ROAD TRANSPORTATION OF BULK PETROLEUM PRODUCTS - BLACK OIL, Ex LOCATION - HALDIA REFINERY TERMINAL.

Haldia Refinery Terminal for 16MT and above Category

FDZ Rate in Rs. Per MT

BFDZ (RS/MT/KM)

Please Enable Macros to View BoQ information

Subject:

Tender Ref. No.:

e-Tender ID:

Bidder/Firm/Company Name:

Name of DSC User for the subject Tender:

Son/Daughter of DSC User for the subject Tender:

PT (N/A) :: 100 Lakhs & More with BSD

PT (N/A) :: 100 Lakhs & More without BSD

PT (N/A) :: Less than 100 Lakhs with BSD

PT (N/A) :: Less than 100 Lakhs without BSD

PT :: Empanelment

POL :: Black Oil with BSD

POL :: Black Oil without BSD

POL :: MS/HSD with BSD

POL :: MS/HSD without BSD

POL :: ATF with BSD

POL :: ATF without BSD

LPG :: Packed Cylinder with BSD

LPG :: Packed Cylinder without BSD

CREDENTIAL SHEET

BASIC DETAILS

Name of the Firm / Company

Category i.e. “MSE-WOMEN” / “MSE-SC” / “MSE-ST” / “MSE-GEN” / “SC” / “ST” / “GENERAL” applied

Name of the person who's DSC is being used for digital signing as per IT ACT 2008

Power of Attorney Issued to [Other than "Proprietary Concern"]

Contact Nos. (Phone, Mobile)

e-Mail Address for correspondance

Address for Correspondence

PQC DOCUMENTS

"Valid RTO Registration Certificate (Form 23/23A)" - For each ready TTs offered

"Purchase Invoice for each of the Chassis offered" - For each TT offered

"Booking Slip offered by SC/ST / MSE-SC/ MSE-ST Tenderer" - For each TT offered

OTHER MANDATORY DOCUMENTS

Document(s) to establish the business entity

(Attachment-1) - On Non-Judicial Stamp Paper Undertaking by the tenderers on blacklisting or holiday listing

(Attachment-2) - On Non-Judicial Stamp Paper Affidavit/s from the owners of the attached TTs

(Attachment-4) SC / ST Certificate

(Attachment-5) - On Non-Judicial Stamp Paper General irrevocable power of attorney

(Attachment-10) - On Letter Head Integrity Pact Agreement with covering letter

(Attachment-12) - On Non-Judicial Stamp Paper Undertaking by Tenderer on ABS, VTS, Locking system, Overspill sensor HSRP

PAN No.

"No Objection Certificate (NOC)", if applicable, to be submitted On Issuer Letter Head

Certification by the statutory auditor/ Cost auditor/ practicing Chartered Accountant

Various Declarations / Undertakings as per Excel Sheet

CONFIRMATION ON APPLICABILITY OF “MICRO, SMALL AND MEDIUM ENTERPRISES DEVELOPMENT ACT, 2006 (MSMED ACT 2006)”

We confirm that provisions of “Micro, Small and Medium Enterprises Development Act 2006 (‘MSMED’) are applicable to us and our organization falls under the definition of

Valid document / certificate (indicating registration no.) of being a Micro / Small / Medium Enterprises are enclosed

Tendered item is covered in registration / certificate

Classification Year as per "UDYAM REGISTRATION CERTIFICATE"

Udyam Registration Number

DECLARATION

I/We confirm that neither tenderer nor any Tank Truck (TT) offered are blacklisted by any Oil company as on due date of tender (closing).

I/We confirm that neither tenderer is convicted nor any Tank Truck(s) offered is/are involved in crime/litigation as on due date of tender (closing), which would render the performance of any obligation impossible in case, the contract is awarded to us.

I/We confirm that rates offered by us shall remain valid for acceptance by you up to 240 days from the date of opening of this tender.

DETAILS OF TT(s) OFFERED

READY TT(s)

Month

TT(s) WITH PURCHASE INVOICE OF CHASSIS

TT(s) WITH BOOKING SLIP (IN CASE OF SC/ST/MSE-SC/MSE-ST)

ANNEXURE – A ACCEPTANCE OF ALL TERMS & CONDITIONS OF TENDERER

Tender Ref. No.:

e-Tender ID:

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

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

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

Tender Ref. No.:

e-Tender ID:

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

I/We undertake to notify to IOCL immediately and no later than one (1) working day therefrom, in a written form along with copy of the relevant petition, once a petition for initiation of insolvency process (CIRP)/ liquidation/ bankruptcy proceedings is filed against us/me, and also upon admission or dismissal of such petition by the NCLT or any other competent authority and the appeal proceedings, if any.

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

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

Tender Ref. No.:

e-Tender ID:

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

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

ANNEXURE – D UNDERTAKINGS AND DECLARATIONS FOR NON TAMPERING OF DATA

Tender Ref. No.:

e-Tender ID:

• 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

Tender Ref. No.:

e-Tender ID:

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'

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.

Tender Ref. No.:

e-Tender ID:

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

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

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

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

Name of the Person

Post last held in IOC

Date of Retirement

Date of employment in the firm of Tenderer

ANNEXURE – G UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS

Tender Ref. No.:

e-Tender ID:

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

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

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

ANNEXURE – H PARTICULARS OF BIDDER FIRM

Tender Ref. No.:

e-Tender ID:

ANNEXURE – I UNDERTAKING ON NO MULTIPLE BIDDING

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

a) A person shall be deemed to have submitted multiple bids if he submits more than one bid either individually or in any combination of person. A person shall for this purpose mean an individual, proprietor, any partner, association of persons, affiliate, company, etc.

b) A company shall for this purpose include any artificial person whether constituted under the laws of Indian or of any other country.

c) A person shall be deemed to have bid in a partnership format or in association of persons format if he is a partner of the firm which as submitted the bid or is a member of any association of persons which has submitted a bid.

d) A person shall be deemed to have bid in a Company format if, the person holds more than 10% (ten percent) of the voting share capital of the company which has submitted a bid or is a Director of the Company which has submitted a bid or holds more than 10% (ten percent) of voting share capital and/or is a Director of a holding Company which has submitted the bid.

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

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

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

Tender Ref. No.:

e-Tender ID:

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

Minimum 50% (>=50%)

Deemed Class-II Local Supplier

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

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

ANNEXURE – K BID SECURITY DECLARATION FROM BIDDERS IN LIEU OF EMD

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

I / We withdraw / modify our bid during the period of bid validity

I / We commit any other breach of tender conditions / contract which would have otherwise attracted forfeiture of EMD

I / We fail to / refuse to initiate the execution of the awarded Contract as per the terms of the Contract

then I / We could be debarred from being eligible for bidding / award of all future tender(s) of Indian Oil Corporation Limited for a period of SIX months from the date of communication of such debarment.

I/We agree that the above shall be without prejudice to the any other rights /remedies available to Indian Oil Corporation Limited under the Tender and/or law.

ANNEXURE – 14 (1) DECLARATION AGAINST SAFETY VIOLATION

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

Tender Ref. No.:

e-Tender ID:

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 'Proprietary Concern'

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 Name

ANNEXURE – A

ANNEXURE – B

ANNEXURE – C

ANNEXURE – D

ANNEXURE – E

ANNEXURE – F

ANNEXURE – G

ANNEXURE – H

ANNEXURE – I

ANNEXURE – J

ANNEXURE – K

ANNEXURE – 14 (1)