Notice for empanelment of Firms/Printers/Suppliers
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1 Notice for empanelment of Firms/Printers/Suppliers Applications in sealed covers are invited from Firms/printers/suppliers for empanelment up to for LIC OF INDIA, Divisional Office,Tirunelveli Printed forms; Pre-Printed Continuous Computer Stationery; Envelops & Kraft envelops-including Dockets;& Table Stationery including flat files & filing pads Application form (Annexure-A) required to be filled up for Empanelment of Firms / Printers / Suppliers can be downloaded from our website (going to Tenders and clicking on the link, Application for empanelment of firms / printers / suppliers- TIRUNELVELI DIVISION ). Application form can also be obtained from the office of Manager (E&OS), LIC of India, Divisional Office, Jeevan Prakash, 9-A, Punithavathiyar Street, Palayamkottai TIRUNELVELI from during cash hours. Duly filled in applications are to be submitted in a closed envelope superscribed as Application for empanelment of firms/printers/suppliers along with non- refundable fee of Rs 295 [Application fee of Rs GST of Rs 18%] in the form of DD in favour of Life Insurance Corporation of India, payable at Tirunelveli or in the form of Receipt for the fee, deposited at our Divisional Office cash counter in cash during cash hours. The selection shall be at the sole discretion of the Competent Authority of LIC OF INDIA, Divisional Office, Tirunelveli. Firms/Printers/Suppliers who are empanelled with our Divisional Office at Tirunelveli need not apply now. Firms blacklisted by any office of the corporation need not apply. The Corporation bears no responsibility for application received after due date and liable to be rejected. The corporation reserves the right to accept or reject any or all applications in full/part without assigning any reason whatsoever. Last date of submitting application: up to 3.00 p.m. Tirunelveli Senior Divisional Manager
2 Conditions for Empanelment of Firms/Printers/Suppliers Page 1 1. The applicant firm/printer/supplier should be in profession for at least 3 years. (Copy of proof must be enclosed). 2. The firm should be on the approved panel of at least 3 reputed firms. 3. The firm/printer/supplier should have registration with State & Local Authorities for undertaking the profession (copies of proof to be enclosed). 4. The firms/printers/suppliers who are currently in our panel NEED NOT APPLY. 5. The firm/printer/supplier should keep sufficient stock in hand so as to comply with the urgent needs without delay. 6. Incomplete application will be rejected without assigning any reason thereto. 7. Affix your Firm/ Company seal and authorized signature on every page. 8. The Firms/Printers/Suppliers who have been blacklisted / removed earlier, should not apply. If applied, their applications will not be considered. 9. Please note that all particulars required as per the application form shall be filled in completely in all respects strictly as per the format. 10. The eligible Firms/Printers/Suppliers, who are selected for empanelment after scrutiny of Application forms, shall be informed through letter. Please note that no enquiries or correspondence regarding the selection for empanelment shall be entertained. 11. The annual turnover should be based on last three years Income Tax Returns.
3 Conditions for Empanelment of Firms/Printers/Suppliers Page Earnest Money Deposit equivalent to 1% of the total order value will be recovered from the bill amount. The amount of EMD will be refunded without interest after 90 days from the date of final supply. EMD will be forfeited incase of any damage supply or not as per our specifications. 13. Penalty will be charged from bill amount for delay supply as per tender conditions. 14. Mere submission of Application for empanelment does not confer any right of empanelment. 15.Life Insurance Corporation of India, Divisional Office, Tirunelveli reserves its right to reject, accept any or all applications or cancel the process of empanelment without assigning any reason therefor. Life Insurance Corporation of India, Divisional Office, Tirunelveli shall neither be held liable nor obligatory on its part to inform the applicant the grounds of any such action.
4 Annexure-A [page 1] Application Form to include Empanelment of Firms/Printers/Suppliers Sl.No Information Sought Information Provided 1 Name of the Firm(in Block Letters) 2 Date of Establishment/Corporation 3 Correspondence address 4 Address of Head Office(If separate) and 1. Telephone No 2. Mobile No 3. -id 5. Status:Proprietary/Partnership/Private Ltd/Public Ltd company 6 Name of the Partners/Directors 7 Name of Chief Executive with present address and Contact No, & -id 8 Name of Bankers with addresses & contact No. & -id 9 Is the Firm is registered under the company/factory Act? If so, state Licence Number Date of last renewal of licence copy(copy of licence to be enclosed) PAN [ copy of certificate is to be enclosed ] EPF Registration No ESI No
5 10 Registered under MSME/NSICL (enclose copy of certificate) Annexure-A [page 2] 11 Whether holding certificate under Shops Establishment Act, duly Renewed (Copy should be enclosed) 12 Enclose Copies of IT Returns & Balance Sheets F Y F Y F Y Turn over for last three Financial Years F Y F Y F Y Are you agreeable to make deliveries to Corporation's Offices in Tirunelveli,Tuticorin & Kanyakumari districts as & when so directed? 15 If your firm is empanelled with any office of L.I.C. of India, please give name and address (Separate List may be attached) 16 Name, Addresses and Telephone Nos. of some of your most valued clients (Separate List may be attached) 17 Mention any other specialties of your establishment 18 Whether Black Listed by any Govt. Deptt./ Public sector Company 19 GST Registration No. State whether Regular or Composite (attach copy of Registration Certificate) Note: Please type this form or fill it legibly in ink. If space provided is Insufficient, please type or write the replies on a separate sheet giving appropriate question number and attach it to the form duly signed. All the pages of application form and documents must be signed with seal. Name: Designation:
6 DECLARATION I / We request Life Insurance Corporation of India, Divisional Office, Tirunelveli, to consider inclusion of my/our name in the list of their Empanelment of Suppliers/Printers etc. We agree to give full satisfaction to the Corporation in the event of their doing so. 1. I / We have read the Instructions & Conditions and I / We have understood that any false information is revealed at a later date, any contract made between ourselves and the Corporation, on the basis of the information given by me / us can be treated as invalid at the sole discretion of the corporation and I / We will be solely responsible for the consequences. 2. I / We agree that the decision of the Corporation in the selection of Suppliers/ Printers will be final and binding on me / us. 3. All the information furnished by me / us hereunder is correct to the best of my / our knowledge and belief. 4. I / We agree that I/We have no objection if inspection of my/ our premises/ workshop, shop, etc is done by the official of the corporation. 5. I / We hereby declare that our firm is not blacklisted by L.I.C. of India/ P.S.U./ Government/Semi- Government Organization and any other Department of Government of India. ` Note: The Corporation reserves the right to cancel the name of the supplier/firm from its approved list at the absolute discretion without assigning any reason. Dated at this day of Name: Designation:
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