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Larsen & Toubro Limited

L&T Energy-Hydrocarbon
L&T Knowledge City,
Gate No. 1, West Block I
Ajwa-Waghodia Crossing,
N. H. No. 8, Vadodara – 390 019,
Gujarat, India
Tel: +91 265 245 1000 / 1001
www.Larsentoubro.com

Ref: LS/IOCL/RHCU/B269/L/0001 Date: 10-09-2022

To
Indian Oil Corporation Limited,
Panipat Refinery,
Panipat – 132140 (Haryana)

Kind Attn: Mr. B.B. Das (GM – Projects)

Through: Engineers India Limited (EIL)

Sub: Request for Form-III for executing RHCU Unit for P-25, IOCL Panipat Refinery
Ref: FOA: RHQPJ/2022-23/EPCM1FOA/05 Dated 16.08.2022

Dear Sir,

With reference to execution of Residue Hydrocracker (RHCU) unit under above referred
FOA, we request to arrange for issuance of Form – III for obtaining the followings:

1. Contract Labour Engagement Licence


2. BOCW Registration

Other relevant details: -

01.Name of the Agency/Sub-Contractor : M/s Larsen & Toubro Limited


02. Purchase /Service Order No. : FOA–RHQPJ/2022-23/EPCM1FOA/05 Dtd.16.08.2022
03.Nature of Job : RHCU Capacity expansion project(P-25)
04.Service order Period : From 16th August 22 to 15th May 25 (33
Months)

In this context, as desired, we are enclosing the following documents for your reference: -
1. Original Power Of Attorney (POA) in the name of RCM from owner of company – POA
has submitted to EIL on 27-06-2022 vide our Letter No. LS/ES/DHDT/B269/L/0001
Dated 23-06-2022. Highlighted to be changed
2. Registrar of Company (ROC) mentioning name of owner of company in documents
(Sign & stamp).
3. RCM/ Site-In-Charge approval (Original). – To be submitted by OS Team
4. Undertaking to fulfil liabilities of contract labour to be engaged (original).
5. PAN Card of company and RCM with sign and stamp.
6. Details of company/ RCM as per table below:

1 PAN No (Company) AAACL0140P

2 Email ID (company) gopalkrishnan@larsentoubro.com


Registered Office: L&T House, N. M. Marg, Ballard Estate, Mumbai-400 001. INDIA. CIN: L99999MH1946PLC004768
L&T Energy is a brand of Larsen & Toubro Limited
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Larsen & Toubro Limited
L&T Energy-Hydrocarbon
L&T Knowledge City,
Gate No. 1, West Block I
Ajwa-Waghodia Crossing,
N. H. No. 8, Vadodara – 390 019,
Gujarat, India
Tel: +91 265 245 1000 / 1001
www.Larsentoubro.com

3 Mobile no. (Owner)

4 Name of person-in-charge of the work B. Gopalakrishnan

5 PAN No of person in charge of work AELPB7857F

6 E-mail ID of person in charge of work gopalakrishnan@larsentoubro.com

7 Mobile no of person in charge of work 9444558201

8 Date of commencement of job as per tender 16-08-2022

9 Date of completion of job as per tender 15-05-2025

Therefore, we request you kindly issue us Form-III at the earliest.

Thanking you and assuring you of our best services at all times.

Yours Faithfully,

For Larsen & Toubro Limited

(B. Gopalakrishnan)
Resident Construction Manager
RHCU Project, P-25, IOCL Panipat

Encl: As above

Registered Office: L&T House, N. M. Marg, Ballard Estate, Mumbai-400 001. INDIA. CIN: L99999MH1946PLC004768
L&T Energy is a brand of Larsen & Toubro Limited
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Larsen & Toubro Limited
L&T Energy-Hydrocarbon
L&T Knowledge City,
Gate No. 1, West Block I
Ajwa-Waghodia Crossing,
N. H. No. 8, Vadodara – 390 019,
Gujarat, India
Tel: +91 265 245 1000 / 1001
www.Larsentoubro.com

Undertaking
(Annexure-I)
We undertake to fulfil all our liabilities in respect of contract labour to be engaged by us
in Panipat Refinery as are laid down under various statutes and Rules framed there
under and are applicable or would be applicable to us.
We also undertake to fulfil the following obligation on our part:
1. To provide canteen facilities (if the contractor engaged 100 or more contract
labour)
2. To provide rest room, where contractor labour is required to stay at night in
connection with the work.
3. To provide wholesome drinking water, latrines & urinals and washing facilities at
convenient places.
4. To provide First Aid box in every place where contract labour is employed.
5. To pay minimum wages to various categories of contract labour as prescribed
from time to time.
6. To pay wages to each worker employed as contract labour in the presence of
representative of the principal employer and shall be certified by him.
7. To maintain register/ records as prescribed under the rules in respect of the
contract labour and furnish data to the principal employer.
8. To deposit the PF contribution in respect of each of contract labour and furnish a
copy of the documentary proof to this effect to the principal employer or his
representative as may be asked from time to time.
9. To pay ESI dues wherever applicable in respect of each of his contract labour.
10.To take comprehensive policy of contract labour for the payment of
compensation under Employees Compensation Act, 1923 in case of accident
resulting in injuries or death (This would not be applicable where contractor is
covered under the ESI).
11. To take Third Party Insurance (Public Liability Insurance).

Registered Office: L&T House, N. M. Marg, Ballard Estate, Mumbai-400 001. INDIA. CIN: L99999MH1946PLC004768
L&T Energy is a brand of Larsen & Toubro Limited
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