Name of Work Tender No.

Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144

Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery

INDIAN OIL CORPORATION LIMITED

(REFINERIES DIVISION)
Panipat Refinery

Tender Document
For

“Agency for Spot Preparation on Equipments / Piping & Assistance in Carrying out
Field Inspection & Digitization of Inspection Data at Panipat Refinery.”
Tender No.: RPRC206144

SECTION- 2
OF TENDER DOCUMENT

INSTRUCTIONS
Documents of this section are to be downloaded, printed, filled, signed, stamped, scanned and
1.
uploaded using digital signature.
2. Vendors are advised to read carefully before filling and signing the formats

Warning: Bidders to note that non-submission or Partial submission of declarations of Section-

II may lead to rejection of their offer without any further communication.

This Tender Document Consists of 03 (Three) Parts:

Section-1 + Section-2 + Price Part

Page 1 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
INDEX-TENDER DOCUMENT SECTION-2

No. of
SN Description
Pages
1. Check List for Submission of Tender 3

2. Exceptions & Deviations Format (Annexure - L) 1

Declaration for Acceptance of GCC, SCC, Special Conditions on
Safety Regulations & Environmental Management System of
3. 1
IOCL, Guidelines on Personal Protective Equipment (PPE) and
Tender Document
4. Proforma of Declaration of Black Listing/Holiday Listing (Annexure - M) 1

5. Loss Control Performance of Contractor (Annexure - N) 1

6. Consent Letter Format for Payment through Internet (Annexure - O) 1

7. Format for Independent ESI (Annexure - P) 1

Performa for Declaration on Proceedings Under and Bankruptcy
8. (Annexure - S) 1
Code, 2016 (IBC)
9. Format for GST (Annexure - R) 1

Page 2 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
PRE-QUALIFICATION CRITERIA ACCEPTANCE CHECKLIST
(To be filled in by the bidder)

Name & address of party: IOCL Vendor Code (if any):

The Bidders must ensure that the following documents in support of their credentials for Pre-
Qualification of Bid are submitted along with their Bid, in absence of which, the offer is liable for
rejection:
Following documents:
1. EMD Instrument {BG – if applicable/EMD 'online' through Net Banking or NEFT mode /Micro & Small Enterprises
(MSE) Certificate/Startup recognized by DIPP Certificate}.
2. Work Orders along with Schedule of Rates & TDS certificate issued in support of their credentials for experience in
similar nature of work as specified in clause - 4 (b) & (c) of NIT
3. Completion Certificate issued/ certified by Engineer-in-Charge (EIC) or Work Order issuing authority for Work orders
mentioned at Sl. No. 2 above (The completion certificate should clearly indicate the Actual Executed value excluding
Taxes & duties and Actual date of completion).
4. Annual Turn-Over (ATO) Document.
5. Copy of Provident Fund (PF) Code allotment letter.
6. Copy of Permanent Account Number (PAN) Card.
7. Copy of Employee State Insurance (ESI) Code allotment letter OR Annexure-N for ESI Code.
8. Income Tax Returns acknowledgement for last 3 years.
9. Valid legal Authorization document in favour of signatory to tender.

Sl. Pre-Qualifying Document Details of Document Submitted by Page No.

No. Bidder From To

1.1 EMD: INR 32,700.00 No.:

[Bidder to specify EMD instrument submitted like BG

No. (if applicable) / EMD 'online' through Net Banking Dated :
or NEFT mode / NSIC / MSEs Certificate No / Startup
recognized by DIPP]

1.2 Scanned Copy of NSIC/ MSEs Certificate/Startup India YES / NO

registration certificate, if having Submitted along with
Tender.

2.1 Name of Work Orders submitted by bidder in support of 1.

their credential for experience in similar nature of job as
specified in clause – 10.3 & 10.4 of NIT i.e. Manpower
2.
Supply at any petroleum/ oil & gas/
petrochemical/ chemical/ fertilizer/ power
industry 3.

2.2 Work Order No. & its Issue Date 1.

[Executed during any of the last five years ending on last
day of the month immediately previous to the month in
which last date of bid submission (In case of extended 2.
bid submission date, original bid submission date shall
be considered) falls].
3.

Page 3 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
2.3 Value of Work Order (excluding taxes & duties) 1. INR
Uploaded not less than:
2. INR

3. INR

2.4 Whether Schedule of Rates of above work orders 1.

submitted.
2.

3.

2.5 Technical Prequalification Criteria:

NA
3.1 Whether Completion Certificate of the above work 1.
order submitted (Reference No. and date to be
mentioned)
In case of Rate Contracts which are running under
extension after contractual completion period, suitable 2.
document (certified by “WO issuing company” / Engineer-
In-Charge) as per format given in Annexure‐F indicating
executed value up to the original completion period along 3.
with extension letter will be treated as proof of successful
completion of work.

3.2 Executed value of above work(s) excluding taxes & 1. INR

duties as mentioned in completion certificate or
certified bill. (Duly Certified by Engineer-in-Charge of 2. INR
above work / Issuing authority).
3. INR
3.3 Actual Date of Completion as per Completion 1.
Certificate (Duly Certified by Engineer-in-Charge of
above work). 2.

3.

3.4 Name, Designation, email address and contact phone 1.

nos. of Work orders and Completion certificates
issuing authority / EIC. 2.

3.

3.5 Issued TDS certificate submitted against submitted Yes/ No

work orders.
4.0 Annual Turn Over (ATO) Value (within any one of INR
the last 3 preceding financial years, i.e.
01.04.2016 onwards)

4.1 Reference of ATO document Audited Balance Sheet & Statement of

Profit and Loss Account

4.2 Date of issue of ATO document

5.0 P.F. Code number Allotment letter No.:
Copy of allotment letter submitted –
Yes/No
6.0 Permanent Account No. (PAN) No.:
7.0 Independent ESI Code Allotment letter. No.:
Page 4 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
Copy of allotment letter submitted –
Yes/No
8.0 Valid Assessment Order or IT return (SARAL) 2017-18
acknowledgement for last three assessment years 2018-19
2019-20
9.0 Valid legal Authorization document in favour of
signatory to tender.
(Proprietorship affidavit/Partnership deed/ Power of
Attorney / Resolution of the board) In case of bidder is
a company the bidder is also to submit “Article and
Memorandum of Association”.

10.0 b) Self attestation of Section - II of tender document Yes/ No

a) Digitally signed/ Self attestation of Section - I of Yes/ No

tender documents & PQ documents
11.0 The Bidder shall duly fill all the three pages (duly signed and stamped) of this PRE-QUALIFICATION CRITERIA
ACCEPTANCE CHECKLIST and Upload the same along with above mentioned documents with the offer. The Pre-
Qualification documents shall be self-attested/ digitally signed (all pages) and serially numbered.

12.0 Bidder to note that “In case, a foreign bidder submits any of the Pre Qualification supporting documents in any
language other than English, then it will be the responsibility of such foreign bidder to also provide the English
translation copy of the same duly certified, stamped and signed by their Local Chamber of Commerce/ Notary.”
13.0 DECLARATION: I/We understand that the above check list has to be duly filled in all respects and all the said document
submitted. I/We agree to our offer being rejected in absence of above, without any further correspondence in this
regard.

Authorized Signatory
Signature :
Name :
Designation :
Stamp :

Full address with Contact No. :

E-mail address :

Page 5 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery

(Annexure-L)
EXCEPTIONS & DEVIATIONS FORMAT

SL. Reference of bid Subject Deviations

No. document
Page Clause
No. No.

NOTE:
1. Bidder to note that any deviation to the Tender may render the offer liable for rejection.
2. Bidder to fill the above format with either “Nil” Deviation’ or with clause wise deviation.
3. In case, the above format is not filled, it will be presumed that there is “NO” deviation (either technical or
commercial).
4. Deviation mentioned anywhere else will not be taken into cognizance.

Name of the Bidder : __________________________________

Signature of the bidder with stamp : __________________________________

Page 6 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
DECLARATION FOR ACCEPTANCE OF GCC, SCC, SAFETY REGULATION &
ENVIRONMENTALMANAGEMENTSYSTEM OF IOCL, GUIDELINE ON PERSONAL
PROTECTIVE EQUIPMENT (PPE) AND TENDER DOCUMENT

A) I/We have read the following standard documents and agree to abide by all the terms & conditions
of the same:

1. Guidelines on Personal Protective Equipment (PPE) -- (50 pages)

Special Conditions on Safety Regulations & Environment
2. Management System of Panipat Refinery
-- (26 pages)

3. Special Conditions of Contract of Panipat Refinery -- (19 pages)

4. General Conditions of Contract Refineries Division -- (200 pages)

B) I/We have read the Tender document fully and have understood the Tender requirements and
accept all terms and conditions of the Tender document Section-I & II (except for the ones
mentioned in the deviation statement) and our offer is in confirmation to all terms and conditions
of the tender as per Index of Section-I & II.

_________________________________________

Accepted and confirmed by the Intending Bidder

Name of the Bidder : _____________________________________

Signature of the bidder with stamp : _____________________________________

Page 7 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
(Annexure-M)

PROFORMA OF DECLARATION OF BLACK LISTING / HOLIDAY LISTING

In the case of a Proprietary Concern:

I hereby declare that neither I in my personal name or in the name of my Proprietary concern
M/s___________________________________________________which is submitting the accompanying Bid//Tender nor any
other concern in which I am proprietor nor any partnership firm in which I am involved as a Partner, are presently or have during
the past three years, been placed on any black list or holiday list declared by Indian Oil Corporation Ltd. Or by any department of
any Government (State, Provincial, Federal or Central) or by any Public Sector Organization in India or in any other country nor is
there pending any inquiry by Indian Oil Corporation Ltd. Or any Department of the Government or by any Public Sector
Organization in India or in any other country, in respect of any corrupt or fraudulent practice(s) against me or any other of my
proprietorship concern(s) or against any partnership firm(s) in which I am or was at the relevant time involved as a partner, except
as indicated below:
(Here give particulars of blacklisting or holiday listing, and /or inquiry and in absence thereof state "NIL")

In the case of a Partnership Firm:

We hereby declare that neither we, M/s___________________________________________submitting the accompanying

Bid/Tender nor any partner involved in the said firm either in his individual capacity or as proprietor or partner of any other firm or
concern presently are or within the past three years have been or has been placed on any blacklist or holiday list declared by Indian
Oil Corporation Ltd. Or by any department of Government (State, Provincial, Federal or Central) or by any Public Sector
Organization in India or in any other country nor there is any pending inquiry by Indian Oil Corporation Ltd. Or by any Department
of any Government (State, Provincial, Federal or Central) or by any Public Sector Organization in India or in any other country, in
respect of corrupt or fraudulence practice(s) against us or any partner or any partner or any other concern or firm of which he is
proprietor or partner, except as indicated below:

(Here give particulars of blacklisting or holiday listing and/or inquiry and in the absence thereof state "NIL")

In the case of Company:

We hereby declare that neither we or a parent, subsidiary or other company under direct or indirect common parent (associate
company) are presently nor have within the past three years been placed on any holiday list or black list declared by Indian Oil
Corporation Ltd. Or by any Department of any Government (State, Provincial, Federal or Central) or by any Public Sector
Organization in India or in any other country; and that there is no pending inquiry by Indian Oil Corporation Ltd or by any
Department of any Government (State, Provincial, Federal or Central) or any Public Sector Organization in any country against us
or a parent or subsidiary or associate company as aforesaid in India or in any other country, in respect of corrupt or fraudulent
practice(s), except as indicated below:

(Here give particulars of black listing or holiday listing and/or inquiry and in the absence thereof state "NIL")

It is understood that if this declaration is found to be false in any particular, Indian Oil Corporation Ltd. Shall have the right to
reject my/our bid, and if the bid has resulted in a contract, the contract is liable to be terminated without prejudice to any other right
or remedy (including black listing or holiday listing) available to Indian Oil Corporation Ltd.

Place: Signature of Bidder: _____________________

Page 8 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
(Annexure -N)

Loss Control Performance of the Contractor

(To be filled in by the bidder)

Accident record of my firm during last 3 years is as under.

1. No. of accidents :

2. Permanent Disability :

3. Minor Disability :

4. Fatality :

5. Any Other :

The above statements made by me are true to the best of my knowledge.

Page 9 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
(Annexure -O)
Consent Letter Format for E-Payment
(On the Letterhead of the Vendor / Contractor / Supplier)
Date : _______________

To
Indian Oil Corporation Ltd. (Refineries Division)
PNC Panipat Refinery,
Panipat-132140 (Haryana)

Dear Sir,

With reference to the Tender/P.O./W.O / Contract Ref. No.________________ Dtd.____________ issued to us by IOCL, we hereby give
our consent to accept the related payments of our claims/ bills on IOCL through Cheques or Internet based online E-payments system at
the sole discretion of IOCL. Our Bank account details for the said purpose are as under:

SN Particulars Details
1 Name and Address of the Beneficiary

2 Account No. of Beneficiary

3 Account classification (CA / CC-11 or 29) & SB-10 as per

cheque leaf.
4 Name and address of the Bank Branch (where payments are
to be sent by IOCL)
5 Branch Name / Code
6 The 9 Digit MICR code of the Branch (as appearing on the
MICR cheque)
7 IFSC Code of the Bank Branch for RTGS mode
8 IFSC Code of the Bank Branch for NEFT mode
9 E-mail ID of Beneficiary
10 Any other Particulars (to be advised by Beneficiary for the E-
payments purposes
11 Vendor code (to be filled by IOC’s Deptt. only)
12 PERMANENT ACCOUNT NUMBER
13 MOBILE NUMBER (FOR SMS ALERTS)
A blank copy of a cancelled cheque / photocopy of a cancelled cheque relating to the above account number for verifying the accuracy of
the bank account details is enclosed.
A copy of PAN Card duly attested by authorized signatory for verifying the accuracy of the PAN is enclosed.

I/We hereby declare that the particulars given above are correct and complete.

Date: Signature of Account Holder

Place: with Company Stamp (If a Company)

Encl: One Cheque / Photocopy of Cheque duly Cancelled & Copy of PAN Card.

***We hereby confirm that the above bank account details of beneficiary are correct in all respects and the account of Beneficiary (IOCL
Vendor) is maintained at our bank branch.

(Name of the Bank & Branch)

Authorized Signatory

***Verification required only in case (a) vendors not providing a cancelled cheque leaf or if vendors name is not printed/appearing on the
cancelled cheque leaf submitted to IOCL Office. (b) Change in existing bank details.

Page 10 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
(Annexure-P)

FORMAT FOR INDEPENDENT ESI

Strike out Not Applicable Clause / section and furnish relevant document.

(a) If Available:

If independent ESI code is available, please indicate code _______________________and annex the copy of the same.

(b) If independent ESI code is presently not available:

Party will be governed by the following:

“In case job is awarded, party will acquire independent ESI code within 15 days of the date of issue of Work order. The gate
pass for labour shall be issued only after furnishing the independent ESI code to Engineer-in-Charge (EIC). In case party
fails to acquire the independent ESI code, EIC reserves the right to cancel the work order, forfeit the EMD and initiate
suitable penal action as deemed fit by IOCL.

(c) In case of exemption claim:

In case bidder claims exemption from obtaining independent ESI code, bidder must submit documentary evidence towards
the same along with the bid. IOCL will examine the submitted documents during tendering and convey the decision to the
party. If the exemption claim is accepted by IOCL, the party will have to furnish an indemnity bond indemnifying IOCL
against any eventuality regarding ESI becoming applicable to the party during the tenure of the contract. In case the
exemption claim of party is not acceptable to IOCL the same will be conveyed to the party and party will be governed by
above clause (b). In response to IOCL communication conveying non acceptance of party’s exemption claim, party will
submit acceptance to above clause (b).

In case party does not agree to any of the above clauses (a), (b) or (c) the offer of party shall be liable for
rejection.

Page 11 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
(Annexure-S)

PERFORMA FOR DECLARATION ON

PROCEEDING UNDER AND BANKRUPTCY CODE, 2016 (IBC)

Tender No. : RPRC206144

Name of Work : Agency for Spot Preparation on Equipments / Piping & Assistance in
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery.
Bidder Name :

l / We, M/s. ___________________________________________________declare that:

(i) I/We am/are not undergoing insolvency resolution process or liquidation or bankruptcy
proceeding as on date.

(ii) I/We am/are undergoing insolvency resolution process or liquidation or bankruptcy proceeding
as on date as per details mentioned below. (Attached detail with technical bid)

Note: Strike out one of above which is not applicable.

It is understood that if this declaration is found to be false, Indian Oil Corporation Ltd. shall have
the right to reject my/our bid, and forfeit the EMD, if the bid has resulted in a contract, the
contract will be liable for terminate without prejudice to any other right or remedy (including
holiday listing) available to Indian Oil Corporation Ltd.

Page 12 of 13
 Name of Work Tender No.
Agency for Spot Preparation on Equipments / Piping & Assistance in RPRC206144
Carrying out Field Inspection & Digitization of Inspection Data at
Panipat Refinery
Annexure-R

FORMAT FOR GST

(TAX QUOTATION/DECLARATION)

Place of Service : PR
Name of Bidder :

Bidders is requested to quote as below:

1.0 GSTIN registration number from which Invoice

would be raised, if job is awarded
1.1 Whether IOCL has allotted you Vendor code for
above mentioned GSTIN, if Yes please specify
2.0 Particulars: As per IOCL As per Bidder
2.1 Applicable Service Category (for GST purposes) Services
2.2 Applicable % of GST 18%
2.3 Service Accounting Code (SAC) for selected Service 9985
Category
3.0 Kindly confirm : Yes or No:
3.1 Whether Service Covered under Reverse Charge?[ At
present Services of GTA, Legal and Sponsorship ,
among others, are covered under GST Laws]
3.2 Whether the bidder is exempted from registration
under GST (Turnover of less than Rs 20 Lacs/10
Lacs in case of special category States)
3.3 Whether Bidder is under Composition Scheme as
defined under section 10 of CGST Act, 2017?
[Please note that Composition Scheme is available
only for Restaurant and Outdoor Catering
Services]

Note: In case the bidder seeks any deviation w.r.t. category of service, Service Accounting Code (SAC) and
GST rate as pre-determined by IOCL, Bidder should provide the details with proper justification.

Declaration:

I/We hereby confirm that, if subject tender job is awarded to my/our firm, Work Order/LOA issued would
be in Vendor Code/GSTIN mentioned in point 1.0 and 1.1 above. I/We shall not request IOCL to change
the Vendor Code once the Work Order/LOA has been issued to us.

Signature & Stamp of Bidder

Page 13 of 13