ELECTRICAL WORKS FOR CONSTRUCTION OF ADDITIONAL OFFICE BLOCK AT IOCL PUNJAB STATE OFFICE BUILDING, PLOT NO. 3A, SECTOR 19A, CHANDIGARH

STATEMENT OF CREDENTIALS

Tender No.: MnC/NR/PSO/ENG/PT-246/25-26

Tender Job: ELECTRICAL WORKS FOR CONSTRUCTION OF ADDITIONAL OFFICE BLOCK AT IOCL PUNJAB STATE OFFICE BUILDING, PLOT NO. 3A, SECTOR 19A, CHANDIGARH (UT)

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

S. No Particulars Bidder's response

A General Information General Information

1 Name of the bidder:

2 Address of the Bidder

3 Telephone Nos.:

4 Name of Contact Person:

5 Contact Person's Mobile no :

B Company details Company details

1 Type of Firm Sole Proprietorship / Partnership / Pvt. Ltd. Company /Society

2 Give name of the Proprietor / All Partners / All Directors / All members (Please use Alt + Enter to record Multiple Names )

D Turnover for the following years (Rs. Lakhs) Value in Rs. Lakhs

I Order No: 1 Details of work crdentials which matches similar work criteria of PQC

c WO/PO amount in Rs.

e Name of Client

f Completion certificate ref no. and date / SES No

g Date of completion as per completion certificate / SES

h Completion certificate amount in Rs.

j In case of Private Parties; CA certificate no. and Completion amount as certified by CA in Rs.

k In case of Private Parties; TDS Certificate/ Bank Statement reference no for proof of payment received

l Bidder must provide the end-client particulars Name of client : Contact Number of Client : Name of the certifying officer : official e-Mail ID of officer concerned: Contact Number of the certifying officer: Office Address :

II Order No: 2 Details

c WO/PO amount in Rs.

e Name of Client

f Completion certificate ref no. and date / SES No

g Date of completion as per completion certificate / SES

h Completion certificate amount in Rs.

j In case of Private Parties; CA certificate no. and Completion amount as certified by CA in Rs.

k In case of Private Parties; TDS Certificate/ Bank Statement reference no for proof of payment received

m Bidder must provide the end-client particulars Name of client : Contact Number of Client : Name of the certifying officer : official e-Mail ID of officer concerned: Contact Number of the certifying officer: Office Address :

III Order No: 3 Details

c WO/PO amount in Rs.

e Name of Client

f Completion certificate ref no. and date / SES No

g Date of completion as per completion certificate / SES

h Completion certificate amount in Rs.

j In case of Private Parties; CA certificate no. and Completion amount as certified by CA in Rs.

k In case of Private Parties; TDS Certificate/ Bank Statement reference no for proof of payment received

m Bidder must provide the end-client particulars Name of client : Contact Number of Client : Name of the certifying officer : official e-Mail ID of officer concerned: Contact Number of the certifying officer: Office Address :

F Numbers of various registration certificates as per the following rows to be MENTIONED. (Copies of relevant registration certificates shall also be uploaded.) Certificate number

1 valid electrical License under Indian Electricity Rule 1956 of any state/UT.

3 Name on PAN Card

5 PF Registration Number

6 ESI registration Number

7 CIN Number (For company)

8 Partnership deed Number ( Registration No. of Partnership firm)

9 Power of Attorney (POA) (on non-judicial stamp paper of appropriate value duly notarized) /Board Resolution in favour of tender signing Authority

G Other particulars (Check whether uploaded ) Details

1 Mandatory Declarations and undertakings as per tender Yes/No

2 Authority of the person uploading the bids with his DSC. Please confirm having uploaded POA / Board Resolution (as applicable) Yes/No

3 Memorandum of Association AND Article of Association. Please confirm having uploaded the same, if applicable. Yes/No

4 Undertaking for business transaction status of bidders Yes/No

5 Undertaking for sole proprietor Yes/No

Percentage BoQ iocl2

Select, At Par, Excess (+), Less (-) IOCL Select Not Quoted At Par Excess (+) Less (-) No Please select desired option in Cell 'E16'

Tender Inviting Authority: CGM (M&C), NRO

Name of Work: ELECTRICAL WORKS FOR CONSTRUCTION OF ADDITIONAL OFFICE BLOCK AT IOCL PUNJAB STATE OFFICE BUILDING, PLOT NO. 3A, SECTOR 19A, CHANDIGARH (UT)

Contract No: MnC/NR/PSO/ENG/PT-246/25-26

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate in Rs. P GST Rate (%) envisaged by IOCL Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE In Figures To be entered by the Bidder Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category Whether opted for Composition Scheme (please select "Yes" or "No" from dropdown) GST rate (%) to be indicated by the Bidder GST Rate (%) considered by system for evaluation Compensation cess (%), if any, indicated by the Bidder Compensation Cess (%) considered by system for evaluation Total Tax (GST including Compensation Cess, if any) in Rs. Estimated Input Tax Credit to IOCL (%) Estimated Input Tax Credit to IOCL (Rs.) Total Tax less Input Tax Credit (Rs.)

1 ELECTRICAL WORKS FOR CONSTRUCTION OF ADDITIONAL OFFICE BLOCK AT IOCL PUNJAB STATE OFFICE BUILDING, PLOT NO. 3A, SECTOR 19A, CHANDIGARH (UT) Please, fill bidder's name in Cell 'B8' Please fill name of bidding firm

1.02 Uniform percentage above or below, on the offered rates excluding GST as per the enclosed SCHEDULE OF RATES GST to be paid extra as per Tender Condition Nos Excess(+) Full Conversion INR No

Total in Figures

Quoted Rate in Figures Select Please fill name of bidding firm For quoting rates, select option from dropdown in Cell 'E16' and fill in Quote (%) in Cell 'F16'. Please do not clear/delete contents in cell 'E16'.

Please Enable Macros to View BoQ information

Subject: ELECTRICAL WORKS FOR CONSTRUCTION OF ADDITIONAL OFFICE BLOCK AT IOCL PUNJAB STATE OFFICE BUILDING, PLOT NO. 3A, SECTOR 19A, CHANDIGARH (UT)

Tender Ref. No.: MnC/NR/PSO/ENG/PT-246/25-26

e-Tender ID: 2026_NRO_189106_1

Bidder/Firm/Company Name:

Type of Firm (Please Select)

Name of DSC User for the subject Tender:

Son/Daughter of DSC User for the subject Tender:

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

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

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

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

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

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

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

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.

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

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

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

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

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

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

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

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

ANNEXURE – D UNDERTAKINGS AND DECLARATIONS FOR NON TAMPERING OF DATA 0

• I/We have not tampered or modified the subject tender document in any manner and before uploading, same has been cross-checked with documents hosted on your e-portal https://iocletenders.nic.in. In case, if same is found to be tampered/modified, I/We understand that my/our tender will be summarily rejected and EMD/SD may be forfeited and I am / We are liable to be banned from doing business with and/or prosecuted.

• I/We, hereby confirm that if any discrepancy observed in the submitted tender even at a future date, I/We will abide by all the terms and conditions as per all the documents hosted including Addendums/Changes/Corrigendum, on your e-portal related with subject tender. I/We further assure that we agree to all the decisions confirmed in Pre-Bid Conference of the subject tender.

ANNEXURE – E DECLARATION OF BLACK LISTING / HOLIDAY LISTING 0

I/We are participating in the above referred Tender as:

I/We hereby declare that I/We are participating in the above referred Tender as 'Partnership Firm'

Complete Declaration shall appear here after you select any option from above i.e. 'Proprietary Concern' / 'Partnership Firm' / 'Company'.

Details given below:

It is understood that if this declaration is found to be false, IndianOil Corporation Ltd. shall have the right to reject my/our bid. If the tender has been finalized, the contract will be liable for termination without prejudice to any other right of remedy (including black listing or holiday listing) available to IndianOil Corporation Ltd.

ANNEXURE – F DETAILS OF RELATIONSHIP WITH IOCL’S DIRECTORS ETC. 1

(A) Name of the Tenderer

(B) Organizational Structure

D E C L A R A T I O N - `A'

(1). Residence Address

(2). Office Address

(3). State whether tenderer is related to any Director/(s) of the Indian Oil Corporation Limited

(3.1). If 'Yes' to (C), State the name of IOCL’s Director & Tenderer’s relationship with him/her (e.g. Abcd Efgh (Brother)).

D E C L A R A T I O N - `B'

(2). Name of Partners

Sl. No. Name(s)

(3). State whether any of the partners is a Director to the Indian Oil Corporation Limited

(3.1). If `Yes’ to 3, State the name(s) of IOCL’s Director

Sl. No. Name(s)

(4). State whether any of the partners is related to any of the Director(s) of the Indian Oil Corporation Limited

(4.1). If `Yes’ to 5, State the name(s) of IOCL’s Director & the Concerned partner’s relationship with him/her

Sl. No. Name(s)

D E C L A R A T I O N - `C'

(1). Registered Office Address

(2). Principal Office Address

(3). State whether the Company is Pvt. Ltd. Co. or Public Ltd. Co.

(4). Name of Directors of the Company

(5). State whether any of the Directors of the Tenderer Company is a Director of Indian Oil Corporation Limited

(5.1). If `Yes’ to 3, State the name(s) of IOCL’s Director

Sl. No. Name(s)

(6). State whether any of the Director of the Tenderer Company is related to any of the Director’s of the Indian Oil Corporation Limited

(6.1). If `Yes’ to (7), State the name(s) of IOCL’s Director & the concerned Director’s (of the tenderer Co.) relationship with him/her

Sl. No. Name(s)

D E C L A R A T I O N

I / We have not employed any retired Director and above rank officer of Indian Oil Corporation Ltd in their firm.

I / We have employed retired Director and above rank officer of Indian Oil Corporation Ltd in my/our firm as detailed below

(F) Sl. No. PARTICULARS DETAILS

1 Name of the Person

2 Post last held in IOC

3 Date of Retirement

4 Date of employment in the firm of Tenderer

ANNEXURE – G UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS 0

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

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

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

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

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

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

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

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

ANNEXURE – H PARTICULARS OF BIDDER FIRM 0

(A) Name of the Bidders Firm

(B) Type of Firm

(C) Name of Proprietor

Sl. No. Name(s)

(D) Proprietorship Declaration

(E) Details of shareholders of firm holding at least 10% of share capital (Applicable in case of company)

Sl. No. Name(s) Total No of Shares held % of total Voting share Capital

ANNEXURE – I UNDERTAKING ON NO MULTIPLE BIDDING 0

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

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

II. understand that the submitted bids shall be construed as multiple bids in following scenarios:

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.

III. am aware that, in case it is found that bidder has submitted more than one bids, all the bid shall be rejected and the Earnest Money Deposit (if applicable) for all such bids shall be forfeited, not by way of penalty or liquidated damages but by way of reimbursement of all pre-estimated costs likely to be incurred by the owner towards bidding process and in scrutiny and evaluation of bids.

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

ANNEXURE – J UNDERTAKING ON Public Procurement (Preference to Make in India (PP-MII) 0

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

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

(1). That I am the authorized signatory of M/s ……………………………………………………………………………… and I am duly authorized to furnish this undertaking declaration on behalf of M/s ………………………………………………………………………………

(2). That M/s ……………………………………………………………………………… has submitted its bid against bidding document of above Tender reference.

(3). That the Firm/Company is fully aware of the provisions of Public Procurement (Preference to Make in India) (PP-MII), Order 2017 and its amendments.

(4). We hereby confirm that our offer is achieving the minimum local content of:

Minimum 50% (>=50%)

Deemed Class-II Local Supplier (As per Clause 2A of PP-MII Order Revision Dated 19.07.2024. I confirm that we are manufacturing the tendered item under PLI Scheme and have received incentive from concerned PLI ministry. This declaration is being made within the specific time period only, as notified by concerned PLI Ministry)

(5). Details of location(s) where the local value addition is made

(6). I confirm that I am aware of the implication of the above undertaking and our liability on account of wrong declaration.

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 Description Submission Status

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

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

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

ANNEXURE – D UNDERTAKINGS AND DECLARATIONS FOR NON TAMPERING OF DATA NOT Submitted 0

ANNEXURE – E DECLARATION OF BLACK LISTING / HOLIDAY LISTING NOT Submitted 0

ANNEXURE – F DECLARATION "A", "B", "C" & "D" NOT Submitted 0

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

ANNEXURE – H PARTICULARS OF BIDDER FIRM NOT Submitted 0

ANNEXURE – I UNDERTAKING ON NO MULTIPLE BIDDING NOT Submitted 0

ANNEXURE – J UNDERTAKING ON PUBLIC PROCUREMENT (PREFERENCE TO MAKE IN INDIA (PP-MII) NOT Submitted 0