TENDER DOCUMENT FOR SUPPLY OF FOOD ITEMS FOR KITCHEN

TENDER DOCUMENT FOR SUPPLY OF FOOD ITEMS FOR KITCHEN 1. Name of Tender: ESIC Model Hospital, Bapunagar, Ahmedabad invites sealed quotations from the reputed Agency for the food items Shown in Annexure-C (Cereals,Grains,Pulses and legumes), Annexure-D (Spices, Condiments, Oil and Ghee ), Annexure-E (Vegetables and fruits) and Annexure-F (Milk, Bread and Eggs) necessary in kitchen for one year under single bid system. 2. Scope of Work: Supply of the food items Shown in Annexure-C(Cereals, Grains, Pulses and legumes), Annexure-D (spices, Condiments, Oil and Ghee ), Annexure-E (Vegetables and fruits) And Annexure-F (Milk, Bread and Eggs) necessary in kitchen 3. Estimated Value of Contract, Earnest Money and Security Deposit for the Contract: Sr No. Particular Of Supply Contract Value For One Year 1 Cereals, grains, Pulses and legumes 2 spices, Condiments, Oil and Ghee Earnest Money Deposit (EMD)/Bid Security Security Deposit(SD)/ Performance Security 600000 12000 30000 375000 7500 18750 3 Vegetables and fruits 650000 13000 32500 4 Milk, Bread and Eggs 1250000 25000 62500 A. The actual contract value may vary as per requirement. The details of the item to be supplied are furnished in the Annexure C, D, E and F with specifications. Approximate requirement which is required for next one year, is based on the present occupancy of beds. It may increase if hospital becomes fully functional. However, it should be clearly noted that the Model Hospital Bapunagar shall place the order only as per the actual requirements from time to time which may vary from the quantity mentioned in the tender and the supplier cannot raise any objection in this regard. B. EMD as above mentioned will be accepted in the form of Demand Draft/Bankers Cheque from any Schedule bank drawn in favour of ESIC Account No. 1 payable at Ahmedabad shall accompany the bid. Page 1 of 16

C. EMD shall remain valid for a period of 30 days beyond the final validity period of bids (120 days). Separate DD/BC required in different Segment as the all segment are independently scrutinized for evaluation. In case the consolidated DD/ BC attached with the tender form will be summarily rejected. D. A bid received without Bid security (EMD) shall be rejected at the bid opening stage. E. The earnest money shall be refunded to the unsuccessful Tenderers after finalization of the contract. F. It shall be refunded to the successful Tenderer on receipt of Security Deposit (SD). G. No interest is payable on the EMD/SD. H. The bid security (EMD) may be forfeited: If a bidder withdraws his bid during the specified period of bid validity specified in the bid document. In the case of successful bidder, if the bidder fails to : Submit the surety bond after awarding of the contract or furnish the Performance security within the time specified in the document I. In case of breach of any terms and condition under this contract, The Security Deposit (SD) will be liable to be forfeited by Medical Superintendent besides annulment of the Contract. 4. Period of Rate Contract :The rate contract shall be for a period of 1 year from the date of award of contract and it may be extendable for a further period as deemed fit on similar terms and condition/ rate on mutual consent subject to satisfactory performance of the firm. 5. Tender Fees /Document Cost (Non Refundable):- Rs. 500/-(Five Hundred only). Cost in form of Demand Draft/Bankers Cheque drawn on any nationalized bank in favour of ESI Fund Account No. 1 payable at Ahmedabad. Party downloading the form from website shall have to deposit the same along with Bid Document as prescribed in above manner. 6. Eligibility Criteria for Tenderer: A. The minimum turnover of the firm should be, 18 Lakh in case of Supply of the food items Shown in Annexure C (Cereals,Grains,Pulses and Legumes), 11 Lakh in case of Supply of the food items Shown in Annexure D (Spices, Condiments, Oil andghee ) 19 Lakh in case of Supply of the food items Shown in Annexure E (Vegetables and fruits) 37 Lakh in case of Supply of the food items Shown in Annexure F (Milk, Bread and Eggs). In case the Agency seeks to quote the rate in multiple segment the Turnover of the Agency should be of the total Addition of All Quoted Segment. B. The firm should be existed prior to 2012 (i.e. the firm should be existed since last three year.) C. The bidder shall be free from encumbrance and there shall not be any vigilance case/ CBI Case / Court Case pending against him, even the firm/bidder should not have been Page 2 of 16

blacklisted by the Govt. / PSUs or any other government Agency or Private institution. (Undertaking in this regard shall be enclosed (in Annexure -B)) D. The bidder shall have valid registration or trade license to carry/supply the item in question.(shops and Establishment Registration or Sale Tax act (VAT) registration or Registered under certain enactment or any other certificate issue by government or Government Agency) E. The Vendor must have PAN No and Bank Account in any of the Nationalized Banks/ Scheduled Banks.(In case of Ltd./Pvt. Ltd./Partnership Firm, the PAN and Account shall be in the name of the Firm/Company and in case of Individual Ownership, the PAN and Account may be in the name of Owner.) 7. General Term and Condition:- a) While submitting the tender for this work, the tenderers will be deemed to have read, understood and accepted all the items and conditions stated in the tender document and shall be complied with by the tendering firm. b) vendor shall comply with all the statutory requirements/ norms issued by the Govt. from time to time c) If the successful Bidder fails to fulfill his obligations under this Tender i.e., nonadherence to terms and conditions contained in this Tender, the ESIC MHB after due notice to the Supplier/Agency, may blacklist the Supplier/Agency. In such events, the Contract will stand terminated and the EMD/Performance Securities (SD) of such Firm shall be forfeited to the ESIC. d) The Medical Superintendent also reserves the right to terminate the contract before the contract period expiry with one month notice.for any dispute regarding quality / service and rates the decision of the Medical Superintendent shall be final and binding to the Contractor. e) In the event of any disputes arising out of the execution of Rate Contracts/Supply Orders, the matter will be referred to Medical Superintendent, ESICMH,Bapunagar, Ahmedabad. f) All disputes relating to this tender can be legally resolved through courts in Ahmedabd only. g) The Medical Superintendent, ESICMH, Bapunagar Ahmedabad reserves the right to reject/cancel all or any tender without assigning any reason thereof. h) The tendering firms will have to give an undertaking to the effect that they have not been blacklisted or their business dealings with the Government departments have not been banned. This undertaking may be furnished in the format given in Annexure B attached to this Tender Document. i) Tenderers should quote rate of one brand only. j) Attachment / Enclosure of Sample: Tenderer Firm has to attach the Sample if the firm gives the rate for Sr. No 1 to 8 in cereals, grain, Pulses, Legumes (Annexure C) and for Page 3 of 16

Sr. No. 14 in Sugar (Annexure D). In absent of the sample the rate will not be considered for evaluation. k) Tender must reach this office not later than the time and date notified in the tender form stated in the schedule of tender. In the event of tender received after scheduled date and time, the tender will not be allowed in bidding and it will be rejected summarily. l) Each page of the Tender and all its annexures shall be signed and stamped by authorized representative of Tenderer in token of acceptance of the terms and conditions laid under the Tender Document. No page should be removed /detached from the tender document. m) All entries in the Tender form shall be legible and filled clearly. Any overwriting or cutting which is unavoidable shall be signed by the authorized signatory. n) Tender incomplete in any form will be rejected out rightly. o) Conditional Tenders will be rejected out rightly. p) The Annexures enclosed received without the signature of authorized person will not be entertained and will be rejected summarily. q) Tenders not received in the prescribed format shall be ignored and no correspondence in this regard will be entertained. Telegraphic/Telex/Fax/email/Letterhead/Quotations will not be accepted and ignored straightaway. r) Canvassing in any form by the tenderer or his representative with any of the officials of ESIC Model Hospital shall render the tender liable to be rejected s) This tender or contract and both are non-transferrable. t) Rates of all items to be quoted in Kgs./Unit Price only. u) As the tenderers are requested to quote their prices on F.O.R. destination basis, (Free delivery to the consignee's premises). No kind of -Tax or duty or other levies /transport charge,/ insurance or any charges reimbursed,/ paid, /Bourne by this hospital and No kind of exemption certificate will be issued. v) The rates quoted by the selected firm and approved by this office shall remain valid throughout the period of contract and requests to increase the rates for any item(s) during the currency of the contract shall not be considered. 8. Special Term and condition related with contract:- a. The Medical Superintendent, ESICMH, Bapunagar Ahmedabad reserves the right to withdraw/relax any of the terms and conditions mentioned in tender document. b. Supplied items should be of AGMARK/FSSAI/FPO Quality/Norms wherever applicable c. It will be the responsibility of the supplier to ensure that items supplied are of the good and standard quality and free from all defects. The acceptance of items will be given only when the items are found up to the sample accepted in applicable cases, requisite quality and free from all defects. The decision of the Medical Superintendent, ESIC MHBapunagar, Ahmedabad shall be final as to the quality of the items and shall be binding upon the tenderers. Any item fails conformity with applicable sample or Page 4 of 16

specification or quality will be rejected out rightly and it shall be replaced immediately at the risk and cost of the supplier. d. The Medical Superintendent, ESIC MH, Bapunagar Ahmedabd reserves the right to conclude parallel Rate Contracts with a number of suppliers and place Orders on any of such firm that may be the most economical to it or suitable to its requirements. e. All the supplies will be delivered at the Hospital s Kitchen Store or at any other place as instructed by the authorized representative of the Medical Superintendent on all days of supply. f. No transportation charges (cartage), Labour charges in any form whatsoever, will be paid extra. g. Supply of Milk, Bread, Eggs, Vegetable and Fruits are to be made to the Kitchen of the hospital as per the requirement on every day basis before 08:00 AM without fail. Other items should be supplied within the three days from the date of order h. The goods supplied must be in proper packing and should have complete information in all respect i.e. Price, Batch No, Mfg date and Expiry Date etc. with statutory details. i. The matters in this tender document are the part of the contract document, related with the execution of the contract. j. If the contractor fails in fulfilling the terms and conditions mentioned here in different parts of this tender document, such failure will constitute a breach of the contract and the Medical Superintendent shall be entitled to make other arrangements at the risk and expense of the contractor. Also nonperformance/unsatisfactory performance or violation of terms and condition of the contract will make the contractor liable for forfeiture of security deposit. The decision of the Medical Superintendent shall be final and binding on this count. k. Supply item should be supported with delivery challan. l. All the terms and conditions and other instructions mentioned in the tender document are the part of contract agreement. For which all contractors are abide by to comply them. 9. Bid Prices: i. The tenderer are requested to submit their rate in Annexure-C(Cereals, Grains, Pulses and legumes), Annexure-D (spices, Condiments, Oil and Ghee ), Annexure-E (Vegetables and fruits) And Annexure-F (Milk, Bread and Eggs) ii. The rates of items shall also include all vat, excise duty, surcharge, State tax and local taxes etc., if any and are also inclusive of packing and delivery charges, if applicable if any, should be quoted in Indian Rupees only in words as well as figures. iii. The price quoted should be valid for the one year. iv. Tenderers are requested to quote their prices on a firm & fixed basis only for the entire period of the Rate Contract. Tenders of the firms received with prices quoted on variable basis shall be rejected straightaway. Page 5 of 16

10. Penalty Clauses for non-satisfactory service:- Whenever the empanelled vendors are requested to supply any item as per the stipulated scheduled time mentioned in this tender for any item, the vendor shall honour and comply the supply order within stipulated time period. In case of non compliance of any order, a penalty of Rs. 500/- for each default shall be imposed on the firm. The penal amount shall be recovered either from the pending bills or from the security deposit. 11. Submission of tender: - All tenderer are instructed to submit the bid envelope as following manner, a) The envelope no.1 containing DD/BC (More than one in case of multiple segment quoting) towards the EMD (And also cost of Tender form i.e. as prescribed, if form is downloaded from website) b) Envelope no.2, containing Tender document filled with all due information in prescribed manner with all applicable self-attested documents/sample of item where YES stated in check list as per Annexure G except EMD. c) Both above envelop required to be placed in third envelope, sealed and super scribed Tender for supply of kitchen items in ESIC Model Hospital Bapunagar Ahmedabad d) Envelop as per C above may be dropped either in the box earmarked for the purpose or be sent by Registered post. Documents received late by post shall not be accepted at all due to postal Delay. Document received after the scheduled date and time shall be rejected outrightly. 12. Deadline for submission of bids a) The above envelopes shall be sealed and addressed to The Medical Superintendent ESIC Model Hospital Bapunagar Ahmedabad and must reach on or before the 06-04-2015 by 01.00 p.m. b) No bids will be received / accepted after the expiry of the prescribed date and time for submission of the bids. c) The Medical Superintendent, ESIC Model Hospital, Bapunagar, Ahmedabad may, at his discretion, extend the deadline for submission of bids. 13. Bid Opening and Evaluation a) The Technical Bids will be opened at 06-04-2015 at 2.30 P.M in the office of the Medical Superintendent in the presence of such tenderers or their authorized representatives who may choose to be present at the time of opening of technical bid. b) The envelope no.1 containing EMD (also cost of Tender form i.e. as prescribed above, if form is downloaded from website) shall be opened first. Envelope no.2 (containing Tender document) shall be opened only if the bidder submits EMD as stated in this form (also cost of form i.e. as prescribed above in the event if form is downloaded from website) without EMD & cost of form(in case if it is downloaded from website) the tender will not be entertained & will be rejected summarily. Page 6 of 16

c) The envelope no. 2 i.e., Tender Document of only those bidder shall be opened who has fulfilled the terms & condition as stated above at (b). The Tender Document will be evaluated by Tender Evaluation Committee and shortlist the eligible technically qualified bidder as per terms &conditions of tender document and their quoted rates will be considered for evaluation. 14. Selection of Eligible Tenderer: -The selection of successful bidder shall be made on the rate offered by the bidder keeping in the view of terms & conditions and specification laid under tender document. 15. Rights of Acceptance/Rejection: -The Medical Superintendent ESIC MH Bapunagar, Ahmedabad reserves the right to reject all or any tender in whole, or in part, without assigning any reason thereof. 16. Acceptance of Bid :-The successful bidder shall give its acceptance within 07 days from award of work order and required to enter into an agreement with Medical Superintendent, ESIC Model Hospital, Bapunagar, on bond paper of Rs.100/ ( Rupees One hundred only). The cost of bond paper will be borne by successful bidder. In case, if successful bidder fails to give acceptance or enter into agreement within stipulated time, the award of contract will be deemed to be cancelled and EMD amount will be forfeited. 17. PAYMENT TERMS: a. The Supplier has to submit the Bill on the completion of the month along with copies of orders and delivery challans for completely accepted items b. Advance payment will not be made under any circumstances. c. The payment shall be made through RTGS/ ECS only. d. Successful tenderer will have to supply the items with instipulated time from the date or time of issue of supply order on the rate quoted by them and approved by the competent authority of this hospital. e. In case of delay / failure in supply, the indented items shall be purchased from the market at the risk and cost of the Contractor. The extra expenditure involved in procuring supplies from elsewhere will be recoverable from the Contractor in full at discretion of the Medical Superintendent. f. The recovery thus due shall be deducted from any sum then due to the Contractor from the ESIC Model Hospital from this or any other contract placed with said contractor by the ESIC Model Hospital. g. The Security Deposit will be forfeited if item is not supplied as per sample provided / supply order. h. If the contractor fails in fulfilling the terms and conditions mentioned here in different parts of this tender document, such failure will constitute a breach of the contract and the Medical Superintendent shall be entitled to make other arrangements at the risk and expense of the contractor. Also nonperformance/unsatisfactory performance or violation of terms and condition of the contract will make the contractor liable for forfeiture of security deposit. The decision of the Medical Superintendent shall be final and binding on this count. Page 7 of 16 Medical Superintendent

TENDER APPLICATION/DECLARATION FORM Annexure- A 1 Name of the firm 2 A Full Postal Address B C D E Cell Phone No. Telephone No. Fax No. E-Mail Address 3 Ownership Details: A B C Name of Director/Prop/Partner(s) Residential Address of Director/Prop/Partner(s) Cell Phone No. 4 If your Firm Registered under: Vat (Commercial tax A Registration No) Trade License Authority and B Registration No. 5 C PAN No Bank Details: Name of A/c holder: Bank Name: Branch : Account No.: I... proprietor/partner/director of M/s... hereby declare that the information given in this form is true and correct to the best of my knowledge and belief. Name & signature of tenderer with Stamps Page 8 of 16

UNDERTAKING Annexure-B 1. I the undersigned certify that I have gone through the terms and conditions mentioned in the tender document and undertake to comply with them. 2. The rates quoted by me are valid and binding upon me for the entire period of contract and it is certified that the rates quoted are the lowest quoted for any other institution/hospital in India and also certified that the rate quoted is not more than the MRP of the quoted Item. It is also certified that item quoted are of Standard Quality and workmanship. 3. The earnest money as applicable, To be deposited by me has been enclosed herewith vide Sr. No Contract Details Amount DD/BC No Dated Drawn on 1 Annexure-C (Cereals, Grains 12000,Pulses and Legumes) 2 Annexure-D (Spices, 7500 Condiments, Oil and Ghee ) 3 Annexure-E (Vegetables and 13000 fruits) 4 Annexure-F (Milk, Bread and Eggs) 25000 Bank Branch 4. I hereby undertake to supply the items as per directions given in the tender document/supply order within stipulated period. 5. I/We give the rights to Medical Superintendent to forfeit the Security money deposited by me/us if any delay occur on my/agent s part of failed to supply the article within the appointment time or the items of desired quality. 6. There is no vigilance/cbi case or court case pending against the firm. 7. This is to declare & certify that the neither myself nor my firm has ever been blacklisted by any Govt./Semi Govt./Public/Private Intuition. 8. I/We hereby certify that the firm poses all the required license/certification to perform the work. Date:- Place:- Signature of the tenderer:- Full Name:- Designation:- Page 9 of 16

ANNEXURE-C CEREALS, GRAINS, PULSES, LEGUMES (Free from stones and farm waste) Sr. No. Name of Items Approximate requirement for one year Brand/Made with Aegmark / Fssai certification Rates for Quantity In figures(rs.) Rate inclusive of all taxes In words 1 Wheat(Sarbati Tukdi) 6000 Kg Per 1 Kg 2 Rice(Jerasar 17) 5000 Kg Per 1 Kg 3 Dalia (Broken Wheat) 1500 Kg Per 1 Kg 4 Chana Dal/Bengal gram pulse (Washed) 100 Kg Per 1 Kg 5 Mug/Green gram whole 100 Kg Per 1 Kg 6 7 Mug Dal/Green gram pulse (Washed) Mug Dal/Green gram pulse (with skin) 100 Kg 100 Kg Per 1 Kg Per 1 Kg 8 Tur Dal/Red gram pulse 1500 Kg Per 1 Kg 9 Roasted Bengal gram (Bhuna chana) 100 Kg Per 1 Kg 10 Groundnut 100 Kg Per 1 Kg 11 Sabudana 50 Kg. Per 1 Kg 12 Suji 50 Kg. Per 1 Kg I.. Designation.. here by offer the above rates for supply of kitchen items for ESIC Model Hopspital Bapunagar Ahmedabad as per the contract Conditions. Date: Place: Page 10 of 16 Signature of Authorized Person Full Name: Company s Seal:

ANNEXURE-D SPICES, CONDIMENTS, OIL and GHEE (AEGMARK) Sr. No. Name of Items Approximate requirement for one year Brand/Made with Aegmark / Fssai certification Rates for Quantity In figures(rs.) Rate inclusive of all taxes In words 1 Red chillies (Whole) 70 Kg Per 1 Kg 2 Red chillies power 70 Kg Per 1 Kg 3 Turmeric powder 70 Kg Per 1 Kg 4 Coriander-cumin powder 70 Kg Per 1 Kg 5 Cumin seeds 50 Kg Per 1 Kg 6 Mustard seeds 50 Kg Per 1 Kg 7 Ajwain 50 Kg Per 1 Kg 8 Methidana 50 Kg Per 1 Kg 9 Garam masala 50 Kg Per 1 Kg 10 Hing 50 Kg Per 1 Kg 11 Iodized Salt 350 Kg Per 1 Kg 12 Tea 250 Kg Per 1 Kg 13 Deshi Ghee (Agmark) 250 Kg (50 Tin of 5 Kg) Per 5 Kg Tin 14 Refined Sugar 1500 Kg Per 1 Kg 15 Refined Oil (Cotton seed) (Agmark) 600 Kg ( 40 tin of 15 Kg) Page 11 of 16 Per 15 Kg Tin 16. Garlic (lahsoon) 50 Kg Per 1 Kg I.. Designation.. here by offer the above rates for supply of kitchen items for ESIC Model Hopspital Bapunagar Ahmedabad as per the contract Conditions. Signature of Authorized Person Date: Place: Full Name: Company s Seal:

ANNEXURE-E VEGETABLES & FRUITS (FRESH AND TENDER) Sr. No. Name of Items Approximate requirement for one year Specifications Rates for Quantity In figures(rs.) Rate inclusive of all taxes In words 1 Palak As per Regular requirement 2 Methi -do- 3 Tandaljo (Bhaji) -do- 4 Cabbage -do- 5 Lili Dungali/Spring Onion -do- 6 Hara Lahsoon/Green Garlic -do- 7 Kothmir/Corriander -do- 8 Phudhina/Mint -do- 9 Bataka/Potato -do- 10 Dungali/Onion -do- 11 Aadoo/Ginger -do- 12 Beet -do- Not less than 100 gm each Not less than 100 gm each Page 12 of 16

13 Carrot -do- 14 Bottel gourd/dudhi -do- 15 Bitter gourd/karela -do- 16 Pumpkin -do- 17 Beans (Guar/chawala/Fansi/papdi) -do- 18 Parvar -do- 19 Brinjal -do- 20 Cauliflower -do- 21 Tindola -do- 22 Tinsa -do- 23 Tomato -do- 24 Green peas -do- 25 Lemon -do- 26 Cucumber -do- Reddish, firm, weight not less than 80gm. Page 13 of 16

27 Green chillies -do- 28 Apple -do- 29 Banana -do- 30 Pear -do- 31 Sapota -do- 32 Orange / Kinnow -do- 33 Sweet Lime / Mausambi -do- Fresh, Medium size, weight between 100-150gm each Ripe, firm without blemishes, weight between 100-150gm each. Green, thin skin, weight between 100-150gm each Ripe, thin skin, firm weight between 80-100 gm each. Ripe, thin skin, firm weight between 100-150gm each. Ripe, yellowish green colour, thin skin, firm weight between 100-150gm each Per 1 Dozen. Per 1 Dozen Per 1 Dozen I.. Designation.. here by offer the above rates for supply of kitchen items for ESIC Model Hopspital Bapunagar Ahmedabad as per the contract Conditions. Date: Place: Signature of Authorized Person Full Name: Company s Seal: Page 14 of 16

ANNEXURE-F MILK, BREAD & EGGS Sr. No. Name of Items Approximate requirement for one year* Brand/Made Rates per Liter # Commission Management Charges over and above on MRP of per liter. In figures(rs.) In words 1 Milk Pasteurized 200 ML Pouch 3% Fat double toned 500 ML Pouch 3% Fat double toned 1.15 Lac Pouch 15000 Pouch Amul Taaza (200ml. Pack) Amul Taaza (500 ml. Pack) As per MRP As per MRP Sr. No. Name of Items Approximate requirement for one year* Brand/Made Rates per Pack Commission Management Charges over and above on MRP of per liter. In figures(rs.) In words 1 Branded Bread in packing of 400Gram 8000 Pkt (400 Gram) 400 Gram. Pack As per MRP Sr. No. Name of Items Approximate requirement for one year* Rates to be quoted In figures(rs.) Rated Quoted. In words 1 Eggs (Poultry Fresh) 5000 Nos. Per 100 egg * Approximate requirement which is required for next one year is based on the present occupancy of beds. It may increase if hospital becomes fully functional. # Payments will be made on MRP plus Commission basis taking into account any increase / decrease in future. No other charges will be paid. I.. Designation.. here by offer the above rates for supply of kitchen items for ESIC Model Hopspital Bapunagar Ahmedabad as per the contract Conditions. Date: Place: Page 15 of 16 Signature of Authorized Person Full Name: Company s Seal:

ANNEXURE-G CHECK LIST OF THE DOCUMENTS TO BE SUBMITTED WITH THE TENDER (Confirm the enclosure of all the below listed applicable documents without which tenderer may not be eligible to participate in the tender.) S. No. Items Confirm (Yes/Not Applicable) 1 Tender Document fee If download from web site 2 Earnest Money Deposit For the items in Annexure C (Cereals,Grains, Pulses and Legumes) For the items in Annexure D (Spices, Condiments, Oil and Ghee ) For the items in Annexure E (Vegetables and fruits) For the items in Annexure F (Milk, Bread and Eggs) 3 Original Tender form with complete Tender Application/Declaration Form in annexure A, Undertaking in Annexure B, And Rate in Annexure C,D,E and F with all pages serially numbered, signed and stamped on each page 4 Attachment of Samples as per General Term And Condition 7 (j) 5 Copy of registration of firm (Shops and establishment Registration or Sale Tax act (VAT) registration or Registered under certain enactment Government Agency) 6 Audited Balance sheet of last three years with details of annual turnover, profit & loss account etc. or any other certificate issue by government or Year-2013-14 Year -2012-13 Year-2011-12 7 Income tax returns of last three years. Year-2013-14 6 Attested Photo copy of PAN Card 7 Statement of Bank Account Details Year -2012-13 Year-2011-12 Date: Place: Signature of Authorized Person Full Name: Company s Seal Page 16 of 16