Pile Foundation work in 765 kV S/C Lucknow-Bareilly & 220kV D/C Tanakpur-Bareilly Transmission Line in Bareilly under NR-III

Boring, providing and installation of bored Cast-in-situ RCC vertical piles of specified diameter and of any length below the pilecap with M25 grade of cement concrete, excluding the cost of reinforcement steel but including the cost of boring with temporary Guide casing, bentonite solution and the length of pile to be embeded in the pile cap (length of pile for payment shall be measured from bottom of pile cap), all necessary labour, materials, plants, tools & tackles etc., complete, as necessary for proper executionof the job. (Boring in weathered rock, shell, fissured rock and soft rock excluded) : 1200 mm diameter R.C.C.vertical bored pile upto 42 m from bottom of pile cap

Extra rate over item 1.1 (i) for boring including socketing,anchoring (if required) with required size,nos. & depth of Reinforcement in hard rock upto a maximum depth of 10m

Excavation where ever required for pile cap /tie etc. (other than boring) for all depth and size, in all types of soils including disposal of excavated materials for all lifts and leads,decent etc.as directed by Engineer - In -charge, together with all labour,tools & tackles, sheeting, sheet piling, dewatering etc. complete as required for proper execution of the job.

Back filling with available excavated earth for all leads and lifts in sides of foundations and other under ground facilities in horizontal layers not exceeding 20 cm. in depth consolidating each deposited layer by ramming and watering etc..

Form work for placing plain or reinforced cement concrete of any type including blockout and section at any elevation shoring, shuttering, strutting, propping, scaffolding, tieing, nailing including all labour, materials, equipments, waste for form,caulking, dismantling & removal of forms etc. complete

Supply and placing of steel reinforcement of specified grade for R.C.C. work in pile, pile cap, pedestal/chimney, tie beam (if required) including cost of all labours ,materials, straightening, cleaning,cutting, bending, binding etc. allcomplete as per construction drawing and as per instruction of Engineer-In-Charge

Providing and laying in position M25 Grade reinforced cement concrete forpile caps, pedestal/chimney and tie beam(if required), excluding reinforcement steel and form work but including cement, all necessary tools and tackles,labour, materials,equipments for handling,transportation,batching, mixing,placing, vibrating,dewatering, curing etc.all complete asper specification and as per instruction of Engineer-In- Charge(excluding cost of concrete in pileswhich is included in boring of cast in situ RCC vertical piles in therelevent line item. )

Providing and laying plain cement concrete 1:4:8 (1cement : 4 coarsesand: 8 graded stone aggregate 40mmnominal size) including cement, all necessary tools and tackles,labour,materials, equipments for handling,transportation,mixing,placing,vibrating,dewatering etc.all completeas per Specification

Conducting Standard Penetration Test (SPT) at various elevations in pile bore holes in all kind of soils including all labour,materials, tools and tackles, equipments etc. required for successful completion of the job.

Supply and Providing M.S. liner of 6mm. thick in piles upto 10m. Depth (maxm.) from bottom of pile cap, limited to the approved drawing, including supply, straightening, bending, welding, all supports, labours, tools and tackles, plants & equipments, with primer and painting etc. (complete) as required for successful completion of the job.

Conducting integrity test on pile using electronic control unit,hand held hammer, accelerometer, computer with required software to assess as-installed pile characterestics including mobilisation of necessary manpower, equipments, materials etc.required for successful completion of the job

Pile foundation work for Tower location No 160(DA+0) 220 KV Double circuit Tanakpur -Bareilly transmission line

Description of item

Providing, driving with hydraulic piling rigs with power units & installing driven cast in situ reinforced cement concrete piles of grade M:25 od specified diameter & length below the pile cap to carry safe working load not less than specified excluding the cost of steel reinforcement but including the cost of shoe and the length of pile to be embedded in the pile cap etc all complete(Length of pile for payment shall be mesaured from top of shoe to the bottom of pile cap) 750 mm diameter piles

Extra rate over item 1.1 (i) for boring including socketing,anchoring (if required) with required size,nos. & depth of Reinforcement in hard rock upto a maximum depth of 10m

Excavation where ever required for pile cap /tie etc. (other than boring) for all depth and size, in all types of soils including disposal of excavated materials for all lifts and leads,decent etc.as directed by Engineer - In -charge, together with all labour,tools & tackles, sheeting, sheet piling, dewatering etc. complete as required for proper execution of the job.

Back filling with available excavated earth for all leads and lifts in sides of foundations and other under ground facilities in horizontal layers not exceeding 20 cm. in depth consolidating each deposited layer by ramming and watering etc..

Form work for placing plain or reinforced cement concrete of any type including blockout and section at any elevation shoring, shuttering, strutting, propping, scaffolding, tieing, nailing including all labour, materials, equipments, waste for form,caulking, dismantling & removal of forms etc. complete

Supply and placing of steel reinforcement of specified grade for R.C.C. work in pile, pile cap, pedestal/chimney, tie beam (if required) including cost of all labours ,materials, straightening, cleaning,cutting, bending, binding etc. allcomplete as per construction drawing and as per instruction of Engineer-In-Charge

Providing and laying in position M25 Grade reinforced cement concrete forpile caps, pedestal/chimney and tie beam(if required), excluding reinforcement steel and form work but including cement, all necessary tools and tackles,labour, materials,equipments for handling,transportation,batching, mixing,placing, vibrating,dewatering, curing etc.all complete asper specification and as per instruction of Engineer-In- Charge(excluding cost of concrete in pileswhich is included in boring of cast in situ RCC vertical piles in therelevent line item. )

Providing and laying plain cement concrete 1:4:8 (1cement : 4 coarsesand: 8 graded stone aggregate 40mmnominal size) including cement, all necessary tools and tackles,labour,materials, equipments for handling,transportation,mixing,placing,vibrating,dewatering etc.all completeas per Specification

Conducting Standard Penetration Test (SPT) at various elevations in pile bore holes in all kind of soils including all labour,materials, tools and tackles, equipments etc. required for successful completion of the job.

Supply and Providing M.S. liner of 6mm. thick in piles upto 10m. Depth (maxm.) from bottom of pile cap, limited to the approved drawing, including supply, straightening, bending, welding, all supports, labours, tools and tackles, plants & equipments, with primer and painting etc. (complete) as required for successful completion of the job.

Conducting integrity test on pile using electronic control unit,hand held hammer, accelerometer, computer with required software to assess as-installed pile characterestics including mobilisation of necessary manpower, equipments, materials etc.required for successful completion of the job

Pile Foundation work in 765 kV S/C Lucknow-Bareilly & 220kV D/C Tanakpur-Bareilly Transmission Line in Bareilly under NR-III

NR3/NT/W-CIVIL/DOM/K00/25/15460 (Rfx No. 5005012185)

General guidelines for filling up the Attachments

Fill up only green shaded cells in the relevent attachments.

Attachment 1 Bid Security: Bid Security or Online Payment Acknowledgement towards Bid Security (if required) or documentary evidence in support of exemption of Bid Security (submission of Hard Copy in ‘Original’ for Bid Security and in ‘Copy’ for documentary proof in support of exemption).

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

Attachment 3: Bidder’s Eligibility and Qualifications. Information as per Schedule QR to be submitted Note: In respect of the submission of documents regarding qualification criteria, only related shortfall documents shall be sought for and considered. Additional work experience submitted in response to clarification, which was not already submitted with the bid, shall NOT be considered for evaluation purposes.

Attachment 4: Statement of Deviations

Attachment 5: Declaration regarding Employment of ex- Employees with Bidder’s Organization

Attachment 6: Declaration regarding Social Accountability

Attachment 7 Integrity Pact : To be submitted as per ITB Clause No. 9.3(ix)

Attachment 8: Information for e-payment, Provident Fund (PF) details and declaration regarding Micro/Small & Medium Enterprises

Attachment 9: Additional Information (Scanned copy of following documents shall be uploaded)

Attachment 10: Declaration regarding Price Bid

Attachment 11: Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII Order and MoP order, if applicable

Attachment 12: Undertaking by the bidder regarding Compliance of DMI&SP policy

Attachment 24: Affidavit of Self certification regarding Domestic Value Addition in Iron & Steel Products

Attachment 13: Compliance to the process related to the e-RA Terms & Conditions and the Business Rules governing the e-RA

Attachment 14: Declaration by the bidder regarding events encountered pursuant to ITB Clause 2.7.

Attachment 15:Certification by the Bidder as per DoE Order in line with ITB Clause 2.4

Attachment 16: Declaration by the bidder for ‘Code of Integrity for Public procurement’

Attachment 17: Declaration by the bidder for Acknowledgement and Acceptance of ‘Supplier Code of Conduct’

Enable the Active X Control & Macros. Also ensure to keep option of "Trust acess to VBA project object Model" cheched [√]. Ensure that you work on MS Excel 2007 or higher version.

Sole Bidder

JV (Joint Venture)

Sole Bidder

Ram Lal

Attachment-3(JV)

& Ram Lal

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Ram Lal

Sole Bidder

Designation :

Attachment-3(QR)

Gurgaon (Haryana) - 122001

We have submitted bid as individual firm.

We have submitted bid as joint venture of following firms :

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

Name of the Firm

Head Office/ Registered Office Address

Telephone

Contact Person

Place of Incorporation/ Registration

Year of Incorporation/ Registration

Nationality of

Whether the bidder is an MSE (Micro & Small Enterprise). If Yes, attach Documentary Evidence with the Bid.

Whether the Bidder is a Start-Ups Company (as defined by DIPP). If Yes, attach Documentary evidence with the Bid.

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

TECHNICAL EXPERIENCE

Route-1: The bidder must have designed, manufactured, tested & supplied 715 kV or higher voltage class one (1) number 1-phase Transformer of at least 500 MVA capacity or at least three (3) numbers 1-phase Transformers each having a capacity of at least 166 MVA, and the same transformer (s) should have been in satisfactory operation# for at least two (2) years on the date of bid opening as originally scheduled i.e., as on .………….(date to be inserted by CS department at the time of NIT).

Route-2: The bidder (s) who have established production line and testing facilities in India for 715 kV or above class transformer based on technological support of the Collaborator(s) for the equipment(s) can also be considered qualified provided, The bidder must have manufactured in India, type tested 715 kV or higher voltage class either One (1) no. 1-phase Transformer of at least 166 MVA capacity or One (1) no. 1-phase Reactor of at least 80 MVAR capacity and the same should have been supplied as on the date of bid opening as mentioned above based on technological support of Collaborator(s) provided that:- a) Collaborator(s) meets the Technical Experience criteria stipulated in Route-1. b) A legally enforceable undertaking jointly by Bidder and the Collaborator(s) (as per enclosed format in---------- of bidding document) is furnished along with the bid, to guarantee quality, timely supply, performance and warranty obligations for Five(5) years for entire quantity to be manufactured and supplied from the works in India and a confirmation letter from the Collaborator(s) along with the bid stating that Collaborator(s) shall furnish performance guarantee for an amount of 10% of the cost of such equipment(s). This performance guarantee shall be in addition to contract performance guarantee to be submitted by the bidder.

Route-3: In case, the bidder is an Indian Entity established as Subsidiary/JVC/Group company by its parent/principal, who have established production line and testing facilities in India for 715 kV or above class transformer based on technological support of the parent/principal for the equipment(s) can also be considered qualified provided, The bidder must have manufactured in India, type tested 715 kV or higher voltage class either One (1) no. 1-phase Transformer of at least 166 MVA capacity or One (1) no. 1-phase Reactor of at least 80 MVAR capacity and the same should have been supplied as on the date of bid opening as mentioned above based on technological support of Parent/ principal company provided that:- a) Parent / Principal Company meets the Technical Experience criteria stipulated in Route-1. b) A legally enforceable undertaking jointly by Bidder and the parent/ principal company (as per enclosed format in---------- of bidding document) is furnished along with the bid, to guarantee quality, timely supply, performance and warranty obligations for Five(5) years for entire quantity to be manufactured and supplied from the works in India and a confirmation letter from the parent/principal company along with the bid stating that parent/ principal company shall furnish performance guarantee for an amount of 10% of the cost of such equipment(s). This performance guarantee shall be in addition to contract performance guarantee to be submitted by the bidder.

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

Kindly mention below, whether 765 kV/ 400kV transformer(s) are being offered from Bidder himself OR from a qualified manufacturer [required to ascertain compliance to QR provision mentioned at para 1(C ), Annexure-A(BDS)].

765 kV Transformers being offered:

Format-A: (ROUTE-1) for 765kV Auto Transformer:

Name & Address of the Collaborator/Parent /Principal Company (if applicable)

Name of Contract Undertaken (for 715kV or Higher Voltage class Transformers)

Contract Reference No. & Date of Award

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

Voltage Level of Transformer erected under the Contract (Indicate 715kV or above class only)

Indicate Number of Transformer(s) under the above contract (1 phase Transformers with rating not less than 500 MVA OR Transformers in Banks of 3 single phase units of at least 166 MVA each)

MVA capacity of above mentioned 1-phase units

Name of the substation or switchyard

No. of years, the above Transformer are in operation as on the date of bid opening. (Originally Scheduled)

Scope of work involved under the Contract

of Transformer

Details of documents uploaded in support of the above stated experience

Format-B: (ROUTE-2) for 765kV Auto Transformer:

Name of Bidder/Manufacturer

Whether Bidder/Manufacturer has established production line and testing facilities in India for 715 kV or above class Transformer on the technological support of the Collaborator(s) ?

Name of the Collaborator {The qualifying data/details for collaborator for the equipment is to be furnished in Format-A above)

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 Bidder

Indicate details below in case Contract executed for Transformer

Voltage Level of Transformer manufactured & type tested under the Contract based on technological support of Collaborator. (Indicate 715kV or above class only)

MVA capacity of the above mentioned single phase Transformers

Indicate Number of Transformer(s) under the contract (Indicate nos. of single phase Transformer of atleast 166MVA)

Name of the substation or switchyard

Date as on which the above mentioned Transformers supplied

whether the above Transformers are in operation as on the date of bid opening(originally scheduled).(Yes/No)

Scope of work involved under the Contract

of Transformer

Indicate detail below in case Contract executed for Reactor

Voltage Level of Reactor manufactured & type tested under the Contract based on technological support of Collaborator. (Indicate 715kV or above class only)

MVAR capacity of the above mentioned single phase Reactors

Indicate Number of Reactor(s) under the contract (Indicate nos. of Reactor(s) of at least 80 MVAR each)

Name of the substation or switchyard

Date as on which the above mentioned Reactors are supplied.

whether the above Reactors are in operation as on the date of bid opening(originally scheduled).(Yes/No)

No. of years, the above Reactors are in operation as on the date of bid opening (originally scheduled).

Scope of work involved under the Contract

for Reactor

Whether collaborator(s) meets the technical experience criteria stipulated at 2.1.1 above, and the details of which is mentioned at Format-A above. (Applicable for the Bidder wish/proposes to qualify through Route-2 of Annexure-A(BDS))

Whether legally enforceable undertaking jointly by Bidder/Manufacturer and the Collaborator(s) (as per enclosed format in Section-VI: Sample Forms and Procedures of bidding document) is furnished along with the bid. (Applicable for the Bidder/Manufacturer(s) wish/proposes to qualify through Route-2 of Annexure-A(BDS))

Confirmation letter from the Collaborator along with the bid stating that Collaborator shall furnish performance guarantee, in addition to contract performance guarantee to be submitted by the bidder, for an amount of 10% of the cost of equipment(s) to be manufactured and supplied from the works in India. (Applicable for the Bidder/Manufacturer(s) wish/proposes to qualify through Route-2 of Annexure-A(BDS)) (Choose whichever is applicable from the drop down menu)

Details of documents uploaded in support of the above stated experience

Format-C: (ROUTE-3) for 765kV Auto Transformer:

Name of Bidder/ Manufacturer

Whether the bidder is an Indian Entity established as Subsidiary/JVC/Group company by its parent/principal, who have established production line and testing facilities in India for 715 kV or above class transformer based on technological support of the parent/principal?

Name & Address of the Parent/Principal Company {The qualifying data for the Parent/Principal Company for the equipment is to be furnished in Format-A above)

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

Indicate detail below in case Contract executed for Transformer

Voltage Level of Transformer manufactured & type tested under the Contract . (Indicate 715kV or above class only)

Indicate Number of Transformer(s) under the contract (Indicate nos. of single phase Transformer of atleast 166MVA )

MVA capacity of the above mentioned single phase Transformers

Name of the substation or switchyard

Date as on which the above mentioned Transformers supplied

whether the above Transformers are in operation as on the date of bid opening(originally scheduled).(Yes/No)

No. of years, the above Transformers are in operation as on the date of bid opening (originally scheduled).

Scope of work involved under the Contract

of Transformer

Indicate detail below in case Contract executed for Reactor

Voltage Level of Reactor manufactured & type tested under the Contract (Indicate 715kV or above class only)

MVAR capacity of the above mentioned single phase Reactors

Indicate Number of Reactor(s) under the contract (Indicate nos. of Reactor(s) of at least 80 MVAR )

Name of the substation or switchyard

Date as on which the above mentioned Reactors are supplied.

whether the above Reactors are in operation as on the date of bid opening(originally scheduled).(Yes/No)

No. of years, the above Reactors are in operation as on the date of bid opening(originally scheduled)..

Scope of work involved under the Contract

for Reactor

Whether Parent/Principal company(s) meets the technical experience criteria stipulated at 2.1.1 above, and the details of which is mentioned at Format-A above. (Applicable for the Bidder/Manufacturer(s) wish/proposes to qualify through Route-3 of Annexure-A(BDS))

Whether legally enforceable undertaking jointly by Bidder/Manufacturer and the Parent/Pricipal company(s) (as per enclosed format in Section-VI: Sample Forms and Procedures of bidding document) is furnished along with the bid. (Applicable for the Bidder/Manufacturer(s) wish/proposes to qualify through Route-3 of Annexure-A(BDS))

Confirmation letter from the Parent/Principal Company along with the bid stating that Parent/Principal Company shall furnish performance guarantee, in addition to contract performance guarantee to be submitted by the bidder, for an amount of 10% of the cost of equipment(s) to be manufactured and supplied from the works in India. (Applicable for the Bidder wish/proposes to qualify through Route-3 of Annexure-A(BDS))

Details of documents uploaded in support of the above stated experience

Financial Position {Reference para 2.0 of Annexure-A (BDS)}

Net Worth for last 3 financial years should be positive.

Minimum Average Annual Turnover^ (MAAT) for best three (3) years i.e. 36 months out of last five (5) financial years of the bidder should be Rs. 1451.18 million or equivalent for Auto Transformer TR09. ^ Annual gross revenue from operations/gross operating income as incorporated in the profit & loss account excluding other income”.

Bidder shall have liquid assets (L.A.) or/and evidence of access to or availability of credit facilities of not less than Rs. 241.86 million or equivalent for Auto Transformer TR09.

Financial Qualification Data:

Name of the Bidder

NET WORTH

Details of documentary evidence submitted in support of Qualification Data

Financial year

Turnover details:

Details of documentary evidence submitted in support of Qualification Data

Financial year

Liquid Assets

Details of documentary evidence submitted in support of Qualification Data

Financial Qualification Data for Parent/Principal Company (If Applicable):

Name of the Bidder

NET WORTH

Financial year

Turnover details:

Financial year

Liquid Assets

Details of documentary evidence submitted in support of Qualification Data

NET WORTH

exchange rate*

Financial year

Turnover details:

exchange rate*

Financial year

Liquid Assets

Equivalent US$ (in Million)

NET WORTH

exchange rate*

Financial year

Turnover details:

exchange rate*

Financial year

Liquid Assets

Equivalent US$ (in Million)

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

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, Vol.-I of 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 in Section-VI, Vol.-I of bidding documents. 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 authorisation mentioned under (b) 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 :

For Name of the Bidder

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

Years preceding to the bid opening

Designation :

Attachment-3(QR)

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Designation :

Designation :

Attachment-4

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Equipments & Materials produced in [Name of countries]

[Name of Countries]

Designation :

country.

Attachment-4(A)

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

For Equipment

Designation :

Attachment-4(B)

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Designation :

Attachment-5

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Item Description

Nationality

FALSE

Item Description

Address

Designation :

Annexure I to Attachment-5

Item Description

Nationality

Designation :

Annexure I to Attachment-5

Item Description

Nationality

Designation :

Attachment-5A

Gurgaon (Haryana) - 122001

We hereby furnish the details of the items, components, raw material, services which we propose to buy/avail from Micro and Small Enterprises (MSEs) for the purpose of completion of works under the subject package:

Item Description

Category (Micro or Small)

FALSE

The above is a list of items we propose to procure from MSEs. However, based on the situations during the execution of the contract, the above list may undergo changes. We hereby confirm that the details regarding actual procurement from MSEs carried out by us, as per the format provided at Section VI, Forms and Procedures, Volume-I of bidding documents, shall be submitted along with the bills for payment against supplies made/works done during execution of contract.

Item Description

Address

Designation :

Attachment-5A

Item Description

Category (Micro or Small)

Designation :

Attachment-4

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Reference clause in the Specifications

Designation :

Annexure I toAttachment-4

Reference clause in the Specifications

Designation :

Attachment-7

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Designation :

Attachment-5

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Description of Work

Detailed Engineering and drawing submission

Procurement of equipment/ components & assembly

Type Tests

Manufacturing

Shipments & Delivery

Establishment of site office

Installation at Site

Testing & Pre-commissioning

Trial Operation

Designation :

Bidders to enclose a detailed network covering all the activities to be undertaken for completion of the project indicating key dates for various milestones for each phase constituent-wise.

Attachment-10

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Designation :

Attachment-5

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Name of the person with designation in POWERGRID

Designation :

Attachment-5

Ram Lal

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Name of the person with designation in POWERGRID

Designation :

Attachment-5

Power Grid Corporation of India Ltd.,

Northern Region-III Headquarter

Name of the person with designation in POWERGRID

Designation :

ATTACHMENT-7

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Name of Materials/Labour

Price Adjustment for Erection Price Component

Erection price component {including Civil Works but excluding ‘Supply & Placement of reinforcement steel’ and ‘Concreting’}

High Speed Diesel, coefficient a =

Labour, coefficient l =

Supply and placement of reinforcement steel

Labour, l=

Manufacture of Basic Metals, b=

For Concereting

Labour, l=

Manufacture of cement, lime and plaster, b=

Cutting, shaping and finishing of stone, c=

Designation :

Attachment-6

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Designation :

Attachment-7

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

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 (o).

(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 its 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 it is not legally entitled to, in order to obtain in exchange an advantage of any kind whatsoever 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 business relationship to others and shall not commit any offence under 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 "Black-Listing of Firms/Banning of Business". The imposition and duration of the ban 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 postion 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 ban prematurely.

If POWERGRID has disqualified the Bidder from the tender process prior to the award under Section III, POWERGRID is entitled for the forfeiture of the Bid Guarantee under the Bid.

If POWERGRID has terminated the contract under Section III or if POWERGRID is entitled to terminate the contract under Section III, POWERGRID shall be entitled 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 transgressions 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, it 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 the IEMs have 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.

(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 IEMs information as sought by him/her 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 rescue 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/conciliation 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).

Issues like Warranty/Guarantees etc. shall be outside 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 /conciliation or judicial proceedings (arising out of the arbitral/conciliation 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-8

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

We have read the provisions in the Bidding Documents regarding furnishing the option for advance payment. Accordingly, as per ITB Clause 9.3 as provided in Section BDS, Section III, Vol.-I of the Bidding Documents, we hereby confirm to opt the following:

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.

GSTIN Numbers

GSTIN in the Sates/UT from where the supply of goods take place

GSTIN number

GSTIN in the States/UT where the supply for services take place (states where sites under the subject package is situated)

GSTIN number

PF Registration No. of the Company

PF Regional Office covered (with Address)

Name of Contact Person

Contact Details

Bank Details for Electronic Payment

Current 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-9

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

The Bidder shall furnish

The Bidder should accordingly also provide the following information/documents

Details of Banker:

As per para 1.0, Authorization Letter(s) from the bidder (in case of JV bidder, from all the partners) addressed to the Banker(s), authorizing POWERGRID to seek queries about the bidder with the Banker(s) and advising the Banker(s) to reply the same promptly, is/are enclosed as per following details:

Letter Ref.

As per para BDS/ITB clause 9.3q, Bidder shall furnish the details of their Provident Fund Code Number

Name of Bidders/JV Partners

Litigation History

Details of litigation history resulting from Contracts completed or under execution by the bidder over the last five years

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

Details regarding previous transgressions of Integrity Pact

Details regarding previous transgressions of Integrity Pact that occurred in the last 10 years

Name of client

OTHER INFORMATION

Current Contract Commitments of works in progress

Value of outstanding work (Rs.)

Financial Data:

Actual (Previous five years)

Designation :

Attachment-17

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

We confirm that we are solely responsible for obtaining following tax exemptions, reductions, allowances or benefits in respect of supplies under the subject package, in case of award. We further confirm that we have considered the same in our bid thereby passing on the benefit to POWERGRID while quoting our prices. In case of our failure to receive such benefits, partly or fully, for any reason whatsoever, the Employer will not compensate us.

We are furnishing the following information required by the Employer for issue of requisite certificate if and as permitted in terms of the applicable Govt. of India policies/procedures (in case of award):

Designation :

Attachment-17

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Name of the person with designation in POWERGRID

Designation :

Attachment-17

Power Grid Corporation of India Ltd.,

Northern Region-III Headquarter

Name of the person with designation in POWERGRID

Designation :

Attachment-18

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Designation :

The requisite format of Safety 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 six pages on plain A4 size paper. Such two sets shall be prepared by the bidder.

All the pages of both the copies of the Safety 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 (s).

(Signature)

(For & On behalf of Bidder/ Contractor)

Page 1 of 6

POWERGRID recognizes and accepts its statutory responsibilities for ensuring construction, operation and maintenance of equipments and for the provision of safe methods of work and safe working conditions.

POWERGRID recognizes and accepts its statutory responsibilities for ensuring safety of not only its employees but also that of the Contracting Agencies as Principal Employer.

POWERGRID shall review the accidents in a structured manner and take necessary actions to ensure that the safety criteria are strengthened for safe construction as well as Operation & Maintenance of the Transmission Assets.

POWERGRID shall conduct necessary awareness and training programmes to its Employees to augment the various safety requirements to be followed during Construction and Operation & Maintenance of the Transmission Assets from time to time.

POWERGRID shall, from time to time, issue necessary guidelines,instructions and deterrents to its employees as well as to the Contracting Agencies, to update them to take necessary preventive measures to avoid repetition of similar accident attributes.

POWERGRID shall review and provide necessary guidanceto the Contracting Agencies, as and when, any abnormality / special situations are brought to its notice by the Contracting Agencies during execution of the Transmission Projects being executed by them.

POWERGRID shall conduct periodical surveillance site inspections / audits to identify the unsafe conditions and unsafe actions, and bring them to the knowledge of the Contracting Agencies for taking timely corrective actions.

POWERGRIDshall investigate all accidents, fatal as well as non-fatal, to identify the lapses, the reason for the accident / incident and suggest measures for prevention of recurrence of such accidents, and fix responsibility for the lapses leading to the accident.

POWERGRID shall augment the training to the workers and supervising personnel of the Contracting Agencies, as per schedules, upon nomination by the Contracting Agencies in reasonable time frame.

(Signature)

(For & On behalf of Bidder/ Contractor)

Page 2 of 6

POWERGRID shall exercise the right to claim and recover compensation from the Contracting Agencies in case of any violation of the safety requirements / provisions during execution of the Transmission Projects, as built in the applicable Laws and contractual specifications / guidelines in vogue / issued by POWERGRID from time to time.

The Bidder / Contractor recognizes and acceptsthe statutory and comprehensive responsibility for ensuring safe construction and Testing & Commissioning in the Transmission Projects being executed by them by providing safe methods of work, working conditions and Tools & Plants for human safety.

The Bidder / Contractor recognizes and accepts the responsibilities for ensuring safety of not only their employees but also that of the Sub-contractors, Principal Employer and the general public during execution of the Transmission Projects / works.

The Bidder / Contractor shall review the accidents in a structured manner and take necessary actions to ensure that the safety criteria are strengthened for safe construction of the Transmission Assets.

The Bidder / Contractor shall endeavour continuous development of safe methods of work to ensure that the effect of risks and perils are minimised to the extent possible and implement the same at their worksites.

The Bidder / Contractor shall conduct periodical Training to their Employees as well as to that of their Sub-contractors for safety awareness during construction works being executed by them.

The Bidder / Contractor shall provide all requisite Tools & Plants required for the work and ensure their healthiness by periodical inspections / testing as required. Unhealthy and sub-standard Tools & Plants will be immediately removed from site as and when they are identified.

The Bidder / Contractor shall,at their cost, provide all necessary Personal Protective Equipments such as Double Lanyard Safety Belts, Appropriate Fall Arrest Systems, Safety Helmets, Foot Wear, Hand Gloves, etc., as required for various activities pertaining to execution of the Projects / works, confirming to relevant Indian Standards.

The Bidder / Contractor shall ensure that dedicated qualified Safety Officers are posted in the construction projects being executed by them and ensure that the Safety Officer visits each and every gang periodically and conducts audits / inspections to identify the unsafe conditions and unsafe actions, to be rectified by the site supervising personnel promptly.

(Signature)

(For & On behalf of Bidder/ Contractor)

Page 3 of 6

The Bidder / Contractor shall conduct appropriate medical checks-up for the workers before deploying them at their construction sites to ensure that only those who are medically fit are deployed in the Projects / works to be executed by them. The copy of the Medical Reports shall be provided by the Bidder / Contractor to POWERGRID, whenever requested by POWERGRID.

The Bidder / Contractor shall screen the workers before deploying them at their construction sites to ensure that only those with the skills, experience and competence to work at height and also medically fit for work at height are deployed for work at height in the Projects executed by them.

The Bidder / Contractor shall ensure daily before starting the work that their site Supervising Personnel / Safety Officer briefs the workers about the work for the day and the safety measures / precautions required to be taken by them.

The Bidder / Contractor shall investigate all the accidents at their working sites to ascertain the lapses leading to the incident and the precautionary / corrective measures required to be taken to avoid recurrence of such accidents. These accidents will be reviewed at the Board Management level of the Agencies and the findings / recommendations will be put up to POWERGRID Apex Safety Board within the stipulated period.

The Bidder / Contractor shall ensure that all accidents, whether fatal or non-fatal in nature, will be informed to POWERGRID, in writing, immediately on the occurrence of the same,and in any case, within not more than 24 hours of occurrence of the same.

The Bidder / Contractor shall ensure that in case of any accident, all necessary medical help / support shall be provided to the victims / injured till they are completely fit to return to work.

The Bidder / Contractor shall ensure that in case of fatal accidents, all statutory Authorities, including Police, concerned Labour Dept. Officials, concerned Workmen Compensation Commissioner, etc., will be intimated in writing as required by the statutory Law, and followed up for compliance of all statutory obligations. The Bidder / Contractor shall own full responsibility of timely accident reporting to various authorities, including POWERGRID.

The Bidder / Contractor shall ensure that in case of fatality or serious injury leading to permanent disablement of the victims, the compensation amount will be deposited with the concerned authorities, as required by the Laws, and followed up for early disbursement to the beneficiaries of the victims.

The Bidder / Contractor assures that they shall co-operate to the fullest extent for carrying out any investigation of the accidents at their work sites by POWERGRID to identify the lapses, the reason for the accident / incident and suggest measures for prevention of recurrence of such accidents. All factual details of the occurrence of the accident will be provided to POWERGRID, as and when required.

(Signature)

(For & On behalf of Bidder/ Contractor)

Page 4 of 6

The Bidder / Contractor assures that they take full responsibility of meeting the statutory obligations in case of accidents, and in case of any reference by any Statutory Body at a later date also, they shall provide all information to POWERGRID and meet all the statutory obligations, including payment of additional compensation, if any.

The Bidder / Contractor assures that in case of any inspection of their work site or Notice by any Statutory Authority, they shall comply promptly and inform POWERGRID Site Officials of the same, and also provide all necessary information and assistance for smooth compliance of the observations / instructions of such Authorities.

The Bidder / Contractor accepts the provisions regarding safety, including payment of any sums to POWERGRID, in case of any violation of the safety requirements / provisions during execution of the Transmission Projects, as built in the Contractual Conditions, Safety Planand the Safety Pact, and confirm to abide by the same.

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

POWERGRID will disqualify, from the tender process, any bidder/ take punitive actions on the bidder, who does not sign this Pact or violate its provisions.

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

Changes and supplements need to be made in writing, which shall come into force only upon mutual agreement / acceptance.

If the Contractor is a partnership firm or consortium of Joint Venture, this agreement must be signed by all partners, consortium members and Joint Venue partners, as applicable as per the Tender Specifications.

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

Should one or several provisions of this agreement turn out to be invalid, the reminder 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/ Contractor)

Page 5 of 6

Signature

(For & On behalf of Bidder/ Contractor)

(Office Seal)

Designation :

Witness 1 :

Designation :

Witness 2 :

Designation :

Page 6 of 6

Attachment-10

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Designation :

Attachment-18

Regional Procurement Cell Plot No 2A/INS 02, Awadh Vihar Yojna, Amar Shaheed Path, Lucknow- 226 002

Name of Materials

Price Adjustment for Erection Price Component for pile foundation work

Erection price component {including Civil Works but excluding ‘Supply & Placement of reinforcement steel’ and ‘Concreting’}

High Speed Diesel, coefficient a =

Labour, coefficient l =

Supply and placement of reinforcement steel

Labour, l=

Manufacture of Basic Metals, b=

For Concereting

Labour, l=

Manufacture of cement, lime and plaster, b=

Cutting, shaping and finishing of stone, c=

Printed Name :

Designation :

Bid Form 1st Envelope

thirteen

fourteen

Pile Foundation work in 765 kV S/C Lucknow-Bareilly & 220kV D/C Tanakpur-Bareilly Transmission Line in Bareilly under NR-III

Enter details here.

Having examined the Bidding Documents, including Amendment Nos….......... the receipt of which is hereby acknowledged, we the undersigned, offer to execute the Works 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 - Single Envelope” procedure of bidding. Accordingly, we hereby submit our Bid (containing EMD and Techno-commercial part and Price Part (to be opened simultaneously)

We meet the eligibility requirements and have no conflict of interest in accordance with ITB Clause 2.

Attachments to the Bid Form

Attachment-1:We have submitted Bid Guarantee in the form of Demand Draft (Demand Draft No.-, dated DD-MM-YYYY issued from ) for a sum of Rupees /-, Valid for a period of 250 days from the original date of Bid Opening as per NIT i.e. upto and inclusive of DD-MM-YYYY.

FALSE

Demand Draft

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(iii) , the qualification data has been furnished as per your format enclosed with the bidding documents [Attachment – 3(QR)]. - NOT APPLICABLE

Amount of EMD :

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. A list of Special Tools & Tackles to be used by us for erection, testing & Commissioning and to be handed over to Employer, the cost of which is included is our Bid Price, is also enclosed as per your format as Attachment 4A. A list of Special Tools & Tackles to be brought by the contractor for erection, testing & Commissioning and to be taken back after completion of work, whose cost in not included in our bid price, is enclosed as per your format as Attachment 4B.

The details of all major items of services or supply which we propose subletting in case of award, giving details of the name and nationality of the proposed subcontractor/sub-vendor for each item.

Items, Components, Raw Material, Services proposed to be sourced from Micro and Small Enterprises.

The variation and deviations from the requirements of the Conditions of Contract, Technical Specification and Drawings (excluding critical provisions as mentioned at clause 6.0 below) in your format enclosed with the Bidding Documents, including, inter alia, the cost of withdrawal of the variations and deviations indicated therein.

The details of Alternative Bids made by us indicating the complete Technical Specifications and the deviation to contractual and commercial conditions. (Not Applicable)

Manufacturer’s Authorisation Forms.

Guarantee Declaration.

Information regarding ex-employees of Employer in our firm.

Filled up information regarding Price Adjustment Data as per the format enclosed in the bidding documents.

Declaration regarding Social Accountability.

Integrity Pact, in a separate envelope, duly signed on each page by the person signing the bid

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

Additional Information.

Safety Pact

Declaration regarding Price Bid.

Declaration of Key Managerial Person jointly with Power of Attorney holder

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

Undertaking by the bidder regarding Compliance of DMI&SP policy - NOT APPLICABLE

Affidavit of Self certification regarding Domestic Value Addition in Iron & Steel Products

Compliance to the process related to the e-RA Terms & Conditions and the Business Rules governing the e-RA

Declaration by the Bidder regarding events encountered pursuant to ITB Clause 2.1

Certification by the Bidder per DoE Order in line with ITB Clause 2.1

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

Declaration by the bidder for Acknowledgement and Acceptance of ‘Supplier Code of Conduct’

Price Adjustment Data

Undertakings/Compliances

We are aware that, in line with Clause No. 27.1 (ITB), our 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 Attachment-4.

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 our bid.

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 shall be subject to Price adjustment during the execution of the contract in accordance with Appendix-2 (Price Adjustment) to the Contract Agreement.

We confirm that except as otherwise specifically provided our Bid Prices 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 4.0 above, in case of award on us, you shall also bear and pay/reimburse to us, GST in respect of Supply of Services by us to you, 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 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 Single Contract viz ‘First Contract’ for covering all the Services related to Civil & Electrical works (Supply of Services Contract).

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 immediately upon your Notification of Award to us, and to achieve the Completion of the Works 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 (One Hundred Eighty) Days from the date fixed for opening of bids 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.

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 conjuction with related notifications issued from time to time for such enterprises.

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.

We, hereby, declare that we, along with our associate/ collaborators/ sub-contractors/ sub-vendors/consultants/ service providers shall strictly adhere to the POWERGRID Whistle Blower and Fraud Prevention Policy. We, along with our associate / collaborator / subcontractors / sub-vendors / consultants / service providers shall observe the highest standard of ethics and shall not indulge or allow anybody else working in our organization to indulge in fraudulent activities during execution of the contract and would immediately apprise the Employer about any fraud or suspected fraud as soon as it comes to our notice.

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