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Part 1 SCHEDULE PRE-QUALIFICATION REQUIREMENT OF THE TENDERER (a) Valid Registration in GST Department (b) Financial:- Income tax return of last 03 Financial years. (c) Work Experience:- UPPTCL work/supply orders with value of Rs.1,00,000.00 and above in last two years. Note. Bidder shall have to submit the documentary evidences in support of above pre-qualifying requirement. DISCLAIMER Even though the bidders may meet the above qualifying criteria, they may be disqualifies if they have. Made misleading or false representation in the forms, statements, and attachments as proof ot the qualifying requirements, and/or A record of poor performance such as non- completion/inordinate delays in completing the earlier contract(s) awarded by UPPTCL, litigation history etc. Nigam does not bind itself to accept the lowest or any of the lowest or any of the bids and reserves the right to accept any bid or reject any or reject any or all bids without assigning any reasons thereof. (Signature of the tenderer in full) Name…………………………………………. Designation……………………………… Date…………………………………………. Seal of Company Part 1 SCHEDULE C DECLARATION Tender Invited by Executive Engineer Electricity 400 KV Sub Station Division Pili pokhar, Hatharas Road, Agra Tender for Maintenance of outdoor LT distribution system, street light system etc and garden fields maintenance & associated works within the substation premises at 400 kV S/S Agra. Name of Tenderer ………………………………………………………………………. ………………………………………………………………………. Specification No. and date of opening ………………………………………………………………………. ………………………………………………………………………. In consideration of the U.P. Power Corpn. Ltd. Having treated the tenderer to be an eligible person whole tender may be considered, the tenderer hereby agrees to the condition that the proposal in response to the above invitation shall not be withdrawn within three months (or any extension thereof) from the date of opening of the tender, also to the condition that if thereafter the tenderer does withdraw his proposal within the said period, the earnest mney deposited by him may be forfeited to the U.P. Power Trans. Corp, Ltd. And at the discretion of the purchaser, the purchaser may be debarring the tenderer from tendering for minimum period of one year reckoned from the date of opening of the tender Signed this………………………………………….(date)day of ............................................ month 20……year Place……………………………………………… Witness:- 1. 2. Tenderer Full Signature Name Designation Company Seal PART 1 SCHEDULE D SCHEDULE OF GENERAL PARTICULARS 1 Name of tenderer 2 Postal address of tender 3 Name and address of Local representative and his telephone number, if any 4 Whether the tenderer is sole proprietor/partnership concern/Pvt. Ltd.Co./Public undertaking. 5 Annual turnover per year (In Rs.) 6 State the name and designation of your relative(s) if any working in corporation. 7 Tender Document Cost Reference (Cash receipt No./DD No. along with date) 8 Earnest money deposit (Yes/No). i)If yes state amount of earnest money deposited. Ii) No. & date of FDR/Bank Draft 9 Validity of rates offer (minimum three months) 10 Whether the quoted prices are also applicable for any reduced order. YES/NO 11 Terms of payments as mentioned in relevant clause are acceptable or not. YES/NO. 12 GST Registration Number 13 Bank Statement Enclosed (YES/NO) (03 Months) whether the tenderer is agreed to execute the work in case the deviation stupulated by him are not acceptable to UPPTCL. Yes/No 14 Taxes Applicable extra/Not applicable 15 Work Completion (State numbers of days) 16 Whether the prices quoted are after taking motivate benefit. (Yes/No) Note: Quantity may very as per site requirement, but price variation shall not be allowed. Tenderer Full Signature Name Designation Date Seal of Company Part 1 SCHEDULE DEVI

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