Limited Expression of Interest (EOD) For Empanelment of Cluster Based Business Organizations (CBBOs) Under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) SFAC ORES SMALL FARMERS' AGRIBUSINESS CONSORTIUM (SFAC) (A society promoted by Department of Agriculture & Farmers’ Welfare) (Ministry of Agriculture & Farmers Welfare) 3, Siri Institutional Area, 5" Floor, NCUI Auditorium Building, August Kranti Marg, Hauz Khas, New Delhi — 110016 (1) +91-11- 41056163, 41050075 Email: info@sfac.in‘imited Expression of intrest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTR} MATSYA SAMPADA YOJNA (PMMSY) TABLE OF CONTENTS 1, Disclaimer . ig Limited Expression of Interest 3. Letter of Invitation 4, Background . Eligibility Criteria of Cluster Based Business Organizations (CBI 7. Scoring Criteria & Weightage: 8. Selection Criteri 9. Period of Engagemer 10. Submission of Application: ANNEXURE I. sen LETTER COMPRISING THE APPLICATION. ANNEXURE I... seven DETAILS OF THE AGENCY. ANNEXURE-UE oss rs AREA OF OPERATION AND GEOGRAPHICAL PREFERENCES. ANNEXURE WV rreosssnsesevniinnen DECLARATION ON LETTER HEAD OF CBBO THREE FINANCIAL YEARS (Audited/CA certified) ANNEXURE-V. ene OSITIVE NETWORTH DURING LAST ANNEXURE Vlsrossssvonsnesossee : APPROACH AND METHODOLOGY -INDICATIVE PRESENTATION FORMAT. (Maximum 10 PPT slides in the indicative presentation format)... ANNEXURE-VII... se SELF-DECLARATION.Limited Expression of Interest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) 1. Disclaimer This EOI is not an agreement/contract and is neither an offer nor invitation by SFAC to the prospective Agency or any other person. The purpose of this is to provide interested parties with information that may be useful to them in the formulation of their application for qualification pursuant to this EOI This EOI includes statements, which reflect various assumptions and assessments arrived at by SFAC in relation to this EOI. Such assumptions, assessments and statements do not purport to contain all the information that each Agency may require. This EOT may not be appropriate for all persons, and it is not possible for SFAC, its employees or advisors to consider the investment objectives, financial situation and particular needs of each Agency who reads or uses this EOL. The information given is not intended to be an exhaustive account of statutory requirements and should not be regarded as a complete or authoritative statement of law. SFAC accepts no responsibility for the accuracy or otherwise for any interpretation or opinion on law expressed herein. SFAC, its employees and advisors make no representation or warranty and shall have no liability to any person, including any Agency under any law, statute, rules or regulations or tort, principles of restitution or unjust enrichment or otherwise for any loss, damages, cost or expense which may arise from or be incurred or suffered on account of anything contained in this EOL or otherwise, including the accuracy, adequacy, correctness, completeness or reliability of the EOI and any assessment, assumption, statement or information contained therein or deemed to form part of this EOI. SFAC also accepts no liability of any nature whether resulting from negligence or otherwise howsoever caused, arising from reliance of any Agency upon the statements contained in this EOI. SFAC may in its absolute discretion, but without being under any obligation to do so, update, amend or supplement the information, assessment or assumptions contained in this EOI. The issuance of this EOI does not imply that the SFAC is bound to select and engage or to appoint the Selected Agency for the Project and the SFAC reserves the right to reject all or any of the Applications without assigning any reason whatsoever and any agency will not have any right to claim, The Agency shall bear all its costs associated with or relating to the preparation and submission of its Application, including but not limited to preparation, copying, postage, delivery fees, expenses associated with any demonstrations or presentations which may be required by the SFAC or any other costs incurred in connection with or relating to its Application.Limited Expression of Interest for Empanelment of Custer Based Business Organizations (CBBOs) under PRADHAN MANTRI ‘MATSYA SAMPADA YOJNA (PMMSY) 2. Notice Inviting Limited Expression of Interest SMALL FARMERS' AGRIBUSINESS CONSORTIUM (A society promoted by Department of Agriculture, Cooperation & Farmers’ Welfare) (Ministry of Agriculture & Farmers’ Welfare) 3, Siri Institutional Area, 5 Floor, NCUI Auditorium Building, August Kranti Marg, Hauz Khas, New Delhi — 110016 INVITATION FOR LIMITED EXPRESSION OF INTEREST The Small Farmers Agribusiness Consortium (SFAC) invites sealed Expression of Interest (EOI) from eligible agencies for empanelment as Cluster Based Business Organizations for Formation and Promotion of Fish Farmer Producer Organizations (FPOs) under the Pradhan Mantri Matsya Sampada Yojna (PMMSY), a scheme of Department of Fisheries, Ministry of Fisheries, Animal Husbandry and Dairying, Government of India from SFAC empaneled CBBOs under Central Sector Scheme for Formation & Promotion of 10,000 FPOs scheme. ‘The Limited EOI Document containing the details of qualification criteria, submission requirement, brief objective & scope of work and evaluation criteria etc. can be downloaded from the website hitp://sfacindia.com/ Application in a single PDF file (multiple files not allowed) to be sent through email at ‘nfo@sfac.in, clearly mentioning the subject “Limited Expression of Interest for empanelment $f Cluster Based Business Organizations under the Pradhan Mantri Matsya Samapda Yojna ” on or before 30th April, 2023. Applicants meeting the qualification criteria may be invited for presentation before the Tender Evaluation Committee of SFAC. SFAC reserves the right to call for the original documents for verification, if required. GmeD oS 2 422 Deputy Director ‘Small Farmers’ Agribusiness Consortium Note: SFAC reserves the right to cancel this request for EOI and/or invite afresh with or without amendments, without liability or any obligation for such request for EOI and without assigning any reason. Information provided at this stage is indicative and SFAC reserves the right to amend/add further details in the EOI.Limited Expression of intrest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) 3. Letter of Invitation Ref No.: SFAC/FFPO/CBBOs/EOV/2023-24 Dated; 21.04.2023 2. Dear Sir/Madam, 4 ‘The Small Farmers Agribusiness Consortium (SFAC) invites sealed Limited Expression of Interest (EOI) for empanelment as Cluster Based Business Organizations for Formation and Promotion of Fish Farmer Producer Organizations (FPOs) under the Pradhan Mantri Matsya Sampada Yojna (PMMSY) from SFAC empaneled CBBOs under Central Sector Scheme for Formation & Promotion of 10,000 FPOs scheme. The Limited EOI Document containing the details of qualification criteria, submission requirement, brief objective & scope of work and evaluation criteria etc. can be downloaded from the website http://sfacindia.com/ Application in a single PDF file (multiple files not allowed) to be sent through email at info@sfac.in, clearly mentioning the subject “Limited Expression of Interest for empanelment of Cluster Based Business Organizations under the Pradhan Mantri Matsya Samapda Yojna ” on or before 30th April, 2023. For any technical clarification/ queries if any, agencies may contact SFAC at Tel: 091-11-41060075, 41060075 email id: info@sfac.in ‘No application will be accepted/evaluated received after the due date of application. ‘Yours faithfully, g Deputy Director Small Farmers’ Agribusiness ConsortiumLimited Expression of interest for Empaneiment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRY MATSYA SAMPADA YOJNA (PMMSY) 4. Background Small Farmers’ Agribusiness Consortium (SFAC) is an Autonomous Society promoted by Department of Agriculture & Farmers! Welfare (DA&FW), Ministry of Agriculture & Farmers’ Welfare, Government of India, SFAC is a pioneer in formation and promotion of Farmer Producer Organizations (FPOs) ensuring economies of scale for farmers, ‘Towards achieving the goal of creating FFPOs under Pradhan Mantri Matsya Sampada Yojna (PMMSY), a scheme of Department of Fisheries, Ministry of Fisheries, Animal Husbandry and Dairying, Government of India, Small Farmers’ Agribusiness Consortium (SFAC) is one of the Implementing Agency under the programme wherein the Cluster Based Business Organizations (CBBOs) are to be engaged for the FFPO formation and promotion work as per the Guidelines Pradhan Mantri Matsya Sampada Yojna (PMMSY) issued by Department of Fisheries, Ministry of Fisheries, Animal Husbandry and Dairying, Government of India Under the Scheme, FFPOs are to be promoted in two categories 1. Fish Farmer Producer Organizations under Producer Company Model 2. Fish Farmer Producer Organizations under Cooperative model with members of existing Cooperative societies. The States allocated to SEAC by Department of Fisheries, Ministry of Fisheries, Animal Husbandry and Dairying, Goverment of India under PMMSY for taking up formation and promotion of FFPOs are as follows- s. s State Bihar Chhattisgarh Haryana “Madhya Pradesh Punjab Rajasthan Telangana Uttar Pradesh 20] a] | en] a] | ro] -| In order to undertake the work of formation and promotion of FFPOs, in accordance with the guidelines provided by Department of Fisheries, SFAC invites “Limited Expression of Interest for empanelment of Cluster Based Business Organizations (CBBOs) under PMMSY, scheme of Department of Fisheries, Ministry of Fisheries, Animal Husbandry and Dairying, Government of India.Limited Expression of intorest for Empanolmant of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI ‘MATSYA SAMPADA YOJNA (PMMSY) 5, Scope of Work: ‘The broad scopes of work to be performed by CBBOs are as follows: 1. Assist in the implementation of Formation and Promotion of FFPO program as per the PMMSY Scheme Guidelines issued by Department of Fisheries, Ministry of Fisheries, Animal Husbandry and Dairying, Government of India and SFAC from time to time. 2. Assist SFAC in cluster identification and community mobilization, “Produce Cluster Area” means a geographical area wherein Fisheries FPO can be formed and promoted for leveraging economies of scale in production and marketing. 3. To undertake feasibility study in Produce Cluster Area which will include diagnostic study including baseline survey to find out produce and socio-cultural similarity, existing gap and potential activity, interventions in terms of infrastructure, services, ete. required in the value chain of Fisheries and related products marketing. 4. Prepare prospective Business Plan for respective FFPOs in order to establish an economically sustainable FFPO focused on Integrated farming approach for sustainability of FFPOs with duck rearing, water intensive crops like rice, makhana, water chestnut, poultry, livestock, Bio floc fish farming, processing and value addition techniques like Dessication, canning, Sreecing etc, convergence with ongoing schemes of other departments for manufacturing of inputs like feed, seed, boats, nets etc. 5. To form and promote FFPOs with a minimum fish farmer-member size of 100 in plains areas, while in North-Eastern and Hilly areas* (including such other areas of UTs), minimum size of 35 farmers members. It may provide special focus to include small, marginal and women farmers/women SHGs, SC/ST farmers and other economically weaker categories etc. Efforts will be made to achieve an average membership size of 300 farmers in plain areas and 100 farmers in Hilly and North-Eastem regions to make them sizable for economic sustainability and profitability. «Hilly area means area at a height of 1000 meter or above MSL 6. To assist FFPOs to federate at District level and State level based on their need of processing, branding and marketing of produce/trading of commodities, which are essential for scaling up for sustainability and growth in an era of competition. 7. Registration of FFPOs and Training of BODs on roles, responsibilities, management, FPO compliances, auditing & accounts and also capital/ equity mobilization. 8. Training and capacity buildings of FFPOs/Farmers group - Training needs identification, develop training modules, conduct basic training workshops and exposure visits, 9. Encourage and promote social cohesiveness amongst members of FFPOs. 10. Preparation and execution of Business Plans for long-term sustainability of FFPO- Business plan preparation (for different incubation services), acquiring land, mobilizing equity capital and implementation of Business Plan while assisting in input management, adoption of proper and Good Practices through knowledge sharing, aggregation of produce, quality management, assaying, processing, packaging, supply chain development and marketing and market linkagesLimited Expression of Intarest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) with buyers/processors/exporters, trading, export etc as may be necessary to ensure long-term sustainability of FFPOs. 11, Assist in regular interface with stakeholders like various Government Departments, Financial Institutions, Training, Technology, Research and Development Institutions. 12, Assist FFPOs in availing Equity Grant, Credit Guarantee Facility and also assist FFPOs in availing benefits under different Central/State Government Scheme/Programme. 13, Providing Incubation / handholding services for sustainability of FFPOs which includes capacity building of BODs and FFPO management for sustainability, ensuring input, market linkages, credit linkages, preparing and implementing related business plans, creating pre and post harvest infrastructure, necessary common pool production, marketing and processing infrastructure facility by the FFPO, as may be necessary, to develop the business for long-term viability. 14, Facilitating traceability, compliance and global market connectivity. 15, Review and monitoring of the field team during implementation as per desired outcomes. 16, Assist in communication and dissemination of information to farmers by way of market and fish production advisory. 17, Assist in compliance issues of FFPO including their capacity building in the subject. 18, Assist SFAC in data collection and generating MIS reports/information in the required data sheets and submit progress report on all specified target activities periodically to SFAC/ Department of Fisheries 19, Assist in federating FFPOs for business growth and expansion. 20. Assist FFPO in proper financial management, Registrar of Companies (ROC) compliance issues and timely submission of returns and certificates. 21. Assist FFPOs in distribution of share certificates from time to time. 22, Any other assignment related to implementation, management and monitoring of the project given by SFAC from time to time during the implementation period. 23, FFPOs are to be promoted in two categories namely FFPOs under Producer Company Model and under Cooperative model with members of existing Cooperative societies. 24, Scheme activities to be completed within a stipulated time frame of two years/scheme validity period (2024-25) from the date of engagement of the CBBO. 25. All activities to be undertaken under the project must comply with the guidelines on Pradhan Mantri Matsya Sampada Yojna. 26. Preference of states for formation and promotion of FFPOs must be as per the geographical presence of the CBBO. 6. Eligibility Criteria of Cluster Based Business Organizations (CBBOs): a, Cluster Based Business organization (CBBO) empanelled with SFAC for taking up the formation and Promotion of FPOs under Central Sector Scheme of Formation and Promotion of 10,000 FPOs. Annexure-II (Enclose copy of Letter of Award)Limited Expression of Intorest for Empanslment of Cluster Based Business Organizations (CBOs) under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) b. Positive Net worth of the agency in last three years FY 2020-21 , 2021-22 and 2022-23 (CA Certified) Annexure-IV ¢. CBBO to provide details of experience in promotion of Fisheries Production & Management/Supply Chain /Processing & value Addition/Value chain/ and other fisheries activities may be specified. Annexure-V d. The agency at the time of signing the Memorandum of Association (MOA) should have at least one (1) professional / expert in Fisheries in any of the following areas-Fish production and management/ Fish genetics & Biotechnology/ Fish Health Management/ Fish Nutrition and Physiology/ Fish Hatcheries/Fish aquaculture or any other branches related to Fisheries. Annexure-VI Or An undertaking or consent from KVK/ICAR Institutes/Central Agriculture Universities/State Agriculture Universities/ State departments/reputed institute or agency regarding technical expertise for technological intervention to accomplish the project activities. Annexure -VI ©. Approach and methodology to achieve project deliverables Annexure-VII f, Self Declaration on letter head of CBBO for not to be barred / blacklisted at any time by any Central Government Department/Agency/Public Sector Unit (PSU) of the Central Government or any State Government and completion of project activities within a period of two years/scheme validity period (2024-25). Annexure VIII 7, Scoring Criteria & Weightage: Maximum S.No. Particulars Marks 1 | a. Work Experience (No. of years) in formation and promotion 1000 of FPOs (Annexure-II) - 'b. No. of FPOs formed and promoted (Annexure-II) 5.00 2 | ‘Area of Operation (no. of states) (Annexure-III) 5.00 2 | Experience in promotion of Fisheries Production, Supply 0100 Chain, Value Chain etc. (Annexure-V) 3_| Experts in Fisheries a Experts in Fisheries with the Agenc or Consent from KVK/CAR Institutes/State Agriculture 20.00 Universities/ State departments/reputed institute or agency regarding technical expertise for technological intervention to accomplish the project activities. (Annexure-VI) Presentation on Approach and Methodology to take up the 20.00 4 project (Annexure-VII) - ‘Total 100.00 Note: All relevant documents to be submitted as per the indicated AnnexureLimited Expression of Interest for Empanolment of Cluster Basad Business Organizations (CBBOs) under PRADHAN MANTRI ‘MATSYA SAMPADA YOJNA (PMMSY) 8. Selection Criteria: The agencies who have submitted the EOI within the stipulated time, their application will be evaluated on the basis of documents submitted, their relevant experience and expertise of providing similar services. Agencies may provide the details of assignments undertaken by them through the Printed Literature viz. Profile, Brochures etc. along with the application. This is to be noted that the empanelment of CBBO will not be considered as any offer of employment with SFAC whatsoever. The CBBO will be given assignment for FPO promotion work as per the requirement of SFAC during the project implementation. The empanelled CBBO will not have any right to demand for any work from SFAC. 9, Period of Engagement: The initial engagement of CBBO will be for a period of two (2) years / Scheme Validity Period (2024-25) for the purpose of formation/ promotion of FPOs. In case the performance of the CBBO is found satisfactory by SFAC, their period of engagement may be extended appropriately with terms and conditions and if it is found unsatisfactory, their agreement will be cancelled / terminated at any time during the engagement period by the SFAC without assigning reason. 10. Submission of Application: Interested and eligible agencies may submission their application comprising the following document: Annexure I - Letter comprising the application; Annexure I - Details of Agency; Annexure-III -Area of Operation (no. of states) ‘Annexure IV- Declaration on letter head of CBBO for positive Networth during last three financial years (Audited/CA certified) Annexure-V- Details of Fisheries Activities Prompted/Executed By the Agency ‘Annexure- VI List of Professional experts in Fisheries with Agency ‘Annexure-VII — Approach & Methodology with Indicative Presentation format ‘Annexure VIII — Self-declaration apy ea an 10Limited Expression of Interest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) ANNEXURE I LETTER COMPRISING THE APPLICATION [To be forwarded on the letterhead of the Agency) Ref. No: Date: To: ‘The Managing Director, Small Farmers’ Agribusiness Consortium, 3, Siri Institutional Area, 3" Floor, NCUI Auditorium Building, ‘August Kranti Marg, Hauz Khas, New Delhi - 110016 ‘Sub: Limited Expression of Interest for empanelment as Cluster Based Business Organizations Sor Formation and Promotion of Farmer Producer Organizations (FPOs) under the Pradhan Mantri Matsya Sampada Yojna”. Dear Sir / Madam, 1. With reference to your Limited EO! document dated [*****], /We, having examined the Application Documents and understood their contents, hereby submit our Application for the Project. The Application is unconditional and unqualified. 2. WWe acknowledge that SFAC will be relying on the information provided in the Application and the documents accompanying such Application for empanelment as CBBOs for the aforesaid Project, and we certify that all information provided in the Application and in Annexures are true and correct; nothing has been omitted which renders such information misleading; and all documents accompanying such Application are true copies of their respective originals. 3. This statement is made for the express purpose of our selection as a CBBOs for undertaking the aforesaid Project as and when SFAC requires. 4. WWe shall make available to SFAC any additional information it may find necessary or require supplementing or to authenticate the Application. 5. I/We acknowledge the right of SFAC to reject our Application without assigning any reason or otherwise and hereby waive, to the fullest extent permitted by applicable law, our right to challenge the same on any account whatsoever. 6. We certify that in the last 3 (three) years, we have neither failed to perform on any contract, as evidenced by imposition of a penalty by an arbitral or judicial SFAC or a judicial pronouncement or arbitration award, nor been expelled from any project or contract nor have had any contract terminated for breach on our part.Limited Expression of Interest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI 4 10. We 12. 13. 14. 16. IW MATSYA SAMPADA YOJNA (PMMSY) 1/ We declare that: a) We have examined and have no reservations to the Application Documents, including any Addendum issued by SFAC, if any. b) WWe have not directly or indirectly or through an agent engaged or indulged in any corrupt and fraudulent practice, in respect of any tender or EOI issued by or any agreement entered into with SFAC or any other public-sector enterprise or any SFAC, Central or State; and ©) We hereby certify that we have taken steps to ensure that in conformity with the provisions of this EOI, no person acting for us or on our behalf has engaged or will engage in any corrupt and fraudulent practice. We understand that you may cancel the Application Process at any time and that you are neither bound to accept any Application that you may receive nor to select any agency. We believe that we meet all the requirements related to minimum and technical qualification as specified in this EOI. We certify that in regard to matters other than security and integrity of the country, /We have not been convicted by a Court of Law or indicted or adverse orders passed by, which could cast a doubt on our ability to undertake the Project or which relates to a grave offence that outrages the moral sense of the community. I/We further certify that no investigation is pending either against us or against our CEO/any Director/any employee. 1/We undertake that in case of any change in facts or circumstances during the Application Process, which attracts disqualification and we shall intimate SFAC of the same immediately. In the event of my/our being declared as the CBBO, V/we agree to engage with SFAC in accordance with the terms and conditions provided in the Agreement for provision of Services to be issued by SFAC. We agree not to seek any changes in the aforementioned Agreement and agree to abide by the same. We have studied all the Application Documents carefully. I/We understand that except to the extent as expressly set forth in the Agreement for provision of Services to be issued by SFAC, I/We shall have no claim, right or title arising out of any documents or information provided to us by SFAC or in respect of any matter arising out of it. V/We agree and understand that the Application is subject to the provisions of the Application Documents. In no case, I/We shall have any claim or right of whatsoever nature if the Project is not awarded to me/us or our Application is not opened. We have read and examined this EOI document while submitting our response. Further, it is understood that this EOT is only an exercise for likely empanelment for the future work(s). However, it does not confer any right to any party submitting Eol and application for further consideration in the process or work allotment. V/We understand that if we use any unfair means for the empanelment or to get the assignment in future or disclose the classified information to other parties, our EOVapplicatior/empanelment would be cancelled at any time during the contract period. 12Limited Expression of interest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) 18. I/We agree and undertake to abide by all the terms and conditions of the EOI. In witness thereof, I/We submit this Application under and in accordance with the provisions of the EOI, Yours faithfully, Date: (Signature of the Authorised signatory) Place: (Name and designation of the of the Authorised signatory) Name and seal of Agency 13Limited Expression of Interest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTR! ‘MATSYA SAMPADA YOJNA (PMMSY) ANNEXURE IL DETAILS OF THE AGENCY 1. @) Name of the empaneled CBBO: .. (b) Proof of empanelment with SFAC under CSS of Formation and Promotion of 10,000 FPOs (separate sheet may be enclosed) : Yes/ No .. a (©) Type of Organization: (Pvt. Ltd/ Govt,/ Semi Govt./ KVK/ICAR-Institute/ Corporate) (@)_ Address of the head office and its branch office(s), if any, in Indi (©) Date of incorporation and/or commencement of business: (Total no. of FPOs formed or promoted. (g) Year of experience in Formation and Promotion of FPOs. . 2. Brief description of the Agency including details of its main lines of business and proposed role and responsibilities in this project: . iividual(s) who will serve as the point of contact/communication for the SFAC: (b) Designation: (©) Address: (@) Telephone Number: (©) E-Mail Address: 4. Particulars of the Authorised Signatory of the Agency: (a) Name: . (b) Designati (©) Address: (d) Phone Number: (©) E-Mail Address: .. 7. Area of Operation and Geographical preferences as Annexure-III (Yes/No) 8. Proof for positive net worth (CA certified) for the last three Financial Years as Annexure- 9. Details of Fisheries Activities Promoted/ Executed by the Agency as Annexure-V (Yes / No): 10. List of Professional Experts in Fisheries with agency as Annexure-VI (Yes/ No): 11, Approach and Methodology as per indicative PPT format Annexure-VII (Yes/No) 12, Self Declaration Annexure-VIli(Yes/ No). a Yours faithfully, Date: (Signature of the Authorised signatory) Place: (Name and designation of the of the Authorised signatory) Name and seal of Agency The documentary evidence of the above-mentioned activities must be submitted by the agency. In case of non- submission of documentary evidences, the same shall not be considered while evaluating the application, 14Limited Expression of interest for Empaneiment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI ‘MATSYA SAMPADA YOJNA (PMMSY) ANNEXURE-II AREA OF OPERATION AND GEOGRAPHICAL PREFERENCES 1, Address of Head office of the Agency. 2. List of Regional Offices of the Agency 3. Please indicate clearly your Interest for taking up formation and promotion of FFPOs (1) FFPOs as Producer Company . (2) FFPOs as Cooperatives .. 3) Both 3. Preferred state/states for formation and promotion of FFPOs: }. No. Name of State ‘POs as Producer Companies |FFPOs as Cooperatives t 15Limited Expression of interest for Empanelment of Cluster Based Business Organizations (CBOs) under PRADHAN MANTRI ‘MATSYA SAMPADA YOINA (PMMSY) ANNEXURE IV DECLARATION ON LETTER HEAD OF CBBO FOR POSITIVE NETWORTH DURING LAST THREE FINANCIAL YEARS (Audited/CA certified) FY 2020-21 FY 2021-22 FY 2022-23 jet worth of ganization Date: (Signature of the Authorised signatory) Place: (Name and designation of the of the Authorised signatory) Name and seal of Agency 16Umited Expression of interest for Emoaneiment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI . ‘MATSYA SAMPADA YOJNA (PMMSY) ANNEXURE-V DETAILS OF FISHRIES ACTIVITIES PROMOTED / EXECUTED BY THE AGENCY SSLName of State [No. aT RRON] Baraaers Name of] Name of] Duration] Total Cost lActivities nefitted the the of Gin Rs. Project | funding] the | Lakh) Agency | project [Formation id Prontono "FPOs rE fr in supply chain ievelopment| 3 Support in alue Chain [Development F Processing alue lAddition 3 [Capacity ban and raining 6 Other specify The required details must be submitted in the above format only. Additional columns may be added, if required. The documentary evidence of the above-mentioned activities must be submitted by the agency. In case of non-submission of documentary evidences, the same shall not be considered while evaluating the application 7Limited Expression of interest for Empanolment of Cluster Based Business Organizations (CBEOs) under PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) ANNEXURE-VI LIST OF PROFESSIONAL EXPERTS IN FISHERIES WITH AGENCY SINo.| Name of the Expert] *Area of Years of | Date of Appointment with the Specialization] _ Experience Agency I 2 3 4 3 “Area of specialization for ex. Fish production and management/ Fish genetics & Biotechnology/ Fish Health Management/ Fish Nutrition and Physiology/ Fish Hatcheries/Fish aquaculture or any other branches related to Fisheries Or ‘An undertaking or consent from KVK/ICAR Institutes/State Agriculture Universities! State departments/reputed institute or agency regarding technical expertise for technological intervention to accomplish the project activities The documentary evidence of the above-mentioned activities must be submitted by the agency. In case of non-submission of documentary evidences, the same shall not be considered while evaluating the application Date: (Signature of the Authorised signatory) Place: (Name and designation of the of the Authorised signatory) Name and seal of Agency 18* Limited Expression of Intarst for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI ‘MATSYA SAMPADA YONA (PMMSY) ANNEXURE VII APPROACH AND METHODOLOGY -INDICATIVE PRESENTATION FORMAT (Maximum 10 PPT slides) LIMITED EXPRESSION OF INTEREST (EOI) FOR EMPANELMENT OF CBBOS UNDER PRADHAN MANTRI MATSYA SAMPADA YOJNA (PMMSY) Details of feasible Fish farming activities to be undertaken under the project Expertise in Fisheries ‘Area of Operation (states) and strategy for selection of water bodies Action Plan Deliverables and Timelines Conclusion 19© Limited Expression of Interest for Empanelment of Cluster Based Business Organizations (CBBOs) under PRADHAN MANTRI MATSYA SAMPADA YONA (PMMSY) ANNEXURE-VIII SELF-DECLARATION [To be forwarded on the letterhead of the Agency] Ref. No: Date: To: Managing Director, ‘Small Farmers’ Agribusiness Consortium, 3, Siri Institutional Area, 5" Floor, NCUI Auditorium Building, August Kranti Marg, Hauz Khas, ‘New Delhi — 110016 Dear Sir/Madam, WWe hereby certify that my /our firm/ Company/Society/Trust/Organization has not been debarred/ blacklisted by any Central Government/ State Government/Govt. Departments and/or agencies such as UN/bilateral/multi-lateral funding/partner agencies and corporate including CPSEs, at any time for services of any description, during the last three financial years (FY 2020-21, 2021-22 and 2022-23). Further, I/We hereby certify to complete the project activities within a period of two years/scheme validity period (2024-25). ‘Yours faithfully, Date: (Signature of the Authorised signatory) Place: (Name and designation of the of the Authorised signatory) ‘Name and seal of Agency 20