Tower No.: 147 of 132 kV Haflong-Jiribam TL

:: COVER PAGE ::

Name of Package Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

NIT Ref. No.: NESH/CSM/OT/PRANIT/1500-1365 Dated:18/11/2024

Package Code NESH/CSM/OT/PRANIT/1500-1365 /BPS-Vol-IC

Specification No. NESH/CSM/OT/PRANIT/1500-1365/BPS-Vol-IC

Address of Purchaser/ Owner Senior General Manager (C&M)

Power Grid Corporation of India Limited.

Dongtieh, Lower Nongrah, Lapalang.

Shillong - 793006.

Phone/Fax -0364- 2536406; Mobile:7002775114.

Email: [email protected]

General guidelines for filling up the Attachments

: Attachments : Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge. Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

Specification No.:NESH/CSM/OT/PRANIT/1500-1365/BPS-Vol-IC

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

Note : Enable the Active X Control & Macros. Also ensure to keep option of "Trust acess to VBA project object Model" cheched [√]. Ensure that you work on MS Excel 2007 or higher version.

पावर ग्रिड कारपोरेशन ऑफ इण्डिया लिमिटेड

(भारत सरकार का उद्यम)

Power Grid Corporation of India Limited

(A Government of India Enterprises)

General Instruction to the Bidders for filling up this workbook for :

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

I While filling up the worksheets following may please be observed :

(i) Fill up only green shaded cells.

(ii) Certain data type entries have been restricted, such as Numeric values or limits of numeric values.

(iii) Select only the options provided in pull down menus.

(iv) Do not link any cell of this work book with any other work book.

(v) Do not use copy & paste or cut & paste options for filling up the data.

(vi) Do not reformat any of the cell of the work book.

Happy Bidding !

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

NESH/CSM/OT/PRANIT/1500-1365 Dated:18/11/2024 Sole Bidder 1

JV (Joint Venture) 2 or More

Enter following details of the bidder

Specify type of Bidder [Select from drop down menu] Sole Bidder 1 Sole Bidder 1 2 0

1 JV (Joint Venture) 2 or More

Micro and Small Enterprise (MSE)

Name of Sole Bidder Name

Address of Sole Bidder Principal place of business Add1

Name of other Partner 1

Address of other Partner

Name of other Partner - 2 (more, if any)

Name of other Partner - 2

Address of other Partner - 2

Name of other Partner - 2 (more, if any)

Address of other Partner - 2 (more, if any)

MSE Bidder ? TRUE

Enter the name of Registration Authority. Udyam Registered Bidder

Whether Medium/Small/Micro Micro

Udyam Registeration No.:

Type of Enterprise

Social Category of Enterpreneur

Printed Name Printed Name

Designation Desig

Date : 21/Oct/2024 31

Specification No.:NESH/CSM/OT/PRANIT/1500-1365/BPS-Vol-IC Bid Form 2nd Envelope Sole Bidder 1 st 1 January

0 2 nd 2 February

BID FORM (Second Envelope) 3 rd 3 March

Bid Proposal Ref. No. 5 th 5 May

Date : #REF! 6 th #REF! 6 June

7 th #REF! 7 July

To: 8 th #REF! 8 August

Sr. General Manager (C&M) 9 th #REF! 9 September

Power Grid Corporation of India Limited 10 th 10 October

North Eastern Region 11 th 11 November

Dongtieh, Lower Nongrah, Lapalang 12 th 12 December

Shillong – 793 006 (Meghalaya). 13 th

Name of Contract : Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge. 15 th

Dear Ladies and/or Gentlemen, 16 th

1.0 In continuation of Techno-commercial Bid,we hereby submit the Second Envelope of the Bid,both of which shall be read together and in conjunction with each other,and shall be construed as an integral part of our Bid. Accordingly,we the undersigned,submit our offer for Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge. under the above-named package in full conformity with the said Bidding Documents for the sum of (Specify the currency and the amount in figures and words) …………. or such other sums as may be determined in accordance with the terms and conditions of the Bidding Documents. In continuation of First Envelope of our Bid, we hereby submit the Second Envelope of the Bid, both of which shall be read together and in conjunction with each other, and shall be construed as an integral part of our Bid. Accordingly, we the undersigned, offer to design, manufacture, test, deliver, install and commission (including carrying out Trial Operation, Performance & Guarantee Test as per provision of Technical Specification) under the above-named package in full conformity with the said Bidding Documents for the sum of Rs. or such other sums as may be determined in accordance with the terms and conditions of the Bidding Documents. #REF! #REF! 17 th

Schedule 1 Civil/Installation Charges.

Schedule 2 Grand Summary 26 th

2.5 We declare that items left blank in the Schedules will be deemed to have been included in other items. The TOTAL for each Schedule 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. 31 st

3.0 We confirm that except as otherwise specifically provided our Bid Prices in this Second Envelope include all taxes, duties, levies and charges as may be assessed on us/our Associate (applicable for Foreign Bidder), our Sub-Contractor/Sub-Vendor or their employees by all municipal, state or national government authorities in connection with the Facilities, in and outside of India.

3.1 100% of applicable Taxes and Duties i.e GST, which are payable by the Employer under the Contract, shall be reimbursed by the Employer on production of satisfactory documentary evidence by the Contractor in accordance with the provisions of the Bidding Documents.

3.3 We confirm that we have also registered/we shall also get registered in the GST Network with a GSTIN, in all the states where the project is located and the states from which we shall make our supply of goods.

4.0 # (For Joint Venture only) We, the partners of Joint Venture submitting this bid, do agree and confirm that in case of Award of Contract on the Joint Venture, we shall be jointly and severally liable and responsible for the execution of the Contract in accordance with Contract terms and conditions. #REF!

5.0 We, hereby, declare that only the persons or firms interested in this proposal as principals are named here and that no other persons or firms other than those mentioned herein have any interest in this proposal or in the Contract to be entered into, if the award is made on us, that this proposal is made without any connection with any other person, firm or party likewise submitting a proposal is in all respects for and in good faith, without collusion or fraud.

Thanking you, we remain,

Yours faithfully,

For and on behalf of Name

Date : 21-Oct-24 Printed Name :

Place : XX Designation :

Please provide additional information of the Bidder

Business Address :

Country of Incorporation :

State/Province to be indicated :

Name of Principal Officer :

Address of Principal Officer :

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

Document Ref: NESH/CSM/OT/PRANIT/1500-1365 Dated:18/11/2024 Schedule - I of BPS, Vol-IC

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Bill of Quantities for DSR Items)

Bidder’s Name and Address:

Name : XXYYZZ C&M Deptt.

Address : aaAAbbBB Power Grid Corporation of India Ltd.,

xxXXyyYY NERTS, Lower Nongrah, Lapalang

Shillong - 793006

We declare that following are our Total Bid Prices in Rupees for the expenditure incurred for the entire scope of work as specified in the specifications and documents. We have indicated the Percentage and Amount to the Total Estimated Cost as indicated in the “Bill of Quantity (BOQ) & Prices” covering the entire scope of works enclosed herewith as Schedule-1. Incase of discrepancy, the quoted percentage as per this Schedule shall prevail.

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

Sl. Item No. Description Unit Total Qnty CE Unit Rate Quoted Percentage ABOVE THE ESTIMATED COST OR BELOW THE ESTIMATED COST Quoted Unit Rate Quoted Amount in Rs. SAC CODES Whether SAC in column ‘(J)' is confirmed. If not indicate applicable the SAC # Rate of GST applicable (in %) Whether rate of GST in column ‘(L)’ is confirmed. If not indicate applicable rate of GST #

PART A: Construction of RRM Wall

1 2.6 Earth work in excavation by mechanical means (Hydraulic excavator)/manual means over areas (exceeding 30 cm in depth, 1.5 m in width as well as 10 sqm on plan) including getting out and disposal of excavated earth lead upto 50 m and lift upto 1.5 m, as directed by Engineer-in-charge 2.6.1 All kinds of soil Cum 128.703 222.12 222.12 28,587.51 995433 18%

2 7.1 Random rubble masonry with hard stone in foundation and plinth including levelling up with cement concrete 1:6:12 (1 cement : 6 coarse sand : 12 graded stone aggregate 20 mm nominal size) upto plinth level with : 7.1.1 Cement mortar 1:6 (1 cement : 6 coarse sand) Cum 94.48 9148.97 9148.97 864,394.69 995456 18%

3 7.2 Random rubble masonry with hard stone in superstructure above plinth level and upto floor five level, including leveling up with cement concrete 1:6:12 (1 cement : 6 coarse sand : 12 graded stone aggregate 20 mm nominal size) at window sills, ceiling level and the like. 7.2.1 Cement mortar 1:6 (1 cement : 6 coarse sand) Cum 131.72 11606.89 11606.89 1,528,859.55 995456 18%

4 4.1.3 Providing and laying in position cement concrete of specified grade excluding the cost of centering and shuttering - All work up to plinth level :1:2:4 (1 cement : 2 coarse sand (zone-III) derived from natural sources : 4 graded stone aggregate 20 mm nominal size derived from natural sources) Cum 1.170 9858.81 9858.81 11,534.81 995454 18%

5 5.9.5 Centering and shuttering including strutting, propping etc. and removal of form for :Lintels, beams, plinth beams, girders, bressumers and cantilevers or equivalent Sqm 6.96 921.5 921.5 6,413.64 995457 18%

6 2.25 Filling available excavated earth (excluding rock) in trenches, plinth,sides of foundations etc. in layers not exceeding 20cm in depth, consolidating each deposited layer by ramming and watering, lead up to 50 m and lift upto 1.5 m. Cum 106.03 245.26 245.26 26,004.92 995433 18%

7 12.41.2 Providing and fixing on wall face unplasticised Rigid PVC rain water pipes conforming to IS : 13592 Type A, including jointing with seal ring conforming to IS : 5382, leaving 10 mm gap for thermal expansion,(i) Single socketed pipes. 12.41.2 110 mm diameter metre 45.00 472.26 472.26 21,251.70 995453 18%

8 6.1.2 Brickwork with common burnt clay FPS (Non modular) bricksof class designation 7.5 in foundation and plinth in:Cement mortar 1:6(1 cement:6 sand) Cum 1.83 8924.98 8924.98 16,332.71 995456 18%

PART B:Covering the base of the Tower with PCC (1:4:8):

9 4.1.8 Providing & laying in Position Cement Concrete of specified grade excluding the cost of centering and shuttering of ratio 1:4:8 (1 cement: 4 coarse sand (zone III) derived from natural sources: 8 graded stone aggregate 40 mm nominal size derived from natural sources). Cum 19.65 8524.24 8524.24 167,501.32 995454 18%

Sub-Total 2,670,881.00

Quoted Percentage ( %) 0.00%

Total QUOTED BID PRICE ( in Rs.) 2,670,881.00

Note : * While quoting their Percentage component the bidder shall exclude applicable GST. GST shall however be indicated in Schedule-I. GST shall be paid extra as applicable correspnding to the SAC Codes indicated in Schedule-1.

NOTE:The above estimate cost is exclusive of GST. GST will be paid extra as applicable corresponding to the HSN/SAC code.

Date : 21-Oct-24 Printed Name : Printed Name 0 0 0

Place : XX Designation : Desig 0 0 0

Specification No.NESH/CSM/OT/PRANIT/1500-1365/BPS-Vol-IC Summary to BPS-Vol-IC

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(GRAND SUMMARY)

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

Name : Name Sr. General Manager (C&M)

Address : Add1 Power Grid Corporation of India Limited

Add2 North Eastern Region

Dongtieh, Lower Nongrah, Lapalang

Sl. No. Description Total Price (INR)

1 TOTAL SCHEDULE NO. 1

( Installation/Civil work charges) 2,670,881.00 0 0 0 0 0

GRAND TOTAL [EXCLUDING GST] in Number 2,670,881.00

GRAND TOTAL [ Excluding GST] in WORDS

Date : 21-Oct-24 Printed Name : Printed Name

Place : XX Designation : Desig

ENVELOPE-1: Techno-Commercial Part (Bid Proposal Sheet).

:: COVER PAGE ::

Name of Package Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

NIT Ref. No.: NESH/CSM/OT/PRANIT/1500-1365

Package Code NESH/CSM/OT/PRANIT/1500-1365 /BPS-Vol-IB

Address of Purchaser/ Owner Senior General Manager (C&M)

Power Grid Corporation of India Limited.

Dongtieh, Lower Nongrah, Lapalang.

Shillong - 793006.

Email: [email protected] |

General guidelines for filling up the Attachments

: Attachments : Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge. Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

NESH/CSM/OT/PRANIT/1500-1365

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

2 Attachments 3(QR), Attach QR, 4, 4(A), 4(B), 5, 5(A), 6, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20,21 and Bid Form for 1st Envelope are included here.

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

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

5 Attachment 8 Manufacturer’s Authorisation Form : Format for Manufacturer’s Authorisation Form is annexed Seperetely herewith this Volume

6 Attachment 14 Integrity Pact : NOT APPLICABLE

7 Attachment 18 Safety Pact : NOT APPLICABLE

8 Attachment 19 Declaration of Key Managerial Person and Power of Attorney holder: Format is annexed Seperetely herewith this Volume

9 Attachment 20 Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order and MoP Order December 2018: Format is annexed Seperetely herewith this Volume

10 Attachment 21 Declaration regarding events encountered pursuant to ITB Clause 2.1: Format is annexed Seperetely herewith this Volume

11 Attachment 22 Format for Affidavit of Self certification regarding Local Content in line with PPP-MII order and DoT order, if applicable, to be provided on a non-judicial stamp paper of Rs. 100/-.

12 Attachment Format of ‘Authorization certificate issued by Domestic Manufacturer for selling Domestically Manufactured Iron & Steel Products’

13 Attachment 22: Format for Affidavit of Self Certification regarding Domestic Value Addition in Iron & Steel Products to be provided on a non-judicial stamp paper of Rs. 100/-.

14 Attachment 27:Undertaking by the bidder regarding Compliance of DMI&SP policy

15 Annexure-(SCC)_Declaration CIPP:Declaration by the bidder regarding CIPP

Note : Enable the Active X Control & Macros. Also ensure to keep option of "Trust acess to VBA project object Model" cheched [√]. Ensure that you work on MS Excel 2007 or higher version.

पावर ग्रिड कारपोरेशन ऑफ इण्डिया लिमिटेड

(भारत सरकार का उद्यम)

Power Grid Corporation of India Limited

(A Government of India Enterprises)

General Instruction to the Bidders for filling up this workbook for Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

I While filling up the worksheets following may please be observed :

(i) Fill up only green shaded cells.

(ii) Certain data type entries have been restricted, such as Numeric values or limits of numeric values.

(iii) Select only the options provided in pull down menus.

(iv) Do not link any cell of this work book with any other work book.

(v) Do not use copy & paste or cut & paste options for filling up the data.

(vi) Do not reformat any of the cell of the work book.

Happy Bidding !

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

NESH/CSM/OT/PRANIT/1500-1365 Sole Bidder 1

JV (Joint Venture) 2 or More

Enter following details of the bidder

Specify type of Bidder [Select from drop down menu] Sole Bidder Sole Bidder 1

1 JV (Joint Venture) 2 or More

Micro and Small Enterprise (MSE)

Name of Sole Bidder Name

Address of Sole Bidder Principal place of business Add1

Enter the name of Registration Authority. Udyam Registered Bidder

Whether Medium/Small/Micro

Udyam Registeration No.:

Type of Enterprise

Social Category of Enterpreneur

Printed Name Printed Name

Designation Desig

Date : 8 Sep 2024

NESH/CSM/OT/PRANIT/1500-1365 Bid Form 1st Envelope 1 one 1 st 1 January

2 two 2 nd 2 February

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

4 four 4 th 4 April

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

Date: Sep 6 six 6 th 6 June

7 seven 7 th 7 July

To: 8 eight 8 th 8 August

Sr.GM(Contract & Material Department) 9 nine 9 th 9 September

Power Grid Corporation of India Ltd., the Facilities under the above-named package in full conformity with the said Bidding Documents. In accordance with SCC 18.0.0 of the Bidding Documents, as per which the bid shall be submitted by the bidder under “Single Stage - Two Envelope” procedure of bidding. Accordingly, we hereby submit our Bid, in single envelope. " 10 ten 10 th 10 October

North Eastern Region 11 eleven 11 th 11 November

Dongtieh, Lower Nongrah 12 twelve 12 th 12 December

Lapalang, Shillong-793006 (Meghalaya) 13 thirteen 13 th

14 fourteen 14 th

Name of Contract : Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge. Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge. 15 fifteen 15 th

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

0.0 We meet the eligibility requirements and have no conflict of interest in accordance with ITB Clause 2.

0.0 Attachments to the Bid Form (First Envelope) Bank Draft 18 eighteen 18 th

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

(a) Attachment 1

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………. Type of EMD Currency Amount Validity of EMD Name of Inssuing Bank Bid Security - in orginial (hard copy/ Physical form), for sum of 53000 submitted in a separate envelope in accordence with Cl.No.2.0.0 of SCC, in the form of Bank Guarantee issued by initially valid upto 00/01/1900 so as to reach C&M Department of POWERGRID, Shillong before deadline for submission of Bid specified in SCC. The soft/scanned copy is uploaded through the portal. Bid security has not been submitted as our firm is registered under Udyam Registeration. Valid Udyam Registeration Certificate certificate being submitted instead of Bid Security, so as to reach C&M Department of POWERGRID, Shillong before deadline for submission of Bid specified in SCC. The soft/scanned copy is uploaded through the portal. --------------------------POWERGRID Online Payment Utility Portal Acknowledgment Slip------- ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………. Banks certified Cheque Zero 20 twenty 20 th

OR, Documentary evidence in support of exemption of Bid Security, in separate envelope in accordance with clause 13.1 of ITB, Section-II.

(b) Attachment 2 A power of attorney duly authorized by a Notary Public indicating that the person(s) signing the bid have the authority to sign the bid and thus that the bid is binding upon us during the full period of its validity in accordance with the ITB Clause 14. Bank Guarantee Rs 53000 Bank Guarantee (Validity of EMD) 21 st

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

(d) Attachment 4, 4A: The documentary evidence establishing in accordance with ITB Clause 3, Vol.-I of the Bidding Documents that the facility offered by us are eligible facilities and conform to the Bidding Documents has been furnished as Attachment 4 . Moreover, a list of Special Tools & Tackles to be furnished by us, the cost of which are included in our Bid Price, is also enclosed as per your format as Attachment- 4A. Not Applicable 24 th

(e) Attachment 5 : The details of all major items of services or supply which we propose subletting in case of award, giving details of the name and nationality of the proposed subcontractor/sub-vendor for each item. 25 th

(f) Attachment 5A : (Items, Components, Raw Material, Services proposed to be sourced from Micro and Small Enterprises): The details of the items, components, raw material, services which is proposed to bought/availed from Micro and Small Enterprises for the purpose of completion of works.

(g) Attachment 6 : The variation and deviations from the requirements of the Conditions of Contract, Bid Data Sheet and other commercial conditions, Technical Specification and Drawings (excluding critical provisions as mentioned at clause 6.0 below) in your format enclosed with the Bidding Documents, including, inter-alia, the cost of withdrawal of the variations and deviations indicated therein. 26 th

(h) Attachment 7: The details of Alternative Bids made by us indicating the complete Technical Specifications and the deviation to contractual and commercial conditions. [NOT APPLICABLE] 28 th

(i) Attachment 8: Manufacturer’s Authorisation Forms [NOT APPLICABLE] 29 th

(j) Attachment 9: Work Completion Schedule [ As indicated in Bidding document]

(k) Attachment 10: Guarantee/ Defect liability Declaration 30 th

(l) Attachment 11: Information regarding ex-employees of Employer in our firm 31 st

(m) Attachment 12: Filled up information regarding Price Adjustment Data as per the format enclosed in the bidding documents [Firm & Fixed]

(n) Attachment 13: Declaration regarding Social Accountability

(o) Attachment 14: Integrity Pact, in a separate envelope, duly signed on each page by the person signing the bid.[APPLICABLE for package value > 1 Crore]

(p) Attachment 15: (Option for Initial Advance (either Interest Bearing Initial Advance or No Initial Advance) and Information for E-payment, PF details and declaration regarding Micro/Small & Medium Enterprises)

(q) Attachment 16: Additional information Option for Initial Advance (either Interest Bearing Initial Advance or No Initial Advance) - NOT Applicable and Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise

(r) Attachment 17: Declaration for tax exemptions, reductions, allowances or benefits

(s) Attachment 18: Safety

(t) Attachment 19: Declaration

(u) Attachment 20: Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order and MoP Order December 2018

(v) Attachment 21: Certificate from statutory auditor or cost auditor of the company (in the case of companies) or from a practicing cost accountant or practicing chartered accountant (in respect of suppliers other than companies) giving the percentage of Local Content, in line with PPP-MII order, if applicable [in case of packages above Rs. 10 Cr]

(w) Attachment 22: Undertaking by the bidder regarding Compliance of DMI&SP policy

(x) Attachment 23: Code of Integrity for Public Procurement ( CIPP)

(xi) Attachment 24: Whistle Blower Policy

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

3.0.A We are a Micro and Small Enterprise (MSE) registered with Name, a designated Authority of GoI under the Public Procurement Policy for MSEs order 2012. (Applicable only for MSE Bidder)

0.0 We confirm that except as otherwise specifically provided our Bid Prices in Second Envelope include all taxes, duties, levies and charges as may be assessed on us, our Sub-Contractor/Sub-Vendor or their employees by all municipal, state or national government authorities in connection with the Facilities, in and outside of India.

0.9 100% of applicable Taxes and Duties i.e. GST, which are payable by the Employer under the Contract, shall be reimbursed by the Employer on production of satisfactory documentary evidence by the Contractor in accordance with the provisions of the Bidding Documents.

0.9 We confirm that we have also registered/we shall also get registered in the GST Network with a GSTIN, in all the states where the project is located and the states from which we shall make our supply of goods.

0.0 Construction of the Contract:

0.9 We declare that we have studied Clause GCC 2.1 relating to mode of contracting for Domestic Bidders and we are making this proposal with a stipulation that you shall award us two separate Contracts viz ‘First Contract’ for ex-works supply of all equipment and materials including mandatory spares and ‘Second Contract’ for providing all the services i.e. inland transportation for delivery at site, In-transit insurance, unloading, handling at site, installation, testing and commissioning including Trial operation in respect of all the equipment supplied under the ‘First Contract’ and other services specified in the Contract Documents.

We declare that the award of two contracts, will not, in any way, dilute our responsibility for successful operation of plant/equipment and fulfillment of all obligations as per Bidding Documents and that both the Contracts will have a cross-fall breach clause i.e. a breach in one Contract will automatically be classified as a breach of the other contract which will confer on you the right to terminate the other contract at our risk and cost.

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

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

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

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

0.0 We, hereby, declare that only the persons or firms interested in this proposal as principals are named here and that no other persons or firms other than those mentioned herein have any interest in this proposal or in the Contract to be entered into, if the award is made on us, that this proposal is made without any connection with any other person, firm or party likewise submitting a proposal is in all respects for and in good faith, without collusion or fraud.

Thanking you, we remain,

Yours faithfully,

For and on behalf of Name

Date : 8/ Sep/2024 Printed Name : Printed Name

Place : XXX Designation : Desig

Please provide additional information of the Bidder

Business Address :

Country of Incorporation :

State/Province to be indicated :

Name of Principal Officer :

Address of Principal Officer :

Note: Bidders may note that no prescribed proforma has been enclosed for NESH/CSM/OT/PRANIT/1500-1365 Power of Attorney. Bidders may use their own proforma for furnishing the required information with the bid.

Note: Bidders may note that no prescribed proforma has been enclosed for NESH/CSM/OT/PRANIT/1500-1365 Power of Attorney. Bidders may use their own proforma for furnishing the required information with the bid.

NESH/CSM/OT/PRANIT/1500-1365 Attachment-1

Package:: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Bid Security/Bid Guarantee)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-2

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Power of Attorney)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

We have enclosed copy of the power of attorney duly authorized by a Notary Public indicating that the person(s) signing the bid have the authority to sign the bid and thus that the bid is binding upon us during the full period of its validity.

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-3(QR)

Package : Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Qualifying Requirement Data)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

As per Annexure-A (BDS) VOL I – QR

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-4

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Form of Certificate of Origin and Eligibility)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

The following is list of our Sub-Contractors proposed to be engaged by us for the above work in the event of award on us. However, the overall responsibility for supervision, quality and timely execution of the contract shall remain with us. We shall be fully responsible for any acts and omission on the part of the above Sub-contractor or any persons engaged by them in connection with the above work.

Sl. No. Name & Address of Sub-Contractor Nature of Work

country. country.

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-4(A)

Packahge: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(List of Special Maintenance Tools & Tackles)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

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

S.No. For Equipment Item Description Unit Quantity

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

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-5

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

( Sub-contracted Items)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Details of the proposed sub-contractor/sub-vendor

Name Nationality

2. We hereby declare that we would not subcontract the erection portion of the contract withot prior approval of the Employer

3. In line with ITB Clause 9.3 (e), we intend to supply following items which are to be manufactured within Arunachal Pradesh

We futher declare that we would source material/services for atleast 30% of the Installation Price of Second /Services contract from within Arunachal Pradesh

Sl. No. Item Description Quantity proposed to be bought/ subcontracted Detail write up to engage local sub contractor/sub vendor

For additional write up, extra sheet may be attached to the bid.

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365

(Bought-out & Sub-contracted Items)

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Details of the proposed sub-contractor/sub-vendor

Name Nationality

Date : 8 Sep 2024 Printed Name : Printed Name :

Place : XXX Designation : Designation :

NESH/CSM/OT/PRANIT/1500-1365 Attachment-5(A)

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Items, Components, Raw Material, Services proposed to be sourced from Micro and Small Enterprises)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

1. We hereby furnish the details of the items, components, raw material, services which we propose to buy/avail from Micro and Small Enterprises (MSEs) for the purpose of completion of works under the package

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Name of Micro and Small Enterprises (MSEs)

Name & Address Category

We hereby furnish the details of the items/ sub-assemblies propose to supply from our own works (i.e. as direct transactions) in additiona to the supplies the same from other vendors (i.e. as Bought-out transactions) as detailed in the table given above.

Sl. No. Item Description Quantity proposed to be supplied Details of the plant from where supplies are proposed.

Name of Plant Address

2. The above is a list of items we propose to procure from MSEs. However, based on the situations during the execution of the contract, the above list may undergo changes. We hereby confirm that the details regarding actual procurement from MSEs carried out by us, as per the format provided at Section VI, Forms and Procedures, Volume-I of bidding documents, shall be submitted along with the bills for payment against supplies made/works done during execution of contract. .

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-5(A)

(Bought-out & Sub-contracted Items)

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Details of the proposed sub-contractor/sub-vendor

Name Nationality

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-6

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Alternative, Deviations and Exceptions to the Provisions)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

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 : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Annexure I toAttachment-6

(Alternative, Deviations and Exceptions to the Provisions)

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

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-7

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Details of Alternative Bid)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

No Alternative Bid

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-8

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Manufacturer's Authorization Form)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

WE …….(insert name of the Manufacturer)…….. who are established and reputable manufacturers of ……..(insert name and/or description of the goods)……. having production facilities at ……..(insert address of factory)……. do hereby authorize ………(insert name & address of Bidder)……….. (hereinafter, the “Bidder”) to submit a bid, and subsequently negotiate and sign the Contract with you against IFB for …….(insert name of the package alongwith the project name)……….. including the above plant & equipment or other goods produced by us.

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

For and on behalf of the Manufacturer Signed: _______________________________________________________________ Date: __________________________________ In the capacity of …….. (insert title of position or other appropriate designation)…….. Date:.................... (Signature).......................……….. Place:................... (Printed Name)...............................…. (Designation)................……………........ (Common Seal).………............................

Note.:1. The letter of Undertaking should be on the letterhead of the Manufacturer and should be signed by a person competent and having Power of Attorney to legally bind the Manufacturer. It shall be included by the bidder in its bid. 2. Above undertaking shall be registered or notarized so as to be legally enforceable.

NESH/CSM/OT/PRANIT/1500-1365 Attachment-9

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Work Completion Schedule)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

We hereby declare that the following Work Completion Schedule shall be followed by us in furnishing and installation of the subject Package i.e., Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge. for the period commencing from the effective date of Contract to us :

Sl. No. Description of Work Period in months from the effective date of Contract

Nos. Unit Remarks

1 Mobilization at site As Indicated in the Bidding Document.

2 Source identification of Materials

3 Commencement of Work

4 Completion of Work

5 Overall Completion Schedule

Bidders to enclose a detailed network covering all the activities to be undertaken for completion of the project indicating key dates for various milestones for each phase constituent-wise.

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-10

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Defect Liability)

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

Sr.GM(Contract & Material Department)

Name Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

We accept that the work executed by us in case of award shall be liable for Defect liability period as per SCC and GCC 40.0 reckoned from the date of Completion of works/taking over of the site under the contract. We, shall be responsible to make good and remedy at our own expense within such period, any defect which may develop or may be noticed before the expiry of Defect Liability Period and which arises from either: a) Any defective workmanship or b) An act of commission, of the Contractor during the defect liability period. We, shall make good the defects & damages immediately at our own cost to match the original specifications to the satisfaction of the Engineer-in-Charge.

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-11

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Information regarding Ex-employees of POWERGRID in our Organisation)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

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.

Accordingly, 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 alongwith the bid or subsequent through clarification pursuant to ITB Clause 21.

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

We further declare that any misrepresentation or submission of false / forged documenmts / 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 procedure.

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

1. "Code of Business Conduct and Ethics for Senior Management Personnel" and "Code of Business Conduct and Ethics for Board Members" are available on POWERGRID's website http://www.powergrid.in.

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

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

NESH/CSM/OT/PRANIT/1500-1365 Attachment-12

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Price Adjustment Data)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

We hereby confirm that the prices of Supply of Goods and Services offered will remain FIXED & FIRM during the performance of the contract and will not subject to any variation on any account..

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-13

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Declaration regarding Social Accountability)

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

Contract & Material Department

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongkteih, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

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

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-14

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-15

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

Option for Initial Advance (either Interest Bearing Initial Advance or No Initial Advance) and Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

I We have read the provisions in the Bidding Documents regarding furnishing the option for advance payment. Accordingly, as per ITB Clause 9.3 as provided in Section BDS, Section III, Vol.-I of the Bidding Documents, we hereby confirm to opt the following:

Interest Bearing Initial Advance

Supply Portion: NOT APPLICABLE No

Services Portion: NOT APPLICABLE No

II Contract performance Guarantee will be submitted: Bank Guarante

(Select from drop down list)

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

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

2 Address with PIN Code and State

Registered Office:

Correspondence Address:

3. (a) Status – Company/others

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

3. (b) Are you a MSE owned by SC/ST* entrepreneurs in line with Public Procurement Policy for Micro and Small Enterprises (MSEs) order 2012 including subsequent amendment/notification/order [Indicate Yes / No]

Note: Documentary evidence is to be attached. Please refer remarks at the end of the attachment.

3. (c) If 3(b) is 'Yes' please mention whether you are (Proprietary MSE/ Partnership MSE/ Private Limited Company) owned by SC/ST entrepreneurs

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]

Note: Documentary evidence is to be attached.

4 Permanent Account (PAN) No.

5 GSTIN Numbers

I. GSTIN in the Sates/UT from where the supply of goods take place

Name of the States/UT GSTIN number

II. GSTIN in the States/UT where the supply of services take place (states where sites under the subject package is situated)

Name of the States/UT GSTIN number

9 PF Registration No. of the Company

10 PF Regional Office covered (with Address)

11 Name of Contact Person

12 Contact Details

13 Bank Details for Electronic Payment

Name of the Bank:

Address of Branch:

Type of Account: Saving Account

14 9 digit MICR code printed at bottom in middle, next to cheque no.

15 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.

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

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

b. In case of partnership 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 : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-16

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Additional Information)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

In support of the additional information required, we furnish herewith our data/details/documents etc., alongwith other information, as follows (the stipulations have been reproduced in italics for ready reference):

0.0 The Bidder shall furnish

A certificate from their Banker(s) (as per prescribed formats in Section-VI: Sample Forms and Procedures) indicating various fund based/non fund based limits sanctioned to the Bidder and the extent of utilization as on date. Such certificate should have been issued not earlier than three months prior to the date of bid opening. Wherever necessary the Employer may make queries with the Bidders’ Bankers.

1.1 In accordance with 1.0, certificate(s) from banker as per requisite format, indicating various fund based/non fund based limits sanctioned to the bidder or each member of the joint venture and the extent of utilization as on date is/are enclosed, as per the following details:

Name of the Bidder (Sole Bidder) Name

Name of the Banker by whom certificate issued

Date of certificate (should not be earlier than 3 months prior to date of bid opening)

Whether fund based/non fund based limits are indicated in the certificate

Whether extent of utilization is indicated in the certificate

1.2 The Bidder should accordingly also provide the following information/documents

(i) Details of Banker:

Address of Banker

Contact Name and Title

(ii) As per para 1.0, Authorizatio Letter(s) from the bidder (in case of JV bidder, from all the partners) addressed to the Banker(s), authorizing POWERGRID to seek queries about the bidder with the Banker(s) and advising the Banker(s) to reply the same promptly, is/ are enclosed as per following details:

Sl. No. Lette Ref. Date Addressed to (name of the Bank)

0.0 Litigation History

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

2.1 Details of litigation history resulting from Contracts completed or under execution by the bidder over the last five years

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

0.0 Details regarding previous transgressions of Integrity Pact

The bidder should provide detailed information on any transgression of Integrity Pact that occurred in the last 10 years with any other Public Sector Undertakig or Government Department or any other Company, in any country.

3.1 Details regarding previous transgressions of Integrity Pact that occurred in the last 10 years

Year Name of Client Details of Transgression of Integrity Pact by the Bidder

0.0 OTHER INFORMATION

4.1 Current Contract Commitments of works in progress

Bidders should provide information on their current commitments on all contracts that have been awarded, or for which a letter of intent or acceptance has been received, or for contracts approaching completion, but for which an unqualified, full completion certificate has yet to be issued.

Details of Contract Value of outstanding work (Rs.) Estimated completion date

4.2 Financial Data:

Details Actual (Previous five years) Projection for next five years

Total Liability

Current Liability

Profit before taxes

Profit after taxes

4.3 Provident Fund Code Number of the Bidder:

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-17

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

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

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

1 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.

2 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 : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-17

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Information regarding Ex-employees of POWERGRID in our Organisation)

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

Sr.GM(Contract & Material Department)

Name : …… ……. …….. …… ……. …….. Power Grid Corporation of India Ltd.,

Address : …… ……. …….. …… ……. …….. North Eastern Region

…… ……. …….. …… ……. …….. Dongtieh, Lower Nongrah

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

Date : 8 Sep 2024 Printed Name : Printed Name :

Place : XXX Designation : Designation :

NESH/CSM/OT/PRANIT/1500-1365 Attachment-17

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Information regarding Ex-employees of POWERGRID in our Organisation)

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

Sr.GM(Contract & Material Department)

Name : Power Grid Corporation of India Ltd.,

Address : North Eastern Region

Dongtieh, Lower Nongrah

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

Date : 8 Sep 2024 Printed Name : Printed Name :

Place : XXX Designation : Designation :

NESH/CSM/OT/PRANIT/1500-1365 Attachment-18

Package: Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

As per SCC Sl No. 20.0

Date : Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-19

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Further, we hereby confirm that except as mentioned in the Attachment – 6 (Alternative, Deviations and Exceptions to the Provisions) hereof forming part of our First Envelope :

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-20

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Public Procurment Policy PPP-MII Certification)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order, if applicable (submission of Hard Copy in ‘Original’), to be submitted on a non-judicial stamp paper of Rs. 100/. In line with the PPP-MII order, the bidder shall submit the Affidavit of self-certification, in original, certifying that the item offered meets the Minimum Local Content and shall give details of the location(s) at which value addition is made, as prescribed in the PPP-MII Order 2017, on a non-judicial stamp paper of Rs. 100/-. Further, false declaration regarding Local Content by the bidder shall be a transgression of Integrity Pact and action shall be taken in line with provisions of the Integrity pact and in line with the provisions of the PPP-MII Order.

Format enclosed as per Attachment 23_Affidavit for self-certification_PPP - MII Order

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-21

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Public Procurment Policy PPP-MII Auditor Certification)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Certificate from statutory auditor or cost auditor of the company (in the case of companies) or from a practicing cost accountant or practicing chartered accountant (in respect of suppliers other than companies) giving the percentage of Local Content, in line with PPP-MII order, if applicable (submission of Hard Copy in ‘Original’) to be submitted on the letter head of the auditor/ cost accountant/chartered accountant In line with the PPP-MII order, the bidder shall submit 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, if applicable, on the letter head of the auditor/chartered accountant. Further, false declaration regarding Local Content in the aforesaid certificate submitted by the bidder shall be a transgression of Integrity Pact and action shall be taken in line with provisions of the Integrity pact and in line with the provisions of the PPP-MII Order. [ APPLICABLE for PAckages having CE > 10 Crore]

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-22

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Compliance of DMI&SP policy)

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Vide Notification dated 8th May 2017 and its revision dated 29th May 2019 by Ministry of Steel has published “Policy for providing preference to Domestically Manufactured Iron & Steel Products in Government Procurement” (hereinafter DMI&SP policy). I declare that I shall comply with the guidelines specified in the policy, including subsequent amendments/modifications, if any. Further, Violation to minimum prescribed domestic value addition or misrepresentation of facts by the bidder/contractor in this regard shall be dealt in line with provisions of the Integrity Pact.

Format enclosed as per Attachment 22_Compliance of DMI&SP policy

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-23

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

(Code of Integrity for Public Procurement )

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

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 : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment-24

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

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

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

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

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig

NESH/CSM/OT/PRANIT/1500-1365 Attachment

Construction of RRM protection wall at Tower No.: 147 of 132 kV Haflong-Jiribam TL as per BoQ and instruction of officer-in-charge.

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

Sr.GM(Contract & Material Department)

Name : Name Power Grid Corporation of India Ltd.,

Address : Add1 North Eastern Region

Add2 Dongtieh, Lower Nongrah

Lapalang, Shillong-793006 (Meghalaya)

Sl. No. Item Description Reference Declaration (Strike out whichever is not applicable)

1 Bid Guarantee enclosed in separate sealed envelop (one original plus two copies) & submitted in physical form As per ITB Clause 9.1 (b) (ii)

2 Power of Attorney Submitted Attachment-2, BPS, Vol-IB

3 List of Subcontractors schedule fillid in Attachment-5, BPS, Vol-IB

4 Commercial deviation schedule filled in Attachment-6, BPS, Vol-IB

5 Technical deviation schedule filled in Attachment-6, BPS, Vol-IB

6 Work schedule filled in Attachment-9, BPS, Vol-IB

7 Schedule on information regarding Ex-employees of POWERGRID in the firm filled in Attachment-11, BPS, Vol-IB

8 Declaration Regarding Social Accountability Attachment-13, BPS, Vol-IB

9 Intergity Pact Attachment-14, BPS, Vol-IB

10 Additional information included with this Proposal Attachment-16, BPS, Vol-IB

11 (Public Procurment Policy PPP-MII Self Certification) Minimum Local Content Attachment-20, BPS, Vol-IB

12 (Public Procurment Policy PPP-MII Auditor Certification) Minimum Local Content Attachment-21, BPS, Vol-IB

13 Undertaking by the bidder regarding Compliance of DMI&SP policy Attachment-22, BPS, Vol-IB

14 Code of Integrity for Public Procurement ( CIPP) Attachment-23, BPS, Vol-IB

15 (Declaration regarding adherence to the POWERGRID Whistle Blower and Fraud Prevention Policy ) Attachment-24, BPS, Vol-IB

Date : 8 Sep 2024 Printed Name : Printed Name

Place : XXX Designation : Desig