SUPPLY OF BIG BAG UNLOADING SYSTEM

Complete Big Bag Unloading system as per specifications enclosed with the Material Requisition (Document No. TP-1P30A-ME-RFQ-0052).

Per Diem rate for Supervision Sevices of installation and commissioning / Performance testing / Training to Client personnel at site by the expert of OEM/ OEM’s representative as per details mentioned in material requisition for quoted items as per enclosed instructions to vendor Per Diem charges upto 8 hrs on normal working days. ( BIDDERS TO QUOTE UNIT RATE FOR DIEM CHARGES )

Unit rate for Supervision Services of installation and commissioning / Performance testing / Training to Client personnel at site by the expert of OEM/ OEM’s representative as per details mentioned in material requisition for quoted items as per enclosed instructions to vendor Overtime rate per hour (beyond normal 8 hours on normal working days). ( BIDDERS TO QUOTE OVER TIME RATE PER HOUR )

Unit rate for Supervision Sevices ofinstallation and commissioning / Performance testing / Training to Client personnel at site by the expert of OEM/ OEM’s representative as per details mentioned in material requisition for quoted items as per enclosed instructions to vendor Overtime rate per hour for work on weekly off days / holidays (as applicable to Refinery Site). ( BIDDERS TO QUOTE OVER TIME RATE PER HOUR )

Item Wise BoQ-2 for Supply of 2 yrs O&M Spares"

BoQ_Ver3.0

RFQ No: TP/0200663C/NRL/4019-0001/1261

Notes: Note- 1)This is BOQ-2 for Two year operation & maintance spare prices recommended by bidder. 2) Two years operational & maintenance spares shall not be considered for evaluation. 3) Vendor to indicate the recommended spare parts name & qty in item desceription below and furnish unit rate for the same. 4) The prices quoted for recommended two years operation and maintenance spares shall remain valid for Two (2) years from the date of LOA/PO whichever is earlier

Name of the Bidder/ Bidding Firm / Company :

PRICE SCHEDULE (This BOQ template must not be modified/replaced by the bidder and the same should be uploaded after filling the relevent columns, else the bidder is liable to be rejected for this tender. Bidders are allowed to enter the Bidder Name and Values only )

NUMBER #

2 years Normal operational & maintenance spares (as per vendor recommendation) for BOQ-1, item Sr No 1.0 (Spare no. - 1.01 (Mention the spare name and Qty in unpriced schedule)

Spare no. - 1.02 (Mention the spare name and Qty in unpriced schedule)

Spare no. - 1.03

Spare no. - 1.04

Spare no. - 1.05

Spare no. - 1.06

Spare no. - 1.07

Spare no. - 1.08

Spare no. - 1.09

Spare no. - 1.10

Spare no. - 1.11

Spare no. - 1.12

Spare no. - 1.13

Spare no. - 1.14

Spare no. - 1.15

Item Wise BoQ-3 for Built in Import Content"

BoQ_Ver3.0

RFQ No: TP/0200663C/NRL/4019-0001/1261

Notes:( BOQ for Built in Import Content) 1. Please submit details in this BOQ-3 as per the detials mentioned in point no-10 of SPC ( Special Purchase Conditions). 2. Lumpsum CIF value of Import Content should be quoted considering Merit Rate only. 3. These values will not be part of price evaluation

Name of the Bidder/ Bidding Firm / Company :

PRICE SCHEDULE (This BOQ template must not be modified/replaced by the bidder and the same should be uploaded after filling the relevent columns, else the bidder is liable to be rejected for this tender. Bidders are allowed to enter the Bidder Name and Values only )

NUMBER #

Complete Big Bag Unloading system as per specifications enclosed with the Material Requisition (Document No. TP-1P30A-ME-RFQ-0052).

Please Enable Macros to View BoQ information

Annexure -2

SPECIAL TERMS & CONDITIONS OF THE TENDER

Type of Bid

Preferred delivery

Performance Bank Guarantee

Earnest Money Deposit

Third Party Inspection

Evaluation criteria:

Integrity Pact Agreement

Sample

Annexure -1

Instruction to fill the format below-

Bidders to fill the format below( white cells) and submit with their offer. Please note that submission of this declaration is mandatory,otherwise offer shall be liable for rejection.

COMPLIANCE TO REQUIREMENT OF TENDER DOCUMENTS

[To be submitted by the bidder as a sheet of "Bid_Documents" in the Un-Priced Bid (Technical Bid) , otherwise the Offer shall be liable for rejection]

It is hereby declared that we have read and understood the entire tender documents available on CPP e-tender portal https://eprocure.gov.in/eprocure/app under-

Tender Reference Number

We hereby agree to fully comply with, abide by and accept without variation, deviation or reservation all technical, commercial and other condition whatsoever of the Bidding Documents including all Addenda / Corrigenda / Clarifications issued.

Any and all deviations, variations, objections or reservations whatsoever hereto set out, given or indicated in our offer, clarifications, correspondence, communications, or otherwise stands null and void.

We further, 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 XYZk 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 Order is placed /Contract is awarded to us, the complete tender document shall be considered for constitution of Order / Contract Agreement.

Offer Reference No. with date.

Bidder's Name

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

Address

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ACKNOWLEDGEMENT OF TENDER

Tender Reference Number

Offer Reference No. with date.

Bidder's Name

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

Address

Dear Sir, We acknowledge receipt of your above referred TENDER and confirm that ( CHOOSE THE APPLICABLE OPTION):

If regret to quote, reason:

Thanking you,

Yours faithfully

(Authorized Signatory)

Annexure -1 (a)

AGREED TERMS & CONDITIONS (ATC) - INDIGENOUS

Tender Reference Number

Notes:

1) Bidders to fill the format below (white cells) and submit with their offer. Please note that submission of this declaration is mandatory, otherwise offer shall be liable for rejection. All Annexures all mandatory to be submitted, else offer shall be liable for rejection. 2) This workbook is protected, except for cells where comments/confirmation is to be given by bidder. 3) Bidder is advised not to unprotect/tamper the sheet/ alter the terms mentioned in the sheet. 4) Any alteration to terms mentioned by NRL will be considered as tampering and bidder's offer shall be liable for rejection. 5) Bidders are advised to only fill the unprotected cells (white cells) by dropdown or writing the comments as applicable as their confirmation . Failure on the part of bidder in not returning this duly filled-up questionnaire with all the sets of unpriced quotation and/or submitting incomplete replies may lead to rejection of bidder’s quotation. 6) All the commercial terms and conditions shall be indicated by Bidder in this format only and nowhere else in his quotation. However, in case the space for Bidder’s reply is not sufficient against a particular question, the Bidder shall furnish same by way of separate annexure/sheet attached to this questionnaire, indicating cross-reference of respective clauses. 7) DEVIATIONS: Please provide technical / commercial deviations only in the Annexure captioned "Deviation Statement (Technical/Commercial)". Any deviations/notes/ comments/etc. given elsewhere in the Offer other than the Annexure "Deviation Statement (Technical/Commercial)" shall be null & void. 8) This is document needs to be submitted along with Un-Priced Bid (Technical Bid), Otherwise the Offer Shall be liable for Rejection.

Offer Reference No. with date.

Bidder's Name

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

Address

INCOTERM

COMMERCIAL TERMS:- Please Note if bidder does not mention anything against the below commercial terms, the same shall be considered as “nil” and no further confirmation from Bidder shall be sought. Evaluation and ordering shall be done considering commercial terms (charges) as Nil.

APPLICABLE TAXES:-

COMMERCIAL LOADING :- Please note if bidder does not confirm acceptance for following terms as per tender then loading shall be done against following serial numbers as per ITB & this ATC read together or Offer may be rejected .

PAYMENT TERM: Please confirm acceptance to payment terms as per ITB. Initial Advance payment along with order is not acceptable. However, progressive payment as specified in the Commercial Terms enclosed on achievement of specific milestones (under applicable payment terms) shall be against equivalent Advance Bank Guarantee as per NRL format along with GST Invoice for all payments before despatch.

Contract Performance Security (CPS) / Warranty Bank Guarantee (WBG):- Please confirm that you will furnish Contract Performance Security (CPS) / Warranty Bank Guarantee (WBG) as per ITB. 1st Milestone payment shall be released only after receipt of CPS (wherever applicable) and manufacturing schedule. The CPS should be sent to us directly by your Banker and the bank should confirm regarding issue of BG on enquiry by NRL.

Please Note:- In case of non acceptance of the CPS / WBG , DAP Site price shall be loaded as per ITB.

PRICE REDUCTION SCHEDULE DUE TO DELAY IN DELIVERY :- As per GPC clause 15, In case of delay in execution of the order, NRL may at its option, recover from thevendor price reduction of 0.5% of the value of delayed goods per week of delay or part thereof subject to a maximum of 5% of the total order value of goods.

DELIVERY PERIOD AND TIME PERIOD FOR SITE WORK:- Wherever MR contains packages/ equipment/Site work, delay for delivery shall be applicable for total order value (i.e., half percent (0.5%) of the Total Order Value (TOV) for every week of delay or part thereof, limited to a maximum of Five percent (5%) of the Total Order Value (TOV)

Confirm that the goods shall be Guaranteed/Warrantied as per Clause 10 of GPC, unless otherwise specifically mentioned in the Tender Documents.

Part Order: i. Acceptance of Part Order clause without any value / quantity limitation ii. Any charges quoted extra as lumpsum (like IBR, Testing, freight, etc.) shall be applicable prorata on value basis in the event of part order / part quantities / split order.

Repeat Order: Confirm acceptance of Repeat Purchase order(s) as per NRL's requirement as stated in GPC & ITB read together, with the same rate and terms & conditions within 6 months from the date of original Purchase Order. Note: Acceptance of Repeat Order does not guarantee Repeat Ordering and is not a part of evaluation.

EARNEST MONEY DEPOSIT (EMD):-

GOVT OF INDIA POLICIES :-

Public Procurement Policy for Micro & Small Enterprises (MSEs) Order, 2012

Startup Bidder

Purchase Preference linked with Local Content

DOMESTICALLY MANUFACTURED ELECTRONIC PRODUCTS (DMEP)

DOMESTICALLY MANUFACTURED IRON & STEEL PRODUCTS (DMI&SP)

Restrictions for bidders from countries which share land border with India

Confirm the Compliance of restrictions for bidders from Countries which share land border with India, as per Annexure-3 of ITB.

VALIDITY OF OFFER:-

IN CASE OF CHEMICALS:-

Certificate of Analysis (COA) will be sent along with consignment MSDS will be sent along with consignment Bidder to confirm that MSDS accompanies the consignment for incoming chemical material to Refinery / Project Site. Please confirm MSDS for return of empty cylinders will be same as that of incoming material

If Cylinder is used as mode of packing as per Tender Requirement: Please confirm rent-free period of cylinders as per tender conditions.

If Cylinder is used as mode of packing as per Tender Requirement: Please indicate per day per cylinder rent after expiry of offered rent-free period

OTHER DETAIL:-

Please confirm that the Shelf Life as sought in Technical Specification is complied with

If no Shelf Life Clause is stated in Technical Specification, please indicate the same

Confirm that sample as required is submitted & submission proof of Tender Sample as per requirement in Technical section is attached.

Please note that the best prices are given strictly as per Price BOQ

Please note that you will dispatch the materials on “Freight paid basis” by NRL / Bank approved Transporter having delivery office at Refinery location. Pl. note & confirm.

Transit risk insurance shall be covered by the Owner against their MCE (Marine cum Erection) Policy and the same shall not be included in the quoted prices.

Please note that unless otherwise specified, part dispatches will not be allowed and Bidder has to supply materials in one lot.

Please note that all relevant Third Party Inspection Release Notes, IBR Certificate, Test Certificates etc. (as applicable) shall be submitted along-with the dispatch documents & supplied materials.

Please confirm acceptance the following in toto. Bidder is not required to submit soft/ hard copy of them. a) NIT b) General Purchase Conditions (GPC) c) Instructions to Bidder (ITB) d) Terms & Conditions for supervision of Erection, Testing & Commissioning for Indigenous Bidders ( if applicable ) e) Terms & Conditions for Site Work / HSE ( if applicable ) f) Integrity Pact ( if applicable ) g) Special Purchase Conditions (SPC) ( if applicable )

DECLARATION:- Whether any of the Directors of BIDDER is a relative of any Director of Owner or the BIDDER is a firm in which any Director of Owner or his relative is a Partner or the BIDDER is a private company in which any director of Owner is a member or Director.

Please confirm that you have not been banned or de-listed or Holiday/ Suspension/ banning list of or Black Listed by the EPCM/PMC Consultant for the job/ NRL. If you have been banned, then this fact must be clearly stated. Confirm that the Proforma Of Declaration Of Black Listing / Holiday Listing has been attached

Bidder confirms that they are not under liquidation, insolvency, court receivership or similar proceedings.

Deviations to Terms & Conditions shall lead to loading of prices as per Commercial Terms of TENDER or rejection of offer. Please confirm acceptance.

Please confirm submission of details, documents self-certifications and declarations for meeting Net Worth condition as per ITB ( if applicable )

CIF VALUE

BIDDER INPUTS :-

In case of any conflict in the terms mentioned in this Agreed Terms and Conditions (ATC) and elsewhere in the Offer, the terms indicated in ATC shall supersede. However, in case any heirarchy is defined elsewhere in the tender documents then the heirarchy shall prevail in case of any conflict in terms and conditions. Printed terms and conditions, if any, appearing in quotation, shall not be applicable in the event of order. In case of contradiction between the confirmations given above and terms & conditions mentioned elsewhere in the offer, the confirmation given above in this ATC shall prevail.

UNDERTAKING-

We confirm that we have filled ATC indigenous as per sheet "BID DOCUMENTS" of this XL file. I, _____________________ , working as CEO/CFO/Company Secretary/ __________________________ (indicate, as applicable) of the Company _______________________________ certify that all the details including Information above ATC are true, authentic, genuine and it is certified. Signature & Stamp

Annexure-1

DEVIATIONS STATEMENT- TECHNICAL

Tender No.

Bidder's Name

Offer Ref No.

The bidder confirms that: Following are the only deviations to the technical terms and conditions if considered unavoidable . Bidder also confirms that any deviation taken anywhere else in the offer shall be considered as invalid.

No Deviations

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Annexure-2

DEVIATIONS STATEMENT- COMMERCIAL

Tender No.

Bidder's Name

Offer Ref No.

The bidder confirms that: Deviations taken in Agreed Terms & Conditions, if any, and the below are the only deviations to the commercial terms and conditions, if considered unavoidable. Bidder also confirms that any deviation taken anywhere else in the offer shall be considered as invalid.

No Deviations

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Annexure -5

DECLARATION CUM UNDERTAKING ON MICRO & SMALL ENTERPRISES STATUS

Instruction to fill the format below-

Bidders to fill the format below( white cells). MSE bidders who do not fill this declaration may not be considered for any benefits applicable for MSEs as per the Tender Conditions for Benefits/Preference for Micro & Small Enterprises (MSEs) Important Note: 1. Bidders registered as MSE in “ Service Category “ are not eligible for EMD exemption as well as Purchase preference for material procurement tenders. 2. Bidders participating in a tender as “trader” are not eligible for EMD exemption as well as Purchase preference for material procurement tenders. 3. Bidders participating in a tender as a manufacturer but MSE certificate does not include the tendered item shall be eligible for only EMD exemption for material Procurement tenders. 4. Bidders participating in a tender as a manufacturer and MSE certificate includes the tendered item shall be eligible for EMD exemption as well as purchase preferance for material Procurement tenders.

MICRO & SMALL ENTERPRISES STATUS

We are participating as a manufacturer but MSE certificate does not include the tendered item

We are participating as a manufacturer and MSE certificate includes the tendered item

We know that IOCL in its capacity has full right to cross check the authenticity and validity of the MSE certificate submitted by us, and if it is found that there is any misrepresentation of facts by us, IOCL has a right to take actions against us including but not limited to putting us on holiday list, and rejection of our offer etc.

Tender Reference Number

Offer Reference No. with date.

Vendor's Name

Authorised Person's Name (s):

Designation

Email ID (s)

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Annexure - 3 : FORM A

DECLARATION FOR COMPLIANCE OF RESTRICTIONS FOR BIDDERS FROM COUNTRIES WHICH SHARE LAND BORDER WITH INDIA (On Company Letterhead)

To, CGM (Commercial) Numaligarh Refinery Limited Numaligarh, Assam.

Sub: Certificate of Compliance

Bidder's Name:

Job Name:

Tender No. :

(A) “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”.

(B) Or, if from such a country, has been registered with the Competent Authority. I hereby certify that this bidder fulfills all requirements in this regard and is eligible to be considered. [If applicable, evidence of valid registration by the Competent Authority shall be attached.]

(A) “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 and will not sub-contract any work to a contractor from such countries unless such contractor is registered with the Competent Authority.”

(B) 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. [If applicable, evidence of valid registration by the Competent Authority shall be attached.]

(A) "I have read the clause regarding restrictions on procurement from a bidder having Transfer of Technology (ToT) arrangement. I certify that this bidder does not have any ToT arrangement requiring registration with the competent authority."

(B) "I have read the clause regarding restrictions on procurement from a bidder having Transfer of Technology (ToT) arrangement. I certify that this bidder has valid registration to participate in this procurement." [If applicable, evidence of valid registration by the Competent Authority shall be attached.]

Tender No.

Bidder's Name

Offer Ref No.

Authorised Person's Name (s):

Designation

Email ID (s)

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Annexure- 4 " Unpriced BOQ"

Tender No.

Vendor's Name

Offer Ref No.

Note: 1: bidders are requested to selcet from dropdown mentiong "Quoted" or "Not Quoted" in each cell, if bidder not selcted anything from quoted or not quoted same shall be considered as not quoted ietms & evaluation shall be done accordingly

UNPRICE SCHEDULE (This BOQ template must not be modified/replaced by the bidder and the same should be uploaded after filling the relevent columns, else the bidder is liable to be rejected for this tender. Bidders are allowed to enter the Bidder Name and Values only )

Complete Big Bag Unloading system as per specifications enclosed with the Material Requisition (Document No. TP-1P30A-ME-RFQ-0052).

Per Diem rate for Supervision Sevices of installation and commissioning / Performance testing / Training to Client personnel at site by the expert of OEM/ OEM’s representative as per details mentioned in material requisition for quoted items as per enclosed instructions to vendor Per Diem charges upto 8 hrs on normal working days. ( BIDDERS TO QUOTE UNIT RATE FOR DIEM CHARGES )

Unit rate for Supervision Services of installation and commissioning / Performance testing / Training to Client personnel at site by the expert of OEM/ OEM’s representative as per details mentioned in material requisition for quoted items as per enclosed instructions to vendor Overtime rate per hour (beyond normal 8 hours on normal working days). ( BIDDERS TO QUOTE OVER TIME RATE PER HOUR )

Unit rate for Supervision Sevices ofinstallation and commissioning / Performance testing / Training to Client personnel at site by the expert of OEM/ OEM’s representative as per details mentioned in material requisition for quoted items as per enclosed instructions to vendor Overtime rate per hour for work on weekly off days / holidays (as applicable to Refinery Site). ( BIDDERS TO QUOTE OVER TIME RATE PER HOUR )

2 years Normal operational & maintenance spares (as per vendor recommendation) for BOQ-1, item Sr No 1.0 (Spare no. - 1.01 (Mention the spare name and Qty in unpriced schedule)

Spare no. - 1.02 (Mention the spare name and Qty in unpriced schedule)

Spare no. - 1.03

Spare no. - 1.04

Spare no. - 1.05

Spare no. - 1.06

Spare no. - 1.07

Spare no. - 1.08

Spare no. - 1.09

Spare no. - 1.10

Spare no. - 1.11

Spare no. - 1.12

Spare no. - 1.13

Spare no. - 1.14

Spare no. - 1.15

Annexure -5: FORMAT - 2C" Declaration of Minimum Local Content (item wise) (Applicable for Multiple Item Splitable Tender)"

( ON BIDDERS LETTER HEAD)

Tender No.

Vendor's Name

Offer Ref No.

BOQ Sl. No.

Complete Big Bag Unloading system as per specifications enclosed with the Material Requisition (Document No. TP-1P30A-ME-RFQ-0052).

Offer Reference No. with date.

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

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Annexure -6: PROFORMA FOR SELF DECLARATION OF DEBARMENT /BLACK-LISTING / HOLIDAY LISTING & ALLIED FIRMS

SELF DECLARATION OF DEBARMENT / BLACK LISTING / HOLIDAY LISTING

I/We hereby declare that I am / we are currently not serving any holiday listing/ black-listing/ debarment orders issued by Numaligarh Refinery Limited (NRL) or Ministry of Petroleum & Natural Gas (MoPNG) debarring me/us from participation in tendering or carrying on business dealings with NRL / MoPNG. I/We understand that bids from the bidders who are on holiday list by NRL or MoPNG will not be considered. It is understood that any wrong declaration in this context shall make me / my agency / company liable for action under Holiday Listing procedure of NRL Note: “Ministry of Petroleum & Natural Gas (MoPNG)” is the Administrative Ministry of NRL and the term in this context shall mean the ministry itself and not the other PSUs or Departments under it.

DECLARATION OF ALLIED FIRMS OF THE BIDDER

I/We hereby declare that following are my/our allied firm(s) (as defined in NRL’s holiday listing policy)::- Name(s), PAN and GST number(s) of our allied firms are as follows:- Sl. No. Name of Allied Firm PAN GSTN 1. 2. 3. 4. is understood that in case of debarment of me / my agency / company by NRL, the debarment shall be automatically extended to my/our allied firms.

Note: Please refer NRL’s current “Policy for Holiday listing/ Banning/ Debarring of Contractors/ Suppliers” available in NRL website www.nrl.co.in for details. [www.nrl.co.in → Tenders → Download Manuals → Holiday Listing Policy]

Offer Reference No. with date.

Vendor's Name

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

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GST REGISTRATION DETAILS

Name of the Vendor as registered:

Vendor Code with IOC

Address

ANNEXURE-7

FORM 10F

[See sub-rule (1) of rule 21AB]

Information to be provided under sub-section (5) of section 90 or sub-section (5) of section 90A of the Income-tax Act, 1961

in the capacity of

following information, relevant to the previous year

*in my case/in the case of

section 90/section 90A:-

F.NO.142/16/2013-TPL]/SO 2331(E)

2. I have obtained a certificate to in sub-section (4) of section 90 of sub-section (4) of section 90A from

the Government of

specified territory outside India)

Permanent Account Number:

Verification

and belief what is stated above is correct complete and is truly stated.

Verified today the

Notes:

1. *Delete whichever is not applicable.

2. #Write N.A. if the relevant information forms part of the certificate referred to in sub-section (4) of section 90 or sub-section (4) of section 90A.

Offer Reference No. with date.

Vendor's Name

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

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ANNEXURE-8

VENDOR BANK DETAILS

To M/s Numaligarh Refinery Limited NRP Complex, NRL site, Numaligarh, Golaghat, Assam-785699

Dear Sir, With reference to the P.O. / W.O / Contract if awarded to us by NRL against this tender, we hereby give our consent to accept the related payments of our claims/ bills on NRL through Cheques or Internet based online E-payments system at the sole discretion of NRL. Our Bank account details for the said purpose is as under:

I/We hereby declare that the particulars given above are correct and complete.

Encl.: (1) One cheque / photocopy of cheque duly cancelled relating to the above account (2) copy of PAN Card duly attested by authorized signatory (3)Certificate of Incorporation with CIN details

Notes:

1. Verification from your bank on the above bank details required only in case : (a) Vendors not providing a cancelled cheque leaf or if vendors name is not printed / appearing on the cancelled cheque leaf submitted to NRL Office. (b) Change in existing bank details.

Offer Reference No. with date.

Vendor's Name

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

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ANNEXURE-09

Declaration by the bidders regarding non-tampering of tender documents

Tender No.

Vendor's Name

Offer Ref No.

We hereby declare that none of the tender documents have been tampered with. In case of tampering of tender documents, the bid shall be rejected outright and EMD forfeited without prejudice to any other rights or remedies available to NRL.

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

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ANNEXURE-10

Contact Details of Vendor

Tender No.

Vendor's Name

Offer Ref No.

Authorised Person's Name (s):

Designation

Email ID (s)

Mobile No. (s)

Tel. No. (s)

Fax No.

Please fill up the details below:

Designation

CEO / CMD

Country Manager

Area Manager

Marketing Manager

Sales – Head

Contact Person(s) for this Tender

Note: 1. Designations are indicative only. Actual designations may please be mentioned. 2. All the concerned persons in the hierarchy must appear in the above list. 3. In case of multiple phone nos., mobile nos., e-mail IDs, the same may also please be given

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ANNEXURE-11

PEROFORMA FOR DECLARATION ON NCLT / NCLAT /DRT /DRAT/ COURT RECEIVERSHIP/ LIQUIDATION

Tender No.

Vendor's Name

Offer Ref No.

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

Choice

(i) I / We am/are not undergoing insolvency resolution process or liquidation or bankruptcy proceeding as on date.

(ii) I / We am/are undergoing insolvency resolution process or liquidation or bankruptcy proceeding as on date as per details mentioned below. (Attached detail with technical bid)

It is understood that if this declaration is found to be false, NRL shall have the right to reject my/our bid, and forfeit the EMD. If the bid has resulted in a contract, the contract will be liable for termination without prejudice to any other right or remedy (including black listing or holiday listing) available to NRL.

Place:

Name of Signatory :

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ANNEXURE - 12

Bidder Qualification Criteria

Details of documents submitted against Tender "Bidder Qualification Criteria"

Tender No.

Vendor's Name

Offer Ref No.

In addition to above bidder to ensure submission of compliance statement with all necessary documents for meeting any other Technical BQC of NRL tender document ( as applicable)

BQC Commercial -Experience- NOT APPLICABLE

BQC Commercial-Financial ( Turnover )

Net Worth Requirement

Working Capital

ANNEXURE-13

DECLARATION FORM FOR AVAILING PURCHASE PREFERENCE

Tender No.

Vendor's Name

Offer Ref No.

We confirm that our offer is in compliance to Policy to provide purchase preference (linked with local content) as per the provision of enquiry.

Please clarify whether the bidder is a Class-I Local Supplier OR a Class-II Local Supplier or Non-Local Supplier.

Bidder confirm that the bidder meets the minimum Local content requirement as specified for Class-I or Class–II local supplier specified for claiming Purchase Preference under policy to purchase preference (linked with local content).

**Mention the percentage of local content in the bid. ** Incase of Multiple Item Splitable Tender, bidder must indicate % of Min. LC item-wise as per format 2C enclosed with the tender

We confirm that we have submitted the requisite documents, as per the PP-LC policy enclosed in the bidding document, to establish our status as Class-I or Class –II local supplier, as applicable.

In case order is placed on us, we hereby declare to submit Local Content Certificate along with each Invoice raised in line with the Min Local Content declared by us in our offer against the tender.

Whether bidder is an MSE bidder

a) While evaluating the bids, the order of precedence shall be as under: 1. MSE bidder (PPP-2012) 2. Class-I Local supplier (as per PP-LC Policy) b) This undertaking shall be certified by the authorized signatory of the bidder having the Power of Attorney.

ANNEXURE-14

Net Worth Details

Tender No.

Vendor's Name

Offer Ref No.

A. AUDITED ANNUAL TURNOVER REPORTS FOR THE LATEST FINANCIAL YEAR

lsn@n(mailto:lsn@n塹ᴻ䡿ⲯ嶂藄挧ꮥ)

B. ENCLOSE AUDITED ANNUAL AND PUBLISHED FINANCIAL STATEMENTS (INCLUDING AUDITOR’S REPORT, BALANCE SHEET, PROFIT & LOSS ACCOUNT STATEMENT AND ALL OTHER SCHEDULES) FOR THE PRECEDING FINANCIAL YEAR

Net worth Calculation: Net worth means paid up share capital, Share Application Money pending allotment* and reserves # less accumulated losses and deferred expenditure to the extent not written off. # Reserves to be considered for the purpose of net worth shall be all reserves created out of the profits and securities premium account but shall not include reserves created out of revaluation of assets, write back of depreciation and amalgamation. *Share Application Money pending allotment will be considered only in respect of share to be allotted.

Accordingly, the definition of net worth shall be as follows:

Paid up share capital

Add: Share Application Money pending allotment

Add: Reserves (As defined Above)

Less: Accumulated Losses

Less: Deferred Revenue Expenditure to the extent not written off

Net worth

ANNEXURE-15

FORMAT OF BID SECURITY DECLARATION FROM BIDDERS IN LIEU OF EMD

( ON BIDDERS LETTER HEAD)

Email:

Vendor’s Ref. No.:

Attention:

Subject :

Numaligarh Refinery expansion project

Dear Sir, I /We , the authorized signatory of M/s _________________________________ , Participating in the subject Tender No. _______________________________ for the job of _________________________________________________________, do hereby declare that

i.) that I / We have availed the benefits of waiver of EMD while submitting our offer against Tender and No EMD being deposited for the said Tender.

ii )That in the event we withdraw / modify our bid during the period of validity, OR I / We fail to execute formal contract agreement with in the given time line , OR I We fail to submit a performance security agreement within the given timeline, OR I /We commit any other breach of Tender Conditions / Contract which attracts penal action of forfeiture of EMD and I We will be suspended from being eligible for bidding / award of all future contract ( s) of Numaligarh Refinery Limited(NRL), Golaghat for a period of one year from the date of committing such breach.

Thanking you,

Yours faithfully

(Authorized Signatory)

Designation:

Company name, address and Seal:

Fax no.:

E mail :

Mobile no.:

ANNEXURE-16

Confirmation/Documents from vendors for availing EPCG benefits

Tender Ref.:

Vendor’s Ref. No.:

NRL shall be availing Export Promotion of Capital Goods (EPCG) benefits under Foreign Trade Policy on the procurements to be made for Numaligarh Refinery Expansion Project (NREP). For availment of aforesaid benefits, NRL shall be required to submit certain information/documents/confirmation to Director General of Foreign Trade (DGFT) for obtaining the EPCG authorization and its invalidation. Accordingly, vendor(s) is/are to provide the following required information/documents/confirmation within 15 days from receipt of Letter of Acceptance (LOA):

I. Documents required immediately on issue of PO: a) Pro-forma Invoice as per approved billing break-up (BBU) only–To be prepared by showing Goods and Spare Parts item-wise separately with HSN code, Product Description, Units, UoM & PO reference etc. Production description in the Tax Invoice and Proforma Invoice should be as per the description with tag number given in NRL PO issued to your organization. Also note that proforma invoice shall be in line with billing break-up wherever applicable. b) Copy of your active Import Export Code (IEC) and GSTIN c) Your Jurisdictional Regional Authority address (DGFT Regional Authority Address) d) Copy of Your IEM (Industrial Entrepreneur Memorandum)/IL (Industrial License) or Udyam Registration Certificate

II.Documents required immediately on delivery of goods at NRL Site after receipt of EPCG License and Invalidation Letter from NRL: a) Tax Invoice on delivery of goods with declaration in the tax invoice that “This supply is against EPCG authorization number: xxxxx and date: xx/xx/xxxx” having invalidation No. xxxx dated xx/xx/xxxx. Your tax invoice should be in line with the invalidation letter, Proforma Invoice and approved BBU. b) Copy of GSTR 1 and GSTR 3B declaring that the supply to NRL is under deemed export category. c) An undertaking to the effect that the supplier (your company) has paid the GST charged in the relevant tax invoice and will not be claiming refund of said GST charged in aforesaid tax invoice.

III. Built in Import content exist in Domestic PO: Supplier/Vendor has to declare import line items by showing the particulars such as currency of import, country of origin, description of capital goods, value of capital goods, HSN code & the country of supply etc. separately in the proforma invoice (referred in sl. no. ‘I’) and import the capital goods against EPCG license at zero customs duty including IGST & SWC. In such an arrangement, vendor has to enter into a high sea sale agreement with NRL. Alternatively, supplier can import the built-in import content by obtaining advance authorisation from its jurisdictional DGFT office against the EPCG license to be provide by NRL.

It is to be noted that in the absence of above said documents/undertakings, DGFT will not process EPCG application and therefore NRL will not get EPCG license against your supply. If, NRL sustains loss of the benefits so envisaged under EPCG scheme against your above supply due to non-receipt of documents/undertaking from your end, the same shall be passed on to you against the amount payable by NRL.

We hereby comply with above terms and confirmed submision of required document.

Company name, address and Seal:

Fax no.:

E mail :

Mobile no.: