Scribd Logo
Upload

Welcome to Scribd!

  • Annexure XIII

    Uploaded by

    debasish
    1 views1 page
    This document contains a self-declaration form for bidders on blacklisting/debarring actions. The form requires bidders to declare that: 1) They have satisfactorily performed all work for OPTCL, the Government of Odisha, Central Government and other government funded projects in the last 3 years without any litigation. 2) They have not been declared insolvent or referred to the National Company Law Tribunal. 3) Any false information provided could result in rejection, cancellation or termination of the tender or contract. Bidders must also disclose any past debarments that were later withdrawn or overturned.

    Original Description:

    Original Title

    Annexure-XIII

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document contains a self-declaration form for bidders on blacklisting/debarring actions. The form requires bidders to declare that: 1) They have satisfactorily performed all work for OPTCL, the Government of Odisha, Central Government and other government funded projects in the last 3 years without any litigation. 2) They have not been declared insolvent or referred to the National Company Law Tribunal. 3) Any false information provided could result in rejection, cancellation or termination of the tender or contract. Bidders must also disclose any past debarments that were later withdrawn or overturned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    1 views1 page

    Annexure XIII

    Uploaded by

    debasish
    This document contains a self-declaration form for bidders on blacklisting/debarring actions. The form requires bidders to declare that: 1) They have satisfactorily performed all work for OPTCL, the Government of Odisha, Central Government and other government funded projects in the last 3 years without any litigation. 2) They have not been declared insolvent or referred to the National Company Law Tribunal. 3) Any false information provided could result in rejection, cancellation or termination of the tender or contract. Bidders must also disclose any past debarments that were later withdrawn or overturned.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    TENDER DOCUMENT NO: CPC-10/2023-24

    ANNEXURE – XIII

    PROFORMA OF SELF DECLARATION-


    BLACK LISTING/ DEBARRING ACTION
    (To be filled in non-judicial stamp paper of worth Rs.100/- and to be Notarized)

    Name of the Bidder: ----------------------------

    e-Tender Notice No: -------------------------------------------

    Sir,

    1. I/We, the undersigned do hereby declare that, I/We have never failed to perform satisfactorily
    in any work of OPTCL/ Govt. Of Odisha /Central Govt./ in any Govt. funded Project during
    last three financial years (and the current financial year) and / or I/We do not have any
    litigation with OPTCL and we do not stand currently debarred/blacklisted by any of the
    Electricity Transmission Utility / Generation Utility /OPTCL / Govt. Of Odisha/ Central Govt.
    of India.
    2. Further, I/We, the undersigned do hereby declare that, I/We have not been declared as Insolvent
    or referred to National Company Law Tribunal (NCLT) under the Insolvency and Bankruptcy
    Code (IBC), 2016.
    3. In the event, any information is found out contrary to the above either during the finalisation
    of the tender or during the execution of the contract, My/Our bid / contract shall be liable for
    rejection / cancellation / termination without any notice with forfeiture of EMD/CPBG at the
    sole discretion of OPTCL.

    Yours faithfully,

    Place-

    Date-

    Signature of the bidder

    With seal

    Note: The bidder shall also disclose, if he was debarred/black listed by any utility in the past and if the
    debar/blacklisting order was subsequently withdrawn by the utility suo-moto or set aside by any court
    order.

    (This form shall be duly filled-up, signed by the bidder (including each of the Joint Venture/Consortium
    partner) & uploaded as an attachment)

    Page 146 of 154

    You might also like