Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

Name of Package : Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20

Completion Period 2 Years

: Attachments : General guidelines for filling up the Attachments : AMC TRANSIT CAMP Package - :

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20

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

2 Attachments Bid Form for 1st Envelope, 3(QR), Attach QR, 4, 5, 5 (A), 6, 7, 8, 9, 10, 11, 11-IP, 12, and 13 are included here.

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

5 Attachment 11 Integrity Pact : To be submitted as per SCC, Clause No. 18 and as per remarks in the Attach 11-IP. Applicable for this package

6 Attachment 14: Scanned copies in respect of Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise etc. as applicable shall be uploaded,)

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)

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Sole Bidder 1

JV (Joint Venture) 2 or More

Enter following details of the bidder

Specify type of Bidder [Select from drop down menu] JV (Joint Venture) 2 or More

Total Nos. of Partners in the JV [excluding the Lead Partner] 2 or More

Address of Bidder

Other Partner-1

Address of other Partner - 1

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

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

Any Tower Parts Manufacturer proposed other than the bidder [Yes / No]

Proposed Tower Parts Manufacturer other than the bidder, if any [Maximum two nos.]

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment-3(JV) JV (Joint Venture) 0

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

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

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

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

Other Partner-1 Other Partner-2

The Joint Venture Agreement (as per the proforma attached at Annexure -I, Special Conditions of Contract, Vol.-I of the Bidding Documents) and Power of Attorney for Joint Venture (as per the proforma attached at Annexure -II, Special Conditions of Contract, Vol.-I of the Bidding Documents) are enclosed herewith.

Date : Printed Name : 0

Place : Designation : 2

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment- 3 (QR)

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Qualifying Requirement Data)

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

Name: POWER GRID CORPORATION OF INDIA LIMITED,

Address: ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

For our Qualifying Requirements Data, please refer Annexure-A (BDS) of volume I.

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment- 4

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(COMMERCIAL DEVIATIONS)

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

Sub. : Commercial Deviations for Package.

The following are the Commercial deviations and variations from and exceptions to the specifications and documents for the subject package. These deviations and variations are exhaustive. Except for these deviations, the entire work shall be performed as per your specifications and documents.

NOTE : Any deviation taken by the bidder without any withdrawal price shall not be considered as deviation and the bidder has to execute the work as per terms of bid documents in case of award.

Sl. No. Volume/ Clause Ref/ Page No. As Specified in the specification Commercial Deviation & Variations to the specifications Withdrawal Price (in INR)

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20

[Commercial Deviations Schedule]

Sl. No. Vol./ Clause Ref/ Page No. As Specified in the specification Commercial Deviation & Variations/Exceptions

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment- 5

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(TECHNICAL DEVIATIONS)

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

Sub. : Technical Deviations for Package.

The following are the Technical deviations and variations from and exceptions to the specifications and documents for the subject package. These deviations and variations are exhaustive. Except for these deviations, the entire work shall be performed as per your specifications and documents.

NOTE : Any deviation taken by the bidder without any withdrawal price shall not be considered as deviation and the bidder has to execute the work as per terms of bid documents in case of award.

Sl. No. Volume/ Clause Ref/ Page No. As Specified in the specification Technical Deviation & Variations to the specifications Withdrawal Price (in INR)

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20

[Commercial Deviations Schedule]

Sl. No. Vol./ Clause Ref/ Page No. As Specified in the specification Technical Deviation & Variations to the specifications

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment- 5(A)

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

[ Deviations on important/critical conditions along with their withdrawal price]

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

Name : 0 POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

The following are the deviations/variations/exceptions to the provisions of important/ critical conditions stipulated in Clause 2.5, Special conditions of Contract (SCC), Section - IV, Volume-I. We undertake to execute the contract in line with the provisions of Bidding Documents in respect of above said clauses in case POWERGRID agrees to pay- us the withdrawal price indicated below against each such deviations/ variations/ exceptions.

Sl. No. Volume of Bidding document Section Clause No./ Page No. Statement of Deviations/ Variations/ Exceptions Withdrawal Price (in INR)

2 NO DEVIATION IN THE PROVISION OF IMPORTANT/CRTICAL CONDITION OF THE TENDER IS ALLOWED

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20

[ Deviations on important/critical conditions along with their withdrawal price]

Sl. No. Vol./ Section Clause No./ Page No. Statement of Deviations/Variations/Exceptions Withdrawal Price (in INR)

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment- 6

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Additional Information)

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

We have enclosed with our proposal the following additional information for the subject package:

S. No. Brief description of Information Ref. and Page No.

Note: The Bidder should accordingly upload the scanned copies of the relevant documents (Refer Clause 15.4 of ITB, Sec - I of bidding documents).

Date: Printed Name :

Place:. Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20

S. No. Brief description of Information Ref. and Page No.

Date: Printed Name : 0

Place:. Designation : 0

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment - 7

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Work Completion Schedule)

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

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-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20) for the period commencing from the effective date of Contract :

Sl. No. Description of Work/ Activity Period in weeks (from the effective date of LOA)

Commencement completion

Date : Printed Name :

Place : Designation :

Note : 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.

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment-7A

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Option for contract performance guarantee and Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise)

Bidder’s Name and Address (Bidder [Authorised Representative]) : To:

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

I. We have read the provision in the Bidding Documents regarding furnishing of Contract Performance Guarantee.

we hereby confirm to opt the following:

I. Contract performance Guarantee will be submitted: Bank Guarantee

(Select from drop down list)

II. 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 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.

6. Work Contract Tax No.

7. PF Registration No. of the Company

8. PF Regional Office covered (with Address)

9. Name of Contact Person

10. Telephone No(s)

11. Bank Details for Electronic Payment

Name of the Bank:

Address of Branch:

Type of Account:

Type of Account: Saving Account

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

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

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

Note: A cancelled cheque of the bank is enclosed.

*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 : Printed Name :

Place : Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment - 8

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

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

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

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 : Printed Name :

Place : Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment - 8

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

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

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

Other Partner-1 Sr.DGM(C&M)

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

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 : Printed Name :

Place : Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment - 8

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

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

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

Other Partner-2 Sr.DGM(C&M)

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

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 : Printed Name :

Place : Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment-9

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Declaration regarding Social Accountability)

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

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

Date : Printed Name :

Place : Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment-10

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Declaration regarding Environmental management)

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

We conform that we stand committed to comply to all requirements of "Environmental management system " i.e. ISO 14001 (latest Standard available at www.iso.org) and maintain the necessary records.

Date : Printed Name :

Place : Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment-11

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

"Integrity Pact is Applicable for this Package"

Date : Printed Name :

Place : Designation :

Instruction for printing & submitting Integrity Pact

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

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

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

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

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

Applicable for this Package

Power Grid Corporation of India Limited

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

having its Registered Office at

having its Registered Office at FALSE

hereinafter referred to as

"The Bidder/Contractor"

POWERGRID intends to award, under laid-down organisational procedures, contract(s) for Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Signature) (Signature)

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

Integrity Pact Page 1 of 8

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20) Package and Specification Number ODP/BB/C&M-1989/I-1319/NIT-12/19-20 POWERGRID values full compliance with all relevant laws and regulations, and the principles of economical use of resources, and of fairness and transparency in its relations with its Bidders/ Contractors.

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

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

Section I - Commitments of POWERGRID

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

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

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

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

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

Section II - Commitments of the Bidder/Contractor

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

(Signature) (Signature)

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

Integrity Pact Page 2 of 8

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

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

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

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

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

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

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

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

(Signature) (Signature)

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

Integrity Pact Page 3 of 8

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

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

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

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

Section IV - Liability for violation of Integrity Pact

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

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

Section V- Previous Transgression

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

(Signature) (Signature)

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

Integrity Pact Page 4 of 8

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

Section VI - Equal treatment to all Bidders / Contractors

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

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

Section VII - Punitive Action against violating Bidders / Contractors

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

(*)Section VIII - Independent External Monitor/Monitors

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

(2) The panel of IEMs shall review independently and objectively, whether and to what extent the parties comply with the obligations under this agreement. The panel of IEMs has right of access to all project documentation. The panel of IEMs may examine any complaint received by them and submit a report to Chairman-cum-Managing Director, POWERGRID, giving joint findings at the earliest. The panel of IEMs may also submit a report directly to the CVO and the CVC, in case of suspicion of serious irregularities attracting the provisions of the PC Act.

(Signature) (Signature)

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

Integrity Pact Page 5 of 8

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

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

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

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

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

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

(Signature) (Signature)

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

Integrity Pact Page 6 of 8

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

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

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

Section IX - Pact Duration

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

Section X - Other Provisions

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

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

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

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

(5) Issues like Warranty/Guarantees etc. shall be outside the purview of IEMs.

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

(Signature) (Signature)

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

Integrity Pact Page 7 of 8

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

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

Signature Signature

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

(Office Seal) (Office Seal)

Designation : Designation :

Witness 1 : Witness 1 :

Designation : Designation :

Witness 2 : Witness 2 :

Designation : Designation :

Integrity Pact Page 8 of 8

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment- 12 2

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

(Price Adjustment Data)

PRICE VARIATION IS NOT APPLICABLE FOR THIS PACKAGE

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

Name : POWER GRID CORPORATION OF INDIA LIMITED,

Address : ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

We hereby furnish the relevant details pertaining to the price adjustment provisions for equipment as specified in your specifications and documents for the Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)The necessary documentary evidence are enclosed :

Sl. No. Name of Materials/Labour Name of the published index Value of index (30 days prior to date of opening of bids)

1 Supply & Placement of Reinforcement Steel

A High Speed Diesel coefficient Wholesale Price Index Number for ‘High Speed Diesel’ (Individual commodity) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

L Labour coefficient Indian Labour Bureau, Shimla, Govt. of India (monthly) (Base: 2001 = 100) (www.labourbureau.nic.in)

B Ferrous Metals coefficient Wholesale Price Index Number for ‘Ferrous Metals’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

2 For Concreting

A High Speed Diesel, coefficient a = Wholesale Price Index Number for High Speed Diesel’ (Individual commodity) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

L Labour, coefficient l = Indian Labour Bureau, Shimla, Govt. of India (monthly) (Base: 2001 = 100) (www.labourbureau.nic.in)

B Cement & Lime, coefficient b = Wholesale Price Index Number for ‘Cement & Lime’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

C Structural Clay Products coefficient Wholesale Price Index Number for ‘Structural Clay Products’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

The Bidders are required to indicate the value of indices for various components as of 30 days prior to the date of bid opening. In case bid opening date is extended after submission of bids because of any reason, indices as of 30 days prior to actual date of bid opening shall be considered for placement of award and for payment towards price adjustment.

Date : Printed Name :

Place : Designation :

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Attachment-13

Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

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

POWER GRID CORPORATION OF INDIA LIMITED,

Name : ODISHA PROJECTS

Address : PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

Further, we hereby confirm that except as mentioned in the Attachment -4 (Commercial Deviations), Attachment -5 (Technical Deviations) and Attachment - 5A (Deviations on important/critical conditions along with their withdrawal price) thereof , forming part of our First Envelope:

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

We also confirm that in case any discrepencies/inconsitencies and deviations/omissions/reservations, as referred to in para (i) and (ii) above, is observed in the Second Envelope, the same shall be deemed as withdrawn/rectified without any finacial implication, whatsoever to POWERGRID. However, in case of any artithmetical errors, the same shall be governed as per the provisions of ITB Sub-clause 26.3 read in conjuction with BDS.

Date : Printed Name :

Place : Designation :

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

#REF! #REF! #REF!

23 Twenty Three

27 Twenty Seven

28 Twenty Eight

33 Thirty Three

37 Thirty Seven

38 Thirty Eight

73 Seventy Three

74 Seventy Four

75 Seventy Five

77 Seventy Seven

78 Seventy Eight

79 Seventy Nine

83 Eighty Three

87 Eighty Seven

88 Eighty Eight

93 Ninety Three

97 Ninety Seven

98 Ninety Eight

100 One Hundred

Tender Enquiry No. : ODP/BB/C&M-1989/I-1319/NIT-12/19-20 Bid Form 1st Envelope JV (Joint Venture)

2 or More FALSE FALSE

BID PROPOSAL FORM (First Envelope) We are NSIC/MSME registered and exempted from submission of Bid Guarantee as per the provision of clause no. 13.7 of ITB, Section -IV, Vol-I of bidding documents. We have enclosed a copy of NSIC Certificate reference no. dated DD-MM-YYYY and the issued certificate is valid upto and inclusive of DD-MM-YYYY. It is to confirm that the equipment(s)/item(s)/material(s) quoted in our bid is in the list of items indicated in NSIC certificate enclosed. We have enclosed a Bid Guarantee in original and one copy in the form of Bank Guarantee (Bank Guarantee No.-, dated DD-MM-YYYY issued from ) for a sum of Rupees /-, Valid for a period of Seven [07] calendar months from the date of opening of bids i.e. upto and inclusive of DD-MM-YYYY. Tick only one Option (Yes/No)

Bank Guarantee No. Tick at least one Option (Yes/No)

Bid Proposal Ref. No. NSIC Certificate No.

POWER GRID CORPORATION OF INDIA LIMITED,

ODISHA PROJECTS

PLOT NO.-4, UNIT-41, NILADRI VIHAR

CHANDRASHEKHARPUR, BHUBANESWAR-751021

All the prices and the price components stated in our bid price are firm in accordance with provisions of the bidding documents. All the prices and other terms and conditions of this proposal are valid for a period of Six [06] calendar Months from the date of opening of the bid i.e. up to and inclusive of

Name of Contract : Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20)

Dear Ladies and/or Gentlemen,

1.0 We, the undersigned Bidder, having read and examined in detail the specification and documents of the subject package including amendment, if any, do hereby propose for Package-A: Running and Maintenance Contract of Transit camp-I, Transit Camp-II & Cafeteria of POWERGRID, Bhubaneswar (Under AM Budget RE 2019-20) as detailed in the specification and the bidding documents for the subject package. EMD DETAIL FORM Tick at least one Option (Yes/No)

Are you NSIC/MSME Registered: Yes No

Select the Form of EMD : Bank Guarantee

2.0 BID GUARANTEE/Earnest Money Deposit(EMD): Bank Guarantee No.

2.1 Tick at least one Option (Yes/No) Name of Issuing Bank :

Amount of EMD/ Bank Guarantee :

Date of Issuance DD MM YYYY

Valid up to DD MM YYYY

2.2 If I/We fail to keep the tender open as aforesaid or make any modifications in the terms and conditions of the tender which are not acceptable to POWERGRID, I/we agree that the POWERGRID shall without prejudice to any other right or remedy, be at liberty to forfeit the said earnest money absolutely. Should this tender be accepted, I/we hereby agree to abide by and fulfill all the terms, conditions and provisions of the aforesaid documents.

2.3 If, after the tender is accepted and I/we fail to commence the execution of the works as provided in the conditions, I/we agree that the corporation shall without prejudice to any other right or remedy be at liberty to forfeit the said earnest money absolutely.

3.0 PRICES & VALIDITY :

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

3.2 Further, we confirm that we have read all the provisions in the Invitation for Bid (IFB), Instructions to bidders (ITB), Conditions of Contract for Civil Works and that of Special Conditions of Contract (SCC) (inclusive of those regarding applicable taxes, duties and levies in relevant clauses), Technical specifications & other documents and have submitted the bid accordingly.

3.3 We do hereby confirm that our bid prices quoted in our Proposal include, all costs such as cost of necessary materials, their transportation to site, cost towards tools, equipment and machineries including cost of personnel that may be required for successful completion of the work/s as per the Technical Specifications, including cost of site arrangement, overheads, insurance, whatsoever, as stipulated in the bidding documents for the total scope of work/s and all applicable taxes, duties and levies for all transactions between us and our sub-contractors as well as for all transactions between us and POWERGRID. We understand that Owner shall not entertain any claim on account of any taxes, duties or other levies or any interest therein.

3.4 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 Goods, in and outside of India.

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

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

3.6 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.

5.0 DEVIATIONS:

5.1 We declare that the Contract shall be executed strictly in accordance with the specifications and documents except for the variations and deviations, all of which have been detailed out exhaustively in the following schedules, irrespective of whatever has been stated to the contrary anywhere else in our proposal.

a) Schedule of Commercial Deviations

b) Schedule of Cost of withdrawal of Deviations

c) Schedule of Technical Deviations

5.2 We confirm that specified stipulation of following critical clauses are acceptable to us and no deviations/exceptions are taken on any account whatsoever in the following clauses:

[a] Bid Security/ Bid Guarantee Clause No 13.0, ITB, Section -II and cl. 3.0 SCC, Section-IV, Volume-I

[b] Terms of Payment Clause No.64.0, Conditions of Contract (GCC) & Clause 11.0, SCC

[c] Contract Performance Guarantee/Performance Security Clause No.14,Section GCC, Vol.-I ,Conditions of Contract & Clause 12.0 of SCC, Section-IV, Vol-I & Clause 33.0 of ITB, Volume-I

[d] Liquidated Damages Clause No 10.0 of SCC, Volume-I

[e] Price & Price Basis Clause No 11.0 of ITB,

[f] Guarantee & Defect Liability Period Cl.No.45.0 & 46.0 Section. GCC, Vol. I, Conditions of Contract & Clause 8.0 of SCC, Volume- I

[g] Work schedule Clause No. 9.0 of SCC, Volume -I

5.3 In line with Clause 2.6 of Special Conditions of Contract, Volume I-A, we have declared the withdrawal price in Attachment – 5A for the deviations taken against the Clauses mentioned above and we undertake to execute the contract inline with the provisions of these clauses in case POWERGRID agree to bear the withdrawal cost.

5.4 Further, we agree that additional conditions, deviations, if any found in the proposal documents other than those stated in deviation Schedules, save that pertaining to any rebates offered, shall not be given effect to.

6.0 WORK SCHEDULE:

6.1 If this proposal is accepted by you, we agree to arrange site visit, submit Engineering data, provide services and complete the entire work from time to time in accordance with schedules indicated in the proposal. We fully understand that the time schedule stipulated in the proposal is the essence of the contract, if awarded. The completion schedule of the various major key phases of the Package is indicated.

7.0 CONTRACT PERFORMANCE GUARANTEE:

7.1 We further agree that if our proposal is accepted we shall provide an irrevocable Contract Performance Guarantee, within 15 days from LOA of value equivalent to ten percent (10%) of the Contract Price valid upto the end of ninety (90) days after the end of the contract warranty period in the form of ......................................... (Please specify the form of Guarantee) ……………... in your favour and enter into a formal agreement with you within Fifteen (15) days from the date of issue of Letter of Award of Contract.

8.0 Information regarding 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; any other information in addition to the information called for in the proposal sheets and checklist duly filled in is enclosed as per respective schedules/ attachments.

9.0 We hereby declare that only the persons or firms interested in this proposal as principal or principals are named herein and that no other persons or firms other than those mentioned herein have any interest in this proposal or in the Contract to be entered into, if we are awarded the contract, that this proposal is made without any connection with any other person, firm or party like-wise submitting a proposal and that this proposal is in all respects for and in good faith, without collusion or fraud.

Thanking you, we remain,

Yours faithfully,

For and on behalf of

Date : Printed Name :

Place : Designation :

Please provide additional information of the Bidder 8 Aug

Business Address : 9 Sep

Name of Principal Officer : 12 Dec

Address of Principal Officer : 13

Note: (i) Written power of Attorney of Signatories of bid to commit the Bidder must be enclosed with the bid. (ii) Bidders may note that no prescribed proforma has been enclosed for Attachment -2 i.e. Power of Attorney. (iii) Bidders may use their own proforma for furnishing the required information with the bid. 16 1 one 1 st 1 January

17 2 two 2 nd 2 February

18 3 three 3 rd 3 March

19 4 four 4 th 4 April

20 5 five 5 th 5 May

21 6 six 6 th #VALUE! 6 June

22 7 seven 7 th #VALUE! 7 July

23 8 eight 8 th #VALUE! 8 August

24 9 nine 9 th #VALUE! 9 September

25 10 ten 10 th 10 October

26 11 eleven 11 th 11 November

27 12 twelve 12 th 12 December

28 13 thirteen 13 th

29 14 fourteen 14 th

30 15 fifteen 15 th

31 16 sixteen 16 th

the receipt of which is hereby acknowledged, we the undersigned, offer to design, manufacture, test, deliver, install and commission (including carrying out Trial operation, Performance & Guarantee Test as per the provision of Technical Specification) the Facilities under the above-named package in full conformity with the said Bidding Documents. In accordance with ITB Clause 9.1 of the Bidding Documents, as per which the bid shall be submitted by the bidder under “Single Stage - Two Envelope” procedure of bidding. Accordingly, we hereby submit our Bid, in two envelopes i.e. First Envelope – Techno – Commercial Part & Second Envelope - Price Part (to be opened subsequently). 17 seventeen 17 th

Bank Draft 18 eighteen 18 th

Pay Order 19 nineteen 19 th

Banks certified Cheque Zero 20 twenty 20 th

Bank Guarantee #REF! 21 st

Applicable 23 th

Not Applicable 24 th

Annexure-I to SCC

PROFORMA FOR INFORMATION TO BE FURNISHED BY CONTRACTOR IN RESPECT OF THE PROCUREMENT MADE/SERVICES AVAILED FROM MSE VENDORS

In line with clause 10.9 of SCC and requirement of payment terms, we hereby furnish the following information regarding the procurement made/services availed by us from Micro and Small Enterprises (MSEs) directly or thorugh our sub-suppliers /sub-vendors as per details given herein below:

Sl. No. CA No./ LOA No./ PO No. Name of Contractor /Suppier Quantity Total Value Region (ER-II-Odisha Projects) Services sourced from MSE vendor for production of item at colum 4 Total value of Services used for item at colum no.4 Name of MSE Vendor Category (Only Micro or Small) Whether MSE owned by Person Belonging to SC/ST Category.

Further, we hereby declare and confirm that the information mentioned above is correct and complete to the best of our knowledge and the category of MSE vendors as mentioned in the table above has been ascertained at our end.

1 The Contractor / supplier shall be required to furnish the aforesaid information on semi-annual basis or with running bill/final bill in case completion period is shorter than six months and being completed before 30th September/31st March. The information as above shall be for period from 1st April to 30th September and from 1st October to 31st March for each financial year. In case of party has been awarded with more than one contract, the above information shall be submitted for all contracts indicating contract wise details.

2 Submission of aforesaid information for the preceding six months shall be condition for processing of bills by POWERGRID for payment after 30th September /31st March as the case may be.

3 Only those items of LOA/PO may be included which involves sourcing of services from MSEs.

Name of Contractor/Supplier:

Name of Authorised Person: