CONSTRUCTION OF COMMUNITY CENTER AT TAMNAR POOLING STATION

Quantity in km.

Type Tests

Fill up only green shaded cells in Sch-1, Sch-2, Sch-3 & Discount.

All the cells in Sch-5 are auto filled, therefore no cell is required to be filled up there.

The price quoted in respect of all items shall be excluding GST applicable on transaction between the Employer and the Contractor

Manufacturer

Authorized Representative of Manufacturer

Contract & Material

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Item No.

SCHEDULE ITEMS:

All Kinds of soil

All kinds of soil

Ordinary rock

All kinds of soil.

Ordinary rock

All kinds of soil.

Pipes, cables etc. exceeding 80 mm dia. but not exceeding 300 mm dia.

Ordinary rock :

Pipes, cables etc. exceeding 80 mm dia but not exceeding 300 mm dia

All kinds of Soil

Ordinary or hard rock

Chlorpyriphos - Lindane emulsifiable concentrate of 20%

Along the external wall below concrete or masonry apron using chemical emulsion @ 2.25 litres per linear metre including drilling and plugging holes etc.:

With Chlorpyriphos/ Lindane E.C. 20% with 1% concentration

1:4:8 (1 Cement : 4 coarse sand (zone-III) : 8 graded stone aggregate 40 mm nominal size)

1:2:4 (1 Cement : 2 coarse sand (zone-III) : 4 graded stone aggregate 20 mm nominal size)

Foundations, footings, bases for columns .

Retaining walls, return walls, walls (any thickness) includingattached pilasters, buttresses, plinth and string courses fillets, kerbs and steps etc.

1:1.5:3 (1 cement : 1.5 coarse sand (zone-III): 3 graded stone aggregate 20 mm nominal size)

1:1.5:3 (1 cement : 1.5 coarse sand(zone-III) : 3 graded stone aggregate 20 mm nominal size)

Foundations, footings, bases of columns, etc. for mass concrete.

Walls (any thickness) including attached pilasters, butteresses, plinth and string courses etc.

Suspended floors, roofs, landings, balconies and access platform

Lintels, beams, plinth beams, girders, bressumers & cantilevers

Columns, pillars, piers abutments posts & struts

Extra for shuttering in circular work ,20% of respective centring & shuttering items,

For Columns, pillars as per item no. 5.9.6

Small lintels not exceeding 1.5m clear span, moulding as in cornices, window sills, string courses, bands, copings, bed plates, anchor blocks and the like

Edges of slabs and breaks in floors and walls

Under 20 cm wide

Weather shade, chajjas, corbels etc. including edges.

Thermo-Mechanically Treated bars of grade Fe-500D or more.

Thermo-Mechanically Treated bars of grade Fe-500D or more.

Door frame 100 mmx 60 mm

Cement mortar 1:6 (1 cement : 6 Coarse sand)

Cement mortar 1 : 4 (1 cement : 4 coarse sand)

Granite of any colour and shade

Area of slab upto 0.50 Sq. m.

Area of slab over 0.50 Sq. m.

Granite work

Granite Stone of approved shade

Float glass panes

4 mm thick glass pane (weight not less than 10 kg per sqm)

5.0 mm thick glass panes (weight not less than 12.5 kg per sqm)

Fly proof stainless steel grade 304 wire gauge with 0.5 mm dia. wire and 1.4mm wide aperture with matching wood beading

35 mm thick including ISI marked Stainless steel butt hinges with necessary screws.

Fixed to openings-wooden frames with rawl plugs screws etc.

125 mm- for Doors

Twin rubber stopper

Non decorative finish (matt finish)

Three track three panels sliding window with two & one wire mesh panels with Aluminum channel for roller track, wool pile, nylon rollers with SS 304 body.

Using R2 series with frame (70mm & above)x(40mm & above) & both glazed with fly screen sash (25mm & above)x(50mm & above) with zinc alloy (zamak) powder coated touch locks with hook . (Height above 1.2m)

Fixed window / ventilator with mullion transom

Using R2 series with frame (39mm & above)x(39mm & above) & mullion (39mm & above)x(60mm & above). (Height upto 1.2m)

Casement door double panel with french (False) Mullion with zinc alloy (zamak) 3D hinges, multi-point locking system with cylinder zinc alloy (zamak) powder coated handels on both side .

Using R4 series with frame (64mm & above)x(55mm & above) & sash (64mm & above)x(100mm & above) & French (False) mullion (64mm & above)x(60mm & above). (Height above 2.5m)

Hot finished welded type tubes

In gratings, frames, guard bars, ladders, railings, brackets, gates and similar works.

40 mm thick with 20 mm nominal size stone aggregate

25 mm thick.

Second class teak wood

Size of Tile 600x600 mm

Size of Tile 600x600 mm

In 75x75 mm deep chase

110 mm diameter

Coupler

110 mm bend

1:6 (1 cement: 6 fine sand)

1:6 (1 cement: 6 fine sand)

Ordinary cement finish using ordinary cement

Distempering with 1st quality acrylic distemper (ready mixed) having VOC content less than 50 gram/litre, of approved manufacturer and of required shade and colour all complete to achieve,even shade and colour:

New work (two or more coats) over and including water thinnable priming coat with cement primer having VOC content less than 50 gram/litre

New work (Two or more coats applied @ 1.43 ltr/10 sqm over and including priming coat of exterior primer applied @ 2.20 kg/10 sqm)

Two or more coats on new work over an under coat of suitable shade with ordinary paint of approved brand and manufacture.

White Vitreous China Flat back wash basin size 550x400 mm with single 15 mm C.P. brass pillar tap

Range of two half stall urinals with 5 litre P.V.C. automatic flushing cistern

100 mm dia

Hubless centrifugally cast (spun) iron pipes epoxy coated inside & outside IS:15905

75 mm dia

Hubless centrifugally cast (spun) iron pipes epoxy coated inside & outside IS:15905

For 100 mm dia pipe

For 75 mm dia pipe

Hubless centrifugally cast (spun) iron epoxy coated inside & outside as per IS:15905

Hubless centrifugally cast (spun) iron epoxy coated inside & outside as per IS:15905

Hubless centrifugally cast (spun) iron pipes epoxy coated inside & outside IS:15905

Hubless centrifugally cast (spun) iron pipes epoxy coated inside & outside IS:15905

Sand Cast Iron S&S pipe as per IS- 3989

Sand Cast Iron S&S pipe as per IS- 3989

Hubless centrifugally cast (spun) iron epoxy coated inside & outside as per IS:15905

Hubless centrifugally cast (spun) Iron epoxy coated inside & outside as per IS:15905

Hubless centrifugally cast (spun) iron epoxy coated inside & outside as per IS:15905

100 mm dia

SS 304 grade coupling with EPDM rubber gasket

75 mm dia

SS 304 grade coupling with EPDM rubber gasket

100 mm inlet and 75 mm outlet

Hubless centrifugally cast (spun) iron epoxy coated inside & outside as per IS:15905

Bottle trap 38mm single piece moulded with height of 270mm, effective length of tail pipe 260mm from the centre of the waste coupling 77mm breadth with 25mm minimum water seal, weighing not less than 263gms.

600mm long towel rail with total length of 645mm, width 78mm and effective height of 88mm, weighing not less than 190gms.

25 mm nominal outer dia Pipes

32 mm nominal outer dia Pipes

40 mm nominal outer dia Pipes

20 mm nominal outer dia Pipes

25 mm nominal outer dia Pipes

32 mm nominal outer dia Pipes

50 mm nominal outer dia Pipes

50 to 80 mm nominal bore

Horizontal 50 mm nominal bore

45 cm length

15 mm nominal bore

Circular tank

15 mm nominal bore

15 mm nominal bore

25 mm diameter nominal bore

With common burnt clay F.P.S.(non modular) bricks of class designation 7.5

100 mm diam. S.W pipe

150 mm diam. RCC pipe

180x150 mm size P type

With common burnt clay F.P.S. (non modular) bricks of class designation 7.5

Inside size 90x80 cm and 45 cm deep including C.I. cover with frame (light duty) 455x610 mm internal dimensions, total weight of cover and frame to be not less than 38 kg (weight of cover 23 kg and weight of frame 15 kg) :

With common burnt clay F.P.S. (non modular) bricks of class designation 7.5

For pipes 100 to 250 mm diameter

For pipes 250 to 300 mm diameter

For fixed portion

Powder coated aluminium (minimum thickness of powder coating 50 micron)

For shutters of doors, windows & ventilators including providing and fixing hinges/ pivots and making provision for fixing of fittings wherever required including the cost of EPDM rubber / neoprene gasket required (Fittings shall be paid for separately).

Powder coated aluminium (minimum thickness of powder coating 50 micron)

With float glass panes of 4.0 mm thickness

With float glass panes of 5 mm thickness (weight not less than 12.50 kg/ sqm)

Upto 5mm depth and 5 mm width

Cement concrete 1:2:4 (1 cement : 2 coarse sand : 4 graded stone aggregate 20mm nominal size)

0.91 mm thick, the profile detail width 1044/920 mm, cover width 1000/875 mm

Printed Name :

Designation :

Schedule - 2

Contract & Material

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Item no.

metre

Profiding & fixing C.P. two way Brass bib-cock 15 mm dia Jaquar Make (KUP-CHR-35041PM) equivalent make & model as approved by E-i-C.

MAIN CURTAIN

Sq feet

STAGE LIGHTING FOR THE AUDITORIUM

Supply and installation of Speaker cable

Printed Name :

Designation :

Contract & Material

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

ITEM NO.

All kinds of soil

Pipes, cables etc. exceeding 80mm dia but not exceeding 300mm dia.

1:4:8 (1 Cement : 4 coarse sand : 8 graded stone aggregate 40 mm nominal size)

Foundations, footings, bases for columns

100 mm dia

Sand cast iron S&S pipe as per IS: 1729

150 mm dia pipe

150 mm diameter pipe

150mm diameter

150 mm diameter S.W. pipe

300 mm dia RCC pipes.

With 20x20 mm square bar

Printed Name :

Designation :

Schedule - 2

Contract & Material

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Item no.

NON-SCHEDULE ITEMS

With Fly Ash Bricks

Meter

Designation :

Schedule - 3

As per Lum-sum

AS per Percent

Contract & Material

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Activity Number

CIRCUIT WIRING - From MDB Panel / Meter Panel To SDBs and From SDBs to Switchboards ; Light / Fan Points ; 6A Power sockets ; 16A & 25A Power sockets:-

MDB Panel / Meter Panel To SDB

SDB to Switch Board to AC Switch Sockets Point and Power Points :-

SDB to Switchboards and Switchboard to Switchboard :-

From Switchboard to Light point / Ceiling fan / Exhaust fan / 6 A Switch Sockets :-

MODULAR SWITCHES, BOXES, COVER PLATES FOR LIGHT, CEILING FAN, BELL POINTS, BELL STATION, 6A SWITCH SOCKET & 15A POWER SOCKETS.

WIRING,SOCKET AND J. BOX FOR TELEPHONE POINT :-

DP AND TP DISTRIBUTION BOARD, ENERGY METER AND MCB

SUPPLY OF ENERGY SAVER LIGHT FITTINGS/FIXTURES, WEATHER PROOF STREET LIGHT FLOURESCENT FITTINGS; CEILING FAN; WALL MOUNTING FAN; EX-FAN AND ERECTION/ INSTALLATION WORKS :-

LIGHTNING PROTECTION

EARTHING STATION, EARTHING CONDUCTOR, G.I. Plate & GI Pipe :-

Schedule - 5

Contract & Material

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Description

PART-A- Scheduled items

PART-B- Non Scheduled Items

PART-C- Electrical Items

Printed Name :

Schedule - 5 After Discount

Contract & Material

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Description

PART-A- Supply

PART-C- Electrical Items

Printed Name :

Letter of Discount

"CONSTRUCTION OF COMMUNITY CENTER AT TAMNAR POOLING STATION."

Eq Weightage of Rs/ %

Discount on lum-sum basis on total price quoted by us. [The discount shall be proportionately applicable on all the items of all the Schdules of all the Parts i.e. (PART-A + Part-B+PART-C) In Rs.

Discount on percent basis on total price quoted by us. [The discount shall be proportionately applicable on all the items of all the Schdulesof all the Parts i.e. (PART-A + Part-B+PART-C) In Percent (%)

We hereby offer Multi-package discount as given below:

Printed Name :

Designation :

"CONSTRUCTION OF COMMUNITY CENTER AT TAMNAR POOLING STATION."

In continuation of First Envelope of our Bid, we hereby submit 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 execute the work of "CONSTRUCTION OF COMMUNITY CENTER AT TAMNAR POOLING STATION." under the above-named package in full conformity with the said Bidding Documents for the sum of Rs. 0 (Rupees only) or such other sums as may be determined in accordance with the terms and conditions of the Bidding Documents.

Price Schedules

In line with the requirements of the Bidding documents, we enclose herewith the following Price Schedules, duly filled - in as per your proforma:

PART-A-SCHEDULED ITEM

PART-B-NA

PART-C-NA

GRAND SUMMARY

GRAND SUMMARY after DISCOUNT

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. We agree that the entered rates and prices shall be deemed to include for the full scope as aforesaid, including overheads and profit.

We declare that as specified in Clause 9, Section–II: SCC, Vol.-I of the Bidding Documents, prices quoted by us in the Price Schedules shall be FIRM during the execution of Contract and not subject to any Price Adjustment .

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, 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.

Printed Name :

Designation :

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Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track

WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx

General guidelines for filling up the Attachments

Fill up only green shaded cells in the relevent attachments.

Attachments 3(QR), 4, 5, 6, 7, 8, 9, 9(IP), 10, 11, 12, 13, 14, 15, 16 and Bid Form for 1st Envelope are included here. Attach-15 is not applicable.

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.

Proprietorship

Public Limited Company

Attachment-3(JV) CD01R

Power Grid Corporation of India Ltd.,

"Saudamini", Plot No. 2, Sector 29

Printed Name :

Designation :

Attachment-3(QR)

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Technical Experience

Bidder is

Authorised Representative

Certificate of Authorized Dealership Submitted

Technical Experience

As per attached QR

Work done by

Name of the Client

Address of Client

Contact Details of Client

Whether Client is having 400 kV or above Transmission System

Documentary Evidence for above Uploaded

Performance Report from Client

Purchase Order Details

Certificate from CA

Any Other (Please Specify)

Make of Equipments supplied

Date of work done for AIS CB Equipped bays 220Kv or higher voltage (dd-mm-yyyy)

Proof of work done pertains to AIS CB Equipped bays 220Kv or higher voltage Uploaded

Any Other (Please Specify)

Document submitted as Proof of work done

Details of above Document

Supply 2

Name of the work

Name of the Client

Address of Client

Contact Details of Client

Work Order Details

Copy of Work order uploaded

Date of Completion of Work

Completed Amount of work (Rs)

Document submitted as Proof of Completion

Details of Document for Proof of Completion

Proof of Completion Uploaded

Name of the work

Name of the Client

Address of Client

Contact Details of Client

Work Order Details

Copy of Work order uploaded

Date of Completion of Work

Completed Amount of work (Rs)

Document submitted as Proof of Completion

Details of Document for Proof of Completion

Proof of Completion Uploaded

Financial Requirement -

Acceptance of Final Bill by Client

Financial Year

Statutory & General Requirements

Copy of PAN Card Uploaded

Copy of Electrical contractor licence Uploaded

Status of the Bidder

Copy of GSTIN Registration Number

MOA & AOA/ Certificate of Incorporation Uploaded

Copy of Electrical Contractor License

Printed Name :

Designation :

Attachment-4

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Equipments & Materials produced in [Name of countries]

Printed Name :

Designation :

country.

Attachment-4(A) CD01R

Power Grid Corporation of India Ltd.,

"Saudamini", Plot No. 2, Sector 29

For Equipment

Printed Name :

Designation :

Attachment-4(B) CD01R

Power Grid Corporation of India Ltd.,

"Saudamini", Plot No. 2, Sector 29

Printed Name :

Designation :

Attachment-4A

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Printed Name :

Designation :

Attachment-5

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Reference clause in the Specifications

Printed Name :

Designation :

Attachment-5

Reference clause in the Specifications

Printed Name :

Designation :

Attachment-8 CD01R

Name of Manufecture

…(insert name and/or description of the goods) …

We hereby extend our full guarantee and warranty for the above specified goods offered supporting the supply by the Bidder against these Bidding Documents, and duly authorize said Bidder to act on our behalf in fulfilling these guarantee and warranty obligations.

..(insert address of factory) .., , , do hereby authorize , , , (hereinafter, the “Bidder”)

to submit a bid, and subsequently negotiate and sign the Contract with you against IFB for Supply of Insulator, E/W & OPGW including Hardware & accessories and Execution of erection works for diversion / shifting works of existing 765 KV D/C Durg - Wardha TL -1, 400 kV D/C (Twin) Raipur - Bhadrawati TL- 2 & 3, 400 kV D/C Bhilai/Raipur Bhadrawati TL- 1 Transmission Lines for construction / development of Wadsa-Gadchiroli new Broad gauge Railway track including the above plant & equipment or other goods produced by us.

Printed Name :

Designation :

The letter of Undertaking should be on the letterhead of the Manufacturer and should be signed by a person competent and having Power of Attorney to legally bind the Manufacturer. It shall be included by the bidder in its bid.

Above undertaking shall be registered or notarized so as to be legally enforceable.

Attachment-6

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Printed Name :

Designation :

Attachment-6B

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Printed Name :

Designation :

Attachment-6 C

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Printed Name :

Designation :

Attachment-7

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Name of the person with designation in POWERGRID

Printed Name :

Designation :

Attachment-8

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Printed Name :

Designation :

Attachment-9

Power Grid Corporation of India Ltd.,

Western Region -I Headquarters

Printed Name :

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).

POWERGRID intends to award, under laid-down organisational procedures, contract(s) for

"CONSTRUCTION OF COMMUNITY CENTER AT TAMNAR POOLING STATION"

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

POWERGRID will exclude from evaluation of Bids its such employee(s) who has any personal interest in the Companies/Agencies participating in the Bidding/Tendering process and all known prejudiced persons.

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

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

(Signature)

(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 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 or undisclosed agreement or understanding, whether formal or informal with other Bidders/Contractors. This applies in particular to prices, specifications, certifications, subsidiary contracts, submission or non-submission of bids or actions to restrict competitiveness or to introduce cartelization in the bidding process.

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

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 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 shall ensure adoption of Integrity Pact by its sub-contractors and shall be responsible for the same.

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 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 transgression through a violation of Section II such as to put his reliability or credibility into question, POWERGRID may after following due procedures, ban/blacklist the Bidder/Contractor in line with POWERGRID's policy for " Blacklisting of Firms/Banning of Business" . 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 ban will be imposed for a 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 is entiltled for forfeiture of the Bid Guarantee under the Bid.

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

The Bidder shall disclose in its bid any itransgressions occurred in the last 10 years with any other Public Sector Undertaking or Government Department or any other company, in any country, that may impinge on the anti-corruption principle.

(Signature)

(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 and further action can be taken in line with POWERGRID's policies.

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. The names of IEMs has been indicated in the Bidding documents.

The panel of IEMs shall review independently and objectively, whether and to what extent the parties comply with the obligations under this agreement. The panel of IEMs has right of access to all project documentation. The panel of IEMs may examine any complaint received by them and submit a report to Chairman-cum-Managing Director, POWERGRID, giving joint findings, at the earliest. The panel of IEMs may also submit a report directly to the CVO and the CVC, in case of suspicion of serious irregularities attracting the provisions of the PC Act. 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/She 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/her request and demonstration of a valid interest, unrestricted and unconditional access to their documentation. The same is applicable to Subcontractors. The IEM is under contractual obligation to treat the information and documents of the Bidder(s)/Contractor(s)/Subcontractor(s) with confidentiality.

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. The IEMs shall also sign declaration on 'Non-disclosure of Confidential Information" and of "Absence of Conflict of Interest". In case of any conflict of interest arising at a later date, the iEM shall inform Chairman-cum-Managing Director, POWERGRID and recuse himself/herself from that case.

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

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

(Signature)

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

Page 6 of 8

While representing any matter in relation to the integrity pact inter-alia including its transgression to the panel of IEMs, POWERGRID and Bidder/contractor shall not approach the court of law and await the decision of the IEM in the matter.

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. Side agreements have not been made.

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).

Issue like Warranty/Guarantees etc. shall be outsied the purview of IEMs.

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 2 :

Designation :

Page 8 of 8

Attachment-10

Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

Supply Portion

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* enterpreuners in line with Public Procurement Policy for Micro and Small Enterprises (MSEs) order 2012 including subsequent amendment/notification/order

If 3(b) is 'Yes', please mention whether you are (Proprietory MSE/ Partenership MSE/ Private Limited Company) owned by SC/ST Enterpreneurs

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)

Permanent Account (PAN) No.

Work Contract Tax No.

GSTIN 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

In case of Proprietory MSE, proprietor(s) shall be SC/ST.

In case of Partenership MSE, the SC/ST partners shall be holding at least 51% shares in the unit.

In case of Private Limited Companies, at least 51% share shall be held by SC/ST promoters.

Please provide scanned copy(ies) of the SC/ST certificate(s) issued by District Authority as applicable for SC/ST MSE category as per (a), (b) or (c) above.

Printed Name :

Designation :

Attachment-11

Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

The Bidder shall furnish

Litigation History

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

OTHER INFORMATION

Printed Name :

Designation :

Attachment-12

Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

Printed Name :

Designation :

Attachment-13

Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

Printed Name :

Designation :

Attachment-14

Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

Printed Name :

Designation :

Attachment-15

Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

Printed Name :

Designation :

Attachment-16

Western Region -I Headquarters

Sampriti Nagar, Nari Ring Road

Printed Name :

Designation :

Bid Form 1st Envelope

thirteen

fourteen

"CONSTRUCTION OF COMMUNITY CENTER AT TAMNAR POOLING STATION"

Enter details here.

Having examined the Bidding Documents, including Amendment Nos. NIL dated NA the receipt of which is hereby acknowledged, we the undersigned, offer to execute the work under the above-named package in full conformity with the said Bidding Documents. In accordance with ITB Clause 9.1 of the Bidding Documents, as per which the bid shall be submitted by the bidder under “Single Stage - Two Envelope” procedure of bidding. Accordingly, we hereby submit our Bid, in two envelopes i.e. First Envelope – Techno – Commercial Part & Second Envelope - Price Part (to be opened subsequently).

Attachments to the Bid Form (First Envelope) (Attachment-15 not applicable)

Enter details here.

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 14.

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).

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.

The variation and deviations from the requirements of the Conditions of Contract, Technical Specification and Drawings in your format enclosed with the Bidding Documents, including, inter alia, the cost of withdrawal of the variations and deviations indicated therein.

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

Declaration regarding adherence to the POWERGRID Whistle Blower and Fraud Prevention Policy

Information regarding ex-employees of Employer in Bidder’s firm

Declaration regarding Social Accountability

Integrity Pact - Not applicable

Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise)

Additional Information

Declaration

Declaration for tax exemptions, reductions, allowances or benefits

Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order, if applicable

Certificate from statutory auditor or cost auditor of the company (in the case of companies) or from a practicing cost accountant or practicing chartered accountant (in respect of suppliers other than companies) giving the percentage of Local Content, in line with PPP-MII order, if applicable----NOT APPLICABLE

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 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 declare that as specified in Clause 11.10, Section –II:ITB, Vol.-I of the Bidding Documents, the RATES of all the Goods to be supplied under this contract shall remain FIRM during the currency of the contract and no price adjustment shall be applicable..

Construction of the Contract

We declare that we have studied relevant clausesrelating to 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.

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

We undertake, if our bid is accepted, to commence the work immediately upon your Notification/Letter of Award to us, and to achieve the completion of works and related services within the time stated in the Bidding Documents.

If our bid is accepted, we undertake to provide a Performance Security 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 days from the date initially stipulated for opening of bids (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.

Printed Name :

Designation :

Techical

TECHNO-COMMERICIAL (First Envelope)

Tower Package CD01R Specification No. : WR-I/C&M/SYE/I-2838:2023/NIT-xxx/Rfx- 500200xxxx

2 (b) Bid Security No.

2 (c) Issued by (Name of Bank)

2 (d) Bid Security Amount

2 (e) Valid upto

1. AUTHORIZED SIGNATORY (Sole Bidder / Lead Partner of JV)

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