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1 us kuy QfVZykbt+lZ fyfevsm (Hkkjr ljdkj dk midze) National Fertilizers Limited (A Government of India Undertaking) xksgkuk jksm] ikuhir] gfj;k.kk Gohana Road, Panipat, Haryana (ISO-9001, ISO-14001,oa OHSAS bdkbz) (An ISO-9001, ISO & OHSAS Unit) : ls 83,85, ls 304 : to 83,85, to 304 QSDl: xzke: FERTNAT FAX : Gram : FERTNAT bz-esy: nflpanipat@nfl.co.in nflpanipat@nfl.co.in lh +,l +Vh +ua: ih +,u +ih / lh+ +,l +Vh /2094 fnukad / CST No.: PNP/CST/2094 Dated / bz lh lh ua AAACN0182NXM001 Regd./Speed Post ECC No. AAACN0182NXM001 NFL/PT/P&A/PQ/Pest/2011 Date To Sub.: Prequalification of Parties for Controlling of Mosquitoes/Pests in NFL premises, on Annual Rate Contract basis. Dear Sir, Please find attached herewith the documents related to prequalification for Controlling of Mosquitoes/Pests in NFL premises, on Annual Rate Contract basis for necessary action at your end. You may submit the said documents, complete in all respects, by upto 3.00 PM. Applications/Tenders will be opened on at 3.30 PM. Thanking you For National Fertilizers Ltd Encls: as above (R.S.Arora) Chief Manager (P&A) CORPORATE OFFICE : A-11, SECTOR 24, NOIDA, GAUTAM BUDH NAGAR (UP) , : , & to 08, FAX : dkjiksjsv dk;kzy; :,-11, lsdvj 24, uks;mk, xksre cq) uxj, mrrj izns k fiu : , ,oa ls 08, QSDl REGD. OFFICE : SCOPE COMPLEX, CORE-III, 7 INSTITUTIONAL AREA, LODHI ROAD, NEW DELHI , : , FAX: jft. dk;kzy; : Ldksi dkeiysdl] dksj-iii] 7] balvhv~;w kuy,fj;k] yks/kh jksm] ubz fnyyh ] : , QSDl

2 NFL/PT/P&A/ National Fertilizers Limited, Panipat Unit P&A Department Dated Applications are invited from experienced and reputed competent parties for prequalification for a period of three years in NFL for execution of following Jobs in Pers. & Admn. Department. Existing enlisted parties are also required to apply for pre-qualification: CONTROLLING OF MOSQUITOES/PESTS IN NFL PREMISES, ON ANNUAL RATE CONTRACT BASIS. Eligibility Criteria for pre-qualification is as per Annexure-A,. The intending parties may submit the following information/documents along with their application: a) Name of the firm with full postal address, Phone No. and Fax No. etc. b) Firm constitution i.e. Proprietary/Partnership/Private/Limited/Public Ltd/Registered Cooperative Soceity along with partnership deed or memorandum of Articles of Association/By Laws of the society. c) Firm's organisation structure along with Bio-data of key personnel. d) PAN Number e) Details of deposits, bank limits, latest solvency certificate etc in the format of Annexure-II f) Provident Fund's Registration Number. g) Service Tax Number, Sales Tax, CST No. Labour Licence No. h) ESI Code Number i) Details of works executed in the last seven years with copies of agreements, work orders/completion certificates, performance certificates and turn over for last three years etc. j) Details of machines/equipments etc owned by the firm. k) Any additional information in support of contractor's credentials. Applications shall be submitted along with the aforesaid documents/information to the office of Chief Manager (P&A)on or before upto 3.00 PM. If the tender document is downloaded from the website, requisite fee of Rs.113/- may be in the form of Demand Draft in favour of National Fertilizers Ltd. payable at Panipat. The empanelment of contractors shall be at entire discretion of NFL, based on an objective evaluation and financial competence and resourcefulness of the contractors. NFL reserves the right to reject any or all the applications without assigning any reason thereof. Chief Manager (P&A)

3 Annexure "A" CONTROLLING OF MOSQUITOES/PESTS IN NFL PREMISES, ON ANNUAL RATE CONTRACT BASIS. Eligibility Criteria for pre-qualification:- The parties with following eligibility criteria would be eligible to enlisment : i) Average Annual Financial Turn Over during the last three years ending 31 st March of the previous year should be at least 0.94 lacs. ii) Experience of having successfully completed similar work during the last seven years ending last day of month previous to the one in which applications are invited should be either of the following : a) Three similar completed contracts costing not less than the amount Rs.1.25 lacs (each contract); or b) Two similar contracts costing not less than Rs.1.56 lacs (each contract); or c) One similar contract costing not less than Rs lacs. Note: Similar contract means Controlling of Mosquitoes/Pests in any of the Public/Private/Govt./PSU Township/Colony/ Municipality/Corporation.

4 Annexure I APPLICATION FORM FOR REGISTRATION/PRE-QUALIFICATION OF PARTIES FOR PREQUALIFICATION OF PARTIES FOR CONTROLLING OF MOSQUITOES/PESTS IN NFL PREMISES, ON ANNUAL RATE CONTRACT BASIS The intending Contractors/Firms/Companies shall submit the following information/documents along with their application:- 1. i) Name of Applicant/Firm/Company ii) iii) iv) Nationality Full Address Phone No./ Mobile No./ Fax No. v) E.Mail Address 2. A Firm s/company s Profile i)whether Private Ltd. or Limited Company/Registered Cooperative Society ii) Proprietary firm/un-divided Hindu Family /Individual iii) Partnership Firm B C D E F (Pl attach certified copy of partnership deeds/ articles of association and memorandum of association / power of attorney in favour of person who is signing documents on behalf of applicant/firm/ company.) Year Of Establishment Name of Bankers & their full address. (Latest Solvency Certificate to be submitted on enclosed Annexure-II) Details of Construction Machinery/Tools etc owned by the firm (Annexure VII). Detail of staff working with Firm.( attach details if necessary) Place of Business/Headquarter. 3 Provident Fund Code No. (duly certified copy to be enclosed) 4 VAT/CST Regn No. (duly certified copy to be enclosed) 5 Details of Labour Licence, if any (duly certified copy to be enclosed) 6 Permanent Account No. (duly certified copy to be enclosed) 7 Service Tax Regn No. (duly certified copy to be enclosed) 8 Annual Turnover during the last three financial yrs (Certified copy of P&L account and balance sheet etc to be enclosed ending (Annexure III). 9 ESI Regn No. (duly certified copy to be enclosed) 10 List of works/ Jobs executed (Details to be provided as per Annexure.- III

5 & V) 11 Enlistment and Category of the jobs for which Pre-qualification is required. 12 Whether the applicant is already enlisted/pre-qualified in NFL? If so, for category/job. (Duly certified copy to be enclosed) 13 Whether enlisted with another Govt. Deptt. / Public Undertaking? If so, which class and category/job showing amount up to which qualified to tender (duly certified copy to be enclosed) 14 Has the applicant or any of his partner or share holders been blacklisted or de listed or put on holiday list from the approved list of contractors or demoted to lower class or Order passed, banning/ suspending business with the Applicant etc. by any Govt. Deptt./Undertaking in the past? (An Affidavit on non judicial stamp paper of Rs 10/, verified by notary public, to be provided as per Annexure-VIII). 15 A list of those persons who are working with the applicant in any capacity and who are near relatives to any of the employees of the owner (NFL) or in the Ministry/Department should be submitted (Names are to be intimated if employment given to such persons in later date.) 16 Application shall be submitted along with documents/information and application fee in the form of Demand Draft of Rs 113/- being nonrefundable in favour of M/s National Fertilizers Limited, payable at Panipat and must reach the office of Chief Manager (P&A)on or before. For every pre qualification, the application fee will be separate. 17 Declaration by the Applicant: All the information filled herein and attached hereto are true to the best of my knowledge and belief. I/We declare that in the event of finding them false, the enlistment, if made, will stand cancelled without any notice or reference thereto. It is further certified that I/we will not get myself/ourselves registered under more than one name. Note:- 1. The enlistment of the parties shall be at the entire discretion of NFL based on objective evaluation of the details regarding past experience, technical and financial competence and resourcefulness of the Contractor/Firms/Companies. 2. NFL reserve the right to reject any or all the applications without assigning any reason thereof. 3. NFL has the right not to issue tender form to any particular Applicant/ Firm/Company and can also suspend, remove/de-list, demote or black list the Contractor s name under certain circumstances. 4. All parties are requested to apply for pre-qualification with all the required documents in one go. Incomplete application for liable to be rejected. Signature of the authorized person of the Firm/Company

6 Annexure-II BANK REFERENCE LETTER/SOLVENCY CERTIFICATE (On Bank s Letter Head) Certified that Shri /Smt./ M/s at is/are having (address) account in our bank as per following particulars:- 1. Type of Account is cash-credit/current/savings 2. Bank account No. 3. Cash-Credit/O.D. Limit (if any) (No/Yes), for Rs. 4. Since when holding Account? 5. Financial Standing and Soundness (Sound/Poor) 6. Dealing and Conduct of the party (Satisfactory/Un-satisfactory) 7. Any other comments This is issued on the request of Shri/Smt./M/s for submission in NFL Panipat Date: Sign of Bank Manager Place: Seal

7 DETAILS OF EXPERIENCE Annexure-III ELIGIBILITY CRITERIA OF PARTIES w.r.t. EXPERIENCE Ref No. NFL/PT/P&A/PQ/Pest/2011 Name of Contract Controlling of Mosqauito/Pest Control in NFL Premises. Estimated Cost Rs.3.12 Lac plus service tax. S. No. Description Financial Year Details & documents to be submitted by the contractor 1 Average annual financial turnover during last three years ending 31 st March of the previous financial yr. should be at least 30% of estimated cost. 2 Experience of having successfully completed similar works during last seven years ending the day of month of previous to the one in which applications are invited should be either of the following:- a) Three similar completed works costing not less than 40% amount of the estimated cost (with performance /completion certificate) OR b) Two similar completed works costing not less than 50% amount of the estimated cost (with performance /completion certificate) OR c) One similar completed work costing not less than 80% of the estimated cost (with performance / completion certificate) 1 Work Order Ref. No. Name of Company Contract Value Contract Period 2 Work Order Ref. No. Name of Company Contract Value Contract Period 3 Work Order Ref. No. Name of Company Contract Value Contract Period 4 Work Order Ref. No. Name of Company Contract Value Contract Period Note:- 1. Similar contract means Controlling of Mosquitoes/Pests in any of the Public/Private/Govt./ PSU Township/Colony/ Municipality / Corporation. 2. Self attested documentary evidences for Annual Turnover to be enclosed. 3. Self attested documentary evidences for Work Orders given above to be enclosed. 4. Self attested documentary evidences for Performance/Completion Certificate of above given Work Orders to be enclosed. Signature of the Contractor with seal

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9 INFORMATION REGARDING APPLICANT/TENDERER Annexure No. - IV A) In case of individual i) Name of Business ii) Whether his Business is registered iii) Date of commencement of business iv) Whether he pays Income-Tax over Rs. 10,000/- per year B) In case of Partnership i) Name of Partnership ii) Whether the Partnership is registered iii) Date of establishment of firm iv) If each of the partners of the firm pays Income-Tax over Rs. 10,000/- a year and if not which of them pays the same C) In case of Limited Liability Company or Company Limited by Guarantee i) Amount of paid up capital ii) Name of Directors iii) Date of Registration of Company iv) Copies of the last three years Balance Sheets of the Company D) In case Cooperative Soceity i) Amount of share capital ii) Name of Managing Committee members iii) Date of Registration of Soceity iv) Copies of the last three years Balance Sheets of the Society (SIGNATURE OF APPLICANT/TENDERER) Name Date Note: Attach documents wherever necessary.

10 DETAIL OF EXPERIENCEOF APPLICANT/FIRM/COMPANY Annexure No. V Applicant/Tenderer shall give information of similar works done during the past seven years strictly as per Proforma given below along with performance certificates. Sr. No. Full particulars of similar work carried out by Applicant/ Tenderer Value of Contract Contracted Completio n time Actual completio n time Year of completion Name & Postal Address of Client Certified that the above information is correct. (SIGNATURE OF/APPLICANT/ TENDERER) WITH STAMP Name Date

11 PRESENT COMMITMENTS Annexure VI Applicant/Tenderer shall furnish the details of their present commitments strictly as per proforma. S Name Name & Contract Brief Description Contracted % age Expected date. of Work address of Value of date of comp- completed of completion N Client with work letion with as on date of balance o. the name the date of work with of person start of work approx value of under such balance whom the work work is being executed Certified that the above information is correct. (SIGNATURE OF APPLICANT/TENDERER) NAME DATE

12 Annexure-VII INFORMATION REGARDING EQUIPMENT WHICH THE APPLICANT/TENDERER PROPOSES TO USE FOR THIS WORK Sr. No Description Qty Make Cap. Owner Approx. date when it will be deployed at site Period of attention at site Certified that the above information is correct. (SIGNATURE OF APPLICANT/TENDERER) Name: Date:

13 Annexure-VIII Party to submit following certificate on Non Judicial stamp paper of Rs. 10/- duly verified by Notary Public I/We S/O Sh. Resident of M/s Solemnly affirm and declare as under: a) That I/our firm / company/ associate/sister concerns etc. has not been delisted/blacklisted or put on holiday by any Institutional Agency/Govt. Deptt. /PSU during the last two years for participating in the tender. b) No other firm/sister concern/associates/company belonging to the same groups is participating/submitting application/tender for the job. Deponent Verification Verified that contents given in my/our above paragraphs are true and correct to the best of my /our knowledge and belief and nothing has been kept concealed therein. Deponent Place: Dated: