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Patna Divisional Office 2, Jeea a Ga ga Building, Fraser Road, Patna 800 001 Ph. 0612-2232504, e-mail: os.patna2@licindia.com NOTICE FOR EMPANELMENT Empanelment of Vendors/Suppliers/Printers/Manufacturers/Service Providers Applications are invited from reputed Vendors/Suppliers/Printers/Manufacturers/Service Providers for empanelment of following items: Sl. Item Category Minimum Average Turnover (in lac) during last 3 financial year 1. Table & office stationery such as pens, files, photocopier paper, punching machines, staplers, dusters, towels etc. 2.00 2. Computer continuous stationery 3. (i) Computer consumables such as ink cartridges, CDs, pen drives etc. (ii) Repair of printer heads, drums etc., refilling of toner cartridges, printer ribbons etc. 4. Offset / screen printers for printing stationery of forms / ledgers, visiting cards etc. with or without paper 5. Manufacturer / supplier of cloth / Kraft / ordinary envelopes, policy dockets 6. Supply / maintenance / servicing of telecommunication equipments such as Fax, EPABX systems, intercom system, telephone instruments etc. 2.00 7. Courier Services 3.00 8. Supply / maintenance / servicing of Note Counting Machines, Fake-note detecting machines 2.00 9. Supply / maintenance / servicing of Cash box, safe etc. 2.00 10 Supply / maintenance / servicing of safety & firefighting equipment, fire alarm systems 11 (i) Hiring of DG Sets up to 40 KVA (ii) Hiring of DG Sets from 40 KVA to 100 KVA (iii) Hiring of DG Sets over 100 KVA 5.00 (The firm should have valid trade license, VAT & Service Tax registration, PAN and experience of running of DG Sets of similar capacity in PSUs / Govt. organizations copies must be enclosed) 12 Supply / maintenance / servicing of water coolers, refrigerators, Air conditioners 13 Supply / maintenance / servicing of purifiers, R.O. systems, dispensers, aqua guard 5.00 14 Supply / maintenance / servicing of Wooden / Steel / Modular / Fibre furniture & fixture 15 Office upkeep / maintenance services such as cleaning / mopping, providing helpers and housekeeping staff etc. 16 Security services 17 Supply / maintenance / servicing of Glow sign, signage, flex, front / back lit boards, wall painting & advertising 5.00 18 Supply / maintenance / servicing of desert / air coolers 2.00 19 Supply / maintenance / servicing of photocopiers / color & digital Photostat 2.00 20 Scrap dealers 1.00 21 Binder services Nil 22 Supply of crockery Nil 23 Pest control services Nil 24 Travel agents / Cabs / Taxis 2.00 25 Repair & Maintenance of Electrical installations (The firms must have electrical license) 2.00 26 Repair & Maintenance of Civil works 2.00 Preparation of Identity Cards

1. The separate forms (Annexure A) are required to be filled up for each category which may be downloaded from our website www.licindia.in (link tender) or collected from OS department of above mentioned divisional office. The application will be available from 17.02.2016 to 03.03.2016.Application for empanelment duly completed should be submitted to Sr. Divisional Manager, LIC of India, Patna Di isio al Offi e 2, Jee a Ga ga Buildi g, Frazer oad, Pat a 800 001 (Bihar) in a closed envelope super scribed as Application for Empanelment of Vendors/Suppliers/Printers/Manufacturers/Service Providers, Category Sl.No. (name of category) along with non-refundable application fee of Rs. 500/- for each category, in the form of demand draft in favor of Life Insurance Corporation of India payable at Patna or can be deposited at our cash counter in cash during cash hours from AM to 3.00 PM ( AM to 12.30 PM on Saturdays) on all working days. The last date for receipt of application forms duly completed is 07.03.2016 up to 3.00 PM. 2. The application in questionnaire form (Annexure A) along with the enclosure i.e. necessary certificates in evidence of the facts mentioned in the form are to be sent at the above mentioned address on or before 07.03.2016 by 3.00 PM. The Corporation bears no responsibility for applications received after due date and time are liable to be rejected. 3. Firms / suppliers who have been black listed / removed earlier by any office of the Corporation should not apply. If they apply, their applications will not be considered. 4. Mere submission of application for empanelment does not mean the 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 for which Life Insurance Corporation of India shall neither be liable nor obligatory to inform the applicant the grounds of any such action. 5. Applications incomplete in any respect will not be entertained and are liable to be rejected. Sr. Divisional Manager

Conditions for empanelment: A e ure A 1. The applicant firm / supplier should be in profession for at least 3 year as described in application form. (Copy of proof must be enclosed) 2. The firm should be on the approved panel of at least 3 reputed firms. 3. The firm / supplier should have registration with state & local authorities for undertaking the profession. (Copy of proof must be enclosed) 4. Certificate of satisfactory completion of work / supply issued by concerned departments / authority / reputed firm must be attached as proof. 5. The firm / supplier should keep sufficient stock in hand so as to comply with the urgent needs without delay. 6. Firm willing to apply for computer consumables such as cartridge, ribbon, printer head must have manufacturer authorization for the same in the prescribed format and should not have been blacklisted by LIC/any govt. or semi govt. body /PSU/Banks. Note:- Eligibility Policy: criteria for availing benefits under the Public Procurement Those who are willing to get benefit under the Public Procurement Policy for Micro & Small Enterprises (MSEs) Order 2012, It is necessary for the enterprise to be registered with the Director of Industries (DI)/District Industries Centre (DIC) as manufacturing/service enterprises and having acknowledgement of Entrepreneurs memorandum (part-ii) Or are registered with National Small Industries Corporation (NSIC) under Single point vendor registration scheme. The relevant copy of the Certificate must be enclosed. APPLICATION FORM FOR EMPANELMENT OF FIRM Sl. No. of Category: Name of Category: (Separate application is to be filled up for each category) Sl. Information sought Information provided 1. Name of the Firm (in Block letters) 2. Date of Establishment / Incorporation 3. Correspondence address and telephone nos. 4. Address of Head Office (if separate) and telephone nos. 5. Status: Propriety / Partnership Limited Company / Public Limited Company

Sl. Information sought Information provided 6. Names of the Partners / Directors 7. Name of Chief Executive with present address and telephone nos. 8. Name of representative(s) with designation who would be calling on us and attending to our jobs. 9. Name of bankers with addresses & telephone nos. with whom you maintain the bank A/c 10. Is the firm registered under the factories Act? If so, state a. License No. b. Date of renewal of license (copy of license to be enclosed) c. PAN No. d. ESIS No., if any e. EPF Registration No., if any f. Sales Tax No. g. Service Tax No. 11. Whether holding certificate under shops & esta lish e t a t, if es, dul re e ed op should be enclosed. 12. State the latest Income Tax assessed year and the amount of tax assessed (copies of last 3 year I. Tax returns, Balance Sheets & Revenue A/c to be enclosed) 13. Turnover for last 3 year FY 2012-13 FY 2013-14 FY 2014-15 14. Are you agreeable to make deliveries to Corporations offices under Patna Division 2 15. Are you agreeable to abide strictly by the terms and conditions of the tenders and contracts 16. If your firm is empanelled with any of office of LIC or any other PSU (Central), please give name, address & since when you are empanelled with them (Copy to be enclosed).

17. Names, addresses and telephone nos. of some of your most valued clients with recent work orders (separate list may be attached) 18. Approximate value of your output per year 19. Any other information / extra ordinary performance of your establishment, you want to provide 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 no. and attach it to the form. I / We request Life Insurance Corporation of India, Patna Divisional Office 2, Patna to consider / include 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. Signature Name: Designation: Seal of the Firm / Company Dated at this day of 2016 Note: The Corporation reserves the right to cancel the name of the supplier / firm from its approved list at its absolute discretion without assigning any reason. DECLARATION: 1. I / We ha e read the i stru tio s appe ded to the A e ure A a d I / We u dersta d that if a 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 Vendors / Suppliers / Printers / Manufacturers / Service Providers will be final and binding on me / us. 3. All the information furnished by me/us 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. Place: Date: Signature Name: Designation: Seal of the Firm / Company