Renovation of PCC pad at OLA-4(siwan) repeater shelter

Name of Package : “Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Specification No.: Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579

Completion Period:

: Attachments : General guidelines for filling up the Attachments

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579

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

2 Name of Bidders, Bid Form for 1st Envelope, Attachments 5(A), 6 (C), 6 (T), 9, 10, 11, 13, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24 and 25 are included here.

3 Attachment 1 Bid Security : 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 POWERTEL. Bidder may use their own format. However, the Power of Attorney should be tender-specific and made on non-judicial stamp paper of appropriate value, duly notarized. In case bidder is submitting General Power of Attorney, then it should be duly notarized.

5 Attachment-18 (Safety Pact): Bidder has to submit the Safety Pact in two original (both on original non-judicial stamp paper of INR 100/- each) duly signed & stamp on each page as per format given at attcahmnet-18.

6 Attachment 21: Affidavit for self-certifictaion if applicable, to be provided on a non-judicial stamp paper of Rs. 100/- by Bidder/OEM/Supplier as applicable as per format given at attcahmnet-21.

पावरग्रिड टेलीसर्विसेज लिमिटेड

PowerGrid Teleservices Limited

(A Wholly Owned Subsidiary of Power Grid Corporation of India Limited)

(A Government of India Enterprise)

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”. Select the type

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Proprietership Firm 1

Partnership Firm 2

Enter following details of the bidder Private Ltd

Type of Bidder manufacturer

Address of Registered Office

Is bidder a Micro and Small Enterprise (MSE) registered on 'Udyam Registration Portal' under the Public procurement Policy for MSEs order 2012, notification dated 01/06/2020 and 26/06/2020. No

Udhyam Registration No.

Address of Communication Office

Name of Authorised Representative

Printed Name 42004

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-5A

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Items, Components, Raw material, services proposed to be sourced form Micro & Small Enterprises)

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

1. We hereby furnish the details of the Items, Components, Raw amterial, services which we propose to buy/ avail from Micro & Small Enterprises (MSEs) for the purpose of completion of works under the subject Package:

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

Name Category (Micro or small)

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 shall be submitted alongwith the bills for payment against supplies made/ work done during execution of contract.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-5A

(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 : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-6 (C)

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Commercial Deviations)

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

The bidder shall itemize any deviation from the Specifications included in his bid. Each item shall be listed (separate sheets may be used and enclosed with this Attachment) with the following information:

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

The above deviations and variations are exhaustive. We confirm that we shall withdraw the deviations proposed by us at the cost of withdrawal indicated in this attachment, failing which our bid may be rejected and Bid Security forfeited.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-6 (C)

(Commercial Deviations)

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

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-6 (T)

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Technical Deviations)

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

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.

Except for the above deviations and variations, the entire work shall be performed as per your specifications and documents. Further, we agree that any deviations, conditionality or reservation introduced in this Attachment-6 and/or in the Bid form, Technical Data Sheets and covering letter, or in any other part of the bid will be reviewed to conduct a determination of the substantial responsiveness of the bid.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-6 (T)

(Technical Deviations)

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

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Work Completion Schedule)

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

We hereby declare that the work completion schedule shall be followed by us as per the provisions of ITB sub-clause 7.6 (c) of bidding document for the subject Package i.e., “Renovation of PCC pad at OLA-4(Siwan) repeater shelter”. for the period commencing from the effective date of Contract to us.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Guarantee Declaration)

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

We confirm that the equipments offered shall have minimum performance specified in Technical Specification. We further guarantee the performance/efficiency of the equipments in response to the Technical Specifications.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-11

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

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

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

We hereby furnish the details of ex-employees of POWERTEL/POWERGRID who had retired/ resigned at the level of General Manager and above from POWERTEL/POWERGRID and subsequently have been employed by us:

Sl. No. Name of the person with designation in POWERTEL/POWERGRID Date of Retirement/ resignation from POWERTEL/POWERGRID Date of joining and designation in our organisation

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-13

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Declaration regarding Social Accountability)

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

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 :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-15

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(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 To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

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 or deduction of Performance security (10% of Contract Price) from first Running Bill)

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* entrepreneures in line with public Procurement Policy for Micro and Small Enterprises (MSEs) order 2012 including subsequent amendment/notification/order 2012 including susequent amendment/notification/order (Indicate Yes/No) Note:Documentary evidence is to be attached.Please refere 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 entrepreneures

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) order 2018 including susequent amendment/notification/order (Indicate Yes/No) Note:Documentary evidence is to be attached.

4. Permanent Account (PAN) No.

5. GSTIN Number

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 for services take place (states where sites under the subject package is situated)

Name of the States/UT GSTIN number

6 PF Registration No. of the Company

7 PF Regional Office covered (with Address)

8 Name of Contact Person

9 Telephone No(s)

10 Bank Details for Electronic Payment

Name of the Bank:

Address of Branch:

Type of Account:(Saving /Current Account)

11 9 digit MICR code printed at bottom in middle, next to cheque no.

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

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

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

a. In case of propritary MSE,propriator(s) shall be SC/ST.

b. In case of partnership MSE,the SC/ST partners shall be holding at lease 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 SC/ST Certificate(s) issued by District Authority as applicable for ST/SC MSE Category as per the (a),(b) & (c) above

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-16

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Additional Information)

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

In support of the additional information required as per the Bidding Documents, 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 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.

1.1 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

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

Year Name of client Details of Transgression of Integrity Pact by the bidder

0.0 OTHER INFORMATION

3.1 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 Type of Work Ordered Quantity as per Contract Balance Work to be completed as on date Completion Period for balance quantity

Commencement Completion

3.2 Financial Data:

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

Total Liability

Current Liability

Profit before taxes

Profit after taxes

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-17

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

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

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

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 POWERTEL while quoting our prices. In case of our failure to receive such benefits, partly or fully, for any reason whatsoever, the Employer will not compensate us.

We are furnishing the following information required by the Employer for issue of requisite certificate if and as permitted in terms of the applicable Govt. of India policies/procedures (in case of award):

Applicable Act, Notification No. and Clause Ref. No. Sl. No. Description of item on which applicable Country of origin Remarks, if any

(The requirements listed above are as per current Notification of Govt. of India indicated above. These may be modified, if necessary, in terms of the Notifications.)

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-18

Instruction for printing & submitting Safety Pact

1 The requisite format of Safety 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/- and other four 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 Safety 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 (u).

PowerGrid Teleservices Limited

(A Wholly Owned Subsidiary of Power Grid Corporation of India Limited (POWERGRID))

Hereinafter referred to as

having its Registered office at

hereinafter reffered to as

“The Bidder/Contractor”

POWERTEL intends to award, under laid-down organizational procedures, contact(s) for

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579

POWERTEL 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, POWERTEL and the above named Bidder/contractor enter into this agreement called ‘Safety Pact’ which will form a part of the bid.

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

Section 1 – Commitments of POWERTEL

POWERTEL commits itself to take all measures necessary to prevent accidents duringConstruction and Operation of the Transmission Assets and to observe the following:

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

1) POWERTEL recognizes and accepts its statutory responsibilities for ensuring construction, operation and maintenance of equipments and for the provision of safe methods of work and safe working conditions.

2) POWERTEL recognizes and accepts its statutory responsibilities for ensuring safety of not only its employees but also that of the Contracting Agencies as Principal Employer.

3) POWERTEL shall review the accidents in a structured manner and take necessary actions to ensure that the safety criteria are strengthened for safe construction as well as Operation & Maintenance of the Transmission Assets.

4) POWERTEL shall conduct necessary awareness and training programmes to its Employees to augment the various safety requirements to be followed during Construction and Operation & Maintenance of the Transmission Assets from time to time

5) POWERTEL shall, from time to time, issue necessary guidelines,instructions and deterrents to its employees as well as to the Contracting Agencies, to update them to take necessary preventive measures to avoid repetition of similar accident attributes.

6) POWERTEL shall review and provide necessary guidance to the Contracting Agencies, as and when, any abnormality / special situations are brought to its notice by the Contracting Agencies during execution of the Transmission Projects being executed by them.

7) POWERTEL shall conduct periodical surveillance site inspections / audits to identify the unsafe conditions and unsafe actions, and bring them to the knowledge of the Contracting Agencies for taking timely corrective actions.

8) POWERTEL shall investigate all accidents, fatal as well as non-fatal, to identify the lapses, the reason for the accident / incident and suggest measures for prevention of recurrence of such accidents, and fix responsibility for the lapses leading to the accident.

9) POWERTEL shall augment the training to the workers and supervising personnel of the Contracting Agencies, as per schedules, upon nomination by the Contracting Agencies in reasonable time frame.

10) POWERTEL shall exercise the right to claim and recover compensation from the Contracting Agencies in case of any violation of the safety requirements / provisions during execution of the Transmission Projects, as built in the applicable Laws and contractual specifications / guidelines in vogue / issued by POWERTEL/ POWERGRID from time to time.

Section II – Commitments of the Bidder/ Contractor

The Bidder / Contractor commits himself to take all measures necessary to prevent / minimise accidents at their construction / erection sites and to observe the following:

1) The Bidder / Contractor recognizes and acceptsthe statutory and comprehensive responsibility for ensuring safe construction and Testing & Commissioning in the Transmission Projects being executed by thembyproviding safe methods of work, working conditions and Tools & Plants for human safety.

2) The Bidder / Contractor recognizes and accepts the responsibilities for ensuring safety of not only their employees but also that of the Sub-contractors, Principal Employer and the general public during execution of the Transmission Projects / works.

3) The Bidder / Contractor shall review the accidents in a structured manner and take necessary actions to ensure that the safety criteria are strengthened for safe construction of the Transmission Assets.

4) The Bidder / Contractor shall endeavour continuous development of safe methods of work to ensure that the effect of risks and perils are minimised to the extent possible and implement the same at their worksites.

5) The Bidder / Contractor shall conduct periodical Training to their Employees as well as to that of their'Sub-contractors for safety awareness during construction works being executed by them.

6) The Bidder / Contractor shall provide all requisite Tools & Plants required for the work and ensure their healthiness by periodical inspections / testing as required. Unhealthy and sub-standard Tools & Plants will be immediately removed from site as and when they are identified.

7) The Bidder / Contractor shall,at their cost, provide all necessary Personal Protective Equipments such as Double Lanyard Safety Belts, Appropriate Fall Arrest Systems, Safety Helmets, Foot Wear, Hand Gloves, etc., as required for various activities pertaining to execution of the Projects / works, confirming to relevant Indian Standards.

8) The Bidder / Contractor shall ensure that dedicated qualified Safety Officers are posted in the construction projects being executed by them and ensure that the Safety Officer visits each and every gang periodically and conducts audits / inspections to identify the unsafe conditions and unsafe actions, to be rectified by the site supervising personnel promptly.

9) The Bidder / Contractor shall conduct appropriate medical checks-up for the workers before deploying them at their construction sites to ensure that only those who are medically fit are deployed in the Projects / works to be executed by them. The copy of the Medical Reports shall be provided by the Bidder / Contractor to POWERTEL, whenever requested by POWERTEL.

10) The Bidder / Contractor shall screen the workers before deploying them at their construction sites to ensure that only those with the skills, experience and competence to work at heightand also medically fitfor work at height are deployed for work at height in the Projects executed by them.

11) The Bidder / Contractor shall ensure daily before starting the work thattheir site Supervising Personnel/Safety Officer briefs the workers about the work for the day and the safety measures / precautions required to be taken by them.

12) The Bidder / Contractor shall investigate all the accidents at their working sites to ascertain the lapses leading to the incident and the precautionary / corrective measures required to be taken to avoid recurrence of such accidents. These accidents will be reviewed at the Board Management level of the Agencies and the findings / recommendations will be put up to POWERTEL/ POWERGRID Apex Safety Board within the stipulated period.

13) The Bidder / Contractor shall ensure that all accidents, whether fatal or non­fatal in nature, will be informed to POWERTEL, in writing, immediately on the occurrence of the same,and in any case, within not more than 24 hours of occurrence of the same.

14) The Bidder / Contractor shall ensure that in case of any accident, all necessary medical help / supportshall be provided to the victims / injured till they are completely fit to return to work.

15) The Bidder / Contractorshall ensure that in case of fatal accidents, all statutory Authorities, including Police, concerned Labour Dept. Officials, concerned Workmen Compensation Commissioner, etc., will be intimated in writing as required by the statutory Law, and followed up for compliance of all statutory obligations. The Bidder / Contractor shall own full responsibility of timely accident reporting to various authorities, including POWERTEL.

16) The Bidder / Contractor shall ensure that in case of fatality or serious injury leading to permanent disablement of the victims, the compensation amount will be deposited with the concerned authorities, as required by the Laws, and followed up for early disbursement to the beneficiaries of the victims.

17) The Bidder / Contractor assures that they shall co-operate to the fullest extent for carrying out any investigation of the accidents at their work sites by POWERTEL to identify the lapses, the reason for the accident / incident and suggest measures for prevention of recurrence of such accidents. All factual details of the occurrence of the accident will be provided to POWERTEL, as and when required.

18) The Bidder / Contractor assures that they take full responsibility of meeting the statutory obligations in case of accidents, and in case of any reference by any Statutory Body at a later date also, they shall provide all information to POWERTEL and meet all the statutory obligations, including payment of additional compensation, if any.

19) The Bidder / Contractor assures that in case of any inspection of their work site or Notice by any Statutory Authority, they shall comply promptly and inform POWERTEL Site Officials of the same, and also provide all necessary information and assistance for smooth compliance of the observations / instructions of such Authorities.

20) The Bidder / Contractor accepts the provisions regarding safety, including payment of any sums to POWERTEL, in case of any violation of the safety requirements / provisions during execution of the Transmission Projects, as built in the Contractual Conditions, Safety Plan and the Safety Pact, and confirm to abide by the same.

Section III – Equal treatment to all Bidders/Contractors.

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

(2) POWERTEL will disqualify, from the tender process, any bidder/ take punitive actions on the bidder, who does not sign this Pact or violate its provisions.

Section IV – 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 V – Other Provisions.

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

2) Changes and supplements need to be made in writing, which shall come into force only upon mutual agreement / acceptance.

3) If the Contractor is a partnership firm or consortium of Joint Venture, this agreement must be signed by all partners, consortium members and Joint Venue partners, as applicable as per the Tender Specifications.

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

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

(For & On behalf of POWERTEL (For & On behalf of Bidder/Contractor)

(Official Seal) (Official Seal)

Place …………………….. Witness 1…………………………………

Witness 2…………………………………

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

We confirm that Bid Form and Bill of Quantity (BOQ) have been filled up by us as per the provisions of the Instruction to Bidders. Further, we have noted that the same shall be evaluated as per the provisions of the Bidding Documents.

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

(i) there are no discrepencies/inconsistencies and deviations/omissions/reservations to the Bidding Documents;

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 Bill of Quantity (BOQ), the same shall be deemed as withdrawn/rectified without any finacial implication, whatsoever to POWERTEL. However, in case of any artithmetical errors, the same shall be governed as per the provisions of ITB Sub-clause 7.7.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-20

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Declaration of Key Managerial Person and Power of Attorney holder (to be Submitted in Company Letter Head duly Signed & Sealed)

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

DGM (CS, ERTCC)

Name : PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

1 We confirm that the declarations made in our bid, particularly Attachment-3 (QR) regarding eligibility/qualification data and documents submitted in our bid in support of the declarations, are true and correct to the best of our knowledge.

2 We further confirm that we have filled up Attachment-3(QR). We also confirm that in support of meeting the Technical experience requirement as per Annexure-A (BDS), we have enclosed self-certified copy of Contract/ Award Letter and certificate from the utility for which the contract has been executed

3 We shall furnish clarification to bid, if any sought by Employer pursuant to ITB clause 7.2. We understand that if we fail to rectify/furnish the requested documents if any, within 7 working days’ notice, our bid is liable to be rejected.

4 We understand that any false declaration and/or misrepresentation of facts and/or furnishing of false/forged documents /information may lead to our debarment from participation in Employer tenders and that our Bid Security/ Contract Performance Guarantee may be forfeited besides other actions as deemed to be appropriate as per the provisions of the Bidding Document/Integrity Pact/Employer’s policy.

5** Our/Our proposed manufacturer’s annual manufacturing capacity as certified by a Chartered Engineer or similar Professional/ Professional body/Govt Agencies is: ----- MT/annum (for tower/tower parts) [Certificate from Chartered Engineer or similar Professional/ Professional body/Govt Agencies in the country of the bidder/proposed manufacturer is to be enclosed along with this Attachment. Annual manufacturing capacity of all the manufacturers to be furnished separately] ***(Applicable only in case of Tower packages with scope for tower supply)

5 Notwithstanding above, we also understand that the Bid Capacity/Manufacturing Capacity as declared hereinabove, shall be subject to assessment, if any, by the Employer, which shall be final and binding. We also confirm that the Employer may verify the supporting documents/ details in connection with above declarations. We further understand that in case of any unethical practices inter-alia including any misrepresentation of facts, submission of false and/or forged details/ documents/ declaration by us, we may be debarred from the participation in Employer’s tenders in future as considered appropriate by Employer and our Bid Security/ Contract Performance Guarantee shall be forfeited besides taking other actions as deemed appropriate.

Note: Key Managerial Personnel (KMP) of the company shall include CEO/Managing Director/ Company Secretary/ Director/ CFO/any of the partner in case of partnership firm/any other officer entrusted with substantial powers of the management of the affairs of the company/firm.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-21

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Format for Affidavit of Self certification regarding Local Content in line with PPP-MII order and DoT Order (to be provided on a non-judicial stamp paper of Rs. 100/-)

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

DGM (CS, ERTCC)

Name : PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

I ________S/o, D/o, W/o, _____________________Resident of_________________________________________________________ hereby solemnly affirm and declare as under: That I will agree to abide by the terms and conditions of the Public Procurement (Preference to Make in India) Order, 2017 of Government of India issued vide Notification No:P-45021/2/2017 -BE-II dated 15/06/2017, its revision dated 16/09/2020 (hereinafter PPP-MII order), Public Procurement (Preference to Make in India) Order 2017- Notification of Telecom Products, Services or works‘ issued by Department of Telecommunications (DoT), vide notification dated 29/08/2018, its revision dated 21/10/2024 (DoT Order) and any subsequent modifications/Amendments, if any and That the information furnished hereinafter is correct to the best of my knowledge and belief and I undertake to produce relevant records before the procuring entity/POWERGRID or any other Government authority for the purpose of assessing the local content of goods/services/works supplied by me for Renovation of PCC pad at OLA-4(Siwan) repeater shelter under Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579. That the local content for all inputs which constitute the said goods/services/works has been verified by me and I am responsible for the correctness of the claims made therein. That the ‘Local Content ‘as defined in the PPP-MII order and DoT order in the goods/services/works supplied by me for Renovation of PCC pad at OLA-4(Siwan) repeater shelter under Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 is ………….………… percent (%) [specify the percentage of Local content]. That the goods/services/works supplied by me for Renovation of PCC pad at OLA-4(Siwan) repeater shelter under Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 meet the ‘Local Content’ requirement as defined in the PPP-MII order and DoT order for ‘Class –I local supplier’. That the value addition for the purpose of meeting the ‘Local Content ‘has been made by me at ……………………… (Enter the details of the location(s) at which value addition is made). That in the event of the local content of the goods/services/works mentioned herein is found to be incorrect and not meeting the prescribed Local Content criteria, based on the assessment of procuring agency (ies)/POWERGRID/Government Authorities for the purpose of assessing the local content, action shall be taken against me in line with the PPP-MII order, DoT order and provisions of the Integrity pact/ Bidding Documents. I agree to maintain the following information in the Company's record for a period of 8 years and shall make this available for verification to any statutory authority. i Name and details of the Local Supplier (Registered Office, Manufacturing unit location, nature of legal entity) ii. Date on which this certificate is issued iii. Goods/services/works for which the certificate is produced iv. Procuring entity to whom the certificate is furnished v. Percentage of local content claimed and whether it meets the Local Content prescribed for ‘Class –I local supplier’. vi. Name and contact details of the unit of the Local Supplier (s) vii. Sale Price of the product viii Ex-Factory Price of the product ix. Freight, insurance and handling x. Total Bill of Material xi List and total cost value of input used to manufacture the Goods/to provide services/in construction of works. xii. List and total cost of input which are domestically sourced. Value addition certificates from suppliers, if the input is not in-house to be attached. xiii. List and cost of inputs which are imported, directly or indirectly

For and on behalf of……………………………………………… (Name of firm/entity) Authorized signatory (To be duly authorized by the Board of Directors) <Insert Name, Designation and Contact No.>

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-22

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Declaration by the bidder regarding events encountered (In case of a Joint Venture bid, the declaration/ certification shall be given by all partners of the Joint Venture)

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

DGM (CS, ERTCC)

Name : PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

1.0 In accordance with the relevant provisions of the bidding documents inter-alia including for assessment of capacity and capability, we furnish herewith our data/details/documents along with other information, as follows:

1 Whether there was Termination# of Contract(s) due to Contractor’s default Yes No

2 Whether there was Encashment of CPG(s) due to non-performance Yes No

3 Whether there was repeated failure of major Equipment(s) while in service* Yes No

4 Whether substantial portion of works (more than 50% of the Contract**) is sub-contracted, under an existing Contract Yes No

5 Whether more than 25% of the Contract price (awarded value), in aggregate, is paid to sub-contractors/suppliers as Direct payment, under an existing Contract, due to financial position of Contractor Yes No

6 Firm has been referred to NCLT under Insolvency & Bankruptcy Code (IRP has been appointed or Liquidation proceedings have been initiated under IBC) Yes@ No

Note: 1. Information regarding events at Sl. No. 1 to 5 shall be furnished for events occurred during last one year under the contract(s) executed by you for PowerTel/POWERGRID (Owned as well as Consultancy) *2. In case PowerTel/POWERGRID has issued a letter in this regard wherein the firm has been put on hold from award of further contract(s) for a specified period and this specified period of hold is yet to expire, the bidder shall indicate “Yes” against this event. #3. # Partial offloading under a Contract and/or Facilitation beyond 10% of the Contract Price shall also be treated as Termination. For the said purpose, the Contract Price means the Contract Price of the Facilities notwithstanding the Construction of the Contract. **4. For the purpose of working out 50% of the Contract, following shall be taken into account suitably: (a) Scope of the contract which is permissible to be sub-contracted as per bidding documents, shall be excluded. (b) Scope of the Contract which primarily relates to the Qualification Requirement (QR) of the bidder as illustrated below:

Sl. No. Type of Package/ Contract Main aspect of the QR Criteria for working out 50% of the Contract

1 Conductor/ Insulator Package Manufacture & Supply 50% of the total supply of Conductor/Insulator under the Contract

2 Tower Package Construction of Transmission Line 50% of the total Transmission Line construction under the Contract

3 Substation(AIS) Package Construction of bays 50% of the total bays construction under the Contract

4 Transformer /Reactor Manufacture & Supply 50% of the total supply of Transformer/Reactor under the Contract

5 Substation(GIS) Package Manufacture & Supply of GIS bays 50% of the total supply of GIS bays under the Contract

The guiding principles as illustrated above shall be followed while dealing with other packages/contracts. @5. Regarding Sl. No. 6, in case of ‘Yes’, following information shall be submitted additionally:

Date on which the firm has been referred to NCLT under Insolvency & Bankruptcy Code (IRP has been appointed or Liquidation proceedings have been initiated under IBC) …...............

Whether the process under IBC has been concluded (If yes, supporting documents be submitted) Yes No

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

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-23

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

Certification by the Bidder per order no. F.No.6/18/2019-PPD dated 23/07/2020 issued by Public Procurement Division, Department of Expenditure, Ministry of Finance, Government of India (DoE Order) (In case of a Joint Venture bid, the declaration/ certification shall be given by all partners of the Joint Venture)

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

DGM (CS, ERTCC)

Name : PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

We have read and understood the provisions of Order no. F.No.6/18/2019-PPD (Order Public Procurement no.1) dated 23/07/2020 regarding “Restriction under Rule 144(xi) of General Financial Rules” and F.No.6/18/2019-PPD (Order Public Procurement no.2) dated 23/07/2020 regarding “Exclusions from Restriction under Rule 144(xi) of General Financial Rules” and F. No.7/10/2021-PPD(1) (Order Public Procurement no.4) dated 23/02/2023 regarding “Restriction under Rule 144(xi) of General Financial Rules” issued by Public Procurement Division, Department of Expenditure, Ministry of Finance, Government of India [hereinafter collectively “DoE Order’’] and any subsequent modifications/Amendments, if any. Particularly, we, the Bidder, have read the clause regarding restrictions on procurement from a ‘Bidder of a country which shares a land border with India’ and on sub-contracting to contractors from such countries. [and on procurement from a bidder having Transfer of Technology (TOT) arrangement] **. We certify that we, the bidder is/are not from such a country or, if from such a country, has been registered as per provisions of the Bidding Documents with the Competent Authority and will not subcontract any work to a subcontractor/sub vendor from such countries unless such subcontractor/sub vendor fulfils all requirement in this regard and is eligible to be considered. [Where applicable, evidence of valid registration by the Competent Authority shall be attached.] **We certify that we, the bidder does not have any TOT arrangement requiring registration with competent authority. OR We certify that we, the bidder has valid registration to participate in this procurement. We further declare that any misrepresentation or submission of false/forged document/ information in this regard shall be dealt with as per the provisions of Integrity Pact and/or Bidding Documents and/or POWERTEL’s/ POWERGRID’s policy and procedures.

Date: Printed Name:

Place: Designation:

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-24

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

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

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

DGM (CS, ERTCC)

Name : PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

Dear Sir, 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 13 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 POWERTEL’S/POWERGRID’s policy and procedure.

Date: Printed Name:

Place: Designation:

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Attachment-25

“Renovation of PCC pad at OLA-4(Siwan) repeater shelter”.

(Declaration of Key Managerial Person and Power of Attorney holder to be Submitted in Company Letter Head duly Signed & Sealed)

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

DGM (CS, ERTCC)

Name : PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

Dear Sir, 1.0 We hereby confirm that we have gone through the POWERGRID Supplier Code of Conduct, attached as Appendix-II to the General Conditions of Contract (GCC) and commit to comply with the same in letter and spirit, if awarded value of the subject package will be Rs. 250 Crore or above. 2.0 Upon the occurrence of any breach to the terms and conditions of POWERGRID Supplier Code of Conduct, we shall take all corrective actions in timely manner. Further, we also understand that in case of our failure to comply with this code, then POWERGRID may take action against us as per its extant Policies and Procedures including suspension or termination as POWERGRID’s supplier. 3.0 We also hereby confirm that in case we are awarded the subject package with an award value of Rs 250 Crore or above, we shall submit a signed copy of ‘Supplier Code of Conduct’ within 30days of the issuance of NOA.

Date: Printed Name:

Place: Designation:

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 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 : 6 six 6 th 6 June

Bidder's name and Address To,

Name: DGM (CS, ERTCC)

Address: PowerGrid Teleservices Limited (A wholly owned subsidiary of Power Grid Corporation of India Ltd.) EASTERN REGION TELECOM CONTROL CENTRE, 1st Floor, CF-17, New Town Action Area-IC, Rajarhat, Kolkata- 700 156

14 fourteen 14 th

Name of Contract : “Renovation of PCC pad at OLA-4(Siwan) repeater shelter”. 15 fifteen 15 th

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

0.0 Having examined the Bidding Documents, including Amendment Nos. ………………… [Enter Amendment No.] dated ……………..[Enter Amendment Date] the receipt of which is hereby acknowledged, we the undersigned, offer to supply goods and services 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 Section-II- Instruction to Bidders (ITB) 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). ………………… [Enter Amendment No.] ……………..[Enter Amendment Date] the receipt of which is hereby acknowledged, we the undersigned, offer to supply goods and services 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 Section-II- Instruction to Bidders (ITB) 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

0.0 We meet the eligibility requirement and have no conflict of interest in accordance with ITB Clause 1.2.1. Bank Draft 18 eighteen 18 th

0.0 Attachments to the Bid Form: Bank Draft 18 eighteen 18 th

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

(a) Attachment 1() : Bid Security, in a separate envelope, in the form of ................................ for a sum of INR 7,000/- initially valid for a period of 250 Days from the date set for opening of bids Or documentary evidence in support of exemption of Bid security, in separate envelope in accordance with clause 5.1 of ITB, Section-II. Bank Draft …(INR).. Banks certified Cheque 20 twenty 20 th

(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 3.4.2 (b). Please note that if BG validity is less than 250 days, your bid may be rejected Bank Guarantee (0) 21 st

(c) Attachment 3() : 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) [Not Applicable] NSIC/MSE 22 th

(d) Attachment 4() : The documentary evidence establishing in accordance with ITB Clause 3, Vol.-I of the Bidding Documents that the facilities offered by us are eligible facilities and conform to the Bidding Documents has been furnished as Attachment 4. A list of Special Tools & Tackles to be used by us for erection, testing & Commissioning and to be handed over to Employer, the cost of which is included is our Bid Price, is also enclosed as per your format as Attachment 4A. A list of Special Tools & Tackles to be brought by the contractor for erection, testing & Commissioning and to be taken back after completion of work, whose cost in not included in our bid price, is enclosed as per your format as Attachment 4B. [Not Applicable] 25 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. [Not Applicable] 26 th

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

(g) Attachment 6() : The variation and deviations from the requirements of the Conditions of Contract, Technical Specification and Drawings (excluding critical provisions as mentioned at clause 7.0 below) in your format enclosed with the Bidding Documents, including, inter alia, the cost of withdrawal of the variations and deviations indicated therein. 27 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. 30 th

(k) Attachment 10(): Guarantee Declaration. 31 st

(l) Attachment 11(): Information regarding ex-employees of Purchaser in our firm.

(m) Attachment 12(): Filled up information regarding Price Adjustment Data as per the format enclosed in the bidding documents [Not Applicable].

(n) Attachment 13(): Declaration regarding Social Accountability.

(o) Attachment 14-IP(): Integrity Pact, in a separate envelope, duly signed on each page by the person signing the bid. [Not Applicable]

(p) Attachment 15(): Information for Contract performance guarantee, E – payment, PF details and declaration for Micro/Small and Medium Enterprise.

(q) Attachment 16(): Additional Information.

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

(s) Attachment 18-SP(): Safety Pact

(t) Attachment 19(): Declaration

(u) Attachment 20(): Declaration of Key Managerial Person and Power of Attorney holder

(v) Attachment 21(): Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order, 2017 and DoT-Notification-August 2021

(w) Attachment 22(): Declaration by the Bidder regarding events encountered pursuant to ITB Clause 2.1

(w) Attachment 22(): Declaration by the Bidder regarding events encountered

(x) Attachment 23(): Certification by the Bidder as per Department of Expenditure, Ministry of Finance, Government of India (DoE Order)

(y) Attachment 24(): Declaration by the bidder for ‘Code of Integrity for Public procurement’

(z) Attachment 25(): Declaration by the bidder for Acknowledgement and Acceptance of the ‘Supplier Code of Conduct’

0.0 We are a Micro and Small Enterprise (MSE) registered on "Udyam Registration Portal" a designated authority of GoI under the Public procurement Policy for MSEs order 2012, notification dated 01/06/2020 and 26/06/2020. Yes / NO

We are not MSE registered Yes / NO

0.0 We are aware that, in line with Clause No. 8.2 (ITB), our Price quoted 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 Attachment-6.

0.0 We confirm that except as otherwise specifically provided our Bid Prices in BoQ 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.

0.9 100% 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.

0.0 We further understand that notwithstanding 4.0 above, in case of award on us, we shall also bear and pay/reimburse to us, GST in respect of supplies by us to you, imposed on plant and equipment including manadatory sapare parts to be incorporated in to the facilities specified in shedule No.3 of Bill of Quantity (BOQ), by the Indian Laws.

0.9 We confirm that we have also registered/we shall also get registered in the GST network with GSTIN, in all the states where the project located and the states froim which we shall make our supplies of our goods and services.

0.0 Construction of the Contract

0.9 We declare that mode of contracting for Domestic Bidders and we are making this proposal with a stipulation that you shall award us the Contracts covering all goods and related services.

0.0 We have read the provisions of following clauses and confirm that the specified stipulations of these clauses are acceptable to us:

(a) ITB 4.6 Taxes and Duties

(b) ITB 5.0 Bid Security

(c) GCC 6.0 WORK COMPLETION SCHEDULE

(d) GCC 9.0 Defect Liability

(e) GCC 13.0 Terms of Payment

(f) GCC 14.0 Performance Security

(g) GCC 19.0 Governing Law

(h) GCC 20.0 Settlement of Disputes

Further we understand that deviation taken in any of the above clauses by us may make our bid non-responsive as per provision of bidding documents and be rejected by you.

0.0 We undertake, if our bid is accepted, to commence the work immediately upon your Notification of Award 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 an Advance Payment Security and Performance Security(ies) in the form and amounts, and within the times specified in the Bidding Documents.

0.0 We agree to abide by this bid for a period of six (06) months from the date fixed for opening of bids as stipulated in the Bidding Documents, and it shall remain binding upon us and may be accepted by you at any time before the expiration of that period.

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 Commissions or gratuities, if any, paid or to be paid by us to agents relating to this Bid, and to contract execution, if we are awarded the contract, are listed below:

Name and address of agent Amount and Currency Purpose of Commission or gratuity

(If none, state “none”)

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.

0.0 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 hereby declare that we, along with our associate/collaborators/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 fradulent 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.

Thanking you, we remain,

Yours faithfully,

For and on behalf of

Date : Printed Name :

Place : 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 them .However Power of Attorney submitted by the bidders should be package specific

Enter basic data here

[Fill up data only in the relevent open area]

1 Name of Package Renovation of PCC pad at OLA-4(siwan) repeater shelter

2 Specification No. ER2/NT/W-MISC/DOM/ZA4/25/00579

4 Item Description ACSR ZEBRA Conductor

5 Quantity in km. 6615

(a) UTS test on stranded conductor 1

(b) DC resistance test on stranded conductor 1

(c) Corona extinction voltage test on hex bundle (dry) 1

(d) Radio interference voltage test on hex bundle (dry) 1

Renovation of PCC pad at OLA-4(siwan) repeater shelter

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579

1 Fill up only green shaded cells in the sheet-'Name of The Bidder', Sch-3 & 'Declaration'.

2 All the cells in Sch-6 are auto filled; therefore no cell is required to be filled by bidder.

3 Sch-1, 2, 4 & 7 is NOT APPLICABLE.

4 Break up of quantities is given for Eastern & North Eastern Region in

4 Instructions / error messages, if any, will be displayed automatically after selecting the cell.

4 Based on the data filled in the respective schedules, e-Form is generated automatically. A print out of e-Form may be taken and the data may be filled in the electronic form of the tender provided on the portal.

INSTRUCTION FOR BIDDERS TO FILL THE WORKBOOK

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.

II This Workbook consists of following worksheets :

Opening page of the workbook.

Names of Bidder :

● Fill up the Bidder's Details. Joint Venture Not Applicable.

● Fill up date in dd-mm-yyyy format.

● Click for Sch-1 given at the right top of the worksheet to go to Sch-1.

Sch-1 (Ex-works Prices) :

● Not Applicable; hence no cell is required to be filled up.

Sch-2 (Freight & Insurance Charges) :

● Not Applicable; hence no cell is required to be filled up.

Sch-3 (Supply & Installation charges including Local Transportation, In-transit Insurance,loading and unloading) :

● Fill up unit rates excluding GST for all the items in numeric values greater than 0 (zero). If unit rate is left blank, the corresponding item shall be deemed to be included in the total price.

● Fill up SAC/HSN code and GST rate if opts for different SAC/HSN Code and GST rate than provided by Employer.

● Total amount shall get calculated automatically.

Sch-4 (Training charges) :

● Not Applicable; hence no cell is required to be filled up.

Sch -5 : (Taxes & Duties)

● Summary of all applicable taxes & duties.

● GST is excluded in unit rate.

Sch -6 : (Grand Total)

● Total amount shall get calculated automatically.

● No cell is required to be filled in by the bidder in this worksheet.

Sch-7 (Break-up of type test charges) :

● Not Applicable; No needs to fill any cell by the bidder. It shall get automatically filled

● Fill up ref. no. as bidder's ref no. of this letter.

● This letter shall consider the net price as per Sch-6.

● Fill up names & Designation of the bidder

● Fill up additional information as required.

Happy Bidding !

Renovation of PCC pad at OLA-4(siwan) repeater shelter

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Proprietership Firm 1

Partnership Firm 2

Enter following details of the bidder Private Ltd

Specify type of Bidder

Individual Firm

Name of Bidder Manufacturer

Address Authorised Representative of Manufacturer

Address of Registered Office

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Schedule - 1

Renovation of PCC pad at OLA-4(siwan) repeater shelter

(SCHEDULE OF RATES AND PRICES : EX-WORKS PRICES)

Bidder’s Name and Address To:

Bidder as DGM(CS)

Name : Power Grid Corporation of India Ltd.,

Address : ERTCC,1st Floor, CF-17, New Town Action Area-IC

Rajarhat, Kolkata- 700 156

Goods to be supplied including type test charges, if applicable, as per Technical Specification.

Sl.No. Description of Item Unit Location/ Quantity Total Quantity Unit Ex Work price Amount Mode of transaction (Direct/ Bought out)

Dhanbad Palamu East Singhbhum Latehar Giridih Lohardaga In Fig. In Fig.

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Schedule - 2

Renovation of PCC pad at OLA-4(siwan) repeater shelter

(SCHEDULE OF RATES AND PRICES : FREIGHT & INSURANCE CHARGES)

Bidder’s Name and Address To:

Bidder as DGM(CS)

Name : Power Grid Corporation of India Ltd.,

Address : ERTCC,1st Floor, CF-17, New Town Action Area-IC

Rajarhat, Kolkata- 700 156

All values are in Indian Rupees.

Local Transportation, In-transit Insurance,loading and unloading

Sl.No. Description of Item Unit Location/ Quantity Total Quantity Unit Freight & Insurance Charges* Amount Direct

Dhanbad Palamu East Singhbhum Latehar Giridih Lohardaga In Fig. In Fig. Bought-out

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Schedule - 3

Renovation of PCC pad at OLA-4(siwan) repeater shelter

(SCHEDULE OF RATES AND PRICES)

Bidder’s Name and Address To:

Bidder as DGM(CS)

Name : POWERGRID TELESERVICES LIMITED,

Address : ERTCC,1st Floor, CF-17, New Town Action Area-IC

Rajarhat, Kolkata- 700 156

BoQ for repairing/reinstating PCC bed of Ola-4 (Siwan)

(All prices are in Indian Rupees)

SI. No. Description Unit Quantity SAC/HSN Code Whether SAC/HSN in Column- 5 is confirmed. If not, mention SAC/HSN in Column-7 Leave Blank if Bidder opts for same HSN/SAC No.; otherwise Provide applicable SAC/HSN no. GST Rate Whether GST rate in Column- 8 is confirmed. If not, mention GST rate in Column-10 Leave Blank if Bidder opts for same GST rate, otherwise Provided applicable GST rate Unit Rate (excluding GST) GST Amount Total Price (Including GST)

1 Demolishing cement concrete manually /by mechnical means including disposal of material within 50 meters lead as per direction of Engineer-in- charge 15.2.2 - Nominal concrete 1:4:8 or leaner mix (including equivalent design mix) cum 10 995429 0.18

2 Dry brick on edge flooring in reuired pattern with bricks of class designation 7.5 on a bed of 12 mm mud mortar,including filling joints with jamuna sand with common burnt clay non moduular bricks. sqm 100 995474 Confirmed 0.18 Confirmed Included

3 Providing and laying of PCC 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 15 995454 Confirmed 0.18 Confirmed Included

4 Supplying and filling plinth with sand under floors,under watering ramming consolidating and dressing complete cum 10 995433 Confirmed 0.18 Confirmed Included

5 18mm cement plaster in two coats under layer 12mm thick cement plaster 1:5 (1 cement : 5 coarse sand) and a top layer 6mm thickcement plaster 1:3(1 cement : 3coarse sand) finished rough with sponge sqm 160 995472 Confirmed 0.18 Confirmed Included

6 Earthing of GI earthing Pipe 4.5 metre long , 40mm Dia Including and providing masnory enclosure with cover plate having locking arragement and watering Pipe etc. Charcoa lcoke and Salt is required. each 2 998739 Confirmed 0.18 Confirmed Included

Notes: 1) Price shall be quoted strictly as per above format indicating clear price break-up as sought above.

2) Bidder Must Keep Column-7 BLANK if Opts for same SAC/HSN code in the Column 6; Otherwise quote applicable SAC/HSN code in Column-7.

3) Bidder Must Keep Column-10 BLANK if Opts for same GST rate in Column 9; Otherwise quote applicable GST rate in Column-10.

4) Rate shall be Exclusive of GST.

5) Any conditional discount offered shall not be considered for at par evaluation of the bids, however the same shall be applicable at the time of awarding contract.

6) The price shall be quoted on FIRM basis.

Date: ` Printed Name :

Place: Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Schedule - 4

Renovation of PCC pad at OLA-4(siwan) repeater shelter

(Schedule of rates and prices)

Bidder’s Name and Address To:

Bidder as DGM(CS)

Name : Power Grid Corporation of India Ltd.,

Address : ERTCC,1st Floor, CF-17, New Town Action Area-IC

Rajarhat, Kolkata- 700 156

Training Charges

1. Price Component of training to be imparted to Owner's Personnel by Bidder's instructor

Sl. No. Description Country where training is to be imparted Item for which training is to be imparted Training duration in days Training Charges

per DIEM Rate Total Amount

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Schedule - 5

Renovation of PCC pad at OLA-4(siwan) repeater shelter

SUMMARY OF TAXES & DUTIES APPLICABLE

Bidder’s Name and Address To:

Bidder as DGM(CS)

Name : POWERGRID TELESERVICES LIMITED,

Address : ERTCC,1st Floor, CF-17, New Town Action Area-IC

Rajarhat, Kolkata- 700 156

Sl. No. Item Nos. Total Price (INR) After Discount

1 Total GST on Goods and Servises Excise Duty

Total GST for Supply of Goods & services between the Contractor and the Employer (identified in Schedule 3) which are not included in the unit rate as per the provision of the Bidding Documents, as applicable.

GRAND TOTAL applicable

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Schedule -6

Renovation of PCC pad at OLA-4(siwan) repeater shelter

(GRAND SUMMARY)

Bidder’s Name and Address To:

Bidder as DGM(CS)

Name : POWERGRID Teleservices Limited,

Address : ERTCC,1st Floor, CF-17, New Town Action Area-IC

Rajarhat, Kolkata- 700 156

Sl. No. Description Total Price (INR)

1 TOTAL SCHEDULE NO. 1

Goods to be supplied including type test charges, if applicable, as per Technical Specification NOT APPLICABLE

2 TOTAL SCHEDULE NO. 2

Local Transportation, In-transit Insurance,loading and unloading NOT APPLICABLE

3 TOTAL SCHEDULE NO. 3

Supply & Installation charges including Local Transportation, In-transit Insurance,loading and unloading

4 TOTAL SCHEDULE NO. 4

Training Charges NOT APPLICABLE

5 TOTAL SCHEDULE NO. 5

6 TOTAL SCHEDULE NO. 7

Break-up of type test charges NOT APPLICABLE

GRAND TOTAL [1+2+3+4+5+6]

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Schedule - 7

Renovation of PCC pad at OLA-4(siwan) repeater shelter

Type Test charges

Bidder’s Name and Address To:

Bidder as DGM(CS)

Name : Power Grid Corporation of India Ltd.,

Address : ERTCC,1st Floor, CF-17, New Town Action Area-IC

Rajarhat, Kolkata- 700 156

Break-up of type test charges (Not Applicable)

Sl. No. Item Nos. Total Price (INR)

Date : Printed Name :

Place : Designation :

Specification No.: ER2/NT/W-MISC/DOM/ZA4/25/00579 Declaration 1 st 1 January

2 nd 2 February

Bid Proposal Ref. No. 5 th 5 May

Date : 6 th 6 June

To: 8 th January 8 August

DGM(CS) 9 th 9 September

POWERGRID TELESERVICES LIMITED, 10 th 10 October

ERTCC,1st Floor, CF-17, New Town Action Area-IC 11 th 11 November

Rajarhat, Kolkata- 700 156 12 th 12 December

Name of Contract : Renovation of PCC pad at OLA-4(siwan) repeater shelter 15 th

Dear Ladies and/or Gentlemen, 16 th

Schedule 1() Goods to be supplied including type test charges, if applicable, as per Technical Specification.NOT APPLICABLE 21 st

Schedule 2() Local Transportation , NOT APPLICABLE 22 th

Schedule 3() Supervision Charges. 23 th

Schedule 3() Supply & Installation charges including Local Transportation, In-transit Insurance,loading and unloading

Schedule 4() Training Charges, Not Applicable 24 th

Schedule 5() Taxes and Duties not included in Schedule 1 to 3 25 th

Schedule 6() Grand Total 26 th

Schedule 7() Break-up of type test charges (Not Applicable)

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

3.1 100% of applicable Taxes and Duties i.e. GST which are paybale 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 shall also get registered with the concerned Sales Tax Authorities, in all the states where the project is located.

3.4 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 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

Date : Printed Name :

Place : 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 :

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