INDIAN INSTITUTE OF TECHNOLOGY INDORE€¦ ·  · 2018-01-03INDIAN INSTITUTE OF TECHNOLOGY INDORE...

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INDIAN INSTITUTE OF TECHNOLOGY INDORE No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Dated: November 20, 2013 NOTICE INVITING APPLICATION FOR EMPANELMENT OF MANUFACTURER/ SUPPLIER/ CONTRACTORS/ SERVICE PROVIDER OF ELECTRICAL/ HVAC/ COMMUNICATION Offers for the empanelment of manufacturer / supplier / contractor / Service provider are invited from the interested firms / companies, who are in the business of manufacturing or stocking of goods and services of specified categories as mentioned in the registration document. Document containing the terms and conditions can be downloaded from the institute website: www.iiti.ac.in . Registration form can be filled and to be submitted at Estate office of IIT Indore, E 306 IET DAVV Campus, khandwa Road, Indore 452017. The documents will be opened on last working day of every month, throughout the year. Hard copy of registration form along with non-refundable fee must reach the office of Executive Engineer by registered / speed post only. Executive Engineer

Transcript of INDIAN INSTITUTE OF TECHNOLOGY INDORE€¦ ·  · 2018-01-03INDIAN INSTITUTE OF TECHNOLOGY INDORE...

INDIAN INSTITUTE OF TECHNOLOGY INDORE

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14

Dated: November 20, 2013

NOTICE INVITING APPLICATION

FOR

EMPANELMENT OF MANUFACTURER/ SUPPLIER/ CONTRACTORS/ SERVICE

PROVIDER OF ELECTRICAL/ HVAC/ COMMUNICATION Offers for the empanelment of manufacturer / supplier / contractor / Service provider are invited

from the interested firms / companies, who are in the business of manufacturing or stocking of

goods and services of specified categories as mentioned in the registration document.

Document containing the terms and conditions can be downloaded from the institute website:

www.iiti.ac.in. Registration form can be filled and to be submitted at Estate office of IIT Indore,

E 306 IET DAVV Campus, khandwa Road, Indore 452017. The documents will be opened on

last working day of every month, throughout the year.

Hard copy of registration form along with non-refundable fee must reach the office of Executive

Engineer by registered / speed post only.

Executive Engineer

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 2 of 22

Registration / Empanelment of Vendors

IIT Indore for its Multi-Crore project, intends to register/empanel the firms/companies who are in the business of manufacturing, stocking and/or marketing of goods of specified categories. The main object of registration of firms/agencies as approved vendors is to have a broad based panel of technically capable, financially sound and reliable sources of supply to which enquiries can be addressed for the Institute purchases.

1. Eligibility & categories for Registration/ Empanelment.

All firms/agencies, who are in the business of manufacturing, stocking or marketing of stores and specified service provider are eligible for registration if otherwise suitable, subject to specific conditions or restrictions stipulated in this document.

2. The firms registered with IIT Indore will enjoy the following benefits:-

a. Tender enquiries against demands which are not advertised, are sent to the registered firms.

b. In case of advertised tender enquiries, copies of tender notices may be sent to registered firms giving them advance information to enable them to purchase the Tender sets.

c. Rate Contracts and Running Contracts are generally awarded to registered firms. 3. Empanelment / Registration Procedure:

Procedure for empanelment of vendors with Indian Institute of Technology Indore- 3.1. The applicant should clearly read all the pages of the document. 3.2. Correct / relevant information / data have to be furnished by the vendors. 3.3. The applicant should make sure before applying for a particular type of Category, that

the vendor/firm has the required eligibility criteria & experience for that category of work / item.

3.4. Service providers / suppliers seeking application form shall have to pay the requisite

(cost/fee) amount as stated below, for registration / empanelment. The amount shall be paid by a demand draft drawn in favor of “Registrar, IIT Indore”, payable at Indore (M.P.).

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 3 of 22

3.5. The cost of application forms and processing fees to be remitted along with the forms, shall be as Rs. 1000/-.

3.6. Service providers / suppliers shall have to fill and submit the registration form in

Annex-1 and shall also submit the hard copy of form along with required documents and fees to “Executive Engineer, Indian Institute of Technology Indore, E-Block, IET-DAVV Campus, Khandwa Road, Indore 452017”.

3.7. Applications incomplete in any respect, viz non-submission of any required document

or information, or fee in requisite amount are liable for rejection.

3.8. The sealed envelope containing the registration form, documents & fee. It should be clearly super scribed on the top of the envelope as “APPLICATION FOR VENDOR REGISTRATION / EMPANELMENT OF ELECTRICAL/HVAC/COMMUNICATION”.

3.9. Vendors / Firms registered with DGS&D, NSIC, NCCF (for items specified by NCCF),

shall be considered for registration/empanelment at IIT Indore, on the basis of registration certificate of such agencies along with other certified documents.

3.10. The following essential documents (whichever is applicable) should accompany with

the registration form:

3.9.1. CST / VAT / TIN No. 3.9.2. Income tax Permanent Account No. 3.9.3. Memorandum and Article of Association, Certificate of Incorporation,

Partnership Deed, Registration Certificate issued by the Registrar of Firms etc.

3.9.4. Registration Certificates with DGS&D/NCCF. 3.9.5. Current dealership agreement from Principal along with SSI/NSIC

certificate. 3.9.6. Annual Turnover Certificate for last 3 years. 3.9.7. Bank Details. 3.9.8. Relevant ISO certificate.

A notarized certificate that the vendor hasn’t been black listed by any institution of the Central/ State government / any PSU, University , Institute etc. in the past three years should be submitted. 3.10. On receipt of the registration form along with the requisite documents as mentioned above the supplier shall be registered with the IIT Indore after Scrutiny.

3.11. The firm will be considered for registration/ Empanelment for an initial period of one

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year and their registration will be considered for renewal as per IIT Indore procedure, for two years or so, at a time subject to satisfactory performance of the firm during initial registration period.

3.12. The firms will be considered for registration for following monetary limits:-

I. A class :-Those firm capable of executing supply order or work order valuing Rs. 50 lakhs to One Crore (requisite documents/ proof shall be attached)

II. B class:-Those firm capable of executing supply order or work order or work order valuing Rs. 25 lakhs to Rs. 50 lakhs. (requisite documents/ proof shall be attached)

III. C class:- Those firm capable of executing supply order or work order valuing Rs. 10 lakhs to Rs. 25 lakhs. (requisite documents/ proof shall be attached)

IV. D class:-Those firm capable of executing supply order or work order valuing Rs. 1 lakhs to Rs. 10 lakhs. (requisite documents/ proof shall be attached)

V. E class:- Those firm capable of executing supply order or work order valuing upto Rs. 1 lakh. (requisite documents/ proof shall be attached)

3.13. After getting all the required fee, information & documents from the applicant, the registration number will be issued to the supplier with the following details:

A. Registration No. B. Vendor Trade Group/ Category No. along with description.

3.14. All manufacturer, suppliers, service providers who are engaged with the government

firms like NIT’S, IIT’S, ISRO, IIIT, MES, CAT, IIM, BHU, state and central government departments, PSU’s, etc. will be given preference, on submission of the relevant documents.

3.15. Service Centers: Service Centre in Indore as well as in major cities, operational for

more than 3 years, may be given. For authorized distributor / OEM centers the vendor shall produce a copy of the valid agreement / undertaking from authorized distributor / OEM. On verification of the information, if at any time the furnished information is found incorrect the registration is liable to be cancelled and the firm may be black listed & the EMD / SD will be forfeited by the Institute.

3.16. Tender will remain open for full one year and tender document of Manufacturer/

Supplier/ Contractors/ Service provider will be opened on last working day of every month.

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 5 of 22

4. Category- Wise List of Items / Work

S. N. CATEGORIES A Fan 1 Exhaust fan 18" (Heavy duty)

2 Exhaust fan 12"

3 Exhaust fan 15"

4 Exhaust fan 18"

5 Exhaust fan 24"

6 Exhaust fan shutter 12"

7 Exhaust fan shutter 15"

8 Exhaust fan shutter 18"

9 Exhaust fan shutter 24"

10 down rod for ceiling fan

11 Ceiling fan 1200mm 65 W ( speedster/ velocity)

12 Ceiling fan 1400mm 65 W

13 Wall fan 400 mm ( Swing)

14 Fan hook

15 Ceiling fan 1200mm 65 W ( speedster/ velocity)

16 Ceiling fan 1400mm 65 W

17 Fresh (Ventil Air-DS) Fan, 300mm

18 Diva/Swing wall fan, 400mm

19 Exhaust fan 9" (L.D.)

20 Trendy pedestal fan, 400 mm

B Light and Fixture 1 Metal Halide, 150W

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2 Metal Halide, 250W

3 Metal Halide, 400W

4 T5 Tube light with fitting

5 CFL (All suitable watt)

6 T5 Tube light Rod

7 2 x 2 fittings ( Led or CFL based)

8 Down lighter ( Led or CFL based)

9 PL- c/s (all suitable watt)

10 Electronic choke (all suitable watt)

11 Electronic Blast (all suitable watt)

12 Bulb holder

13 Baton holder

14 Ceiling rose

C Wires 1 0.5 Sq MM copper wire

2 1.0 Sq MM copper wire

3 1.5 Sq MM copper wire

4 2.5 Sq MM copper wire

5 4.0 Sq MM copper wire

6 6.0 Sq MM copper wire

D Cables aluminum and copper

3 & 3 ½ Core, XLPE Unarmored (AYY) / Armored (AYFY) Cables – 1100 Volt

1 2.5 Sq MM

2 4 Sq MM

3 6 Sq MM

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4 10 Sq MM

5 16 Sq MM

6 25 Sq MM

7 50 Sq MM

8 70 Sq MM

9 95 Sq MM

10 120 Sq MM

11 150 Sq MM

12 185 Sq MM

13 240 Sq MM

14 300 Sq MM

15 400 Sq MM

E Electronic Energy Meter AC 1 Single phase energy meter

2 Three phase energy meter

F Switch Socket Modular Type 1 Switch 16 Amp

2 Socket 16 Amp (Universal)

3 Switch 06 Amp

4 Socket 06 Amp

G Switch Socket PianoType 1 Switch 16 Amp

2 Socket 16 Amp (Universal)

3 Switch 06 Amp

4 Socket 06 Amp

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H Pin Top 1 pin top 16 Amp

2 pin top 06 Amp

I Call Bell 1 wireless call bell

2 wire call bell

J Modular Box with plate 1 1/2 Module

2 3 Module

3 4 Module

4 5 Module

5 6 Module

6 8 Module

7 10 Module

8 12 Module

9 16Module

K Telephone 1 05 Pair

2 02 Pair

3 EPBX System

4 Telephone instrument

L Cable Gland 1 Gland (all sizes)

M Lugs 1 Lug ( All sizes )

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N Conduit pipe (Steel & PVC) & accessories

1 20 mm dia ISI marked, steel conduit

2 25 mm dia ISI marked, steel conduit

3 32 mm dia ISI marked, steel conduit

4 40 mm dia ISI marked, steel conduit

5 50 mm dia ISI marked, steel conduit

6 20 mm Inspection/solid bends

7 25 mm Inspection/solid bends

8 32 mm Inspection/solid bends

9 40 mm Inspection/solid bends

10 50 mm Inspection/solid bends

11 20 mm Socket

12 25 mm Socket

13 32 mm Socket

14 40 mm Socket

15 50 mm Socket

16 20 mm junction box, one way

17 20 mm Iron staples/saddle/screws

18 25 mm Iron staples/saddle/screws

19 32 mm Iron staples/saddle/screws

20 40 mm Iron staples/saddle/screws

21 50 mm Iron staples/saddle/screws

22 20 mm junction box, two way

23 20 mm dia ISI marked, PVC conduit (Medium),

24 25 mm dia ISI marked, PVC conduit (Medium),

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 10 of 22

25 32 mm dia ISI marked, PVC conduit (Medium),

26 40 mm dia ISI marked, PVC conduit (Medium),

27 20 mm dia ISI marked, PVC conduit (Heavy),

28 25 mm dia ISI marked, PVC conduit (Heavy),

29 32 mm dia ISI marked, PVC conduit (Heavy),

30 40 mm dia ISI marked, PVC conduit (Heavy),

31 20 mm bends

32 25 mm bends

33 32 mm bends

34 40 mm bends

35 PVC Pipe 150mm

36 PVC Pipe 100mm

37 20 mm junction box, two way

38 PVC casing and capping 16x16 mm size,

39 PVC casing and capping 20x12 mm size ,

40 PVC casing and capping 25x16 mm size ,

41 PVC casing and capping 32x16 mm size ,

42 PVC casing and capping 38x16 mm size ,

43 PVC casing and capping 50x16 mm size ,

44 PVC heavy gauge gulley

45 PVC casing and capping 45x60 mm size ,

P MCB / MCB DB / RCCB / MCCB / industrial socket outlet

1 5 amps to 32 amps rating SP MCB 'C' curve

2 5 amps to 32 amps rating SPN MCB 'C' curve,

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 11 of 22

3 5 amps to 32 amps rating DP MCB 'C' curve,

4 5 amps to 32 amps rating TP MCB 'C' curve,

5 5 amps to 32 amps rating TPN MCB 'C' curve,

6 5 amps to 32 amps rating FP MCB 'C' curve,

7 40amps to 63 amps rating SP MCB 'C' curve,

8 40 amps to 63 amps rating SPN MCB 'C' curve,

9 40amps to 63 amps rating DP MCB 'C' curve,

10 40 amps to 63 amps rating TP MCB 'C' curve,

11 40 amps to 63 amps rating TPN MCB 'C' curve,

12 40amps to 63 amps rating FP MCB 'C' curve,

Q Isolators 14 Single pole blanking plate

15 40 Amp, 2 pole Isolator

16 63 Amp, 2 pole Isolator

17 40 Amp, 4 pole Isolator

18 63 Amp, 4 pole Isolator

19 100 Amp, 4 pole Isolator

R RCCB

1 25 Amp, 2 pole RCCB

2 40 Amp, 2 pole RCCB

3 63 Amp, 2 pole RCCB

4 25 Amp, 4 pole RCCB

5 40 Amp, 4 pole RCCB

6 63 Amp, 4 pole RCCB

S SPN DB

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 12 of 22

8 20 amps SPN industrial type socket outlet with plug

9 4-way, SPN DB, Single door

10 8 way, single door MCB DB

11 12 way, single door MCB DB

12 4-way, SPN DB, Double door

13 8-way,SPN DB, Double door

14 12-way, SPN DB, Double door

15 16-way, SPN DB, Double door

16 Loose wire box MDS SPN 4 way,

17 Loose wire box MDS SPN 8 way,

18 Loose wire box MDS SPN 12 way,

19 Loose wire box MDS SPN 16 way,

20 S&F metal enclosure for DP/TP MCB.

T ETPN DB

1 4 way, single door ETPN MCB DB

2 4-way (4+12, ETPN DB, Double door

3 6 way (4+18), TPN, prewired MCB DB

4 8 way (4+24), TPN, prewired MCB DB , double door

5 12-way (4+36, ETPN DB, Double door

6 Loose wire box MDS ETPN 4 way,

7 Loose wire box MDS ETPN 6 way,

8 Loose wire box MDS ETPN 8 way,

9 Loose wire box MDS ETPN 12 way,

U VTPN DB

1 4-way, VTPN DB, Double door

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2 8-way, VTPN DB, Double door

3 12-way, VTPN DB, Double door

4 4- way DPX 125 MCCB DB

5 8- way DPX 125 MCCB DB

6 12- way DPX 125 MCCB DB

7 4-way DPX 125 MCCB DB

8 8 -way DPX 125 MCCB DB

9 12- way DPX 125 MCCB DB

10 Loose wire box MDS VTPN

11 Loose wire box all VTPN DPX MCCB DBs

V MCCB

1 Cost of 3-Pole MCCB DPX125 (25 amp),

2 Cost of 3-Pole MCCB DPX 125 (100 amp),

3 Cost of 4-Pole MCCB DPX 125 (100 amp),

4 Cost of 4-Pole MCCB DPX125 (125 amp),

5 Cost of 3-Pole MCCB DPX160 (160 amp),

6 Cost of 3-Pole MCCB DPX 250 ER (250 amp),

7 Cost of 4-Pole MCCB DPX 250ER (250 amp),

8 Cost of 4-Pole MCCB DPX (400 amp)

9 Enclosure DPX 125 MCCB for 3/4P,

10 Enclosure DPX 250ER MCCB

11 Cost of rotary drive (100 amp)

12 Cost of rotary drive (250 amp)

13 Pad lock (100 amp) Cat no.

14 Pad lock support (100 amp)

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 14 of 22

15 Pad lock support (250 amp)

16 Spreader link strips (100 amp)

17 Spreader link strips (250 amp)

18 Enclosure for SP/DP/TP MDS,

W Air Conditioners

1 Window AC (1 to 2 Ton)

2 Split AC (1 to 2 Ton)

X Fire Extinguisher 1 A Class

2 B Class

3 C Class

Y 33/ 11 KV electrical Items 1 Air circuit Breaker

2 SF6 Breaker

3 Light Arrester

4 DO Fuse

5 Pin type insulator

6 Strain type insulator

Z Manufacturer of Electrical Item

1 Electrical Panel

1.1 APFC Panel with aluminum/copper bus bar.

1.2 Power Distribution panel with aluminum/copper bus bar.

1.3 Main Incomer Panel with bus coupler with aluminum/copper bus bar.

1.4 Remote Panel with aluminum/copper bus bar.

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 15 of 22

1.5 H.T Panel with bus coupler with aluminum/copper bus bar.

1.6 L.T Panel with bus coupler with aluminum/copper bus bar.

1.7 AMF panel for DG with aluminum/copper bus bar.

1.8 Feeder Pillar with aluminum/copper bus bar.

1.9 Sub Panel with aluminum/copper bus bar.

1.10 Synchronizing Panel with aluminum/copper bus bar.

2 DG Set

2.1 All rating at 11 KV

2.2 All rating at 440 V

3 Transformer

3.1 Step Down from 33 KV to 11 KV

3.2 Step Down from 11 KV to 440 V 3.3 Current Transformer

3.4 Potential transformer Note: For customized product, serial number “Y and Z” offer price may not be

applicable.

Note: IIT Indore reserves all the rights to modify or add any or all the categories as per

the requirement of the Institute from time to time. Also the supplier can add any

other related category (items) in the above list with requisite documents and

specifications.

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 16 of 22

5. Terms & Conditions for Vendor Registration / Empanelment as a Supplier

5. 1 General Clause 5.1.1. The said registration, only qualifies a particular vendor for consideration for

issue of tender papers in case of limited tenders for relevant category only for which vendor is registered /empanelled. However, this will not give any claim to the party for award of work/ purchase order.

5.1.2. IIT Indore reserves the rights to accept, consider or reject any or all applications

without assigning any reasons thereof. The decision of IIT Indore, in respect of registration of parties for various categories of work / items shall be final & binding on all concerned registered firms / vendors in the panel of IIT Indore.

5.1.3. Vendors once empanelled, shall have to promptly reply to all the enquiries,

execute orders as per the order terms of IIT Indore and keep the Institute informed of new products/ developments / innovative ideas that shall help reduce the cost and improve quality, reliability, etc.

5.1.4. Two-part tendering is done where technical screening/clear technical

specifications are not available. In such cases vendors will be asked to submit both techno commercial and price bids separately. Price bids of technically accepted bids only will be opened.

5.1.5. This document is treated as a valid contract between IIT Indore and Vendor,

and adherence to all aspects of fair trade practices in executing the purchase orders/ work orders placed by IIT Indore from time to time during the registration period.

5.1.6. In case of empanelled vendor is found in breach of any terms & condition(s) of

IIT Indore or supply/work order, at any stage during the course of supply / installation or warranty period, the legal action as per rules/laws, shall be initiated against the vendor and EMD/Security Deposits shall be forfeited by IIT Indore, besides debarring and blacklisting the vendor concerned for at least three years, for further dealings with IIT Indore.

5.1.7. The vendor should not assign or sublet the empanelment or any part or it to

any other vendor in any form. Failure to do so shall result in termination of empanelment.

5.1.8. Any vendor can get registered and empanelled throughout the year. All those

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 17 of 22

firms which are registered and confirmed shall be entertained for various queries.

5.1.9. All registered firms are expected to maintain absolute integrity, follow a decent

standard of business ethics and do nothing unbecoming of a registered supplier.

5.1.10. In all future correspondence with IIT Indore, empanelled vendors are

required to quote the Registration No.

5.1.11. The IIT Indore has all the rights reserved to add / delete / alter any of the items and to amend / add any of the terms and conditions included in the registration granted to firms with effect from any date, without assigning any reason(s) for the same.

5. 2 Price Variation Clause During the validity of the empanelment including the extended period, if the vendor sells any empanelled item to any other department / Organization at a price lower than the price fixed for IIT Indore, the vendor must voluntarily pass on the price difference to IIT Indore with immediate effect.

5. 3 Indemnity The selected vendor shall indemnify the IIT Indore and user departments against all third party claims of infringement of patent, trademark/copyright or industrial design rights arising from the use of the supplied items and related services or any part thereof. IIT Indore / User department stand indemnified from any claims that the vendor’s manpower may opt to have towards the discharge of their duties in the fulfillment of the purchase orders.

5. 4 Termination for Default a) Default is said to have occurred i) if the vendor fails to deliver any or all of the services within the time period(s) specified in the purchase order or any extension thereof granted by IIT Indore. ii) If the vendor fails to perform any other obligation(s) under the empanelment. b) If the vendor, in either of the above circumstances, does not take remedial steps within a period of 30 days after receipt of the default notice from IIT Indore (or takes

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longer period in-spite of what IIT Indore may authorize in writing), IIT Indore may terminate the empanelment/ purchase order in whole or in part.

5. 5 All disputes in this connection shall be settled in Indore (Madhya Pradesh) jurisdiction only.

Executive Engineer IIT Indore

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 19 of 22

Application Form

Supporting Documents be annexed with the application form. (Applications found deficient in any

respect are liable to be rejected without further correspondence)

1. Name of the Applicant (Individual/Firm/Company) .....................................................

2. Registration No……………………………………………………………………………….

3. Is the Individual / Sole Proprietor / any Partner / Director of company :………………..

4. Nationality ......................................................................................................................

5. Address :

a. Registered Office :.......................................................................................................

b. Head Office : ..............................................................................................................

c. Indore office, if any: ……………………………………………………………………….

6. Contact Details :

a. Telephone Number ......................................................................................................

b. Fax Number .................................................................................................................

c. Mobile Number ...........................................................................................................

d. Website URL (If any) ..................................................................................................

e. Email Id ......................................................................................................................

7. PAN Number (Individual / Firm / Company) ..................................................................

8. Is the manufacturer / supplier / contractor / service provider empanelled with any other government

organization? Yes ............ No ..............

If yes please furnish the details (like Name of organization, empanelled for, period, duration, etc.)

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 20 of 22

9.

a. Dismissed Government Servant: Yes ............ No ..............

b. Removed from approved list of vendor / manufacture: Yes ............ No ..............

c. Demoted to a lower class of vendor / manufactures: Yes ............ No ..............

d. Having business banned/suspended by any Government in the past:

Yes ............ No ..............

e. Convicted by Court of Law:

f. Retired Engineer/official from Engineering Department of Government of India within last one

year: Yes ............ No ..............

g. Director or Partner of any other company/firm enlisted with CPWD or any other department:

Yes ............ No ..............

h. Member of parliament or any State Legislative assembly:Yes ............ No ..............

If answer to any of the above is 'Yes' Furnish details on a separate sheet:

10. a) Name of person holding power of attorney (if any): ............................................

b) Nationality: .............................................

11. Name of the Banker with full address: .......................................................................

12. Place of Manufacturing and Year of Establishment: ....................................................

13. Full details and location of workshop / service station including details of Machines and Equipment

installed along with proof of sufficient stock: ………………………….

14. Enlistment Processing Fee Enclosed Details:

Draft Number: ..................................................

Draft Date: ..................................................

Amount: ..................................................

Branch: ..................................................

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Branch Drawn Upon: ..................................................

Whose Favour: ..................................................

15. Details of some relevant works completed, in progress and secured where the item is or will be

installed during the last 5 years (to be filled in the separate page).

16. Number of documents attached: ..................................................

17. Was the Applicant’s material ever suspended from supply for manufacturing default or any other

reason(s).

18. Has the Applicant’s material, ever been convicted by a court of law? If so, give details.

19. One soft copy of the document in CD is attached Yes ............ No ..............

20. Any other information considered necessary but not included above.

21. Details of the all electrical items, which are proposed to be enlisted, are given as per Annexure 1:

Yes........... No ............

____________________

(Seal and Signature of the Applicant)

No. IITI/ ES/ PR/ EMPL/ NIT/ 12/ 2013-14 Page 22 of 22

ANNEXURE 1

Name of manufacturer / supplier / contractor / Service provider: ______________________

Supporting papers be annexed with this document.

Sr. No. Category Product Code Specifications MakeWhether BEE certified (Yes

/ No)

Warranty / Gurranty

Availability

IS Standard / IEC Standard Norms etc.

followed with requisite number

Offer Price