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Statement of Credentials - PT 123

The document contains a standard comparative chart for tenderers to provide details for pre-qualification criteria including experience in similar work projects, annual turnover, net worth, and other mandatory documents like PAN, GST registration, and integrity pact agreement. Tenderers must fill in the details in the chart and submit with the technical bid, with the responsibility of ensuring correct details lying with the tenderer. The chart collects information to evaluate tenderers' eligibility for the work of designing, supplying, installing, testing and commissioning an IP based CCTV surveillance system.

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21 views3 pages

Statement of Credentials - PT 123

The document contains a standard comparative chart for tenderers to provide details for pre-qualification criteria including experience in similar work projects, annual turnover, net worth, and other mandatory documents like PAN, GST registration, and integrity pact agreement. Tenderers must fill in the details in the chart and submit with the technical bid, with the responsibility of ensuring correct details lying with the tenderer. The chart collects information to evaluate tenderers' eligibility for the work of designing, supplying, installing, testing and commissioning an IP based CCTV surveillance system.

Uploaded by

tender team
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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STATEMENT OF CREDENTIALS (STANDARD COMPARATIVE CHART)

E-Tender No: RCC/ERO/37/2022-23/PT-123; E-Tender ID: 2022_ERO_158651_1


Subject: Design, supply, installation, testing and commissioning of IP Based CCTV Surveillance System along with associated works at Depot or
Terminals, LPG plants and AFS under IndianOil AOD State Office
Instructions for Tenderer: Tenderer MUST fill in below mentioned details and submit along with the Technical bid. (NON-UPDATION OF
ANY DETAILS MAY MEAN INCOMPLETE TENDER). Please state "NOT APPLICABLE" in case you have no positive answer.
RESPONSIBILITY OF CORRECTNESS OF DETAILS LIES WITH THE TENDERER.

S. No Particulars Bidder's response


A General Information
1 Bid ID
2 Name of the Bidder
3 Correspondence Address of the Bidder

4 Permanent Address of the Bidder

5 Telephone Nos.
6 Correspondence E-Mail ID
7 Name of Contact Person:
8 Name of the person whose DSC has been used in uploading the tender in e-tender
Portal
9 Type of Business Entity Select

10 CIN Number (in case of Company)


11 Name of Proprietor / Partners / Directors of the Firm

B EMD Details
1 EMD is not applicable. Declaration on Bid Security in lieu of EMD as per Select
Annexure K in attached Excel Sheet named "Declarations_PT-123" to be
submitted.

C PRE QUALIFICATION CRITERIA (PQC)


1.1 Execution of Similar Work-I
a WO Ref No & date

b Name of work

c Value of Work order, Rs. In lakh

d Completion value, Rs. In lakh

e Completion date

f Completion Certificate Ref.

1.2 Execution of Similar Work-II


a WO Ref No & date

b Name of work

c Value of Work order, Rs. In lakh

d Completion value, Rs. In lakh

e Completion date

f Completion Certificate Ref.

1.2 Execution of Similar Work-III


a WO Ref No & date

b Name of work

c Value of Work order, Rs. In lakh

d Completion value, Rs. In lakh

e Completion date

f Completion Certificate Ref.

2 ANNUAL TURNOVER CRITERIA


a Annual Turnover (as per Audited Balance Sheet and Audited P/L Statement)

i FY 2019-20 (in Rs.)

ii FY 2020-21 (in Rs.)

iii FY 2021-22 (in Rs.)

3 FINANCIAL NET WORTH

i Financial Net worth for of FY 2021 – 22 (In Rs. Lakh)

D OTHER MANDATORY DOCUMENTS


1 Copy of PAN Card

2 Copy of PF Registration Certificate

3 Copy of GST Registration Certificate

4 Partnership deed OR Certificate of Incorporation with Memorandum & Articles Select


of Association
5 Power of Attorney / Board resolution or Undertaking on Sole proprietorship Select

6 Integrity Pact Agreement Select


7 Undertaking for Acceptance of Tender terms and conditions to be submitted as Select
per the format at Annexure A in attached Excel Sheet named "Declarations_PT-
123"

8 Declaration on NCLT/NCLAT/DRT/DRAT/Court Receivership/Liquidation to be Select


submitted as per the format at Annexure B in attached Excel Sheet named
"Declarations_PT-123"

9 Compliance Certificate regarding Bidders for a Country which shares Land Select
Border with India to be submitted as per the format at Annexure C in attached
Excel Sheet named "Declarations_PT-123"

10 Undertaking for Non Tampering of Tender to be submitted as per the format at Select
Annexure D in attached Excel Sheet named "Declarations_PT-123"

11 Declaration regarding Holiday/Black Listing to be submitted as per the format at Select


Annexure E in attached Excel Sheet named "Declarations_PT-123"

12 Declaration A, B, C, D to be submitted as per the format at Annexure F in Select


attached Excel Sheet named "Declarations_PT-123"
13 Undertaking for Business Transaction Status of Bidders to be submitted as per Select
the format at Annexure G in attached Excel Sheet named "Declarations_PT-123"

14 Declaration about particulars of Bidder's Firm at Annexure H in attached Excel Select


Sheet named "Declarations_PT-123"
15 Undertaking on No Multiple Bidding to be submitted as per the format at Select
Annexure I in attached Excel Sheet named "Declarations_PT-123"
16 Declaration for Purchase Preference (Linked with Local Content) (PP-LC) as per Select
Annexure J in attached Excel Sheet named "Declarations_PT-123"
17 Declaration on Bid Security in lieu of EMD as per Annexure K in attached Select
Excel Sheet named "Declarations_PT-123"
E OTHER INFORMATIONS

3 Registration status of firm with respect to GST Select

6 Income Tax Returns Acknowledgement Filed for last three assessment years (i.e.
corresponding financial years):

a. ITR Assessment Year 2018-19 submitted on dd/mm/yyyy

b. ITR Assessment Year 2019-20 submitted on dd/mm/yyyy

c. ITR Assessment Year 2020-21 submitted on dd/mm/yyyy

d. ITR Assessment Year 2021-22 submitted on dd/mm/yyyy

F HSN Code and GST Rate Details

a HSN Code

b Percentage Rate of GST

7 Remarks or any other information by the bidder


(Bidder to note that conditional offer shall not be accepted)

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