मह प रब धक द रस च र क क र लर, क ष क ड-1 O/o the General Manager Telecom, Cable Planning, Balan K Nair Road, Kozhikode

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1 मह प रब धक द रस च र क क र लर, क ष क ड-1 O/o the General Manager Telecom, Cable Planning, Balan K Nair Road, Kozhikode LIMITED TENDER DOCUMENT FOR TRANSPORTING PLB PIPE/OFC FROM TRIVANDRUM SSA TO CALICUT SSA Limited Tender No. CP/MMS/CLT/ /1 dated NOTICE INVITING TENDER Sealed Competitive Tenders are invited on behalf of the Chairman and Managing Director, Bharat Sanchar Nigam Ltd. by the General Manager Telecom,BSNL,Calicut, from experienced individual/registered transporters for transporting PLB Pipe/96F OFC from Trivandrum to Calicut as detailed below. Tender forms can be obtained from the Planning Section, Office of the AGM (CP) O/o PGMT, Balan K Nair Road,Calicut-1 on payment of Rs.525 /-(Rupees Five hundred and twenty five only) inclusive of VAT at the Cash Counter between a.m. and pm on all working days up to 26/06/2017.Tender Documents can also be downloaded from the website or www. Kerala.bsnl.co.in. In this case, DD of Rs.525 /- drawn in favour of Accounts Officer (Cash), O/o PGMT, BSNL, Calicut-1 from any Nationalised/ Scheduled Bank payable at Calicut should be submitted along with the tender in token of purchase of tender form. The last date for receipt of tenders along with DD for the amount mentioned below as EMD in favour of Accounts Officer (Cash), BSNL, O/o GMT Calicut-1 payable at Calicut is on upto Hrs. Non submission of the cost of tender form may lead to disqualification. The decision of GMT BSNL Calicut in this regard is final and binding. The right of acceptance/rejection of Tender Bids fully rests with GM, BSNL, Calicut. 1 Signature of Bidder:

2 Estimated cost Date of sale of Tender Form Rs / onwards Date of Last receipt of Bid Document - Date &Time of opening of Tender Hrs Hrs Total EMD amount Rs. 3600/- Total SD amount Rs.9000/- It may be noted that the estimated cost is only a rough assessment by the BSNL and BSNL does not link itself to its full correctness and neither the BSNL can be held accountable for any variation,if any found actually. The tenderers are required to make their own detailed assessment and should quote accordingly. For any information please Contact: Phone No For further details visit our website or www. Kerala.bsnl.co.in Asst. General Manager (CP) O/O GMT, BSNL, Calicut-1 Phone No: Signature of Bidder:

3 Tender Form No: SECTION I-Instruction to bidders OFFICE SEAL Issued to: Particulars of Payment: Initials of issuing officer: No. 1. Tender should be addressed to Assistant General Manager (Planning), Office of the General Manager Telecom, BSNL, Balan K Nair Road,Calicut-1 and should reach on or before hrs on Envelope containing the Tender should be properly sealed with sealing wax or packing portage and bear the following. Limited Tender for Transporting PLB Pipe/OFC from Trivandrum to Calicut. Limited Tender No. CP/MMS/CLT/ /1 dated Full address of the Tendering Authority 2. Tenders can either be sent by registered post with acknowledgement due or can be deposited in the box provided for the purpose in the office of AGM (Cable Planning), BSNL, Balan.K.nair Road,Calicut-1. No separate acknowledgement will be given. BSNL will not be responsible for any delay in transit of tender sent by post or any other means. a) Method of preparation of bid: Bid for the tender should be submitted in three envelopes of sufficient thickness placed inside a main cover. These envelopes should contain the following. Envelope Marked on the Cover Contents of Envelope First Bid Security Containing Bid Security as per clause 4 of Bid document Second Qualifying Bid Containing documents as per clause 3 except Bid security Third Financial Bid Rates duly quoted by the tenderer in the prescribed format separately given On all these envelope the name of the firm and whether Bid Security OR Qualifying OR Financial bid must be clearly mentioned and should be properly sealed (with sealing wax / Packing PVC tape). These envelopes are to be placed inside an outer envelope and properly sealed (with sealing wax/packing PVC tape). Non submission of cost of Tender Form as said in NIT may 3 Signature of Bidder:

4 amounts to disqualification. 3. DOCUMENTS ESTABLISHING BIDDER S ELIGIBILITY AND QUALIFICATIONS The bidder shall furnish, as part of his bid documents establishing the bidder s eligibility, the following documents: (1) ALL PAGES OF THE TENDER DOCUMENT DULY SIGNED (2) PARTICULARS OF EMD (For tender forms downloaded from website, the additional cost of Rs.525/- to be enclosed) (3) PROOF OF REGISTRATION, IF ANY (4) FINANCIAL BID + Qualified Bids enclosed as per Tender conditions; (5) TENDERER PROFILE (6) APPLICATION FOR REFUND OF EMD ALONG WITH ADVANCE STAMPED RECEIPT (7) COPY OF CURRENT IT RETURNS FILED, IF ANY. (8) COPY OF VALID REGISTRATION WITH NSIC, IF ANY (9) PAN/GIR No: (10) ED registration No, if ED is applicable (11) Duly completed formats viz., Declaration, Rate schedule, No relation certificate. (12) GST provisional ID. All envelopes (3 inner & one outer) must bear the following: Limited Tender for Transporting PLB Pipe /OFC from Trivandrum to Calicut. Not to Open Before Hrs Limited Tender No. CP/MMS/CLT/ /1 dated Full address of tendering authority. 4 Signature of Bidder:

5 4. Nature of work:- Sl No /33 mm PLB Pipe. 96 F OFC Item Nature of work Quantity EMD in Rs SD in Rs Transportation of PLB Pipe of 200 M coils & 96 F OFC from SSA Store, Paruthippara, Trivandrum to SSA Store, Malaparamba, Calicut-9 PLB-30 KMs (150 Coils of 200 M each) OFC-20 KM (10 drums Appxly) 3600/- 9000/- 5. Tenders will be opened on at hrs by the undersigned or by such of whom he/she may authorise on his/her behalf at his/her office in the presence of those tenderers or by their authorized agents who will be present at the time of opening of the tenders. If the date fixed happens to be closed holiday, the tender will be opened on the next working day at the same time. The authorized agents should produce letter of authorization from the tenderer for attending the tender opening. 6. Tenders unsealed or received late will be straight away rejected. Covers which are pasted with gum or stapled will not be considered. Only one tender should be included in one cover. Tender document issued to one supplier is not transferable to others. Cost of the tender form will not be refunded in any circumstance. 7. The person or persons signing the bid shall sign all pages of the original tender document. 8. Earnest Money Deposit may be submitted as mentioned in Para 4, may be paid by Demand Draft issued by Nationalised/scheduled Bank drawn in favour of THE ACCOUNTS OFFICER (Cash), BSNL, O/o GMT, Calicut-1, payable at Calicut and should be attached with the tender or EMD may be deposited at the cash counter, O/o GMT, BSNL, Calicut and the receipts obtained in the form of ACG-67 should be attached with the tender. 9. Tenders without having the cash receipt / DD for EMD or valid SSI Regn. Certificate with NSIC will be straight away rejected. Non attachment of cost of tender Form may also entail disqualification. 10. EMD of the unsuccessful tenders will be refunded after the tender is awarded to the successful tenderer. The bidder will have to submit an advance stamped receipt in the prescribed format attached. EMD of the successful tender will be refunded after furnishing the security deposit. 11. The successful tenderer will have to remit Security Deposit (5% of the estimated cost).the EMD remitted will be converted as part of SD and the bidder has to remit the balance amount after adjusting the bid security amount already remitted. This amount can be remitted by Cash/demand draft drawn in favour of the Accounts Officer (Cash), BSNL, O/o PGMT, Calicut and payable at Calicut. The security deposit will be refunded after one month from the date of payment of the bill and also after obtaining non-liability certificate from the consignee. GMT, Calicut also reserves the right to appropriate the SD amount against any outstanding dues (to BSNL) against 5 Signature of Bidder:

6 any other earlier contract entered with the BSNL by the contractor. The SD can also be paid through Bank Guarantee, valid for a period of 12 months. 12. SSIs registered with NSIC under single point registration are exempted from submission of cost of tender form, EMD & security deposit to the extent of monetary limit. The unit claiming concession of NSIC is required to submit proof regarding current registration with NSIC for the tendered items along with their approved Monetary Limit with attestation 13. EMD and Security Deposit will not bear any interest. 14. Near relatives of BSNL Employees either directly recruited or on deputation is prohibited from participating in tenders in different units of BSNL. The near relatives for this purpose means a. Members of Hindu Undivided family b. Husband and wife. c. The one is related to the other in the manner as father, mother, sons, daughters, daughters-inlaw, sons-in-law, brother, brother s wife, sister, sister s husband. A certificate to this effect is given in the prescribed format enclosed. 15. The tender will be accepted based on the report submitted by the Tender Evaluation Committee nominated by GMT, Calicut. Tenderer whose tender is accepted will have to execute an agreement in a stamped paper worth Rs.200/-within 10 days of being asked to do so, failing which the EMD will be forfeited to the BSNL and the tenderer will be blacklisted. After execution of the agreement, the approved rate and contract shall be valid up to one year from the date of execution of agreement. Tender opening &Evaluation of Bids: The envelopes containing the tender offer that are not properly sealed as mentioned vide para 2 will not be opened and will be rejected outright. The first and second envelopes will opened initially on the date of opening as announced in NIT. The Tender Evaluation Committee nominated by GMT, Calicut will evaluate the bids and the samples of items for the assessment of quality. The qualified bidders will be decided based on the report submitted by the evaluation committee. The envelope marked financial bid will be opened only for the qualified bidders. The date and time of opening of financial bid will be conveyed to all qualified bidders and their representatives will be allowed to attend the financial bid opening The GMT, BSNL Calicut reserves the right to accept or reject any bid and to cancel the bidding process and reject all bids, at any time prior to award of contract without assigning any reason what-so-ever and without thereby incurring any liability to the affected bidder or bidders on the grounds for the BSNL s action The General Manager, BSNL Calicut reserves the right to reject any tender at any stage without assigning any reason and it is not obligatory to accept the lowest tender The General Manager Telecom, BSNL, Calicut shall be the final authority for deciding 6 Signature of Bidder:

7 successful tenderer and his decision shall be final and binding. 16.4The GMT, BSNL, Calicut reserves the right to terminate the contract entered into at any time by giving a written notice of 7 days if the discharge of the contractual liabilities of the contractor is not satisfactory to the above said officer or his representatives without prejudice to any other penal action he may choose to take against the contractor within the terms & conditions of this Tender Documents. The GMT, BSNL, Calicut shall not be held responsible for any loss or damage suffered by the contractor as a result of the cancellation of the letter of acceptance and work order In case the performance of the contractor is not satisfactory, the GM, BSNL Calicut also reserves the right for employing other agencies for urgent execution of work in the exigencies of service and the extra cost if any will be recovered from the contractor The tenderer will be bound by all terms and conditions and specifications as detailed in the tender documents. Any tender with conditions other than those specified in the tender document is liable to be summarily rejected. No modification by the contractor in any of the conditions will be permitted after the tender is opened. In the event of any failure to comply with any of the clauses of this tender notice, the tender is liable to be cancelled and EMD/SD will be forfeited along with taking such other action as may be deemed fit by GMT, BSNL, Calicut including blacklisting name of the tenderer or the firm The GMT, BSNL, Calicut may waive any minor infirmity or non-conformity or irregularity in a bid which does not constitute a material deviation, provided such waiver does not prejudice or affect the relative ranking of the bidder The GMT, BSNL, Calicut reserves the right to accept or reject any tender or all the tenders including the lowest and also to cancel the tender without assigning any reason whatsoever. The decision of GMT in this regard is final and binding Work Order will be issued by AGM (Cable Planning), O/O GMT, Calicut-1 as and when required by BSNL after assessing the requirements. Firms registered with NSIC should note that in case they fail to comply with the faithful performance of the contract, the quality of performance will be noted in the performance register in this office and will be notified to the NSIC The items should be transported within 10 days of accepting the work order L.D.Clause: Delayed transportation of items will attract Liquidated Damages at the rate of 0.5% of the total value of the item for each week of delay or part thereof for a period up to 10 weeks and 0.7% of the value of the delayed supply for each week of delay or part thereof for another 10 weeks of delay. The LD will continue to be charged at a flat rate of 0.7% of the value of the delayed supply for each week of delay beyond 20 weeks of delay. Quantum of liquidated damages assessed and levied by the purchaser shall be final and not challengeable by the supplier The rate may be quoted in the Financial Bid attached along with the tender document, in figures and in words in English. Acceptance of all items or any of items mentioned in the 7 Signature of Bidder:

8 tender would be optional by GMT, Calicut. 17 SPECIAL CONDITIONS OF CONTRACT 1. Loading and unloading will be done only during office hours. Hence the vehicle should reach the loading/unloading spot in the prescribed day and time. 2. The Contractor shall be responsible for any accident or loss to any person, Public / Private property & BSNL property, that may occur during transportation. 3. If required, the tenderer shall produce the original documents such as Registration Certificates for the transport operation, Income tax clearance certificate. 4. For any reason if the hired vehicle is stopped and not allowed for further journey, the tenderer has to make alternate arrangement for providing standby vehicle to take the responsibility to get adjusted the amount so spend by the officer to reach the destination. 5. Necessary insurance coverage for the items against damage/theft during transportation, from any nationalized insurance company should be provided by the contractor. 18 Description of work: 18.1.Transportation including loading, unloading and handling of 30 KMs of 40/33 mm PLB Pipe and 20 KMs of 96F OFC from SSA Store. Paruthippara, Trivandrum to BSNL store yard Malaparamba,Calicut-9 19 Bid shall remain valid for 60 days from date of opening of the bid. A time schedule for scrutiny & disposal of tender will be three months so as to ensure speedy disposal of the tenders. 20 If a vender registered with NSIC claiming concessional benefits is awarded tender and subsequently fails to obey any of the contractual obligation, he will be debarred from any further work/contract by BSNL for one year from the date of issue of such order % payment shall be made after transporting the materials fully in good condition and in correct quantity. 22. Payment will be settled after recovering any dues such as penalty and other statutory levies etc if applicable. 23. e-payment : In cities/areas where ECS/EFT facility is provided by banks, the bidder must have Accounts in such ECS/EFT facility providing banks and that bank account number shall be quoted in the bids by the bidder. The cost of ECS/EFT will be borne by BSNL in all cases where the payment to Contractor/supplier is made in a local branch i.e., bidder is having bank account in the same place where the payment is made by BSNL unit. In case payment is made to outside branch i.e., bidder is having bank account not in the same place from where the payment is made by BSNL unit, the crediting cost will have to be borne by the bidder/recipient only. The bidder must submit the Mandate form (Section VII) Electronic Clearance/ Electronic Fund transfer. for transfer of payment through 8 Signature of Bidder:

9 24. In case of any dispute regarding the contract, the decision of GMT, Calicut or any other officer nominated by him will be final and binding on the tenderer and of the law relating to the arbitration for the time being in force shall apply to such arbitration. 25. Force majeure: In the event of force majeure conditions such as acts of God, war declared or undeclared, hostilities, enemy actions, revolts, riots, legal lockouts, illegal strikes, epidemics, sabotage, extra ordinary act and regulations of Central or State Governments or Municipal bodies, the discretion to waive the tender conditions rests upon the GMT, BSNL, Calicut. 26. ABRITRATION: 26.1 In the event of any question, dispute or difference arising under this agreement or in connection there-with except as to matter the decision of which is specifically provided under this agreement, the same shall be referred to sole arbitration of the Chief General Manager, Kerala Circle or in case his designation is changed or his office is abolished then in such case to the sole arbitration of the officer for the time being entrusted whether in addition to the functions of the Chief General Manager, Kerala Circle or by whatever designation such officers may be called (hereinafter referred to as the said officer ) and if the Chief General Manager, Kerala Circle or the said officer is unable or unwilling to act as such to the sole arbitration or some other person appointed by the Chief General Manager, Kerala Circle or the said officer is unable or unwilling to act as such to the sole arbitration the agreement to appoint an arbitrator will be in accordance with the Arbitration and Conciliation Act, There will be no objection to any such appointment that the arbitrator is Government/BSNL Servant or that he has to deal with the matter to which the agreement relates or that in the course of his duties as Government/BSNL Servant he has expressed views on all or any of the matter under dispute. The award of the arbitrator shall be final and binding on the parties. In the event of such arbitrator to whom the matter is originally referred, being transferred or vacating his office or being unable to act for any reasons whatsoever such Chief General Manager or the said officer shall appoint another person to act as arbitrator in accordance with terms of the agreement and the person so appointed shall be entitled to proceed from the stage at which it was left out by his predecessors. 26.2The arbitrator may from time to time with the consent of parties enlarge the time for making and publishing the award, Subject to aforesaid Indian Arbitration and Conciliation Act 1996 and the Rules made there under, any modification thereof for there time being in force shall be deemed to apply to the arbitration proceeding under this clause. 26.3The venue of the arbitration proceeding shall be the office of the Chief General Manager, Kerala Circle or such other places as the arbitrator may decide. The following procedure shall be followed In case parties are unable to reach a settlement by themselves, the dispute should be submitted for arbitration in accordance with contract agreement There should not be a joint submission with the contractor to the sole Arbitrator Each party should submit its own claim severally and may oppose the claim put forward by the other party. 9 Signature of Bidder:

10 26.3.4The onus of establishing his claims will be left to the contractor Once a claim has been included in the submission by the contractor, a reiteration or modification thereof will be opposed The Points of defence will be based on actual conditions of the contract Claims in the nature of ex-gratia payments shall not be entertained by the Arbitrator, as these are not contractual The question whether these conditions are equitable shall not receive an consideration in the preparation of points of defence If the contractor includes such claims in his submission, the fact that they are not contractual will be prominently placed before the Arbitrator. The award of the sole Arbitrator shall be final and binding on all the parties to the dispute. 27 ANNULMENT OF AWARD Failure of the successful bidder to comply with the provision of the tender conditions shall constitute sufficient ground for the annulment of the award and forfeiture of the bid security, in which event, BSNL may award the work to any other bidder at the discretion of BSNL or call for new bids. The following grounds individuals or collectively will become basis of annulment of award. 28. BSNL S RIGHT TO VARY QUANTUM OF WORK: The BSNL, at the time of award of work under the contract, reserves the right to decrease or increase the work by up to 25% of the total quantum of work specified in the description of work without any change in the rates or other terms and conditions If any innovative and creative initiative is devised by the SSA either on its own or as directed from above, which covers the scope of this tender in whole or in part, this tender/contract agreement can be terminated by GMT Kozhikode after taking stock of the situation either immediately or at a future date to which contractor will not have any claim Asst. General Manager (CP) O/O PGMT Telephone Bhavan Calicut-2 Phone No: , SECTION II 10 Signature of Bidder:

11 TENDERER S PROFILE General: Passport size photograph of the Tenderer/ Au thorized signatory holding power of Attorney 1. Name of the tenderer/firm Name of the person submitting the tender whose Photograph is affixed: Shri/Smt (In case of Proprietary/Partnership firms, the tender has to be signed by the Proprietor/Partner only, as the case may be) 3. Address of the firm : 4. Telegraphic Address: Tel No. (With STD Code) : (Office)..... (Fax) (Res).....(Mobile No.). Mail ID or communication: 6. Registration & incorporation particulars of the firm: (i) Proprietorship (ii) Partnership (iii) Private Limited (iv) Public Limited (Please attach attested copies of documents of registration/incorporation of your firm with the competent authority as required by business law) 7. Name of Proprietor/Partners/Directors:. 11 Signature of Bidder: Contd.

12 8. Tenderer s Experience Certificate details: a) Category b) Number c) Issuing Telecom Circle d) Issued on e) Valid up to :.. :.. :.. :.. :.. (An attested copy of the Experienced Certificate may please be enclosed) 9. Tenderer s bank, its address and his Current Account Number: 10. Permanent Income Tax Number, Income Tax Circle: (Please attach a copy of last income tax return) 11. Copy of Service Tax registration: 12. Aadhaar Number of the authorized signatory 13. GST Provisional ID I/We hereby declare that the information furnished above is true and correct. Signature of Tenderer/Authorised Signatory: Name of the Tenderer: (Seal of the Tenderer) Place: Date: 12 Signature of Bidder:

13 SECTION III TENDER DOCUMENT FOR TRANSPORTING PLB PIPE & 96F OFC FROM TRIVANDRUM TO CALICUT Limited Tender No. CP/MMS/CLT/ /1 dated DECLARATION 1.I/We hereby tender to supply for the CMD,BSNL, the above mentioned description of item and in accordance with the specifications and instructions contained in the Limited Tender No. CP/MMS/CLT/ /1 dated or as may be given by the General Manager, Calicuat SSA or his representatives in consideration of payment being made the quantity of items supplied at the rate specified in the schedule enclosed herewith. 2. Should this tender be accepted, I/We agree to abide by and fulfill all the terms and conditions as outlined in the tender notice and to enter into formal agreement with BSNL in due course. Till such time, acceptance of this shall be deemed to be the contract. 3. The sum of Rs. - (Rupees..only) remitted by me as Earnest Money Deposit, the full value of which will be absolutely forfeited to the Chairman Managing Director, BSNL or his successors in Office without prejudice to any other rights or remedies of the said Chairman& Managing Director, BSNL or successors in Office should I/we withdraw this tender before final acceptance fail to pay the security deposit and to execute the agreement within the due date. I/We will not claim interests on this sum while it is in the custody of the General Manager, Calicut SSA. 4. I/we also agree that the decision of the General Manager, Kozhikode SSA regarding meanings and effects of this tender shall be final and legally binding. I/we also certify that we have read and understood all the terms and conditions set in the Limited Tender No. CP/MMS/CLT/ /1 dated and I/we shall abide by all the terms and conditions set therein. 13 Signature of Bidder:

14 SECTION IV LETTER OF AUTHORISATION FOR ATTENDING BID OPENING Limited Tender No. CP/MMS/CLT/ /1 dated Subject: Authorisation for attending bid opening on.(date) in the tender of TRANSPORTING PLB PIPE AND 96F OFC FROM TRIVANDRUM TO CALICUT Following persons are hereby authorised to attend the bid opening for the tender mentioned above on behalf of (Bidder) in order of preference given below. Order of Preference Name Specimen Signatures I II Alternate Representative: Signatures of bidder Or Person authorized to sign the bid documents on behalf of the bidder. 1. Maximum of two representatives will be permitted to attend bid opening. In cases where it is restricted to one, first preference will be allowed. Alternate representative will be permitted when regular representatives are not able to attend. 2. Permission for entry to the hall where bids are opened may be refused in case authorisation as prescribed above is not received. 14 Signature of Bidder:

15 SECTION V Certificate of No near Relatives in BSNL I..S/o Here by certify that none of any relative(s) as defined in the tender document is/are employed in BSNL unit as per details given in tender document. In case at any stage it is found that the information given by me is false/incorrect, BSNL shall have the absolute right to take any action as deemed fit/without any prior intimation to me. Signature of Tenderer: Name & Address: 15 Signature of Bidder:

16 SECTION VI REQUEST FOR REFUND OF EMD From To The General Manager Telecom BSNL, Calicut Sir, Sub: Request for refund of EMD reg: Ref: Limited Tender No. CP/MMS/CLT/ /1 dated I/We have submitted tender for TRANSPORTING PLB PIPE/OFC as per tender notification cited above. In case my/our tender is not accepted by the Company, the EMD remitted by me/us may kindly be refunded as soon as possible. An advance stamped receipt for the above is attached herewith. Thanking you Yours faithfully, ADVANCE STAMPED RECEIPT Received an amount of Rs.../- (Rupees.... only) from Accounts Officer(Cash), BSNL, Office of the General Manager Telecom, BSNL, Calicut-1 towards EMD amount remitted as per Limited Tender No. CP/MMS/CLT/ /1 dated Signature of the Bidder with date: Name and Address: 16 Signature of Bidder:

17 SECTION VII NEFT /RTGS MANDATE FORM 1. Vendor Details A. Name of Firm : B. Name of contact person : C. Address : D. Contact No : E. PAN : 2. Particulars of Bank Account A. Account Title : B. Name of the Bank : C. Name of the branch : Address : Telephone No : D. 11 Digit IFSC Code : E. 9 Digit MICR Code No of the Bank and Branch appearing on the MICR cheque issued by the Bank : F. Type of the Account (S.B,Current or Cash credit) : G. Account number (as appearing on the cheque book) : ( Please attach a blank cancelled cheque or photo copy of a cheque) I hereby express my willingness to receive payment of the bills through Electronic Fund Transfer Scheme. I do authorise the Accounts Officer (Cash) BSNL to arrange to credit the payment of my bills through Electronic Payment System to my account given above. 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 would not hold the user institution responsible. I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme. Date: Signature of Account holder:.. Certified that the particulars furnished above are correct as per our records. Signature of the authorized bank manager with rubber stamp:. Date: 17 Signature of Bidder:

18 मह प रब धक द रस च र क क र लर, क ष क ड-1 O/o the General Manager Telecom, Cable Planning, Balan K Nair Road, Kozhikode SECTION VIII ANNEXURE I CHECKLIST FOR DOCUMENTS TO BE ENCLOSED ALONG WITH THE TENDER 1. ALL PAGES OF THE TENDER DOCUMENT SHOULD BE SIGNED 2. Particulars of EMD (For internet downloading tender form, the additional cost of Rs.525/- to be enclosed) 3. FINANCIAL BID + Qualified Bids enclosed as per Tender conditions; YES/NO 4. TENDERER PROFILE ENCLOSED: YES/NO 5. APPLICATION FOR REFUND OF EMD ALONG WITH ADVANCE STAMPED RECEIPT 6. NO RELATION CERTIFICATE. 7. COPY OF VALID REGISTRATION WITH NSIC, IF APPLICABLE 8. PAN/GIR No: 9. REQUEST FOR REFUND OF EMD ADVANCED STAMPED RECEIPT. 10. Duly completed formats viz., Declaration, Rate schedule, etc. 11. GST Provisional ID 18 Signature of Bidder:

19 SECTION IX RATE SCHEDULE Limited Tender for transporting PLB Pipe and 96F OFC from Trivandrum to Calicut as per. LimitedTender No. CP/MMS/CLT/ /1 dated of General Manager, Calicut SSA. 1. Name of the Tenderer (In block letters): 2. Postal Address in full (In block letters): Telephone No. : Fax No. : 3. Income Tax account no.(pan/gir No) of the tenderer : 4. Date & Time of opening of tender: 5. Tender shall remain open for acceptance: 6. Validity of Contract: 7. Particulars of remittance of EMD: 8. Excise Duty Registration No. of the bidder, if ED is applicable: 9. Rate quoted for supply of the items as mentioned in the tender 19 Signature of Bidder:

20 SECTION X FINANCIAL BID To Limited Tender No. CP/MMS/CLT/ /1 dated The General Manager, Telecom, Kozhikode. Sub: Our Financial Bid for Transportation of stores from Trivandrum SSA to Kozhikode SSA Ref: Limited Tender No. CP/MMS/CLT/ /1 dated Ref: Dear Sir, Having examined the tender documents, terms and conditions stipulated therein specifications of work etc, we the under signed offer to execute the Works of transportation of sad stores from Trivandrum SSA store to Kozhikode SSA store at malapparamba in conformity with the said specifications and conditions of contract at the amount quoted below. Sl. No Item Description Total Qty. Transporting charges in Rupees inclusive of loading/unloadin g/handling /all taxes and levies. Total charges Total charges in words Transporting 40/33 mm PLB Pipe & 96F OFC from BSNL Store Paruthippara, Trivandrum to BSNL store yard Malaparamba, Calicut-9 30 KMs (150 coils Of 200 M each) PLB Pipe & 20 KMs OFC (10 drums appxly) Signature of the tenderer.. Name of the tenderer Signature of Bidder: