Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

Checklist for Bid Submission

1 Certificate regarding Constitution of firm/ Certificate of Incorporation To be submitted in Soft Copy.

2 First Envelope and Bid Form Duly Filled Excel Sheet of 1st Envelope and Bid Form to be uploaded in Soft Copy along with Bid. To be submitted in Soft Copy.

3 Power of Attorney (POA) Duly notarized (on Stamp Paper of requisite value), indicating that the person(s) signing the bid has(ve) the authority to sign the bid In case of bid submitted by a Joint Venture of two or more firms as partners, if allowed as per stipulated Qualification Requirements in Annexure-A (BDS), bidder shall submit- Power of Attorney for Joint Venture and Joint Venture Agreement as per given format under section-vi, vol-i of bidding docuemnts. Submission of Hard copy in ‘Original’ and uploading of Scanned Copy

4 Affidavit of Proprietorship (applicable only for proprietorship firm) Duly notarized (on Stamp Paper of requisite value) Submission of Hard copy in ‘Original’ and uploading of Scanned Copy

5 Tender Fees/ Cost of Bid Documents Tender Fee deposited online through POPU as per bidding documents (in case of Demand Draft, The tender fee shall be in favour of Power Grid Corporation of India Limited payable at Itanagar) Submission of Hard copy in ‘Original’ and uploading of Scanned Copy or in case of online payment, uploading of Scanned Copy

6 MSE Status Certificate (if applicable) Udyam Registration Registration Certificate To be submitted in Soft Copy.

7 Bid Security Bid security deposited online through POPU as per bidding documents (in case of Demand Draft, The Bid Security shall be in favour of Power Grid Corporation of India Limited payable at Itanagar) Submission of Hard copy in ‘Original’ and uploading of Scanned Copy or in case of online payment, uploading of Scanned Copy

8 Qualifying Requirement as per Annexure-A (BDS) Copy of Work Order with BOQ, Completion Certificate from Client, Complete Audited Account Statements (Balance Sheet and Profit and Loss Account) To be submitted in Soft Copy.

9 Attachment-8: Manufacturer’s Authorisation Form To be submitted in Soft Copy.

10 Attachment-14: Integrity Pact To be submitted on a non-judicial stamp paper of Rs. 100/- as per ITB/BDS Submission of 02 nos. Hard copies in ‘Original’ and uploading of Scanned Copy

3 Attachment 20: Declaration of Key Managerial Person jointly with Power of Attorney holder Signed by CEO/Managing Director/Company Secretary/ Director/ CFO/ any of the partner in case of partnership firm/ any other officer entrusted with substantial powers of the management of the affairs of the company/firm and POA Holder Submission of Hard copy in ‘Original’ and uploading of Scanned Copy

4 Attachment 21: Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII Order and MoP Order (In case of a Joint Venture bid, the declaration shall be given by all partners of the Joint Venture) To be submitted on a non-judicial stamp paper of Rs. 100/-. Submission of Hard copy in ‘Original’ and uploading of Scanned Copy

5 Attachment-22: Certification by the Bidder as per order no. F.No.6/18/2019-PPD dated 23/07/2020 issued by Public Procurement Division, Department of Expenditure, Ministry of Finance, Government of India (DoE Order) in line with ITB 2.1 (In case of a Joint Venture bid, the declaration shall be given by all partners of the Joint Venture) On Firm/Company's Letterhead To be submitted in Soft Copy.

6 Attachment-23: Declaration by the bidder regarding events encountered pursuant to ITB Clause 2.1. (In case of a Joint Venture bid, the declaration shall be given by all partners of the Joint Venture) On Firm/Company's Letterhead To be submitted in Soft Copy.

7 Attachment-24:Undertaking by the bidder regarding Compliance of DMI&SP policy On Firm/Company's Letterhead To be submitted in Soft Copy.

4 Attachment-25-Declaration by the bidder for ‘Code of Integrity for Public procurement’ On Firm/Company's Letterhead To be submitted in Soft Copy.

5 Attachment-26-Compliance to the process related to the e-RA Terms & Conditions and the Business Rules governing the e-RA On Firm/Company's Letterhead To be submitted in Soft Copy.

NOTE: This checklist is not exhaustive and issued for the purpose of reference Only. In case of any ambiguity, the provisions of Bidding Documents shall prevail.

ENVELOPE-1: Techno-Commercial Part (Bid Proposal Sheet).

:: COVER PAGE ::

Name of Package Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259]

Address of Purchaser/ Employer Contracts and Materials Dept.

Power Grid Corporation of India Limited.

Comprehensive Scheme, Project Manager Office,

4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

Email Address: [email protected]/[email protected]

General guidelines for filling up the Attachments

: Attachments : Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A) Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259]

1 Fill up only green shaded cells in the relevent attachments.

2 Attachments 3(QR), 4, 4(A),4(B), 5, 5(A), 6,7,8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 19, and Bid Form for 1st Envelope are included here.

3 Attachment 1 Bid Security : To be submitted as per proforma provided in the bidding document.

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

7 Attachment 20 Declaration of Key Managerial Person and Power of Attorney holder: Format is annexed Seperetely herewith this Volume

8 Attachment 21 Self certification regarding Minimum Local Content in line with PPP-MII order and MoP Order December 2018 to be provided on a non-Judicial Paper of Rs. 100/-: Format is annexed Seperetely herewith this Volume

9 Attachment 22 Certification by the Bidder as per DoE Order pursuant to ITB Clause 2.1: Format is annexed Seperetely herewith this Volume

10 Attachment 23: Declaration by the bidder regarding events encountered pursuant to ITB Clause 2.7. Format is annexed Seperetely herewith this Volume

11 Attachment 24: Undertaking by the bidder regarding Compliance of DMI&SP policy. Format is annexed Seperetely herewith this Volume

12 Attachment 25: Declaration by the bidder for ‘Code of Integrity for Public procurement’ pursuant to ITB Cl. 36. Format is annexed Seperetely herewith this Volume

13 Attachment 26: Compliance to the process related to the e-RA Terms & Conditions and the Business Rules governing the e-RA. Format is annexed Seperetely herewith this Volume

Note : 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.

पावर ग्रिड कारपोरेशन ऑफ इण्डिया लिमिटेड

(भारत सरकार का उद्यम)

Power Grid Corporation of India Limited

(A Government of India Enterprises)

General Instruction to the Bidders for filling up this workbook

I While filling up the worksheets following may please be observed :

(i) Fill up only green shaded cells.

(ii) Certain data type entries have been restricted, such as Numeric values or limits of numeric values. Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(iii) Select only the options provided in pull down menus.

(iv) Do not link any cell of this work book with any other work book.

(v) Do not use copy & paste or cut & paste options for filling up the data.

(vi) Do not reformat any of the cell of the work book.

Happy Bidding !

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Sole Bidder 1

JV (Joint Venture) 2 or More

Enter following details of the bidder

Specify type of Bidder [Select from drop down menu] Sole Bidder 1 Sole Bidder 1 2 0

JV (Joint Venture) 2 or More

Micro and Small Enterprise (MSE)

Name of Sole Bidder

Address of Sole Bidder Principal place of business

Name of other Partner - 1

Address of other Partner - 1

Name of other Partner - 2 (more, if any)

Address of other Partner - 2 (more, if any)

MSE Bidder ? FALSE

Enter the name of Registration Authority. Udyam Registered Bidder

Whether Medium/Small/Micro Micro

Social Category of Enterpreneur

Date : dd-yy-mmmm 31

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Bid Form 1st Envelope 1 one 1 st 1 January

2 two 2 nd 2 February

BID FORM (First Envelope) 3 three 3 rd 3 March

4 four 4 th 4 April

To: 8 eight 8 th #REF! 8 August

Contracts and Materials Dept. 9 nine 9 th #REF! 9 September

Power Grid Corporation of India Limited. the Facilities under the above-named package in full conformity with the said Bidding Documents.as per which the bid shall be submitted by the bidder under “Single Stage - Two Envelope” procedure of bidding. Accordingly, we hereby submit our Bid, in two envelopes i.e. First Envelope – Techno – Commercial Part & Second Envelope - Price Part (to be opened subsequently). 10 ten 10 th 10 October

Comprehensive Scheme, Project Manager Office, 11 eleven 11 th 11 November

4th-Level, Osor M. Tayeng Building, Nitivihar, 12 twelve 12 th 12 December

Itanagar (Arunachal Pradesh) – 791111. 13 thirteen 13 th

14 fourteen 14 th

Name of Contract : Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A) Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A) 15 fifteen 15 th

Dear Ladies and/or Gentlemen, Enter details here. 16 sixteen 16 th

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

2.0 Attachments to the Bid Form (First Envelope) Bank Draft 18 eighteen 18 th

In line with the requirement of the Bidding Documents, we enclose herewith the following Attachments: Enter details of EMD/ Bid Security here. Pay Order 19 nineteen 19 th

(a) Attachment 1

Bid Security in the form of Bank Guarantee foa a sum of Rs. 2,56,000/- valid for a period of 250 days from the originally scheduled date of bid opening. Or, Online Payment Acknowledment towards Bid Security. Type of EMD Currency Amount Date of Online Payment through POPU POWERGRID Online Payment Acknowledgment No.: Bid Security - in orginial (hard copy/ Physical form), for sum of Rs. 115000 submitted in a separate envelope in accordence with Cl.No.21 of ITB, in the form of POWERGRID Online Payment Utility Portal issued by initially valid upto 00/01/1900 so as to reach C&M Department of POWERGRID, Itanagar before deadline for submission of Bid specified in BDS. The soft/scanned copy is uploaded through the portal. Bid security has not been submitted as our firm is registered under Udyam Registeration. Valid Udyam Registeration Certificate being submitted instead of Bid Security, so as to reach C&M Department of POWERGRID, Itanagar before deadline for submission of Bid specified in BDS. The soft/scanned copy is uploaded through the portal. --------------------------POWERGRID Online Payment Utility Portal Acknowledgment Slip------- ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………. Banks certified Cheque Zero 20 twenty 20 th

OR, Documentary evidence in support of exemption of Bid Security, in separate envelope in accordance with clause 13.3 of ITB, Section-II.

(b) Attachment 2 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. POWERGRID Online Payment Utility Portal Rs. 115,000.00 Bank Guarantee (Date of Online Payment through POPU) 21 st

© Attachment 3 (QR) The documentary evidence that we are eligible to bid in accordance with ITB Clause 2. Further, in terms of ITB Clause 9.3(c) & (e), the qualification data has been furnished as per your format enclosed with the bidding documents [Attachment – 3(QR)]. FDR 22 th

* Further, the required deed of Joint Venture Agreement signed by us and our Partners has also been furnished as per your format [Attachment – 3(JV)]. (if applicable) Bid Security - in orginial (hard copy/ Physical form), for sum of Rs. 115000 submitted in a separate envelope in accordence with Cl.No.21 of ITB, in the form of POWERGRID Online Payment Utility Portal issued by initially valid upto 00/01/1900 so as to reach C&M Department of POWERGRID, Itanagar before deadline for submission of Bid specified in BDS. The soft/scanned copy is uploaded through the portal. CDR/TDR Applicable 23 th

(d) Attachment 4, 4A: The documentary evidence establishing in accordance with ITB Clause 3, Vol.-I of the Bidding Documents that the facility offered by us are eligible facilities and conform to the Bidding Documents has been furnished as Attachment 4 . Moreover, a list of Special Tools & Tackles to be furnished by us, the cost of which are included in our Bid Price, is also enclosed as per your format as Attachment- 4A. Further, a list of Special Tools & Tackles to be furnished by us, the cost of which are not included in our Bid Price as the same are to be taken back by us after completion, is also enclosed as per your format as Attachment- 4B. 1 Not Applicable 24 th

(e) Attachment 5 : 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. 25 th

(f) Attachment 5A : (Items, Components, Raw Material, Services proposed to be sourced from Micro and Small Enterprises): The details of the items, components, raw material, services which is proposed to bought/availed from Micro and Small Enterprises for the purpose of completion of works.

(g) Attachment 6 : The variation and deviations from the requirements of the Conditions of Contract, Bid Data Sheet and other commercial conditions, 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. 26 th

(h) Attachment 7: The details of Alternative Bids made by us indicating the complete Technical Specifications and the deviation to contractual and commercial conditions. [NOT APPLICABLE] 28 th

(i) Attachment 8: Manufacturer’s Authorisation Forms 29 th

(i) Attachment 9: Work Completion Schedule

(k) Attachment 10: Guarantee Declaration 30 th

(l) Attachment 11: Information regarding ex-employees of Employer in our firm 31 st

(m) Attachment 12: Filled up information regarding Price Adjustment Data as per the format enclosed in the bidding documents [Firm & Fixed]

(n) Attachment 13: Declaration regarding Social Accountability

(o) Attachment 14: Integrity Pact, in a separate envelope, duly signed on each page by the person signing the bid.

(p) Attachment 15: (Option for Initial Advance (either Interest Bearing Initial Advance or No Initial Advance) and Information for E-payment, PF details and declaration regarding Micro/Small & Medium Enterprises)

(q) Attachment 16: Additional information Option for Initial Advance (either Interest Bearing Initial Advance or No Initial Advance) - NOT Applicable and Information for E – payment, PF details and declaration for Micro/Small and Medium Enterprise

(r) Attachment 17: Declaration for tax exemptions, reductions, allowances or benefits

(s) Attachment 18: Safety Pact

(t) Attachment 19: Declaration

(u) Attachment 20: Declaration of Key Managerial Person jointly with Power of Attorney holder

(v) Attachment 21: Affidavit of Self certification regarding Minimum Local Content in line with PPP-MII order and MoP Order

(w) Attachment 22: Certification by the Bidder as per DoE Order pursuant to ITB Clause 2.1

(x) Attachment 23: Declaration by the bidder regarding events encountered pursuant to ITB Clause 2.1

(y) Attachment 24: Undertaking by the bidder regarding Compliance of DMI&SP policy)

(z) Attachment 25: Declaration by the bidder for ‘Code of Integrity for Public procurement’ pursuant to ITB Cl. 36

(aa) Attachment 26: Compliance to the process related to the e-RA Terms & Conditions and the Business Rules governing the e-RA

3.0 We are aware that, in line with Clause No. 27.1 (ITB), our Second Envelope (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 this First Envelope.

3.0A = We are a Micro and Small Enterprise (MSE) registered with "&'Names of Bidder'!D9", a designated Authority of GoI under the Public Procurement Policy for MSEs order 2012. (Applicable only for MSE Bidder)

4.0 We confirm that except as otherwise specifically provided our Bid Prices in Second Envelope 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.

4.1 100% 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.

4.3 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.

5.0 Construction of the Contract:

5.1 We declare that we have studied Clause GCC 2.1 relating to mode of contracting for Domestic Bidders.

We declare that the award of two contracts, will not, in any way, dilute our responsibility for successful operation of plant/equipment and fulfillment of all obligations as per Bidding Documents and that both the Contracts will have a cross-fall breach clause i.e. a breach in one Contract will automatically be classified as a breach of the other contract which will confer on you the right to terminate the other contract at our risk and cost.

(i) Single Contract shall be awarded for the subject package.

(ii) The Contracts to be entered into with the successful Bidder shall be as under: First Contract (Supply of Goods and Related Services Contract): For Ex-Works supply of all Goods and Type Test to be conducted (whether in India or abroad) and for providing all services i.e. inland transportation for delivery at site, In-transit insurance and loading and Supervision Charges, if applicable and any other services specified in the Contract Documents

6.0 We have read the provisions of following clauses and confirm that the specified stipulations of these clauses are acceptable to us:

(a) ITB 13 Bid Security

(b) GCC 2.14 Governing Law

(c) GCC 5 Contractor’s Responsibilities

(d) GCC 8 Terms of Payment

(e) GCC 9.3 Performance Security

(f) GCC 10 Taxes and Duties

(g) GCC 21.2 Completion Time Guarantee

(h) GCC 22 Defect Liability

(i) GCC 23 Guarantee

(j) GCC 25 Patent Indemnity

(k) GCC 26 Limitation of Liability

(l) GCC 38 Settlement of Disputes

(m) GCC 39 Arbitration

(n) GCC 40 Conciliation

(o) Appendix 2 to Form of Contract Agreement Price Adjustment [Firm & Fixed]

Further we understand that deviation taken in any of the above clauses by us may make our bid non-responsive as per provision of bidding documents and be rejected by you.

7.0 We undertake, if our bid is accepted, to commence the work immediately upon your Notification of Award (NOA)/ Letter of Award (LOA) to us, and to achieve the delivery of goods and related services within the time stated in the Bidding Documents.

8.0 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.

9.0 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.

10.0 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.

11.0 We understand that you are not bound to accept the lowest or any bid you may receive.

12.0 Commissions or gratuities, if any, paid or to be paid by us to agents relating to this Bid, and to contract execution, if we are awarded the contract, are listed below:-

Name and address of agent Amount and Currency Purpose of Commission or gratuity

(If none, state “none”)

12.0 # (For Joint Venture only) We, the partners of Joint Venture submitting this bid, do agree and confirm that in case of Award of Contract on the Joint Venture, we shall be jointly and severally liable and responsible for the execution of the Contract in accordance with Contract terms and conditions.

13.0 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.

14.0 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.

Thanking you, we remain,

Yours faithfully,

For and on behalf of

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Please provide additional information of the Bidder

Business Address :

Country of Incorporation :

State/Province to be indicated :

Name of Principal Officer :

Address of Principal Officer :

Note: Bidders may note that no prescribed proforma has been enclosed for #REF! Power of Attorney. Bidders may use their own proforma for furnishing the required information with the bid.

Specification No. NER/NT/W-MISC/DOM/H03/25/03079 [RFx No. 5002004310] Attachment-1

Package:: Additional works of 33kV Indoor Switchgears (GIS type), Termination of 02 (Two) Nos. 33KV Line bays, Termination of 132kV S/c (on D/C Tower) Daporijo-Nacho Line bays (to be initially charged at 33kV Level) and Relocation of Station LT Transformer at 132/33kV Daporijo Substation under Comprehensive Scheme for Strengthening of T&D system in Arunachal Pradesh.

(Bid Security/Bid Guarantee)

Bidder’s Name and Address:( Sole Bidder) To,

DGM(Contract & Material Department)

Name : 0 Power Grid Corporation of India Ltd.,

Address : 0 Comprehensive Scheme, Project Manager Office,

0 4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

Date : 00-Jan-00 Printed Name : 0

Place : 0 Designation : 0

Specification No. NER/NT/W-MISC/DOM/H03/25/03079 [RFx No. 5002004310] Attachment-2

Package: Additional works of 33kV Indoor Switchgears (GIS type), Termination of 02 (Two) Nos. 33KV Line bays, Termination of 132kV S/c (on D/C Tower) Daporijo-Nacho Line bays (to be initially charged at 33kV Level) and Relocation of Station LT Transformer at 132/33kV Daporijo Substation under Comprehensive Scheme for Strengthening of T&D system in Arunachal Pradesh.

(Power of Attorney)

Bidder’s Name and Address:( Sole Bidder) To:

DGM(Contract & Material Department)

Name : 0 Power Grid Corporation of India Ltd.,

Address : 0 Comprehensive Scheme, Project Manager Office,

0 4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

We have enclosed copy of the 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.

Date : 00-Jan-00 Printed Name :

Place : Designation :

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-3(JV) Sole Bidder

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Joint Venture Agreement and Power of Attorney for Joint Venture*)

Bidder’s Name and Address : To:

Contracts and Materials Dept. & Ram Lal

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

The Joint Venture Agreement (as per the proforma attached at no. 15 in Section-VI, Sample Forms and Procedures, Conditions of Contract, Vol.-I of the Bidding Documents) and Power of Attorney for Joint Venture (as per the proforma attached at no. 14 in Section-VI, Sample Forms and Procedures, Conditions of Contract, Vol.-I of the Bidding Documents) are enclosed herewith (if applicable).

Date : dd-yy-mmmm Printed Name : 0 0 0 0 0

Place : 0 Designation : 0 0 0 0 24

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259]

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Qualifying Requirement Data)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name: 0 0 0 0 Power Grid Corporation of India Limited.

Address: 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

In support of the Qualification Requirements (QR) for bidders, stipulated in Annexure-A (BDS) of the Section - III (BDS), Volume-I & Additional Information required as per ITB clause 9.3(c) of the Bidding Documents, we furnish herewith our QR data/details along with other information, as follows herewith our stipulations have been reproduced in italics for ready reference, however, in case of any discrepancy the QR as given in BDS shall prevail).

* We have submitted bid as individual firm.

* We have submitted bid as joint venture of following firms :

(* Strike-off whichever is not applicable)

[For details regarding Qualification Requirements of a Joint Venture, please refer para 4.0 below.]

We are furnishing the following details/document in support of Qualifying requirement for the subject package.

A Attached copies of original documents defining :

a) The constitution or legal status;

b) The principal place of business;

c) 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).

B Attached original & copies of the following documents :

a) Written power of attorney of the signatory of the Bid to commit the bidder.

b) Joint Venture Agreement.

1.0 GENERAL INFORMATION

Bidder is required to provide general information as per the following format.

[Where the Bidder proposes to use named subcontractor(s) for critical components of the works or for work contents in excess of ten (10) percent of the bid price, the following information should also be supplied for the subcontractor(s)].

S No. Particulars Name of the Bidder

1 Name of the Firm 0

2 Head Office/ Registered Office Address

5 Contact Person

6 Place of Incorporation/ Registration

7 Year of Incorporation/ Registration

8 Nationality of

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

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

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

2.1 TECHNICAL EXPERIENCE

2.1.1 The Bidder shall have completed physical construction of any Type of Building (Except prefab building works) work as a contractor within the last seven years as on originally scheduled date of bid opening, (soft copy) i.e. ------------------ (a) One single work/project of a value of not less than Rs. 1.02 Crore. OR (b) Two works/projects, each of a value of not less than Rs 0.64 Crore. OR (c) Three works/projects, each of a value of not less than Rs 0.51 Crore. Note- 1 : In case the bidder has executed the work under a contract that had been awarded on a Joint Venture wherein the bidder was one of the partners, the experience of the bidder shall be considered limited to the scope executed by the bidder as a partner under the said contract. Note-2: In case bidder is a holding company, the technical experience referred to in clause 1.0 shall be of that holding company only (i.e. excluding its subsidiary/group companies). In case bidder is a subsidiary of a holding company, the technical experience referred to in clause 1.0 shall be of that subsidiary company only (i.e. excluding its holding company). Documents to be submitted by the Bidder as evidence of meeting the above QR: i) Copy of Letter of Award/ Purchase order (along with detailed BOQ) ii) Completion Certificate(s) from the client for the work and date of completion or any other document, authenticated by the client, containing relevant information to conclusively establish that the bidder has completed the requisite works satisfactorily.

2.1.2 Using the following format, each Bidder 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

(The bidder shall attach documentary evidence, such as copies of utility certificates for completed contracts and copies of award letters etc. for ongoing contracts in support of his experience as listed in the following proforma for each Contract with the help of "Attach" Buttons provided in table given below).

Format for the Bidder in support of meeting the requirement of para 1.1, Annexure-A to BDS, Section-III, Volume-I of the Bidding Documents)

Bidder’s Name :

1 Name of Contract Undertaken

2 Contract Reference No. & Date of Award

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

4 Scope of work executed under the above Contract

5 Details/features of the Contract undertaken relevant to the stipulated QR

5 Capacity in which the Contract Was undertaken (Check One)

6 Completion Date of the above mentioned Work

7 Details of documents uploaded in support of the above stated experience

8 Certificate from client for Satisfactory operation of elements in the above executed contract

3.0 FINANCIAL REQUIREMENTS :

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

For the purpose of this particular bid, bidder must meet the following minimum criteria: (a) Minimum Average Annual Turnover *(MAAT) for the best three years i.e. 36 months out of last five financial years of the bidder should not be less than Rs. 1.28 Crore * Note-Annual Gross Revenue from operations/Gross operating income as incorporated in the profit & loss account excluding Other Income.

NOTE 1: In case bidder is a holding company, the Financial Position criteria referred to in clause 2.0 above shall be that of holding company only (i.e. excluding its subsidiary/group companies). In case bidder is a subsidiary of a holding company, the Financial Position criteria referred to in clause 2.0 above shall be that of subsidiary company only (i.e. excluding its holding company). NOTE 2: RELAXATION FOR MSEs/ STARTUPs For MSEs^, MAAT requirement is waived off, subject to meeting the specified technical requirements at para 2.0 above. For Start-Ups ^^, meeting the 80% of the MAAT specified at Para 3.0 above shall also be considered qualified, subject to meeting the specified technical requirements at para 2.0 above ^MSEs as defined in the bidding document. ^^Start-Ups as defined by DIPP, applicable as on the originally scheduled date of bid opening

{In support of its ‘Financial Position’, in line with the above, the Bidder (in case of bidding by single firm ) or Company/Constituents must provide the relevant information in support of the same, along with documentary evidence, in the following format}

4.0 Financial Qualification Data:

A Turnover details:

Sr No Financial year Turnover (in Rs. Crore) Details of documentary evidence submitted in support of Qualification Data

Do you have complete annual reports together with Audited statement of accounts of the company for FY 2021-22 (refer ITB Clause 9.3(c)) Yes

Average Annual Turnover for best Three Years is

5 Joint Venture bids

5.1 Not Applicable

6.0 The Bidder shall also furnish following documents/details with its bid. {Reference ITB clause 9.3 (c)}

6.1 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.

Note I. 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.

II. 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.

5.2 The Bidder should accordingly also provide the following information/documents

Audited balance sheet and income statements for the last five years as per the following:

A Years preceding to the bid opening Audited Balance Sheet and Income Statements enclosed

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.:NER/NT/W-CIVIL/DOM/H03/25/01789 [RFx No. 5002004239] Attachment-3(QR)

Package: Additional works of 33kV Indoor Switchgears (GIS type), Termination of 02 (Two) Nos. 33KV Line bays, Termination of 132kV S/c (on D/C Tower) Daporijo-Nacho Line bays (to be initially charged at 33kV Level) and Relocation of Station LT Transformer at 132/33kV Daporijo Substation under Comprehensive Scheme for Strengthening of T&D system in Arunachal Pradesh.

(Qualifying Requirement Data)

Bidder’s Name and Address:( Sole Bidder) To:

DGM(Contract & Material Department)

Name : 0 Power Grid Corporation of India Ltd.,

Address : 0 Comprehensive Scheme, Project Manager Office,

0 4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

As per Annexure – A (BDS) – QR

Date : 00-Jan-00 Printed Name :

Place : Designation :

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-4

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Form of Certificate of Origin and Eligibility)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

We hereby certify that equipment and materials to be supplied are produced in [Enter the name of country where from equipments & materials shall be supplied] eligible source country. We hereby certify that our company is incorporated and registered in [Enter the name of country where from equipments & materials shall be supplied] eligible source country.

Sl. No. Equipments & Materials prouduces in [Name of Countries] Company incorporated & registered in [Name of Countries]

country. country.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-4(A)

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(List of Special Maintenance Tools & Tackles)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

We are furnishing below the list of special maintenance tools & tackles for various equipment under the subject package. The prices for these tools & tackles are included in our lumpsum bid price. We further confirm that the list of special maintenance tools & tackles includes all the items specifically identified in your bidding documents as brought out below:

S.No. For Equipment Item Description Unit Quantity

Notwithstanding what is stated above, we further confirm that any additional special maintenance tools and tackles, required for the equipment under this package shall be furnished by us at no extra cost to the employer.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-4(B)

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(List of Special Maintenance Tools & Tackles)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

We are furnishing below the list of special maintenance tools & tackles for various equipment under the subject package. The prices for these tools & tackles which are to be taken back after the completion of the work by us are not included in our lumpsum bid price. We further confirm that the list of special maintenance tools & tackles includes all the items specifically identified in your bidding documents as brought out below:

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 0 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-5

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Bought-Out and Sub-contracted Items)

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Details of the proposed sub-contractor/sub-vendor

Name Nationality

2. We hereby declare that we would not subcontract the erection portion of the contract withot prior approval of the Employer

3. In line with ITB Clause 9.3 (e), we intend to supply following items which are to be manufactured within Arunachal Pradesh

We futher declare that we would source material/services for atleast 30% of the Installation Price of Second /Services contract from within Arunachal Pradesh

Sl. No. Item Description Quantity proposed to be bought/ subcontracted Detail write up to engage local sub contractor/sub vendor

For additional write up, extra sheet may be attached to the bid.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] #REF!

(Bought-out & Sub-contracted Items)

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Details of the proposed sub-contractor/sub-vendor

Name Nationality

Date : dd-yy-mmmm Printed Name : Printed Name :

Place : 00-Jan-00 Designation : Designation :

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-5(A)

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

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

Bidder’s Name and Address : To,

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

1. 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 package

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Name of Micro and Small Enterprises (MSEs)

Name & Address Category

We hereby furnish the details of the items/ sub-assemblies propose to supply from our own works (i.e. as direct transactions) in additiona to the supplies the same from other vendors (i.e. as Bought-out transactions) as detailed in the table given above.

Sl. No. Item Description Quantity proposed to be supplied Details of the plant from where supplies are proposed.

Name of Plant Address

2. 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. .

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 0 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-5(A)

(Bought-out & Sub-contracted Items)

Sl. No. Item Description Quantity proposed to be bought/sub-contracted Details of the proposed sub-contractor/sub-vendor

Name Nationality

Date : 00-Jan-00 Printed Name : 0

Place : 00-Jan-00 Designation : 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-6

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Alternative, Deviations and Exceptions to the Provisions)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

The bidder shall itemize any deviation from the Specifications included in his bid. Each item shall be listed (separate sheets may be used and enclosed with this Attachment) with the following information:

Sl. No. Reference clause in the Specifications Deviation Cost of withdrawal of the deviation

The above deviations and variations are exhaustive. We confirm that we shall withdraw the deviations proposed by us at the cost of withdrawal indicated in this attachment, failing which our bid may be rejected and Bid Security forfeited.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Annexure I toAttachment-6

(Alternative, Deviations and Exceptions to the Provisions)

Sl. No. Reference clause in the Specifications Deviation Cost of withdrawal of the deviation

Date : dd-yy-mmmm Printed Name : 0

Place : 00-Jan-00 Designation : 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-7

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Details of Alternative Bid)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.:NER/NT/W-CIVIL/DOM/H03/25/01789 [RFx No. 5002004239] Attachment-8

Package: Construction of RCC-Road and nearby RRM wall along with earth filling for approach road of 132/33 kV Ziro New (Yachuli) Substation under Comprehensive Scheme for Strengthening of T&D System in Arunachal Pradesh (Package-B).

(Manufacturer's Authorization Form)

Bidder’s Name and Address : To:

DGM(Contract & Material Department)

Name : Power Grid Corporation of India Ltd.,

Address : Comprehensive Scheme, Project Manager Office,

4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

WE …….(insert name of the Manufacturer)…….. who are established and reputable manufacturers of ……..(insert name and/or description of the goods)……. having production facilities at ……..(insert address of factory)……. do hereby authorize ………(insert name & address of Bidder)……….. (hereinafter, the “Bidder”) to submit a bid, and subsequently negotiate and sign the Contract with you against IFB for …….(insert name of the package alongwith the project name)……….. including the above plant & equipment or other goods produced by us.

We hereby extend our full guarantee and warranty for the above specified goods offered supporting the supply by the Bidder against these Bidding Documents, and duly authorize said Bidder to act on our behalf in fulfilling these guarantee and warranty obligations. We also hereby declare that we and ……(insert name of the Bidder)………. have entered into a formal relationship in which, during the duration of the Contract (including warranty/defects liability). We, the Manufacturer or Producer, will make our technical and engineering staff fully available to the technical and engineering staff of the successful Bidder to assist that Bidder, on a reasonable and best effort basis, in the performance of all its obligations to the Purchaser under the Contract.

For and on behalf of the Manufacturer Signed: _______________________________________________________________ Date: __________________________________ In the capacity of …….. (insert title of position or other appropriate designation)…….. Date:.................... (Signature).......................……….. Place:................... (Printed Name)...............................…. (Designation)................……………........ (Common Seal).………............................

Note.:1. The letter of Undertaking should be on the letterhead of the Manufacturer and should be signed by a person competent and having Power of Attorney to legally bind the Manufacturer. It shall be included by the bidder in its bid. 2. Above undertaking shall be registered or notarized so as to be legally enforceable.

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-9

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Work Completion Schedule)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

We hereby declare that the following Work Completion Schedule shall be followed by us in furnishing and installation of the subject Package i.e., Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A) for the period commencing from the effective date of Contract to us :

Sl. No. Description of Work Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

1 Detailed Engineering and drawing submission

a) commencement

2 Procurement of equipment/ components & assembly

a) commencement

a) commencement

3 Manufacturing

a) commencement

4 Shipments & Delivery

a) commencement

5 Establishment of site office

6 Installation at Site

a) commencement

7 Testing & Pre-commissioning

a) commencement

8 Trial Operation

a) commencement

Note: above completion schedule shall be within overall completion schedule given in SCC else bid will be rejected.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 0 Designation : 0 0 0 0

Note : 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.

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-10

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Defect Liability)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

We accept that the work executed by us in case of award shall be liable for Defect liability period as per GCC read in conjunction with SCC reckoned from the date of Completion of works/taking over of the site under the contract. We, shall be responsible to make good and remedy at our own expense within such period, any defect which may develop or may be noticed before the expiry of Defect Liability Period and which arises from either: a) Any defective workmanship or b) An act of commission, of the Contractor during the defect liability period. We, shall make good the defects & damages immediately at our own cost to match the original specifications to the satisfaction of the Engineer-in-Charge.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-11

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Information regarding Ex-employees of POWERGRID in our Organisation)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

We declare that we are aware of and have gone through the "Code of Business Conduct and Ethics for Senior Management Personnel" and "Code of Business Conduct and Ethics for Board Members" of POWERGRID (hereinafter referred to as the "Code of Conduct"). We further understand that as per the "Code of Conduct", Senior Management Personnel including Board Members, who have retired / resigned from POWERGRID, shall not accept any appointment or post, as detailed in the referred "Code of Conduct", within 1 year from the date of cessation of service / directorship unless approved by the Competent Authority.

Accordingly, We hereby furnish the details of ex-employees of POWERGRID who had retired/ resigned at the level of General Manager and above from POWERGRID and subsequently have been employed by us:

Sl. No. Name of the person with designation in POWERGRID Date of Retirement/ resignation from POWERGRID Date of joining and designation in our organisation

*In case the date of joining in the bidder's organization of such ex-employee is within 1 year from the date of retirement / resignation from POWERGRID, No Objection Certificate / approval from the Competent Authority must be furnished alongwith the bid or subsequent through clarification pursuant to ITB Clause 21.

In case of non-submission of No Objection Certificate / approval of the Competent Authority, as required, We understand that POWERGRID shall deal with such cases as per its Policy and Procedures in vogue, which may also result in rejection of our bid. We also confirm that POWERGRID shall be the sole judge in this regard.

We further declare that any misrepresentation or submission of false / forged documenmts / information in this regard shall be dealt with as per the provisions of the Integrity Pact and / or the Bidding Documents and / or POWERGRID's policy and procedure.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

1. "Code of Business Conduct and Ethics for Senior Management Personnel" and "Code of Business Conduct and Ethics for Board Members" are available on POWERGRID's website http://www.powergrid.in.

2. The information in similar format should be furnished for each partner of joint venture in case of joint venture bid.

3. In case bidder has furnished no details on ex-employees of POWERGRID or has left blank or has indicated '-' against the same, it shall be deemed that they have not employed any such person in their organization.

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-12

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Price Adjustment Data)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

We hereby confirm that the prices of Supply of Goods and Services offered will remain FIXED & FIRM during the performance of the contract and will not subject to any variation on any account..

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-13

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Declaration regarding Social Accountability)

Bidder’s Name and Address : To:

Contract & Material Department

Name : 0 0 0 0 Power Grid Corporation of India Ltd.,

Address : 0 0 0 0 North Eastern Region

0 0 0 0 Dongkteih, Lower Nongrah

0 0 0 0 Lapalang, Shillong-793006 (Meghalaya)

We conform that we stand committed to comply to all requirements of Social Accountability Standards i.e., SA8000 (latest Standard available at www.sa-intl.org) and maintain the necessary records.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-15

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

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

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

I 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:

Interest Bearing Initial Advance

Supply Portion: (select from Drop down) yes

Services Portion: (select from Drop down) no

II We are furnishing the following details of Statutory Registration Numbers and details of Bank for electronic payment.

1 Name of the Supplier/ Contractor in whose favour payment is to be made

2 Address with PIN Code and State

Registered Office:

Correspondence Address:

3. (a) Status – Company/others

[Declaration of Micro/ Small/ Medium Enterprise under Micro/ Small & Medium Enterprises Development Act 2006, if applicable]

3. (b) 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.

3. (c) If 3(b) is 'Yes' please mention whether you are (Proprietary MSE/ Partnership MSE/ Private Limited Company) owned by SC/ST entrepreneurs

3. (d) 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.

4 Permanent Account (PAN) No.

5 GSTIN Numbers

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

Name of the States/UT GSTIN number

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

Name of the States/UT GSTIN number

9 PF Registration No. of the Company

10 PF Regional Office covered (with Address)

11 Name of Contact Person

12 Contact Details

13 Bank Details for Electronic Payment

Name of the Bank:

Address of Branch:

Type of Account: Saving Account

14 9 digit MICR code printed at bottom in middle, next to cheque no.

15 IFSC (for RTGS)/NEFT Code (to be obtained from the Bank) Sample Cancelled Cheque to be enclosed

We hereby declare that the above information are true and correct and we agree that the payment on account of this Contract, in the event of award, be made in the above account maintained in the above mentioned Bank.

Remarks: The definition of MSEs owned by SC/ST is as given under:

a. In case of proprietary MSE, proprietor(s) shall be SC/ST.

b. In case of partnership MSE, the SC/ST partners shall be holding at least 51% shares in the unit.

c. In case of Private Limited Companies, at least 51% share shall be held by SC/ST promoters.

Documentary Evidence: Please provide scanned copy(ies) of the SC/ST certificate(s) issued by District Authority as applicable for SC/ST MSE category as per (a), (b) or (c) above.

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-16

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Additional Information)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

In support of the additional information required, we furnish herewith our data/details/documents etc., alongwith other information, as follows (the stipulations have been reproduced in italics for ready reference):

1.0 The Bidder shall furnish

A certificate from their Banker(s) (as per prescribed formats in Section-VI: Sample Forms and Procedures) indicating various fund based/non fund based limits sanctioned to the Bidder and the extent of utilization as on date. Such certificate should have been issued not earlier than three months prior to the date of bid opening. Wherever necessary the Employer may make queries with the Bidders’ Bankers.

1.1 In accordance with 1.0, certificate(s) from banker as per requisite format, indicating various fund based/non fund based limits sanctioned to the bidder or each member of the joint venture and the extent of utilization as on date is/are enclosed, as per the following details:

Name of Sole Bidder 0 0

Name of the Banker by whom certificate issued

Date of certificate (should not be earlier than 3 months prior to date of bid opening)

Whether fund based/non fund based limits are indicated in the certificate

Whether extent of utilization is indicated in the certificate

1.2 The Bidder should accordingly also provide the following information/documents

(i) Details of Banker:

Address of Banker

Contact Name and Title

(ii) As per para 1.0, Authorizatio 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:

Sl. No. Lette Ref. Date Addressed to (name of the Bank)

2.0 Litigation History

The bidder should provide detailed information on any litigation or arbitration arising out of contracts completed or under execution by it over the last five years. A consistent history of awards involving litigation against the Bidder or any partner of JV may result in rejection of Bid.

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

Year Name of client, cause of litigation/arbitration and matter in dispute Details of Contract and date Award for or against the bidder Disputed amount

3.0 Details regarding previous transgressions of Integrity Pact

The bidder should provide detailed information on any transgression of Integrity Pact that occurred in the last 10 years with any other Public Sector Undertakig or Government Department or any other Company, in any country.

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

Year Name of Client Details of Transgression of Integrity Pact by the Bidder

4.0 OTHER INFORMATION

4.1 Current Contract Commitments of works in progress

Bidders should provide information on their current commitments on all contracts that have been awarded, or for which a letter of intent or acceptance has been received, or for contracts approaching completion, but for which an unqualified, full completion certificate has yet to be issued.

Details of Contract Value of outstanding work (Rs.) Estimated completion date

4.2 Financial Data:

Details Actual (Previous five years) Projection for next five years

Total Liability

Current Liability

Profit before taxes

Profit after taxes

4.3 Provident Fund Code Number of the Bidder:

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-17

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Declaration for tax exemptions, reductions, allowances or benefits)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

1 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.

2 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):

Applicable Act, Notification No. and Clause Ref. No. Sl. No. Description of item on which applicable Country of origin Remarks, if any

(The requirements listed above are as per current Notification of Govt. of India indicated above. These may be modified, if necessary, in terms of the Notifications.)

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-17

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Information regarding Ex-employees of POWERGRID in our Organisation)

Name(s) and Addresse(s) of other partner(s) To:

Contracts and Materials Dept.

Name : …… ……. …….. …… ……. …….. Power Grid Corporation of India Limited.

Address : …… ……. …….. …… ……. …….. Comprehensive Scheme, Project Manager Office,

…… ……. …….. …… ……. …….. 4th-Level, Osor M. Tayeng Building, Nitivihar,

We hereby furnish the details of ex-employees of POWERGRID who had retired/ resigned at the level of General Manager and above from POWERGRID and subsequently have been employed by us:

Sl. No. Name of the person with designation in POWERGRID Date of Retirement/ resignation from POWERGRID Date of joining and designation in our organisation

Date : dd-yy-mmmm Printed Name : Printed Name :

Place : 0 Designation : Designation :

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-17

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

(Information regarding Ex-employees of POWERGRID in our Organisation)

Name(s) and Addresse(s) of other partner(s) To:

Contracts and Materials Dept.

Name : Power Grid Corporation of India Limited.

Address : Comprehensive Scheme, Project Manager Office,

4th-Level, Osor M. Tayeng Building, Nitivihar,

We hereby furnish the details of ex-employees of POWERGRID who had retired/ resigned at the level of General Manager and above from POWERGRID and subsequently have been employed by us:

Sl. No. Name of the person with designation in POWERGRID Date of Retirement/ resignation from POWERGRID Date of joining and designation in our organisation

Date : dd-yy-mmmm Printed Name : Printed Name :

Place : 0 Designation : Designation :

Specification No.:NER/NT/W-CIVIL/DOM/H03/25/01789 [RFx No. 5002004239] Attachment-18

Package: Construction of RCC-Road and nearby RRM wall along with earth filling for approach road of 132/33 kV Ziro New (Yachuli) Substation under Comprehensive Scheme for Strengthening of T&D System in Arunachal Pradesh (Package-B).

Bidder’s Name and Address:( Sole Bidder) To:

DGM(Contract & Material Department)

Name : 0 Power Grid Corporation of India Ltd.,

Address : 0 Comprehensive Scheme, Project Manager Office,

0 4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

Safety Pact - in orginial (hard copy/ Physical form), submitted in a separate envelope in accordence with Cl.No.9.3 (s) of ITB as per the attached format so as to reach C&M Department of POWERGRID, Itanagar before deadline for submission of Bid specified in BDS. The soft/scanned copy is uploaded through the portal.

Date : 00-Jan-00 Printed Name :

Place : Designation :

Specification No.: NER/NT/W-DMS/DOM/H03/26/04843 [Rfx No.5002005259] Attachment-19

Execution of Civil works for 33/11kV Thrizino Substation constructed under Comprehensive Scheme , Arunachal Pradesh (PKG-A)

Bidder’s Name and Address : To:

Contracts and Materials Dept.

Name : 0 0 0 0 Power Grid Corporation of India Limited.

Address : 0 0 0 0 Comprehensive Scheme, Project Manager Office,

0 0 0 0 4th-Level, Osor M. Tayeng Building, Nitivihar,

0 0 0 0 Itanagar (Arunachal Pradesh) – 791111.

Further, we hereby confirm that except as mentioned in the Attachment – 6 (Alternative, Deviations and Exceptions to the Provisions) hereof forming part of our First Envelope :

Date : dd-yy-mmmm Printed Name : 0 0 0 0

Place : 00-Jan-00 Designation : 0 0 0 0

Specification No.:NER/NT/W-CIVIL/DOM/H03/25/01789 [RFx No. 5002004239] "Attachment

Construction of RCC-Road and nearby RRM wall along with earth filling for approach road of 132/33 kV Ziro New (Yachuli) Substation under Comprehensive Scheme for Strengthening of T&D System in Arunachal Pradesh (Package-B).

(Public Procurment Policy PPP-MII Certification)

Bidder’s Name and Address:( Sole Bidder) To:

DGM(Contract & Material Department)

Name : 0 Power Grid Corporation of India Ltd.,

Address : 0 Comprehensive Scheme, Project Manager Office,

0 4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

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, if applicable (submission of Hard Copy in ‘Original’) to be submitted on the letter head of the auditor/ cost accountant/chartered accountant In line with the PPP-MII order, the bidder shall submit 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, if applicable, on the letter head of the auditor/chartered accountant. Further, false declaration regarding Local Content in the aforesaid certificate submitted by the bidder shall be a transgression of Integrity Pact and action shall be taken in line with provisions of the Integrity pact and in line with the provisions of the PPP-MII Order.

Date : 00-Jan-00 Printed Name :

Place : Designation :

Specification No.:NER/NT/W-CIVIL/DOM/H03/25/01789 [RFx No. 5002004239] Attachment-18

Construction of RCC-Road and nearby RRM wall along with earth filling for approach road of 132/33 kV Ziro New (Yachuli) Substation under Comprehensive Scheme for Strengthening of T&D System in Arunachal Pradesh (Package-B).

Bidder’s Name and Address:( Sole Bidder) To,

DGM(Contract & Material Department)

Name : 0 Power Grid Corporation of India Ltd.,

Address : 0 Comprehensive Scheme, Project Manager Office,

0 4th-Level, Osor M. Tayeng Building, Nitivihar,

Itanagar (Arunachal Pradesh) – 791111.

Sl. No. Item Description Reference Declaration (Strike out whichever is not applicable)

1 Bid Guarantee enclosed in separate sealed envelop (one original plus two copies) & submitted in physical form As per ITB Cl No. 13 0

2 Commercial deviation schedule filled in Attachment-6, BPS, Vol-IB 0

3 Technical deviation schedule filled in Attachment-6, BPS, Vol-IB 0

4 List of Subcontractors schedule fillid in Attachment-5, BPS, Vol-IB 0

5 Additional information included with this Proposal Attachment-16, BPS, Vol-IB 0

6 Work schedule filled in Attachment-9, BPS, Vol-IB 0

7 Schedule on information regarding Ex-employees of POWERGRID in the firm filled in Attachment-11, BPS, Vol-IB 0

8 Declaration Regarding Social Accountability Attachment-13, BPS, Vol-IB No

9 (Public Procurment Policy PPP-MII Certification) Minimum Local Content Attachment-21, BPS, Vol-IB

10 (Public Procurment Policy PPP-MII Certification)Undertaking by the bidder regarding Compliance of DMI&SP policy Attachment-27, BPS, Vol-IB

Date : #REF! Printed Name :

Place : Designation :