Instructions for Filling up all the Annexures

Data in Sky Blue cells on all the sheets are to be mandatorily filled by the bidder.
At the end of the every annexure bidder is required to select " Agreed by the bidder" in the sky blue cells.
Futher bidder may refer to instruction given at the bottom of each annexure to help them fill it properly.

Unless status of all the Annexures mentioned below are "Annexure Complied" and changes color to Green, annexures shall be considered as invalid.

Bidder is requested to kindly follow the instruction given in light yellow colour background in each annexure

Please fill up information in the

Overall Status of Annexures Submitted by the bidder
blue cells

Name of the Bidder Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR ###
Security Guards & Three (03) nos. of Supervisors for Mainline Patrolling, Intelligence and
Name of Work ###
Ancillary Activities in PHBPL Right of Way (ROW) under PHBPL Barauni Jurisdiction in Bihar &
Tender Number BK/TS/970/2023-24/22
Jharkhand State Annexure Complied
PAN Card Number ###
Name of Person whose DSC has been used ###
Designation ###
Son/Daughter of ###
Date ###
###

Important Check Points

Submission of Eanest Money Deposit for the tender or uploading of exemption Certificate (if applicable) ###
Submission of Integrity Pact (if applicable) ###
Notarized/ Attested copy of Power of Attorney for the Authorized Signatory who is having valid Digital Signature Certificate (DSC) ###
Please attach copies of Articles of Association, Memorandum of Understanding and Certificate of Incorporation in case of Limited Company/ ###
Proprietary Firm/ Partnership Firm/JV.
Copies of audited balance sheets for last 3 Financial years ###
Copies of Work Order and Completion Certificate, supporting the qualification criteria ###
Copy of PF Code No. Certificate and PAN Card ###
Copy of GST Registration Certificate ###
Concurrent Commitment signed and Stamped from CA along with UDIN number seperately (if applicable as per Annexure-4) ###
Decleration of Networth signed and Stamped from CA along with UDIN number seperately (if applicable as per Annexure-5) ###
Certification by the Statutory Auditor /Cost Auditor/Practising cost accountant/Practising Chartered Accountant of the bidder for make in India
policy seperately (if applicable as per Annexure-24) ###

###
Annexure No Heading Status of Individual Annexures
Annexure-1 Tender Forwarding Letter Annexure Not Complied
Annexure-2 Exception and Deviations (Commercial) Annexure Not Complied
Annexure-3 Statement of Credentials Not Applicable
Annexure-4 Concurrent Commitment (Applicable for Tenders above Rs 20 Crore) Not Applicable
Annexure-5 Calculation for Net Worth (Applicable for Tenders above Rs 20 Crore) Not Applicable
Proforma for Bank Guarantee in lieu of Earnest Money Deposit (EMD)
Annexure-6 (Applicable for EMD (not-exempted bidder) above Rs 1 Lakh) Not Applicable
Proforma for Bank Guarantee in lieu of Initial Security Deposit/ Security Deposit
Annexure-7 (Applicable for ISD above Rs 1 Lakh) Not Applicable
Annexure-8 GST (Goods & Service Tax) Details Annexure Not Complied
Annexure-9 Declaration of Black Listing/ Holiday Listing Annexure Not Complied
Undertaking on letterhead regarding bidder sharing border with India and for tenders involving
Annexure-10 possibility of subcontractor Annexure Not Complied
Annexure-11 "Form of Tender" for Commercial bid Annexure Not Complied
Annexure-12 "Form of Tender" for Price bid Annexure Not Complied
Annexure-13 Information regarding the bidder Annexure Not Complied
Annexure-14 Declaration of relationship with directors of IOCL Annexure Not Complied
Annexure-15 Declaration on proceedings under Insolvency and Bankruptcy Code, 2016 Annexure Not Complied
Annexure-16 Undertaking in support of not being under liquidation Annexure Not Complied
Annexure-17 Undertaking for non–engagement of child labour Annexure Not Complied
Annexure-18 Safety Declaration Annexure Not Complied
Annexure-19 Format for giving consent and bank details Annexure Not Complied
Proforma of Indemnity Bond to be submitted by Contractor along with request for issuance of
Annexure-20 Completion Certificate Annexure Not Complied
Annexure-21 Proforma of No Claim/ No Due Certificate Annexure Not Complied
Annexure-22 Format for giving payment currency option by bidder on official letter head Annexure Not Complied
 ANNEXURE-22

Different currencies can be filled in by the foreign bidders, Indian bidders should select only INR. Any other currencies selected by
an Indian bidder shall not be applicable

To
M/s Indian Oil Corporation Ltd.
Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards &
Name of Work: Three (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of
Tender No.: Way (ROW) under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
BK/TS/970/2023-24/22

Dear Sir,

We have gone through the complete tender documents including all addendum(s)/ corrigendum(s) issued and we are hereby submitting
our TECHNO COMMERCIAL offer for subject work tender.

If the work is awarded to us, we hereby indicate following currency for the work award and payment as per Clause No. 23.0.0 and 29.0.0
of SIT (Commercial)

S. No. Currency Selected Please tick on one option

1.              US Dollars

2.              European Euro

3.              Australian Dollar

4.              British Pound

5.              Japanese Yen

6.              Egypt Pounds

7.              Swiss france

8.              Singapore Dollar

9.              Indian Rupee

We hereby agree to receive payment in INR / foreign currency by converting INR amount at prevailing TT selling rate of SBI as on the
date of payment as per the tender terms.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Please select one option

Tender Number BK/TS/970/2023-24/22

Annexure Commercial
 ANNEXURE-21

The following No claim no due certificate needs to be signed and submitted to the EIC for payment of Final bill after obtaining completion
certificate.

No claim/No due certificate

Dated:

Name of Department:
Name of the work:
Name of the contractor:
SAP LOA No.:

No Claim certificate

Certified that I/We have discharged our entire obligation under abolition of Contract Labour Act,1970 and I/We would indemnify the
owner if there is any demand against the corporation on our account.

I/we certify that I/We have no further claim than those given in the final bill and I/We accept the payment as full and final settlement of
all My/Our claim.

Sign of Contractor

No Due Certificate

Certified that there is nothing due from this agency on account of T&P articles materials, electricity etc., and that the work has been
completed as per specification of contract and/or except where reduced rates proposed (Strike which is not applicable).

Site Engg Manager Sr Manager Chief Manager

Engineer-in-Charge

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill Agreed by the bidder in cell No C11
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-20
The following needs to be submitted to the EIC for obtaining completion certificate.

PROFORMA OF INDEMNITY BOND TO BE SUBMITTED BY CONTRACTOR NON-JUDICIAL STAMP PAPER OF

APPROPRIATE VALUE ALONG WITH REQUEST FOR ISSUANCE OF COMPLETION CERTIFICATE

This indemnity bond is executed on this ____ at ____ by ____ hereinafter referred to as ‘Indemnifier’ which expression shall, unless
repugnant to the context or meaning thereof, include its successors, administrators, authorized representatives and assignees, having its
address at __.

In favour of
Indian Oil Corporation Limited (hereinafter referred to as ‘indemnified’) which expression shall, unless repugnant to the context include
its successors and assignees, having its Corporate Office at 3079/3, J B Tito Marg, Sadiq Nagar, New Delhi – 110049.
WHEREAS; the indemnifier has been awarded the contract of………………..vide………… (Hereinafter referred to as Contract)
WHEREAS; the indemnifier declares that the work was completed on……………
WHEREAS the indemnifier under the contract, is inter alia bound by Clause No. 5.5.2.0 of the General Conditions of contract forming the
part of contract signed by him with the indemnified.

WHEREAS Indemnifier in pursuant to Clause No. 5.5.2.0 (ix) of General Conditions of Contract, declares that he has cleared all dues, in
totality of the following –
1. Labour/Piece Rate Workers
2. Sub – contractors
3. Suppliers
4. Vendors
5. Income Tax
6. Sales Tax
7. Octroi and Service Tax
8. Excise and Customs
9. Provident Fund
10. ESI and Royalties

AND WHEREAS the indemnifier has applied for issuance of completion certificate along with all the documents required under Clause
No. 5.5.2.0 of General Conditions of Contract.
NOW THIS INDENTURE WITNESSETH that in the event the completion certificate is issued by the Indemnified to the Indemnifier.

Then, the Indemnifier shall and will keep the said Indemnified fully and effectively and irrevocably indemnified from and against all
claims, demands, actions, suits and/or proceedings that maybe made or taken by any person, body or authority claiming any interest
whatsoever in respect of the amount which has to be paid to the indemnifier.
Further, the said Indemnifier shall and will keep the said Indemnified fully and effectively and irrevocably indemnified from and against
all claims, demands, actions, suits and/or proceedings that maybe made or taken by any Third party such as any person, body or
authority claiming any amount or interest either against the indemnified directly or indirectly on account of the third party claiming to
have remained unpaid by the indemnifier for any work whatsoever undertaken by such third party upon instructions from the
Indemnifier.
 ANNEXURE-20
The following needs to be submitted to the EIC for obtaining completion certificate.

PROFORMA OF INDEMNITY BOND TO BE SUBMITTED BY CONTRACTOR NON-JUDICIAL STAMP PAPER OF

APPROPRIATE VALUE ALONG WITH REQUEST FOR ISSUANCE OF COMPLETION CERTIFICATE

Further, the said Indemnifier shall and will keep the Indemnified fully and effectively and irrevocably indemnified from and against all
loss or damage that maybe caused to and or costs, charges, claims or expenses that may be suffered or incurred by the said Indemnified
on account of any of the declarations as given by the indemnifier (in terms of Clause No. 5.5.2.0 (ix) of General Conditions of Contract)
being untrue in totality or in part thereof:
It is expressly agreed that this indemnity is independent of any other indemnity, guarantee, etc provided by the indemnifier otherwise
under the contract.

Shri _______________________________who has signed this indemnity bond is duly authorised to sign this indemnity bond and to confer
the authorities herein conferred for and on behalf of the Contractor.

WITNESSES:

1.

2.
Note:
i. This indemnity bond is to be stamped for the aggregate value of stamp duty payable on an indemnity bond in the State in which it is
executed.
ii. This indemnity bond is to be signed on behalf of the Contractor by a Director or other officer either authorized by the Board to
execute this indemnity bond or generally authorized to execute contracts and powers of attorney on behalf of the Contractor.
iii. The signature of this indemnity bond is to be Notarially Attested.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill Agreed by the bidder in cell No C14
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 Annexure-19
FORMAT FOR GIVING CONSENT AND BANK DETAILS

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03)
Name of Work: nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under
PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

Bidder Name 0

To

M/s Indian Oil Corporation Ltd.

Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114

Dear Sir,

We hereby agree to accept henceforth all the payment of our bills through direct credit to our below mentioned Bank account through Internet
banking.

1 Beneficiary’s Name
2 Bank Name
3 Branch Name
4 Address of the Branch
5 STD code & phone No. of Branch
6 Branch Code
9 Digit MICR code of Branch as appearing on the cheque (copy of cancelled
7
cheque may be enclosed)*
8 Bank Account No
9 Account Type (SB/CA/CC)
10 PAN no. 0
11 Branch IFSC code
12 E mail Address of the Vendor
13 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.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill out all the S No's
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-18
SAFETY DECLARATION

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security
Name of Work: Guards & Three (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in
PHBPL Right of Way (ROW) under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

I/We hereby declare and confirm that;

I/we shall strictly adhere to safety standards stipulated in the Safety Practices during construction stipulated in the Oil Industry
1
Safety Directorate (OISD) without exception.

I/we shall provide, without any exception, safety helmets & safety shoes to all our employees/workmen/ labourers working at
2 IOC locations (Terminals, Pump Station, Tanks Farms or any other location not specified here) for the purpose of rendering
services to the Corporation under the subject Contract

I/ We shall provide, without any exception, Safety Belts to all our workmen/ labourers working at heights (Including building
3
roof top, canopy roof top etc) for the purpose of rendering services to the Corporation under the subject Contract

4 I/We shall take safe height working permit for working at heights.

I/We shall be solely responsible for any accident resulting from unsafe practices or due to non-adherence to safety standard
5 stipulated by the OISD. Any injury / loss of life resulting from the above shall be solely at our risk & cost and we shall bear and
pay solely and absolutely all costs, charges and expenses including legal charges incurred in this connection

That the Corporation is not bound to be responsible, legally or otherwise, for any acts and/or consequences of unsafe practices
6
during execution of works during the pendency of the contract.

7 I/We have gone through the guidelines to PPE attached with this tender and shall comply with them.

8 The person signing this declaration is the authorized signatory.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill Agreed by the bidder in cell No D19
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-17
UNDERTAKING FOR NON-ENGAGEMENT OF CHILD LABOUR

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security
Name of Work: Guards & Three (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in
PHBPL Right of Way (ROW) under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

I/We hereby declare that:

(a) We are committed to elimination of child labour in all its forms.

Neither we nor any of our nominated sub-contractor(s) are engaging Child Labour in any of our work(s) in terms of the provisions
(b)
of The Child Labour (Prohibition and Regulation) Act, 1986 and other applicable laws.

We as well as our nominated sub-contractor(s) undertake to fully comply with provisions of The Child Labour (Prohibition and
(c)
Regulation) Act, 1986 and other applicable labour laws, in case the work is awarded to us.

It is understood that if I/We, either before award or during execution of Contract, commit a transgression through a violation of
Article b/c above or in any other form, such as to put my/our reliability or credibility in question, the Owner is entitled to
disqualify us from the Tender process or terminate the Contract, if already executed or exclude me/us from future contract award
(d)
processes. The imposition and duration of the exclusion will be determined by the severity of transgression and determined by the
Owner. Such exclusion may be for a period of 1 year to 3 years as per the procedure prescribed in the guidelines for holiday listing
of the Owner.

(e) I/We accept and undertake to respect and uphold the Owner’s absolute right to resort to and impose such exclusion

If there is any change in status prior to the award of work, the same shall be promptly informed by us to IOC. We understand that Failure
to do so will result in bids not being considered for evaluation.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill Agreed by the bidder in cell No D18
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-16
Undertaking in support of not under liquidation

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three
Name of Work: (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW)
under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

We hereby confirm that we are not under liquidation, and there is no court receivership or similar proceedings against us.

If there is any change in status prior to the award of work, the same shall be promptly informed by us to IOC. We understand that Failure to
do so will result in bids not being considered for evaluation.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill Agreed by the bidder in cell No C11
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 Annexure-15
Declaration on proceedings under Insolvency and Bankruptcy Code, 2016

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03)
Name of Work: nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under
PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

Bidder Name 0

I/ We hereby declare that I/We, declare that

I/We am / are not undergoing insolvency resolution process or liquidation or

1
bankruptcy proceeding as on date.

I/We am / are undergoing insolvency resolution process or liquidation or

2 bankruptcy proceeding as on date as per the details mentioned below. (attached
detail with technical bid)

Bidder is to select Applicable or Not applicable for the above options

It is understood that if this declaration is found to be false, Indian Oil Corporation limited shall have the right to reject my/ our bid, and forfeit the
EMD, if the bid has resulted in a Contract, the contract will be liable for termination without prejudice to any other right or remedy (including
black listing or holiday listing available to Indian Oil Corporation Limited.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Select at least one option as Applicable
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-14

DECLARATION OF RELATIONSHIP WITH DIRECTORS OF IOCL

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03) nos. of
Name of Work: Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under PHBPL Barauni
Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22
###
The Tenderer shall declare the following information in exhaustive details:-
Remarks
S. No. Description
Mention Yes/No

1 Incorrect PAN No mentioned ###

LIST OF DIRECTORS
The list of board of directors are available in our website at http://www.iocl.com/AboutUs/Profile.aspx

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill Yes or No

Tender Number BK/TS/970/2023-24/22

Annexure Commercial
 ANNEXURE-13
INFORMATION ABOUT TENDERER
(To be furnished with Tender)

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03) nos. of
Name of Work: Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under PHBPL Barauni
Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

S. No. Incorrect PAN No mentioned

1 Incorrect PAN No mentioned ###

2 Incorrect PAN No mentioned ###

3 Incorrect PAN No mentioned ###

4 Incorrect PAN No mentioned ###

5 Incorrect PAN No mentioned ###

6 Incorrect PAN No mentioned 0

7 Incorrect PAN No mentioned ###

8 Incorrect PAN No mentioned ###

9 Incorrect PAN No mentioned ###

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Fill out all the details against S No's mentioned above

Tender Number BK/TS/970/2023-24/22

Annexure Commercial
 ANNEXURE-12
FORM OF TENDER
For Price Bid

S No 2022/1 Date 12/30/1899

From 0

To

M/S Indiaoil Oil Corporation Ltd.

Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three
Name of Work: (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW)
under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

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 )Time 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 the requirements of Indian
Oil Corporation Ltd. relative to the work tendered for in connection with the (Name of the Project) and having conducted a
thorough study of the job site(s) involved, the site conditions, soil conditions, the climatic conditions, 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 office accommodation and quarters and all other facilities and things whatsoever necessary for or relative to the
formulation of the tender of the performance of work, I/we hereby submit my/our tender offer for the performance of proposed work in
accordance with the terms and conditions and within the time mentioned in the Bid Documents at the rate(s) quoted by me/us in the
accompanying Schedule of Rates based on the Form of Schedule(s) of Rates included within the Tender Documents and arrived at a total
contract value of USD/INR <quoted in 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 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 the Contract Documents as
defined in the Form of Contract forming part of the Tender Documents and accept the terms and conditions of Contract as laid down therein
and undertake within 10 (ten) days of receipt of acceptance of Tender to pay to and/or deposit with the Accounts Officer, (Name of
the Project) Indian Oil Corporation Ltd. (Pipelines Division) a sum which together with the amount of earnest money deposited by me/us in
terms hereof, shall make 2 ½% (two and one-half percent) of total contract value as specified in the Acceptance of Tender for the purpose of
security deposit, by any one or more of 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 to sign 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 failing which Indian Oil Corporation Ltd., shall be at liberty, without
reference to me/us and without prejudice to any of its 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., by adjustment in the price of
Tender Documents, I/We further undertake to keep my/our this tender offer open for a period of not less than 4 (four) months from the
scheduled date of opening of Tenders as specified in the General Instructions to Tenderer forming part of the Tender Documents.

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 or other
authority duly certified by a Gazetted Officer or a Notary Public in proof of authority of the person who has signed the Tender.

I/We hereby undertake that the statements made herein/information given in the Annexures referred to above are true in all respects and
that in the event of any such statement or information being found to be incorrect in any particular, the same may be construed to be a
misrepresentation entitling Indian Oil Corporation Ltd. to avoid any resultant contract.
 ANNEXURE-12
FORM OF TENDER
For Price Bid

S No 2022/1 Date 12/30/1899

From 0

To

M/S Indiaoil Oil Corporation Ltd.

Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three
Name of Work: (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW)
under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

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.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Mention Agreed by the bidder in cell No D24
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-11
FORM OF TENDER
For Commercial Bid

S No 2022/1 Date 12/30/1899

From 0

To

M/S Indiaoil Oil Corporation Ltd.

Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three
Name of Work: (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW)
under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

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 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 the requirements 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 job site(s) involved, the site conditions, soil conditions, the climatic conditions, 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 office accommodation and quarters and all other facilities and things whatsoever necessary for or relative to the
formulation of the tender or the performance of work, I/we hereby submit my/our tender offer for the performance of proposed work in
accordance with the terms and conditions and within the time mentioned in the Tender Documents.

In consideration of the sum of Rupee 1/- (Rupee one) only paid to me/us by Indian Oil Corporation Ltd., by adjustment in the price of
Tender Documents, I/We further undertake to keep my/our this tender offer open for a period of not less than 4 (four) months from the
scheduled date of opening of Tenders as specified in the General 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 the case 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/Mr. one of our partners (in the case of partnership firm/Directors in the case of a Company)
was employed as a Director in Indian Oil Corporation Ltd., during the period of 2 (two) years immediately preceding the date hereof and that
I/Shri have/has obtained previous permission of Indian Oil Corporation Ltd. to make this 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 of the person who has signed the Tender.
(iii) Original Income-tax Clearance Certificate OR copy of Income-Tax Clearance Certificate duly attested by 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 in the form annexed to the Form of
Tender.
(vi) Information regarding construction organization and equipment in the form annexed to the Form of Tender.
(vii)Solvency Certificate from a Nationalized/Scheduled Bank.
(viii) Set of Tender Documents, as issued duly signed.
(ix) Additional Documents as listed below.
 ANNEXURE-11
FORM OF TENDER
For Commercial Bid

S No 2022/1 Date 12/30/1899

From 0

To

M/S Indiaoil Oil Corporation Ltd.

Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three
Name of Work: (03) nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW)
under PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

I/We hereby undertake that the statements made herein/information given in the Annexures referred to above are true in all respects and
that in the event of any such statement or information being found to be incorrect in any particular, the same may be construed to be a
misrepresentation entitling Indian Oil Corporation Ltd. to avoid 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 as applicable as detailed hereunder (Strike off whichever is not applicable)

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Mention Agreed by the bidder in cell No D25
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-10
UNDERTAKING

To
M/s Indian Oil Corporation Ltd.
Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114
Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03)
Name of Work: nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under
PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

We have read the clause regarding Provisions for Procurement from a Bidder which shares a land border with India, we certify that, bidder is:

1 Not from such a country

If from such a country, has been registered with the Competent Authority.
2
(Evidence of valid registration by the Competent Authority shall be attached)

Bidder is to select Applicable or Not applicable for the above options

We hereby certify that bidder fulfills all requirements in this regard and is eligible to be considered against the tender.

We further certify that bidder will not sub-contract any work to an agency from such countries unless such agency is registered with the
Competent Authority.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Select at least one option as Applicable
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-9

PROFORMA OF DECLARATION OF BLACK LISTING/ HOLIDAY LISTING

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03) nos. of
Name of Work: Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under PHBPL Barauni
Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22
###

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We confirm that we have read, understood and will comply with the Annexure k
Status Annexure Not Complied l
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Incorrect PAN No mentioned in master Index s
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Tender Number BK/TS/970/2023-24/22 d
Annexure Commercial
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 ANNEXURE-8
GST (Goods & Services Tax) Details

[Please refer clause 6.3.1, 6.3.2 and its sub clauses of

Chapter III Special Conditions of Contract Section (Commercial)]

Bidders to note that the Price quote (BOQ Price) for the subject work shall be inclusive of Central Goods & Service Tax (CGST) & State Goods & Service Tax
(SGST/ Integrated Goods & Service Tax (IGST).

Bidders to note that their bids will be evaluated based on the landed cost including GST.

Rate of GST to be charged extra

BOQ Item Nos. HSN/SAC Code Item as per SOR / BOQ on value submitted in the price
bid

All SOR items of Tender

All SOR items of Tender BK/TS/970/2023-24/22
BK/TS/970/2023-24/22

Note: Item wise Rate of GST and HSN/SAC to be specified in the enclosed attachment.

1) In view of GST implementation from 01.07.2017, bidders are requested to quote prices including all duties and taxes excluding GST. GST rate along with
HSN/SAC is to be quoted in Attachment to Annexure 8.
2) Bidders are requested to ascertain the applicable effective rate of GST applicable on the quoted price on this job.
3) In case a supply/service is covered under RCM (Reverse Charge Mechanism) and the bidder mentions a non-standard rate in Col 4, then evaluation
will be done by considering applicable rates as per Statute.
4) Bidder to consider “Input Tax Credit” available to them under GST, and quote the prices accordingly.
5) Bidders hereby confirm that they have taken note of Anti- profiteering measure clause (Sec 171 of CGST) wherein it is stated that any reduction in rate of
tax on any supply of goods and services or the benefit of input tax credit shall be passed on to the recipient by way of commensurate reduction in prices, and
they have quoted accordingly.
6) Bidder will be required to raise invoice indicating the GST amount separately as the Owner intends to avail Input Tax Credit under GST. The invoice
should be GST Compliant.

Bidder to note that they should provide the relevant GST registration certificate along with the bid
We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Mention the HSN/SAC Code
Tender Number BK/TS/970/2023-24/22
Annexure Commercial
 ANNEXURE-2
FORMAT FOR TENDERER’S EXCEPTIONS / DEVIATIONS COMMERCIAL

Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03)
Name of Work: nos. of Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under
PHBPL Barauni Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

Tender Document Deviation /

S. No. Ref chapter/ Page No. Subject
Cl. No. Para No. Exception
1 2 3 4 5 6

Any clarifications / deviation / exception appearing elsewhere in the tenderer’s offer shall not be considered. Failure to clearly define tender
exceptions may be cause for Tender rejection.

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Mention NIL deviations or have any deviations in
cell E14

Tender Number BK/TS/970/2023-24/22

Annexure Commercial
 ANNEXURE-1
TENDER FORWARDING LETTER

To
M/s Indian Oil Corporation Ltd.
Eastern Region Pipeline,Barauni
P.O. Barauni Oil Refinery,
Begusarai,Bihar – 851114
Providing Fifteen (15) nos. of Unarmed DGR Security Guards, Two (02) nos of Armed DGR Security Guards & Three (03) nos. of
Name of Work: Supervisors for Mainline Patrolling, Intelligence and Ancillary Activities in PHBPL Right of Way (ROW) under PHBPL Barauni
Jurisdiction in Bihar & Jharkhand State
Tender No.: BK/TS/970/2023-24/22

Dear Sir,

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 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.

We have also confirm that we have quoted for all items of BoQ/SOR.

We have pleasure in making our TECHNO-COMMERCIAL PROPOSAL in accordance with your BID requirements (except deviation as per Annexure-2)
for your consideration. Moreover we have also undergone through Clause No. 8.0.0 of SIT (Section B Commercial) and hereby declare that we are
submitting our bid as

Please select Yes infront of the bidding entity

S. No. Bidding Entity
appliable for you and Not Applicable for Others

1 Sole Bidder (Proprietary / Partnership/ Limited Company)

2 Incorporated Joint Venture

3 Consortium /Joint Venture If Yes than please also fill

Leader:-
Member:-

Indian Company Wholly Owned Subsidiary of a Foreign or Indian Company

4 If Yes than please also fill
bidding on the Financial Strength of its Parent Company
Parent Company:-

We confirm that we have read, understood and will comply with the Annexure
Status Annexure Not Complied
Please fill up all the options

Tender Number BK/TS/970/2023-24/22

Annexure Commercial