NORTH CENTRAL ZONAL OFFICE, ENGG. DEPTT. 16/275, M.G. ROAD, KANPUR (U.P.) TENDER NOTICE

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NORTH CENTRAL ZONAL OFFICE, ENGG. DEPTT. 16/275, M.G. ROAD, KANPUR 208001 (U.P.) TENDER NOTICE Life Insurance Corporation of India intends to invite item rate tenders in Three Envelope System (Enrolment Form, Part-1 (Technical Bid) and Part-2 (Price Bid)) from reputed contractors for S/I/T/C of 1500 KVA Electrical Substation Work at Investment Building on Plot No. INS-16, Sector-14, Vasundhara, Ghaziabad. The details are as follows: Sr. No. Description Work of Estimated Cost (Rs. In Lac) Completion period in months Min Bank Solvency (Rs. in Lac) Avg. Annual Turnover over last 4 years (Rs. in Lac) A B C D E F G 1 SITC of 1500 KVA Substation Work Qualifying Value of Single work completed during last 7 year. 83.00 6 16.60 41.50 Three similar completed works, costing not less than the amount equals to Rs. 33.20 Lac each. Or Two similar completed works, costing not less than the amount equals to Rs. 49.80 Lac each. Or One similar completed works of aggregate cost not less than the amount equals to Rs. 66.40 Lac. And One completed work of any nature costing not less than the amount equal to Rs. 33.20 Lac with some Central Govt. Department/ State Govt. Department/ Central Autonomous body/ State Autonomous body/ Central Public sector undertaking/ State Public sector undertaking/ City Development authority/ Municipal Corporation of city formed under any Act by Central/ State Government and Published in Central/ State Gazette. Note: The bidding capacity of the contractor should be equal to or more than estimated cost of the work put to tender. The bidding capacity shall be worked out by the following formula: Bidding Capacity: [A x N x 2] B Where, A= Maximum value of work of similar nature job in any one year during the last four years taking into account the completed as well as the works in progress. It is directly taken from Annual Turnover certified either by Income Tax Statement or Chartered Account Certificates in respect of all works carried out.

N= Number of years prescribed for completion of work for which LICI have invited bids. B= Value of existing commitments and ongoing works to be completed during the period of completion of work for which bids have been invited (An affidavit duly notarized in support of this statement is must). For SITC of 1500 KVA Substation Work- Only contractors who have valid electrical license of appropriate category from the respective state authority. Only contractors who have carried out similar nature of work and fulfilling above criteria shall submit the Enrolment form along with the tender fee of Rs. 2000/- (Rupees Two Thousand Only) non refundable, Part-1 (Technical Bid) along with EMD of Rs. 1,24,700/- (Rupees One Lac Twenty Four Thousand Seven Hundred Only) and Part-2 (Price Bid) to The Dy. Chief Engineer (I/C), LICI, North Central Zonal Office, Engg. Deptt., 16/275, M.G. Road, Kanpur 208001. The Enrolment form, Technical bid and Price Bid can be downloaded from our website: www.licindia.in/tender_notice.htm. Contractors are required to take print of entire enrolment form and tender document (Part-1 and Part-2) and fill the same duly signed with stamp and submit the same in three envelope system as mentioned below. The down loaded Enrolment Forms and Tender documents Part-I & II should be properly binded and there should not be any missing of paper. The Part-1(Technical Bid) accompany with Earnest Money for the said work should be enclosed in the separate envelope. The Enrolment Forms along with Tender fee for the said work should be enclosed in the separate envelope. The Part-2 (Price Bid) for the said work should be enclosed in the separate envelope. All the above envelopes should be put in another bigger envelope and submitted duly sealed and super scribed as Tender for S/I/T/C of 1500 KVA Electrical Substation at Investment building Plot No INS-16, Sector No 14, Vasundhara, Ghaziabad and firms name should be clearly indicated. The tender documents comprising filled in Enrolment form with the relevant documents along with tender fee of Rs. 2000.00 ( Rs Two Thousand only) non refundable towards tender fee, Part-1 (Technical Bid) along with EMD of Rs. 1,24,700/- (Rupees One Lac Twenty Four Thousand Seven Hundred Only) and Part-2 (Price Bid) shall be submitted to The Dy. Chief Engineer(I/C), Life Insurance Corporation of India, Engineering Department,16/275, M.G. Road, Kanpur 208001 on or before 09/11/2015 (15:30 Hrs).The demand draft / pay order shall be drawn in favour of Life Insurance Corporation of India payable at Kanpur. For any queries/ clarifications on Tender (Enrolment Form, Part-1 and Part-2), a Pre-Bid Meeting for discussions is arranged on 02/11/2015 (11:30 AM) at above mentioned address to facilitate the firms/ agencies to submit the tender. The firms/ agencies are requested to inform in advance the points for discussion to this office, if any, along with the name of the authorized representatives duly authorized by the company s signatory for attending the discussion. Kindly note that company s representative s should carry the letter of authorization while attending the discussion. The Contractors those are not fulfilling above criteria in parts or full will be rejected straightaway without assigning any reason whatsoever. Enrolment forms without tender fee & supporting documents and Technical Bid without EMD shall be summarily rejected. The contractors having worked in Govt. / Semi-Govt. organizations shall be preferred. Working eligible contractors of LICI who are interested in carrying out above work shall have also to submit the tender documents complete in all respect. Note: For working contractors of LIC of India, the above criteria may be relaxed by 15%. The name of all technically qualified contractors shall be published in our website within 60 days (approximately) from the date of this publication. Please note: In future if there shall be any corrigendum / amendment regarding this work, the same shall be uploaded on website only. The Dy. Chief Engineer (I/C) reserves the right to reject any tender of any contractor at his sole discretion without assigning any reason whatsoever. Date: 18/10/2015 Dy. Chief Engineer(I/C)

LIFE INSURANCE CORPORATION OF INDIA, NORTH CENTRAL ZONAL OFFICE, ENGINEERING DEPARTMENT 16/275, CIVIL LINES, KANPUR 208001 (U.P.) ENROLMENT FORM FOR SITC OF 1500 KVA ELECTRICAL SUBSTATION WORK AT INVESTMENT BUILDING ON PLOT NO. INS-16, SECTOR-14, VASUNDHARA, GHAZIABAD.

INSTRUCTIONS FOR FILLING AND SUBMISSION OF ENROLMENT FORM 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. 2000 (non-refundable) by way of demand draft /pay order in favour of Life Insurance Corporation of India payable at Kanpur, addressed to The Dy. Chief Engineer (I/C), Life Insurance Corporation of India, Engineering Department, NCZO Kanpur-208001 along with these instructions for filling and submission of Enrolment Form on or before 09/11/2015 up to 15:00 Hrs. Please note that no consideration will be given for postal delays. 1. Contractors to note that all particulars required as per the form and Annexures 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 Nationalized / 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. 2000/- each towards processing fee in the form of Demand Draft / Pay Order drawn in favour of LIC of India payable at Kanpur. This is applicable when an applicant submits application for more than one item of works. Enclosed: Enrolment Form with Annexure A1, A2 and B to G Dy. Chief Engineer (I/C) 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.

LIFE INSURANCE CORPORATION OF INDIA ENGINEERING DEPARTMENT NORTH CENTRAL ZONE FORM FOR ENROLMENT OF CONTRACTORS I / We am / are desirous of being enrolled on list of contractors for SITC of 1500 KVA Electrical Substation and hereby apply for the same. Sl. No. 1 Name of Work Please mention the work for which applied.. I / We give the following details for your consideration. Sl.no QUERY ANSWER 1 Name of the firm : 2 Address 3 PAN No TIN No. VAT Registration No. Service Tax Registration No. 4 Contact Details Office Phone No. Residence Phone No. Mobile No. Fax No. Email 5 Telegraphic Address, if any 6 Electrical Contractor s Licence Number and date of expiry of Licence. (Enclosed copy) For the state of 7 Month and year in which the firm was established in present name 8 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). 9 Particulars of sister construction firms, if any :

10 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. 11 Fill and enclose Annexure B giving details of enrolment with LIC of India in the past and with other organizations 12 Has the applicant or his partners or Directors been black listed in the past by any Central or State Govt.Deptt./ Organization 13 i) Annual Turn Over for last four years (enclose documentary evidence or proof to support figures) YEAR i 2011-12 ii 2012-13 iii 2013-14 iv 2014-15 Rs. in LAC Certificate of TDS should be submitted. 14 ii) Enclose latest audited balance sheet of CA i) Name and complete postal address of bankers Certificate enclosed for Assessment year 15 ii) Enclosed solvency certificate indicating amount. (The certificate should not be more than 3 months old). iii)bank Guarantee limit with Various banks 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 i) Rs. Lac with ii) Rs. Lac with iii) Rs. Lac with TOTAL Rs. of Date

16 i)particulars of movable properties along with Banker s reference ii) Value of tools & plants Other Assets Total Whose reference is enclosed? Rs. Rs. Rs. 17 Fill in and enclose list of tools & plants as per Annexure-C enclosed. 18 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 19 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 20 Whether full information regarding permanent technical staff employed given in Annexure F 21 22 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. i) How do you normally get work of electrical installations carried out ii) Who is the license holder & what is his experience 23 Any other information the applicant might like to give

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 NOTE: THE FILLED IN ENROLMENT FORM SHOULD REACH IN THE OFFICE ON OR BEFORE 09/11/2015. SIGNATURE OF ISSUING OFFICER

ANNEXURE A1 A F F I D A V I T (On Non Judicial Stamp paper of Rs. 100/- 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.

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 Year to Year to Technical Experience As Employee As contractor Whether power of attorney Holder 1 2 3 4 5 6 7 8 SIGNATURE OF CONTRACTOR

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 Year to year Is copy of letter enclosed Year to year LAST RENEWAL OR ENROLMENT Class or Categor y Limit (Rs. in Lac) Is copy of letter enclosed (1) (2) (3) (4) (5) (6) (7) (8) SIGNATURE OF CONTRACTOR

ANNEXURE C LIFE INSURANCE CORPORATION OF INDIA PARTICULARS OF TOOLS AND PLANT Sr. No. Item Specification Quantity Estimated Value Remarks (1) (2) (3) (4) (5) (6) 1. Power Analiser 2. Earth Resistance Testing Equipments 3. Meggers 4. HT jointing kits 5. Resistance load for testing 6. Welding Equipments 7. Crane 8. Cable tester 9. Steel ladders 10. Others SIGNATURE OF CONTRACTOR

ANNEXURE D LIFE INSURANCE CORPORATION OF INDIA Sr. No. Name and Complete Postal Address of Owner Site of Work & Nature of Work LIST OF MAJOR WORKS COMPLETED DURING LAST SEVEN YEARS Authority under whom work was carried Ref. No. & Date Order Contract Amount (Rs. in Lac) Is copy enclosed Value of work as per final bill (Rs. in Lac) Commencement of work month Year Comple -tion of work month Year Penalty levied for delay of completion, if any (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) SIGNATURE OF CONTRACTOR

ANNEXURE E LIFE INSURANCE CORPORATION OF INDIA LIST OF WORK IN HAND Sr. No. Name and Complete Postal Address of Site of Work & Nature of Work Owner Authority under whom work was carried out Ref. No. & Date Order Amount (Rs. in Lac) Is copy enclosed Date of commenc e-ment of work Scheduled date of completion of work Progress made and expected date of completion and reasons for delay, if any (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) SIGNATURE OF CONTRACTOR

ANNEXURE F LIFE INSURANCE CORPORATION OF INDIA PARTICULARS OF PERMANENT TECHNICAL STAFF Sr. No. (1 ) Name Designation Age Academic Qualification Service with the Firm Details of Experience Year to Year (2) (3) (4) (5) (6) (7) SIGNATURE OF THE CONTRACTOR

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 10 (ii) 2. Annexure (A-2) as supplied 10 (ii) (Particulars of Partners) 3. Annexure B (as supplied) 10 (Particulars of enrolment in LIC and other Organization) 4. Proof of Turnover 13 (i) 5. Latest I.T.C.C. or consolidated balance sheet of CA 13 (ii) 6. Solvency Certificate 14 (ii) 7. Certificate of Bank Guarantee 14 (iii) 8. Immovable Property Certificate 15 (ii) 9. Movable Property reference 16 (i) 10. ( ) Annexure C (as supplied) 17 (Particulars of shuttering tools/ plant) 11. ( ) Annexure D (as supplied) 18 (List of major works completed during last 7 years) 12. ( ) Annexure E (as supplied) 19 (List of work in hand) 13. ( ) Copies of work order 19 (ii) 14. ( ) Annexure F (as supplied) 20 (Particulars of permanent technical staff) Signature of Contractor