Date:-27/12/2015 Life Insurance Corporation of India, Divisional Office, Bhubaneswar intends to invite applications for Empanelment for various services as detailed below in sealed envelopes from reputed Firms / Manufacturers / Suppliers / Agencies/Service provider/vendors / Individuals or their dealers having sound financial capacity and proven track record of at least 3 years in the field to Government/PSU/Reputed organizations etc. S. No. CATEGORY 1. Blank and pre-printed continuous computer stationery Printers 2. Printed Materials such as Letter head, visiting cards, flex, vinyl print, etc. (Offset printers) 3. Printing / Supply of envelops, Folders, Office Files Policy Wallets etc. 4. Printed forms. 5. Supply of Office Furniture/Modular Furniture /Almirha/ Slotted angle racks 6. Supply and maintenance of Fire Extinguishers 7. Supply and maintenance of water Purifier System 8. Courier Services. 9. Supply of Electrical fittings, Fans, other electrical appliances. 10. Postal letter dispatch jobs provider 11. Providing CAR or CAB for travelling services/travel Agency /Transport/ Carriage Services 12. Dress Materials/Bed sheet/blankets/towel etc suppliers. 13. Supply of Crockery & other canteen equipments 14. House keeping & Maintenance Services of Guest House. 15. Repairs and maintenance of office furniture & carpentry work. 16. Table & Office stationery such as pens, files, photocopier paper, Staplers etc 17. Electrical maintenance services. 18. Supply of IT consumables services. 19. Catering services/decoration services 20. Supply of cleaning/sanitary materials. 21. Office furniture cleaning services providers. 22. Hiring of DG Sets. ( Refer Page 15 to Page 44 ) We also invite sealed tender for Security Service (both with arm & without arm), House keeping /Sweeping & Cleaning jobs for our offices under Bhubaneswar Division under 2-bid system. For reference please read page no- 45. 1 Separate forms (Annexure-A) are required to be filled up for each category which may be downloaded from tender from our website www.licindia.in. Application for empanelment duly completed should be submitted at OS Department, LIC of India, Bhubaneswar Divisional Office, at above given address in a closed envelope super scribed as Application for empanelment of suppliers /vendors/ Category (Name of the Category) along with non-refundable application fee of Rs. 200/- in the form of demand draft in favour of Life Insurance Corporation of India payable at Bhubaneswar. The applications can be purchased from our above address on any working day up to 03.30 PM by paying cash at our cash counter in cash working hours. 2 The vendors/firms desirous to be empanelled with us for above said jobs and fulfilling conditions may apply for empanelment for jobs undertaken at Bhubaneswar Divisional Office, Surya Nagar, 1
Unit-7, Bhubaneswar. The applications in questionnaire form (Annexure A ) along with the enclosures i.e. necessary certificates in evidence of the facts mentioned in the forms are to be sent at the address mentioned above on or before _31.01.2016 by 05.15 p.m. The Corporation bears no responsibility for applications received after due date and are liable to be rejected. 3 The firms/suppliers who are already on our panel are requested NOT to apply for fresh empanelment (under same category). 4 Firms/suppliers who have been black listed / removed earlier by any office of the Corporation, should not apply. If applied, their applications will not be considered. 5 Mere submission of Application for empanelment does not confer any right of empanelment. Life Insurance Corporation of India reserves its right to reject, accept any or all applications or cancel the process of empanelment without assigning any reason thereof. Life Insurance Corporation of India shall neither be held liable nor obligatory on its part to inform the applicant the grounds of any such action. The Corporation reserves the right to raise the minimum eligibility criteria for empanelment depending on the response. 6 Applications incomplete in any respect will not be entertained and are liable to be rejected. Sr. Divisional Manager 1. Availability of application forms in Website : From 28.12.2015 to 30.01.2016 2. Last Date for Submission of application forms : 31.01.2016 up to 05.15 p.m. 2
Annexure A APPLICATION FORM FOR EMPANELMENT OF FIRM For Services / Category :- (Separate application is to be submitted for each category) Conditions for empanelment: 1) The applicant firm/supplier should be in the same profession for at least 3 years. (Copy of proof must be enclosed) 2) The firm should (preferably) be on the approved panel of at least 3 reputed public sector/large private sector companies/firms. 3) The Firm/supplier should have registration with state & local authorities for undertaking the profession (copies of proof to be enclosed) 4) The firm/supplier should keep sufficient stock in hand so as to comply with the urgent needs without delay. 5) Vendor should furnish the specific brand or make, in case of authorized dealer. (Copy of valid authorized dealership certificate must be enclosed.) 6) Minimum Annual turnover required for empanelment is Rs 5.00 Lacs against each category. 3
7) Members of a duly constituted committee would visit and inspect the premises, workshop, shop industry etc. of the applicants. 8) The empanelment would be done only on the favourable recommendations of the duly constituted committee that would visit and inspect the premises, workshop, shop, industry etc. of the applicants. 9) All applicants are required to affix the signature and seal of the Authorized Official of the Company on each Page of Annexure A ( Page 1-3) in acceptance of terms and conditions laid therein. APPLICATION FOR FIRM/SUPPLIER/SERVICE PROVIDER GENERAL INFORMATION:- 4
S.NO. INFORMATION SOUGHT INFORMATION PROVIDED Category for which you are applying Sr.No. Name Cat. 1. Name of the Firm(In Block Letters) 2. Date of Establishment/Incorporation of the firm 3. Correspondence address, Telephone No. & mobile no./e-mail id 4. Address of Head Office (if Separate) and Telephone No. 5. Status of the Company/Firm : Proprietary/Partnership/ limited company/public Limited Company 6. Names of the Partners/Directors 7. Name of Chief Executive with his Present addresses and Telephone Nos. 8. Name of Representative (s) with Designation who would be calling on us and attending to our jobs and Telephone Nos. 9. Name of bankers with addresses & Telephone Nos. 10. Is the firm registered under the Factories Act? If so, state 5
(a) Labour License No and validity under various section of Labour Laws.(Enclose photocopy) (b) EPF registration No. if any (c) ESI No. (Enclose copy) (d) PAN No. of Income Tax Department(Enclose self attested photocopy) 11. Whether holding certificate under shops & establishment act?(duly Renewed copy should be enclosed) 12. State the latest Income Tax Assessed year and the amount of tax assessed (Self attested copies of last 3 financial years, IT Returns to be attached) FY 2014-2015 FY 2013-2014 FY 2012-2013 13. Certificate issued by Chartered Accountant in respect of Annual Turnover for last three financial years FY 2014-2015 FY 2013-2014 FY 2012-2013 14. Whether Black listed by any Govt. dept/public sector company 15. CST No. 16. VAT NO. 17. Service Tax Reg.no. 18. TAN No. 6
19. Are you agreeable to make deliveries to Corporation s office at _BHUBANESWAr & ITS UNITS >>>>>>>>>>>>? 20. Are you agreeable to abide strictly by the Terms and Conditions of the Tenders and Contracts 21. If your firm is empanelled with any office of LIC of India or any other PSU (Central) Please give name and Address. 22. Name, Addresses and Telephone Nos. of some of your most valued Clients ( Separate list may be attached) 23. Are you registered with NSIC/Dir. Of Industries/ Distt. Ind. Centre as Micro, Small and Medium (MSEM) Enterprise. (If yes, attach self attested copy of certificate) 24. Mention any other specialties of your Establishment. 25. Websites details 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. I/WE 7
request Life Insurance Corporation of India, Bhubaneswar Divisional Office, Bhubaneswar to consider inclusion of my/our name in the list of their approved firms/suppliers. We agree to give full satisfaction to the Corporation in the event of their doing so. Dated at this day of 201 Signature with seal Name: Designation: Note: The Corporation reserves the right to cancel the name of the supplier/firm from its approved lists at its absolute discretion without assigning any reason. Annexure B DECLARATION 1. I / 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. 8
2. I / We agree that the decision of the Corporation in selection of MANUFACTURERS/PRINTERS/VENDORS/ SERVICE PROVIDERS will be final and binding on me / us. 3. All the information furnished by me 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 officials of the Corporation. SIGNATURE: NAME & DESIGNATION: SEAL OF THE FIRM / COMPANY: PLACE: DATE: 9
ANNEXURE C Date: The Sr. Divisional Manager, LIC of India, Divisional Office, Bhubaneswar Dear Sir, Re: Application(ADDITIONAL) for Empanelment from Sl.No.1 to 4 1. Particulars of Composing facilities: A. DTP Systems Sl.No. Make Packages Languages Other features if any b) Other Composing facilities such as hand composing: 2. Particulars of Scanning Machines being used : 3. Printing Machine (Single / Multi Colour) : (B) Offset Machine Sl.No. Make Size Colour Speed Other features if any (C) Pre-printed Continuous Stationery Machine Sl.No. Make Size Colour Speed Other features if any (D) Letter Press Machines : (E) Screen Printing Facility : 4. Particulars of Positives & Plate Making Facility : 10
5. Binding & Finishing 1. Cutting Machines: Sl.No. Make Size of Blade Hand / Power Driver 2. Particulars of Punching Machines : 3. Particulars of Perforating Machines : 4. Particulars of Gliding Department : 6. Have you got photo-type setting machine, if so, please furnish full details of type faces: 7. If any of the equipments mentioned above is under lease, loan or hire purchase, agreement should be furnished. 8. Please furnish details of particulars of any other agreements, you may have entered into which are subsisting and are likely to have a bearing on the jobs, which may be entrusted to you. SIGNATURE OF VENDOR Name & Address Seal 11
Check list Parameter Requirements Document enclosed YES/ NO/ N.A. 1. Application Application as per Annexure A 2. Declaration by service provider Declaration by service provider as per Annexure B 3. Date of Establishment/Incorporation of the firm 4. Correspondence address, Telephone No. & mobile no./e-mail id 5. Address of Head Office (if Separate) and Telephone No. 6. Status of the Company/Firm : Proprietary/Partnership/ limited company/public Limited Company 7. Names of the Partners/Directors 8. Name of Chief Executive with his Present addresses and Telephone Nos. 9. on us and attending to our jobs and Telephone Nos. 10. Name of bankers with addresses & Telephone Nos. 11. Is the firm registered under the Factories Act? If so, state (a) Labour License No and validity under various section of Labour Laws.(Enclose photocopy) Self attested copy enclosed 12
(b) EPF registration No. if any Self attested copy enclosed (c) ESI No. (If any -Enclose copy) (d) PAN No of Income Tax Department(Enclose self attested copy enclosed) 12. Whether holding certificate under Self attested copy enclosed Self attested copy enclosed Self attested copy enclosed shops & establishment act?(duly Renewed copy should be enclosed) 13. State the latest Income Tax Assessed year and the amount of tax assessed (Self attested copies of last 3 financial years, IT Returns to be attached) 14. Certificate issued by Chartered Accountant in respect of Annual Turnover for last three financial years Certified copies of IT Returns of the 3 financial years i.e. 2014-15, 13-14 & 12-13. Certified copies of Certificate issued by Chartered Accountant in respect of Annual Turnover for last three financial years i.e. 2014-15, 13-14 & 12-13. 15. Whether Black listed by any Govt. dept/public sector company 16. CST No. Certified Copy 17. VAT NO. Certified Copy 18. Service Tax Reg.no. Certified Copy 19. TAN No. Certified Copy 20. Are you agreeable to make Agree/Disagree deliveries to Corporation s office at Bhubaneswar & its BOs/SOs? 21. Are you agreeable to abide strictly Agree/Disagree 13
by the Terms and Conditions of the Tenders and Contracts 22. If your firm is empanelled with any Copy office of LIC of India or any other PSU (Central) Please give name and Address. 23. Name, Addresses and Telephone Nos. of some of your most valued Clients ( Separate list may be attached) 24. Are you registered with NSIC/Dir. Of Industries/ Distt.Ind.Centre as Micro, Small and Medium (MSEM) Enterprise. (If yes, attach self attested copy of certificate) Mention any other specialties of your Establishment. 25. 26. Websites details Mentioned/Not mentioned AUTHORISED SIGNATORY NAME / DESIGNATION AND SEAL OF THE FIRM / COMPANY Date : 14
REF: OUR PRESS ADVERTISEMENT DT.27.12.2015 PRE - QUALIFICATION OF CONTRACTORS FOR THREE YEARS. Life Insurance Corporation of India intends to empanel agencies for DG Set on hire basis for different offices under Bhubaneswar Division in Odisha as detail below. Pre-Qualification of Contractors : Life Insurance Corporation of India intends to empanel capable contractor for inviting percentage rate tender for Hiring of DG Set for following categories for different offices under Bhubaneswar Division in Odisha. The details are as follows: Description of Work Estimated Cost Completion period in Min Solvency Avg. Annual Turnover over Min. Value of Single work (Annual) (Rs. In Lac) for each work months for each work (Rs.in Lac) last 4 Financial Years (Rs.in Lac) completed in last 4 years. (Lac) A B C D E F i) Category-I : up to 40 KVA. ii) Category-II : 41 KVA to 62.50 KVA. iii) Category-III : Above 62.50 KVA. 3.00 45 days 0.60 Minimum 6.00 Lac 5.00 45 days 1.00 Minimum 10.00 Lac 10.0 45 days 2.0 Minimum 20.0 Lac For Category-I : Minimum one DG Set on hire basis upto 40 KVA in Govt/Semi Govt/PSU/Banks For Category-II : Minimum one DG Set on hire basis from 41 KVA to 62.5 KVA in Govt/Semi Govt/PSU/Banks. For Category-III : Minimum one DG Set on hire basis above 62.5 KVA in Govt/Semi Govt/PSU/Banks. Only contractors who have valid documents self attested including certificates as desired in enrolment form P-1 and those who have carried out similar nature of work and fulfilling above criteria shall apply to The Sr Divisional Manager, LICI, BHUBANESWAR DIVISIONAL OFFICE, JEEVAN PRAKASH, Unit-7,Surya Nagar,Bhubaneswar-751001,Odisha for enrolment form. 15
Enrolment forms will be available from..01.01.2016 to 30.01.2016. on payment of Rs.1000.00 (Rupees One Thousand only) non -refundable for above in cash during cash hours or in form of demand draft/ pay order in favour of Life Insurance Corporation of India payable at Bhubaneswar on working days during office hours. The Enrolment form can also be downloaded from our website: www.licindia.in/tender_notice.htm. In case of the downloaded enrolment form the same shall be submitted duly filled - up along with the relevant documents and the demand draft/ pay order of Rs.1000.00 drawn in favour of Life Insurance Corporation of India payable at Bhubaneswar. The filled in Enrolment form shall be submitted to The Sr. Divisional Manager, LICI, Bhubaneswar Divisional Office, Jeevan Prakash, Unit-7,Surya Nagar,Bhubaneswar- 751001, Odisha on or before..31.01.2016.. Note: For working contractors of LIC of India, the above criteria may be relaxed by 15% provided they have executed similar nature of work elsewhere also, prior to the date of publication of NIT. The name of all empanelled contractors shall be published in our website within 90 days (approximately) from the date of this publication. The Sr. Divisional Manager reserves the right to reject/issue of tender to any contractor at his sole discretion without assigning any reason whatsoever. Date: -... Sr. Divisional Manager 16
SPECIAL CONDITIONS & CERTIFICATE REQUIRED FOR DG SET VENDOR EMPANELMENT: The copies of following documents are mandatory to be attached with the enrolment form: 1. TRADE LICENSE CERTIFICATE 2. PROFESSIONAL; LICENSE NO. 3. SERVICE TAX REGISTRATION CERTIFICATE 4. PAN CARD If any of the above documents are not enclosed with the enrolment form, their empanelment shall not be considered. Sr. Divisional Manager 17
INSTRUCTIONS FOR FILLING AND SUBMISSION OF ENROLMENT FORM ( P-1) The Enrolment Form along with the Annexure A1, A2 and B to G shall be completely filled in all respect along with cost of Enrolment Form of Rs.1000/- (non refundable) if Enrolment Form(s) is/are downloaded from our website by way of demand draft /pay order in favour of Life Insurance Corporation of India payable at Bhubaneswar addressed to The Sr Divisional Manager, LICI, Bhubaneswar Divisional Office, Jeevan Prakash,Unit-7,Surya Nagar,Bhubaneswar-751001, Odisha along with these instructions for filling and submission of Enrolment Form on or before 31.01.2016. Please note that no consideration will be given for postal delays. 1. Contractors to note that all particulars required as per the form and Annexure shall be filled in completely in relevant strictly as per the format. 2. The forms not submitted strictly as per the above instructions within stipulated period are liable to be rejected, 3. The eligible agencies, which will be selected for issue of tenders after scrutiny of enrolment forms, shall be informed by a letter. Please note that no enquiries or correspondence regarding the selection for issue of tenders shall be entertained. 4. Latest Solvency Certificate from any Nationalised / Scheduled Bank as per advertisement should be submitted along with Enrolment Form. 5. The Contractors are advised to follow the instructions given below: (a) Enrolment Form shall be filled-up in clean handwriting in capital letters or typed. (b) Full address of the site of work, owner or authority under whom the works have been carried out Should be given (Please refer Annexure D & E). (c) The agencies should ensure to submit the satisfactory Completion Certificate giving the value of Work, year of completion and it should also tally with the value of final bill in Annexure D. (d) The annual turnover should be based on latest Income Tax Clearance Certificate duly cleared by Income Tax Department or audited balance sheet, copy of which should be enclosed. 6. Separate application must be submitted for different items of works along with non refundable amount of Rs.1000/- each towards processing fee if Enrolment Form(s) is/are downloaded from our website in the form of Demand Draft / Pay Order drawn in favor of LIC of India payable at Bhubaneswar. This is applicable when an applicant submits application for more than one item of works. 7. Please note that the submission of this enrolment form does not confer any right on you to claim issue of tenders and the Sr.Divisional Manager reserves the right not to issue tender to any / all applicants without assigning any reason whatsoever. Encl: Enrolment Form with Annexure A1, A2 and B to G. Signature of Contractor Note: These instructions for filling and submission of Enrolment Form shall also be signed and submitted along with Enrolment Form with Annexure A1, A2 and B to G. 18
LIFE INSURANCE CORPORATION OF INDIA BHUBANESWAR DIVISION FORM FOR ENROLMENT OF CONTRACTORS P1 I / We am / are desirous of being enrolled on list of contractors for the following category/categories of work and hereby apply for the same. SL NO NAME OF WORK COST OF ENROLMENT FORM ( FOR EACH CATEGORY OF MARK THE WORK FOR WHICH APPLIED. WORK) 1) Hiring of DG Set for Category : I/ II/ III Rs.1000.00 NA a) Hiring of DG Sets FOR Category-I NA b) Hiring of DG Sets FOR Category-II NA c) Hiring of DG Sets FOR Category-III NA 19
I / We give the following details for your consideration. SL NO QUERY ANSWER 1) Name of the firm : 2a) Address : 2b) Local Address : 3) PAN NO : TIN NO : VAT Registration No : Service Tax Registration No : 20
4) Contact Details :- Office Phone No : Residence Phone No : Mobile No : Fax No : E-mail No : 5) Telegraphic Address, if any : 6) Month and year in which the firm was established in present name : 7) Particulars of old firm (if present firm is new) if main partners of the present firm were working as construction contractors, in some other name in the past (The partnership deed of old firm be enclosed). : 8) Particulars of sister construction firms, if any : 21
* SL NO QUERY ANSWER 9) i) What is the constitution of firm viz. Sole Proprietor, Partnership, Pvt. Ltd., Public Ltd., etc. : ii) Enclose copy of partnership deed, Articles of Association or Affidavit in case of sole proprietorship as per Annexure A-1. : iii) Fill-in enclosed Annexure A-2. : 10) Fill and enclose Annexure B giving details of enrolment with LIC of India in the past and with other organizations : 11) Has the applicant or his partners or Directors been black listed in the past by any Central or State Govt.Deptt./Organisation 12) a) Annual Turn Over for last four years (enclose documentary evidence or proof to support figures) : Year Rs in Lakh i) 2011-2012 ii) 2012-2013 22
iii) 2013-2014 iv) 2014-2015 b) What evidence of proof is enclosed to support the amounts of yearly turnover : c) Enclose latest income tax clearance Certificate : Certificate enclosed for Assessment year 13) i) Name and complete postal address of bankers ii) Enclose solvency certificate indicating amount.(the certificate should not be more than 3 months old) iii) Bank Guarantee limit with Various banks. i)rs.lac with.. ii) Rs...Lac with 23
iii)rs Lac with.. * SL NO QUERY ANSWER 14) i) Enclose list of immovable properties with complete postal addresses, full description & reasonable market value of property duly supported by certificate of D.M./Collector/First Class Magistrate/ approved valuer. ii) Whose supporting certificate is enclosed Rs. of Date 15) i) Particulars of movable properties along with Banker s reference Value of tools & plants : Rs. Other Assets : Rs. 24
Total : Rs. ii) Whose reference is enclosed? : 16) Fill in and enclose list of tools as : per Annexure-C enclosed. 17) Fill in & enclose Annexure-D giving full particulars about major works completed during past Four years NOTE: List of only those works which are carried out by firm requesting for : enrolment is to be given. Work completion certificate for qualified projects must be notarized with address & contact numbers of issuing authority. 25
* SL NO QUERY ANSWER 18) Work in Progress: i) Whether full details of major work on hand given in Annexure E Note: The details must be notarized. : ii)are copies of work orders for such large works enclosed : 19) Whether full information regarding permanent technical staff employed : given in Annexure F 26
20) i)how do you normally carry out : works of water supply, sanitary and plumbing installations ii)who is the license holder and what his experience of this work is. : 21) i)how do you normally get work of electrical installations carried out : ii)who is the license holder & what is his experience : 22) Any other information the applicant might like to give : * 27
DECLARATION I/We agree to notify the officer accepting this application and registering my/our names on list of contractors of Life Insurance Corporation of India, of any changes in the foregoing particulars as and when they occur and to verify and confirm these annually on 1st January. I/We understand and agree that the appropriate Life Insurance Corporation of India Authority has the right as he may decide, not to issue tender form in any particular case and also to suspend, remove or blacklist my/our name from Life Insurance Corporation of India list of contractors in the event of my/our furnishing false particulars in the enrolment form or submitting non-bonafide tenders or for technical or other delinquency in regard to which the decision of appropriate Life Insurance Corporation of India Authority shall be final and conclusive. I/We certify that the particulars furnished in the enrolment forms are correct and that should it be found that I/We have given a false certificate or that if I/We fail to notify the fact of my/our subsequent amalgamation with another contractor or firm, the Life Insurance Corporation of India may remove my/our name from the list of contractors and any contract that I/We may be holding at the time may be rescinded. PLACE : DATE : SIGNATURE OF CONTRACTOR : FOR OFFICE USE ONLY : ENROLMENT FORM NO. ISSUED TO 28
NOTE: THE FILLED IN ENROLMENT FORM SHOULD REACH IN THIS OFFICE ON OR BEFORE SIGNATURE OF ISSUING OFFICER 29
A F F I D A V I T ANNEXURE A1 (On Non Judicial Stamp paper of Rs. 500/- in case the individual who is the sole proprietor of the firm) I....s/o age.. years, occupation business r/o do hereby state on oath as under: That I am residing in locality of District since last.. years. That I am the sole proprietor of a proprietary concern name and style as.. having it s office at District. dealing in business of Government, civil contracts and ancillary works attached therefore. Hence this affidavit. Deponent Note: This Affidavit should be notarized. 30
ANNEXURE A2 LIFE INSURANCE CORPORATION OF INDIA CONSTITUTION OF FIRM SOLE PROPRIETORSHIP/PARTNERSHIP/LTD.CO./OTHER DETAILS OF CONSTITUTENTS Sr. No Name of sole partner or Director / other High Officials Age Share Technical Experience Whether power of attorney Holder Year to Year to As Employee As contractor 1 2 3 4 5 6 7 8 31
SIGNATURE OF CONTRACTOR 32
ANNEXURE B LIFE INSURANCE CORPORATION OF INDIA PARTICULARS OF ENROLMENT WITH LIC AND OTHER ORGANIZATION I. ENROLMENT WITH LIC : Name of works for 1) Which enrolled by 2) L.I.C. in the past 3) 4) Sr. Nos. for which tenders were submitted : Sr. Nos. for which work-order was received : II. ENROLMENT WITH OTHER ORGANISATIONS: Sr. No Name & Address of Authority with whom you are enrolled FIRST TIME ENROLMENT LAST RENEWAL OR ENROLMENT Year To year Is copy of letter enclosed Year To year Class or Category Limit (Rs. In Lac) Is copy of letter enclosed 1 2 3 4 5 6 7 8 33
SIGNATURE OF CONTRACTOR 34
ANNEXURE-C LIFE INSURANCE CORPORATION OF INDIA PARTICULARS OF SHUTTERING TOOLS AND PLANT Sr No. Item Specification Quantity Estimated Value Remarks 1 2 3 4 5 6 1) a) Shuttering plates b) Shuttering wooden planks c) Wooden props d) Steel props 2) Concrete Mixers 3) Concrete Vibrators i) Petrol Driven ii) Electric Driven 4) Tower Hoist 35
5) Trucks 6) Welding Equipments 7) Pump-Sets 8) Floor-Polishing Machine 9) Cranes 10) Others SIGNATURE OF CONTRACTOR 36
Name and Complete Postal Address of Authority Under whom work was carried out 4 Ref. No. & Date 5 ANNEXURE D LIFE INSURANCE CORPORATION OF INDIA LIST OF MAJOR WORKS COMPLETED DURING LAST FOUR YEARS Order Value of work as per final Commencement of Work month Year Completion of work month Year Penalty levied for delay of Contract Amount (Rs. in bill (Rs. Is copy in Lac) enclosed completion, if any Lac) 6 7 8 9 10 11 SIGNATURE OF CONTRACTOR 37
Sr. No. 1 Site of Work & Nature of Work 2 Owner 3 * ANNEXURE E LIST OF MAJOR WORKS COMPLETED DURING LAST FOUR YEARS Date of Scheduled Progress made and expected commen date of date of completion and ce-ment completion reasons for delay, if any of work of work 8 9 10 SIGNATURE OF CONTRACTOR 38
Sr. No. 1 Name and Complete Postal Address of Site of Owner Authority Work & Under whom Nature of work was Work 2 3 carried out 4 Ref. No. & Date 5 Order Amount (Rs. in Lac) 6 Is copy enclosed 7 39
LIFE INSURANCE CORPORATION OF INDIA ANNEXURE F PARTICULARS OF PERMANENT TECHNICAL STAFF Sr. Name Designation Age Academic Service Details of No Qualification with the Experience Firm Year to Year 1 2 3 4 5 6 7 40
41
SIGNATURE OF THE CONTRACTOR 42
ANNEXURE G ENROLMENT CHECKLIST CHECKLIST FOR ENROLMENT: Sr. No. Description of Enclosure Refer Item of form 1 Partnership deed / Articles of Association / Affidavit (*) (*) Annexure A- 1 9 (ii) 2 Annexure (A-2) as supplied 9 (ii) (Particulars of Partners) 3 Annexure E (as supplied) 10 (Particulars of enrolment in LIC and other Organization) 4 Proof of Turnover 12 (ii) 5 Latest I.T.C.C. 12 (iii) 6 Solvency Certificate 13 (ii) 7 Certificate of Bank Guarantee 13(iii) 8 Immovable Property certificate 14(ii) 9 Immovable Property certificate 15 (i) 43
10 (*) Annexure C (as supplied) 16 (Particulars of tools/ plant) 11 (*) Annexure D (as supplied) 17 (List of major works completed during last 3 years) 12 (*) Annexure E (as supplied) 18 (List of work in hand) 13 (*) Copies of work order 18 (ii) 14 (*) Annexure F (as supplied) 19 (Particulars of permanent technical staff) NOTE: Suitable modification to the above shall be made for different kind of Works. 44
Tender Notice LIC of India, Bhubaneswar Divisional Office, Bhubaneswar intends to hire the services of Agencies/firms/organizations for (1) Security Services(without arm & with arm) (2) Housekeeping/Cleaning Services for its premises at Jeevan Prakash, Unit-7, Bhubaneswar and for its Branch Offices & SOs at different location in Odisha under 2 bid system (TECHNICAL BID & PRICE BID) For complete details and tender documents please contact the OS Department, Bhubaneswar D.O. at the above address between 10.30 am to 3.30 pm on working days or log on to www.licindia.in and click on to Tender for Security services & Housekeeping Services for offices under Bhubaneswar Division under the link Tenders. from 01.01.2016 onwards. LIC of India reserves the right to accept or reject any or all offers in full / part without assigning any reasons whatsoever. Last date for submitting bid documents is 5.15 PM on 31.01.2016. Date: 26.12.2015 Place: Bhubaneswar Sr. Divisional Manager 45