1

TENDER NO. AC12C24007

Appendix - 1

BIDDING DOCUMENT ACKNOWLEDGEMENT PROFORMA

(To be submitted on company’s letterhead)

Dated:.................................
Oil & Natural Gas Corporation Ltd.
Engineering Services, Ankleshwar Asset,
ONGC Ankleshwar.

Dear Sirs,

We hereby acknowledge downloading from complete set of e-Bidding documents pertaining to work
Annual rate contract for repair of road leading to well site from installations of Ankleshwar asset for 3 years
period against tender no. AC12C24007.

We have noted that the closing date for receipt of the tender by ONGC is 27.02.2024 at 1500 hrs. (IST) and
opening at 1530 hrs.(IST) on the same day.

We guarantee that the contents of the above said Bidding Documents will be kept confidential within our
organization and text of the said documents shall remain the property of ONGC and that the said documents are to
be used only for the purpose intended by ONGC.

Our address for further correspondence on this tender will be as under:

………………………........................
………………………........................
………………………........................
TELEX NO:
FAX NO:
TELEPHONE NO; Yours faithfully,
PERSONAL ATTENTION OF:
(IF REQUIRED) (BIDDER)

Note: This form duly filled and digitally signed should be uploaded along with offer.
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TENDER NO. AC12C24007

Appendix-2
BID SUBMISSION PROFORMA
(To be submitted on company’s letterhead)

Tender No AC12C24007 Contractor's Telegraphic

Address: Contractor's
______________________ Telephone No.

TELEX NO:
FAX NO:

Oil and Natural Gas Corporation Ltd

Engineering Services, Ankleshwar Asset,
ONGC Ankleshwar.

Dear Sirs,

1. I/We hereby offer to supply the services detailed in schedule hereto or such portion thereof as you specify in
the Acceptance of Tender at the price given in the said schedule and agree to hold this offer open till
27.05.2024.

2. I/We have understood and complied with the "Instructions to Bidders" at Annexure - I, "Bid Evaluation Criteria"
at Annexure IV and accepted the "General Terms and Conditions" at Annexure II for providing services and
have thoroughly examined and complied with the specifications, drawings, Special Conditions of Contract and/or
pattern stipulated at Annexure III hereto and am/are fully aware of the nature of the service required and my/our
offer is to provide services strictly in accordance with the requirements.

3. The following pages have been added to and form part of this tender:-

4. Agreement at Appendix 3 on Bidding documents and submission of Tender has been duly signed and
uploaded.

Yours faithfully,

Signature of Bidder

Address
Dated

Signature of witness

Address

Note: This form duly filled and digitally signed should be uploaded along with offer.
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TENDER NO. AC12C24007

Appendix - 3

AGREEMENT
(Applicable for tenders above Rs. 1 crore)

No. Dated

To,
Oil & Natural Gas Corporation Ltd.,
Engineering services
Ankleshwar asset,
Ankelshwar.

Sub: BIDDING DOCUMENTS

Ref: TENDER No. AC12C24007
ONGC and the Bidder agree that the Notice Inviting Tenders (NIT) is an offer made on the
condition that the bidder will sign the Integrity Pact and the Bid would be kept open in its original form
without variation or modification for a period of 90 days AND THE MAKING OF THE BID SHALL BE
REGARDED AS AN UNCONDITIONAL AND ABSOLUTE ACCEPTANCE of this condition of the
NIT. They confirm acceptance and compliance with the Integrity Pact in letter and spirit. They further
agree that the contract consisting of the above conditions of NIT as the offer and the submission of Bid
as the Acceptance shall be separate and distinct from the contract which will come into existence when
bid is finally accepted by ONGC. The consideration for this separate initial contract preceding the main
contract is that ONGC is not agreeable to sell the NIT to the Bidder and to consider the bid to be made
except on the condition that the bid shall be kept open for 90 days after the last date fixed for the receipt
of the bids and the Bidder desires to make a bid on this condition and after entering into this separate
initial contract with ONGC. ONGC promises to consider the bid on this condition and the Bidder agrees
to keep the bid open for the required period. These reciprocal promises form the consideration for this
separate initial contract between the parties.

If Bidder fails to honour the above terms and conditions, ONGC shall have unqualified, absolute
and unfettered right to encash/forfeit the bid security submitted in this behalf.

Yours faithfully Yours faithfully

(BIDDER) (ONGC)

(This agreement duly filled and digitally signed must be uploaded along with offer.)
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TENDER NO. AC12C24007

Appendix-4
BIDDERS PAST SERVICES & CURRENT WORK IN HAND (SIMILAR) PROFORMA
(To be submitted on company’s letterhead)

---------------------------------------------------------------------------------------------------------------------- -----------------------------
SL.NO. NAME & ADDRESS PERIOD DESCRIPTION OF REMARKS
OF CLIENT FROM TO SEVICES COMPLETED
SUCCESSFULLY
---------------------------------------------------------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------

NOTE: - CERTIFICATE FROM CLIENTS TO BE ENCLOSED ALONGWITH THIS PROFORMA

Signature of the Bidder

_______________________

Name___________________

_________________________

Seal of the Company

_______________________
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TENDER NO. AC12C24007

Appendix - 5

AUTHORISATION LETTER FOR ATTENDING TENDER OPENING

(To be submitted on company’s letterhead)

NO. Date____________________

To,

Oil & Natural Gas Corporation Ltd.

Engineering Services, Ankleshwar Asset,
ONGC Ankleshwar.

Subject: Tender No.AC12C24007

Sir,

Mr................................ has been authorised to be present at the time of opening of

above tender due on................ at ....................., on my/our behalf.

Yours faithfully

Signature of Bidder

Copy to: Mr.......................………………………for information and for production before the

______________________ (MM) ____ at the time of opening of bids.

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TENDER NO. AC12C24007

Appendix - 6

PROFORMA CERTIFICATE ON RELATIVES

OF DIRECTORS OF ONGC
(To be submitted on company’s letterhead)

This has reference to our proposed contract regarding AC12C24007 to be entered into with Oil
and Natural Gas Corporation Ltd. (ONGC).

For the purpose of Section 297/299 of the Companies Act, 1956, an extract enclosed at
Appendix 11-A, we certify that to the best of my/our knowledge:

(i) I am not a relative of any Director of ONGC;

(ii) We are not a firm in which a Director of ONGC or his relative is a partner;

(iii) I am not a partner in a firm in which a Director of ONGC or his relative is a partner;

(iv) We are not a private company in which a Director of ONGC is a Member or Director;

(v) We are not a company in which Directors of ONGC hold more than 2 % of the paid-up
share capital of our company or vice-versa.

Authorized Signatory of
The Contracting Party

Place...

Date...

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TENDER NO. AC12C24007

Appendix - 7

PROFORMA FOR CHANGES/ MODIFICATIONS SOUGHT BY BIDDERS TO THE BIDDING

CONDITIONS

ONGC expects the bidders to fully accept the terms and conditions of the bidding documents.
However, changes/ modifications to the terms and conditions of bidding documents, if any
proposed, can be communicated in the following proforma, in case pre-bid is not held. This can
be used even in cases where pre-bid is held, to inform about the proposals in advance to the pre-
bid date.

Clause No. of Full compliance/ Changes/ modifications REMARKS

Bidding not agreed proposed by the Bidders
Document

Signature of the Bidder

….............…………....................

Name..........................………….

Seal of the Company

………………………………………

Note:- Bids maintaining or taking exceptions/deviations shall be rejected straightaway

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TENDER NO. AC12C24007

Appendix - 8

UNDERTAKING FOR SUBMISSION OF EPF CODE CERTIFICATE

(To be submitted on company’s letterhead)

To,
In charge Tender cell
Oil & Natural Gas Corporation Ltd.
Engineering Services, Ankleshwar Asset,
ONGC Ankleshwar.

TENDER No. AC12C24007

Sub. : UNDERTAKING

Sir,

I / We, M/s_____________________________hereby undertake to furnish / produce notary attested copy

of EPF code certificate registration with Regional Provident Fund Commissioner within 30 days from
the date of LOI/NOA and if fails to submit the same within 30 days of issue of LOI / NOA, my EMD /
PBG shall liable to be forfeited, and contract shall liable to be cancelled.

Yours faithfully,

SIGNATURE OF BIDDER:

NAME OF BIDDER:

Place:

Date:

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TENDER NO. AC12C24007

Appendix -09

UNDERTAKING FOR SUBMISSION OF LABOUR LICENSE

(To be submitted on company’s letterhead)

To,

In charge Tender cell

Oil & Natural Gas Corporation Ltd.
Engineering Services, Ankleshwar Asset,
ONGC Ankleshwar.

TENDER No. AC12C24007

Sub. : UNDERTAKING

Sir,

I / We, M/s__________________________________, hereby undertake to furnish / produce notary attested

copy of Labour License from the Asst. Labour Commissioner (C), Ahmedabad within 30 days from the
date of issue of NOA/Letter of Intent / Work Order from ONGC, if applicable, failing which LOI/NOA shall
be cancelled.

Yours faithfully,

SIGNATURE OF BIDDER:

NAME OF BIDDER:

Place:

Date:

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TENDER NO. AC12C24007

Appendix -10

VENDOR MANDATE FORM

ONGC Ankleshwar Asset
ELECTRONIC CLEARING SERVICES (CREDIT CLEARING)
Vendor No: Click here to enter text. PAN No.:Click here to enter text.
1) Investors / Customers Name:
2) Particulars of Bank Account: Click here to enter text.
a) Bank Name:Click here to enter text.
b) Branch Name & Address:Click here to enter text.
c) 9 Digit /code Number of the Bank & Branch: Click here to enter text.
(Appearing on the MICR Cheque issued by the Bank)
d) IFSC Code of Bank: Click here to enter text.
e) Account Type: Click here to enter text.
(Saving or Current or Cash Credit with Code 10/11/13)
f) LEDGER No. / LEDGER FOLIO No.: Click here to enter text.
g) Account Number (as appearing on Cheque Book).Click here to enter text.
h) Attached document for verification of bank particulars (Please attach a blank cancelled
cheque or photocopy of a cheque or front page of your saving bank passbook
issued by your bank for verification of the above particulars).
i) Email Address:Click here to enter text.
j) Goods and Service Tax No:Click here to enter text.
k) Vendor code
3) Date of Effect:-
I hereby declare that the particulars given above are correct and complete. If the transaction is
delayed or not effected at all for reasons of incomplete or incorrect information, I will not hold the
user institution responsible. I have read the option invitation latter and agree to discharge
responsibly accepted of me as a participant under the scheme.

Click here to enter text.

(Signature of Investors / Customers)
Date: Click here to enter text.

Certified that the particulars furnished above are correct as per our records (Bank Stamp)

Click here to enter text.

(Signature authorizer bank officer)

Signature of Sectional Head (With Seal)

Signature of I/C Finance

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TENDER NO. AC12C24007

Appendix -13

Proforma of Electronic Bank Guarantee (e-BG) towards Bid Security

BID BOND

Ref. No.................... Bank Guarantee No………..........

Dated ..………………..................
To,
Oil & Natural Gas Corporation Ltd.
Engineering Services, Ankleshwar asset,
ONGC Ankleshwar.

Dear Sirs,

1. Whereas Oil & Natural Gas Corporation Ltd. incorporated under the Companies Act, 1956,
having its registered office at Pandit Deen Dayal Upadhyaya Urja Bhawan, 5 Nelson Mendela
Marg, Vasant Kunj, New Delhi - 110070 - India and one of its offices at Ankleshwar
(hereinafter called `ONGC' which expression shall unless repugnant to the context or
meaning thereof include all its successors, administrators, executors and assignees) has
floated a Tender No. __________ and M/s ____________________________ having Head/Registered
office at _______________________________ (hereinafter called the 'Bidder' which expression
shall unless repugnant to the context or meaning thereof mean and include all its successors,
administrators, executors and permitted assignees)have submitted a bid
Reference No........................ and Bidder having agreed to furnish as a condition precedent
for participation in the said tender an unconditional and irrevocable Bank Guarantee of Indian
Rupees/US Dollars (in figures)___________________ (Indian Rupees / US Dollars (in
words)_________________ only) for the due performance of Bidder's obligations as contained in
the terms of the Notice Inviting Tender (NIT) and other terms and conditions contained in the
Bidding documents supplied by ONGC which amount is liable to be forfeited on the happening
of any contingencies mentioned in said documents.

2. We (name of the bank)_________________ registered under the laws of_____________ having

head/registered office at _________ (hereinafter referred to as "the Bank" which expression shall,
unless repugnant to the context or meaning thereof, include all its successors, administrators,
executors and permitted assignees) guarantee and undertake to pay immediately on first
demand by ONGC, the amount of Indian Rs. (in figures) __________________ (Indian Rupees (in
words) _______________ only) in aggregate at any time without any demur and recourse, and without
ONGC having to substantiate the demand. Any such demand made by ONGC shall be conclusive
and binding on the Bank irrespective of any dispute or difference raised by the Bidder.

3. The Bank confirms that this guarantee has been issued with observance of appropriate laws of
the country of issue.

4. The Bank also agree that this guarantee shall be irrevocable and governed and construed in
accordance with Indian Laws and subject to exclusive jurisdiction of Indian Courts of the place
from where tenders have been invited.

5. This guarantee shall be irrevocable and shall remain in force upto

____________________________ which includes thirty days after the period of bid validity and any
demand in respect thereof should reach the Bank not later than_________________(Indicate date of
expiry of claim period which includes minimum one month period from the date of expiry of this
bank guarantee).

6 Notwithstanding anything contained hereinabove, our liability under this Guarantee is limited
to Indian Rs. (in figures) _________________ (Indian Rupees (in words) ________________ only) and
our guarantee shall remain in force until (indicate the date of expiry of bank guarantee)
_________.

All Claims of ONGC (beneficiary) against this Bank Guarantee, shall be remitted by the
………………………..…………..(Bank’s name to be inserted) to the following account of ONGC only
through electronic transfer of funds, unless otherwise specifically communicated by ONGC:

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TENDER NO. AC12C24007

Beneficiary Account Name: Oil and Natural Gas Corporation

Limited

Bank Name : State Bank of India

Branch : ONGC Ankleshwar
Branch Code : 002675
Bank Account No. : 10210868032
IFSC Code : SBIN0002675

Any claim under this Guarantee must be received by us on or before ________(Indicate date of
expiry of claim period which includes minimum one month period from the date of expiry of this
bank guarantee). If no such claim has been received by us by the said date, the rights of ONGC
under this Guarantee will cease. However, if such a claim has been received by us within the said
date, all the rights of ONGC under this Guarantee shall be valid and shall not cease until we have
satisfied that claim.

In witness whereof, the Bank, through its authorised officer, has set its hand and stamp on
this ........ day of ........... at .....................

WITNESS NO. 1
--------------------- --------------------------
(Signature) (Signature)
Full name and official Full name, designation and
address (in legible letters) official address (in legible
letters) with Bank stamp.

Attorney as per Power of

Attorney No........….……..

Dated …………………….
WITNESS NO. 2

______________________
(Signature)
Full name and official address
(in legible letters)

Note:

(i) This Bank Guarantee/all further communications relating to the Bank Guarantee should be
forwarded to Tender cell, Engineering services, ONGC Ankleshwar only
(ii) Bank guarantee, duly executed as per the above format, is to enclosed with the offer

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TENDER NO. AC12C24007

INSTRUCTIONS FOR FURNISHING BANK GUARANTEE TOWARDS BID SECURITY

1. The Bank Guarantee by Indian Bidders will be given on non- judicial stamp
paper/franking receipt as per stamp duty applicable at the place where the tender has emanated.
The non-judicial stamp paper/franking receipt should be either in name of the issuing Bank or the
bidder.

2. Foreign Bidders are requested to execute Bank Guarantee as per law in their country.

3. Please indicate the currency in which Bank Guarantee is being given, either Indian
Rupees or US Dollars(USD).

4. The expiry date as mentioned in clause 5 & 6 should be arrived at by adding 30 days to the
date of expiry of the bid validity unless otherwise specified in the bidding documents.

5. The bidders will give Bank Guarantee from any of the following categories of Banks:

(a) Any Scheduled Bank incorporated in India, Bank Guarantee issued by foreign branches /
foreign offices of such Scheduled Banks be counter guaranteed by the Indian Branch of any
Scheduled Bank incorporated in India.

OR
(b) Any Branch of an International Bank situated in India and registered with Reserve Bank of
India as scheduled foreign bank.

OR
(c) Any foreign Bank which is not a Scheduled Bank in India provided the Bank Guarantee
issued by such Bank is counter guaranteed by any Branch situated in India of any
Scheduled Bank incorporated in India.

6. For issuance of Electronic Bank Guarantee through National E-Governance Services Limited
(NeSL) platform, details of ONGC (Beneficiary) are as under:

(i) PAN AAACO1598A

(ii) Name Oil and Natural Gas Corporation Limited

(iii) Date of Incorporation 23.06.1993

(iv) Email ID nayan_niraj@ ongc.co.in

(v) Contact No. 9968282271

(vi) Legal Constitution Entity

(vii) Registered office address Plot No. 5A-5B, Nelson Mandela Marg, Vasant Kunj, New Delhi-70
(viii) Registered office address Pin 110070
code
(ix) Communication address ONGC, Shared Service Center,
1st Floor,
IBM office, Sector 62, Noida-201309, Uttar Pradesh
(x) Communication Address Pin 201309
code

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TENDER NO. AC12C24007

Appendix -15

UNDERTAKING (to be submitted on Company’s Letterhead)

I__________, age ____years Son/ Daughter of ____________, resident of

________________________________________ do solemnly affirm and state as under:

That I am the ______________________<<Designation of the authorized signatory>>of

_______________and I am duly authorized to furnish this undertaking/declaration on behalf
of_____________ (Name of the company).

That__________ (Name of the company) has submitted its bid no _______________ dated
________ against tender document no___________ dated ______ for ________ item / works.

That the Company is fully aware of the anti-profiteering provision under the Goods &
Services Tax (“GST”) Law(s).

That the Company is passing on the benefits which it is getting on account of reduced tax
liability and input tax credit because of enactment of GST Laws. The details and amounts
being passed on to ONGC are provided in Annexure-___ of this document and are as per
applicable GST Laws. These are true and correct to the best of my knowledge, information
and belief.

I confirm that I am aware of the implication of the above undertaking and our liability on
account of incorrect/misleading declaration under the GST Laws.

(Authorized signatory of bidder)

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TENDER NO. AC12C24007

Appendix -16

UNDERTAKING for Implication GST

(To be submitted on company’s letterhead)

To,

Oil & Natural Gas Corporation Ltd.

Engineering Services, Ankleshwar Asset,
ONGC Ankleshwar.

TENDER No. AC12C24007

Sub. : UNDERTAKING

Sir,

I / We, M/s__________________________________, hereby undertake to provide necessary documents,

for enabling ONGC to avail Input tax credit benefits under GST legislation. (Not applicable for

bidder under composition levy of the GST legislation)

Yours faithfully,

SIGNATURE OF BIDDER:

NAME OF BIDDER:

Place:

Date:

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TENDER NO. AC12C24007

Appendix -17

PROFORMA FOR CERTIFICATE ACCEPTING ALL TERMS AND CONDITIONS

(To be submitted on company’s letterhead)

(To be furnished by the authorized signatory of bidder. This certificate needs to be given in original
on letter head that will be enclosed along with the offer, provided further such a certificate is valid
at time of bidding)

With regards to tender number -------------------- for the work”---------------------.”, undersigned in

the capacity of (please indicate name and designation) ____________________ ____________________
hereby certifies that M/s _____________________________________
__________________________________________________________________________ accepts all terms and
conditions as mentioned in Section 1: Instruction to bidders and Section 2:General Contract
Conditions and Section 4: Special Conditions of contract in toto.
This certificate is valid at the time of bid and will remain valid during the entire execution period of
the order.It is also confirmed that bid is valid for a period of 90 days from the date of opening of
technical bid The duration of contract as indicated in the bid document is also agreed to .The Price
quoted are firm for the entire period of validity of bid and during execution of contract till
completion of work. The bidder is part of only one bid.

(Signature)
Name and Designation
(Seal)

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TENDER NO. AC12C24007

Appendix -18

PROFORMA FOR ACCEPTANCE OF ONGC'S POLICY ON CLIMATE CHANGE AND

SUSTAINABILITY
(To be submitted on company’s letterhead)

ONGC's Policy on Climate Change and Sustainability

1. ONGC is committed to enhance contribution to sustainable development through a greater

integration of economic, environmental and social dimensions.
2. ONGC shall endeavour for GHG emission mitigation from our operations and participate in
Kyoto and other protocol where India is a signatory. We shall strive to achieve quantifiable
milestones in these aspects.
3. ONGC shall partner with sustainability advocacy organizations where our strengths are
complementary and also actively propagate the idea of GHG mitigation at national and
international operations where we are business partner.
4. ONGC shall develop and invest in advanced low carbon technologies to meet growing
demand for affordable energy products while improving security of supply and reducing
environmental impacts.
5. ONGC’s aim shall be to achieve competitive business advantage from GHG abatement
programmes, particularly through process efficiency, besides improving environmental
performance.
6. ONGC shall endeavour to develop new business opportunities through investment in
climate change.
7. ONGC shall try to adopt triple bottom line accounting and reporting to raise awareness of
the true cost and benefits.
8. Above all, ONGC shall make sustainability a foundation of our business strategy.

This is to certify that we agree with ONGC's Policy on Climate Change and Sustainability and are
working / already have our own policy on Climate change and Sustainability.

Authorised Signatory of
The Bidder with Seal

Place...

Date...

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TENDER NO. AC12C24007

Appendix-19

Proforma for Power of Attorney (for Indian bidders)

(The power of attorney needs to be submitted in original on a stamp paper (as applicable under the
state law) duly notarized and attested along with the offer, provided further such an declaration is
valid at time of bidding. In case the person signing the bid has a general power of attorney, an
attested copy of the same may be submitted instead of this appendix)

POWER OF ATTORNEY

I hereby authorize ______________________________(name of authorised representative, whose

signature is affixed on the bid), __________________________( designation of authorised
representative, whose signature is affixed on the bid) of the company’s attorney to act severally
for and on behalf of the company to execute all or any of the acts and things as follows:

1. To appear and represent the Company in connection with bidding for Tender
No.____________________________________________________________ dated _________ ______________ for
M/S OIL AND NATURAL GAS CORPORATION LIMITED.

2. To negotiate, discuss, sign and execute documents, statements on behalf of the Company in
connection with the above tender.

3. To do all acts, deeds, matter, and things as the said attorney may deem fit and necessary for the
purpose and in relation to the said project/contract.

And the said Company _______________________________(name of bidding firm) hereby agrees and
undertakes to ratify and confirm all the whatsoever the company’s attorney shall lawfully do or
cause to be done by virtue these presents.

In witness whereof the said Company ____________________(name of bidding firm) have executed
these presents on this ______________________(date) at _______________(place).

For______________________(name of bidding firm)

(Signature)
Name and Designation
(Seal)

Accepted

(Signature)
Name and Designation
of the authorise representative

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TENDER NO. AC12C24007

Appendix – 21

UNDERTAKING FOR SUBMISSION OF ESI CODE CERTIFICATE

(To be submitted on company letter head)

To,
In-Charge, Tender Cell
ONGC, Ankleshwar Asset,

TENDER No. AC12C24007

Sub. : UNDERTAKING
Sir,

I / We, M/s_____________________________hereby undertake to furnish / produce notary

attested copy of Employees’ State Insurance (ESI) Code no under “Employees’ State

Insurance Act, 1948”within 30 days from the date of LOI/NOA.

Yours faithfully,

SIGNATURE OF BIDDER:

NAME OF BIDDER:

Place:

Date:

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TENDER NO. AC12C24007

Appendix – 22

DECLARATION FOR NOT SERVING BANNING ORDERS

(To be submitted on company’s letterhead)

TENDER NO. AC12C24007

Neither we (name of Bidder i.e. M/s……………………

…………………………………………………………………………….. …………………………..
………………… ) ourselves, nor any of our allied concerns, partners or associates or
directors or proprietors involved in any capacity, are currently serving any banning
orders issued by ONGC debarring them from carrying on business dealings with ONGC.

…………………………

(Name & Signature of the Bidder)

Appendix - 23

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TENDER NO. AC12C24007

UNDERTAKING
{For Genuine Documents}
(To be submitted on company’s letterhead)

TENDER NO. AC12C24007

We hereby undertake that all the documents/certificates/information submitted by

us against this tender are genuine. In case any of the documents / certificates /
information submitted by us is found to be false or forged, action as deemed fit may
be initiated by ONGC at its sole discretion.

…………………….
(Name & Signature of the Bidder)
With Company Deal.

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TENDER NO. AC12C24007

CERTIFICATE
(Land border undertaking)

We have read the clause regarding restrictions on procurement from a bidder of a country
which shares a land border with India. We certify that bidder M/s.
___________________________(name of the bidder) is not from such a country or if
from such a country, has been registered with the Competent Authority. We hereby certify
that bidder M/s. ________________________(Name of bidder) fulfills all the requirement
in this regard and is eligible to be considered against the tender.”
We have read the clause regarding restrictions on procurement from a bidder of a
country which shares a land border with India and on sub-contracting to contractors from
such countries.
We certify that bidder M/s. _____________________(Name of bidder) will not sub-
contract any work to a contractor from such countries unless such contractor is registered
with the Competent Authority.

Signature of Bidder with Seal

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TENDER NO. AC12C24007

CERTIFICATE
(Applicability of PPP-MII circular)

We __________________________ (name of the bidder) certify that against tender No.

AC12C24007 for Annual rate contract for repair of road leading to well site from
installations of Ankleshwar asset for 3 years period, the local content quoted in the bid is
_________% and that the ietms/services/works offered against subject tender meets the
local content requirement for Select from drop down.

Location at which local value addition is made: __________

Signature of Bidder with Seal

23