of Indian Oil Corporal Limited realtive to the work tendered for and having conducted a thorough study of jobsite(s) involved, the site conditions, soil conditions, the climatic conditions, labour, power, water etc. including office accomodation, transport & all other facilities and things whatsoever necessary for the performance of the work in accordance with the terms and conditions and within time mentioned in the tender document, I/We hereby agree to execute the subject work at mentioned (in this BoQ) % below / at par / % above the rates specified in the enclosed Schedule of Rate-Part II. Item 00020 LS Excess(+) 1 Full Conversion INR

Total in Figures

Quoted Rate in Figures Select

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