Expression of Interest (EOI) from existing Distributors attached to Mannargudi IOCL Bottling Plant for own load Transportation of Indane LPG Cylinders in vertical position on unit rate basis Ex_ Mannargudi IOCL LPG Bottling Plant under TNSO

Please Update all Cells for each individual Truck

Serial No of Scanned Doucments to be mentioned as per given below Number and to be Scanned in Order and Uploaded. In case not possible to Upload in Single file then Combile Documents and give the File No as "Dist Name/1-5", "Dist Name 06-10", "Dist Name 11-15", Dist Name 16-20" ,"Dist Name 21-25" etc

SL. NO. NAME OF THE BIDDER DISTRIBUTOR CODE VENDOR CODE TT REQUIREMENT (LOADS/DAY) AS PER EOI DOCUMENT TRUCK CAPACITY BEING OFFERED CONSIDERATION OF OWN TT TRUCK OFFERED UNDER CATEGORY (YES/NO) EOI Document (YES/NO) Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn - PROPRIETOR Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn- PARTNERS Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn- CO-OPERATVE SOCIETY Annex 1 on Non Judicial Stamp Paper of appropriate Value- EOI for Transportn- COMPANY Truck Details EMD SAP Document No and Date Paid through ePayOne Uploded Self Certified with Stamp and Signature (YES/NO) Consortium Details if any TRUCK OFFERED UNDER CATEGORY OFFERED TRUCK NO NAME OF THE PLANT WHEREIN TRUCK IS CURRENTLY PLYING QUOTED TRUCK IS OFFERED ONLY TO THIS PARTICULAR TENDER AND NOT OFFERED TO ANY OIL COMPANY INCLUDING ANY OTHER UNITS OF INDIAN OIL CORPORATION ADDRESS OF REGISTERING RTO ENGINE NO CHASSIS NO BODY TYPE MENETIONED IN RC BOOK Date, Month & Year of original Manufacturing date of truck as per RC book / Invoice (All quoted & eligible trucks) (month / date / year) CYLINDERS CARRYING CAPACITY AS PER RC BOOK in KGS ABS ADDRESS CONTACT NUMBER MAIL ID PAN CARD NUMBER GST REGISTRATION CERTIFICATE No. GST to be considered EMD PAYMENT EMD PAYMENT THROUGH EPAY ONE ONLY BID SECURITY DECLARTAION UPLOADED DSC HOLDER NAME

Cat I Cat II (1) Cat I (2) Cat II Mention - Proprietor Firms/Individuals/Partner/Mese Registered Firm/Company/Cooperative Society Ready Built Trucks (with Registration Certificate) with EMD of Rs. 15000/- New Truck with GST Invoice (Containing Chassis No) along with Purchase Invoice +Temporary Registration Certificate /Temporary Authorisation of Registration Certificate with EMD of Rs. 15000/- Booking Receipt with EMD of Rs. 50000/- Uploaded Duly Filled and digitally Signed EOI document Name of the Proprietor Name and Style of the Distributorship as per Distributor Agreement Date of Execution of Distributorship Agreement Name of all Partners and thei percentage of Share Name of the Authorized Signatory Truck Registration No /Temporary Registration No Chassis No Month and Year of Manufacture (MM/YYYY) Date of Registration (DD/MM/YYYY) * Not applicable for Chassis Name of the Registered Owener Relationship wuth the Distributorship (Whether Partner/Proprietor) Rs. 15,000 Rs. 50,000 RC Book or Smart Card Registered Deed of Registration of Partnership Firm Invoice accompanied with temporary registration certificates / temporary authorization of registration certificate for new trucks Annex 2 Undertaking for Offer of New Chassis Annex 4 Undertaking for Booking Reciept of New Chassis Annex 4 Booking receipt Reference No Annex 3 Special Terms and Condtions Annex 5 Declaration Cum Undertaking by the Distributor who has reached Understanding with other LPG Distributor (Consortium) Full Set of Tender Document (Total 135 Pages) EOI Document Copy of PAN Card PTDG Annex VII of the Packed Tender Document Annex IX of Packed Tender Document if applicable Annex XII of Packed Tender Document Annex XIII of Packed Tender Document Annex XIV of Packed Tender Document Copy of a cancelled cheque must be enclosed Annex XVI of Packed Tender Document Annex XVII of Packed Tender Document Annex XVIII of Packed Tender Document Annex XIX of Packed Tender Document Annex XXI of Packed Tender Document Annex W7A of Packed Tender Document Annex W7B of Packed Tender Document SAP Code of the Consortium Partner Name of the Consortium Partner as per SAP Daily Truck Requirement of the Consortium Partner as per EOI Salect any one (1) Ready Truck (2) Purchased Truck with Chassis Number and Temporary Registration (3)Proposed Truck against Booking Slip In case of (1) Ready Truck Mention the Truck No (2) In case of Purchased Truck with Chassis Number mention Invoice Number and Date (3) In case of Proposed Truck Mentioned Booking Slip and Date DATE MONTH YEAR GLW ULW RLW CYLINDERS CARRYING CAPACITY Y/N 9 digit code of the bank & branch as appearing on the MICR Cheque RCM or FCM 5% or FCM 12% (ONLINE OR EXEMPTION) (Document No and Date in case of EMD PAYMENT) YES OR NO

Statement of Credentials

Instructions Tenderer should fill in below mentioned details along with the Technical bid. (NON- COMPLIANCE OF ANY DETAILS WILL 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 "NIL" or “NOT APPLICABLE’ against item No. (B) 1 below instead of keeping the same blank.

S. No Particulars Vendor's response

1 Name and address of the Bidder:

2 Telephone Nos.:

3 Fax & E-Mail, if any:

4 Name of Contact Person:

6 Nature of the firm ( state whether Limited Co. Partnership, Co-operative Society or Sole Proprietor)

7 Year of Establishment

8 Registration No. Of Company or Firm

9 Sole Proprietorship?

If yes, Give name of the Proprietor

10 Partnership firm?

If yes, Give names of the Partners

11 Private or Public Limited Company?

If yes, Give list of Directors.

12 State whether the bidder is Haulage Contractor at the supply locations covered in this tender. Choose `Yes' or `No' from the drop down list provided.

Cat - I (342 Cylinder Capacity)

S. No. SAP Code Dist Name ex- Mannargudi BP IDO RTD TOTAL MT Daily TRUCK REQMT. EOI Offered

1 132961 SRI KALA INDANE GAS AGENCY Trichy IDO 84 157.79 1.25

2 133018 SRI JOTHI INDANE GAS AGENCIES Trichy IDO 28 164.61 1.304

3 133027 PRIYA GAS AGENCIES Trichy IDO 66 54.56 0.432

4 133028 NADIAMMAN GAS AGENCY Trichy IDO 80 89.9 0.712

5 147894 RUKMANI GAS AGENCIES Trichy IDO 6 141.05 1.117

6 147895 SEMMALAR INDANE GAS AGENCIES Trichy IDO 64 203.98 1.615

7 152590 ARAVIND GAS AGENCIES Trichy IDO 92 129.89 1.029

8 152599 SUNDARA VINAYAGAR AGENCIES Trichy IDO 88 121.83 0.965

9 173240 D.N. INDANE GAS AGENCY Trichy IDO 144 177.63 1.407

10 182534 S.M.J INDANE AGENCIES Trichy IDO 120 154.69 1.225

11 182784 MANNAI INDANE GAS AGENCY Trichy IDO 34 119.35 0.945

12 183420 SRI MANGAI INDANE GAS AGENCY Trichy IDO 12 145.39 1.151

13 251653 SRI ANNAPUURANIE RGGLV INDANE GAS AGENCY Trichy IDO 62 57.97 0.459

14 257142 SUJATHA INDANE GRAMIN VITRAK Trichy IDO 98 78.43 0.621

15 272531 J.S. INDANE GRAMIN VITRAK Trichy IDO 90 36.27 0.287

16 273477 AMUDHUSEI INDANE GRAMIN VITRAK Trichy IDO 104 27.28 0.216

17 279310 MANAMBOL INDNAE GRAMIN VITRAK Trichy IDO 102 69.75 0.552

18 282597 IMAYAM INDANE GRAMIN VITRAK Trichy IDO 30 35.03 0.277

19 285661 SRI SIVAM INDANE GRAMIN VITRAK Trichy IDO 66 70.99 0.562

20 289946 MAHARAJA INDANE GRAMIN VITRAK Trichy IDO 86 48.98 0.388

21 299010 BHARGAVI INDANE GAS AGECNIES Trichy IDO 100 77.19 0.611

22 311434 WAHAB INDANE GRAMIN VITRAK Trichy IDO 30 52.7 0.417

23 311447 ENNAMBOL INDANE GAS AGENCIES Trichy IDO 80 91.76 0.727

24 313571 SRI MUNISWARA INDANE GRAMIN VITRAK Trichy IDO 106 21.08 0.167

25 314478 TAJ INDANE GRAMIN VITRAK Trichy IDO 76 40.3 0.319

26 316226 SRI AYYA INDANE GRAMIN VITRAK Trichy IDO 58 45.57 0.361

27 316776 M.VASANTH INDANE GRAMIN VITRAK Trichy IDO 112 12.71 0.101

28 318602 LAXMIRENA INDANE GRAMIN VITRAK Trichy IDO 70 53.32 0.422

29 321988 SIVAYANAMA INDANE GRAMIN VITRAK Trichy IDO 98 18.91 0.15

30 322623 S P INDANE GRAMIN VITRAK Trichy IDO 100 38.13 0.302

31 325034 PARIVENTHAN INDANE GAS AGENCY Trichy IDO 68 55.18 0.437

32 345857 BUVANESWARI INDANE GRAMIN VITRAK GAS AGENCY Trichy IDO 48 17.67 0.14

33 133026 NATHAN INDANE GAS AGENCY Trichy IDO 68 72.23 0.572

Add 5% extra trucks for M&R , Breakdown, RTO etc.

Net requirement after adding 5 %

Category – II (525 Capacity Trucks) : ANNEXURE A

S. No. SAP Code Dist Name ex- Mannargudi BP IDO RTD TOTAL MT Daily TRUCK REQMT. EOI Offered

1 231692 BALU INDANE GAS AGENCY Trichy IDO 86 186.31 1.442

Add 5% extra trucks for M&R , Breakdown, RTO etc.

Net requirement after adding 5 %