Expression of Interest (EOI) from existing Distributors attached to Illayangudi IOCL Bottling Plant for own load Transportation of Indane LPG Cylinders in vertical position on unit rate basis Ex_ Illayangudi IOCL LPG Bottling Plant under TNSO

Please Update all Cells for each individual Truck

Serial No of Scanned Doucments to be mentioned as per given below Number and to be Scanned in Order and Uploaded. In case not possible to Upload in Single file then Combile Documents and give the File No as "Dist Name/1-5", "Dist Name 06-10", "Dist Name 11-15", Dist Name 16-20" ,"Dist Name 21-25" etc

SL. NO. NAME OF THE BIDDER DISTRIBUTOR CODE VENDOR CODE TT REQUIREMENT (LOADS/DAY) AS PER EOI DOCUMENT TRUCK CAPACITY BEING OFFERED CONSIDERATION OF OWN TT TRUCK OFFERED UNDER CATEGORY (YES/NO) EOI Document (YES/NO) Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn - PROPRIETOR Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn- PARTNERS Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn- CO-OPERATVE SOCIETY Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn- COMPANY Truck Details EMD SAP Document No and Date Paid through ePayOne Uploded Self Certified with Stamp and Signature (YES/NO) Consortium Details if any TRUCK OFFERED UNDER CATEGORY OFFERED TRUCK NO NAME OF THE PLANT WHEREIN TRUCK IS CURRENTLY PLYING QUOTED TRUCK IS OFFERED ONLY TO THIS PARTICULAR TENDER AND NOT OFFERED TO ANY OIL COMPANY INCLUDING ANY OTHER UNITS OF INDIAN OIL CORPORATION ADDRESS OF REGISTERING RTO ENGINE NO CHASSIS NO BODY TYPE MENETIONED IN RC BOOK Date, Month & Year of original Manufacturing date of truck as per RC book / Invoice (All quoted & eligible trucks) (month / date / year) CYLINDERS CARRYING CAPACITY AS PER RC BOOK in KGS ABS ADDRESS CONTACT NUMBER MAIL ID PAN CARD NUMBER GST REGISTRATION CERTIFICATE No. GST to be considered EMD PAYMENT EMD PAYMENT THROUGH EPAY ONE ONLY BID SECURITY DECLARTAION UPLOADED DSC HOLDER NAME

Cat I Cat II (1) Cat I (2) Cat II Mention - Proprietor Firms/Individuals/Partner/Mese Registered Firm/Company/Cooperative Society Ready Built Trucks (with Registration Certificate) with EMD of Rs. 15000/- New Truck with GST Invoice (Containing Chassis No) along with Purchase Invoice +Temporary Registration Certificate /Temporary Authorisation of Registration Certificate with EMD of Rs. 15000/- Booking Receipt with EMD of Rs. 50000/- Uploaded Duly Filled and digitally Signed EOI document Name of the Proprietor Name and Style of the Distributorship as per Distributor Agreement Date of Execution of Distributorship Agreement Name of all Partners and thei percentage of Share Name of the Authorized Signatory Truck Registration No /Temporary Registration No Chassis No Month and Year of Manufacture (MM/YYYY) Date of Registration (DD/MM/YYYY) * Not applicable for Chassis Name of the Registered Owener Relationship wuth the Distributorship (Whether Partner/Proprietor) Rs. 15,000 Rs. 50,000 RC Book or Smart Card Registered Deed of Registration of Partnership Firm Invoice accompanied with temporary registration certificates / temporary authorization of registration certificate for new trucks Annex 2 Undertaking for Offer of New Chassis Annex 4 Undertaking for Booking Reciept of New Chassis Annex 4 Booking receipt Reference No Annex 3 Special Terms and Condtions Annex 5 Declaration Cum Undertaking by the Distributor who has reached Understanding with other LPG Distributor (Consortium) Full Set of Tender Document (Total 135 Pages) EOI Document Copy of PAN Card PTDG Annex VII of the Packed Tender Document Annex IX of Packed Tender Document if applicable Annex XII of Packed Tender Document Annex XIII of Packed Tender Document Annex XIV of Packed Tender Document Copy of a cancelled cheque must be enclosed Annex XVI of Packed Tender Document Annex XVII of Packed Tender Document Annex XVIII of Packed Tender Document Annex XIX of Packed Tender Document Annex XXI of Packed Tender Document Annex W7A of Packed Tender Document Annex W7B of Packed Tender Document SAP Code of the Consortium Partner Name of the Consortium Partner as per SAP Daily Truck Requirement of the Consortium Partner as per EOI Salect any one (1) Ready Truck (2) Purchased Truck with Chassis Number and Temporary Registration (3)Proposed Truck against Booking Slip In case of (1) Ready Truck Mention the Truck No (2) In case of Purchased Truck with Chassis Number mention Invoice Number and Date (3) In case of Proposed Truck Mentioned Booking Slip and Date DATE MONTH YEAR GLW ULW RLW CYLINDERS CARRYING CAPACITY Y/N 9 digit code of the bank & branch as appearing on the MICR Cheque RCM or FCM 5% or FCM 12% (ONLINE OR EXEMPTION) (Document No and Date in case of EMD PAYMENT) YES OR NO

Statement of Credentials

Instructions Tenderer should fill in below mentioned details along with the Technical bid. (NON- COMPLIANCE OF ANY DETAILS WILL 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 "NIL" or “NOT APPLICABLE’ against item No. (B) 1 below instead of keeping the same blank.

S. No Particulars Vendor's response

1 Name and address of the Bidder:

2 Telephone Nos.:

3 Fax & E-Mail, if any:

4 Name of Contact Person:

6 Nature of the firm ( state whether Limited Co. Partnership, Co-operative Society or Sole Proprietor)

7 Year of Establishment

8 Registration No. Of Company or Firm

9 Sole Proprietorship?

If yes, Give name of the Proprietor

10 Partnership firm?

If yes, Give names of the Partners

11 Private or Public Limited Company?

If yes, Give list of Directors.

12 State whether the bidder is Haulage Contractor at the supply locations covered in this tender. Choose `Yes' or `No' from the drop down list provided.

Cat - I (342 Cylinder Capacity)

S. No. SAP Code Dist Name ex- illayangudi BP IDO RTD TOTAL MT Daily TRUCK REQMT. EOI Offered

1 132945 SETHU GAS AGENCIES Madurai AO 134 201.81 1.5982874303852805

2 132981 VINAYAKA GAS AGENCY Madurai AO 50 194.99 1.5442746447194189

4 132995 CHANDRAN GAS SERVICE Madurai AO 84 153.45000000000002 1.2152876774818955

5 133001 WALLIA AGENCY Madurai AO 106 334.8 2.6515367508695897

6 133004 BALAJI GAS AGENCY Madurai AO 112 267.21999999999997 2.116319147453321

7 133005 RKGAS DISTRIBUTORS Madurai AO 46 205.53 1.6277489498393873

8 150239 TNCSC LTD - Mandapam Madurai AO 180 54.56 0.6481534279903443

9 199006 SHRI KRISHNA GAS AGENCY Madurai AO 182 103.23 1.2263357472771854

10 238036 NAVEEN INDANE GAS AGENCY Madurai AO 38 146.94 1.1637300184372088

11 241388 SHREE SIDHART INDANE Madurai AO 158 29.759999999999998 0.35353823344927865

12 251984 SULAIGA RGGLV INDANE Madurai AO 156 129.27 1.5356817015453041

13 252064 ASBIYA RGGLV INDANE Madurai AO 120 51.46 0.4075510191151407

14 262578 SRI RAMANA INDANE GAS Madurai AO 46 173.29 1.3724157812371303

15 263941 SHRI LAKSHMI INDANE Madurai AO 118 99.2 0.7856405187761748

16 267914 VILVA INDANE GRAMIN VITRAK Madurai AO 120 172.35999999999999 1.3650504013736036

17 268744 SUBBU INDANE GRAMIN VITRAK Madurai AO 142 134.23 1.0630698269690115

18 275684 SRI AYYANAR INDANE GAS Madurai AO 150 95.78999999999999 0.7586341259432439

Add 5% extra trucks for M&R , Breakdown, RTO etc.

Net requirement after adding 5 %