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1 | P a g e ANNEXURE- II PROFORMA FOR UNDERTAKING TO BE SUBMITTED BY BIDDER/S (ON BIDDER'S LETTER HEAD) FOR GENUINENESS OF THE INFORMATION FURNISHED ONLINE AND AUTHENTICITY OF THE DOCUMENTS UPLOADED ONLINE IN SUPPORT OF HIS ELIGIBILITY : FORMAT OF UNDERTAKING I / We, ..................................................................................., Proprietor/Partner/Legal Attorney/ Director/ Accredited Representative of M/S. ................................., solemnly declare that: 1. I/We am/are submitting Bid for the work……......................................................against NIT No/Tender ID......................... Dated………………… and I/we offer to execute the work in accordance with all the terms, conditions and provisions of the bid. 2. Myself/Our Partners/Directors don’t has/have any relative as employee of Mahanadi Coalfields Limited. 3. All information furnished by us in respect of fulfillment of eligibility criteria and qualification information of this Bid is complete, correct and true. 4. All copy of documents, credentials and documents submitted along with this Bid are genuine, authentic, true and valid. 5. I/ We hereby authorize department to seek references / clarifications from our Bankers. 6. We hereby undertake that we shall register and obtain license from the competent authority under the contract labour (Regulation & Abolition Act) as relevant, if applicable. 7. *I/We hereby confirm that we have registration with CMPF / EPF Authorities. We shall make necessary payments as required under law. Or *I/We hereby undertake that we shall take appropriate steps for registration as relevant under CMPF / EPF authorities, if applicable. We shall make necessary payments as required under law. 8. *I/We have not been banned or delisted by any Govt., or Quasi Govt. Agencies or PSUs(In case of JV, all partners are covered). Or *I / We ………………..have been banned by the organization named “_____________” for a period of………………… year/s, effective from ………………. to……………………..…..(in case of JV, name(s) of the JV Partner(s)). 9. If any information and document submitted is found to be false/ incorrect at any time, department may cancel my/our Bid and action as deemed fit may be taken against me/us, including termination of the contract, forfeiture of all dues including Earnest Money and banning/ delisting of our firm and all partners of the firm etc. * Delete whichever is not applicable. 2 | P a g e ANNEXURE-XII PROFORMA FOR WRITTEN CONSENT FOR ARBITRATION CLAUSE (Applicable for Partnership Firms Only) We, all the Partners of M/s ………………………………… (Partnership Firm), do hereby give our written consent for acceptance of the following Arbitration Clause of the NIT for the Work “………………………………………………………………………………………” tendered by MCL, vide NIT No. ………………………………………….., Dated…………….and Tender Id …………………………….. : A. Settlement of Disputes It is incumbent upon the contractor to avoid litigation and disputes during the course of execution. However, if such disputes take place between the contractor and the department, effort shall be made first to settle the disputes at the company level. The contractor should make request in writing to the Engineer-in-charge for settlement of such disputes/claims within 30 (thirty) days of arising of the cause of dispute/ claim failing which no disputes/ claims of the contractor shall be entertained by the company. Effort shall be made to resolve the dispute in two stages. In first stage dispute shall be referred to Area GM or GM/HoD(E&M). If difference still persist the dispute shall be referred to a committee constituted by the owner. The committee shall have one member of the rank of Director of the company who shall be chairman of the committee. If differences still persist, the settlement of the dispute shall be resolved in the following manner

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