NOTICE FOR EMPANELMENT OF FIRMS/ VENDORS
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1 Life Insurance Corporation of India Divisional office, Holy Cross Road, Jullu Park, Hazaribag (Jharkhand) , - os.hazaribagh@licindia.com. Tel: Ref: - HDO/E&OS Date: NOTICE FOR EMPANELMENT OF FIRMS/ VENDORS Life Insurance Corporation of India, Hazaribag, Divisional office, E&OS Department, Hazaribag invites application for empanelment from reputed firms/agencies/vendors having establishment in (Jharkhand & Bihar) for supply & installation of SMF Battery, Note Counting Machine & Fake Note Detector Machine. For details please log on to our website and click "Tender" for details and forms. The Forms are also available in E&OS Deptt., Divisional office, Hazaribag. The cost of application fee will be Rs500/- (non refundable) as DD/Bankers cheque in the name of LIC of India, payable at Hazaribag. Last date for submission of application is upto Hrs. LIC of India reserves the right to accept or reject any/all applications without assigning any reason whatsoever. Sr. Divisional Manager
2 Life Insurance Corporation of India Divisional office, Holy Cross Road, Jullu Park, Hazaribag (Jharkhand) , - os.hazaribagh@licindia.com. Tel: Ref: - HDO/E&OS Date: Notice for Empanelment of Vendors/Agencies for supply & installation of SMF Battery, Note Counting Machine & Fake Note Detector Machine. Life Insurance Corporation of India, Hazaribag Divisional Office, E&OS Department, Hazaribag invites application for empanelment from reputed firms/agencies/vendors for supply, installation & refilling of Fire Extinguishers to our Divisional Office at Hazaribag and Branch offices under Hazaribag Division. Indian Firms/Agencies interested for empanelment should apply in a prescribed Application Format (Annexure-A). Last date for submission of application is upto Hrs. Applications duly completed with all documents should be submitted in a sealed cover superscribing as "Empanelment for supply & installation of SMF Battery Note Counting Machine & Fake Note Detector Machine and should reach to the following address on or before up to Hrs. Forms will also be available on all working day from to at office of the Manager (E&OS), E&OS deptt. LIC of India, Hazaribag Divisional Office. Holy Cross Road, Jullu Park Hazaribag The cost of application fee will be Rs500/- (non refundable) as DD/Bankers cheque in the name of LIC of India, payable at Hazaribag or MR deposited at our cash counter Divisional office, Hazaribag. Empanelment shall be made subject to fulfilling essential criteria /conditions as per (Annexure-1) given below: Essential Criteria /Conditions for Empanelment (Annexure- 1) (1) The Firm/Vendor should have valid license/certificate issued by Govt./Company. The License/Certificate should clearly mention type of product dealing with and ISI No. (2) Firms/vendors are capable of supplying only make approved by LIC of India. (3) The Firm/ Vendor should be in profession for at least 3 years (Copy of registration certificate must be enclosed). (4) The Firm / Vendor should have registration with state & local authorities for undertaking the profession (Copies of proof to be enclosed).
3 (5) The Firm / Vendor should keep sufficient stock in hand so as to comply with the urgent need without delay. (6) The firm /Vendor should furnish the specific brand or make, in case of authorized dealer. (Copy of valid authorized dealership certificate must be enclosed.) (7) Minimum turnover required for empanelment is Rs.15 lac per year for consecutive 3 years for the category. (8) The empanelment would be done only on the favorable recommendation of the duly constituted committee that would visit & inspect the premises, workshop etc of the applicants. Sr. Divisional Manager
4 APPLICATION FORM (ANNUXRE-A) Sl. No. Information Sought Information Provided 1. Name of the Firm Address of Head Office with Telephone No. & ID Address of Office : 2. Telephone Nos. Fax No: ID: 3. Name of the Contact Person Telephone Nos. Mobile No. 4. Name of the dealing Representative Telephone No. Mobile No. 5. Type of Firm : Sole Proprietorship/Partnership/ Ltd. Co. / Others 6. Name of the Proprietor/ Partners/ Directors 7. Year of Establishment (Enclose Incorporation Certificate)
5 8. Is the Firm Registered under the Factory Act? If so, State a) Licensee Number : b) Date of last renewal of license (Copy of license to be enclosed). c) ESIS No. if any d) EPF Registration No. if any 9. Whether holding certificate under shops & Establishment Act, duly Renewed (Copy should be enclosed) 10. State the latest Income Tax Assessed year and the amount of Tax assessed (Copies of last 3 years, IT Returns, Balance Sheets & Revenue A/c to be enclosed.) 11. Turn Over for last three Years F Y F Y F Y Whether Black Listed by any Govt. Dep't. / Public Sector Company? 13. Are you agreeable to abide strictly by the Terms and Conditions of the Tenders and Contracts? 14. PAN No. (Specify in whose name the Pan No. is available) 15. Sales Tax No. (Enclose the certificate)
6 16. Service Tax No. CSTNO / VAT NO/ TAN NO 17. (i) ISI Certificate No. (enclose the copy with the validity date) (ii) Copy of dealership/franchisee 18. Details of Empanelment Certificate of any 3 PSUs/ Govt. institutions/reputed clients (copy enclosed) 19. Whether agreeable to undertake delivery and installation within 15 days after placing Order? 20. Whether agreeable to replace the defective machine within 5 days from the date of intimation? 21. Name of the representative who will be conducting on-site joint inspection (if available) 22. Mention any other specialties of your Establishment. * Supporting documents in regard to the above mentioned points should also be attached along with this application Form (Annexure-A) Signature of Agency/Vendor
7 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. All the pages of application form and documents must be signed with seal. I/We request Life Insurance Corporation of India, Hazaribag Divisional office, Holy cross road, Jullu Park Hazaribag to consider inclusion of my/our name in the list of their approved firms/suppliers/service Providers. We agree to give full satisfaction to the Corporation in the event of their doing so. Dated at this day of Signature with Seal Name: Designation: Telephone No: Mobile No:
8 Annexure - B 1. 1/ We have read the instructions appended to the Annexure "A" and I / We understand that if 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 selection of Empanelment of Vendors/Agencies will be final and binding on me / us. 3. All the information furnished by me here under 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. SIGNATURE: NAME & DESIGNATION: PLACE: DATE: SEAL:
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