RAZE AND REBUILD WORKS AT VENKATESWARA HIGHWAY FUELS ON CHENNAI BANGALORE NATIONAL HIGHWAY UNDER CHENNAI DIVISIONAL OFFICE OF TAMIL NADU STATE OFFICE

RAZE AND REBUILD WORKS AT VENKATESWARA HIGHWAY FUELS ON CHENNAI – BANGALORE NATIONAL HIGHWAY UNDER CHENNAI DIVISIONAL OFFICE OF TAMIL NADU STATE OFFICE. (Please refer Detailed SOR as indicated in the Technical Bid)

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Subject:

Tender Ref. No.:

e-Tender ID:

Bidder/Firm/Company Name:

Name of DSC User for the subject Tender:

Son/Daughter 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 FOR 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 UNDERTAKINGS AND DECLARATIONS FOR NON TAMPERING OF DATA

Tender Ref. No.:

e-Tender ID:

• I/We have not tampered or modified the subject tender document in any manner and before uploading, same has been cross-checked with documents hosted on your e-portal https://iocletenders.nic.in. In case, if same is found to be tampered/modified, I/We understand that my/our tender will be summarily rejected and EMD/SD may be forfeited and I am / We are liable to be banned from doing business with and/or prosecuted.

• I/We, hereby confirm that if any discrepancy observed in the submitted tender even at a future date, I/We will abide by all the terms and conditions as per all the documents hosted including Addendums/Changes/Corrigendum, on your e-portal related with subject tender. I/We further assure that we agree to all the decisions confirmed in Pre-Bid Conference of the subject tender.

ANNEXURE – E DECLARATION OF BLACK LISTING / HOLIDAY LISTING

Tender Ref. No.:

e-Tender ID:

I/We are participating in the above referred Tender as:

I/We hereby declare that I/We are participating in the above referred Tender as 'Partnership Firm'

We hereby declare that we are presently neither placed on any holiday list or blacklist list declared by Indian Oil Corporation Ltd. or by Ministry of Petroleum and 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:

Details given below:

It is understood that if this declaration is found to be false, IndianOil Corporation Ltd. shall have the right to reject my/our bid. If the tender has been finalized, the contract will be liable for termination without prejudice to any other right of remedy (including black listing or holiday listing) available to IndianOil Corporation Ltd.

ANNEXURE – F DETAILS OF RELATIONSHIP WITH IOCL’S DIRECTORS ETC.

Tender Ref. No.:

e-Tender ID:

D E C L A R A T I O N - `A'

D E C L A R A T I O N - `B'

D E C L A R A T I O N - `C'

D E C L A R A T I O N

I / We have not employed any retired Director and above rank officer of Indian Oil Corporation Ltd in their firm.

I / We have employed retired Director and above rank officer of Indian Oil Corporation Ltd in my/our firm as detailed below

Name of the Person

Post last held in IOC

Date of Retirement

Date of employment in the firm of Tenderer

ANNEXURE – G 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 – H PARTICULARS OF BIDDER FIRM

Tender Ref. No.:

e-Tender ID:

ANNEXURE – I 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 – J 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 – K 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

ANNEXURE – H

ANNEXURE – I

ANNEXURE – J

ANNEXURE – K

Tender Ref : SRCC/SD/PT/220/TNSO/2025-26

NAME OF THE WORK : RAZE AND REBUILD WORKS AT VENKATESWARA HIGHWAY FUELS ON CHENNAI – BANGALORE NATIONAL HIGHWAY UNDER CHENNAI DIVISIONAL OFFICE OF TAMIL NADU STATE OFFICE.

NOTE : Bidders are requested to fill in the details in respective cells as prescribed against the description and upload the same in excel format only.

Description

BASIC DETAILS

Bidder Login ID as per e-tender Portal

DSC HOLDER NAME (Digital Signature Holder)

Phone Number / Mobile Number

Email Id for Correspondence

Registered Address of Firm

Type of Firm (PROPRIETORSHIP OR PARTNERSHIP OR PRIVATE LTD OR PUBLIC LTD)

Name of the Proprietor/List of Partners/Board members

Payment of EMD NOTE: It is works contract and MSE policy is not applicable for works contract. Therefore, EMD exemption is not applicable for MSE bidders and they have to submit the EMD. Ref EMD Notes.

BG against EMD (if EMD amount is more than Rs. 1 Lac) Submitted Annexure-I ‘Request letter to bank during issuance of EMD - Transmission of Bank Guarantee Cover Message’ to the BG issuing bank. Procedure for SFMS Confirmation is detailed. (Type Submitted/Not Submitted/Not applicable)

Pre-Qualification Criteria

SIMILAR WORKS EXPERIENCE: Tenderer should submit details of relevant WO/PO as under. 03 (Three) similar completed works each costing not less than Rs 90.23 Lacs OR 02 (Two) similar completed works each costing not less than Rs 120.31 Lacs OR 01 (One) similar completed work costing not less than Rs 150.38 Lacs or above in any of the last 7 years ending last day of month previous to the original date of bid submission.

DEFINITION OF SIMILAR WORKS: Experience in successful completion of construction of any or a combination of Buildings / Roads / Driveway / Boundary Wall / Steel Structure / Retaining wall / Petroleum or Gas Installations / Retail outlets shall only be considered as similar work

WORK ORDER DETAILS

Work Order / PO amount (Rs)

Name of the Client

Work description

Work completion amount (Rs)

Date of Work Completion

Completion Certificates OR duly certified copy of bills/ invoices (in case of Government Bodies/ PSUs ). (Completion Certificate/ Certified Bill Reference No.)

Certificate from CA certifying the value of work done with relevant TDS certificates (TRACES where applicable) (or) bank statement ( in case of Private clients)

Certificate from the end user / Owner / Consultant of the Owner stating that the main contractor has intimated them about the engagement of sub-contracting OR have been allowed/ permitted as a sub-contractor (In case of works done as a sub-contractor)

Certificate of completion of work from the end user / owner / consultant of the owner acting as EIC (In case of works done as a sub-contractor)

WORK ORDER DETAILS

Work Order / PO amount (Rs)

Name of the Client

Work description

Work completion amount (Rs)

Date of Work Completion

Completion Certificates OR duly certified copy of bills/ invoices (in case of Government Bodies/ PSUs ). (Completion Certificate/ Certified Bill Reference No.)

Certificate from CA certifying the value of work done with relevant TDS certificates (TRACES where applicable) (or) bank statement ( in case of Private clients)

Certificate from the end user / Owner / Consultant of the Owner stating that the main contractor has intimated them about the engagement of sub-contracting OR have been allowed/ permitted as a sub-contractor (In case of works done as a sub-contractor)

Certificate of completion of work from the end user / owner / consultant of the owner acting as EIC (In case of works done as a sub-contractor)

ANNUAL TURNOVER

Annual Turn Over (ATO)-FY 2022-23 (ATO in Rs Lacs)

Annual Turn Over (ATO)-FY 2023-24 (ATO in Rs Lacs)

Annual Turn Over (ATO)-FY 2024-25 (ATO in Rs Lacs)

OTHER COMMERCIAL CRITERIA

PF Registration Certificate (Enter PF Reg. number)

GST Registration Certificate (Enter GSTIN Reg. number)

Certificate of Incorporation in case of Pvt Ltd (Enter CIN no.) , If not applicable, Type "Not applicable"

Article of Association and Memorandum of association (in case of Pvt. Ltd. / Public Ltd. Company) (Type Submitted/Not Submitted/Not applicable)

Partnership Deed in case of Partnership Firm (Type Submitted/Not submitted/Not applicable)

Power of Attorney/Board resolution (As applicable) in favour of Tender signing authority and Digital Signature Certificate Holder.

In case of Proprietary Concern • If the bid is submitted by the proprietor, no POA required. However, he will upload undertaking certifying that he is sole proprietor. • If the bid is submitted by person other than proprietor, POA authorizing the person to submit bid on behalf of the concern. (Type Submitted/Not Applicable)

All declarations Annexure - A to J in excel declarations sheet uploaded (Type Submitted/Not Submitted)

Certified Site Visit Report (Annexure - 15) uploaded (Type Submitted/Not Submitted)

Other Declaration

UNDERTAKING (to be submitted on Company's Letterhead) - Bid Stage(Submitted/ Not submitted)