Supply, Installation, Testing and Commissioning of CCTV System at 400kV Gorakhpur Substation of POWERGRID

Fixed Camera As per TS (IP outdoor Bullet Camera, 2 MP, IR, IP 66, Focal Length (5-6 mm to 50-60 mm)

Junction Box as per TS

Power Converter

Multi SFP Switch (12SFP+12 Cu Port; 10/100/1000 Mbps) as per techbnical specification attached at Control room end

Light interfacing Unit (12 port)

Light interfacing Unit (24 port)

Network Video Recorder With 21 inch Full HD LED and NVR Application Software (2*Intel Xeon, 8 Core,16 GB RAM, 2 TB Windows OS, 21 Inch monitor)

Camera License

Ethernet Switch (2SFP+2Cu port; Non PoE, 10/100/1000 Mbps)

Networking Rack

FO Patch Cord

Optical Fibre Cable (6 Core, SM,Armored)

Power Cable (3C*2.5, Armored, FRLS)

STP Cable, CAT 6 STP

HDPE Conduit (25 MM)

NAS (4 TB HDD usable + RAID 5; as per TS)

Pole (6 Mtr)

Client Machine (Intel i7, 16 GB RAM, 8 Core, 1 TB HDD, 2 GB Graphic card, Windows OS, Keyboard Mouse, Anti virus; LED Monitor, 21.5 Inch)

UPS (5 KVA; as per technical specification)

Installation and Commissioning of Above Quoted System

Item Description

Fixed Camera

Power Converter

Ethernet Switch (2SFP+2Cu port; Non PoE, 10/100/1000 Mbps)

Multi SFP Switch (12SFP+12 Cu Port; 10/100/1000 Mbps) as per techbnical specification attached

Supply, Installation, Testing and Commissioning of CCTV System at 400kV Gorakhpur Substation of POWERGRID

5002002011/OTHERS/DOM/K00 - NR3 RHQ -1

Supply, Installation, Testing and Commissioning of CCTV System at 400kV Gorakhpur Substation of POWERGRID

Fill up only green shaded cells in the relevent attachments.

Attachments 3(QR), 4, 4(A), 5, 6, 9, 11, 12, 13, 14, 15, 16, 17, 18, 19 and Bid Form are included here.

Attachment 1 Bid Security : To be submitted as per proforma provided in the Bidding Document.

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

Attachment 8 Manufacturer’s Authorisation Form : To be furnished as per proforma provided in the bidding document, on the letter head of the each Manufactures proposed to supply main items. This attachment is not included here.

Attachment 14 Integrity Pact : To be submitted as per ITB Clause No. 9.3(o) and as per remarks in the Attach 14-IP.

After filling up all the schedues, save the file, take print out of all the schedules and Bid form and sign & stamp and submit them as hard copy of the 2nd envelope (Price part) of the bid. Also ensure to submit the soft copy of the the same file on CD/ DVD.

While filling up the worksheets following may please be observed :

Fill up only green shaded cells.

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

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

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

Do not reformat any of the cell of the work book.

Sole Bidder

2 or More

Sole Bidder

Attachment 3 (QR)

Power Grid Corporation of India Ltd.,

"Saudamini", Plot No.-2

Designation :

ATTACHMENT-3 (QR)

Attached copies of original documents defining :

The constitution or legal status;

The principal place of business;

The place of incorporation (for bidders who are corporations); or the place of registration and the nationality of the Owners (for applicants who are partnerships or individually-owned firms).

Attached original & copies of the following documents :

Written power of attorney of the signatory of the Bid to commit the bidder.

Joint Venture Agreement.

GENERAL INFORMATION

Particulars

Telephone

Contact Person

Place of Incorporation/ Registration

Year of Incorporation/ Registration

Nationality of Owner

Is the bidder an approved vendor in the compendium of vendor list of POWERGRID for Fire Protection System

TECHNICAL REQUIREMENTS {Reference para 1.1 of Annexure-A (BDS)}

Type of Fire Protection System Installed by the Bidder

Name of the Client

Scope of Work (Please mention all that is applicable among Design/ Supply/Testing/ Erection/ Commissioning)

Date of Completion of Contract

Value of the Contract

Has the Fire Fighting System Supplied and Installed by the bidder during last Ten years from the originally scheduled date of bid opening been in satisfactory condition for at least two (2) year?

Copy of Completion Certificate from the Client for completed orders or Performance Report/TOC from the Client and work Order / LOA with detailed BOQ placed on holding /subsidiary company.

FINANCIAL REQUIREMENTS :

Financial Position {Reference para 1.2 of Annexure-A (BDS)}

Minimum Average Annual Turnover@ (MAAT) for best three years i.e. 36 months out of last five financial years of the bidder should not be less than 3.38 Cr. *Annual total income as incorporated in the profit and loss account except non-recurring income i.e. sale of fixed assets.

Financial Qualification Data:

Turnover details:

Details of documentary evidence submitted in support of Qualification Data

Financial year

Turnover details:

Equivalent US$ (in Million)

Turnover (in Millions)

Financial year

Liquid Assets

Turnover details:

Equivalent US$ (in Million)

Turnover (in Millions)

Financial year

Liquid Assets

Joint Venture (JV) Firms {Reference para 3.0 of Annexure-A (BDS)}

In case a bid is submitted by a Joint Venture(JV) of two or more firms as partners, the JV shall meet collectively the complete requirement mentioned at clause 2.0 & 3.0 above, further the partners of Joint Venture joint shall meet the following requirements :

The lead partner shall meet not less than 40% of the Financial Position minimum criteria given at para 2.0(a) & 2.0(b).

Each of the other partner(s) individually shall meet not less than 25% of the minimum Financial Position criteria given at para 3.0(a) & 3.0(b).

One of the partners(s) of JV shall meet the Technical Experience criteria stipulated under para 1.1(a) or 1.1(b)

The remaining partner(s) of JV should be a Indian Transformer or Reactor Manufacturer and

shall individually meet the criteria stipulated under 1.1 (a) or 1.1(b)

should have designed, manufactured, tested & supplied 345 kV or higher voltage class

one (1) number of three phase Transformer of at least 200 MVA capacity OR a bank of three (3) single phase Transformers, each Transformer having a capacity of at least 67 MVA.

should have designed, manufactured, tested & supplied 345 kV or higher voltage class one (1) number of three phase Reactor of at least 50 MVAR capacity OR A bank of three (3) single phase Reactors, each Reactor having a capacity of at least 16.7 MVAR.

The above transformer(s) and reactor(s) should have been supplied as on the date of bid opening and established manufacturing and testing facility in India for 765kV class Reactors provided that :-

Indian Transformer or Reactor Manufacturer enter into a valid technology transfer agreement for design, manufacturing, testing and supply of 765kV Reactor based on technological support with the other partner of JV who meets the Technical Experience criteria stipulated in 1.1.(a) or 1.1.(b) above

A legally enforceable undertaking jointly by such Indian Transformer or Reactor Manufacturer(s) and partner of JV who meets the Technical Experience criteria stipulated in 1.1 above (as per enclosed format in Section-VI, ‘Sample Forms & Procedures (Forms), of Vol.-I’ of the bidding document) is furnished along with the bid, to guarantee quality, timely supply, performance and warranty obligations as specified, for the equipment(s) to be manufactured and supplied from the works of such Indian Manufacturer(s) in India

In case of Joint Venture, the following conditions shall also apply:

the bid, and in case of successful bid, the specified Form of Agreement shall be signed so as to be legally binding on all partners (as per enclosed format in Section-VI, ‘Sample Forms & Procedures (Forms), of Vol.-I’ of the bidding document)

one of the partners shall be nominated as Lead Partner, and the Lead Partner shall be authorized to incur liabilities and receive instructions for and on behalf of any and all partners of the Joint Venture, and the entire execution of the Contract shall be done with the Lead Partner and payment under the contract shall be received by the Lead Partner on behalf of the Joint Venture as per power conferred to him in the Power of Attorney. The authorization shall be evidenced by submitting a Power of Attorney signed by legally authorized signatory of all the partners as per Performa in section “Annexure” of Special Conditions of Contract, Vol-1A. The payment under the Contract can also be received by other partner(s) based on authorization of Lead Partner

all partners of the Joint Venture shall be liable jointly and severally for the execution of the Contract in accordance with the Contract terms, and a statement to this effect shall be included in the authorization mentioned under (ii) above as well as in the Bid Form and in the Contract Form (in case of a successful bid)

agreement entered into by the Joint Venture partners shall be submitted with the bid.

In accordance with the above, in case of JV bidders, it should be ensured that necessary details including those pertaining to each JV partner are furnished and the documents are submitted alongwith the bid. Further, the JV bidders should also ensure that other requirements are complied with. The lists of documents furnished are to be indicated below :

The Bidder shall also furnish following documents/details with its bid. {Reference ITB clause 9.3 (c)}

The complete annual reports together with Audited statement of accounts of the company for last five years of its own (separate) immediately preceding the date of submission of bid.

In the event the bidder is not able to furnish the information of its own (i.e separate), being a subsidiary company and its accounts are being consolidated with its group/holding/parent company, the bidder should submit the audited balance sheets, income statements, other information pertaining to it only (not of its group/Holding/Parent Company) duly certified by any one of the authority [ (i) Statutory Auditor of the bidder /(ii) Company Secretary of the bidder or (iii) A certified Public Accountant] certifying that such information/documents are based on the audited accounts as the case may be.

Similarly, if the bidder happens to be a Group/Holding/Parent Company, the bidder should submit the above documents/information of its own (i.e. exclusive of its subsidiaries) duly certified by any one of the authority mentioned in Note-I above certifying that these information/documents are based on the audited accounts, as the case may be.

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

Audited Balance Sheet and Income Statements enclosed

Litigation History:-

Statutory Requirements:-

Designation :

Schedule-QR

Power Grid Corporation of India Ltd.,

3rd Floor

Attached copies of original documents defining :

The constitution or legal status;

The principal place of business;

The place of incorporation (for bidders who are corporations); or the place of registration and the nationality of the Owners (for applicants who are partnerships or individually-owned firms).

Attached original & copies of the following documents :

Written power of attorney of the signatory of the Bid to commit the bidder.

GENERAL INFORMATION

Particulars

Telephone

Contact Person

Place of Incorporation/ Registration

Year of Incorporation/ Registration

Nationality of

TECHNICAL REQUIREMENTS {Reference para 1.0 of Annexure-A (BDS)}

The manufacturer(s) whose 400 kV or higher Voltage class equipment(s) are offered, must have, manufactured, type tested (as per IEC/IS or equivalent standard) and supplied 400 kV or higher voltage class equipment(s), which are in satisfactory operation# for at least two (2) years as on the originally scheduled date of bid opening i.e. 02.01.2019.

Alternatively, the manufacturer, who have established manufacturing and testing facilities in India for the offered equipment and not meeting 1.1 above, can also be considered provided that a) 400 kV or higher Voltage class equipment(s) must have been manufactured in the above Indian works & type tested (as per IEC/IS standard) or supplied as on the originally scheduled date of bid opening i.e. 02.01.2019. b) Contractor shall furnish an additional performance guarantee for two (02) years over and above the guarantee period specified in bidding documents.

Using the following format, each Bidder (individual firms or partners of a joint venture) is requested to list the experience as detailed above, on the basis of which the Bidder wishes to qualify. The information is to be summarised using following format for each experience of the Bidder or of each Partner of a Joint Venture.

Name of Contract Undertaken

Contract Reference No. & Date of Award

Name and Address of the Employer/Utility for whom the Contract was executed by the firm

Name of sub-station where Circuit Breaker has been installed

Voltage level of Circuit Breaker

Scope of work involved under the Contract

Details of documents uploaded in support of the above stated experience

Name of Contract Undertaken

Contract Reference No. & Date of Award

Name and Address of the Employer/Utility for whom the Contract was executed by the firm

Name of sub-station where Circuit Breaker has been installed

Voltage level of Circuit Breaker

Scope of work involved under the Contract

Details of documents uploaded in support of the above stated experience

Name of Contract Undertaken

Contract Reference No. & Date of Award

Name and Address of the Employer/Utility for whom the Contract was executed by the firm/Partner of a JV

Name of sub-station where Circuit Breaker has been installed

Voltage level of Circuit Breaker

Scope of work involved under the Contract

Details of documents uploaded in support of the above stated experience

Equipment

Name & address of manufacturer(s) from whom the 345kV or above class Circuit Breaker of 50kA fault level is being offered/Name of parent company (principals) or collaborator/Name of Joint Venture Partner)

Details in support of meeting the specified QR: a) Rating, Type and Designation of equipment supplied by firm named in 2

Date of commissioning of equipment

No. of years the equipment is in satisfactory operation as on the originally scheduled date of bid opening.

Details of documentary evidence submitted in support of stated experience/ Contract

If Yes, then provide following details in support of meeting the specified QR: a) Rating, Type and Designation of equipment supplied by firm named in B(ii)

If No, then provide following details in support of meeting the specified QR: e) Scope of work performed (upto supply)

e) Scope of work performed (upto supply)

Details of documentary evidence submitted in support of stated experience/ Contract

Also in case of No, Whether Declaration for submitting extended warranty of additional two (2) years over and above the warranty period specified for the package is given for the Circuit Breaker

Equipment

Name of manufacturer from whom Circuit Breaker is being offered

Whether the manufacturer has established manufacturing facilities in India for 220kV class Circuit Breaker, based on technological support of a parent company or collaborator? If yes, details be furnished

Date of commissioning of equipment

No. of years the equipment is in satisfactory operation as on the originally scheduled date of bid opening.

Whether the 345kV class Circuit Breaker manufacturer has furnished

Details of documentary evidence submitted in support of stated experience/ Contract

FINANCIAL REQUIREMENTS :

Financial Position {Reference para 1.2 of Annexure-A (BDS)}

Financial Qualification Data:

Financial year

The Bidder shall also furnish following documents/details with its bid. {Reference ITB clause 9.3 (c)}

The complete annual reports together with Audited statement of accounts of the company for last five years of its own (separate) immediately preceding the date of submission of bid.

In the event the bidder is not able to furnish the information of its own (i.e separate), being a subsidiary company and its accounts are being consolidated with its group/holding/parent company, the bidder should submit the audited balance sheets, income statements, other information pertaining to it only (not of its group/Holding/Parent Company) duly certified by any one of the authority [ (i) Statutory Auditor of the bidder /(ii) Company Secretary of the bidder or (iii) A certified Public Accountant] certifying that such information/documents are based on the audited accounts as the case may be.

Similarly, if the bidder happens to be a Group/Holding/Parent Company, the bidder should submit the above documents/information of its own (i.e. exclusive of its subsidiaries) duly certified by any one of the authority mentioned in Note-I above certifying that these information/documents are based on the audited accounts, as the case may be.

The Bidder should accordingly also provide the following information/documents (In case of JV bidders, information should be provided separately for all the Partners of JV in the given format):

Years preceding to the bid opening

Designation :

Attachment 3 (JV)

Power Grid Corporation of India Ltd.,

3rd Floor

Designation :

Attachment 4

As per Lum-sum

Total Discount

Power Grid Corporation of India Ltd.,

3rd Floor

Multipackage Discount

Equipments & Materials produced in [Name of countries]

Designation :

ATTACHMENT-4 (A)

Power Grid Corporation of India Ltd.,

3rd Floor

For Equipment

Designation :

ATTACHMENT-4 (A)

For Equipment

Designation :

ATTACHMENT-5

Power Grid Corporation of India Ltd.,

3rd Floor

Item Description

Nationality

Item Description

Address

Designation :

ATTACHMENT-5

Item Description

Nationality

Designation :

ATTACHMENT-5A

Power Grid Corporation of India Ltd.,

3rd Floor

Item Description

Category (Micro or Small)

Item Description

Address

Designation :

ATTACHMENT-5A

Item Description

Category (Micro or Small)

Designation :

ATTACHMENT-6

Power Grid Corporation of India Ltd.,

3rd Floor

Reference clause in the Specifications

Designation :

ATTACHMENT-6

Reference clause in the Specifications

Designation :

ATTACHMENT-9

Contracts & Materials Deptt

12 Rana Pratap Marg

Lucknow-226001 (UP)

Description of Activity

Designation :

ATTACHMENT-10

Power Grid Corporation of India Ltd.,

3rd Floor

Designation :

ATTACHMENT-11

Power Grid Corporation of India Ltd.,

3rd Floor

Name of the person with designation in POWERGRID

Designation :

ATTACHMENT-12

Name of Materials/Labour

For ACSR Moose Conductor

Name of Materials

EC Grade Aluminium Ingots

High Carbon Steel

High Grade Electrolytic Zinc

Labour

Designation :

ATTACHMENT-13

Power Grid Corporation of India Ltd.,

3rd Floor

Designation :

ATTACHMENT-14

Power Grid Corporation of India Ltd.,

3rd Floor

Designation :

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

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

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

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.

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

(Signature)

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

Page 1 of 8

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

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

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

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

If Chairman and Managing Director obtains information on the conduct of any employee of POWERGRID which is a criminal offence under the relevant Anti-Corruption Laws of India, or if there be a substantive suspicion in this regard, he will inform its Chief Vigilance Officer and in addition can initiate disciplinary actions under its Rules.

The Bidder/Contractor commits himself to take all measures necessary to prevent corruption. He commits himself to observe the following principles

(Signature)

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

Page 2 of 8

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

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

The Bidder/Contractor will not commit any criminal offence under the relevant Anti-corruption Laws of India; further, the Bidder/Contractor will not use for illegitimate purposes or for purposes of restrictive competition or personal gain, or pass on to others, any information provided by POWERGRID as part of the business relationship, regarding plans, technical proposals and business details, including information contained or transmitted electronically.

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

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

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

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

(Signature)

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

Page 3 of 8

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

If the Bidder/Contractor has committed a serious transgression through a violation of Section II such as to put his reliability or credibility into question, POWERGRID may after following due procedures also exclude the Bidder/Contractor from future contract award processes. The imposition and duration of the exclusion will be determined by the severity of the transgression. The severity will be determined by the circumstances of the case, in particular the number of transgressions, the position of the transgressors within the company hierarchy of the Bidder/Contractor and the amount of the damage. The exclusion will be imposed for a minimum of 12 months and maximum of 3 years.

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

If POWERGRID has disqualified the Bidder from the tender process prior to the award under Section III, POWERGRID may forfeit the Bid Guarantee under the Bid.

If POWERGRID has terminated the contract under Section III, POWERGRID may forfeit the Contract Performance Guarantee of this contract besides resorting to other remedies under the contract.

The Bidder shall declare in his Bid that no previous transgressions occurred in the last 3 years with any other Public Sector Undertaking or Government Department that could justify his exclusion from the tender process.

(Signature)

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

Page 4 of 8

If the Bidder makes incorrect statement on this subject, he can be disqualified from the tender process or the contract, if already awarded, can be terminated for such reason.

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

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

POWERGRID has appointed a panel of Independent External Monitors (IEMs) for this Pact with the approval of Central Vigilance Commission (CVC), Government of India, out of which one of the IEMs has been indicated in the NIT/IFB.

The IEM is to review independently and objectively, whether and to what extent the parties comply with the obligations under this agreement. He has right of access to all project documentation. The IEM may examine any complaint received by him and submit a report to Chairman-cum-Managing Director, POWERGRID, at the earliest. He may also submit a report directly to the CVO and the CVC, in case of suspicion of serious irregularities attracting the provisions of the PC Act. However, for ensuring the desired transparency and objectivity in dealing with the complaints arising out of any tendering process, the matter shall be referred to the full panel of IEMs, who would examine the records, conduct the investigations and submit report to Chairman-cum-Managing Director, POWERGRID, giving joint findings.

(Signature)

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

Page 5 of 8

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

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

POWERGRID will provide to the IEM information as sought by him which could have an impact on the contractual relations between POWERGRID and the Bidder/Contractor related to this contract.

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

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

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

(Signature)

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

Page 6 of 8

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

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

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

Changes and supplements as well as termination notices need to be made in writing.

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

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

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

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

(Signature)

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

Page 7 of 8

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

Signature

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

(Office Seal)

Designation :

Witness 1 :

Designation :

Witness 1 :

Designation :

Page 8 of 8

ATTACHMENT-15

Power Grid Corporation of India Ltd.,

3rd Floor

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

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

Address with PIN Code and State

Status – Company/others

Are you a MSE owned by SC/ST* entrepreneurs in line with Public Procurement Policy for Micro and Small Enterprises (MSEs) order 2012 including subsequent amendment/notification/order (Indicate Yes/No) Note: Documentary evidence is to be attached. Please refer remarks at the end of the attachment.

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

Are you a MSE owned by women in line with Public Procurement Policy for Micro and Small Enterprises (MSEs) order 2012, Public Procurement Policy for Micro and Small Enterprises (MSEs) Amendment Order 2018 including subsequent amendment/notification/order (Indicate Yes/No) Note: Documentary evidence is to be attached.

Permanent Account (PAN) No.

GST No.

PF Registration No. of the Company

PF Regional Office covered (with Address)

Name of Contact Person

Telephone No(s)

Bank Details for Electronic Payment

Saving Account

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

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

Designation :

ATTACHMENT-16

Power Grid Corporation of India Ltd.,

3rd Floor

The Bidder shall furnish

Details of litigation history resulting from Contracts completed or under execution by the bidder over the last five years. A consistent history of awards invlolving litigation against the Bidder or any patner of JV may result in rejection of Bid. [(Refer ITB Clause 9.3 (q)(i))]

Name of client, cause of litigation/arbitration and matter in dispute

Description of the plant for carrying out the work

OTHER INFORMATION

Current Contract Commitments of works in progress

Value of outstanding work (Rs.)

Financial Data:

Actual (Previous five years)

Designation :

ATTACHMENT-17

Power Grid Corporation of India Ltd.,

3rd Floor

Designation :

ATTACHMENT-18

Power Grid Corporation of India Ltd.,

3rd Floor

there are no discrepancies/inconsistencies and deviations/omissions/ reservations to the Bidding Documents, in the Second Envelope bid;

the description of items and the unit thereof in the price schedules in the Second Envelope bid are in conformity with those indicated in the price schedule of the Bidding Documents without any deviation to the specified scope of work.

Designation

ATTACHMENT-19

Power Grid Corporation of India Ltd.,

3rd Floor

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.

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.

We shall furnish clarification to bid, if any sought by Employer pursuant to ITB clause 21.1. 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.

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.

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.

Designation

Tick whichever is applicable:

Enter Details of Amendments:

Bid Security

Currency

Validity in months

Bid Form

Supply, Installation, Testing and Commissioning of CCTV System at 400kV Gorakhpur Substation of POWERGRID Specification No5002002011/OTHERS/DOM/K00 - NR3 RHQ -1

Attachments to the Bid Form (First Envelope)

In line with the requirement of the Bidding Documents, we enclose herewith the following Attachments to the Bid Form :

Attachment 1:

Attachment 2:

Attachment 3:

Attachment 4:

Attachment 5:

Attachment 6:

Attachment 7:

Attachment 8:

Attachment 9:

Attachment 11:

Attachment 12:

Attachment 13:

Attachment 14:

Attachment 15:

Attachment 16:

Attachment 17:

Attachment 18:

Attachment 19:

Attachment 20:

Attachment 21:

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Attachment 24:

Attachment 25:

[*Applicable only in case of MSE bidders].We are a Micro and Small Enterprise (MSE) registered with , a Designated Authority of GoI under the Public Procurement Policy for MSEs order 2012, Notification dated 01.06.2020 and 26.06.2020 read in conjunction with related notification issued from time to time for such enterprises.

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

Second Envelope

In continuation of First Envelope of our Bid, we have submited the Second Envelope of the Bid, both of which shall be read together and in conjunction with each other, and shall be construed as an integral part of our Bid. Accordingly, we the undersigned, offer to Supply (including Packing & Forwarding), Transit Insurance, Transportation, Unloading, Delivery on F.O.R destination basis, Installation, Testing & Commissioning of the Facilities under the above-named package in full conformity with the said Bidding Documents for the sum specified in our Second Envelope Bid, in accordance with the terms & conditions of the Bidding Documents. We hereby confirm that the total amout of our bid is in accordance with the prices quoted by us under different Heads, as detailed below:

Ex-works Price of Plant and Equipment (including mandatory Spares) to be supplied;

Local Transportation, In-transit Insurance and Loading & Unloading for supply of Plant & Equipment;

Installation Charges (including Dismantling services);

Break-up of Type Test Charges (if applicable);

Taxes and Duties amount

Undertakings / Compliances

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

We declare that as specified in Clause 11.5, Section –II: ITB, Vol.-I of the Bidding Documents, prices quoted by us in the Price Schedules in Second Envelope shall be FIRM and FIXED and no price variation shall be applicable during the currency of the Contract.

We are aware that the Price Schedules do not generally give a full description of the Work to be performed under each item and we shall be deemed to have read the Technical Specifications and other sections of the Bidding Documents and Drawings to ascertain the full scope of Work included in each item while filling-in the rates and prices in Second Envelope. We agree that the entered rates and prices shall be deemed to include for te full scope as aforesaid, inlcuding overheads and profit.

We understand that in the price schedules, where there are errors between the total of the amounts given under the column for the price Breakdown and the amount given under the Total Price, the former shall prevail and the latter will be corrected accordingly. We further understand that where there are discrepancies between amounts stated in figures and amounts stated in words, the amount stated in words shall prevail. Similarly, any discrepancy in the total bid price and that of the summation of Schedule price (price indicated in a Schedule indicating the total of that schedule), the total bid price shall be corrected to reflect the actual summation of the Schedule prices.

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.

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

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

We further understand that notwithstanding 4.1 above, in case of award on us, you shall also bear and pay/reimburse to us, GST in respect of supplies by us to you, imposed on the Plant & Equipment including Mandatory Spare Parts to be incorporated into the Facilities including Type Test charges for Type test to be conducted specified in Schedule No. 1, Installation Services specified in Schedule No. 3 and Charges for Training to be imparted specified in Schedule No. 4 of the Price Schedule in Second Envelope, by the Indian Laws.

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.

Construction of the Contract

We declare that we have studied GCC Sub-Clause 2.1 relating to mode of contracting for Foreign Bidders and we are making this proposal with a stipulation that you shall award us three separate Contracts viz ‘First Contract’ for all works to be performed in countries outside India covering, inter-alia, the Off-Shore Supply of equipment & materials including mandatory spares (CIF Supply), testing to be conducted aborad and training to be imparted abroad; ‘Second Contract’ for Supply of equipment & materials including mandatory spares (Ex-works Supply) and testing to be conducted within India; and ‘Third Contract’ for providing all services i.e. port handling and custom clearance of the imported goods; further loading and inland transportation for delivery at site, unloading, storage, handling at site, installation, testing and commissioning including Trial Operation in respect of all equipment & materials supplied under both ‘First Contract’ and ‘Second Contract’ and any other services specified in the Bidding Documents.

Further, M/s. Indicate the name of Associate here, if applicable., whose capacity, capability and experience are enclosed with our Bid as our Associate(s) for the purpose of executing the ‘Second Contract’ and / or the ‘Third Contract’ and written unequivocal consent of the above mentioned proposed Associate(s) to work as your independent Contractor, on the same terms and conditions as offered by us to you in this bid, is also enclosed with the Bid Form. We shall, however, be overall responsible for the execution of all the three Contracts.

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

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

Appendix 2 to Form of Contract Agreement

We undertake, if our bid is accepted, to commence the work on Facilities immediately upon your Notification of Award to us, and to achieve Completion within the time stated in the Bidding Documents.

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

We agree to abide by this bid for a period of 180 (one hundred and eighty) days after the date of opening of Techno - Commercial Part i.e. First Envelope 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.

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.

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

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

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.

Designation :

Bidders may note that no prescribed proforma has been enclosed for:

Attachment 2: Power of Attorney.

Attachment 7: The details of Alternative Bid

Attachment-19

Power Grid Corporation of India Ltd.,

3rd Floor

NOT APPLICABLE

Designation

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