‘Section IV. Bidding Forms — Section IV. Bidding Forms Procurement of MaterialSection IV. Bidding Forms _ Section IV. Bidding Forms Table of Forms Bid Submission Sheet... Price Schedule For Goods .. Form of Bid Security. Manufacturer’s Authorization .. Form Exp-1 Manufacturer’s Experience .. Form Exp-2 Bidders Experience « Form LIT-1 Pending Litigation ... Form Fin-1 Financial Situation ... Form Fin-2 Average Annual Turnover. Form Fin-3 Financial Resources .... Form Fin-4 Current Contract Commitments in Progress Form -1 End user’s performance certificates Form-2Production Capacity Form for Manufacturer. Form-3 Domestic Goods Form ... ed T Form-4 Deviation from Technical Provision .. Form-S Deviation from Contractual/Commercial Provision ... NCB. 7FESCO/PMUIName of Formation’ Year Procurement of Material Director (Procu PMU,FESCO, Foto a‘Section IV, Bidding Forms a3 Bid Submission Sheet Date: ___ NCB No.: __ _ Invitation for Bid No. Altemative No.: _ — To: Chief Engineer (Development) I FESCO H/Q, Canal Road Faisalabad, Pakistan Tel: +92-41-9220159 Fax: +92-41-9220691 We, the undersigned, declare that: (a) We have examined and have no reservations to the Bidding Document, including Addenda No: 5 (b) We offer to supply in conformity with the Bidding Document and in accordance with the delivery schedule specified in the Schedule of Supply, the following Goods and Related Services: (©) Does accept the corrections of errors in accordance to ITB. (@) The total price of our Bid, excluding any discounts offered in item (d) below is: Amount in number: Amount in words: (©) The discounts offered and the methodology for their application are: (Our Bid shall be valid for a period of 80-days from the date fixed for the bid submission deadline in accordance with the Bidding Document, and it shall remain binding upon us and may be accepted at any time before the expiration of that period; (g) Ifour Bid is accepted, we commit to obtain a Performance Sccurity in the amount of Ten (10) percent of the Contract Price for the due performance of the Contract; (h) Our firm, including any sub-Suppliers or suppliers for any part of the Contract, have nationalities from the following eligible countries : Procurement of Material Director (Proc ape 344 Section IV. Bidding Forms (i) We are not participating, as Bidders, in more than one Bid in this bidding process, other than alternative offers in accordance with the Bidding Document; (Our fim, its affiliates or subsidiaries, including any sub-Suppliers or suppliers for any part of the Contract, has not been declared ineligible by NTDC/ WAPDA/ DISCO’s. (&) The following commissions, gratuities, or fees have been paid or are to be paid with respect to the bidding process or execution of the Contract: Name of Recipient Address Reason Amount (Ifnone has been paid or is to be paid, indicate “none.”) () We understand that this Bid, together with your written acceptance thereof included in your notification of award, shall constitute a binding contract between us, until a formal Contract is prepared and executed. (m)We understand that you are not bound to accept the lowest evaluated bid or any other bid that you may receive. (n) We agree to permit FESCO or its representative to inspect our accounts and records and other documents relating to the bid submission. Signed Name In the capacity of Duly authorized (As per Power of Attorney) to sign the Bid for and on behalf of. Dated NCB-____JFESCO/PMU/Name of Formation’ Year Procurement of Material Director (F PMY, FESCG, F ”) WrSection IV. Bidding Forms ‘6 Form of Bid Security insert Bank’s Name, and Address of Issuing Branch or Office} Beneficiary: Chief Executive Officer FESCO Lot No. Amount PKR: (in words, _) Issue Date: Expiry Date: BID GUARANTEE No.:/insert number] We have been informed that /insert name of the Bidder] (hereinafter called "the Bidder") has submitted to you its bid dated jinsert dae (hereinafter called "the Bid") for the execution of finsert name of contract] under Notice for Invitation of Tender No. inser IT number] (“the NIT"). Furthermore, we understand that, according to your conditions, bids must be supported by a bid guarantee. ‘At the request of the Bidder, we inser name of Banky hereby irrevocably undertake to pay you any sum for sums not exceeding in total an amount of finsert amount in figuresfinsert amount in wordspupon receipt by us of your first demand in writing accompanied by a written statement stating that the Bidder is in breach of its obligation(s) under the bid conditions, because the Bidder: (a) has withdrawn its Bid during the period of bid validity specified by the Bidder in the Form of Bid; or (b) having been notified of the acceptance of its Bid by the Purchaser during the period of bid validity, (i) fails or refuses to execute the Contract Form, if required, or (ii) fails or refuses to furnish the performance security, in accordance with the ITB. (€) does not accept the corrections of errors in accordance with ITB. This guarantee will expire: (a) if the Bidder is the successful Bidder, upon our receipt of copies of the contract signed by the Bidder and the performance security issued to you upon the instruction of the Bidder, and (b) if the Bidder is not the successful Bidder, upon the earlier of (i) our receipt of a copy your notification to the Bidder of the name of the successful Bidder; or (ji) forty (40) days after the expiration of the Bidder’s bid. Consequently, we must receive any demand for payment under this guarantee at the office on or before that date Name In the capacity of Signed Duly authorized to sign the Bid Security for and on behalf of. Date, NCB TFESCO/PMUIName of Formation/Year Procurement of Material Director (Procuront . fee, Fansaica:Section 1V Manufacturer’s Authorization Date: NCB No, Invitation for Bid No.: LotNo;__ who are official WHE! manufacturers of having factories at do hereby authorize co Tot submit Bid in relation to the inviution Tor Bids indicaied above. the purpose of which is to provide the following Goods, manufactured by us ‘and to subsequently negotiate and sign the Contract. We hereby extend our full guarantee and warranty in accordance with Clause 28 of the General Conditions of Contract, with respect to the Goods offered by the above firm in reply to this Invitation for Bids. Name Inthe capacity of Signed Duly authorized to sign the Authorization for and on behalf of, Date NCB, JFESCO/PMU/Name of Formation/Year Procurement of Material Director (Prockyy PMY. FESCO, d *) 5 X weForm Exp-1 Manufacturer’s Experience Date; NCB Nos Invitation for Bid No. Lot No.: Sr. No. | Client Name, Address Phone, ‘Numberé& E-mail Item | — Quantity Year End-user Certificate |Section IV. Bidding Forms Form Exp-2 Bidder’s Experience 49 Date; NCB No.;___ Invitation for Bid No.: Lot No.;____ Sr. | Client Name, Address Phone, No. Numberé& E-mail Item | Quantity ORR) Year Copies of agreement/P.O Signed & Stamped NCB. JEESCO/PMUIName of Formation’ Year Procurement of Material Director (ProotySection LV. Hitding Foray For Hach Bidder must fill in this form > Pending LIT-1 Pending Litigation > No pending litigation in accor ion in accordance with of Section 3 (Iva ance with of Section 3 (I:valuation and Qualification Criteria) sluation and Qualification Criteria) Year Matter in Dispute Value of eee Pending Claim Pending Claim as a Percentage Pak Rupees of Net Worth Signed & Stamped NCB. JFESCO/PMU/Name of Formation’ Year Q=—> Procurement of Material Director Proce” 7 PMU, EESCO, F, 1) “o®Section IV. Bidding Forms Al Form Fin-1 Financial Situation Each Applicant must fill in this form Financial Data for Previous 3 Years (PKR) Yer [veara: [venrae Information from Balance Sheet Financial Data for Previous 3 Years [Pak Rupee] Description Year-t ( ) | Year 2( ) | Year 3( ) Total Assets Total Liabilities [Net Worth Current Assets Current Liabilities Total Debt Receivables Inventories in Head Information from Income Statement Total Revenues/ Sales Profit Before Taxes Profit After Taxes Interest Charges Paid (CO Attached are copies of financial statements (balance sheets including all related notes, ‘and income statements) for the last three years, as indicated above, complying with the following conditions; © All such documents reflect the financial situation of the Applicant. © Historic financial statements must be audited by a Certified Accountant, Historie financial statements must be complete, including all notes to the financial statements. * Historie financial statements must correspond to accounting periods already completed and audited (no statements for partial periods shall be requested or accepted). Signed & Stamped Procurement of Material Director PMU,FESCO, Fes 3S YI n) wy ee5 I NSS ‘Section 1V. Bidding Forms +2 Form Fin-2 Average Annual Turnover Each Bidder must fill in this form The information supplied should be the Annual Tumover of the Bidder in terms of the amounts billed to clients for each year for Contracts/Orders in progress or completed, converted to Pak Rupee at the rate of exchange at the end of the period reported. Annual Turnover Data for the Last 3 Years . Pak Rupee * Year | Amount Currency | Exchange Rate Equivalent 1 2 3 Average Annual Turnover NCB-_ 7PESCOIPMU/Name of Formation/Year Procurement of Material PMU, FESCO, Fi ws‘Section IV. Bidding Forms Form Fin-3 Financial Resources Specify proposed sources of financing, such as liquid assets, unencumbered real assets, lines of credit, and other financial means, net of current commitments, available to meet the total orders cash flow demands of the subject contract or contracts as indicated in Section 3 (Evaluation and Qualification Criteria) Financial Resources No, | Source of financing along with supporting ‘Amount L documents (must be attached) (Pak Rupee equivalent) 1 2 >t 4 5 Total Signed & Stamped NCB JFESCO/PMU/Name of Formation/Year —— Procurement of Material Director (Procure PMU, FESCO, Feisi2b 1) “Ws‘Section IV. Bidding Forms a Form Fin-4 Current Contract Commitments in Progress Bidders should provide information on their current commitments on all contracts/orders that have been awarded, or for which a letter of intent or acceptance has been received, or for contracts/orders approaching completion, but for which an unqualified, delivery certificate has yet to be issued. Current Contract Commitments ‘Average ee Value of Monthly sr, | Name of ea u Outstanding | Estimated | Invoicing Over r. ‘ontact " a Ng, | Contract! | 4 daress, Tel orders Delivery | Last Six Months Order Tae | [Pak Rupee Date (Pak Rupees Equivalent] Equivaleny month] 1 2 3 4 5 Signed & Stamped NCB-_ /FESCO/PMU/Name of Formation/Year_ Fiemmend of aad Qo : (880) Director (Pro \/. PMY, FESCO, FAX. - 4Section IV. Bidding Forms Form-1End user’s performance certificates Company Monogram of Client/Purchaser [ Name of Manufacturer Name of Equipment/Material Type & Designation Rated Voltage & Rating of Equipment Quantity (No. or Sets or other unit) ‘Amount Contract Agreement/P.O No. date 2b, ‘aa Equipment Commission Date: Day/Month/Year Performance of Equipment/Material since Installation & Commission [Satisfactory] Not Satisfactory IFnot satisfactory, please describe the reasons Client (Purchaser's comments regarding performance of equipment/material Client/Purchaser Name: ClienPurchaser Address | Client/Purchaser Phone & Fax Numbers Client (Purchaser E-mail address official Web Site Note: At least 5 No. End user Certificates are to be attached. Stamp & Signature of Client/Purchaser NCB, 7FESCO/PMU/Name of Formation/ Year Procurement of Material Sy) ora fn PMU, EESCO, Fais " w,416 ion IV. Bidding Forma _ Se Total Factory Production — [Onder Hand ([ Papected order | Remain | Capacity (No. or Sets or | No. oF Sets oF | during — | _ Capacity of | ‘other unit)/Year | ‘other unity | execution of | Factor No. oF this contract f | Setsor other | | | | awarded No. oF | unit) Signed & Stamped by Manufacturer Director (Pro! PMU, FESCO, F-. “0%reyareW Jo wautamaog ssyuoumoop 8uy seo {uoneu0g Jo aWEN/WA/OISIA/ “GON ToinpuynueUl Aq UUeIS a UTS 19 YE LONIppE anfeA Jo UONEINo[eo puk Joord Arewaumsop ayp apraord 0} paxmnbar osye sOIMIOVNUEH :930N (ejnuuo) Bey, ur uontppy anEA, (Syplom-xg) song SupMDETEPY WO TROY JO 988% BOD TIO] Jo adv OD USE UBiSIOS TeIOL, 3509 [HAIN [FOOT OL JE UBIO tous yeqarewptawudinba ETA [E90] ‘woyy jeuoreuipuawidinbs paigyjo amp Surmoeynueus som parayjo ain Suumoegnueu quon-xg coud reer | Mi | soy pasnaqorswow jorsry J -xa coud yon | Ai 40} past 2q 01 StaM Jo 1817 1S SpooH oysoMOGE-WIOy _ ~ ure : Soa SUPPLE “AT WHS roca? Fae Director (P ge 7 PM, qeye Jo 1uowaanD01g JRaAsUONIEULIOS JO BUEN/NW/OISIA “aN ToanpuynuEM Aq duIEy ap UDIS “siuawunoop Suippig YEN UONIPpe anyeA Jo uoHE;No|e9 pue Jooud Arewaumoop atp apraoid 0} posinbar osye JouNIORINUE :2}0N (einuOg) aHey BT MORIPPY OnTeA (Splonaeg) song TuuMIDENUEPY SOD [POL Jo a70% 30D THIOL JO. ae WSO} [HUSTON UTAIOT [POT SOD [EUDTEWN [ESOT TIO Z 9 s + € z I ALY UBIO woy juarewjueUdinbs poayjo ay Sursmoejnucws som, spowexg sud [e101 aD 0} pasn aq 0} SWE! 40% xq aoud [rI0], aD 40} pasn 2q 0} SWI2I! JO ISI] #28 TESH|EY Ul Pappe onjEA) Spoor dysoMOge- WOT irr APPIET “AT WORDS g € g 2 6 PMU, y:Section IV. Bidding Forms Form-4_ Deviation from Technical Provision it is presumed that bidder shall not take any to specified terms, those must be listed in the sp: deviation. However, i ace provided belo 418 fhe intends to take deviation Clarifications Sr# Section No. ‘Clause No Deviation L Sign & Stamped by ders NCB ame of Formation/Vear Procuret sat of Material Director (Prods PMU,FESCO, Fai eeSection IV. Bidding Forms Form-§ Deviation from Contractual/Commercial Provision if he intends to take deviation It is presumed that bidder shall not take any deviation. However, din the space provided below, to specified contractual/commercial conditions, those must be liste | Section No Clause No Deviation Clarifications NCB TFESCO/PMU/Name of Formation/Year Procurement of Material “urement of Material QQ Director (Prochy Pa aeSection 1V, Budding Forms (ANNEXURE-N) 1) 02.06.2022) ATION NO.ALYPPRA Scett/PPRA/2022 DATE CTs WORTH Rs.50 MILLIONS AND ABOV ficial Owners Information for Public (AS PER PPRA REG! FOR CONTRA‘ whi Procurement Declaration of Ultimate Bene! Eo Contracts, ee 1, Name: 2. Father's Name: — 3, CNICINICOPIPassport No; |< —_—_—_ 4. Nationality: ee _ 5. Residential Address: a 6. Email Address: —— 7. Date on which shareholding, control or interest in the business. 8. Incase of indirect shareholding, control or interest being exercised through intermediary companies, entries or other legal persons or legal arrangements in the chain of ownership or control, following additional particulars to be provided. T 2 3]4[s]6]7 3 5 10 Legal form 2 g (company/limited) | § Z) 2 Percentage of Liability/Partnership/ || 3 | g Percentage of Associationof |Z] | & g Cee shareholding, dest ee | Persons/Sing #/3] els natural person g| PemonsSingle [2] G] =| 2/2) inerstot meaner | who ulimately 2) companyiParnenbip | £| | 2/5] 3] jeunes poorer legal | ene czcosirols Firm/TrusvAny other | 8} & | 3 | Feel person | crrangement in | the legal person individual, body |=] 3 | 2 of legal the Company | °" Mangement corporatewobe | S| 2 arrangement specified) glz2 9. Information about the Board of Directors (details hall be provi i S provided regard shares in the capital ofthe company as set opposite respective names) mumber of NCB JFESCOPMUIName of Formation/Year Procurement of Material Director (PAQuromiort PMU, FESCO.TS 3 1 2 wD,Section IV. Bidding Forms a 2 3 4 3 6 7 8 Residential + Number of cNIc ‘Address in | NWO Name | Father's/ g| fullorthe | een by and | No. Gin | Father's ‘Any other |] registered/prin a case of | Husband’ | Curent | x S| eT cast —— ; urrent _ | Nationality cipal office scribe jaime | foreizner | sName | Nationality } "G25" | Z| address fora | Gh feu er letters) on in full 8] “bseribers, | figures other than | \ords) natural person Total numbers of shares taken (in figures and words) 10. Any other information incidental to or relevant to Beneficial owner (s). Name and Signature: (Person authorized to issue notice on behalf of the company) NCB-_____/FESCO/PMU/Name of Formation/Year BQ, Procurement of Material