Development of New A site RO with all facilities and other allied civil - electrical works at location within 4KM from Main gate of Samudayik Swasthaya Kendra Lar, towards Kundauli on NH227A, Ram Janki Marg, Distr-Deoria under Gorakhpur DO of UPSO-I.

Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location within 4KM from Main gate of Samudayik Swasthaya Kendra Lar, towards Kundauli on NH227A, Ram Janki Marg, District-Deoria under Gorakhpur Divisional Office of UPSO-I.

Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location within 4KM from Main gate of Samudayik Swasthaya Kendra Lar, towards Kundauli on NH227A, Ram Janki Marg, District-Deoria under Gorakhpur Divisional Office of UPSO-I. ITC =100% Line Item 0010 of PR document.

Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location within 4KM from Main gate of Samudayik Swasthaya Kendra Lar, towards Kundauli on NH227A, Ram Janki Marg, District-Deoria under Gorakhpur Divisional Office of UPSO-I. Non-ITC =0% Line Item 0020 of PR document.

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Subject:

Tender Ref. No.:

e-Tender ID:

Bidder/Firm/Company Name:

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

Father's Name of DSC User for the subject Tender

ANNEXURE – A ACCEPTANCE OF ALL TERMS & CONDITIONS OF TENDERER

Tender Ref. No.:

e-Tender ID:

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

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

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

Tender Ref. No.:

e-Tender ID:

I/We/M/s. ………………………………………………………………………………………………………………………… declare that:

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.

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.

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

Tender Ref. No.:

e-Tender ID:

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

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

ANNEXURE – D UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS

Tender Ref. No.:

e-Tender ID:

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

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

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

ANNEXURE – E UNDERTAKING ON NO MULTIPLE BIDDING

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

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. 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 as 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.

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

ANNEXURE – F UNDERTAKING ON Public Procurement (Preference to Make in India (PP-MII)

UNDERTAKING ON Public Procurement (Preference to Make in India (PP-MII)

Tender Ref. No.:

e-Tender ID:

I ………………………………………………………………………………, son/daughter of ………………………………………………………………………………, do solemnly affirm and state as under:

Minimum 50% (>=50%)

Deemed Class-II Local Supplier

Note: 1. This undertaking shall be certified by the authorized signatory of the bidder. Authorised signatory shall mean a) The Proprietor in case of a proprietorship firm. b) Any one of the partners having POA in case of a partnership firm. c) Power of Attorney holder in case of a company.

2. Preference is applicable only for suppliers claiming minimum 50 % Local Content.

Annexure Name

ANNEXURE – A

ANNEXURE – B

ANNEXURE – C

ANNEXURE – D

ANNEXURE – E

ANNEXURE – F