DEVELOPMENT OF WSA SITE AT CHINTAKAYALA KOTHAGUDEM VILLAGE, CHINTALAPUDIMANDAL ELURU DISTRICT, ANDHRA PRADESH. SURVEY NO 100 LHS UNDER VIJAYAWADA DO, TAPSO.

DEVELOPMENT OF WSA SITE AT CHINTAKAYALA KOTHAGUDEM VILLAGE, CHINTALAPUDIMANDAL ELURU DISTRICT, ANDHRA PRADESH. SURVEY NO: 100/LHS UNDER VIJAYAWADA DO, TAPSO.

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Subject:

Tender Ref. No.:

e-Tender ID:

Bidder/Firm/Company Name:

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

Tender Ref. No.:

e-Tender ID:

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

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

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

Tender Ref. No.:

e-Tender ID:

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

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 & forfeit the EMD / invoke BSD clauses and, if the bid has resulted in a contract, the contract will be liable for termination without prejudice to any other right or remedy (including blacklisting or holiday listing) available to Indian Oil Corporation Ltd.

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

Tender Ref. No.:

e-Tender ID:

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

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

ANNEXURE – D UNDERTAKING FOR BUSINESS TRANSACTION STATUS OF BIDDERS

Tender Ref. No.:

e-Tender ID:

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

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

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

ANNEXURE – E UNDERTAKING ON NO MULTIPLE BIDDING

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

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)

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

Tender Ref. No.:

e-Tender ID:

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

Minimum 50% (>=50%)

Deemed Class-II Local Supplier

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

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

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

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

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

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

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

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

Annexure Name

ANNEXURE – A

ANNEXURE – B

ANNEXURE – C

ANNEXURE – D

ANNEXURE – E

ANNEXURE – F

ANNEXURE – G

STANDARD COMPARATIVE CHART

E-Tender Ref. No.: E-TENDER ID:

Tender description:

Instructions for Tenderer: Tenderer MUST fill in below mentioned details and submit along with the Technical bid. (NON-UPDATION OF ANY DETAILS MAY MEAN INCOMPLETE TENDER). Please state "NOT APPLICABLE" in case you have no positive answer. For example, if you are not a proprietary firm, then please state “NOT APPLICABLE’ against item No. (B) 1 below instead of keeping the same blank. RESPONSIBILITY OF CORRECTNESS OF DETAILS LIES WITH THE TENDERER.

Name of the bidder:

Address of the Bidder

Telephone Nos.:

Login E-Mail id for portal

Correspondence E-Mail id as per portal

Name of Contact Person:

Contact Person's Mobile no ;-

Name of DSC holder (for which POA/Board Resolution to be uploaded)

PAN NO.

Sole Proprietorship?

If yes, Give name of the Proprietor and upload affidavit for sole proprietorship

Partnership firm?

Private or Public Limited Company?

Bid security declartion