AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder :

CHECK LIST FOR SUBMISSION OF OFFER

Tenderers are requested to duly fill-in this check list. The duly filled check-list along with anexures must be uploaded along with the Techno-commercial part of the tender (in excel file format in the space provided for the same). Bidders shall also ensure that all details/documents have been furnished as called for in this tender.

Sl. No. Description (Please confirm against each item of this Checklist whether relevant documents / undertakings / declarations are submitted) Annexure No., if any PleaseSelect

1 Copy of Power of Attorney / Authorization of the Authorized Signatory who is having valid Digital Signature Certificate (DSC) and submitted the bid in e-tendering using his DSC (Proprietorship Affidavit /Partnership deed/ Power of Attorney / Resolution of the board) . Please Select ATTENTION !! PLEASE SELECT APPROPRIATE OPTION(s) AGAINST EACH ROW OF THIS CHECKLIST , FROM THE OPTIONS AVAILABLE IN COLUMN "E". FEW OPTIONS MIGHT HAVE BEEN PRE-SELECTED AS PRE-ASSESSED DEFAULTS IN THIS CHECKLIST AND IN OTHER FEW ANNEXURE OF THIS FILE. BIDDERS ARE ADVISED TO GO THROUGH EACH OPTIONS AND CONFIRM / CHANGE TO CORRECT OPTIONS RELEVANT TO THE SPECIFIC BIDDER. THE BIDDER SHALL BE RESPONSIBLE FOR CORRECTNESS OF OPTIONS / DECLARATIONS / UNDERTAKINGS SUBMITTED WITH THIS CHECKLIST AND SUBSEQUENT ANNEXURES CONTAINED IN THIS FILE IN SEPERATE WORKSHEETS.

2 Copy of Power of Attorney / Authorization of the Authorized Signatory who has physically signed the bid on behalf of the bidder (Proprietorship Affidavit /Partnership deed/ Power of Attorney / Resolution of the board) . Please Select

3 Copies of Articles of Association/ Memorandum of Association / Certificate of Incorporation / Proprietorship affidavit in case of Company/ Proprietary Firm/ Partnership Firm/ JV etc., as applicable. Please Select

4 Confirm Validity of Offer is up to 04 (Four) months from the last date of submisison of bid as mentioned in the NIT or extensions thereof (if any). Please Select

5 Submission of Earnest Money Deposit (EMD) vide online transfer or EMD exemption document. EMD Not Applicable

6 Copy of Bank Guarantee towards EMD enclosed with Techno-commercial bid (if submitted in the form of BG) and the BG is valid for 03 (three) months beyond bid validity period i.e. Total 09 months from date of opening of Techno commercial bid as mentioned in NIT or extensions thereof considering bid validity period of 06 months. However the validity of the BG shall also be extended in case bidder agrees to extend the validity of offer. Not Applicable

7 Form of Tender I Please Select

8 Compliance to Bid Requirements II Please Select

9 Information about Tenderer III Please Select

10 Submission of Technical Pre Qualifications Documents as per requirements specified in NIT IV Not Applicable

11 Copies of Audited Profit and Loss account statement of any of the preceding three years towards proof of Annual Turn Over as mentioned in NIT V Not Applicable

12 Exception and Deviations (Technical & Commercial) Please Note that any deviations/ reservations/ notes/ comments etc., given elsewhere in the offer other than the Annexure-VI (Exceptions & Deviations) shall not be considered and the same shall be ignored. VI Please Select

13 Letter of Waiver VII Please Select

14 Declaration of Relationship with directors of IOCL VIII Please Select

15 Declaration of Relationship with other bidder / consultant IX Please Select

16 Declaration regarding non engagement of child labour X Please Select

17 PAN /PF/ESI / TIN /GSTIN numbers submitted : Declaration of ESI submitted : XI XI(A) Please Select

17 Copy of PAN /PF/ESI / TIN /GSTIN registration submitted . Please Select

18 Copies of Tax Residency Certificate, Declaration of No Permanent Establishment (No PE), Form 10(a), 10(b), 10(c) as given in Techno Commercil Bid (Applicable for foreign bidders participating in Global Tender ) Not Applicable

19 Assessment orders or acknowledged Income Tax Returns of last 03 Financial Years Please Select

20 Declaration regarding non tampering of Electronic Data / Tender Document XII Please Select

21 Declaration of Holiday Listing / Blacklisting XIII Please Select

22 Information about current litigation / arbitration XIV Please Select

23 Confirm Price(s) / Rate(s) has been quoted strictly as per the BOQ enclosed with the tender document. Please Select

24 Confirmation to unconditional acceptance Time Schedule Please Select

25 Acceptance of General Conditions of Contract (GCC) XV Not Applicable

26 Declaration regarding Acceptance of Tender Documents This declaration is to be printed on bidders letterhead, signed by authorised signatory and scan copy is to be uploaded in Technical Bid. XVI Please Select

27 GST Tax Quotation and other GST details XVII Please Select

28 Performa For Declaration On Proceedings Under Insolvency And Bankruptcy Code, 2016 XVIII Please Select

29 Consent of online payment and bank details submitted on letterhead along with copy of a cancelled cheque & PAN card . Not mandatory in case existing vendor of IOCL. XIX Please Select

30 Undertaking / certificate / Declaration by Bidders regarding bidders country sharing land border with India / Possibility of Sub-Contracting with any agency sharing land border with India. XX Please Select

31 BID SECURITY DECLARATION XXI Not Applicable

32 Integrity Pact Agreement (if applicable as mentioned in the NIT) is submitted with due signature and seal of authorized signatory Format given in Tender Document Please select

33 Confirm acceptance of Format for Contract Agreement (Shall be executed after award of the job for contracts with award amount exceeding Rs. 50.0 lakh) Format given in Tender Document Please Select

34 Whether Interest Bearing Mobilization Advance against Bank Guarantee Required. Not Applicable

35 Whether Asked for Preferential Purchase in the-tender bid. If preferential purchaes is not claimed in the bid module but submitted elseehere in techno commercial bid, then the e-tender system will treat the offer as 'without purchaes preference' . Please Select

36 Whether Declaration submitted in compliance of PPP-MII Policy XXII Please Select

37 Whether Declaration on Insider trading prevention is submitted XXIII Please Select

38 Whether registered with GeM as a seller Please Select

39 All the documents furnished are readable/ legible. Please Select

Note: Self Attested Documents in proof of the above shall be submitted. In absence of which, the tender shall be liable for rejection. Submission of this checklist alongwith all Annexure given in different work sheets of this file , with Digital Signature shall be considered as valid submission by the bidder and shall be binding on the bidder. However bidder(s), may also submit (if desired by them), scan copies of these documents (i.e. checklist and annexures) in Technical Bid with Physical Signature of authorised signatory.

NOTE : PLEASE GO THROUGH EACH WORKSHEETS OF THIS FILE , ENTER / RECONFIRM REQUIRED DECLARATIONS / UNDERTAKINGS / INFORMATION IN RELEVANT SHEETS AND UPLOAD THE COMPLETED FILE IN THE TECHNICAL BID WITH DIGITAL SIGNATURE

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

Indian Oil Corporation Limited

Refineries Division

Having examined the Tender Documents consisting of the Tender Notice, General Instructions to Tenderers, General Conditions of Contract, Special Instructions to Tenderers, Special Conditions of Contract,Specifications, Plans , Drawings , Time Schedule, Form of Contract, Form of Schedule of Rates, other constituents of tender document and Addendum(s) to the Tender Documents, and having understood the provisions of the said Tender Documents and having thoroughly studied the requirements of Indian Oil Corporation Ltd. relative to the work tendered for in connection with the name of the job and Tender Number referred above and having conducted a thorough study of the job site(s) involved, the site conditions, soil conditions, the climatic conditions, labour, power, water, material and equipment availability, the transport and communication facilities, the availability and suitability of borrow areas, the availability of land for right of way and temporary office accommodation and quarters and all other facilities and things whatsoever necessary for or relative to the formulation of the tender or the performance of work, I/we hereby submit my/our tender offer for the performance of proposed work in accordance with the terms and conditions and within the time mentioned in the Tender Documents.

In consideration of the sum of Rupee 1/- (Rupee one only) paid to me/us by Indian Oil Corporation Ltd., by adjustment in the price of Tender Documents, I/We further undertake to keep my/our this tender offer open for a period of not less than 4 (four) months from the scheduled date of opening of Tenders as specified in the General Instructions to Tenderers forming part of the Tender Documents.

I/We hereby further state that I/We/None of us (in the case of partnership firm) and none of our Directors (in the case of a Company) was/were employed as Directors of Indian Oil Corporation Ltd., during the period of 2 (two) years immediately preceding the date hereof OR I/We hereby declare that I/Shri______________________ one of our partners (in the case of partnership firm/Directors in the case of a Company) was employed as a Director in Indian Oil Corporation Ltd., during the period of 2 (two) years immediately preceding the date hereof and that I/Shri have/has obtained previous permission of Indian Oil Corporation Ltd. to make this tender. OR Shri , one of our partners is related to Shri _____________________ who was employed as a Director in Indian Oil Corporation Ltd. during the preceding 2 (two) years as follows:

I/We have annexed to this Bid the following documents:

(i) Complete set of Tender Documents (including written clarifications and Addenda, if any) duly filled in and signed by the tenderers as prescribed in different clauses of the Instructions to Bidders.

(ii) Schedule of Rates in the prescribed form.

(iii) Earnest Money amounting to and in the manner specified in these Instructions to Bidders.

(iv) Original Power of Attorney or other proof of authority of the person who has signed the Tender OR copy of Power of Attorney attested by a Gazetted Officer or a Notary Public in proof of the authority of the person who has signed the Tender.

(v) Audited Balance Sheets of the last 3 (three) years. In the case of a bid by an unqualified joint venture company, the audited Balance Sheets of the qualified joint venture shareholder(s) for the last 3 (three) years shall also be furnished. In case of a consortium bid, the audited Balance Sheet of each of the consortium members for the last 3 (three) years shall be furnished.

(vi) Form of Tender. If the tender is called in 2 (two) separate parts, the tenders in the relevant Form of Tender as prescribed shall be submitted with respect to each part.

(vi) Information regarding tenderer in the form annexed to the Form of Tender.

(vii) Tenderer’s past experience of comparable nature in the prescribed form accompanied by documents supporting the successful completion of claimed works / projects.

(viii) Information regarding construction, organization and equipment in the prescribed form.

(ix) Declaration of Blacklisting in the prescribed form.

(x) Declaration on Child Labour in the prescribed form.

(xi) Details of Provident Fund Code Number.

(xii) Details of ESI Code Number

(xiii) Such other information as required from the tenderer

I/We hereby undertake that the statements made herein/information given in the Annexures referred to above are true in all respects and that in the event of any such statement or information being found to be incorrect in any particular, without prejudice to any other right or remedy available to the Corporation, the same may be construed to be a misrepresentation entitling Indian Oil Corporation Ltd. to avoid any resultant contract.

I/We further undertake as and when called upon by Indian Oil Corporation Ltd. to produce, for its inspection, original(s) of the document(s) of which copies have been annexed hereto.

I/We confirm having deposited Earnest Money of Rs. (Rupees ) as detailed hereunder:

(Signature(s) of the Tenderer(s))

Name & Designation of the authorized person signing the Tender on behalf of the Tenderer (s) Full Name and address of the Bidder(s)

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

COMPLIANCE TO BID REQUIREMENTS

We hereby agree to fully comply with, abide by and accept without variation, deviation or reservation all technical, commercial and other conditions whatsoever of the Tender Documents and Addendum to the Tender Documents for the subject work. We hereby further confirm that any terms and conditions if mentioned in our bid (Un-priced as well as Priced Part), shall not be recognized and shall be treated as null and void.

I declare hereby in the capacity of that Bidder M/s0is submitting only one bid for this tender and has not made any other bid or multiple bid.

Note: As per following, the submitted bids shall be considered as multiple bids. i. A person shall be deemed to have submitted more than one bid if a person bids in an individual or proprietorship format at and/or in a partnership or association of persons format and/or in a company format. ii. A company shall for this purpose include any artificial person whether constituted under the laws of Indian or of any other country. iii. A person shall be deemed to have bid in a partnership format or in association of persons format if he is a partner of the firm which has submitted the bid or is a member of any association of persons which has submitted a bid. iv. A person shall be deemed to have bid in a company format if the person holds more than 10% (ten percent) of the voting share capital of the company which has submitted a bid, or is a director of the company which has submitted a bid, or holds more than 10% (ten percent) of voting share capital in and/or is a director of a holding company of that company which has submitted the bid. In case it is found that bidder has submitted more than one bid, all the bids shall be rejected and the Earnest Money Deposit (if applicable)s for all such bids shall be forfeited, not by way of penalty or liquidated damages but by way of reimbursement of the pre-estimated costs likely to be incurred by the OWNER towards bidding process and in the scrutiny and evaluation of bids.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

INFORMATION ABOUT TENDERER / BIDDER

Sl No. Description Information Provided by the bidder

1 Name and Address of the Company

2 IOCL Vendor Code, if an existing vendor (Vendor code can be checked from any Work Order / Letter of Acceptance issued by IOCL)

3 Name and contact details of contact person related to this tender

Telephone & Mobile Number

4 Legal Status of the Bidder Please Select

5 Amount of paid-up Capital, if company

6 Name of Director(s), if company OR, Name of Partners, if partnership Firm OR, Name of Proprietor

7 Date of Registration of Company, if applicable

8 Copies of the audited Profit & Loss Account Statement of the Last three years submitted Please Select

9 Copies of the following submitted YES / NO / NA (Mention Details)

a) Memorandum of Association /Article of Association/ Certificate of Incorporation / Partnership Deed / Propritorship Affidavit

b) Certificate of Commencement of Business

c) Date of Subsidiary Agreement, if any

10 Declaration regarding bidder category (for claiming preferential purchase or any other benefit / relaxation to MSE /Start-up entity, if applicable as per tender conditions). Bidders claiming for benefits in this category, if applicabl as pr tender, shall submit supporting documents in Technical Bid along with other statutory documents failing which the declaration provided below shall be ignored i.e. Shall be considered as invalid.

a) Whether bidder is a Micro or Small Enterprise(MSE) NO - in Non-MSE category

b) If yes,please select whether SC /ST Not Applicable - Non MSE

c) If yes, please select whether in Women Enterprenure category Not Applicable -Non MSE

d) Specify details of MSE certificate with validity date

e) Whether bidder is a start-up entity No - Non Start up entity

f) If yes, please provide DIPP Registration number and validity date

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

DETAILS OF WORK ORDERS AND COMPLETION CERTIFICATE(S) SUBMITTED IN SUPPORT OF MEETING PQC

SR. NO. NAME AND POSTAL ADDRESS, PHONE / E-MAIL ID OF OWNER / CLIENT Please Provide official email ID of the issuer of work order & Completion Certificate(s) to enable us faster verificaiton of Authenticity (If required). NAME OF THE WORK ALONG WITH WORK ORDER NO. AND DATE AWARDED VALUE IN LAKH INR FINAL EXECUTED VALUE DATE OF COMPLE TION WORKED AS MAIN CONTRACTOR OR SUB CONTRACTOR IF WORKED AS SUB-CONTRACTOR, END USER / OWNER CERTIFICATE SUBMITTED

Note : Copies of Letter of Award / Work Order (Detailled Work Order) and Completion Certificate for above mentioned works are to be submitted in the Technical bid, without which bid will not be evaluated. Mere submission of details of past work experience in above annexure but non submission of relevant supporting documents will not be considered for evaluation purpose.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

ANNUAL TURNOVER STATEMENT

SR. NO. FINANCIAL YEAR / CALENDER YEAR CURRENCY ANNUAL TURN OVER AUDITED PROFIT AND LOSS ACCOUNT STATEMENT SUBMITTED (YES / NO) REGISTRATION NUMBER OF CHARTERED ACCOUNTANT AND, UNIQUE DOCUMENT IDENTIFICATION NUMBER (UDIN) OF THE AUDITED BALANCE SHEET / PROFIT AND LOSS ACCT STATEMENT

Note : Documentary proof in support of above data i.e. Audited Balance sheet /Profit & Loss account statement, as per requirment specified in NIT, shall be submitted in Technical Bid. Mere submission of details of in above annexure but non submission of relevant supporting documents will not be considered for evaluation purpose. Annual Turn Over (ATO) in any of the preceding three years must meet the minimum ATO mentioned in the NIT.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

EXCEPTIONS AND DEVIATIONS STATEMENT

SL. NO PAGE NO. OF BID DOCUMENT CLAUSE NO. SUBJECT DEVIATIONS

NIL NIL NIL NIL

All exceptions/ deviations taken by Bidder, if any, to the stipulations of the Tender Document shall be brought out in the techno-commercial bid (and not in the price bid) as per this format. Any exceptions/ deviations brought out elsewhere in the bid shall not be construed as valid. However if more space is required for submision of more exceptions / deviations, bidder(s) may submit the same in Technical Bid as per the above format and mention the relevant document / file name and page number etc. here in this format.

If this sheet is left blank, it will be considered that the bidder has accepted all terms and conditions of tender documents and has submitted their offer accordingly with NIL deviation. No further exception /deviation raised in any other form shall be considered.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

LETTER OF WAIVER

We, 0, hereby agree to fully comply with, abide by and accept without variation, deviation or reservation all technical, commercial and other conditions whatsoever of the tender documents of Tender No. RHQCC25093 and all Addenda / Corrigenda issued by Indian Oil Corporation Ltd.,

We further hereby waive, withdraw and abandon any and all deviations, variations, objections or reservations whatsoever thereto hereto before set out, given or indicated in our offer, clarifications, correspondences, communications, or otherwise with a view that the price bid submitted may be treated to conform in all respects, with the terms and conditions of the said tender documents including all Addenda / Corrigenda.

We further hereby confirm that the prices quoted in the price bid are as per the provisions of the tender document and there is no deviation to the provisions in the price bid.

For & on behalf of

Authorised signatory

Annexure - VIII

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

DECLARATION BY THE BIDDER REGARDING RELATIONSHIP WITH IOCL DIRECTOR

SL. NO. DESCRIPTION PLEASE SELECT (YES / NO / NOT APPLICABLE) SPECIFY DETAILS IF "YES".IS SELECTED

1 In case of Proprietorship entity : Whether proprietor is a Director or is related to any Director of IOC present or retired within the past 2 years. NO

2 In case of Partnership Firm : Whether any partner or member of the firm is a Director or is related to any Director of IOC present or retired within the last two years. NO

3 In case of Company : Whether any of the Directors of the Company is a Director or is related to any Director of IOC present or retired within past two years. NO

Note : If no information is furnished or the sheet is left blank it will be treated as the bidder has submitted his offer with the declaration as “NO / NIL / NOT APPLICABLE” against all the three rows mentioned above. Further Selection of both "NO & NOT APPLICABLE" will be treated as the bidder is confirming NO in the specific row applicable to them.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

DECLARATION BY THE BIDDER REGARDING RELATIONSHIP WITH OTHER BIDDER /CONSULTANT

SL. NO. DESCRIPTION PLEASE SELECT (YES / NO / NOT APPLICABLE) SPECIFY DETAILS IF "YES".

1 In case of Proprietorship entity : Whether proprietor is a Director of any other Company / Partner of any other Partnership Firm who has also submitted / who is participating in the subject tender . NO

2 In case of Partnership Firm : Whether any of the parners of the Partnership Firm is a Director of any other Company / Proprietor of any other Proprietorship entity / Partner of any other Partnership Firm who has also submitted / who is participating in the subject tender . NO

3 In case of Company : Whether any of the Directors of the Company is also a Director of any other Company / Proprietor of any other Proprietorship entity / Partner of any other Partnership Firm who has also submitted / who is participating in the subject tender . NO

4 Whether the bidder is a Consultant or their subsidiary Company or companies under the management of consultant for execution of the same project for which they are working as consultant. NO

Note : If no information is furnished or the sheet is left blank it will be treated as the bidder has submitted his offer with the declaration as “NO / NIL / NOT APPLICABLE ” against all the four rows mentioned above.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

UNDERTAKING OF NON ENGAGEMENT OF CHILD LABOUR

1 We are committed for elimination of child labour in all forms.

2 Neither we nor any of our nominated sub-contractor(s) are engaging Child Labour in any of our work(s) in terms of the provision of The Child Labour (Prohibition & Regulation) Act, 1986 and other applicable laws.

3 We as well as our sub contractor(s) undertake to fully comply with provisions of the child labour (Prohibition & Regulation) Act, 1986 and other applicable laws, in case the work is awarded to us.

4 It is understood that if I/We, either before award of during execution of contract, commit a transgression through a violation of above or any other form, such as to put my /our reliability in question, the owner is entailed to disqualify us from the tender process or terminate the contract, if already executed or exclude me /us from future contract award process. The imposition and duration of exclusion will be determined by the severity of transgression and determined by the owner. Such exclusion may be for a period of 1 year to 3 years as per the procedure prescribed in the guidelines for holiday listing of the owner.

5 I/we accept to undertake to respect and uphold the owner’s absolute bright to resort to impose such exclusion.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

PAN / PF / ESI / TIN / GSTIN / GeM Seller ID OF THE BIDDER

Please Provide Details of PAN , PF, ESI, TIN (If any), GSTIN of the bidder

2 DETAILS OF PROVIDENT FUND (PF) REGISTRATION

EPF Registration No.:

District & State:

We hereby confirm that the above PF Account is under operation presently and shall be used for all PF related activities for the labour engaged by us in the present work (if awarded to us).

3 DETAILS OF E.S.I REGISTRATION

ESI REGISTRATION No.:

District & State:

We hereby confirm that the above ESI Account is under operation presently and shall be used for all ESI related activities for the labour engaged by us in the present work (if awarded to us).

District & State:

District & State:

6 Government e marketplace (GeM) Seller ID

Annexure - XI (A)

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

DECLARATION OF INDEPENDENT ESI CODE

Select the relevant option (a /b/c) and furnish relevant document in the Techno commercial bid.

(a) If Available : Available

If independent ESI code is available, please indicate code and provide the copy of the same in Technical Bid.

ESI Registration Number :

(b) If independent ESI code is presently not available : ESI available - Option (b) not applicable

Party will be governed by the following : “In case job is awarded, party will acquire independent ESI code within 15 days of the date of issue of Work order. The gate pass for labour shall be issued only after furnishing the independent ESI code to Engineer-in-Charge (EIC). In case party fails to acquire the independent ESI code, EIC reserves the right to cancel the work order, forfeit the EMD and initiate suitable penal action as deemed fit by IOCL.

(c) In case of exemption claim : Declared as per (a) / (b) above - Option (c) not applicable

In case bidder claims exemption from obtaining independent ESI code, bidder must submit documentary evidence towards the same along with the bid. IOCL will examine the submitted documents during tendering and convey the decision to the party. If the exemption claim is accepted by IOCL, the party will have to furnish an indemnity bond indemnifying IOCL against any eventuality regarding ESI becoming applicable to the party during the tenure of the contract. In case the exemption claim of party is not acceptable to IOCL the same will be conveyed to the party and party will be governed by above clause (b). In response to IOCL communication conveying non-acceptance of party’s exemption claim, party will submit acceptance to above clause (b).

Note In case party does not agree to any of the above clauses (a), (b) or (c) the offer of party shall be liable for rejection.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

UNDERTAKING OF NON TAMPERING OF DATA

I/We have downloaded the tender form from the internet site https://iocletenders.nic.in/ and I/we have not tampered with / modified the tender forms and electronic data contained therein in any manner. In case, if the same is found to be tampered with / modified, I / we understand that my / our tender will be summarily rejected and full Earnest Money Deposit will be forfeited and I/we am/are liable to be banned from doing business with Indian Oil Corporation Ltd. and/or prosecuted.

Annexure - XIII

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

PROFORMA OF DECLARATION OF BLACK LISTING/HOLIDAY LISTING

A. In the case of a Proprietary Concern: Not Applicable - Bidder is not a Proprietary Concern

I hereby declare that neither I in my personal name or in the name of my Proprietary concern 0

which is submitting the accompanying Bid/Tender nor any other concern in which I am proprietor nor any partnership firm in which I am involved as a Partner are presently on any blacklist or holiday list declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum & Natural Gas (MOPNG), nor any inquiry is pending by Indian Oil Corporation Ltd. or MOPNG, in respect of any corrupt or fraudulent practice(s) against me or any other of my proprietorship concern(s) or against any partnership firm(s) in which I am or was at the relevant time involved as a partner, except as indicated below:

(Here give particulars of blacklisting or holiday listing, and /or inquiry and in absence thereof state ''NIL")

B. In the case of a Partnership Firm: Not Applicable - Bidder is not a Partnership Firm

We hereby declare that neither we,M/s 0

the accompanying Bid/Tender nor any partner involved in the said firm either in his individual capacity or as proprietor or partner of any other firm or concern presently, are placed on any blacklist or holiday list declared by Indian Oil Corporation Ltd. Or by Ministry of Petroleum & Natural Gas (MOPNG), nor any inquiry is pending by Indian Oil Corporation Ltd. or MOPNG, in respect of corrupt or fraudulent practice(s) against us or any partner or any other concern or firm of which he is proprietor or partner, except as indicated below:

(Here give particulars of blacklisting or holiday listing and/or inquiry and in the absence thereof state "NIL")

C. In the case of Company: Declared as under

We hereby declare that we are presently neither placed on any holiday list or blacklist declared by Indian Oil Corporation Ltd. Or by Ministry of Petroleum & Natural Gas (MOPNG), nor any inquiry is pending by Indian Oil Corporation Ltd. or MOPNG, in respect of corrupt or fraudulent practice(s), except as indicated below:

(Here give particulars of blacklisting or holiday listing and/or inquiry and in the absence thereof state "NIL")

D. In the case of Consortium: Not Applicable - Bidder is not a Consortium

We hereby declare that none of the members of the Consortium are presently placed on any holiday list or blacklist declared by Indian Oil Corporation Ltd. Or by Ministry of Petroleum & Natural Gas (MOPNG), nor any inquiry is pending by Indian Oil Corporation Ltd. or MOPNG, in respect of corrupt or fraudulent practice(s), except as indicated below:

It is understood that if this declaration is found to be false in any particular, Indian Oil Corporation Ltd. shall have the right to reject my/our bid, and if the bid has resulted in a contract, the contract is liable to be terminated without prejudice to any other right or remedy (including blacklisting or holiday listing) available to Indian Oil Corporation Ltd.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

DECLARATION OF INFORMATION ABOUT CURRENT LITIGATION / ARBITRATION

As desired, we give below the status of litigation (including the arbitrations) filed by or against us during the last 5 (five) years with respect to works contracts executed by us:

Litigation (Other than Arbitration)

S. No. Suit No. By Against Nature of Work Total Contract Value Total Amount Claimed Total Amount Counter- claimed Status

S. No. Suit No. By Against Nature of Work Total Contract Value Total Amount Claimed Total Amount Counter- claimed Status

Note By default the above declaration for both Litigation and Arbitration are specified as 'Nil'. Bidders are advised to declare their factual status in this regard in above format. In case no information is provided by the bidder or the annexure is submitted with 'Nil' it will be treated as the bidder is declaring that there is no current Litigation / Arbitration, in which they are involved.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

ACCEPTANCE OF GENERAL CONDITIONS OF CONTRACT (GCC)

The General Conditions of Contract (GCC) shall form a part of this tender document. Bidder is advised to download and read the same and submit the following undertaking.

This is to confirm that I have downloaded and read the latest General Conditions of Contract (GCC) of M/s. Indian Oil Corporation Limited, read & understood its provisions. I herby undertake to accept all the provisions of GCC and submit this offer after being fully satisfied with all the provisions of the latest GCC of IOCL.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

DECLARATION REGARDING ACCEPTANCE OF TENDER DOCUMENT

( TO BE SUBMITTED IN TECHNICAL BID ON BIDDER'S LETTERHEAD, DULY SIGNED BY AUTHORISED SIGNATORY)

I/ we confirm that we have quoted the rates in the tender considering Inter-alia the following documents, as applicable, for the subject tender:

1. Price bid(BoQ) sheets & Schedule of Rates 2. Techno-Commercial Bid Document 3. General Conditions of Contract (GCC), Other Conditions of Contract, 4. PPE Guidelines 5. Addendum / Corrigendum (if any) 6. All other attachments, drawings, specifications etc. which are part of the tender document.

I/we hereby certify that we have fully read and thoroughly understood the tender requirements and accept all terms and conditions of the tender including all documents mentioned above and all corrigendum/addendum issued. Our offer is in confirmation to all the terms and conditions of the tender including all corrigendum/addendum and minutes of the pre-bid meeting, if any except the deviations stated in format of “Deviations / Exceptions”. In the event of award of contract to us, the complete tender document along with addendum /corrigendum, if any as uploaded by Indian Oil Corporation Limited at e- tender portal [https://iocletenders.nic.in] under the subject referring to the above-mentioned tender number shall be considered for constitution of Contract Agreement.

I/ we declare that none of the electronic documents have been tampered with. In case of tampering of electronic documents, the bid shall be rejected outright and EMD forfeited without prejudice to any other rights or remedies available to IOCL.

I / we further undertake and confirm that all the documents submitted by us along with the bid are true and genuine to the best of our knowledge and belief. In case at any time, any document / information furnished by us are found to be forged / false / fabricated / misleading, we shall be solely liable for any legal consequences, penal actions including holiday listing by IOCL.

Authorised Signatory

Annexure - XVII

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

TAX QUOTATION/ DECLARATION

Bidders is requested to quote as below:

Particulars GST details as pre-assessed by IOCL GST details to be confirmed by the Bidder ( Please see Instruction to Bidders and the note Below)

Applicable Service Category (for GST purposes) service service

Rate of GST 0.18

Service Accounting Code(SAC) for selected Service/HSN Category 998414

Kindly confirm the following Yes or No:

1 Whether Service Covered under Reverse Charge? [ At present Services of GTA, Legal and Sponsorship , among others, are covered under GST Laws] NO

2 Whether the bidder is exempted from registration under GST (Turnover of less than Rs 20 Lacs / 10Lacs in case of special category States) NO

3 Whether Bidder is under Composition Scheme as defined under section 10 of CGST Act, 2017? NO

Note In case the bidder seeks any deviation w.r.t. category of service, Service Accounting Code (SAC) and GST rate as pre-determined by IOCL, Bidder should provide the details with proper justification. Default values / details are mentioned as per pre assessment of IOCL. Bidders are advised to go through the same and submit accordingly after entering changes, if any , as per their own assessment. If the bidder does not fill up the required information i.e. GST details as above but submits this document with their signature, it will be treated as bidder is quoting GST rates as per the rates pre-assessed by IOCL and he is confirming as “NO” against the options specified in Sl. No. 1 to 3 above. His bid will be evaluated accordingly considering the same GST rate.

Annexure - XVIII

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

PERFORMA FOR DECLARATION ON PROCEEDINGS UNDER INSOLVENCY AND BANKRUPTCY CODE, 2016

I/ We, declare that :

(i) I /we am / are not undergoing in solvency resolution process or liquidation or bankruptcy proceeding as on date . DECLARED / CONFIRMD OPTION -(i)

(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) DECLARED OPTION (i) - OPTION (ii) IS NOT APPLICABLE

Note : Choose one of above options which is applicable and accordingly choose the option from drop down at RHS.

It is understood that if this declaration is found to be false, Indian Oil Corporation Ltd. 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 holiday listing) available to Indian Oil Corporation Ltd .

Note : If this declaration is submitted with signature of the bidder but without selecting / declaring any one of the two options (Option i or, ii as mentioned above) it will be treated as bidder is declaring confirmation of option (i) and the other option i.e. option (ii) is strike out.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

FORMAT FOR ADVICE OF VENDOR DETAILS (On the Letterhead of the Bidder)

To Indian Oil Corporation Ltd (Refineries Division) Scope Complex, Core-2, Lodhi Road, New Delhi-110003 Date :

With reference to the P.O /W.O./Contract Ref No. dated awarded to us by IOCL, we hereby give our consent to accept the related payments of our claims/bills on IOCL through Cheques or Internet based online E-payments system at the sole discretion of IOCL. Our Bank account details for the said purpose are as under:

Sl. No. Particulars Details

1 Name and address of the Beneficiary.

2 Account Number of Beneficiary

3 Account Classification (CA/CC-11 or 29) & SB-10 as per cheque leaf.

4 Name & Address of the Bank Branch (where payments are to be sent by IOC)

5 Branch Name/Code

6 The 09 Digit MICR code of the Branch (as appearing on the MICR cheque)

7 IFSC Code of the bank Branch for RTGS mode.

8 IFSC Code of the bank Branch for NEFT mode.

9 E-mail ID of Beneficiary.

10 Any other Particulars (to be advised by beneficiary for the E payments purposes)

11 Vendor Code (to be filled by IOC’s Deptt Only)

12 Permanent Account Number

13 GSTIN No. & State

14 Corporate Identity Number (CIN) in case of company

15 Mobile Number (For SMS Alerts)

Please attach a blank copy of the cancelled cheque/photocopy of the cancelled cheque issued by your bank relating to the above account Number for verifying the accuracy of bank account is enclosed.

A Copy of PAN Card duly attested by authorized signatory for verifying the accuracy of the PAN is enclosed.

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

Signature Of account Holder With Company Stamp (if a company)

(Encl: one cheque/photocopy of cheque duly cancelled & copy of PAN card)

*** We hereby confirm that the above bank account details of beneficiary are correct in all respects and the account of beneficiary (IOCL Vendor) is maintained at out bank branch.

(Name of the Bank & Branch) Authorized signatory

*** Verification 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 IOCL office.

(b) Change in existing bank details.

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

MODEL CERTIFICATES TO BE SUBMITTED BY FOREIGN BIDDERS PARTICIPATING IN GLOBAL TENDERS AS WELL AS BY DOMESTIC BIDDERS PARTICIPATING IN WORKS / TURNKEY CONTRACTS WITH POSSIBILITY OF SUB-CONTRACTING

Model Certificate to be submitted by Foreign Bidder :

“I have read the clause regarding restrictions on procurement from a bidder of a country which shares a land border with India; I hereby certify that this bidder is not from such a country and is eligible to be considered.”

Model Certificate to be submitted by Foreign Bidder :

“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 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. [Where applicable, evidence of valid registration by the Competent Authority shall be attached.]’

Model Certificate to be submitted by Foreign Bidder / Domestic Bidder Participating in Tenders with Possibility of Sub-Contracting :

“I have read the clause regarding restrictions on procurements 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 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. [Where applicable, evidence of a valid registration by the Competent Authority shall be attached.]”

Certified and declared as above

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

FORMAT OF BID SECURITY DECLARATION FROM BIDDERS IN LIEU OF EMD (On Bidders letter Head)

I /We, the authorized signatory of M/s 0 , participating in the subject Tender No.RHQCC25093, for the job of AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS, do hereby that in the event:

I / We withdraw / modify our bid during the period of bid validity OR I/We commit any other breach of tender conditions/ contract which would have otherwise attracted forfeiture of EMD OR I / We fail to / refuse to initiate the execution of the awarded Contract as per the terms of the Contract

then I / We could be debarred from being eligible for bidding / award of all future tender(s) of Indian Oil Corporation Limited as deemed fit Under holiday listing guidelines of Indian Oil Corporation Limited

Signature and seal of authorized signatory of bidder

Name of authorized signatory

Annexure - XXIII

Tender No. : RHQCC25093

Name of the Job : AVAILING MPLS-VPN SERVICES FROM M/S BHARAT SANCHAR NIGAM LIMITED FOR IOCL LOCATIONS

Name of the Bidder

I/ We, declare that :

The organization shall undertake that its employees & their immediate relatives, agents, sub-contractors and any other person associated with said contract / engagement does not violate any of the provision of the SEBI (Prohibition of Insider Trading) Regulation, 2015. Any violation shall be considered as breach of terms of contract / engagement and IndianOil shall take necessary action for such breach in addition to reporting to SEBI for taking necessary action under SEBI (Prohibition of Insider Trading) Regulations, 2015.

Select, Excess (+), Less (-) Less (-)

Tender Inviting Authority: DGM(Contracts)

Name of Work:Upgradation of existing Honeywell Real Time Data Base Management System (RTDBMS) - Uniformance PHD - at Indian Oil Corporation Limited (IOCL’s), Guwahati, Barauni, Gujarat, Haldia, Mathura, Panipat, Paradip, Digboi and Bongaigaon Refineries along with extension of RTDBMS to IOCL Refineries Head Quarters (RHQ) at New Delhi along with 1 year Post Implementation Warranty and 9 years Post Warranty Comprehensive Annual Maintenance Contract (AMC) and Software Maintenance Services (SMS)

Contract No: RHQCC25079

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency BASIC RATE In Figures To be entered by the Bidder Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category

1 Bandwidth Charges for 2 Mbps MPLS link itemH1Code1 0.000 QTR 2456140 Excess(+) Full Conversion INR

2 Bandwidth Charges for 4 Mbps MPLS link itemH1Code2 0.000 QTR 2250000 Excess(+) Full Conversion INR

3 Bandwidth Charges for 6 Mbps MPLS link itemH1Code3 0.000 QTR 210000 Excess(+) Full Conversion INR

4 Bandwidth Charges for 8 Mbps MPLS link itemH1Code4 0.000 QTR 571351 Excess(+) Full Conversion INR

5 Bandwidth Charges for 10 Mbps MPLS link itemH1Code5 0.000 QTR 599914 Excess(+) Full Conversion INR

6 Bandwidth Charges for 12 Mbps MPLS link itemH1Code6 0.000 QTR 629910 Excess(+) Full Conversion INR

7 Bandwidth Charges for 16 Mbps MPLS link itemH1Code7 0.000 QTR 661406 Excess(+) Full Conversion INR

8 Bandwidth Charges for 20 Mbps MPLS link itemH1Code8 0.000 QTR 694476 Excess(+) Full Conversion INR

9 Bandwidth Charges for 24 Mbps MPLS link itemH1Code9 0.000 QTR 729200 Excess(+) Full Conversion INR

10 Bandwidth Charges for 30 Mbps MPLS link itemH1Code10 0.000 QTR 765660 Excess(+) Full Conversion INR

11 Bandwidth Charges for 40 Mbps MPLS link itemH1Code11 0.000 QTR 803943 Excess(+) Full Conversion INR

12 Bandwidth Charges for 48 Mbps MPLS link itemH1Code12 0.000 QTR 844140 Excess(+) Full Conversion INR

13 Bandwidth Charges for 50 Mbps MPLS link itemH1Code13 0.000 QTR 80796 Excess(+) Full Conversion INR

14 Bandwidth Charges for 60 Mbps MPLS link itemH1Code14 0.000 QTR 84783 Excess(+) Full Conversion INR

15 Bandwidth Charges for 64 Mbps MPLS link itemH1Code15 0.000 QTR 89022 Excess(+) Full Conversion INR

16 Bandwidth Charges for 75 Mbps MPLS link itemH1Code16 0.000 QTR 93473 Excess(+) Full Conversion INR

17 Bandwidth Charges for 100 Mbps MPLS link itemH1Code17 0.000 QTR 98147 Excess(+) Full Conversion INR

18 Bandwidth Charges for 120 Mbps MPLS link itemH1Code18 0.000 QTR 103054 Excess(+) Full Conversion INR

19 Bandwidth Charges for 128 Mbps MPLS link itemH1Code19 0.000 QTR 108207 Excess(+) Full Conversion INR

20 Bandwidth Charges for 150 Mbps MPLS link itemH1Code20 0.000 QTR 113617 Excess(+) Full Conversion INR

21 Bandwidth Charges for 300 Mbps MPLS link itemH1Code21 0.000 QTR 119298 Excess(+) Full Conversion INR

22 Bandwidth Charges for 600 Mbps MPLS link itemH1Code22 0.000 QTR 1000000 Excess(+) Full Conversion INR

23 Bandwidth Charges for 900 Mbps MPLS link itemH1Code23 0.000 QTR 3929827 Excess(+) Full Conversion INR

24 Bandwidth Charges for 1000 Mbps MPLS Lnk itemH1Code24 0.000 QTR 3000000 Excess(+) Full Conversion INR

25 Bandwidth Charges for 2000 Mbps MPLS Lnk itemH1Code25 0.000 QTR 210000 Excess(+) Full Conversion INR

26 Bandwidth Charges for MPLS VPNo3G/4G/5G itemH1Code26 0.000 QTR 571351 Excess(+) Full Conversion INR

27 Topup Charges for offshore locations itemH1Code27 0.000 QTR 599914 Excess(+) Full Conversion INR

28 Bandwidth Charges for 20 Mbps P2P link itemH1Code28 0.000 QTR 629910 Excess(+) Full Conversion INR

29 Bandwidth Charges for 50 Mbps P2P link itemH1Code29 0.000 QTR 661406 Excess(+) Full Conversion INR

30 One time fixed Charges itemH1Code30 0.000 EA 694476 Excess(+) Full Conversion INR

Total in Figures

Quoted Rate in Figures Select

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