Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied works at location between KM Stone 220 to 223, on NH75E (N39), District- Sonbhadra, under Prayagraj DO of UPSO-I.

Subject: Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location between KM Stone 220 to 223, on NH75E (N39), District- Sonbhadra, under Prayagraj Divisional Office of UPSO-I.

Tender Ref. No.: M&C/NR/UPSO-1/ENG/LT-302/25-26

e-Tender ID: 2026_NRO_188846_1

Bidder/Firm/Company Name:

Type of Firm (Please Select)

Name of DSC User (Authorized Signatory) for the subject Tender

Father's Name of DSC User for the subject Tender

ANNEXURE – A ACCEPTANCE OF ALL TERMS & CONDITIONS OF TENDERER 0

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

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

ANNEXURE – B DECLARATION ON NCLT/NCLAT/DRT/DRAT/COURT RECEIVERSHIP/ LIQUIDATION 0

I(a) As on date, I/We am/ are not undergoing insolvency resolution process or liquidation or bankruptcy proceedings, and no application has been filed and is currently pending against me/us for initiation of insolvency resolution process, liquidation or bankruptcy proceedings whether under IBC or under any other applicable law (where IBC is not applicable).

I(b) As on date, I/We am/ are undergoing corporate insolvency resolution process (CIRP) / liquidation / bankruptcy proceedings, the details of which are attached, including copy of the relevant petition.

I(c) As on date, application for initiation of CIRP/ liquidation/ bankruptcy proceedings is currently pending against me/us, under IBC or other applicable law (where IBC is not applicable), the details of which are attached, including copy of the relevant petition.

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

II . I undertake to provide an updated declaration on proceedings under IBC before award of contract, as per timelines stipulated by Indian Oil Corporation Limited.

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

ANNEXURE – C COMPLIANCE CERTIFICATE REGARDING BIDDERS FROM A COUNTRY WHICH SHARES A LAND BORDER WITH INDIA 0

(A) The bidder, ………………………………………………………………………………………………………………………… is not from a country which shares a land border with India;

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

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

(B) 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 fulfils all requirements in this regard and is eligible to be considered. (Where applicable, evidence of valid registration by the Competent Authority shall be attached).

(C) I have read the Clause regarding restrictions on procurement from a bidder of a country which shares a land border with India and on sub-contracting to contractors from such countries; I certify that this bidder is not from such a country 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 valid registration by the Competent Authority shall be attached].

ANNEXURE – D UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS 0

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

(A) We hereby confirm that we have not transferred our ownership rights either in whole or in part to another entity or under process of transfer.

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

Sl. No. Name of Entity/Entities % of Ownership Transferred

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

Sl. No. Name of Entity/Entities % of Ownership Transferred

(B) I/We understand that Indian Oil Corporation Limited (IOCL) reserves the right to reject the tender of any entity, which has transferred its ownership rights in whole or in part or which is in process of transfer without assigning any reason for such rejection.

(C) I/ We also understand that refusal or failure to share the information regarding the status of any kind of business transfer process/restructuring etc. in this tender or at any later stage, as applicable, my/our tender is liable to be rejected by IOCL and without prejudice to any other remedy or action available with IOCL, IOCL shall forfeit the Earnest Money Deposit provided by the tenderer, in any form whatsoever.

ANNEXURE – E UNDERTAKING ON NO MULTIPLE BIDDING 0

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

I. have not submitted multiple bids. i.e., more than 1 bid either individually or in any combination of person (individual capacity, proprietor, affiliates, partnership, association of persons, Company, etc.)

II. understand that the submitted bids shall be construed as multiple bids in following scenarios:

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

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

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

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

III. am aware that, in case it is found that bidder has submitted more than one bids, all the bid shall be rejected and the Earnest Money Deposit (if applicable) for all such bids shall be forfeited, not by way of penalty or liquidated damages but by way of reimbursement of all pre-estimated costs likely to be incurred by the owner towards bidding process and in scrutiny and evaluation of bids.

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

ANNEXURE – F UNDERTAKING ON Public Procurement (Preference to Make in India (PP-MII) 0

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

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

(1). That I am the authorized signatory of M/s ……………………………………………………………………………… and I am duly authorized to furnish this undertaking declaration on behalf of M/s ………………………………………………………………………………

(2). That M/s ……………………………………………………………………………… has submitted its bid against bidding document of above Tender reference.

(3). That the Firm/Company is fully aware of the provisions of Public Procurement (Preference to Make in India) (PP-MII), Order 2017 and its amendments.

(4). We hereby confirm that our offer is achieving the minimum local content of:

Minimum 50% (>=50%)

Deemed Class-II Local Supplier (As per Clause 2A of PP-MII Order Revision Dated 19.07.2024. I confirm that we are manufacturing the tendered item under PLI Scheme and have received incentive from concerned PLI ministry. This declaration is being made within the specific time period only, as notified by concerned PLI Ministry)

(5). Details of location(s) where the local value addition is made

(6). I confirm that I am aware of the implication of the above undertaking and our liability on account of wrong declaration.

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

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

Annexure Name Description Submission Status

ANNEXURE – A ACCEPTANCE OF ALL TERMS & CONDITIONS OF TENDERER NOT Submitted 0

ANNEXURE – B DECLARATION ON NCLT/NCLAT/DRT/DRAT/COURT RECEIVERSHIP/ LIQUIDATION NOT Submitted 0

ANNEXURE – C CERTIFICATE FOR BIDDERS FROM A COUNTRY WHICH SHARES A LAND BORDER WITH INDIA NOT Submitted 0

ANNEXURE – D UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS NOT Submitted 0

ANNEXURE – E UNDERTAKING ON NO MULTIPLE BIDDING NOT Submitted 0

ANNEXURE – F UNDERTAKING ON PUBLIC PROCUREMENT (PREFERENCE TO MAKE IN INDIA (PP-MII) NOT Submitted 0

Percentage BoQ iocl2

Select, At Par, Excess (+), Less (-) IOCL Select Not Quoted At Par Excess (+) Less (-) No Please select desired option in Cell 'E17'

Tender Inviting Authority: Chief General Manager (Materials and Contracts), Northern Regional Office

Name of Work: Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location between KM Stone 220 to 223, on NH75E (N39), District- Sonbhadra, under Prayagraj Divisional Office of UPSO-I.

Tender Ref. No: MnC/NR/UPSO-I/ENG/LT-302/25-26,

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate in Rs. P GST Rate (%) envisaged by IOCL 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 Whether opted for Composition Scheme (please select "Yes" or "No" from dropdown) GST rate (%) to be indicated by the Bidder GST Rate (%) considered by system for evaluation Compensation cess (%), if any, indicated by the Bidder Compensation Cess (%) considered by system for evaluation Total Tax (GST including Compensation Cess, if any) in Rs. Estimated Input Tax Credit to IOCL (%) Estimated Input Tax Credit to IOCL (Rs.) Total Tax less Input Tax Credit (Rs.)

1 Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location between KM Stone 220 to 223, on NH75E (N39), District- Sonbhadra, under Prayagraj Divisional Office of UPSO-I. Please, fill bidder's name in Cell 'B8' Please fill name of bidding firm

1.01 Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location between KM Stone 220 to 223, on NH75E (N39), District- Sonbhadra, under Prayagraj Divisional Office of UPSO-I. Non-ITC =0% Line Item 0010 of PR document. LS Excess(+) Full Conversion INR No

1.02 Development of New A site RO with facilities like Sales Building, Canopy, Paver block driveway and other allied civil & electrical works at location between KM Stone 220 to 223, on NH75E (N39), District- Sonbhadra, under Prayagraj Divisional Office of UPSO-I. ITC =100% Line Item 0020 of PR document. LS Excess(+) Full Conversion INR No

Total in Figures

Quoted Rate in Figures Select Please fill name of bidding firm For quoting rates, select option from dropdown in Cell 'E17' and fill in Quote (%) in Cell 'F17'. Please do not clear/delete contents in cell 'E17'.

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