5) The bidder shall submit copy of P.F. Registration Number.

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1 A: ELIGIBILITY & PERFORMANCE CRITERIA 1) The bidder shall submit the name and address of the firm / company along with its constitution such as sole proprietorship / partnership / Limited concern etc in enclosed proforma. 2) The party shall submit documentary evidence with respect to experience of having successfully completed similar works in Large Chemical/ Petro-chemical/ Fertilizer Industry/ Power Plants etc. during the last seven years ending the last day of the month 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% of estimated value i.e. Rs Lacs. OR b) Two similar completed works costing not less than 50% of estimated value i.e. Rs Lacs. OR c) One similar completed work costing not less than 80% of estimated value. i.e. Rs Lacs. Definition of similar work means works like Misc. Maintenance of Electrical Sub-Stations basement area / cable cellar, Transformer bay, etc., in a Large Scale Petro-Chemical / Fertilizer plants for safety consideration either. 3) The average annual financial turnover of the tenderer during last three financial years ending on 31 st March 2018 shall not be less than 30% of estimated value i.e. Rs Lacs. 4) Copy of PAN No. allotted and copy of latest Income Tax Return filed by them is to be submitted. Audited copies of last three years balance sheets and P&L accounts may be submitted. 5) The bidder shall submit copy of P.F. Registration Number. 6) The bidder shall submit certificate regarding No Relation with any employee of NFL as per enclosed proforma. NOTE: The tenderer shall submit documentary evidence/ testimonials in proof of aforesaid eligibility criteria.

2 B: EVALUATION CRITERIA Since the bids are being invited under two-part bid system, therefore, the following bid evaluation criteria shall be followed: a) Techno-commercial bids (unpriced bids) of only such tenderers shall be opened who have deposited the requisite Earnest Money as prescribed in the tender documents. b) The price bid of only such tenderer shall be opened who fulfill the Eligibility Criteria as defined under A above and agrees to all other terms and conditions stipulated in the NIT. c) The work shall be awarded on overall L-1 basis after evaluation of the bids based on quoted rates by the parties and quantities given in the schedule of the quantities. It may be noted that, for evaluation purposes, if the tenderer does not quote rate for any item, the same shall be taken based on the highest rate quoted by any of the other tenderers. However, order shall be placed for the same item based on the lowest rate quoted by any of the other tenderers. d) However, in case it is found that L-1 tenderer has quoted non-workable rates for one or more items due to which they become L-1, NFL reserves the right to reject such tender. This condition shall be applicable on next lowest tender(s) also.

3 RELATIONSHIP CERTIFICATE It is certified that I/We, the undersigned, do not have relationship with any of the employees working at NATIONAL FERTILIZERS LIMITED. The above statement is true and is submitted against the Tender Enquiry No. Dated of Electrical Department, NFL, Vijaipur Date: (Signature) Name of the Company/Firm Seal

4 Form-I Annexure-III Interested party is to submit the following with signed documentary proof. S. Description No. 1 PF registration No / ESI registration No. 2 3 PAN (Income Tax Permanent Account No.) a) GST Registration No. with documentary proof. b) Accounting Code No. c) S.T. Code No. 4 Labour License No. (In general) Labour License No. (Madhya Pradesh) 5 Year in which the party was established Signature of the Contractor with Seal (Note: Party not having PF No./GST registration No./ESI registration No. need not apply)

5 Form -2 Interested party is to submit the following with signed documentary proof. S.No. Description Status Remarks 1 Certified copy of last 3 year s P&L Yes/No. account 2 Employer of the party is whether related with any NFL employee or not. If yes, give the details. 3 Bank reference/bank solvency certificate on Performa enclosed as Annexure-II. 4 Is the party enlisted / pre qualified with any other Govt. Deptt./Public Ltd. Company? If yes, give the details. 5 Financial capability of the party with balance sheet (latest balance sheets to be attached) 6 Status of the party (whether Pvt./ partnership/public Ltd., partnerships deed/article of association.) Yes/No. Yes/No. Yes/No. Signature of the party/contractor with seal

6 Annexure -II BANK REFERENCE LETTER/SOLVENCY CERTIFICATE (On Bank s Letter Head) Certified that M/s at (address) is having an account in our bank as per following particulars:- 1. Type of Account : 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 & Soundness :.SOUND/POOR 6. Dealing & Conduct of the Party : Satisfactory/Un-satisfactory 7. Any other comments This is issued on the request of M/s... for submission to M/s National Fertilizers, Vijaipur, Distt. Guna (MP) Date : (Sig. of Bank Manager) Place : Seal :

7 ELIGIBILITY CRITERIA OF PARTIES W.R.T. EXPERIENCE Ref No. Name of Contract Estimated Cost NFVP/ELCO/823/445 Annual Rate Contract for maintenance work in Ammonia, Urea, Bagging and Offsite Sub-stations / Motors' Power & Control Stations of Line-I and Line-II plants for Safety Considerations for two years. Rs Lacs S.No Description Financial Year Details of the documents to be submitted 1 Average Annual Financial turnover during last three years ending 31 st March of the previous financial year Experience of having successfully completed similar works during last seven years ending the day of month previous to the one in which applications are invited should be either of the following:- a. Three similar completed work costing not less than 40% amount of the Estimated Cost. i.e Rs Lacs (with Performance/Completion Certificate) 1 Work Order Ref. No. 2 Work Order Ref. No 3 Work Order Ref. No.

8 OR b. Two similar Completed Work Costing not less than 50% amount of the Estimated Cost. i.e Rs Lacs (with Performance/Completion Certificate) 1 Work Order Ref. No 2 Work Order Ref. No OR c. One similar Completed Work Costing not less than 80% amount of the Estimated Cost. i.e Rs Lacs (with Performance/Completion Certificate) 1. Work Order Ref. No NOTE: 1. Similar Work means work employing same Technology, Nature of Job and skill but quantities can vary. 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 Party/ Contractor with seal

9 Bank Details Sr.No. Particular Details 1 Name of Bank with full address 2 Name of Account Holder 3 Account No. 4 PAN No. 5 Name of Brach 6 Branch Code 7 RTGS Code 8 MICR No. 9 Acceptance for Release of payment by ECS/EFT Yes / No

10 Signature of the Party/ Contractor with seal DECLARARTION-FORM-I Annexure-II Ref. No; NFVP/ELCO/823/445 Dated : To, Dy. General Manager (Elect) National Fertilizers Ltd. Vijaipur Unit Distt.Guna (M.P.) I/We have read the conditions of tender attached hereto and agree to abide by such conditions. I/We offer to do the job of ANNUAL RATE CONTRACT FOR Annual Rate Contract for maintenance work in Ammonia, Urea, Bagging and Offsite Sub-stations / Motors' Power & Control Stations of Line-I and Line-II plants for Safety Considerations for two years. Work at the rates quoted in the attached Schedule of Rates and in accordance with the specifications, standards and instructions in writing of the Engineer-in-charge of M/s. National Fertilizers Limited and hereby bind myself/ourselves to complete the work schedule and progress of work. I/We further agree to abide by the conditions of contract and to carry out all work within the specified time in accordance with specifications of materials and workmanship and instructions referred to in the Notice Inviting Tenders. In case of acceptance of the tender by National Fertilizers Limited, I/We bind myself/ourselves to execute the contract as per the conditions mentioned in the tender documents, failing which, I/We shall have no objection to the forfeiture of the Earnest Money lodged with National Fertilizers Limited Vijaipur Unit Distt. Guna (M.P.) Thanking you Yours faithfully For M/s (Signature of Contractor/Tenderer with SEAL) Address :

11 DECLARATION FORM-II Annexure-III The following declaration to be signed by Contractor and to be submitted along with required documents which would be duly self-certified: Sr. No. DESCRIPTION YES / NO (If Yes, give the following details) 1 If a Tenderer has relations whether by blood or otherwise with any of employees of NFL (Owner), the Tenderer must disclose the relation at the time of submission of Tender, failing which, NFL shall reserves the right to reject the Tender or rescind the Contract. Name and Designation of the Employee Place of Posting Relation with the Employee 2. P.F. Registration No of the Contractor to be intimated along with Documentary proof thereof. P.F. Registration Number 3 PAN No of the Contractor to be intimated along with Documentary Proof thereof. PAN No 4 GST Registration No. with Documentary Proof. Accounting Code No. S.T.Code No. 5 If the party is registered as Micro/Small/Medium Enterprises as per MSMED Act,2006, the same may be confirmed by the party and submit a photocopy (Self certified) of the registration certificate in support thereof. Otherwise it will be construed that the party is not registered as per MSMED Act, The bidder shall submit the name and address of the firm/company along with its constitution giving status of the same such as sole proprietorship/partnership or limited/private firm etc. Along with its copies duly attested by Notary Public as evidence. Signature of the Contractor/ Tenderer with SEAL PLACE : Dated :

6) The bidder shall submit copy of P.F. Registration Number.

6) The bidder shall submit copy of P.F. Registration Number. A: ELIGIBILITY & PERFORMANCE CRITERIA 1) The bidder shall submit the name and address of the firm / company along with its constitution such as sole proprietorship / partnership / Limited concern etc in

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