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DAKSHINANCHAL VIDYUT VITRAN NIGAM LIMITED SUPERINTENDING ENGINEER ELECTRICITY DISTRIBUTION CIRCLE D.V.V.N.L,VIDYUT COLONY, GOVIND NAGAR, KANPUR-06 CV Tender Specification No. : 130/EDCK/2018-19 Amount of Earnest Money : 2000.00 Date of Submission : 23.01.2019(01.00 PM) (On Website) Date Of Opening : 24.01.2019(03.00 PM) M/s ……………………………………………………………… (To be filled by tendered) Tender Cost : 500.00+GST Receipt No. :………………Dt………….…Amount …...……… PART-I (To be enclosed with tender part-1) DECLARATION FORM (To be filled in by the tendered) S. No Particulars To be filled in by the tendered 1- Specification number against which you have tendered 2- Receipt number and date vide which cost of tender specification was deposited 3- Details of earnest money enclosed. 4- Are you registered with our UPPCL/DVVNL if so, state letter reference of the department vide which you have been registered? 5- Do you agree with the terms & conditions of the tender specification. If no, state the modification clearly which you would agree desire in the general conditions of the contract. It shall be in the discretion of tender inviting Authority to accept or reject the modification proposed. 6- Do you agree with the terms and conditions of form As B of UPPCL (Answer yes/no). 7- Please state clearly (yes/no) if you would agree to execute the work in case modification proposed at serial 5 are not accepted by the Nigam without imposing any further conditions from your side. 8- Give references which can clearly your financial status and capacity to undertake such work. One reference should be of a scheduled Bank of India. 9- Have you submitted the list of past experience for such type of work. 10- Do you confirm that there is no typographical errorfomission in your tender and all other documents forming part of tender. (Answer Yes/No) SCHEDULE-B (Page-2) Sl.No Particulars To be filled in by the tendered 11- What is your validity period to tendered rates? 12- Are you registered with GST and Labour Department, if so, state references of registration. 13- Do you agree to all conditions of tender specification 14- Are your rates tendered against each and every item/job firm and firm in all respect. 15- Give complete address for future correspondence. Phone No. Instructions to tenderer Tender will not be accepted if the above information's are not filled in by them. Replies should be completed without ambiguity and should be clearly written against each point.Term such as/as above reference covering letter etc. shall not be accepted. Please attach extra sheet if the space provided is not sufficient. Signature of Tenderer With seal (To be enclosed with tender part-1) From M/s………………………. ………………………….. ………………………….. To, SUPERINTENDING ENGINEER ELECTRICITY DISTRIBUTION CIRCLE D.V.V.N.L,VIDYUT COLONY, GOVIND NAGAR, KANPUR-06 Sub: - Tender Specification No-130/EDCK/2018-19 dk;Z dk fooj.k&ZZZ fo| qr forj.k [ k.M&iz Fke] d k uiqj d s vUr xZ r 06 ux 12 ok sYV cS Vªh d h vkiwf rZ d k d k;Z A Sir, With reference to above noted tender specification we are submitting the following information for you information & necessary action:- 1. Name of Tenderer (in Block letters)....................................................................... 2. Status of the Tenderer in company or firm............................................................... 3. Name of company / Firm.......................................................... ........................ ...... 4. Postal address.................................. SUPERINTENDING ENGINEER ELECTRICITY DISTRIBUTION CIRCLE Kanpur 5. Letter of authorization for Liasioning agent if any............................. ...............................................

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