CONSTRUCTION OF NEW A SITE OUTLET_ON SH110_FROM HONNENAHALLI VILLAGE_KUNDURU HOBLI_ALUR TALUK_TO BILIGARAHALLI VILLAGE_KUNDURU HOBLI_ALUR TALUK_SY NO 24_2_CHANNAPARA VILLAGE_ALUR TALUK_HASSAN DISTRICT UNDER MANGALORE DO OF KASO

Subject: CONSTRUCTION OF NEW A SITE OUTLET_ON SH110_FROM HONNENAHALLI VILLAGE_KUNDURU HOBLI_ALUR TALUK_TO BILIGARAHALLI VILLAGE_KUNDURU HOBLI_ALUR TALUK_SY NO 24_2_CHANNAPARA VILLAGE_ALUR TALUK_HASSAN DISTRICT UNDER MANGALORE DO OF KASO

Tender Ref. No.: SRCC/RS/LT/474/KASO/2025-26

e-Tender ID: 2026_SROTN_189281_1

Bidder/Firm/Company Name:

Type of Firm (Please Select)

Name of DSC User (Authorized Signatory) for the subject Tender

Father's Name of DSC User for the subject Tender

ANNEXURE – A ACCEPTANCE OF ALL TERMS & CONDITIONS OF TENDERER 0

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

We ………………………………………………………………………………………………………………………… (Name of the Tenderer) hereby certify that we have fully read and thoroughly understood the tender requirements and accept all terms and conditions of the tender including all corrigendum/addendum issued, if any. Our offer is in confirmation to all the terms and conditions of the tender including all corrigendum/addendum, if any and minutes of the pre-bid meeting. In the event our offer is found acceptable, and contract is awarded to us, the complete tender document shall be considered for constitution of Contract Agreement.

ANNEXURE – B DECLARATION ON NCLT/NCLAT/DRT/DRAT/COURT RECEIVERSHIP/ LIQUIDATION 0

1 . No insolvency resolution process has commenced (viz. application has been admitted by Adjudicating Authority and moratorium has been imposed and IRP has been appointed) under Insolvency and Bankruptcy Code, 2016 or any other applicable law.

2(a) No insolvency resolution process or liquidation / bankruptcy proceeding is initiated under the Code or any other applicable law (in case where Code is not applicable).

2(b) Insolvency resolution process or liquidation / bankruptcy proceeding has been initiated under the Code or any other applicable law (in case where Code is not applicable) but application has neither been admitted by Adjudicating Authority nor moratorium has been imposed nor IRP has been appointed. I/We undertake to bring to the notice of IOCL immediately if such application is admitted by the Adjudicating Authority or moratorium has been imposed or IRP has been appointed. (Attach details of proceedings with technical bid).

3 . I / We undertake to bring to the notice of IOCL immediately if any proceedings under Insolvency and Bankruptcy Code, 2016 or any other applicable law are initiated or filed at any stage of evaluation of the tender.

4 . I / We are aware that we are not eligible to submit bid or our bid is liable to be cancelled in the event any insolvency resolution process has commenced (viz. application has been admitted by Adjudicating Authority and moratorium has been imposed and IRP has been appointed).

It is understood that if this declaration is found to be false, Indian Oil Corporation Ltd. shall have the right to reject my/our bid & forfeit the EMD / invoke BSD clauses and, if the bid has resulted in a contract, the contract will be liable for termination without prejudice to any other right or remedy (including blacklisting or holiday listing) available to Indian Oil Corporation Ltd.

ANNEXURE – C COMPLIANCE CERTIFICATE REGARDING BIDDERS FROM A COUNTRY WHICH SHARES A LAND BORDER WITH INDIA 0

(A) The bidder, ………………………………………………………………………………………………………………………… is not from a country which shares a land border with India;

The bidder, ………………………………………………………………………………………………………………………… is from a country, ………………………………………………………………………………………………………… (Name of the Country) which shares a land border with India and are registered with the Competent Authority. Certificate of registration is attached with the bid;

The bidder, ………………………………………………………………………………………………………………………… is from a country, ………………………………………………………………………………………………………… (Name of the Country) which shares a land border with India and Government of India has extended lines of credit or is engaged in developmental projects in this country, ………………………………………………………………………………………………………… (Name of the Country) and hence do not require any separate registration for participation in this tender.

(B) I have read the Clause regarding restrictions on procurement from a bidder of a country which shares a land border with India; I certify that this bidder is not from such a country or, if from such a country, has been registered with the Competent Authority. I hereby certify that this bidder fulfils all requirements in this regard and is eligible to be considered. (Where applicable, evidence of valid registration by the Competent Authority shall be attached).

(C) I 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; I certify that this bidder is not from such a country or, if from such a country, has been registered with the Competent Authority and will not sub-contract any work to a contractor from such countries unless such contractor is registered with the Competent Authority. I hereby certify that this bidder fulfills all requirements in this regard and is eligible to be considered. [Where applicable, evidence of valid registration by the Competent Authority shall be attached].

ANNEXURE – D UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS 0

I/We hereby declare that I/We/M/s.

(A) We hereby confirm that we have not transferred our ownership rights either in whole or in part to another entity or under process of transfer.

I/We have transferred my/our ownership rights in whole/part to other entity/ entities as per details below:

Sl. No. Name of Entity/Entities % of Ownership Transferred

I/We are in process of transferring my/ our ownership rights in whole/part to other entity/ entities as per details below:

Sl. No. Name of Entity/Entities % of Ownership Transferred

(B) I/We understand that Indian Oil Corporation Limited (IOCL) reserves the right to reject the tender of any entity, which has transferred its ownership rights in whole or in part or which is in process of transfer without assigning any reason for such rejection.

(C) I/ We also understand that refusal or failure to share the information regarding the status of any kind of business transfer process/restructuring etc. in this tender or at any later stage, as applicable, my/our tender is liable to be rejected by IOCL and without prejudice to any other remedy or action available with IOCL, IOCL shall forfeit the Earnest Money Deposit provided by the tenderer, in any form whatsoever.

ANNEXURE – E UNDERTAKING ON NO MULTIPLE BIDDING 0

I/ We, the authorized signatory of M/s. ………………………………………………………………………………………………………………………… participating in the subject Tender Ref. No. ……………………………………… for the job of …………………………………………………………………………………………………………………………………………………………………………………………………………………………………, do hereby declare:

I. I/We have not submitted multiple bids. i.e., more than 1 bid either individually or in any combination of person (individual capacity, proprietor, affiliates, partnership, association of persons, Company).

II. I/We am aware that, in case found that such multiple bids are submitted, all such bids are liable for rejection.

Note: The submitted bids shall be considered as multiple bids as explained in "PART - B" of tender document.

ANNEXURE – F BID SECURITY DECLARATION FROM BIDDERS IN LIEU OF EMD 0

I/ We, the authorized signatory of M/s. ………………………………………………………………………………………………………………………… participating in the subject Tender Ref. No. ……………………………………… for the job of …………………………………………………………………………………………………………………………………………………………………………………………………………………………………, do hereby declare that in the event:

I / We withdraw / modify our bid during the period of bid validity

I / We commit any other breach of tender conditions / contract which would have otherwise attracted forfeiture of EMD

I / We fail to / refuse to initiate the execution of the awarded Contract as per the terms of the Contract

then I / We could be debarred from being eligible for bidding / award of all future tender(s) of Indian Oil Corporation Limited for a period of SIX Months from the date of communication of such debarment.

Annexure Name Description Submission Status

ANNEXURE – A ACCEPTANCE OF ALL TERMS & CONDITIONS OF TENDERER NOT Submitted 0

ANNEXURE – B DECLARATION ON NCLT/NCLAT/DRT/DRAT/COURT RECEIVERSHIP/ LIQUIDATION NOT Submitted 0

ANNEXURE – C CERTIFICATE FOR BIDDERS FROM A COUNTRY WHICH SHARES A LAND BORDER WITH INDIA NOT Submitted 0

ANNEXURE – D UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS NOT Submitted 0

ANNEXURE – E UNDERTAKING ON NO MULTIPLE BIDDING NOT Submitted 0

ANNEXURE – F BID SECURITY DECLARATION FROM BIDDERS IN LIEU OF EMD NOT Submitted 0

STANDARD COMPARATIVE CHART

E-Tender Ref. No.: SRCC/RS/LT/474/KASO/2025-26

Tender description: CONSTRUCTION OF NEW A SITE OUTLET_ON SH110_FROM HONNENAHALLI VILLAGE_KUNDURU HOBLI_ALUR TALUK_TO BILIGARAHALLI VILLAGE_KUNDURU HOBLI_ALUR TALUK_SY NO 24_2_CHANNAPARA VILLAGE_ALUR TALUK_HASSAN DISTRICT UNDER MANGALORE DO OF KASO

Instructions for Tenderer: Tenderer MUST fill in below mentioned details and submit along with the Technical bid. (NON-UPDATION OF ANY DETAILS MAY MEAN INCOMPLETE TENDER). Please state "NOT APPLICABLE" in case you have no positive answer. For example, if you are not a proprietary firm, then please state “NOT APPLICABLE’ against item No. (B) 1 below instead of keeping the same blank. RESPONSIBILITY OF CORRECTNESS OF DETAILS LIES WITH THE TENDERER.

S. No Particulars Bidder's response

A General Information General Information

1 Name of the bidder:

2 Address of the Bidder

3 Telephone Nos.:

4 Login E-Mail id for portal

5 Correspondence E-Mail id as per portal

6 Name of Contact Person:

7 Contact Person's Mobile no ;-

8 Name of DSC holder (for which POA/Board Resolution to be uploaded)

B Company details Company details

1 Sole Proprietorship? Yes /Not Applicable

2 If yes, Give name of the Proprietor and upload affidavit for sole proprietorship

3 Partnership firm? Yes/Not Applicable

3(a) If yes, Give names of the Partners and upload partnership deed

3(b) If yes, Whether registered or Unregistered with Registrar of Firms Registered / Unregistered

4 Private or Public Limited Company? Applicable / Not Applicable

4(a) If yes, provide names of Directors

C EMD (Bid security declartion) To be provided in Excel Template named Excel_Declarations_Undertakings given in the tender

1 Bid security declartion

E Turnover for the following years (Rs. Lakhs) (Financial statements to be submitted) Value in Rs. Lakhs

F All Declarations and Undertakings as per Annexures in the excel sheet attached named “Excel_Declarations_Undertakings_LTXXX.xls”

G Purchase Preference claimed (in case of applicability for tender as per PP policy) (Please note tender evaluation under Purchase Preference will be subject to the Option exercised in e -portal during submission of bid for this tender)

1 Selection of preference category in e-portal by bidder Selected /Not selected

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

Tender Inviting Authority: CGM(M&C) Indian Oil Corporation Limited, (Marketing Division), Regional Contract Cell, Southern Regional Office, 8th Level, IndianOil Bhavan, No. 139, Nungambakkam High Road, Chennai – 600 034

Name of Work : CONSTRUCTION OF NEW A SITE OUTLET “ ON SH110,FROM HONNENAHALLI VILLAGE (KUNDURU HOBLI,ALUR TALUK) TO BILIGARAHALLI VILLAGE (KUNDURU HOBLI ,ALUR TALUK)“ SY NO 24/2,CHANNAPARA VILLAGE, ALUR TALUK,HASSAN DISTRICT UNDER MANGALORE DO OF KASO.

Contract No: SRCC/RS/LT/474/KASO/2025-26

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate in Rs. P Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE In Figures To be entered by the Bidder Rs. P

1.01 CONSTRUCTION OF NEW A SITE OUTLET “ ON SH110,FROM HONNENAHALLI VILLAGE (KUNDURU HOBLI,ALUR TALUK) TO BILIGARAHALLI VILLAGE (KUNDURU HOBLI ,ALUR TALUK)“ SY NO 24/2,CHANNAPARA VILLAGE, ALUR TALUK,HASSAN DISTRICT UNDER MANGALORE DO OF KASO. BI01010001010000000000000515BI0100001113 LS Excess(+) Full Conversion INR

Total in Figures

Quoted Rate in Figures Select

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