APPLICATION FORM FOR ENLISTMENT OF VENDORS “Integrated ... of... · 1.0 Pre-qualification...

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APPLICATION FORM FOR ENLISTMENT OF VENDORS “Integrated Facility Management (IFM) Services at Delhi/ Noida/ Gr. Noida Region” BHARAT PETROLEUM CORPORATION LTD., Plot No. A-5&6, Sector-1, Noida - 201301

Transcript of APPLICATION FORM FOR ENLISTMENT OF VENDORS “Integrated ... of... · 1.0 Pre-qualification...

Page 1: APPLICATION FORM FOR ENLISTMENT OF VENDORS “Integrated ... of... · 1.0 Pre-qualification criteria - Integrated Facility Management (IFM) Services M/s Bharat Petroleum Corporation

APPLICATION FORM FOR

ENLISTMENT OF

VENDORS

“Integrated Facility Management (IFM) Services at Delhi/ Noida/ Gr. Noida Region”

BHARAT PETROLEUM CORPORATION LTD., Plot No. A-5&6, Sector-1,

Noida - 201301

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NOTICE TO THE APPLICANTS Bharat Petroleum Corporation Ltd. intends to enlist Vendors for Integrated Facility Management (IFM) Services for Delhi/ Noida/ Greater Noida Region. We are enclosing herewith Application Form for Enlistment along with documents/details required for enlistment, which is required to be filled in by you, complete in all respects and submitted to us. Party’s application form duly filled in and containing all information & supporting documents should be submitted, in a sealed envelope clearly super scribing ‘’Enlistment of Vendors for Integrated Facility Management (IFM) Services at Delhi/ Noida/ Greater Noida Region” to: Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd., 5th Floor, Plot no A-5&6, Sector-1, Noida 201301.

On or before the due date. Application Forms received after the expiry of the above specified date/time shall be rejected outright. BPCL is not responsible for any delay. Incomplete offers shall be rejected outright. Cost/expenditure incurred by the applicant in submitting the application by way of travel, boarding and lodging or any other manner shall be entirely on the applicant’s account. In case the applicant intends to give additional information for which specified space is not sufficient, the party may do so by adding extra sheets by indicating duly at the appropriate column. Clarifications could be sought from the Office of the Manager (Admin. Facilities) North, Bharat Petroleum Corporation Ltd., 5th floor, Plot No. A-5&6, Sector-1, Noida 201301. (On all working days – Monday to Friday from 10 AM to 5:30 PM). The applicant should strictly furnish all the information only in the formats given. The applications not complying with this requirement are liable to be rejected . All the supporting documents should be duly attested / notarized. All the corrections and over writings should be duly countersigned by the applicant. Bharat Petroleum Corporation Ltd. (BPCL) reserves the right to accept/reject any or all applications for enlistment at its sole discretions without assigning any reasons whatsoever. BPCL reserves the right to decide on the number of agencies to be enlisted. Thanking you, Yours faithfully, For Bharat petroleum Corporation Ltd., Manager (Admin Fac) North

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INDEX FOR ‘APPLICATION FOR ENLISTMENT’

1.0 PRE-QUALIFICATION CRITERIA 2.0 APPLICATION FORM FOR ENLISTMENT 3.0 PARTICULARS OF THE AGENCY SEEKING ENLISTMENT 4.0 DETAILS OF THE DOCUMENTS ATTACHED 5.0 FORM OF DECLARATION

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1.0 Pre-qualification criteria - Integrated Facility Management (IFM) Services

M/s Bharat Petroleum Corporation Ltd. wishes to enlist well established reputed & professional vendors for providing Integrated Facility Management Services at Delhi, Noida & Greater Noida. The empanelment of vendors is subject to meeting the following criterions and submission of requisite documents :- 1. The Service Provider should have minimum 5 years of experience in

providing similar services for Mechanised House Keeping / Gardening / Pantry Services / Maintenance of facilities of reputed office buildings / institutes / residential complexes of reputed Companies having built up area not less than 5,00,000 sq. ft. for more than one site.

2. The Service Provider should have executed at least one contract of two

years duration or two contracts of one year duration for Mechanised House Keeping / Gardening / Pest Control / Maintenance of facilities and other related work as detailed in the scope of work in institutes / office buildings of reputed Companies having built up area not less than 5,00,000 sqft. in the last five years.

3. The Service Provider should have executed atleast one contract of total

value of Rs. 4.00 Crores and more in the last two years. 4. Details of experience and past performance of the Service Provider and the

collaborator (in case of collaboration) or of joint venture partner (in case of a joint venture), on works / jobs done of similar nature in the past and details of current work in hand and other contractual commitments, indicating areas and clients are to be submitted alongwith techno-commercial bid, in support of the experience laid down in para (1) and (2) above.

5. In case the Service Provider is a consortium of companies, the leader of the

consortium should satisfy the minimum experience requirement as per para (1) above.

6. Order from atleast three major clients for Integrated Facility Management

System for Office Buildings / Institutes / Residential Complexes etc. 7. IFM Service Provider to provide Banker Statement or CA Statement 8. Submit copy of Valid PAN No., Valid Service Tax Registration, VAT/CST

Registration, ESI & EPF Registration. Employees shall be paid as per Minimum Wages Act.

9. The Service Provider should have adequate number of trained /

experienced skilled workforce / engineers from reputed Hospitality / Catering Institutes, Engineering Colleges, ITI Institutes in their establishment. Preference would be given to Service Providers who have their own training institutes / facilities. All employees of Service Provider to undergo police verification.

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10. The Service Provider should submit proposed process for carrying out following mentioned jobs:-

i) Mechanised House Keeping ii) Gardening iii) Pest Control

iv) Maintenance of facilities e.g. electrical, plumbing, carpentary, maintenance of office equipments etc. and other works associated with the maintenance and upkeep of Office Complex / Residence Complex etc.

The Service Provider should also provide details about manual and

automatic activities carried out in above mentioned jobs. 11. The Service Provider should have a minimum annual turnover of Rs. 30

crores every year during the past three years and the same has to be supported by Audited Financial Statements:-

i) Copy of Audited Balance Sheet for the Financial Year 2011-12,

2012-13 and 2013-14. ii) Copy of Audited Income and Expenditure Statement of last three

years iii) Copy of Audited Profit and Loss Account of last three years iv) Copy of Audit Report of last three years 12. The Service Provider is required to enclose all Quality Accreditations for

the proposed services to be rendered. 13. The Service Provider should have a valid Labour Licence and Licence for

providing Pest Control Services and shall submit copy of the same. 14. The Service Provider should have branch in Delhi or NCR (National Capital

Region). 15. It is mandatory for the Service Provider to provide their current Corporate

Client List. This list should provide details of the Company, name of the contact person of the company and contact address / phone numbers.

16. BPCL officials may visit any of the Service Provider’s facilities / locations, if

necessary, to ascertain the criteria mentioned above. Service Providers shall have requisite permissions / permits / Licences from various Health Department / Other Related Govt. Departments etc.

17. Any application not meeting the requisite criteria or incomplete in any

manner or late receipt is liable to be rejected. BPCL reserves the right to accept or reject any or all applications without assigning any reason.

18. The existing Vendors already empanelled in Northern Region for

providing IFM Services also need to apply for necessary revalidation as per Company Norms.

****

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2.0 APPLICATION FORM FOR ENLISTMENT From Dated: To The Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd, Plot A-5&6, Sector-1 Noida – 201301 Dear Sir, SUB: ENLISTMENT OF VENDORS for “Integrated Facility Management (IFM) Services at Delhi/ Noida/ Greater Noida” In response to your press advertisement inviting applications for the registration of Vendor and after having gone through the documents, I/we hereby submit necessary information/documents, as desired. The application is made by me/ us on behalf of ………………………………………………………………………………………………….. duly authorized to submit the same. We understand that The DGM (HRS) North, Bharat Petroleum Corporation Ltd. reserves the right to reject any/ all or accept any applications without assigning any reasons whatsoever. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm:

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3.0 PERTICULARS OF THE AGENCY SEEKING ENLISTMENT

BHARAT PETROLEUM CORPORATION LTD. ( A GOVT. OF INDIA ENTERPRISE )

Chief Manager (HRS)-NORTH PLOT No. A-5&6, SECTOR-1, NOIDA.

“Integrated Facility Management (IFM) Services for Delhi/Noida/Greater Noida Region”

1. Name of the Organization

_________________________________ _________________________________

2. a) Full Postal Address of Organization

_________________________________

b) Contact Phone / Fax No. _________________________________ _________________________________ 3. Type of Organization

(Individual / Prop. / Partnership / Pvt. Ltd. / Public Ltd.) & Date of incorporation. (Attach copy of the Memorandum and Articles of Association. / Partnership deed, bio-data or prop./partner/directors, as applicable).

_________________________________ _________________________________ _________________________________ _________________________________

4. Place of Business _________________________________ 5. Annual Turnover ( in Lakhs ) ( Attach Copies of Audited Balance

sheets and P&L account for the last 3 years )

Financial Year Turnover

2011-12

2012-13 2013-14

APPLICATION FORM FOR ENLISTMENT OF VENDORS

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6. Details of maximum valued single Job contract completed in last 3 financial years (Attach documentary proof/ client certificate)

:____________________________________________________for Rs.________ Client M/s_________________________

Address :

Contract No. : 7. Details of works executed during last

3 years (Attach documentary proof.) Please furnish relevant details as per Annexure-A

8

Details of Jobs in hand (Attach documentary proofs)

Please furnish relevant details as per Annexure-B

9. Details of registration/enlistment with

other Companies (Attach documentary proof.)

(a) Organization____________________ (b) Financial limit___________________

10. Valid PAN No. Please attach copy for documentary proof. 11. Bankers Certificate (in original,

preferable in sealed cover, issued within last 1 year).

Certificate to cover the requisite details required as per Annexure-C

12. Details of Organization and

Manpower personnel employed on regular basis

Please attach relevant details

13. Details of Tools, Plants, Machinery

owned Please attach relevant details

14. Whether applicant is already

registered in this undertaking? If so, in which class and category? (Please attach documentary proof)

_________________________________

15. Whether the applicant or any of his partners or shareholders is a / are member of the Indian Parliament or any State Legislatures?

_________________________________

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16. Whether the applicant have under his employment a dismissed Govt. Servant / employee of the Undertaking.

_________________________________

17. Whether the applicant or any of his

partners or shareholders been blacklisted or removed from the approval list of Vendors or demoted to lower class or orders passed, banning or suspending business with the applicant etc by any Deptt. In the past

_________________________________

18. A list of those persons who are

working with the Applicant in any capacity and who are near relative to any officer in this corporation.

19. Provident Fund No. ( enclose copy of

evidence) _________________________________

20. ESIC No. ( enclose copy of evidence) _________________________________ 21. Service Tax registration No. ( enclose

copy of evidence) __________________________________

22. Works Contract Tax Registration

( enclose copy of evidence) ________________________________

23. Copy of IT returns of last 3 years ___________________________________

___________________________________

24. Remarks, if any

_________________________________

25. I) I/We certify that I/We will not get myself/ourselves registered as vendor in the Undertaking under more than one name.

II) a) I/We certify that I/We did not retire as an employee of this Undertaking during the last two years. I/We also certify that I have neither such a person under my employment not shall I/We employ any such person within two years of his retirement from this undertaking except with the prior permission of the undertaking (For individuals seeking registration in their own name).

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b) We certify that none of the partners/Directors retired as employees of this undertaking during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of Undertaking (for limited companies and partnership firms).

I/We hereby confirm that above information is true to the best of my/ our knowledge and belief. I/We also undertake that, if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/ our registration, at any time, without notice, at its discretion. Date: Signature of the Proprietor/ Partner/ Authorized Representative Place:

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APPLICATION FOR ENLISTMENT ANNEXURE-A DETAILS OF JOBS EXECUTED DURING LAST 3 YEARS Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Remarks

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APPLICATION FOR ENLISTMENT ANNEXURE-B

DETAILS OF JOBS ON HAND Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Present Status

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APPLICATION FOR ENLISTMENT ANNEXURE-C

BANK SOLVENCY CERTIFICATE (Format to be furnished on Bank letter head)

1. Name of the party : 2. Address : 3. Account No. : 4. Credit Facility : 5. Overdraft Facility : 6. Current Balance : 7. Average Balance in last year : 8. Party is financially solvent to handle the work upto _____________ lakhs.

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4.0) DETAILS OF THE DOCUMENT ATTACHED Enclosures YES / NO i) Valid PF ii) Valid ESI iii) Valid Service Tax iv) Valid Work Contract Tax / CST / VAT v) ) Last 3 Year’s Balance Sheet with Auditor’s note. Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vi) Last 3 year’s P & L A/c Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vii) Last 3 year’s IT returns Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : Viii) Bank Solvency Certificate ix) List of the Clients x) Highest single order value proof xi) Valid PAN no.

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5.0) FORM OF DECLARATION I / We hereby affirm and declare that the above furnished information is true to the best of my/our knowledge and belief. I am/we are not BLACK LISTED or DEBARRED in any manner by any of the organizations from tendering for their works. If at any stage, information furnished here before is found to be incorrect, necessary action could be initiated against me/ us. I/We certify that I /We will not get myself/ ourselves enlisted as Vendor(s) in this Corporation under more than one name. I certify that I did not retire as an employee of this Corporation during the last two-years. I also certify that I neither have such a person under my employment nor shall I employ any such person within two years of his retirement from this Corporation except with the prior permission of the corporation. ( For individuals seeking enlistment in their names) We certify that none of the partners/ Directors retired as employees of this corporation during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of the Corporation.(For Limited Companies and partnership Firms) I/ We understand that my application for enlistment may be rejected by BPCL without assigning any reasons thereof. I/We also undertake that if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/our enlistment at any time, without notice, at its sole discretions. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm: Note: Non-submission of any of the documents as mentioned in the application form or incomplete form may lead to rejection.

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APPLICATION FORM FOR

ENLISTMENT OF

VENDORS

“Supply of Printed Stationery- Northern Region”

BHARAT PETROLEUM CORPORATION LTD., Plot No. A-5&6, Sector-1,

Noida - 201301

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NOTICE TO THE APPLICANTS

Bharat Petroleum Corporation Ltd. intends to enlist Vendors for Supply of Printed Stationery in the Northern Region. We are enclosing herewith Application Form for Enlistment along with documents/details required for enlistment, which is required to be filled in by you, complete in all respects and submitted to us. Party’s application form duly filled in and containing all information & supporting documents should be submitted, in a sealed envelope clearly super scribing ‘’Enlistment of Vendors for Supply of Printed Stationery in Northern Region” to: Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd., 5th Floor, Plot no A-5&6, Sector-1, Noida 201301.

On or before the due date. Application Forms received after the expiry of the above specified date/time shall be rejected outright. BPCL is not responsible for any delay. Incomplete offers shall be rejected outright. Cost/expenditure incurred by the applicant in submitting the application by way of travel, boarding and lodging or any other manner shall be entirely on the applicant’s account. In case the applicant intends to give additional information for which specified space is not sufficient, the party may do so by adding extra sheets by indicating duly at the appropriate column. Clarifications could be sought from the Office of the Manager (Admin. Facilities) North, Bharat Petroleum Corporation Ltd., 5th floor, Plot No. A-5&6, Sector-1, Noida 201301. (On all working days – Monday to Friday from 10 AM to 5:30 PM). The applicant should strictly furnish all the information only in the formats given. The applications not complying with this requirement is liable to be rejected. All the supporting documents should be duly attested / notarized. All the corrections and over writings should be duly countersigned by the applicant. Bharat Petroleum Corporation Ltd. (BPCL) reserves the right to accept/reject any or all applications for enlistment at its sole discretions without assigning any reasons whatsoever. BPCL reserves the right to decide on the number of agencies to be enlisted. Thanking you, Yours faithfully, For Bharat petroleum Corporation Ltd., Manager (Admin Fac) North

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INDEX FOR ‘APPLICATION FOR ENLISTMENT’

1.0 PRE-QUALIFICATION CRITERIA 2.0 APPLICATION FORM FOR ENLISTMENT 3.0 PARTICULARS OF THE AGENCY SEEKING ENLISTMENT 4.0 DETAILS OF THE DOCUMENTS ATTACHED 5.0 FORM OF DECLARATION

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1.0 Prequalification Criteria - Printed Stationery M/s Bharat Petroleum Corporation Ltd. wishes to enlist well established reputed & professional vendors for supplying Printed Stationery in Northern Region . The empanelment of vendors for job value upto Rs. 150 Lacs is subject to meeting the following criterions and submission of requisite documents :-

1) The Vendor should have 5 years experience in supply of printed

stationery and have adequate printing machines & equipments etc. 2) The Vendor should have successfully completed either of the following

jobs during the last 3 years :-

i) 3 single jobs of supply of printed stationery of a minimum value of Rs. 60 Lacs each OR

ii) 2 single jobs of supply of printed stationery of a minimum value

of Rs. 75 Lacs each OR iii) 1 single job of supply of printed stationery of a minimum value of

Rs. 120 Lacs (Please attach documentary proof / certificate from the Client)

3) The Vendor should have minimum average annual turnover of Rs. 45 Lacs every year during the last 3 years and the same has to be supported by audited financial statements.

4) The Vendors shall have requisite permissions/ permits with all

statutory requirements. 5) The Vendor should submit the following documents:-

i) Bank Solvency Certificate for Rs. 15 Lacs ii) Copy of Valid PAN Card iii) Copy of VAT / CST / Service Tax Registration Certificate iv) Copy of Audited Balance Sheet for the Financial Year 2011-12,

2012-13 and 2013-14. 6) The Vendor should submit their current Corporate Client list. This list

should contain details of the Company, name of the contact person of the company and contact address/ telephone numbers.

7) BPCL officials may visit any of the Vendors’ facilities/ locations, if

necessary, to ascertain the criteria mentioned above and capability of the vendor.

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8) Preference will also be given to vendors empanelled in large Corporates / Govt. Agencies / PSUs etc.

General Conditions : a) The registration / enlistment does not provide that an order /

agreement for the services shall be placed without going through the tendering process.

b) The enlistment would be valid for a maximum period of 3 years or when

the same is reviewed/ revalidated by BPCL, whichever is earlier. On satisfactory performance and / or review of the credentials, the validity may be extended further.

c) The Corporation reserves the right to suspend, de-register or blacklist

the Vendor’s name in case of failing to meet any of our requirements, unsatisfactory performance or circumstantial evidence against the vendor.

d) Any application not meeting the requisite criteria or incomplete in any

manner or late receipt is liable to be rejected. e) BPCL reserves the right to accept or reject any or all applications

without assigning any reasons. f) The existing Vendors already empanelled in Northern Region for

providing printed stationery also need to apply for necessary revalidation as per Company Norms.

****

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2.0 APPLICATION FORM FOR ENLISTMENT From Dated: To The Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd, Plot A-5&6, Sector-1 Noida – 201301 Dear Sir, SUB: ENLISTMENT OF VENDORS for “Supply of Printed Stationery in the Northern Region” In response to your press advertisement inviting applications for the registration of Vendor and after having gone through the documents, I/we hereby submit necessary information/documents, as desired. The application is made by me/ us on behalf of ………………………………………………………………………………………………….. duly authorized to submit the same. We understand that The DGM (HRS) North, Bharat Petroleum Corporation Ltd. reserves the right to reject any/ all or accept any applications without assigning any reasons whatsoever. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm:

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3.0 PERTICULARS OF THE AGENCY SEEKING ENLISTMENT

BHARAT PETROLEUM CORPORATION LTD.

( A GOVT. OF INDIA ENTERPRISE ) Dy. General Manager (HRS)-NORTH

PLOT No. A-5&6, SECTOR-1, NOIDA.

“Supply of Printed Stationery in the Northern Region”

1. Name of the Organization

_________________________________ _________________________________

2. a) Full Postal Address of Organization

_________________________________

b) Contact Phone / Fax No. _________________________________ _________________________________ 3. Type of Organization

(Individual / Prop. / Partnership / Pvt. Ltd. / Public Ltd.) & Date of incorporation. (Attach copy of the Memorandum and Articles of Association. / Partnership deed, bio-data or prop./partner/directors, as applicable).

_________________________________ _________________________________ _________________________________ _________________________________

4. Place of Business _________________________________ 5. Annual Turnover ( in Lakhs ) ( Attach Copies of Audited Balance

sheets and P&L account for the last 3 years )

Financial Year Turnover

2011-12

2012-13 2013-14

APPLICATION FORM FOR ENLISTMENT OF VENDORS

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6. Details of maximum valued single Job contract completed in last 3 financial years (Attach documentary proof/ client certificate)

:____________________________________________________for Rs.________ Client M/s_________________________

Address :

Contract No. : 7. Details of works executed during last

5 years (Attach documentary proof.) Please furnish relevant details as per Annexure-A

8

Details of Jobs in hand (Attach documentary proofs)

Please furnish relevant details as per Annexure-B

9. Details of registration/enlistment with

other Companies (Attach documentary proof.)

(b) Organization____________________ (b) Financial limit___________________

10. Valid PAN No. Please attach copy for documentary proof. 11. Bankers Certificate (in original,

preferable in sealed cover, issued within last 1 year).

Certificate to cover the requisite details required as per Annexure-C

12. Details of Organization and

Manpower personnel employed on regular basis

Please attach relevant details

13. Details of Tools, Plants, Machinery

owned Please attach relevant details

14. Whether applicant is already

registered in this undertaking? If so, in which class and category? (Please attach documentary proof)

_________________________________

15. Whether the applicant or any of his partners or shareholders is a / are member of the Indian Parliament or any State Legislatures?

_________________________________

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16. Whether the applicant have under his employment a dismissed Govt. Servant / employee of the Undertaking.

_________________________________

17. Whether the applicant or any of his

partners or shareholders been blacklisted or removed from the approval list of Vendors or demoted to lower class or orders passed, banning or suspending business with the applicant etc by any Deptt. In the past

_________________________________

18. A list of those persons who are

working with the Applicant in any capacity and who are near relative to any officer in this corporation.

19. Provident Fund No. ( enclose copy of

evidence) _________________________________

20. ESIC No. ( enclose copy of evidence) _________________________________ 21. Service Tax registration No. ( enclose

copy of evidence) __________________________________

22. Works Contract Tax / VAT / CST

Registration ( enclose copy of evidence)

________________________________

23. Copy of IT returns of last 3 years ___________________________________

___________________________________

24. Remarks, if any

_________________________________

25. I) I/We certify that I/We will not get myself/ourselves registered as vendor in the Undertaking under more than one name.

II) a) I/We certify that I/We did not retire as an employee of this Undertaking during the last two years. I/We also certify that I have neither such a person under my employment not shall I/We employ any such person within two years of his retirement from this undertaking except with the prior permission of the undertaking (For individuals seeking registration in their own name).

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b) We certify that none of the partners/Directors retired as employees of this

undertaking during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of Undertaking (for limited companies and partnership firms).

I/We hereby confirm that above information is true to the best of my/ our knowledge and belief. I/We also undertake that, if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/ our registration, at any time, without notice, at its discretion. Date: Signature of the Proprietor/ Partner/ Authorized Representative Place:

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APPLICATION FOR ENLISTMENT ANNEXURE-A DETAILS OF JOBS EXECUTED DURING LAST 5 YEARS Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Remarks

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APPLICATION FOR ENLISTMENT ANNEXURE-B

DETAILS OF JOBS ON HAND Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Present Status

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APPLICATION FOR ENLISTMENT ANNEXURE-C

BANK SOLVENCY CERTIFICATE (Format to be furnished on Bank letter head)

1. Name of the party : 2. Address : 3. Account No. : 4. Credit Facility : 5. Overdraft Facility : 6. Current Balance : 7. Average Balance in last year : 8. Party is financially solvent to handle the work upto _____________ lakhs.

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4.0) DETAILS OF THE DOCUMENT ATTACHED Enclosures YES / NO i) Valid PF ii) Valid ESI iii) Valid Service Tax iv) Valid Work Contract Tax / CST / VAT v) ) Last 3 Year’s Balance Sheet with Auditor’s note. Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vi) Last 3 year’s P & L A/c Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vii) Last 3 year’s IT returns Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : Viii) Bank Solvency Certificate ix) List of the Clients x) Highest single order value proof xi) Valid PAN no.

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5.0) FORM OF DECLARATION I / We hereby affirm and declare that the above furnished information is true to the best of my/our knowledge and belief. I am/we are not BLACK LISTED or DEBARRED in any manner by any of the organizations from tendering for their works. If at any stage, information furnished here before is found to be incorrect, necessary action could be initiated against me/ us. I/We certify that I /We will not get myself/ ourselves enlisted as Vendor(s) in this Corporation under more than one name. I certify that I did not retire as an employee of this Corporation during the last two-years. I also certify that I neither have such a person under my employment nor shall I employ any such person within two years of his retirement from this Corporation except with the prior permission of the corporation. ( For individuals seeking enlistment in their names) We certify that none of the partners/ Directors retired as employees of this corporation during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of the Corporation.(For Limited Companies and partnership Firms) I/ We understand that my application for enlistment may be rejected by BPCL without assigning any reasons thereof. I/We also undertake that if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/our enlistment at any time, without notice, at its sole discretions. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm: Note: Non-submission of any of the documents as mentioned in the application form or incomplete form may lead to rejection.

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APPLICATION FORM

FOR ENLISTMENT

OF VENDORS

“Providing Canteen Services -

Northern Region”

BHARAT PETROLEUM CORPORATION LTD., Plot No. A-5&6, Sector-1,

Noida - 201301

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NOTICE TO THE APPLICANTS

Bharat Petroleum Corporation Ltd. intends to enlist Vendors for Providing of Canteen Services in the Northern Region. We are enclosing herewith Application Form for Enlistment along with documents/details required for enlistment, which is required to be filled in by you, complete in all respects and submitted to us. Party’s application form duly filled in and containing all information & supporting documents should be submitted, in a sealed envelope clearly super scribing ‘’Enlistment of Vendors for Providing Canteen Services in Northern Region” to: Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd., 5th Floor, Plot no A-5&6, Sector-1, Noida 201301.

On or before the due date. Application Forms received after the expiry of the above specified date/time shall be rejected outright. BPCL is not responsible for any delay. Incomplete offers shall be rejected outright. Cost/expenditure incurred by the applicant in submitting the application by way of travel, boarding and lodging or any other manner shall be entirely on the applicant’s account. In case the applicant intends to give additional information for which specified space is not sufficient, the party may do so by adding extra sheets by indicating duly at the appropriate column. Clarifications could be sought from the Office of the Manager (Admin. Facilities) North, Bharat Petroleum Corporation Ltd., 5th floor, Plot No. A-5&6, Sector-1, Noida 201301. (On all working days – Monday to Friday from 10 AM to 5:30 PM). The applicant should strictly furnish all the information only in the formats given. The applications not complying with this requirement is liable to be rejected. All the supporting documents should be duly attested / notarized. All the corrections and over writings should be duly countersigned by the applicant. Bharat Petroleum Corporation Ltd. (BPCL) reserves the right to accept/reject any or all applications for enlistment at its sole discretions without assigning any reasons whatsoever. BPCL reserves the right to decide on the number of agencies to be enlisted. Thanking you, Yours faithfully, For Bharat petroleum Corporation Ltd., Manager (Admin Fac) North

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INDEX FOR ‘APPLICATION FOR ENLISTMENT’

1.0 PRE-QUALIFICATION CRITERIA 2.0 APPLICATION FORM FOR ENLISTMENT 3.0 PARTICULARS OF THE AGENCY SEEKING ENLISTMENT 4.0 DETAILS OF THE DOCUMENTS ATTACHED 5.0 FORM OF DECLARATION

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1.0 Prequalification criteria - Canteen Services M/s Bharat Petroleum Corporation Ltd. wishes to enlist well established reputed & professional vendors for providing Canteen Services at Delhi / Noida / Greater Noida. The empanelment of vendors for job value upto Rs. 150 Lacs is subject to meeting the following criterions and submission of requisite documents :-

1) The Vendor should have 5 years experience in Catering Business and

have adequate trained manpower to execute the job. 2) The Vendor should have successfully completed either of the following

jobs during the last 3 years :-

i) 3 single jobs of providing Canteen Services of a minimum value of Rs. 60 Lacs each OR

ii) 2 single jobs of providing Canteen Services of a minimum value of

Rs. 75 Lacs each OR iii) 1 single job of providing Canteen Services of a minimum value of

Rs. 120 Lacs (Please attach documentary proof / certificate from the Client)

3) The Vendor should have minimum average annual turnover of Rs. 45 Lacs every year during the last 3 years and the same has to be supported by audited financial statements.

4) The Vendors shall have requisite permissions/ permits with all

statutory requirements. 5) The Vendor should submit the following documents:-

i) Bank Solvency Certificate for Rs. 15 Lacs ii) Copy of Valid PAN Card iii) Copy of VAT / CST / Service Tax Registration Certificate iv) Copy of Audited Balance Sheet for the Financial Year 2011-12,

2012-13 and 2013-14. v) Copy of PF & ESI Registration Certificate

6) The Vendor should submit their current Corporate Client list. This list

should contain details of the Company, name of the contact person of the company and contact address/ telephone numbers.

7) BPCL officials may visit any of the Vendors’ facilities/ locations, if

necessary, to ascertain the criteria mentioned above and capability of the vendor.

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8) Preference will also be given to vendors empanelled in large Corporates / Govt. Agencies / PSUs etc.

General Conditions : a) The registration / enlistment does not provide that an order /

agreement for the services shall be placed without going through the tendering process.

b) The enlistment would be valid for a maximum period of 3 years or when

the same is reviewed/ revalidated by BPCL, whichever is earlier. On satisfactory performance and / or review of the credentials, the validity may be extended further.

c) The Corporation reserves the right to suspend, de-register or blacklist

the Vendor’s name in case of failing to meet any of our requirements, unsatisfactory performance or circumstantial evidence against the vendor.

d) Any application not meeting the requisite criteria or incomplete in any

manner or late receipt is liable to be rejected. e) BPCL reserves the right to accept or reject any or all applications

without assigning any reasons. f) The existing Vendors already empanelled in Northern Region for

providing Canteen Services also need to apply for necessary revalidation as per Company Norms.

****

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2.0 APPLICATION FORM FOR ENLISTMENT From Dated: To The Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd, Plot A-5&6, Sector-1 Noida – 201301 Dear Sir, SUB: ENLISTMENT OF VENDORS for “Providing Canteen Services in the Northern Region” In response to your press advertisement inviting applications for the registration of Vendor and after having gone through the documents, I/we hereby submit necessary information/documents, as desired. The application is made by me/ us on behalf of ………………………………………………………………………………………………….. duly authorized to submit the same. We understand that The DGM (HRS) North, Bharat Petroleum Corporation Ltd. reserves the right to reject any/ all or accept any applications without assigning any reasons whatsoever. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm:

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3.0 PERTICULARS OF THE AGENCY SEEKING ENLISTMENT

BHARAT PETROLEUM CORPORATION LTD.

( A GOVT. OF INDIA ENTERPRISE ) Dy. General Manager (HRS)-NORTH

PLOT No. A-5&6, SECTOR-1, NOIDA.

“Providing Canteen Services in the Northern Region”

1. Name of the Organization

_________________________________ _________________________________

2. a) Full Postal Address of Organization

_________________________________

b) Contact Phone / Fax No. _________________________________ _________________________________ 3. Type of Organization

(Individual / Prop. / Partnership / Pvt. Ltd. / Public Ltd.) & Date of incorporation. (Attach copy of the Memorandum and Articles of Association. / Partnership deed, bio-data or prop./partner/directors, as applicable).

_________________________________ _________________________________ _________________________________ _________________________________

4. Place of Business _________________________________ 5. Annual Turnover ( in Lakhs ) ( Attach Copies of Audited Balance

sheets and P&L account for the last 3 years )

Financial Year Turnover

2011-12

2012-13 2013-14

APPLICATION FORM FOR ENLISTMENT OF VENDORS

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6. Details of maximum valued single

Job contract completed in last 3 financial years (Attach documentary proof/ client certificate)

:____________________________________________________for Rs.________ Client M/s_________________________

Address :

Contract No. : 7. Details of works executed during last

5 years (Attach documentary proof.) Please furnish relevant details as per Annexure-A

8

Details of Jobs in hand (Attach documentary proofs)

Please furnish relevant details as per Annexure-B

9. Details of registration/enlistment with

other Companies (Attach documentary proof.)

(c) Organization____________________ (b) Financial limit___________________

10. Valid PAN No. Please attach copy for documentary proof. 11. Bankers Certificate (in original,

preferable in sealed cover, issued within last 1 year).

Certificate to cover the requisite details required as per Annexure-C

12. Details of Organization and

Manpower personnel employed on regular basis

Please attach relevant details

13. Details of Tools, Plants, Machinery

owned Please attach relevant details

14. Whether applicant is already

registered in this undertaking? If so, in which class and category? (Please attach documentary proof)

_________________________________

15. Whether the applicant or any of his partners or shareholders is a / are member of the Indian Parliament or any State Legislatures?

_________________________________

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16. Whether the applicant have under his

employment a dismissed Govt. Servant / employee of the Undertaking.

_________________________________

17. Whether the applicant or any of his

partners or shareholders been blacklisted or removed from the approval list of Vendors or demoted to lower class or orders passed, banning or suspending business with the applicant etc by any Deptt. In the past

_________________________________

18. A list of those persons who are

working with the Applicant in any capacity and who are near relative to any officer in this corporation.

19. Provident Fund No. ( enclose copy of

evidence) _________________________________

20. ESIC No. ( enclose copy of evidence) _________________________________ 21. Service Tax registration No. ( enclose

copy of evidence) __________________________________

22. Works Contract Tax / VAT / CST

Registration ( enclose copy of evidence)

________________________________

23. Copy of IT returns of last 3 years ___________________________________

___________________________________

24. Remarks, if any

25. I) I/We certify that I/We will not get myself/ourselves registered as vendor in the Undertaking under more than one name.

II) a) I/We certify that I/We did not retire as an employee of this Undertaking during the last two years. I/We also certify that I have neither such a person under my employment not shall I/We employ any such person within two years of his retirement from this undertaking except with the prior permission of the undertaking (For individuals seeking registration in their own name).

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b) We certify that none of the partners/Directors retired as employees of this undertaking during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of Undertaking (for limited companies and partnership firms).

I/We hereby confirm that above information is true to the best of my/ our knowledge and belief. I/We also undertake that, if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/ our registration, at any time, without notice, at its discretion. Date: Signature of the Proprietor/ Partner/ Authorized Representative Place:

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APPLICATION FOR ENLISTMENT ANNEXURE-A DETAILS OF JOBS EXECUTED DURING LAST 3 YEARS Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Remarks

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APPLICATION FOR ENLISTMENT ANNEXURE-B

DETAILS OF JOBS ON HAND Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Present Status

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APPLICATION FOR ENLISTMENT ANNEXURE-C

BANK SOLVENCY CERTIFICATE (Format to be furnished on Bank letter head)

1. Name of the party : 2. Address : 3. Account No. : 4. Credit Facility : 5. Overdraft Facility : 6. Current Balance : 7. Average Balance in last year : 8. Party is financially solvent to handle the work upto _____________ lakhs.

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4.0) DETAILS OF THE DOCUMENT ATTACHED Enclosures YES / NO i) Valid PF ii) Valid ESI iii) Valid Service Tax iv) Valid Work Contract Tax / VAT / CST v) ) Last 3 Year’s Balance Sheet with Auditor’s note. Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vi) Last 3 year’s P & L A/c Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vii) Last 3 year’s IT returns Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : Viii) Bank Solvency Certificate ix) List of the Clients x) Highest single order value proof xi) Valid PAN no.

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5.0) FORM OF DECLARATION I / We hereby affirm and declare that the above furnished information is true to the best of my/our knowledge and belief. I am/we are not BLACK LISTED or DEBARRED in any manner by any of the organizations from tendering for their works. If at any stage, information furnished here before is found to be incorrect, necessary action could be initiated against me/ us. I/We certify that I /We will not get myself/ ourselves enlisted as Vendor(s) in this Corporation under more than one name. I certify that I did not retire as an employee of this Corporation during the last two-years. I also certify that I neither have such a person under my employment nor shall I employ any such person within two years of his retirement from this Corporation except with the prior permission of the corporation. ( For individuals seeking enlistment in their names) We certify that none of the partners/ Directors retired as employees of this corporation during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of the Corporation.(For Limited Companies and partnership Firms) I/ We understand that my application for enlistment may be rejected by BPCL without assigning any reasons thereof. I/We also undertake that if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/our enlistment at any time, without notice, at its sole discretions. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm: Note: Non-submission of any of the documents as mentioned in the application form or incomplete form may lead to rejection.

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APPLICATION FORM FOR

ENLISTMENT OF

VENDORS

“Providing Caretaking/Catering Services for BPCL Holiday Homes in Northern Region”

BHARAT PETROLEUM CORPORATION LTD., Plot No. A-5&6, Sector-1,

Noida - 201301

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NOTICE TO THE APPLICANTS Bharat Petroleum Corporation Ltd. intends to enlist Vendors for Caretaking/Catering Services for BPCL Holiday Homes in Northern Region. We are enclosing herewith Application Form for Enlistment along with documents/details required for enlistment, which is required to be filled in by you, complete in all respects and submitted to us. Party’s application form duly filled in and containing all information & supporting documents should be submitted, in a sealed envelope clearly super scribing ‘’Enlistment of Vendors for Caretaking/Catering Services for BPCL Holiday Homes in Northern Region” to: Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd., 5th Floor, Plot no A-5&6, Sector-1, Noida 201301. On or before the due date. Application Forms received after the expiry of the above specified date/time shall be rejected outright. BPCL is not responsible for any delay. Incomplete offers shall be rejected outright. Cost/expenditure incurred by the applicant in submitting the application by way of travel, boarding and lodging or any other manner shall be entirely on the applicant’s account. In case the applicant intends to give additional information for which specified space is not sufficient, the party may do so by adding extra sheets by indicating duly at the appropriate column. Clarifications could be sought from the Office of the Manager (Admin. Facilities) North, Bharat Petroleum Corporation Ltd., 5th floor, Plot No. A-5&6, Sector-1, Noida 201301. (On all working days – Monday to Friday from 10 AM to 5:30 PM). The applicant should strictly furnish all the information only in the formats given. The applications not complying with this requirement is liable to be rejected. All the supporting documents should be duly attested / notarized. All the corrections and over writings should be duly countersigned by the applicant. Bharat Petroleum Corporation Ltd. (BPCL) reserves the right to accept/reject any or all applications for enlistment at its sole discretions without assigning any reasons whatsoever. BPCL reserves the right to decide on the number of agencies to be enlisted. Thanking you, Yours faithfully, For Bharat petroleum Corporation Ltd., Manager (Admin Fac) North

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INDEX FOR ‘APPLICATION FOR ENLISTMENT’

1.0 PRE-QUALIFICATION CRITERIA 2.0 APPLICATION FORM FOR ENLISTMENT 3.0 PARTICULARS OF THE AGENCY SEEKING ENLISTMENT 4.0 DETAILS OF THE DOCUMENTS ATTACHED 5.0 FORM OF DECLARATION

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1.0 Qualifying Criteria - Caretaking & Catering for Holiday Homes M/s Bharat Petroleum Corporation Ltd. wishes to enlist well established reputed & professional vendors for providing Caretaking & Catering Services in Northern Region . The empanelment of vendors for job value upto Rs. 50 Lacs is subject to meeting the following criterions and submission of requisite documents :-

1) The Vendor should have 5 years experience in providing Caretaking &

Catering Services and have adequate trained manpower to execute the job.

2) The Vendor should have successfully completed either of the following

jobs during the last 3 years :-

i) 3 single jobs of providing Caretaking & Catering Services of a minimum value of Rs. 20 Lacs each OR

ii) 2 single jobs of providing Caretaking & Catering Services of a

minimum value of Rs. 25 Lacs each OR iii) 1 single job of providing Caretaking & Catering Services of a

minimum value of Rs. 40 Lacs (Please attach documentary proof / certificate from the Client)

3) The Vendor should have minimum average annual turnover of Rs. 15 Lacs every year during the last 3 years and the same has to be supported by audited financial statements.

4) The Vendors shall have requisite permissions/ permits with all

statutory requirements. 5) The Vendor should submit the following documents:-

i) Bank Solvency Certificate for Rs. 5 Lacs ii) Copy of Valid PAN Card iii) Copy of VAT / CST / Service Tax Registration Certificate iv) Copy of Audited Balance Sheet for the Financial Year 2011-12,

2012-13 and 2013-14. v) Copy of PF & ESI Registration Certificate

6) The Vendor should submit their current Corporate Client list. This list

should contain details of the Company, name of the contact person of the company and contact address/ telephone numbers.

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7) BPCL officials may visit any of the Vendors’ facilities/ locations, if necessary, to ascertain the criteria mentioned above and capability of the vendor.

8) Preference will also be given to vendors empanelled in large Corporate /

Govt. Agencies / PSUs etc.

General Conditions : a) The registration / enlistment does not provide that an order /

agreement for the services shall be placed without going through the tendering process.

b) The enlistment would be valid for a maximum period of 3 years or when

the same is reviewed/ revalidated by BPCL, whichever is earlier. On satisfactory performance and / or review of the credentials, the validity may be extended further.

c) The Corporation reserves the right to suspend, de-register or blacklist

the Vendor’s name in case of failing to meet any of our requirements, unsatisfactory performance or circumstantial evidence against the vendor.

d) Any application not meeting the requisite criteria or incomplete in any

manner or late receipt is liable to be rejected. e) BPCL reserves the right to accept or reject any or all applications

without assigning any reasons. f) The existing Vendors already empanelled in Northern Region for

providing Caretaking & Catering Services also need to apply for necessary revalidation as per Company Norms.

****

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2.0 APPLICATION FORM FOR ENLISTMENT From Dated: To The DGM (HRS) North, Bharat Petroleum Corporation Ltd, Plot A-5&6, Sector-1 Noida – 201301 Dear Sir, SUB: ENLISTMENT OF VENDORS for “Caretaking/Catering Services for BPCL Holiday Homes in Northern Region” In response to your press advertisement inviting applications for the registration of Vendor and after having gone through the documents, I/we hereby submit necessary information/documents, as desired. The application is made by me/ us on behalf of ………………………………………………………………………………………………….. duly authorized to submit the same. We understand that The DGM (HRS) North, Bharat Petroleum Corporation Ltd. reserves the right to reject any/ all or accept any applications without assigning any reasons whatsoever. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm:

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3.0 PERTICULARS OF THE AGENCY SEEKING ENLISTMENT

BHARAT PETROLEUM CORPORATION LTD. ( A GOVT. OF INDIA ENTERPRISE ) Dy. General Manager (HRS)-NORTH

PLOT No. A-5&6, SECTOR-1, NOIDA.

“Caretaking/Catering Services for BPCL Holiday Homes in Northern Region”

1. Name of the Organization

_________________________________ _________________________________

2. a) Full Postal Address of Organization

_________________________________

b) Contact Phone / Fax No. _________________________________ _________________________________ 3. Type of Organization

(Individual / Prop. / Partnership / Pvt. Ltd. / Public Ltd.) & Date of incorporation. (Attach copy of the Memorandum and Articles of Association. / Partnership deed, bio-data or prop./partner/directors, as applicable).

_________________________________ _________________________________ _________________________________ _________________________________

4. Place of Business _________________________________ 5. Annual Turnover ( in Lakhs ) ( Attach Copies of Audited Balance

sheets and P&L account for the last 3 years )

Financial Year Turnover

2011-12

2012-13

2013-14

APPLICATION FORM FOR ENLISTMENT OF VENDORS

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6. Details of maximum valued single Job contract completed in last 3 financial years (Attach documentary proof/ client certificate)

:____________________________________________________for Rs.________ Client M/s_________________________

Address :

Contract No. : 7. Details of works executed during last

5 years (Attach documentary proof.) Please furnish relevant details as per Annexure-A

8

Details of Jobs in hand (Attach documentary proofs)

Please furnish relevant details as per Annexure-B

9. Details of registration/enlistment with

other Companies (Attach documentary proof.)

(d) Organization____________________ (b) Financial limit___________________

10. Valid PAN No. Please attach copy for documentary proof. 11. Bankers Certificate (in original,

preferable in sealed cover, issued within last 1 year).

Certificate to cover the requisite details required as per Annexure-C

12. Details of Organization and

Manpower personnel employed on regular basis

Please attach relevant details

13. Details of Tools, Plants, Machinery

owned Please attach relevant details

14. Whether applicant is already

registered in this undertaking? If so, in which class and category? (Please attach documentary proof)

_________________________________

15. Whether the applicant or any of his partners or shareholders is a / are member of the Indian Parliament or any State Legislatures?

_________________________________

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16. Whether the applicant have under his employment a dismissed Govt. Servant / employee of the Undertaking.

_________________________________

17. Whether the applicant or any of his

partners or shareholders been blacklisted or removed from the approval list of Vendors or demoted to lower class or orders passed, banning or suspending business with the applicant etc by any Deptt. In the past

_________________________________

18. A list of those persons who are

working with the Applicant in any capacity and who are near relative to any officer in this corporation.

19. Provident Fund No. ( enclose copy of

evidence) _________________________________

20. ESIC No. ( enclose copy of evidence) _________________________________ 21. Service Tax registration No. ( enclose

copy of evidence) __________________________________

22. Works Contract Tax / VAT / CST

Registration ( enclose copy of evidence)

________________________________

23. Copy of IT returns of last 3 years ___________________________________

___________________________________

24. Remarks, if any

_________________________________

25. I) I/We certify that I/We will not get myself/ourselves registered as vendor in the Undertaking under more than one name.

II) a) I/We certify that I/We did not retire as an employee of this Undertaking during the last two years. I/We also certify that I have neither such a person under my employment not shall I/We employ any such person within two years of his retirement from this undertaking except with the prior permission of the undertaking (For individuals seeking registration in their own name).

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b) We certify that none of the partners/Directors retired as employees of this undertaking during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of Undertaking (for limited companies and partnership firms).

I/We hereby confirm that above information is true to the best of my/ our knowledge and belief. I/We also undertake that, if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/ our registration, at any time, without notice, at its discretion. Date: Signature of the Proprietor/ Partner/ Authorized Representative Place:

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APPLICATION FOR ENLISTMENT ANNEXURE-A DETAILS OF JOBS EXECUTED DURING LAST 3 YEARS Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Remarks

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APPLICATION FOR ENLISTMENT ANNEXURE-B

DETAILS OF JOBS ON HAND Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Present Status

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APPLICATION FOR ENLISTMENT ANNEXURE-C

BANK SOLVENCY CERTIFICATE (Format to be furnished on Bank letter head)

1. Name of the party : 2. Address : 3. Account No. : 4. Credit Facility : 5. Overdraft Facility : 6. Current Balance : 7. Average Balance in last year : 8. Party is financially solvent to handle the work upto _____________ lakhs.

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4.0) DETAILS OF THE DOCUMENT ATTACHED Enclosures YES / NO i) Valid PF ii) Valid ESI iii) Valid Service Tax iv) Valid Work Contract Tax / VAT / CST v) ) Last 3 Year’s Balance Sheet with Auditor’s note. Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vi) Last 3 year’s P & L A/c Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vii) Last 3 year’s IT returns Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : Viii) Bank Solvency Certificate ix) List of the Clients x) Highest single order value proof xi) Valid PAN no.

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5.0) FORM OF DECLARATION I / We hereby affirm and declare that the above furnished information is true to the best of my/our knowledge and belief. I am/we are not BLACK LISTED or DEBARRED in any manner by any of the organizations from tendering for their works. If at any stage, information furnished here before is found to be incorrect, necessary action could be initiated against me/ us. I/We certify that I /We will not get myself/ ourselves enlisted as Vendor(s) in this Corporation under more than one name. I certify that I did not retire as an employee of this Corporation during the last two-years. I also certify that I neither have such a person under my employment nor shall I employ any such person within two years of his retirement from this Corporation except with the prior permission of the corporation. ( For individuals seeking enlistment in their names) We certify that none of the partners/ Directors retired as employees of this corporation during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of the Corporation.(For Limited Companies and partnership Firms) I/ We understand that my application for enlistment may be rejected by BPCL without assigning any reasons thereof. I/We also undertake that if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/our enlistment at any time, without notice, at its sole discretions. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm: Note: Non-submission of any of the documents as mentioned in the application form or incomplete form may lead to rejection.

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APPLICATION FORM FOR

ENLISTMENT OF

VENDORS

“Providing Transport Services (Hiring of Cars with Driver & Fuel)

Northern Region”

BHARAT PETROLEUM CORPORATION LTD., Plot No. A-5&6, Sector-1,

Noida - 201301

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NOTICE TO THE APPLICANTS

Bharat Petroleum Corporation Ltd. intends to enlist Vendors for Providing of Transport Services (Hiring of Cars with Driver & fuel) in the Northern Region. We are enclosing herewith Application Form for Enlistment along with documents/details required for enlistment, which is required to be filled in by you, complete in all respects and submitted to us. Party’s application form duly filled in and containing all information & supporting documents should be submitted, in a sealed envelope clearly super scribing ‘’Enlistment of Vendors for Providing of Transport Services (Hiring of Cars with Driver & Fuel) in Northern Region” to: Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd., 5th Floor, Plot no A-5&6, Sector-1, Noida 201301. On or before the due date. Application Forms received after the expiry of the above specified date/time shall be rejected outright. BPCL is not responsible for any delay. Incomplete offers shall be rejected outright. Cost/expenditure incurred by the applicant in submitting the application by way of travel, boarding and lodging or any other manner shall be entirely on the applicant’s account. In case the applicant intends to give additional information for which specified space is not sufficient, the party may do so by adding extra sheets by indicating duly at the appropriate column. Clarifications could be sought from the Office of the Manager (Admin. Facilities) North, Bharat Petroleum Corporation Ltd., 5th floor, Plot No. A-5&6, Sector-1, Noida 201301. (On all working days – Monday to Friday from 10 AM to 5:30 PM). The applicant should strictly furnish all the information only in the formats given. The applications not complying with this requirement is liable to be rejected. All the supporting documents should be duly attested / notarized. All the corrections and over writings should be duly countersigned by the applicant. Bharat Petroleum Corporation Ltd. (BPCL) reserves the right to accept/reject any or all applications for enlistment at its sole discretions without assigning any reasons whatsoever. BPCL reserves the right to decide on the number of agencies to be enlisted. Thanking you, Yours faithfully, For Bharat petroleum Corporation Ltd., Manager (Admin Fac) North

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INDEX FOR ‘APPLICATION FOR ENLISTMENT’

1.0 PRE-QUALIFICATION CRITERIA 2.0 APPLICATION FORM FOR ENLISTMENT 3.0 PARTICULARS OF THE AGENCY SEEKING ENLISTMENT 4.0 DETAILS OF THE DOCUMENTS ATTACHED 5.0 FORM OF DECLARATION

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1.0 Prequalification criteria - Transport Services M/s Bharat Petroleum Corporation Ltd. wishes to enlist well established reputed & professional vendors for Transport Services in Northern Region . The empanelment of vendors for job value upto Rs. 125 Lacs is subject to meeting the following criterions and submission of requisite documents :-

1) The Vendor should have 5 years experience in providing Transport

Services (Providing Cars with Driver & Fuel on Hire Basis) and have adequate trained manpower to execute the job.

2) The Vendor should have successfully completed either of the following

jobs during the last 3 years :-

i) 3 single jobs of providing Transport Services of a minimum value of Rs. 50 Lacs each OR

ii) 2 single jobs of providing Photocopy Services of a minimum value

of Rs. 63 Lacs each OR iii) 1 single job of providing Photocopy Services of a minimum value

of Rs. 100 Lacs (Please attach documentary proof / certificate from the Client)

3) The Vendor should have minimum average annual turnover of Rs. 40 Lacs every year during the last 3 years and the same has to be supported by audited financial statements.

4) The Vendors shall have requisite permissions/ permits with all

statutory requirements. 5) The Vendor should submit the following documents:-

i) Bank Solvency Certificate for Rs. 12.5 Lacs ii) Copy of Valid PAN Card iii) Copy of VAT / CST / Service Tax Registration Certificate iv) Copy of Audited Balance Sheet for the Financial Year 2011-12,

2012-13 and 2013-14. 6) The Vendor should submit their current Corporate Client list. This list

should contain details of the Company, name of the contact person of the company and contact address/ telephone numbers.

7) BPCL officials may visit any of the Vendors’ facilities/ locations, if

necessary, to ascertain the criteria mentioned above and capability of the vendor.

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8) Preference will also be given to vendors empanelled in large Corporates

/ Govt. Agencies / PSUs etc.

General Conditions : a) The registration / enlistment does not provide that an order /

agreement for the services shall be placed without going through the tendering process.

b) The enlistment would be valid for a maximum period of 3 years or when

the same is reviewed/ revalidated by BPCL, whichever is earlier. On satisfactory performance and / or review of the credentials, the validity may be extended further.

c) The Corporation reserves the right to suspend, de-register or blacklist

the Vendor’s name in case of failing to meet any of our requirements, unsatisfactory performance or circumstantial evidence against the vendor.

d) Any application not meeting the requisite criteria or incomplete in any

manner or late receipt is liable to be rejected. e) BPCL reserves the right to accept or reject any or all applications

without assigning any reasons. f) The existing Vendors already empanelled in Northern Region for

providing Transport Services also need to apply for necessary revalidation as per Company Norms.

****

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2.0 APPLICATION FORM FOR ENLISTMENT From Dated: To The Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd, Plot A-5&6, Sector-1 Noida – 201301 Dear Sir, SUB: ENLISTMENT OF VENDORS for “Providing of Transport Services (Hiring of Cars with Driver & fuel) in the Northern Region” In response to your press advertisement inviting applications for the registration of Vendor and after having gone through the documents, I/we hereby submit necessary information/documents, as desired. The application is made by me/ us on behalf of ………………………………………………………………………………………………….. duly authorized to submit the same. We understand that The DGM (HRS) North, Bharat Petroleum Corporation Ltd. reserves the right to reject any/ all or accept any applications without assigning any reasons whatsoever. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm:

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3.0 PERTICULARS OF THE AGENCY SEEKING ENLISTMENT

BHARAT PETROLEUM CORPORATION LTD. ( A GOVT. OF INDIA ENTERPRISE ) Dy. General Manager (HRS)-NORTH

PLOT No. A-5&6, SECTOR-1, NOIDA.

“Providing of Transport Services (Hiring of cars with Driver & fuel) in the Northern Region”

1. Name of the Organization

_________________________________ _________________________________

2. a) Full Postal Address of Organization

_________________________________

b) Contact Phone / Fax No. _________________________________ _________________________________ 3. Type of Organization

(Individual / Prop. / Partnership / Pvt. Ltd. / Public Ltd.) & Date of incorporation. (Attach copy of the Memorandum and Articles of Association. / Partnership deed, bio-data or prop./partner/directors, as applicable).

_________________________________ _________________________________ _________________________________ _________________________________

4. Place of Business _________________________________ 5. Annual Turnover ( in Lakhs ) ( Attach Copies of Audited Balance

sheets and P&L account for the last 3 years )

Financial Year Turnover

2011-12

2012-13 2013-14

APPLICATION FORM FOR ENLISTMENT OF VENDORS

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6. Details of maximum valued single Job contract completed in last 3 financial years (Attach documentary proof/ client certificate)

:____________________________________________________for Rs.________ Client M/s_________________________

Address :

Contract No. : 7. Details of works executed during last

5 years (Attach documentary proof.) Please furnish relevant details as per Annexure-A

8

Details of Jobs in hand (Attach documentary proofs)

Please furnish relevant details as per Annexure-B

9. Details of registration/enlistment with

other Companies (Attach documentary proof.)

(e) Organization____________________ (b) Financial limit___________________

10. Valid PAN No. Please attach copy for documentary proof. 11. Bankers Certificate (in original,

preferable in sealed cover, issued within last 1 year).

Certificate to cover the requisite details required as per Annexure-C

12. Details of Organization and

Manpower personnel employed on regular basis

Please attach relevant details

13. Details of Tools, Plants, Machinery

owned Please attach relevant details

14. Whether applicant is already

registered in this undertaking? If so, in which class and category? (Please attach documentary proof)

_________________________________

15. Whether the applicant or any of his partners or shareholders is a / are member of the Indian Parliament or any State Legislatures?

_________________________________

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16. Whether the applicant have under his

employment a dismissed Govt. Servant / employee of the Undertaking.

_________________________________

17. Whether the applicant or any of his

partners or shareholders been blacklisted or removed from the approval list of Vendors or demoted to lower class or orders passed, banning or suspending business with the applicant etc by any Deptt. In the past

_________________________________

18. A list of those persons who are

working with the Applicant in any capacity and who are near relative to any officer in this corporation.

19. Provident Fund No. ( enclose copy of

evidence) _________________________________

20. ESIC No. ( enclose copy of evidence) _________________________________ 21. Service Tax registration No. ( enclose

copy of evidence) __________________________________

22. Works Contract Tax / VAT / CST

Registration ( enclose copy of evidence)

________________________________

23. Copy of IT returns of last 3 years

________________________________

24. Remarks, if any

_________________________________

25. I) I/We certify that I/We will not get myself/ourselves registered as vendor in the Undertaking under more than one name.

II) a) I/We certify that I/We did not retire as an employee of this Undertaking during the last two years. I/We also certify that I have neither such a person under my employment not shall I/We employ any such person within two years of his retirement from this undertaking except with the prior permission of the undertaking (For individuals seeking registration in their own name).

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b) We certify that none of the partners/Directors retired as employees of this undertaking during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of Undertaking (for limited companies and partnership firms).

I/We hereby confirm that above information is true to the best of my/ our knowledge and belief. I/We also undertake that, if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/ our registration, at any time, without notice, at its discretion. Date: Signature of the Proprietor/ Partner/ Authorized Representative Place:

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APPLICATION FOR ENLISTMENT ANNEXURE-A DETAILS OF JOBS EXECUTED DURING LAST 3 YEARS Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Remarks

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APPLICATION FOR ENLISTMENT ANNEXURE-B

DETAILS OF JOBS ON HAND Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Present Status

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APPLICATION FOR ENLISTMENT ANNEXURE-C

BANK SOLVENCY CERTIFICATE (Format to be furnished on Bank letter head)

1. Name of the party : 2. Address : 3. Account No. : 4. Credit Facility : 5. Overdraft Facility : 6. Current Balance : 7. Average Balance in last year : 8. Party is financially solvent to handle the work upto _____________ lakhs.

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4.0) DETAILS OF THE DOCUMENT ATTACHED Enclosures YES / NO i) Valid PF ii) Valid ESI iii) Valid Service Tax iv) Valid Work Contract Tax / VAT / CST v) ) Last 3 Year’s Balance Sheet with Auditor’s note. Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vi) Last 3 year’s P & L A/c Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vii) Last 3 year’s IT returns Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : Viii) Bank Solvency Certificate ix) List of the Clients x) Highest single order value proof xi) Valid PAN no.

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5.0) FORM OF DECLARATION I / We hereby affirm and declare that the above furnished information is true to the best of my/our knowledge and belief. I am/we are not BLACK LISTED or DEBARRED in any manner by any of the organizations from tendering for their works. If at any stage, information furnished here before is found to be incorrect, necessary action could be initiated against me/ us. I/We certify that I /We will not get myself/ ourselves enlisted as Vendor(s) in this Corporation under more than one name. I certify that I did not retire as an employee of this Corporation during the last two-years. I also certify that I neither have such a person under my employment nor shall I employ any such person within two years of his retirement from this Corporation except with the prior permission of the corporation. ( For individuals seeking enlistment in their names) We certify that none of the partners/ Directors retired as employees of this corporation during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of the Corporation.(For Limited Companies and partnership Firms) I/ We understand that my application for enlistment may be rejected by BPCL without assigning any reasons thereof. I/We also undertake that if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/our enlistment at any time, without notice, at its sole discretions. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm: Note: Non-submission of any of the documents as mentioned in the application form or incomplete form may lead to rejection.

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APPLICATION FORM FOR

ENLISTMENT OF

VENDORS

“Providing Photocopy Services - Northern Region”

BHARAT PETROLEUM CORPORATION LTD., Plot No. A-5&6, Sector-1,

Noida - 201301

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NOTICE TO THE APPLICANTS

Bharat Petroleum Corporation Ltd. intends to enlist Vendors for Providing of Photocopy Services in the Northern Region. We are enclosing herewith Application Form for Enlistment along with documents/details required for enlistment, which is required to be filled in by you, complete in all respects and submitted to us. Party’s application form duly filled in and containing all information & supporting documents should be submitted, in a sealed envelope clearly super scribing ‘’Enlistment of Vendors for Providing Photocopy Services in Northern Region” to: Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd., 5th Floor, Plot no A-5&6, Sector-1, Noida 201301.

On or before the due date. Application Forms received after the expiry of the above specified date/time shall be rejected outright. BPCL is not responsible for any delay. Incomplete offers shall be rejected outright. Cost/expenditure incurred by the applicant in submitting the application by way of travel, boarding and lodging or any other manner shall be entirely on the applicant’s account. In case the applicant intends to give additional information for which specified space is not sufficient, the party may do so by adding extra sheets by indicating duly at the appropriate column. Clarifications could be sought from the Office of the Manager (Admin. Facilities) North, Bharat Petroleum Corporation Ltd., 5th floor, Plot No. A-5&6, Sector-1, Noida 201301. (On all working days – Monday to Friday from 10 AM to 5:30 PM). The applicant should strictly furnish all the information only in the formats given. The applications not complying with this requirement is liable to be rejected. All the supporting documents should be duly attested / notarized. All the corrections and over writings should be duly countersigned by the applicant. Bharat Petroleum Corporation Ltd. (BPCL) reserves the right to accept/reject any or all applications for enlistment at its sole discretions without assigning any reasons whatsoever. BPCL reserves the right to decide on the number of agencies to be enlisted. Thanking you, Yours faithfully, For Bharat petroleum Corporation Ltd., Manager (Admin Fac) North

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INDEX FOR ‘APPLICATION FOR ENLISTMENT’

1.0 PRE-QUALIFICATION CRITERIA 2.0 APPLICATION FORM FOR ENLISTMENT 3.0 PARTICULARS OF THE AGENCY SEEKING ENLISTMENT 4.0 DETAILS OF THE DOCUMENTS ATTACHED 5.0 FORM OF DECLARATION

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1.0 Prequalification criteria - Photocopy Services M/s Bharat Petroleum Corporation Ltd. wishes to enlist well established reputed & professional vendors for providing Photocopy Services in Northern Region . The empanelment of vendors for job value upto Rs. 30 Lacs is subject to meeting the following criterions and submission of requisite documents :-

1) The Vendor should have 5 years experience in providing Photocopy

Services and have adequate trained manpower to execute the job. 2) The Vendor should have successfully completed either of the following

jobs during the last 3 years :-

i) 3 single jobs of providing Photocopy Services of a minimum value of Rs. 12 Lacs each OR

ii) 2 single jobs of providing Photocopy Services of a minimum value

of Rs. 15 Lacs each OR iii) 1 single job of providing Photocopy Services of a minimum value

of Rs. 24 Lacs (Please attach documentary proof / certificate from the Client)

3) The Vendor should have minimum average annual turnover of Rs. 9 Lacs every year during the last 3 years and the same has to be supported by audited financial statements.

4) The Vendors shall have requisite permissions/ permits with all

statutory requirements. 5) The Vendor should submit the following documents:-

i) Bank Solvency Certificate for Rs. 3 Lacs ii) Copy of Valid PAN Card iii) Copy of VAT / CST / Service Tax Registration Certificate iv) Copy of Audited Balance Sheet for the Financial Year 2011-12,

2012-13 and 2013-14. 6) The Vendor should submit their current Corporate Client list. This list

should contain details of the Company, name of the contact person of the company and contact address/ telephone numbers.

7) BPCL officials may visit any of the Vendors’ facilities/ locations, if

necessary, to ascertain the criteria mentioned above and capability of the vendor.

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8) Preference will also be given to vendors empanelled in large Corporates / Govt. Agencies / PSUs etc.

General Conditions : a) The registration / enlistment does not provide that an order /

agreement for the services shall be placed without going through the tendering process.

b) The enlistment would be valid for a maximum period of 3 years or when

the same is reviewed/ revalidated by BPCL, whichever is earlier. On satisfactory performance and / or review of the credentials, the validity may be extended further.

c) The Corporation reserves the right to suspend, de-register or blacklist

the Vendor’s name in case of failing to meet any of our requirements, unsatisfactory performance or circumstantial evidence against the vendor.

d) Any application not meeting the requisite criteria or incomplete in any

manner or late receipt is liable to be rejected. e) BPCL reserves the right to accept or reject any or all applications

without assigning any reasons. f) The existing Vendors already empanelled in Northern Region for

providing Photocopy Services also need to apply for necessary revalidation as per Company Norms.

****

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2.0 APPLICATION FORM FOR ENLISTMENT From Dated: To The Dy. General Manager (HRS) North, Bharat Petroleum Corporation Ltd, Plot A-5&6, Sector-1 Noida – 201301 Dear Sir, SUB: ENLISTMENT OF VENDORS for “Providing Photocopy Services in the Northern Region” In response to your press advertisement inviting applications for the registration of Vendor and after having gone through the documents, I/we hereby submit necessary information/documents, as desired. The application is made by me/ us on behalf of ………………………………………………………………………………………………….. duly authorized to submit the same. We understand that The DGM (HRS) North, Bharat Petroleum Corporation Ltd. reserves the right to reject any/ all or accept any applications without assigning any reasons whatsoever. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm:

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3.0 PERTICULARS OF THE AGENCY SEEKING ENLISTMENT

BHARAT PETROLEUM CORPORATION LTD.

( A GOVT. OF INDIA ENTERPRISE ) Dy. General Manager (HRS)-NORTH

PLOT No. A-5&6, SECTOR-1, NOIDA.

“Providing Photocopy Services in the Northern Region”

1. Name of the Organization

_________________________________ _________________________________

2. a) Full Postal Address of Organization

_________________________________

b) Contact Phone / Fax No. _________________________________ _________________________________ 3. Type of Organization

(Individual / Prop. / Partnership / Pvt. Ltd. / Public Ltd.) & Date of incorporation. (Attach copy of the Memorandum and Articles of Association. / Partnership deed, bio-data or prop./partner/directors, as applicable).

_________________________________ _________________________________ _________________________________ _________________________________

4. Place of Business _________________________________ 5. Annual Turnover ( in Lakhs ) ( Attach Copies of Audited Balance

sheets and P&L account for the last 3 years )

Financial Year Turnover

2011-12

2012-13 2013-14

APPLICATION FORM FOR ENLISTMENT OF VENDORS

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6. Details of maximum valued single

Job contract completed in last 3 financial years (Attach documentary proof/ client certificate)

:____________________________________________________for Rs.________ Client M/s_________________________

Address :

Contract No. : 7. Details of works executed during last

5 years (Attach documentary proof.) Please furnish relevant details as per Annexure-A

8

Details of Jobs in hand (Attach documentary proofs)

Please furnish relevant details as per Annexure-B

9. Details of registration/enlistment with

other Companies (Attach documentary proof.)

(f) Organization____________________ (b) Financial limit___________________

10. Valid PAN No. Please attach copy for documentary proof. 11. Bankers Certificate (in original,

preferable in sealed cover, issued within last 1 year).

Certificate to cover the requisite details required as per Annexure-C

12. Details of Organization and

Manpower personnel employed on regular basis

Please attach relevant details

13. Details of Tools, Plants, Machinery

owned Please attach relevant details

14. Whether applicant is already

registered in this undertaking? If so, in which class and category? (Please attach documentary proof)

_________________________________

15. Whether the applicant or any of his partners or shareholders is a / are member of the Indian Parliament or any State Legislatures?

_________________________________

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16. Whether the applicant have under his

employment a dismissed Govt. Servant / employee of the Undertaking.

_________________________________

17. Whether the applicant or any of his

partners or shareholders been blacklisted or removed from the approval list of Vendors or demoted to lower class or orders passed, banning or suspending business with the applicant etc by any Deptt. In the past

_________________________________

18. A list of those persons who are

working with the Applicant in any capacity and who are near relative to any officer in this corporation.

19. Provident Fund No. ( enclose copy of

evidence) _________________________________

20. ESIC No. ( enclose copy of evidence) _________________________________ 21. Service Tax registration No. ( enclose

copy of evidence) __________________________________

22. Works Contract Tax / VAT / CST

Registration ( enclose copy of evidence)

________________________________

23. Copy of IT returns of last 3 years ___________________________________

___________________________________

24. Remarks, if any

_________________________________

25. I) I/We certify that I/We will not get myself/ourselves registered as vendor in the Undertaking under more than one name.

II) a) I/We certify that I/We did not retire as an employee of this Undertaking during the last two years. I/We also certify that I have neither such a person under my employment not shall I/We employ any such person within two years of his retirement from this undertaking except with the prior permission of the undertaking (For individuals seeking registration in their own name).

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b) We certify that none of the partners/Directors retired as employees of this

undertaking during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of Undertaking (for limited companies and partnership firms).

I/We hereby confirm that above information is true to the best of my/ our knowledge and belief. I/We also undertake that, if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/ our registration, at any time, without notice, at its discretion. Date: Signature of the Proprietor/ Partner/ Authorized Representative Place:

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APPLICATION FOR ENLISTMENT ANNEXURE-A DETAILS OF JOBS EXECUTED DURING LAST 3 YEARS Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Remarks

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APPLICATION FOR ENLISTMENT ANNEXURE-B

DETAILS OF JOBS ON HAND Documentary proof for each job to be attached.

Sl.No.

Name & Address of the employer

Details of Work Amount of the work

Present Status

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APPLICATION FOR ENLISTMENT ANNEXURE-C

BANK SOLVENCY CERTIFICATE (Format to be furnished on Bank letter head)

1. Name of the party : 2. Address : 3. Account No. : 4. Credit Facility : 5. Overdraft Facility : 6. Current Balance : 7. Average Balance in last year : 8. Party is financially solvent to handle the work upto _____________ lakhs.

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4.0) DETAILS OF THE DOCUMENT ATTACHED Enclosures YES / NO i) Valid PF ii) Valid ESI iii) Valid Service Tax iv) Valid Work Contract Tax / VAT / CST v) ) Last 3 Year’s Balance Sheet with Auditor’s note. Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vi) Last 3 year’s P & L A/c Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : vii) Last 3 year’s IT returns Year 2011-2012 : Year 2012-2013 : Year 2013-2014 : Viii) Bank Solvency Certificate ix) List of the Clients x) Highest single order value proof xi) Valid PAN no.

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5.0) FORM OF DECLARATION I / We hereby affirm and declare that the above furnished information is true to the best of my/our knowledge and belief. I am/we are not BLACK LISTED or DEBARRED in any manner by any of the organizations from tendering for their works. If at any stage, information furnished here before is found to be incorrect, necessary action could be initiated against me/ us. I/We certify that I /We will not get myself/ ourselves enlisted as Vendor(s) in this Corporation under more than one name. I certify that I did not retire as an employee of this Corporation during the last two-years. I also certify that I neither have such a person under my employment nor shall I employ any such person within two years of his retirement from this Corporation except with the prior permission of the corporation. ( For individuals seeking enlistment in their names) We certify that none of the partners/ Directors retired as employees of this corporation during the last two years. We also certify that we have neither under our employment any such person nor shall we employ any person within two years of his retirement except with the prior permission of the Corporation.(For Limited Companies and partnership Firms) I/ We understand that my application for enlistment may be rejected by BPCL without assigning any reasons thereof. I/We also undertake that if at any stage, the above information are found to be incorrect, the Corporation shall reserve the right to cancel my/our enlistment at any time, without notice, at its sole discretions. Place: Signature of the Proprietor/ Partner/ Date: Authorized representative Seal of the Firm: Note: Non-submission of any of the documents as mentioned in the application form or incomplete form may lead to rejection.