Annexure-I
BIMAL AGARWAL
To
CGM-CONTRACTS (HOD)
OIL INDIA LIMITED
DULIAJAN
Dear Sirs,
Sub: UNDERTAKING/DECLARATION BY THE BIDDER (S) IN RESPECT OF TENDER NO.
CDC5553L24
(To be submitted by the Bidders who are not covered under EPF&MP Act, 1952)
This is in connection with the Bid submitted by …………………….(Name of the Bidder) against Tender …….for
………………………………………………..(subject of the Tender). As per the conditions stipulated in Clause
no………………….(Name of the Provision/Covering Letter etc.), we/I ,being authorized on behalf of
……………………….(Name of the Contractor) hereby confirm and undertake as follows;
That our Firm/Company shall be responsible to comply with all the applicable labour laws in respect of
the present Contract.
That we are fully conversant with the applicable laws and confirm that our Firm/Company is not
covered under the Employees Provident Funds and Misc. Provisions Act, 1952 and applicable Rules
thereunder, and therefore I we have not obtained any registration or Provident Fund Code under the
Act.
That if, during the period of the present Contract, we/our Firm /Company comes within the coverage of
the aforesaid Acts or any other statutes; we shall comply with the same and submit the necessary
documents to [Link] further confirm thatwe will indemnify OIL towards any future statutory
compliances/claims raised from any corner including statutory authorities against the Labour engaged
by our Firm/Company in the Contract.
That in the event of any contravention towards the applicable laws found on our part in respect of the
present Contract, we undertake to indemnify OIL and deposit the claims, if any.
That we shall fulfill all the obligations arising from under the labour laws in force from time to time and
keep OIL indemnified against any loss/liability arising out of failure of our avoiding the laws.
We, further agree and undertake that in case of any violation of the above undertaking, OIL shall be at liberty to
take appropriate action against us in terms of the Tender including but not limited to termination of contract
and debarment from future business with OIL.
I/We declare that the information given above is true and any misstatement or misrepresentation or
suppression of facts in connection with the above undertaking may entail rejection of the bid and cancellation of
contract, if awarded.
Yours faithfully,
1. Authorized Signatory ___________________________________
(BIDDER)
Place:-
Date:-
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Page 1 of 9
ANNEXURE II - FORMAT FOR HINDRANCE REGISTER
Description of Project : ………………………………………….. Contract No. & Date : …………………………………………..
Contractor’s Name : ………………………………………….. Scheduled Completion Date : …………………………………………..
Items of work that Date of Overlappin
Date of Net
Sl. Nature of could not be executed Removal Period of g
start of hindrance Remarks
No. Hindrance because of this of hindrance Period,
hindrance days
hindrance hindrance if any
Signature of Contractor’s Representative Signature of Engineer-in-charge Signature of HoD
Page 2 of 9
Annexure- III
Format of undertaking by Bidders towards submission of authentic information/documents
BIMAL AGARWAL
Ref. No____________ Date ________
Sub: Undertaking of authenticity of information/documents submitted
Ref: Your tender No.CDC5553L24
To,
CGM-CONTRACTS (HOD)
Contracts Dept.
OIL, Duliajan
Sir,
With reference to our quotation against your above-referred tender, we hereby undertake that no
fraudulent information/documents have been submitted by us.
We take full responsibility for the submission of authentic information/documents against the
above cited bid.
We also agree that, during any stage of the tender/contract agreement, in case any of the
information/documents submitted by us are foundto be false/forged/fraudulent, OIL has right to
reject our bid at any stage including forfeiture of our EMD and/or PBG and/or cancel the award of
contract and/or carry out any other penal action on us, as deemed fit.
Yours faithfully,
For ( BIMAL AGARWAL)
Signature of Authorised Signatory
Name :
Designation :
Phone No.
Place :
Date :
(Affix Seal of the Organization here, if applicable)
Page 3 of 9
Annexure-IV
FORMAT OF PERFORMANCE BANK GUARANTEE
(TO BE FURNISHED BY THE CONTRACTOR IN CASE OF SUBMITTING PERFORMANCE SECURITY
IN THE FORM OF BANK GUARANTEE AFTER ISSUE OF LOI)
To
M/s OIL INDIA LIMITED,
CONTRACTS DEPARTMENT,
DULIAJAN, ASSAM, INDIA, PIN-786602
WHEREAS___________________ (Name and address of the Contractor)(hereinafter called "Contractor")
had undertaken, in pursuance of Contract No. ___________________ to execute (Name of Contract
and Brief Description of the Work) _____________________ (hereinafter called “the Contract”).
AND WHEREAS is has been stipulated by you in the said Contract that the Contractor shall furnish
you with a Bank Guarantee as security for compliance with Contractor’s obligations in accordance
with the Contract.
AND WHEREAS we have agreed to give the Contractor such a Bank Guarantee; Now THEREFORE
we hereby affirm that we are Guarantors on behalf of the Contractor, up to a total of (Amount of
Guarantee in figures) _____________ )in words ____________________), such amount being payable in
the types and proportions of currencies in which the Contract price is payable, and we undertake to
pay you, upon your first written demand and without cavil or argument, any sum or sums within
the limits of guarantee sum as aforesaid without your needing to prove or to show grounds or
reasons for your demand for the sum specified therein. We hereby waive the necessity of your
demanding the said debt from the Contractor before presenting us with the demand.
We further agree that no change or addition to or other modification of the terms of the Contract or
the work to be performed there under or of any of the Contract documents which may be made
between you and the Contractor shall in any way cease us from any liability under this guarantee,
and we hereby waive notice of such change, addition or modification.
This guarantee is valid until the ________day of __________
The details of the Issuing Bank and Controlling Bank are as under:
A. Issuing Bank:
BANK FAX NO:
BANK EMAIL ID:
BANK TELEPHONE NO.:
IFSC CODE OF THE BANK:
B. Controlling Office:
Address of the Controlling Office of the BG issuing Bank:
Name of the Contact Person at the Controlling Office with Mobile No. and e-mail address:
Contd…. P/2
Page 4 of 9
Page No. 2
Notwithstanding anything contained herein:
a) Our liability under this Bank Guarantee shall is restricted up to Rs………………………...
b) This guarantee shall be valid till …………………………...
c) We are liable to pay the guaranteed amount or any part thereof under this BankGuarantee
only and only if you serve upon us a written claim or demand on or before …………. (Date of
Expiry of BG PLUS one year claim period).
d) At the end of the claim period that is on or after ………. (Date of expiry of theBank Guarantee
Plus Minimum of 1 year claim period shall be stipulated) all your rights under this Guarantee
shall stand extinguished and we shall be discharged from all our liabilities under this
Guarantee irrespective of receipt of original Bank Guarantee duly discharged, by Bank.
Name of the Contact Person at the Controlling Office with Mobile No. and e-mail address:
a) SIGNATURE AND SEAL OF THE GUARANTORS __________________________________________
b) Designation _____________________________________________________________________________
c) Name of the Bank________________________________________________________________________
d) Addres___________________________________________________________________________________
Note:
* The Bidder should insert the amount of the guarantee in words and figures.
** Date of expiry of Bank Guarantee should be minimum 30 days after the end of the validity
period of the Bid/as specified in the Tender.
*** The Bank Guarantee issuing bank branch shall ensure the following:
a. The Bank Guarantee issued by the Bank must be routed through SFMS platform as per
following details:
(i) MT 760/ MT 760 COV for issuance of Bank Guarantee
(ii) MT 760/ MT 767 COV for amendment of Bank Guarantee
The above message / intimation shall be sent through SFMS (indicating the Contract Number)
by the BG issuing bank branch to ICICI BANK, Duliajan Branch; IFSC Code – ICIC0000213;
SWIFT Code – ICICINBBXXX; Branch Address: ICICI Bank Ltd., Kunja Bhavan, Daily Bazaar,
Duliajan, Dibrugarh, Assam -786602.
b. Bank Guarantee issued by a Scheduled Bank in India at the request of some other Non-
Scheduled Bank of India shall not be acceptable.
c. Further correspondence against BG towards Performance Security must contain the
Contract Number.
Page 5 of 9
Annexure-V
UNDERTAKING BY VENDOR ON SUBMISSION OF BANK GUARANTEE
To,
The Oil India Limited
Contracts Department
Duliajan – 786602
Assam
We M/s .........................................................................are submitting the Bid Security/
Performance Security (strike out whichever not applicable) in favour of Oil India Limited, Duliajan
in the form of bank guarantee bearing Reference No. ....................................................................
for an amount of INR .................................................valid up to ............................................. as
per termsandconditions of the Tender/Contract No. ...........................................
BG issuing bank details:
Bank:
Branch:
IFS Code:
Contact Details Mobile No.:
E-mail Addresses: Telephone No.:
Fax No.:
Correspondence Address State:
H No/Street/City: Country:
Pin Code:
Declaration:
We have arranged to send the confirmation of issuance of the bank guarantee via SFMS
portal through our bank using the details mentioned in the tender/contract and hereby
confirming the correctness of the details mentioned.
AuthorizedSignature: __________________
Name: _________________________________
VendorCode: __________________________
EmailID: ______________________________
MobileNo.: ____________________________
Enclosure: Original bank guarantee
Page 6 of 9
Annexure-VI
DECLARATION ABOUT BIDDER’S FINANCIAL STANDING
To,
CGM-CONTRACTS
OIL INDIA LIMITED
DULIAJAN - 786602
Sub: Undertaking/Declaration regarding financial standing
Ref: Tender No. CDC5553L24
We, _________________________ (name of bidder), hereby confirm that:
(1) We are neither bankrupt nor undergoing any insolvency resolution process or liquidation or
bankruptcy proceeding under any law.
(OR)
(2) No insolvency resolution process or liquidation or bankruptcy proceeding is initiated under any
law against us.
Place: _____________________
Date: ______________________
____________________________________
(Name & Signature of the authorised
signatory of the bidder)
Page 7 of 9
Annexure-VII
DECLARATION THAT BIDDER IS NOT UNDER HOLIDAY
LIST/DELISTED/BLACKLISTED/DEBARRED IN OIL
To,
CGM-CONTRACTS
OIL INDIA LIMITED
DULIAJAN - 786602
Sub: Undertaking/Declaration regarding Holiday List, debarment etc.
Ref: Tender No.CDC5553L24
We, ____________________________ (Name of the bidder) hereby declare that neither our company nor
any of its allied concerns, partners or associates or directors or proprietors involved in any capacity,
are currently put on holiday list/banning list by OIL debarring us/them from carrying on business
dealings with OIL.
Place: _____________________
Date: ______________________
____________________________________
(Name & Signature of the authorised
signatory of the bidder)
Page 8 of 9
Annexure-VIII
Declaration by the vendor/party for confirmation of Term deposit/Fixed Deposit
from the issuing bank
To,
M/s Oil India Limited,
P.O. Duliajan, Assam, India
Sub: Contract No. ……………………
Full address of the issuing bank :
Branch Code :
Authorised signatory with full name :
and designation
Phone (Mobile) Numbers of the branch :
Email address of the branch :
Such fixed/term deposit must be :
pledged in favour of OIL and it must
in the printed form on the physical
original FDR in words ‘’Pledged in
favour of Oil India Limited’’
Authorised Person’s Signature: _________________
Name: _______________________________
Designation: _________________________
Seal of the Bank:
Page 9 of 9
