Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Instructions for Filling up all the Annexures

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

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

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

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

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

Name of the Bidder Acknowledged

Name of Work Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender Number PLCC/EoI for HDD works/CL/26042 Annexure Complied

PAN Card Number Annexure Not Complied

Name of Person whose DSC has been used

CIN (If Applicable) else mention NA

Son/Daughter of

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

Important Check Points

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

Submission of Integrity Pact (if applicable)

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

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

Copies of audited balance sheets for last 3 Financial years

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

Copy of PF Code No. Certificate and PAN Card

Copy of GST Registration Certificate

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

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

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

Annexure No Heading Status of Individual Annexures

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

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

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

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

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

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

Annexure-18 Safety Declaration Annexure Not Complied

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

Annexure-31 Undertaking on Prevention of Sexual Harassment Annexure Not Complied

Annexure-32 Undertaking on Prevention of Discrimination in the Workplace Annexure Not Complied

Annexure-33 Undertaking on Working Conditions Annexure Not Complied

Annexure-34 Undertaking on Health and Safety Practices Annexure Not Complied

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION Undertaking on Health and Safety Practices

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

To whom it may concern

We prioritize the health, safety, and well-being of our employees, contractors, and visitors. We recognize that a safe and healthy work environment is essential to our organization’s success and to the overall satisfaction and productivity of our workforce. As such, we are committed to maintaining the highest standards of health and safety in compliance with applicable laws and the industry’s best practices. We ensure the above policies are in place and complied with by our vendors, contractors and sub-contractors. This undertaking outlines our commitment to ensuring the safety and health of all individuals associated with our company, and to continuously improving our safety management systems. I Agree

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D12

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION Undertaking on Working Conditions

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

To whom it may concern

We are dedicated to ensuring that all employees work in conditions that promote health, safety, dignity, and well-being. We recognize that the quality of working conditions directly impacts productivity, morale, and overall success of our organization. As such, we commit to providing an environment that meets or exceeds the standards set forth by relevant labor laws, industry best practices, and ethical guidelines. We ensure the above policies are in place and complied with by our vendors, contractors and sub-contractors. In line with this commitment, we hereby provide the above undertaking. I Agree

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D12

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION Undertaking on Prevention of Discrimination in the Workplace

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

To whom it may concern

We are firmly committed to fostering an inclusive, respectful, and equitable workplace for all employees, regardless of race, color, religion, gender, sexual orientation, gender identity, age, disability, marital status, national origin, or any other characteristic protected by law. We believe that diversity enriches our work environment and enhances our collective success. Discrimination of any kind, whether overt or subtle, is not only unlawful but also contrary to our core values. We ensure the above policies are in place and complied with by our vendors, contractors and sub-contractors. In line with our commitment to a discrimination-free workplace, we hereby provides the above undertaking. I Agree

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D12

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

INDIAN OIL CORPORATION LIMITED PIPELINES DIVISION Undertaking on Prevention of Sexual Harassment

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

As part of our unwavering commitment to providing a safe, inclusive, and respectful workplace, We hereby affirm our zero-tolerance policy towards sexual harassment and other forms of discrimination. We take the issue of sexual harassment seriously and have implemented strict measures to ensure that our workplace remains free from any behavior that could undermine the dignity, safety, and well-being of our employees. We are committed to maintaining an environment in which every individual is treated with respect, fairness, and dignity. Sexual harassment in any form, whether physical, verbal, or non-verbal—will not be tolerated. This policy applies to all employees, contractors, visitors, clients, and anyone who interacts with our company. We undertake to ensure the above policies are in place and complied with by our vendors, contractors and sub-contractors. I Agree

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D12

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

DECLARATION BY THE TENDERER(S)

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

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

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

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

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No E13

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

Certification by the Statutory Auditor /Cost Auditor/Practising cost accountant/Practising Chartered Accountant of the bidder Yes

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

Whether statutory auditor is mandatory for the company

Name of CA Firm/ Statuary Auditor

Registered office address for CA

Registered office address for the bidder

Please select Yes / No against requirment of statusary auditor in cell no G8 We , a CA firm having our registered office address and certificate number certify that we are statutory auditor of the Company M/s having it registered office at

We , a CA firm having our registered office address and certificate number certify that statutory auditor is not mandatory for the company M/s , having its registered office at as per prevailing law and we are practicing Chartered Accountant, not being an employee I Director and not having any interest in the

We have understood the provisions of PPP-MII Order 2017, enclosed in the above bidding document.

Please ensure that the contents of this Annexures are the same as uploaded on the UDIN website against the mentioned UDIN no

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

Status Annexure Not Complied

Please fill up the information in blue cells at cell no G8 to G12 Please fill up the information in blue cells at cell no G8 to G12

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

SAFETY DECLARATION

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

I/We hereby declare and confirm that; I Agree

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

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

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

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

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

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

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

8 The person signing this declaration is the authorized signatory.

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D19

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

UNDERTAKING FOR NON-ENGAGEMENT OF CHILD LABOUR

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

I/We hereby declare that: I Agree

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

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

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

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

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

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

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No D18

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

Undertaking in support of not under liquidation

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works

Tender No.: PLCC/EoI for HDD works/CL/26042

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

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

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

Status Annexure Not Complied

Fill Agreed by the bidder in cell No C11

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

Declaration on proceedings under Insolvency and Bankruptcy Code, 2016

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works Applicable

Tender No.: PLCC/EoI for HDD works/CL/26042 Not Applicable

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

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

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

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

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

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

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

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

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

Status Annexure Not Complied

Select at least one option as Applicable

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

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

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

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works Whether any of the Directors of the Company is a Director or is related to any Director of IOC present or retired within past two years.

Tender No.: PLCC/EoI for HDD works/CL/26042

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

S. No. Description Remarks Mention Yes/No Yes

1 Incorrect PAN No mentioned No

LIST OF DIRECTORS

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

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

Status Annexure Not Complied

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

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

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works Applicable

Tender No.: PLCC/EoI for HDD works/CL/26042 Not Applicable

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

1 Not from such a country

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

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

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

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

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

Status Annexure Not Complied

Select at least one option as Applicable

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder

PROFORMA OF DECLARATION OF BLACK LISTING/ HOLIDAY LISTING

Name of Work: Expression of Interest (EoI) for Empanelment of vendors for Horizontal Directional Drilling (HDD) works 0

Tender No.: PLCC/EoI for HDD works/CL/26042

Incorrect PAN No mentioned Propritership Partnership Company Consortium/Unincorporated JV

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

Yes, we have been blacklisted (List attached seperately)

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

No, we havent been blacklisted by anyone

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

Status Annexure Not Complied

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

Tender Number PLCC/EoI for HDD works/CL/26042

Annexure Commercial

Agreed by the bidder