CONTRACT NO: ORM-1429

“Rate contract for repairing Drive Control Unit (DCU) cards of

RS-2 trains”

FORM OF TENDER (FOT)

TENDER DOCUMENTS

DELHI METRO RAIL CORPORATION LTD.

5th FLOOR, C-WING, METRO BHAWAN,
FIRE BRIGADE LANE, BARAKHAMBA ROAD,
NEW DELHI 110001
Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER (FOT)

To,
CE/Tender (O&M),
Delhi Metro Rail Corporation,
5th floor, C-Wing, Metro Bhawan,
Fire Brigade Lane, Barakhamba Road,
New Delhi –110001
1. Having inspected the site and examined the General Conditions of Contract (November, 2019),
Special Conditions of Contract, Conditions of contract on Safety & Health and Environment,
Employer’s Requirements, Specifications, Tender Drawings (if any), Instructions to Tenderers
including Bill of Quantity and addenda thereto (if any) issued by the DMRC for the execution of above
mentioned works, and the matters set out in Appendix 1 hereto, and having completed and prepared
Appendices 2, 3, 4, 5, 5A, 6, 7, 8, 8A, 9, 10, 11, 12, 13, 14, 15, 16 & 17 hereto, we hereby (jointly
and the severally)* offer to execute and complete the whole of the said works and commissioning and
remedying any defects therein, in conformity with the above documents within the completion period
of 02 (Two) Years (from the date of commencement) for the sum stated in the Bill of Quantities
(Financial Bid) as completed by us and appended hereto.
2. We undertake (jointly and severally)*
(a) to keep this Tender open for acceptance without unilaterally varying or amending its terms for the
period stated in Notice of Invitation to Tender hereto (the withdrawal of any member or any other
change in the composition of the partnership/joint venture/consortium on whose behalf this Tender
is submitted shall constitute a breach of this undertaking)*; and
(b) If our Tender is accepted, to provide Guarantees, Undertakings and Warrantees for the due
performance of the Contract as stipulated in the General Conditions of Contract, Special
Conditions of Contract and Appendix-1 hereto; and
(c) to hold in confidence all documents and information whether technical or commercial supplied to us
at any time by or on behalf of the DMRC in connection with this Tender or with the above-
mentioned Works and, without your written authority or as otherwise required by law, not to publish
or otherwise disclose the same.
3. We submit with this Tender a duly executed Tender Guarantee in respect of our obligations under
this Tender.
4. Unless and until a formal Agreement is prepared and executed, this Tender, together with your
written acceptance thereof, shall constitute a binding contract between us.
5. We understand that you are not bound to accept the lowest or any tender you may receive.
6. We declare that the submission of this Tender confirms that no agent, middleman or any intermediary
has been, or will be engaged to provide any services, or any other item of work related to the award
and performance of this Contract. We further confirm and declare that no agency commission or any
payment, which may be construed as an agency commission has been, or will be, paid and that the
tender price does not include any such amount. We acknowledge the right of the Employer, if he finds
to the contrary, to declare our Tender to be non-compliant and if the Contract has been awarded to
declare the Contract null and void.
7. We acknowledge that the Appendix forms an integral part of the Tender.
8. If our Tender is accepted we understand that we are to be held solely responsible for the due
performance of the Contract.

9. We are not participating, as a Tenderer, in more than one tender in this tendering process and we are
not sub-contractor to any other tenderer participating in this tendering process in accordance with A5
of ITT.
10. We do hereby undertake that we have not been banned or business by DMRC/ any other Metro
Organizations/ 100% owned by Govt.)/ Ministry of Housing & Urban Affairs/ Order of Ministry of
Commerce, applicable for all Ministries and also that none of our work was rescinded/ terminated by
DMRC/ any other Metro Organizations/ 100% owned by Govt.) after award of contract during last 3
years due to non-performance.

Form of tender Page 1 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

Dated this…………day of…………. 2023.

Signature …………………………………
Name………………..……………… in the capacity of …………………………..
duly authorized to sign Tenders for and on behalf of…………..…………………

Address ……………………………………………………………………..………..

* Note:
If the Tenderer comprises a partnership, joint venture or consortium:
(a) The provisions marked with an asterisk are to be retained subject to deletion of the brackets
and inapplicable descriptions (i.e. partnership, joint venture or consortium).
(b) The liability of each member under the Tender, and under any contract formed upon its
acceptance, will be joint and several.

(c) An authorised representative of each member must sign the Tender.

(d) Copies of the relevant power of attorney shall be attached.

Form of tender Page 2 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX -1

APPENDIX TO THE FORM OF TENDER

REF TO
S.N. DESCRIPTION CLAUSE REQUIREMENT
NO.
10% of the annual value of Contract Price in
types and proportions of currencies in which
Clause 4.2 of the contract price is payable. In the event of
Amount of Performance the GCC and variations during the execution of the contract
I
Security clause 3 of which result in payments to the Contractor over
SCC and above the contract price, the Performance
Security shall be adjusted in accordance with
clause 4.2 of GCC.
Latest ‘date for Clause 8.1 of Date given in LOA or Employer’s Notice to
ii
commencement’ of the Works the GCC Proceed

‘Time for completion’ of the

Clause 8.2 of 02 (Two) Years.
iii work from the date of
the GCC
commencement of the work

(i) 0.015% of contract price per day of delay in

completion of whole work.
Clause 8.5 of
iv Liquidated Damages (ii)Total maximum limit of LD including sums
the GCC
payable by the employer to designated
contractors is 15% as mentioned in GCC.

As per clause 10 of SCC and clause 8 of

‘Defects Liability Period’ for Clause 10 of
v Employer’s Requirement and Technical
the whole of the Works the GCC
Specifications.

Clause 11.2 No advance shall be payable as per clause No.

vi Amount of advance payment
of the GCC 13 of SCC.

Insurance for workers/ Clause 15.4

vii As per clause 14 of SCC.
employees of the GCC

Insurance cover for

Contractor’s All Risk and other Clause 15 of
viii Not applicable
requirements as specified in the GCC
the GCC
Clause 5.8
Amount of Third Party
ix and 15.3 of As per clause 14 of SCC.
Insurance
the GCC

Period in which all insurances Clause 15.5 Within 1 week from the “date of
X
have to be effected of the GCC commencement”

Date : ………………….. STAMP & SIGNATURE OF AUTHORIZED

SIGNATORY
Place :………….. ……….
ON BEHALF OF TENDERER

Form of tender Page 3 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX –2

UNDERTAKING
1. We, hereby undertake that, the bill of Quantities & Schedule of Payments duly completed in all
respect has been uploaded by us in Package 2 – Financial Package.
2. It is confirmed that we or any of our associates have not been engaged in any fraudulent and
corrupt practice as defined in clause 4.33 of General Conditions of Contract (GCC) and that no
agent, middleman or any intermediary has been, or will be, engaged to provide any services, or
any other items of work related to the award or any payment which may be construed as an agency
commission has been, or will be, paid and that the tender price will not include any such amount.
3. We hereby undertake that the tender and the tender documents purchased as a necessary part of
our preparation of this tender shall be used solely for the preparation of the tender and that if the
tender is successful, shall be used solely for the this works.
We further undertake that the aforesaid tender drawings and documents prepared by Delhi Metro
Rail Corporation Ltd. shall not be used in whole, in part or in any altered form on any other project,
scheme, design or proposal that the joint venture, the joint venture parent companies or sub-
contractors of the joint venture are, or will be involved with either in India or any other country.

4. We here by confirm that, we have downloaded/ read the complete set of tender documents (as
detailed in NIT Clause 1.3)/addendum/clarifications along with the set of enclosures hosted on e-
tendering portal https://eprocure.gov.in/eprocure/app. We confirm that we have gone through the
bid documents, addendums and clarifications for this work placed up to the date of opening of bids
on the e-tendering portal https://eprocure.gov.in/eprocure/app. We confirm our unconditional
acceptance for the same and have considered for these in the submission of our financial bid.

STAMP & SIGNATURE OF AUTHORIZED SIGNATORY

ON BEHALF OF TENDERER

(Each member in case of JV/Consortium)

Form of tender Page 4 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER-APPENDIX-3

PROFORMA FOR STATEMENT OF MINOR DEVIATIONS

(Refer Clause C2.2 (d) of ITT)

1. The following are the particulars of minor deviations from the requirements of the Tender
Documents :

S. Clause Deviations Remarks (including Confirming that

No. justification) Price of
adjustment of
each deviation/s
is given in
Appendix-3A of
financial package
(Yes/No)

Note:
1. The Tenderer shall indicate price adjustment against each deviation in Appendix-3A of BOQ.
This price is the price which the tenderer shall reduce from his tender price if deviation(s)
is/are accepted by the Employer.
2. Where there is no deviation, the statement should be returned duly signed with an
endorsement indicating ‘No Deviations’. In case, Performa of deviations is not submitted or
submitted as blank, it will be construed that the tenderer has not proposed any deviations
from tender documents.
3. If the tenderer proposes deviations in tender documents and/or any other terms and
conditions of the tender, other than in this Appendix, it will have no effect.

STAMP & SIGNATURE OF AUTHORIZED SIGNATORY

ON BEHALF OF TENDERER

Form of tender Page 5 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER-APPENDIX- 4
(Page 1 of 2)
GENERAL INFORMATION DATA
(Refer Clauses A4.1 of ITT)
A. TENDERER INFORMATION SHEET

Tenderer’s Legal Name

Please tick appropriate category:

Sole Proprietorship Firm

Partnership Firm
Private Limited Company
Legal status of the Tenderer
Public Limited Company
Joint Venture
Consortium

Legal Name of JV/Consortium member % participation

In case of JV/Consortium, Legal
1.
name of each partner with
percentage participation (also
2.
provide information of each
member in separate sheet (page 2
3.
of 2)

Lead member of JV/Consortium

Tenderer’s legal address in India,

telephone numbers, fax
numbers, email address for
communication

Tenderer’s authorized signatory

(name, designation, address,
contact no.)
Tenderer’s authorized
representative (Name, Designation,
Address, Contact no.)

FOLLOWING NEEDS TO BE SUBMITTED BY THE TENDERER: (by each member in case of

JV/consortium) :

a) Affidavit in case of Proprietary firm.

b) Partnership Deed in case of partnership firm.
c) Memorandum & Article of Association in case of a Public/Private limited company.
d) In case of JV/Consortium, MoU/Agreement (duly notarized) entered into by the joint venture /
consortium members, containing intended percentage participation, nomination of Lead
Member and division of responsibility to clearly define the work of each member etc.
e) Authorization/POA in favour of authorized signatory of tenderer to sign the tender, and also in
favour of authorized representative of each member in case of JV/Consortium.
Note: Tenderer’s authorised representative shall be deemed to have authority of the
tenderer to receive and deliver any correspondence and attend meetings with DMRC related
to the tender.

STAMP & SIGNATURE OF AUTHORIZED SIGNATORY

ON BEHALF OF TENDERER

Form of tender Page 6 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER-APPENDIX- 4
(Page 2 of 2)

B. JV/CONSORTIUM MEMBER INFORMATION

MEMBER – 1

JV/Consortium Member’s Legal Name

Please tick appropriate category:

Sole Proprietorship Firm

Partnership Firm
Legal status of the Member Private Limited Company
Public Limited Company
Joint Venture
Consortium

Member’s country of constitution

Member’s legal address, telephone

numbers, fax numbers, email address)

Member’s authorized representative

(name, designation, address)

MEMBER – 2

JV/Consortium Member’s Legal Name

Please tick appropriate category:

Sole Proprietorship Firm

Partnership Firm
Legal status of the Member
Private Limited Company
Public Limited Company
Joint Venture
Consortium
Member’s country of constitution

Member’s legal address, telephone

numbers, fax numbers, email address)

Member’s authorized representative

(name, designation, address)

STAMP & SIGNATURE OF AUTHORIZED SIGNATORY

ON BEHALF OF TENDERER

Form of tender Page 7 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX- 5

(UNDERTAKING)
(Ref. Clause C2.2 (f) of ITT)
1. I/We hereby confirm and declare that my/our firm/company M/s............................................ has not
been put on defaulter list by EPF/ESI/GST/Labour Deptt. etc. as on the date of tender submission.

2. I/We hereby confirm and declare that my/our firm/company M/s............................................ is /are
not involved in any illegal activity and/or has not been charge sheeted for any criminal act during
last five years(from the last day of the previous months of tender submission).

3. I/We further undertake that in case any of the facts sworn in as mentioned above and any
particulars mentioned in our applications are found other-wise or incorrect or false at any stage,
my/our firm/ company shall stand debarred from the present and future tenders of the DMRC.
Besides, DMRC shall be entitled to take all such actions as may be deemed fit under the provision
of this Agreement as well as under the frame work of law including termination of contract, if
awarded, without any claim for any compensation, damages, costs etc. whatsoever on account of
such premature closure of the contract.

4. We do hereby undertake that DMRC / Any other Metro organisation (100% owned by Govt.),
Ministry of Housing and Urban Affairs / Order of Minister of Commerce, applicable for all Minister
has not banned business with us as on the date of tender submission. Also any work of the value
more than 10% of NIT cost of work, executed either individually or in a JV/ Consortium, has not
been rescinded / terminated by DMRC / Any other Metro organisation (100% owned by Govt.), after
award of contract to us during last 3 years (from the last day of the previous months of tender
submission) due to our non-performance.

5. I/We do hereby undertake that we have been neither penalized with liquidated damages of 10% (or
more) of the contract value in a contract due to delay nor imposed with penalty of 10% (or more) of
the contract value due to any other reason in the works awarded by DMRC / Any other Metro
organisation (100% owned by Govt.) contract of value more than 10% of NIT cost of work executed
either individually or in a JV/ Consortium during last three years (from the last day of the previous
months of tender submission).

6. We do hereby undertake that we have not suffered bankruptcy/insolvency during the last 5 years
(from the last day of the previous months of tender submission)

I/We know that to swear a false undertaking is a crime under the law and with such knowledge only I have
swear this Undertaking.

(Signature of Authorized Signatory)

DEPONENT

Verified at ......................... on.....................that the contents of paras 1 to 6 of this undertaking are true and
correct and no part of this is false and nothing material has been concealed or falsely stated therein.

Signature of Tenderer
(Each member in case of JV/Consortium)

DEPONENT

Note:
1. In case of JV/Consortium, the undertaking shall be submitted by each member of the
JV/Consortium.
2. The undertaking shall be signed by authorized signatory of the tenderer. In case of JV/Consortium
by the authorized signatory of the constituent members counter signed by the authorized signatory
of tenderer.

Form of tender Page 8 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER-Appendix-5A

(Undertaking by JV/Consortium members)

We understand that,

1. In case, it comes to notice of DMRC either during or even after completion of Work that
JV/Consortium members have either altered/modified the MOU/ JV agreement wrt to the MOU
submitted at tendering stage or entered a separate MOU/ Agreement or made any other
arrangement akin to a contract without the specific approval of Employer in writing, it shall be
treated as a fraudulent practice under GCC clause 4.33.1 (a) (ii) of this tender for which every
constituent member of the JV/Consortia is liable to be debarred for a period upto three years along
with such other legal actions as may be permissible under the law.

2. Apart from all of us being jointly and severally responsible we understand that each of us shall also
be individually responsible for our duties as specified in the MOU/JV agreement submitted in terms
of clause 1.2.1 (vii) (d) of NIT. In case our JV/Consortium qualifies the criteria of work experience
on the basis of our experience, each of us shall be responsible for deployment of key staff as per
clause C12 of ITT. In case of failure on our part in fulfilling these duties, the performance security
submitted by us may be forfeited by the Employer in addition to other actions.

3. We are aware that our performance shall be adjudged by the Employer on quarterly basis, and if
the same is not found satisfactory, actions as deemed appropriate by the Employer may be taken
including termination of contract or termination of any of JC/Consortium member (s) from the
contract i.e. Part Termination of the contract as elaborated in NIT clause 1.2.1 i (Eligible
Applicants) We are also aware that the performance of each of us may be specifically stated in the
work experience certificate/performance Certificates which may be issued to us during or after
execution of Work for our Business Development purposes.

(i) STAMP & SIGNATURE OF AUTHORISED SIGNATORY

OF 1ST MEMBER OF JV/Consortium

(ii) STAMP & SIGNATURE OF AUTHORISED SIGNATORY

OF 2nd MEMBER OF JV/Consortium

AND SO ON………….

STAMP & SIGNATURE OF AUTHORISED SIGNATORY BEHALF OF JV/Consortium

Note:

1. This undertaking shall be signed by each of the JV/Consortium members.

2. The undertaking shall be signed by the authorised signatory of each constituent member and
counter signed by the authorised signatory of JV/ Consortium

Form of tender Page 9 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX- 6

Obligation/ Statutory Compliance to be ensured by Contractor (Undertaking)

(Ref. Clause C20 of ITT)

1. I/We hereby confirm and declare that I/We will ensure compliance of obtaining license for
employing contract labour.
2. I/We hereby confirm and declare that I/We will compliance of minimum wages Act by payment of
wage on 7thof every month through Bank or in the presence of nominated representative of
employer (DMRC Supervisor/manager)
3 I/We hereby confirm and declare that I/We will compliance of provision of ESI & EPF Act & will
ensure treatment in ESI hospital in case of accident/injuries suffered in performance of work and
compensation under ESI Act.
4 I/We hereby confirm and declare that I/We will send Accident report to Regional Labour
Commissioner (RLC) & ESI authorities.

5 I/We hereby confirm and declare that I/We will observance of working hours, weekly rest and
overtime payments as per minimum wages Act-1948.

(Signature of Authorized Signatory)

(Each member in case of JV/Consortium)

Form of tender Page 10 of 21

 Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX- 7

WORK EXPERIENCE
(Ref. Clause 1.2.2 (A) of NIT)
(DOCUMENTS RELATED TO WORK EXPERIENCE MENTIONED IN THIS APPENDIX ONLY SHALL BE
CONSIDERED FOR EVALUATION OF WORK EXPERIENCE CRITERIA).
Applicant’s legal name…………………………........ ………………………Date……………………………….

Group Member’s legal name…………………………………………………… Page ……….. of ………..pages

Type of Participation: Substantial/ Non-substantial (Tick whichever is applicable)
For works as per clause no. 1.2.2 (A) of NIT at the price level on last day of month previous to the month the tender
submission (considering escalation as per Clause 1.2.2 (A) of Notes Bullet no.3)

S.
No. Work-I Work-II Work-III

1. Name of work

2. Contract Identification Number

3. Award Date
Date of Completion (In case of
4.
completed works)
5. Employer’s Name
Employer’s Address: Telephone
6.
/ Fax number: E- Mail
Role in Contract(Individual OR
7.
JV/Consortium member)
Completion Cost/ Value of
actually executed Works
a. Currency (as stated in Clients
8. Certificate)
b. In equivalent INR as on last
day of the previous month of
tender submission price level
Value of “Similar Work” as per
clause 1.2.2 A of NIT. (Refer
Note 3 below)
a. Currency (as stated in Clients
9.
Certificate)
b. In equivalent INR as on last
day of the previous month of
tender submission price level
If JV/Consortium member,
specify percentage participation
in contract & amount (Please
refer Note-1)
10.
a. %age participation
b. In equivalent INR as on last
day of the previous month of
tender submission price level
Contract delayed, i.e., completed
beyond the original date of
11
completion. Please mentioned
‘Yes’ or ‘No’.
NOTE:
1. Only the value of contract as executed by the applicant/member in his own name should be indicated. Where a
work is undertaken by a group, only that portion of the contract which is undertaken by the concerned
applicant/member should be indicated and the remaining done by the other members of the group be excluded.
This is to be substantiated with documentary evidence.
2. Separate Proforma shall be used for each member in case of JV/Consortium.
3. If the above work(s) comprises of works other than “similar work” also, than client’s certificate clearly indicating the
amount of “similar work” shall be furnished by tenderer.
4. Reasons of delay whether on contractors account or on account of Employer in each applicable case need to be
enclosed separately.
5. Separate sheets for additional works, if required, as per NIT may be submitted.
Stamp &Signature of Tenderer

Form of tender Page 11 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX- 8

Financial DATA

(Ref. Clause 1.2.2 (B) of NIT)

Applicant’s legal name …………………………
Date ………………………………..............

Group Member’s legal name………………………… Page ……….. of ……….. Pages

Each Applicant or member of a JV/Consortium must fill in this form

S.N. Description Financial Data for Latest Last 3 Years (Indian Rupees in
Lakhs)
2019-2020 2020-2021 2021-2022
1.
Total Assets
2. Current Assets
3. Total External Liabilities
4. Current Liabilities
5. Annual Profits Before
Taxes
6. Annual Profits After
Taxes
7. Net Worth[= 1 - 3]
8.
Liquidity [=2 - 4]
9. Return on Equity

10. Gross Annual turnover

Attach copies of the audited balance sheets, including all related notes, income statements for the
last three audited financial years, as indicated above, complying with the following conditions.
1. Separate Performa shall be used for each member in case of JV/Consortium.
2. All such documents reflect the financial data of the Applicant or member in case of
JV/Consortium, and not sister or Parent Company.
3. Historic financial statements shall be audited by Statutory Auditor of the Company under
their seal & stamp and shall be strictly based on Audited Annual Financial results of the
relevant period(s). No statements for partial periods will be accepted.
4. Historic financial statements must be complete, including all notes to the financial
statements.
5. Return on Equity = Net Income / Shareholders Equity
Return on Equity = Net Income is for the full fiscal year (before dividends paid to common
stock holders but after dividends to preferred stock).

Shareholders equity does not include preferred shares.

6. The above Appendix shall be duly certified by Chartered Accountant / Company

Auditor under his signature & stamp, membership number and Unique Document
Identification Number (UDIN).
7. In case financial statements for any of the financial year are not required to be
audited as per any relevant section of the Income Tax Act, then, same should be
supported by CA(Chartered Accountant) certificate alongwith all the GST returns,
ITR-3/4 (including all the forms) and form 26AS for each of the financial year not
liable to be audited as per relevant section of the income tax Act.

Form of tender Page 12 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX- 8A

{Affidavit for Unaudited Balance Sheet as per First Bullet of Notes of NIT Clause 1.2.2(B)(i)}

(On a non-judicial stamp paper of appropriate value)

(To be filled by the bidder* in case their Balance Sheet for F.Y. 2021-2022 has not been audited.
If the Balance sheet for F.Y. 2021-2022 has been audited then the bidder need not to fill this
form or may simply write “NOT APPLICABLE”)

I,………………………………………………………….…….. (Name and designation of Authorised signatory)

of………………………………………….………...……….…………………………………………………(Name of

Company/ Firm/ Proprietorship/ Partnership) hereby confirm that the Balance sheet for Financial year

i.e. F.Y. 2021-2022 has actually not been audited/ or under finalisation so far.

Signature of authorized signatory on behalf of Tenderer

Form of tender Page 13 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX-9

FINANCIAL DATA

Deleted

FORM OF TENDER- APPENDIX-10

WORKS IN HAND
Deleted

FORM OF TENDER- APPENDIX- 11

(Undertaking as per clause 1.2.1 (v)(c) of NIT)
Deleted

Form of tender Page 14 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX- 12

(Undertaking as per Clause 1.2.1 ix (d) of NIT)

We hereby jointly and severally certify in accordance with clause '9.a' of Order no. P-45021/2/2017- PP
(BE-II) of Ministry of Commerce and Industry, Department for Promotion of Industry and Internal Trade
(DPIIT), Government of India dated 04.06.2020, that the item(s) offered meets the minimum local
content of 60% / 20% and we meet the minimum local content requirement for ‘Class-I local supplier’ /
‘Class-II local supplier’ (strike-through whichever is not applicable). The details of the local value
addition enclosed asAppendix-13 of FOT.

We acknowledge that false declaration by the tenderer regarding local value addition including
payments to be made to their vendors for local value addition shall be treated as a fraudulent practice
under GCC clause 4.33.1(a) (ii) of this tender for which the tenderer or its successors can be debarred
for a period upto three years along with such other actions as may be permissible under the law.

In cases of procurement for a value in excess of Rs. 10 crores, we also undertake to submit a certificate
from statutory auditor or cost auditor of the company (in the case of companies) or from a practising
cost accountant or practising chartered accountant (in respect of suppliers other than companies) giving
the percentage of local content, in accordance with Clause ‘9.b’ of the Order no. P-45021/2/2017-PP
(BE-II) of Ministry of Commerce and Industry, Department for Promotion of Industry and Internal Trade
(DPIIT), Government of India dated 04.06.2020, after completion of works to the Engineer.

STAMP & SIGNATURE OF AUTHORIZED SIGNATORY

ON BEHALF OF TENDERER

Note:

1. This appendix need to be submitted only by Class-I local supplier’ / ‘Class-II local supplier’ as
defined in Clause 1.2.1 ix of NIT.
2. The undertaking shall be signed by authorized signatory of the tenderer. In case of
JV/Consortium by the authorized signatory of the constituent members counter signed by the
authorized signatory of tenderer.

Form of tender Page 15 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX-13

Proforma for Submission of the List of the Goods, Works & Services Tentatively Proposed to be
offered with Local Value Addition

% of Local content (as defined in clause 1.2.1

S. No. Schedules of BOQ ix of NIT) with respect to cost of the respective
Schedule of BOQ

1. Schedule-A

STAMP & SIGNATURE OF AUTHORIZED SIGNATORY

ON BEHALF OF TENDERER

Form of tender Page 16 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX – 14

(Ref. Clause C2.2 (q) of ITT)

UNDERTAKING

I/We [Name of the bidder] have read the clause(s) regarding restrictions on procurement from a bidder of a
country which shares a land border with India and on sub-contracting to contractors from such
countries. I/We [Name of the bidder] certify that we are not from such a country or, if from such a country,
has been registered with the Competent Authority and will not sub-contract any work to a contractor
from such countries unless such contractors with the Competent Authority. I/We hereby certify that
[Name of bidder] fulfils all requirements in this regard and is eligible to be considered.

*Strike off the highlighted text in case of tenders for Works not involving possibility of sub-contracting.

STAMP & SIGNATURE OF AUTHORIZED SIGNATORY OF TENDER

NOTE:

1. In case of JV/Consortium, the undertaking shall be submitted by each member of the JV/Consortium.

2. The undertaking shall be signed by authorized signatory of the tenderer or constituent member in case
of JV/Consortium.

If the aforesaid certificate given by a bidder whose bid is accepted is found to be false, it will be considered
as “fraudulent practice” under clause 4.33.1a (ii) of GCC and this would be a ground for immediate
termination besides taking further action as per Clause 4.33.1(b) /legal action in accordance with law.

Form of tender Page 17 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX-15

DETAILS OF BANK ACCOUNT FOR REFUND OF TENDER SECURITY/EMDTHROUGH

NEFT/ RTGS

(Ref. Clause C2.2 (r) of ITT)

1. Name of the firm/ Bidder:

2. Complete Address:

3. PAN of Tenderer:

4. GSTIN of Tenderer:

5. Name of the Bank:

6. Branch:

7. Address of the Bank Branch:

8. Account Type:

9. Account Number:

10. IFS Code of the bank Branch:

11. MICR Code of the Bank Branch:

12. Whether a cancelled Cheque of the Bidder/Firm submitted: Yes or No (Please tick)

(A canceled cheque to be enclosed)

Certified that the information furnished above is correct.

Signature of the Authorized person of the

Firm/ bidder with seal & Date

Notes:-
a) EMD/Tender Security will be refunded through NEFT/RTGS/IMPS/DD/Banker’s Cheque/ any
other mode of payment, in the name of firm and bank account mentioned in this appendix, which
shall be of same firm and account through which EMD/Tender Security has been paid to DMRC.
b) EMD/Tender Security shall be paid in compliance with ITT Clause C18.1.2 / C18.1.3

Form of tender Page 18 of 21

Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER - Appendix- 16

(Pending Litigation as per Clause 1.2.1 v (f) of NIT)

(to be submitted by tenderer (single entity) or by each member separately in case of

JV/Consortium)

Applicant’s legal name………. Date…………... JV/Consortium

Members legal name…....... Page ….. Of….. Pages Net
Worth of the tenderer/ JV/Consortium Member INR* ….... Crore during last audited financial year

S.No Contract Identification Year of Total Total amount Applicant s Applicant

award completed in dispute percentage s share of
.
cost (including participation disputed
(current claims & (in case of amount
value in counter claim) work executed (INR*)
case of (INR*) by the
ongoing applicant in
work) (INR*) JV/Consortium

(1) (2) (3) (4) (5) (6) (7)=(5) x

(6)
Contract Identification:
Name of Employer:
Address of Employer:
Matter in dispute: [indicate
main issues in dispute]
Status of dispute: [indicate
if it is under Arbitration or
being dealt with by the
Judiciary]
1
2
Add Required no of rows
Total of amounts of all contracts in dispute (INR*)
Percentage of net worth
* or respective currency

STAMP & SIGNATURE OF AUTHORISED SIGNATORY

Note:
1. In case of JV/Consortium, this information shall be submitted by each member of the JV/Consortium.
2. This information shall be signed by authorized signatory of the tenderer. In case of JV/Consortium by
the authorized signatory of the constituent members counter signed by the authorized signatory of
tenderer.

Form of tender Page 19 of 21

 Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

FORM OF TENDER- APPENDIX-17

(Ref. Clause C23 of ITT)
CHECK LIST FOR TECHNICAL AND FINANCIAL SUBMISSION
Open E-Tender, in Two Bid System Contract: ORM-1429: “Rate contract for repairing Drive Control Unit
(DCU) cards of RS-2 trains”.
Name of the Firm/Tenderer : M/s . . . . . . . . . . . . . . . . . . . . . . . .
Reference
Submitted
Page No.
S. No. Item in the
Yes No Technical
Submittal
CHECK SHEET FOR TECHNICAL SUBMISSION
Documents required to be submitted along with the Technical Package
1 Tender Cost and Tender security (EMD) Details
Scanned copy of payment of Cost of Tender Documents/ Tender fee
1.1
of requisite amount along with UTR No.
Scanned copy of payment of Tender security of requisite amount
1.2 along with UTR No.(in case of payment through RTGS,NEFT and
IMPS)
2 POWER OF ATTORNEY
Copy of POA/authorization in favour of authorized signatory of tender
2.1
documents.
Authorization in favour of signatory to the POA (i.e. Board
2.2
Resolution/MOU etc.)
Submitted POA/ authorization contains specimen signature of
2.3
authorized signatory to tenderer.
In case of JV/Consortium, POA by each member in their authorized
2.4
signatory.
Submitted POA is duly notarized and submitted copy of POA is
2.5
Attested.
Does in case of foreign firm the POA/MOU/JV Agreement is notarised
2.6 in the country of origin and stamped by Indian Embassy/High
Commission.
Documents of constitution of the legal entity (Undertaking for
2.7 proprietorship / Partnership deed / Memorandum and Articles of
Association), each member in case of JV/consortium.
3 DOCUMENTS REQUIRED AS PER CONTRACT
3.1 Form of Tender (FOT) duly signed by Authorised signatory.
3.2 Contract Conditions- Appendix-1 of FOT.
3.3 Undertaking - Appendix-2.
3.4 Proforma for Statement of deviations- Appendix-3

3.5 General information & Joint Venture Data- Appendix-4

In terms of Appendix- 4/ point nos. (a), (b) & (c) of FOT, whether
documents of constitution of the legal entity (Undertaking for
3.6(a)
proprietorship / Partnership deed / Memorandum and Articles of
Association) is submitted (each member in case of JV/consortium).
In terms of Appendix- 4/ point nos. (d) of FOT, whether in case of
3.6(b) JV/Consortium, submitted corresponding JV agreement/ consortium
agreement/MOU duly signed by each member of JV/Consortium.
3.6(c) JV agreement/ Consortium agreement/ MOU is duly notarized.

Form of tender Page 20 of 21

 Contract: ORM-1429: “Rate contract for repairing Drive Control Unit (DCU) cards of RS-2 trains”.

Undertaking duly notarised (Non-blacklisting/ Rescinded Etc.)-

3.7
Appendix- 5.
3.7(a) Undertaking by JV/Consortium members. Appendix-5A
Form for obligation/ statutory compliance to be ensured by contractor-
3.8
Appendix-6.
3.9 Undertaking as per clause 1.2.1 (v)(c) of NIT-Appendix-11 Deleted NA NA NA
3.10 Undertaking as per Clause 1.2.1 ix (d) of NIT Appendix-12
Proforma for Submission of the List of the Goods, Works & Services
3.11
Appendix-13.
3.12 Undertaking Appendix-14
Details of refund of EMD through NEFT/RTGS- Appendix-15alongwith
3.13
cancel cheque.
3.14 Pending Litigation as per Clause 1.2.1 v(f) of NIT Appendix-16
3.15 Check List- Appendix-17.
4 WORK EXPERIENCE & FINANCIAL DATA

4.1 Work Experience- Appendix- 7.

Client’s Completion Certificate in support of their work experience
4.1 (a)
corresponding to the details given in Appendix-7 of FOT.
4.2 Financial data- Appendix- 8.
Affidavit for unaudited balance sheet Appendix- 8A of FOT (if
4.2 (a)
applicable)
Audited balance sheet of last 3 financial years in terms of clause
4.2 (b)
1.2.2/Notes of NIT.
4.3 Financial data- Appendix- 9 Deleted NA NA NA
4.4 Works in Hand- Appendix- 10 Deleted NA NA NA
All the forms, Annexures, Appendix etc. submitted as per tender
4.5
document.
5 ADDITIONAL REQUIREMENTS
5.1 PAN No. submitted by tenderer.
Self-attested Copy of the Goods and Service Tax registration
certificate as per Central Goods and Service Tax Act’ 2017 and State
5.2
Goods and Service Tax Act’2017 in the state of Delhi/Haryana/UP i.e.
the place of supply of goods and services.
5.3 EPF Registration No.
5.4 ESI Registration No. and Code No. as per ESI Act 1948.
CHECK SHEET FOR FINANCIAL SUBMISSION
Documents required to be submitted along with the Financial Package
1 Priced Bill of Quantities.
2 Appendix-3A Statement of Minor Deviation
Note: The check list is indicative and not exhaustive. The bidders must go through the complete tender
documents and submit the required document accordingly.

I have checked the above list with our submittal. I am also aware that if the application is not containing the
above documents, our application is likely to be rejected.

Seal:
Date:
STAMP & SIGNATURE OF AUTHORIZED SIGNATORY
ON BEHALF OF TENDERER

Form of tender Page 21 of 21