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Empanelment Letter and Format for Computer Hardware

The document is an application form for the Pre Qualification Tender (PQT) for vendor empanelment by United India Insurance Company Limited for the supply and support of computer hardware and peripherals. It outlines the necessary details and documents required from applicants, including company information, financial records, and certifications. Incomplete applications will be rejected, and all submissions must be signed by an authorized representative.

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UD Mourya
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
3 views

Empanelment Letter and Format for Computer Hardware

The document is an application form for the Pre Qualification Tender (PQT) for vendor empanelment by United India Insurance Company Limited for the supply and support of computer hardware and peripherals. It outlines the necessary details and documents required from applicants, including company information, financial records, and certifications. Incomplete applications will be rejected, and all submissions must be signed by an authorized representative.

Uploaded by

UD Mourya
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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UNITED INDIA INSURANCE COMPANY LIMITED

HEAD OFFICE 24, WHITES ROAD CHENNAI


CIN : U93090TN1938GOI000108
WEBSITE WWW.UIIC.CO.IN
CONTACT NO: 044-28599500.

Application Form for Pre Qualification Tender (PQT) – Empanelment of Vendors for
supply and support of Computer Hardware and Peripherals.

(All details in appropriate columns should be filled-in. Incomplete details will entail rejection)

PART-A

1)Name and Address of the Company


(Local / Contact Address)

2. Application Fee Details


i) Amount Rs. 10,000/- (Rupees Ten Thousand Only)
ii) Date of Credit
iii) NEFT /RTGS No.
iv) Bank Name
v) Branch

3. Registered Address of the


Company

4.Contact Person
Name:
Designation
Phone
Fax
Cell No.
E-mail
PART-B

Sl. Particulars
Details
No.
1 Whether Registered Company Yes / No
2 Whether OEM / System Integrator?
2012-13 Rs. (in Crores)
3 Annual Turnover for 3 years. 2013-14 Rs.
2014-15 Rs.
2012-13 Rs.
Net Profit for 3 years 2013-14 Rs.
4 2014-15 Rs.
5 Whether having a valid ISO 9001:2000 standard certification from a YES/NO
reputed agency?
Whether executed at least one order for supply, installation and support of
6 Desktops/Servers/Printers/Peripherals in the BFSI segment with value not YES/NO
less than Rupees Three Crores during the last three financial years.
Whether executed at least one single order for supply, installation and
7 support of Desktops/Servers/Printers/Peripherals in more than 200 YES/NO
locations.(Multi-location delivery purchase order)
Whether having a minimum of 100 Support Service Centres (owned /
8 franchise) located in different Metro/City/Town/Village including at centres YES/NO
where UIIC is having its Regional Offices.

Documents to be submitted for the above (mandatory)

Sr. No. 1 Certificate of incorporation

Sr. No. 2 Give details of Manufacturing / System Integration experience.

Sr. No. 3 & 4 Copies of audited Balance Sheets (including profit and loss account and directors report
as a full set) for three years (2012-13, 2013-14 & 2014-15) giving details of turnover or
statutory auditor’s certificate specifying turnover and Profit/Loss details for the three
years.

Sr. No. 5 Copy of latest ISO 9001:2000 quality standard certificates from a reputed agency.

Sr. No.6 Copy of purchase order executed in the BFSI segment for supply, installation and support
of Desktops/Servers/Printers/Peripherals during the last three financial years with
purchase order value not less than Rupees Three Crores.

Sr. No.7 Copy of one single purchase order for supply, installation and support of
Desktops/Servers/Printers/Peripherals in more than 200 locations.

Sr. No. 8 List of Support Service Centres (owned / franchise) in at least 100 different locations
including locations where UIIC has its Regional Offices. (For example if a vendor has got 4
service centres in Chennai City, it shall be counted as only one location and not four.)
PART- C

Additional Information

1 No of employees giving break-up for Technical & Service Engineers Location wise. Attach details

2 List of major clients to whom the goods & Services are rendered including the value Attach details
of the orders executed.
3 Sales Tax Registration (Enclose Latest Photo Copy) Attach details

Authorised Signatory

(Name & Designation, seal of the Company)

 Incomplete PQT forms will not be entertained.

 Additional information can be attached as Annexure.

 All documents should be signed by an authorised representative of the Company with


company seal.

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