Annexure-I DATE
Annexure-I DATE
Annexure-I DATE
00 AND EXPENSES RS
1324951.00
ANNEXURE-I
DATE: ______________
We confirm that our bid complies to the total techno-commercial requirement of Tender Document
without any deviation.
1
ANNEXURE-II
DATE: ______________
Bidder may stipulate exceptions and deviations to Tender Document, if considered unavoidable as per the
following format:
All exceptions/ deviations taken by Bidder to the stipulations of the Tender Document shall be brought out
in the techno-commercial bid (and not in the Tender Document or price bid) as per this format. No
cognizance will be taken of any exceptions/ deviations brought out elsewhere in the bid and the same shall
be treated as null & void.
In case of no exceptions and deviations, “NIL” shall be marked by the tenderer.
OWNER’S SEAL :
2
ANNEXURE - III
3
S. No. Description Details
13. Declaration of Blacklisting in the Submitted/ Not Submitted
prescribed format of General conditions of
contract duly filled in and signed and
stamped.
14. Experience Questionnaire in the Submitted/ Not Submitted
prescribed format of General conditions of
contract duly filled in and signed and
stamped.
15. Equipment Questionnaire duly filled in and Submitted/ Not Submitted/Not Applicable
signed and stamped.
16. Technical literature/ catalogue Submitted / Not Submitted/ Not Applicable
information of materials under
Contractor’s scope of supply Enclosed at Page No. of Bid:
17. All the tender documents duly signed and Yes/No
stamped
OR
19. All pages of the bid submitted have been consecutively numbered, signed and stamped by the
authorized person(s) and indication given on the front page of the bid as to the number of
pages contained in the bid.
Yes
20. Has it been ensured that there is no overwriting and white fluid is not used for correction in
this bid? Have all the corrections been properly attested by the person signing the bid?
Yes
21. Prices have been quoted strictly as per the price schedule (Price Bid) enclosed with the tender
document
Yes
22. Correspondence Address:
IOCL Vendor Code (if any):
Name:
Address:
Telephone No.:
Mobile No.:
Fax No.:
E-mail Address:
(In case of any change in the above address same may please be communicated to this office)
23. E-Banking Details: Consent for e-payment Yes/No
submitted
4
ANNEXURE – IV
DATE: _________________
FINANCIAL DETAILS
The Bidder shall indicate here the turnover during preceding 3 years based on the audited balance sheets &
profit & loss account statement. Copy of audited balance sheets including profit & loss account is to be
attached.
2015 -2016
2014 - 2015
2013 – 2014
PF REGISTRATION NO :
ESI REGISTRATION :
Company’s Seal :
5
Annexure – V
DATE: _______________
Company’s Seal :
6
Annexure VI
DATE:_____________
EXPERIENCE QUESTIONNAIRE
The Tenderer has completed the following similar works in the last five years / having concurrent
commitments:-
S.No Type and Name of Work Work Order Year of Completion / Owner Value of Work
executed / under execution No. / date expected completion Executed (till
date)
Company’s Seal:
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ANNEXURE-VII
DATE:__________
DETAILS OF MANPOWER TO BE DEPLOYED
(To be furnished with the Tender)
The details of manpower along with qualification / experience are as given below:
S.No Name of Person Qualification / Experience
Note: In case of deployment of any other personnel for the subject work apart from the personnel
mentioned in the above list, approval shall be taken from Engineer In Charge / Officer In Charge before
deployment of the personnel.
Company’s Seal:
8
ANNEXURE-VIII
Date:
To
M/s. Indian Oil Corporation Ltd.,
SOUTHERN REGION PIPELINES,
Chennai
Dear Sir,
With reference to your letter, we hereby agree to accept the payment of our bills through direct credit to
our below mentioned Bank account through Internet banking.
1 Beneficiary’s Name
2 Branch Name
3 Address of the Branch
4 STD code & phone no. of Branch
5 Branch Code
6 9 Digit MICR code of Branch as appearing
on the cheque (copy of cancelled cheque
may be enclosed)*
7 Bank Account No
8 Account Type (SB/CA/CC)
9 Branch IFSC code
10 Email Address of the Vendor
11 Mobile Telephone No. of Vendor
Please attach a blank cancelled cheque or photocopy of a cheque issued by your bank relating to your
above account for verifying the accuracy of the 9 digit MICR code.
I/We, hereby declare that the particulars given above are correct and complete.
Encl: As above.
9
ANNEXURE-IX
The Tenderer shall declare the following information in exhaustive details on his company’s letter head
with the document duly signed and stamped:-
Whether the proprietor is a Director or any relative of Director of IOCL present or retired within the
past 2 years.
Whether any partner or member of the firm is a Director or a relative of any Director of IOCL,
present or retired, within the last two years.
whether a Director(present or retired within the past two years) of IOCL or relative of such Director
is a substantial member holding more than 10% (ten percent) of the paid up capital in the
Company, or a Director of the Company.
To view the list of present Directors of the IOCL, please “Ctrl+Click” on the link below or copy the link &
paste it in your Internet browser:
http://iocl.com/Aboutus/Management.aspx
10
ANNEXURE-X
FORM OF TENDER
(To be filled up by the Tenderer)
For Price Bid
Serial No. Date:
From _______________________________
_______________________________
Tender No._______________________________
Dear Sirs,
Having examined the Tender Documents consisting of the Short Tender Notice, General Instructions to
Tenderers, General Conditions of Contract, Special Instructions to Tenderers, Special Conditions of
Contract,Specifications,Plans(Exhibits____________________________to___________________________
_______),Drawings(Exhibits____________________________to_______________________________)Tim
e Schedule,Form of Contract, Form of Tender, Form of Schedule of Rates, and Addendum(a) to the Tender
Documents,and having understood the provisions of the said Tender Documents and having thoroughly
studied therequirements of Indian Oil Corporation Ltd. relative to the work tendered for in connection with
the____________________(Name of the Refinery/Project) and having conducted a thorough study of the
jobsite(s) involved, the site conditions, soil conditions, the climatic conditions, labour, power, water,
material andequipment 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 facilitiesand things whatsoever necessary for or relative to the formulation of the
tender for the performance of work,
I/we hereby submit my/our tender offer for the performance of proposed work in accordance with the
terms andconditions and within the time mentioned in the Bid Documents at the rate(s) quoted by me/us
in theaccompanying Schedule of Rates based on the Form of Schedule(s) of Rates included within the
TenderDocuments and arrived at a total contract value (as indicated in the Price Bid) based on an
application of the rates tendered in the accompanying Schedule(s) of Rates to the relative quantities
indicated in the Form of Schedule(s) of Rates forming part of the Tender Documents.
If the work or any part thereof is awarded to me/us, I/ We undertake to perform the work in accordance
with theContract Documents as defined in the Form of Contract forming part of the Tender Documents and
accept theterms and conditions of Contract as laid down therein and undertake within 10 (ten) days of
receipt ofacceptance of Tender to pay to and/or deposit with the Accounts
Officer,_________________(Name of theRefinery/Project) Indian Oil Corporation Ltd. (Refineries Division)
a sum which together with the amount ofearnest money deposited by me/us in terms hereof, shall make 2
½% (two and one-half percent) of totalcontract value as specified in the Acceptance of Tender for the
purpose of security deposit, by any one or moreof the modes of payments specified in this behalf in the
General Conditions of Contract, and to commence work
at each job site(s) involved within 10 (ten) days of handing over the job site or any part thereof to me/us,
and tosign the formal Contract in the terms of the form of contract forming part of Tender Documents,
within 10 (ten)days of receipt of Letter of Acceptance from and on behalf of Indian Oil Corporation Ltd., in
this behalf failingwhich Indian Oil Corporation Ltd., shall be at liberty, without reference to me/us and
without prejudice to any ofits rights or remedies, to terminate the Contract and/or to forfeit the earnest
money deposited in terms hereof.
In consideration of the sum of Rupee 1/- (Rupee one only) paid to me/us by Indian Oil Corporation Ltd.,
byadjustment in the price of Tender Documents, I/We further undertake to keep my/our this tender offer
open fora period of not less than 4 (four) months from the scheduled date of opening of Tenders as
specified in theGeneral Instructions to Tenderer forming part of the Tender Documents.
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I/We have annexed to this Bid the following documents:
Company’s Seal
Witness :
Signature :
Name :
Occupation
12
ANNEXURE-XI
FORM OF TENDER
(To be filled up by the Tenderer)
For Commercial Bid
Serial No. Date:
From _______________________________
_______________________________
To Indian Oil Corporation Ltd.
(Refineries Division)
_____________________Refinery/Project
Tender No._______________________________
Dear Sirs,
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 (Exhibits_____________________to_____________________),
Drawings(Exhibits_____________________to_____________________) Time Schedule, Form of Contract,
Form ofSchedule of Rates, and Addendum(a) to the Tender Documents, and having understood the
provisions of thesaid Tender Documents and having thoroughly studied the requirements of Indian Oil
Corporation Ltd. Relativeto the work tendered for in connection with the_____________________(Name
of the Refinery/Project) andhaving conducted a thorough study of the job site(s) involved, the site
conditions, soil conditions, the climaticconditions, 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 officeaccommodation and quarters and all other facilities
and things whatsoever necessary for or relative to theformulation of the tender or the performance of
work, I/we hereby submit my/our tender offer for theperformance of proposed work in accordance with
the terms and conditions and within the time mentioned inthe Tender Documents.
In consideration of the sum of Rupee 1/- (Rupee one only) paid to me/us by Indian Oil Corporation Ltd.,
byadjustment in the price of Tender Documents, I/We further undertake to keep my/our this tender offer
open fora period of not less than 4 (four) months from the scheduled date of opening of Tenders as
specified in theGeneral 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 thecase 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_____________________oneof our partners (in the case of partnership firm/Directors in the case of a
Company) was employed as a Directorin Indian Oil Corporation Ltd., during the period of 2 (two) years
immediately preceding the date hereof and thatI/Shri_____________________have/has obtained previous
permission of Indian Oil Corporation Ltd. to makethis tender.
I/We have annexed to this Bid the following documents:
(i) Schedule of Rates in the prescribed form.
(ii) 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 ofthe
person who has signed the Tender.
(iii) Original Income-tax Clearance Certificate OR copy of Income-Tax Clearance Certificate duly attestedby a
Gazetted Officer/Notary Public.
(iv) Information regarding tenderer in the form annexed to the Form of Tender.
(v) Information regarding experience of the tenderer in the performance of work of a comparable nature
inthe form annexed to the Form of Tender.
(vi) Information regarding construction organisation and equipment in the form annexed to the Form
ofTender.
(vii) Solvency Certificate from a Nationalised/Scheduled Bank.
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(viii) Set of Tender Documents, as issued duly signed.
(ix) Additional Documents as listed below.
I/We hereby undertake that the statements made herein/information given in the Annexures referred to
aboveare true in all respects and that in the event of any such statement or information being found to be
incorrect inany particular, the same may be construed to be a misrepresentation entitling Indian Oil
Corporation Ltd. Toavoid 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 (Strike off whichever
is not aplicable)
Company’s Seal
Witness :
Signature :
Name :
Occupation :
14
ANNEXURE-XII
1. In case of Individual
1.1 Name of Business :
1.2 Whether his business is registered :
1.3 Date of Commencement of business :
1.4 Whether he pays Income Tax over Rs.10,000/- per year :
1.5 Whether he is a Director or is related to any Director of IOC present or retired within the past 2
years :
1.6 Permanent Account Number :
1.7 What are his profits/losses for the past 3 (three) years with a copy of Balance Sheet and Profit &
Loss Account for the past 3 (three) years with a copy of the audited Balance Sheets and Profit &
Loss account for the past 3 (three) years:
1.8 What are his concurrent job commitments :
1.9 How does he propose to finance the work if awarded to him :
2. In case of Partnership
2.1 Name of Partners :
2.2 Whether the partnership is registered :
2.3 Date of establishment of firm :
2.4 If each of the partner of the firm pays Income tax over Rs.10,000/- a year and if not, which of them
pays the same :
2.5 Whether any partner of the firm is a Director or is related to any Director of IOC, present or retired
within the past 2 years.
2.6 Permanent Account Number :
2.7 What are the firm's profits/losses for the past 3 (three) years with a copy of Balance Sheet and
Profit & Loss Account for the past 3 (three) years :
2.8 What are the firm's concurrent job commitments :
2.9 How does the firm propose to finance the work if awarded to him :
FOOT NOTE : Reference is also invited to Clause 8.0 of Instructions to Tenderers forming part of GCC.
Signature of Tenderer
Name & Address of the Tenderer
Company’s Seal
15
ANNEXURE-XIII
Place : Signature of
Bidder:
Date :
Name of Signatory:
Company’s Seal
16
ANNEXURE-XIV
Tender Sl.No.
Date of Issue
(TO BE FILLED IN BY THE TENDERER)
To
TENDER No.
Sub :
Dear Sir,
Schedule of rates for the subject work has been filled and I/We agree to abide by the terms and conditions
as given in the tender documents.
I/ We also declare that I/ We are not relative of Director of Indian Oil Corporation Limited/ in case of a
firm, No director of Indian Oil Corporation Limited are his relative is a partner in the firm/ in case of private
limited company, No director of Indian Oil Corporation Limited is a director in our company.
Yours faithfully,
SIGNATURE OF TENDERER
(With seal)
Name of Tenderer
(In capital letters) - - - - - - - - - -- - - - - - - - -
Address of Tenderer - - - - - - - - - - - -- - - - - ---
(In capital letters ----------- -------
Telephone No. & Telegraphic address.
17
ANNEXURE-XV
We _______________________ (Name of the Tenderer) hereby represent that we have fully read and
understood the tender requirements and accept all the terms and conditions of the tender, including the
GCC (General Conditions of Contract) and SCC (Special Conditions of Contract),except for the ones
mentioned in the Exceptions and Deviations statement as per Annexure-II. Our offer is in confirmation to all
the terms and conditions of the tender. In the event of award of contract to us, the complete tender
document shall be considered for constitution of Contract Agreement.
Name of Tenderer(s)
Date : _________
PLACE:
NOTE: This declaration should be signed by the Tenderer's authorized representative who is signing the Bid.
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Annexure-XVII
Declaration of Output taxes (Central Sales Tax, Excise Duty, VAT etc) considered in the Bid
General Notes:
(i) Bidders to note that the information in the Table 1 and Table 2 below shall be in %
(percentage) terms only and no rate/amount/prices should be mentioned
whatsoever.
(ii) In case bidder has considered different % for individual items, bidder to indicate the
same clearly item-wise by adding the required number of additional number of rows in
the respective tables.
(iii) Bidders to note that information submitted herein is for information purpose only in line
with GCC clause 8.1.1.0.
(iv) In case bidder has submitted blank formats/ partly blank format/ non-standard tax rates,
then rates prevailing at the time of work award shall be taken to calculate difference in
tax rates for any future taxes.
Group Item as per SOR / BOQ % of the quoted rate % of the quoted rate Total
attributable to materials attributable to
/ supply component services component
1 2 3 4 = (2+3)
COMPOSITE WORK ---% ---% 100%
AMC WORK ---% ---% 100%
Note: 1.0 Total of % indicated in column 2 and column 3 shall be 100%.
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Annexure-XVIII
Declaration of Output taxes (Central Sales Tax, Excise Duty, VAT etc) considered in the Bid
Notes:
1.0 In case bidder submits partially filled Table 1 i.e. fills either column 2 or column 3 and
leaves the other column blank, then the shortfall shall be considered in the blank column.
2.0 In case bidder has considered different percentages for individual items, bidder to indicate
the same clearly item-wise by adding the required number of additional number of rows in
the respective tables.
20
ANNEXURE XIX
1. The price offer for the subject work shall exclude service tax as applicable under Finance Act, 1994 and
subsequent amendments thereto. The bidder shall indicate in its bid the Service Tax registration no. and in
case the Service Tax registration no. is not obtained, the bidder will giveconfirmation for obtaining
registration with a copy of application for registration.
2. Bidders to note that their bids will be evaluated by adding the Service tax at the rates mentioned in column
2 of the table below. Abated rates are considered, assuming bidder is not availaing CENVAT credit on inputs.
In case, bidder wishes the bids to be evaluated at a different rate the same is to be indicated in column 3. In
such a case the ST rate in column 3 shall be used during evaluation of price bid.
Item as per SOR/BOQ Rate of Service Tax to be charged on In case bidder will charge different
value submitted in the price bid service tax rate, the same to be
indicated here
1 2 3
SUPPLY Nil
SERVICES -
COMPOSITES 10.5%
(70% OF 15%)
AMC -
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7. Statutory variation on Service Tax (as payable to the bidder) as applicable for the category/service shall be to
Owner’s account up to the contractual completion period. Any statutory variation inservice tax after expiry
of the contractual completion period shall be to contractor’s account. Contractual completion eriod
mentined above is TIME SCHEDULE indicated in Letter of Acceptance which will be inclusive of time
extension, if any, granted by the OWNER in terms of Clause 4.3.5.0 and/or 4.3.6.0 of GCC without imposition
of any price discount under clause 4.4.0.0 of GCC. Similraly, in case of any reduction in the rates of the said
taxes between last date of submission of Price bid relevant to the Contract and the date of execution of
activities under the contract, the CONTRACTOR shall pass on the benefit of such reduction to the OWNER
with a view that OWNER shall pay the reduces duty/ tax to Govt.
8. The service tax payable by the Owner to the Contractor shall be limited to the rate(s) considered during
evaluation, irrespective of the amount payable by the Contractor towards service tax to Statutory
Authorities
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