Section I - Andhra Pradesh Industrial Infrastructure … · Web viewSupply of Process Equipment...

Annexure 3

Form 1 Checklist to Accompany the Bid

S. No. Description Submitted Page No. (see Note below)

1 Letter of Technical Bid Yes/No

2 Bid security and Non-refundable Processing Fee Yes/No

3 Power of Attorney for signing of BID Form ELI – 4 Yes/No

4 Copy of Contractor’s valid Registration under appropriate Class with State/Central Government departments or the undertaking

Yes/No

5 Copy of valid Provident Fund registration certificate Yes/No

6 Copy of Sales Tax Registration Yes/No

7 Copy of Service Tax Registration Yes /No

8 Copy of PAN card with latest three years IT returns Yes/No

9 Bidders information as per Form ELI – 1 and Form ELI – 2 Yes/No

10 In case of Consortium, JV Agreement with jointly and severally liability clause along with clear responsibilities Form ELI – 3 and Form ELI – 5

Yes/No

11 Form LIT - Pending Litigation Yes/No

12 Financial Capacity along all relevant documents as perForm FIN – 1: Historical Financial PerformanceForm FIN – 2: Average Annual TurnoverForm FIN – 3: Availability of Financial ResourcesForm FIN – 4: Financial Requirements for Current Contract CommitmentsForm FIN – 5: Compliance Check of Financial Resources

Yes/No

13 Details of Technical Capacity asForm EXP – 1: Contracts of Similar Size and NatureForm EXP – 2: Specific Experience in Key ActivitiesForm EXP – 3: Subcontractors

Yes/No

14 Qualification and Experience of Manpower as per Form PER-I and Form PER-II of Section 4

Yes/No

15 List of Machineries & Equipment’s as per EQU of Section 4 Yes/No

16 Technical Proposal as per ITB 17 Yes/No

17 Additional Information if any Yes/No

18 Price Bid along with Price Schedules as per ITB 12, 18 and Section Yes/No

Notes:-1. All the statements, copies of the certificates, documents etc., shall be given page numbers on the

right corner of each certificate, which will be indicated in last column against each item. The statements furnished shall be in the formats appended to the Bid document.

2. The information shall be filled-in by the Bidder in the checklist and Form 1 to 9, for the purposes of verification as well as evaluation of the Bidder’s compliance to the qualification criteria as provided in the Bid document.

3. In case if the Applicant is a Joint Venture/ Consortium, then each member of the consortium/ Joint venture should submit the details required under serial number 4-7 and 11-15.

Schedules of Rates and Prices

Schedule No. 1 – Design, Supply and Construction: Total Capital Cost

Item Description Base Amount in

INR GST Total Amount in INR

1 2 3 4 5=3+4

1 Civil works along with interconnecting pipe works

2 Supply of Process Equipment (MEE) and associated components along with installation, erection, commissioning all inclusive

3 Supply of mechanical, electrical and instrumentation equipments along with installation, erection, commissioning all inclusive

TOTAL

Name of Bidder

Signature of Bidder

Schedule No.2 – Operation and Maintenance

Item Description Average Qty per day (Cu.m/d)

Unit Price- Cost per

cu.m

No. of days

Total Price(in INR)1

A B C D E F= C*D*E or Lumpsum

1 O&M Cost for First Year

1.1 Fixed Cost per annum Lumspum Cost

0-25% of effluent load

1.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during first six months)

93.75 180

1.3 Treatment cost / cu.m for High TDS water (25% of Average Load during first six months)

31.25 180

25-50% of effluent load

1.4 Treatment cost / cu.m for Low TDS water (75% of Average Load during next six months)

281.25 180

1.5 Treatment cost / cu.m for High TDS water (25% of Average Load during next six months)

93.75 180

Sub Total (1.1+1.2 +1.3+ 1.4+ 1.5)

2 O&M Cost for Second Year (50-100% of effluent load)

2.1 Fixed cost per annum Lumspum cost

2.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during second year)

562.5 360

2.3 Treatment cost / cu.m for High TDS water (25% of Average Load during second year)

187.5 360

Total for 2nd Year (2.1+2.2+2.3) -

3 O&M cost for Third Year

3.1 Fixed cost per annum Lumpsum cost

3.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during third year)

750 360

3.3 Treatment cost / cu.m for High TDS water (25% of Average Load during third year)

250 360

Sub Total for 3rd Year (3.1+3.2+3.3) -

4 O&M cost for Fourth Year


4.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during forth year)

750

4.3 Treatment cost / cu.m for High TDS water (25% of Average Load during forth year)

250

Sub Total for 4th Year (4.1+4.2+4.3) -

5 O&M cost for Fifth year


5.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during fifth year)

750 360

5.3 Treatment cost / cu.m for High TDS water (25% of Average Load during fifth year)

250 360


6 O&M cost for Sixth Year


6.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during sixth year)

750 360

6.3 Treatment cost / cu.m for High TDS water (25% of Average Load during sixth year)

250 360


7 O&M cost for Seventh Year


7.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during seventh year)

750 360

7.3 Treatment cost / cu.m for High TDS water (25% of Average Load during seventh year)

250 360


8 O&M cost for Eighth year


8.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during eighth year)

750 360

8.3 Treatment cost / cu.m for high TDS water (25% of Average Load during eighth year)

250 360


9 O&M cost for Ninth Year


9.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during ninth year)

750 360

9.3 Treatment cost / cu.m for High TDS water (25% of Average Load during ninth year)

250 360


10 O&M cost for Tenth Year


10.2 Treatment cost / cu.m for Low TDS water (75% of Average Load during tenth year)

750 360

10.3 Treatment cost / cu.m for High TDS water (25% of Average Load during tenth year)

250 360


Total for 10 years

Name of Bidder

Signature of Bidder

1Inclusive of miscellaneous charges, applicable taxes and service tax.

Schedule No. 3 – Grand Summary (Total Capital and O&M Cost)

Item Description Amount in INR

1 2 3

1 Total Capital Cost (As per Schedule No. 1)

2 Total O&M Cost (As per Schedule No. 2)

TOTAL

Name of Bidder

Signature of Bidder

Schedule No. 4 – Breakup of Price for Civil and Electro Mechanical Items

1. Civil structures/ units

S. No Description of units Quantity Amount (INR)

A Metal pretreatment and finishing wastewater

1 Oil and grease chamber - Acidic stream 1

2 Equalisation tank - Acidic stream 1

3 Oil and grease chamber - Alkaline stream 1

4 Equalisation tank - Alkaline stream 1

5 Reaction tank -1 Acidic stream 1

6 Reaction tank -2 Acidic stream 1

7 Settling tank - Acidic stream (Primary tube deck) 1

8 Reaction tank -1 Alkaline stream 1

9 Reaction tank -2 Alkaline stream 1

10 Settling tank - Alkaline stream (Primary tube deck) 1

11 Sump 1

12 Sludge sump for acidic and alkaline wastewater storage 1

13 Platform for chemicals 1

14 Foundations for pumps and equipment 1

B High TDS wastewater

1 Screen chamber 1

2 Grit chamber 2

3 Oil and grease chamber 1

4 Equalization tank 2

5 Flash mixing tank 1

6 Flocculation tank 1

7 Primary tube deck settling tank 1

8 Holding tank to feed stripper 1

9 Holding tank to feed MEE 1

10 Holding tank to Low volatiles 1

11 Holding tank to condensate 1

12 Holding tank to MEE concentrate 1

C Low TDS wastewater

1 Screen chamber 1

2 Grit chamber 2

3 Oil and grease chamber 1

4 Equalisation tank 2



7 Primary clarifier 1

8 Balancing tank 1

9 Aeration tank - 1st stage (MBBR) 2

S. No Description of units Quantity Amount (INR)

10 Secondary clarifier - 1st stage 2

11 Aeration tank - 2nd stage 2

12 Secondary clarifier - 2nd stage 2

13 Chlorine contact tank 1

14 Garden sump 1

D Tertiary treatment

1 Intermediate sump 1



4 Tertiary Clarifier 1

5 Sump for UF feed tank (Tertiary treated wastewater) 1

6 Sump for RO feed tank 1

7 Sump for RO Permeate tank 1

8 Sump for RO Reject tank 1

E Sludge

1 Sludge sump and conditioning tank 1

2 Sludge thickener 1

3 Sludge drying beds 10

F Other structures

1 Centrifuge room 1

2 Control room 1

3 Store room 1

4 Office and lab 1

5 Blower room Lot

6 DG room Lot

7 UF and RO shed, ME Shed Lot

8 Boundary wall around CETP site Lot

Subtotal (1)

2. Process Equipment (MEE) and associated components

1 MEE and associated components 1

Subtotal (2)

3. Electro Mechanical Items

S. No Description Quantity Amount (INR)

A Acidic stream

1 Oil skimmer 1

2 Raw effluent pump 2

3 Blower 2

4 Grid - Aeration sump 1


5 Chemical tanks (500 Lts capacity) 3

6 Agitators for chemical tanks 3

7 Agitators for reaction tanks 2

8 Tube deck media Lot

9 pH system with transmitter 2

10 ORP system 1

11 Level control switch 2

12 Chemical pumps 6

B Alkaline stream

1 Oil skimmer 1


3 Blower 1

4 Grid - Aeration sump 1


6 Agitators for chemical tanks 3

7 Agitators for reaction tanks 2

8 Tube deck media Lot

9 pH system with transmitter 2

10 ORP system 2


12 Chemical pumps 6

C Common for the two streams

1 Pumps 2

2 Blower 2

3 Grid - Aeration sump (36 grids / sump) 1

4 Sludge pumps 2


D High TDS stream

1 Screens 2

2 Gates 2

3 Oil skimmer 1

4 All grids (600 grids) 1

5 Blowers 800 @ 0.35kg 2

6 Raw effluent pumps 10 @ 10 2

7 Flash mixer 1

8 Chemical preparation tanks (1000 Lts capacity) 2

9 Agitators 2

10 Chemical holding tanks (500 Lts capacity) 3

11 Agitators 3

12 Chemical feeding pumps 6


13 Flocculator 1

14 Tube deck media 1

15 Sludge pump 10 @ 10 m 2

16 Stripper feed pumps 2

17 Condensate pumps 2

E Process wastewater


2 Grid (1600 grids) 2

3 Blower 5


5 Oil skimmer 1

6 Flash mixer 1

7 Flocculator 1

8 Clarifier mechanism 1


10 Agitators 6

11 Chemical pumps 6

12 Nutrient tanks 1

13 Nutrient agitators 1

14 Nutrient pumps (DAP Dosing) 2

15 Aeration grid MBBR tank 4

16 MBBR media 2

17 Diffusers 2

18 Blower 6

19 EA ASP

20 Retrievable grid - (200 grids) 2

21 Diffusors (100 no.s) 2

22 Blowers 3

23 Secondary clarifier mechanism 4

24 Return sludge pump 6

25 Flash mixer 1

26 Flocculator 1


28 Agitators 6

29 Chemical pumps 6

30 Tertiary clarifier mechanism 1

31 Sludge pumps 2

32 PSF feed pumps 3

33 PSF 1

34 Chlorine feed pump 2

35 Chlorine holding tank (2,000 Lts capacity) 1


36 UF system 2

37 RO system 1

38 Blowers for agitation at sludge sump 2

39 Grid (16 grids) 1

40 Centrifuge feed pump 2

41 Centrifuge 1

42 Poly tank (10,000 Lts capacity) 2

43 Poly agitator 2

44 Poly pump 2

45 MCC 1

46 Cabling Lot

47 Piping and Valves Lot

48Office furniture (tables of 2’x5', steel cupboards, file racks, chairs, etc)+ fixtures

Lot

49 Area illumination Lot

50 Laboratory Lot

51 DG One Lot

52 Transformer + cable One Lot

Subtotal (3)

Total price of Civil and Electro mechanical items(Sub-total 1 + Sub-total 2 + Sub-total 3)

Name of Bidder

Signature of Bidder

Schedule No. 5. Recommended Spare PartSL.NO.

EQUIPMENT SPARERS QUANTITY

1 Pumps: Submersible/Horizontal Centrifugal Mechanical SealOil SealBearingSeal Monitoring Kit

2 Set of each type

2 Pumps: Screw Mechanical SealStatorV-BeltBearing

2 Set of each type

3 Pumps: Metering for Polyelectrolyte Dosing Ceramic BallsO RingSuction ValveDischarge ValveAnti-siphon Valve

2 Set of each type

4 Air Blowers Suction Air FilterV-BeltsPulleys

1 Set1 Set1 Set

5 Evaporator CalendriaPreheater

1set

6 Diffusers Diffuser 10% Quantity

7 Agitators for Polyelectrolyte Dosing Tanks Oil SealBearing

1 Set

8 Centrifuges: Solid Bowl Type O Ring

Seal Ring

1 Set

9 Chlorination System Auxiliary ValveManifold ValvePressure GaugePressure SwitchCopper TubeVacuum TubeVent Tube

1 Set

10 Valves Valves 10% or minimum 1 No. of each type

11 Motorized Actuators Limit Switches 1 Set of each type

12 Electrical SFUMCBMCCBRelayContactorTerminalCable GlandsCable Lugs

1 Set of each Type / rating

13 Instruments SensorTransmitter

1 Set of each type

14 PLC SMPSI/O Cards

1 Set10% of each type

15 Others GasketsHardwareFittings

1 Lot

In addition to above any other spare part is required for any installed equipment; contractor shall procure these items immediately so that equipment if not kept under maintenance for more than 7 days.

Name of Bidder _____________________

Signature of Bidder _______________________

PersonnelForm PER – 1: Proposed Personnel

Bidders should provide the details of proposed personnel and their experience record in the relevant information forms below for each of the candidate.

1. Title of position

Name


Name


Name


Name


Name

Title of position

Name

-- Note --* As listed in Section 6 (Employer’s Requirements).

Form PER – 2: Resume of Proposed Personnel

The Bidder shall provide all the information requested below. Use one form for each position

Position

Personnel information

Name Date of birth

Professional qualifications

Present employment

Name of employer

Address of employer

Telephone Contact (manager / personnel officer)

Fax E-mail

Job title Years with present employer

Summarize professional experience in reverse chronological order. Indicate particular technical and managerial experience relevant to the project.

From To Company / Project / Position / Relevant technical and management experience

Form EQU: Equipment

The Bidder shall provide adequate information and details to demonstrate clearly that it has the capa-bility to meet the equipment requirements indicated in Section 6 (Employer’s Requirements), using the Forms below. A separate Form shall be prepared for each item of equipment listed, or for alternative equipment proposed by the Bidder.

Item of Equipment

Equipment Information

Name of manufacturer Model and power rating

Capacity Year of manufacture

Current Status Current location

Details of current commitments

Source Indicate source of the equipment

oo Owned oo Rented oo Leased oo Specially manufactured

Omit the following information for equipment owned by the Bidder.

Owner Name of owner

Address of owner

Telephone Contact name and title

Fax Telex

Agreements Details of rental / lease / manufacture agreements specific to the project

Proposed Subcontractors/Manufacturers for Major Items of Plant and Services

The following Subcontractors and/or manufacturers are proposed for carrying out the item of the facilities indicated. Bidders are free to propose more than one for each item

Major Items of Plant and Services Proposed Subcontractors/Manufacturers Nationality

Manufacturer's Authorization

Date: [insert date (as day, month and year) of Bid Submission]

NCB No.: [insert number of bidding process]

To:

Chief Engineer –IAndhra Pradesh Industrial Infrastructure Corporation LimitedDoor No 59A-8/12-4, Plot No 113,Flat No 502, Vijaya Residency, Near Fun times club, Gurunanak Colony, Vasavi Nagar, Vijayawada – 520008

WHEREAS

We [insert complete name of Manufacturer or Manufacturer’s authorized agent], who are official manufacturers or agent authorized by the manufacturer of [insert type of goods manufactured], having factories at [insert full address of Manufacturer’s factories], do hereby authorize [insert complete name of Bidder] to submit a bid the purpose of which is to provide the following goods, manufactured by us [insert name and or brief description of the goods], and to subsequently negotiate and sign the Contract.

We hereby extend our full guarantee and warranty in accordance with Clause 27 of the General Conditions of Contract, with respect to the goods offered by the above firm.

Signed: [insert signature(s) of authorized representative(s) of the Manufacturer]

Name: [insert complete name(s) of authorized representative(s) of the Manufacturer]

Title: [insert title]

Duly authorized to sign this Authorization on behalf of: [insert complete name of Bidder]

Dated on ____________ day of __________________, _______ [insert date of signing]

-- Note --The bidder shall require the manufacturer to fill out this form in accordance with the instructions indicated. This letter of authorization should be signed by a person with the proper authority to sign documents that are binding on the manufacturer. The bidder shall include it in its bid, if so indicated in the BDS.

Functional Guarantee of the Proposed Facilities

Form FUNC

The Bidder shall copy on the left column of the table below, the identification of each functional guarantee required in the Specification and stated by the Employer in EQC 1.3.4 of Section 3, Evaluation and Qualification Criteria, and on the right column, provide the corresponding value for each functional guarantee of the proposed plant and equipment.

Functional Guarantee [as required by the Employer in Section 3]

Functional Guarantee Value Offered by the Bidder

1. Minimum Treatment Capacity of 1.0 MLD effluent within 24 hours

2. Maximum TDis Levels expected from RO system

3. Power consumption – Maximum power to be consumed for treatment of 1.0 MLD affluent (in full load condition)

Form ELI - 1: Bidder’s Information Sheet

Bidder’s Information

Bidder’s legal name

In case of JV, legal name of each partner

Bidder’s country of constitution

Bidder’s year of constitution

Bidder’s legal address in country of constitution

Bidder’s authorized representative(name, address, telephone numbers, fax numbers, e-mail address)

Attached are copies of the following original documents. 1. In case of single entity, articles of incorporation or constitution of the legal entity named above, in

accordance with ITB 4.1 and 4.2.

2. Authorization to represent the firm or JV named in above, in accordance with ITB 22.2.

3. In case of JV, letter of intent to form JV or JV agreement, in accordance with ITB 4.1.

4. In case of a government-owned entity, any additional documents not covered under 1 above required to comply with ITB 4.5.

Form ELI - 2: Joint Venture Information Sheet

Each member of the Joint Venture must fill out this form separately. Subcontractor must fill out this form.

Joint Venture/Subcontractor Information

Bidder’s legal name

Joint Venture Partner’s or Subcontractor’s legal name

Joint Venture Partner’s or Subcontractor’s country of constitution

Joint Venture Partner’s or Subcontractor’s year of constitution

Joint Venture Partner’s or Subcontractor’s legal address in country of constitution

Joint Venture Partner’s or Subcontractor’s authorized representative information(name, address, telephone numbers, fax numbers, e-mail address)

Attached are copies of the following documents: 1. Articles of incorporation or constitution of the legal entity named above, in accordance with ITB 4.1 and ITB 4.2

2. Authorization to represent the firm named above, in accordance with ITB 22.2

3. In the case of government-owned enterprise, documents establishing legal and financial autonomy and compliance with commercial law, in accordance with ITB 4.5

Subcontractors are those listed in Technical Proposal – Proposed Subcontractors and/or Manufacturers for Major Items of Plant and Services.

Form ELI – 3: FORM OF UNDERTAKING BY THE JOINT VENTURE PARTNERS

(On Non-Judicial Stamp Paper of Rs 100 for Domestic Bidders and Notarization for Foreign Bidders)

THIS JOINT DEED OF UNDERTAKING is executed on this………. day of……….. by……., a company incorporated under the laws of …………… and having its Registered Office at ........................(hereinafter called the "Party No.1", which expression shall include its successors and permitted assigns) and ……………a company incorporated under the laws of………………

and having its Registered Office at……………(hereinafter called the "Party No.2" which expression shall include its successors and permitted assigns) and... . .. . . . . .. . .. .. .... .. a Company incorporated under the laws of……………………………………………… and having its Registered Office at……………. (hereinafter called the "Party No.3" and Party No ------------------------------------- which expression shall include its successors and permitted assigns) for the purpose of submitting a bid and entering into a contract [hereinafter called the "Contract"] in case of an award for the “Design, Supply, Construct, Install, Test, Commission, Operate and Maintain for 10 Years , 1 MLD CETP at MPSEZ Naidupeta” (“Works”) under the Vizag Chennai Industrial Corridor ( VCIC) Development Program by the Andhra Pradesh Industrial Infrastructure Corporation, c/o the Chief Engineer – I , Flat No 501 & 502, M/s Vijaya Residency, Gurunanak Colony, Vijayawada – 520 008 (hereinafter called the "Employer").

WHEREAS Party No.1, Party No.2 Party No ---------------(hereinafter collectively referred to us the “Parties”) have entered into an Joint Venture Agreement dated ................

AND WHEREAS the Employer invited bids for the Works as per the scope of work and specifications stipulated in the bidding documents for the Works (“Bidding Documents”).

AND WHEREAS Clause 11.2 (g) of Section-II (Bid Data Sheet) stipulates that, in case a bidder is a Joint Venture, an Undertaking signed by all the partners of such Joint Venture shall be submitted along with the Technical Bid holding all the partners of the Joint Venture jointly and severally liable to perform the requirements under the bidding document, the Contract and all obligations hereunder.

AND WHEREAS the bid is being submitted to the Employer vide proposal No……..dated…... based on this Undertaking which has been signed by the Parties.

NOW THIS UNDERTAKING WITNESSETH AS UNDER:

In consideration of the above premises and agreements all the Parties do hereby declare and undertake:

1. As a requirement for the award of the Contract by the Employer to a Joint Venture, we do hereby undertake that M/s……… the Party No---- shall act as Lead Partner1 and further declare and confirm that we shall jointly and severally be bound unto the Employer for the successful performance of the Contract and shall be fully responsible for the execution of the Works in accordance with the Contract:

2. In case of any breach or default of the Contract by any of the Parties, each of the Parties do hereby undertake to be fully and severally responsible for the successful performance of the Contract and to carry out all the obligations and responsibilities under the Contract in accordance with its terms.

3. Further, if the Employer suffers any loss or damage on account of any breach of the provisions of the Contract or any shortfall in the performance of the Works in meeting the performances guaranteed as per the specification of the Contract, the Parties of these presents undertake to promptly make good such loss or damages caused to the Employer in accordance with the procedure and the relevant provisions of the Contract. It shall not be necessary or obligatory for the Employer to proceed against the Lead Partner before proceeding against or dealing with the

1 The minimum share of the lead partner in the JV should be 50% of the quoted bid price. The lead partner should not subcontract any of the works which are defined under his roles and responsibilities included in the JV Agreement.

any of the other Parties. The Employer can proceed against any of the parties who shall be jointly and severally liable to the Employer for the performance of, and all other liabilities/obligations arising under, the Contract.

4. It is expressly understood and agreed between the Parties that the responsibilities and obligations2 of each of the Parties are described in the bid. It is further undertaken by the Parties that the above sharing of responsibilities and obligations shall not in any way be a limitation of the joint and several responsibilities of the Parties under the Bidding Document and / or the Contract.

5. It is also understood that this Undertaking is provided for the purposes of undertaking joint and several liabilities of the Parties for the submission of their bid. This Undertaking shall not be deemed to give rise to any additional liabilities or obligations, in any manner, on any of the Parties to this Undertaking or on the Joint Venture, except as provided under the Bidding Document and / or Contract.

6. This Undertaking shall be construed and interpreted in accordance with the provisions of the Contract.

7. In case of an award of the Contract, we hereby undertake that we shall be jointly and severally responsible for furnishing a performance security in favour of the Employer in accordance with the requirements of the Bidding Document.

8. It is further agreed that this Deed of Undertaking shall be irrevocable and shall form an integral part of the bid and shall continue to be enforceable until the Employer discharges the same or upon the fulfillment of the obligations under the Contract in accordance with its provisions, whichever is earlier. It shall be effective from the date first mentioned above for all purposes and intents.

IN WITNESS WHEREOF, the Parties to this Deed of Undertaking have through their authorised representatives executed this Undertaking

Name …………………………………..

Designation …………………………….

Signature ……………………………….

WITNESS :

I. ……………………………………

II. ……………………………………

For Lead Partner (Party No.-1)For and on behalf of…………………..

(Signature of the authorizedrepresentative)

Name …………………………………..


Signature ……………………………….

For Party No.-2For and on behalf of …………………..

(Signature of the authorized representative)

2 The responsibilities and obligations of the JV Partners should be attached to this Agreement

WITNESS :

I. ……………………………………

II. ……………………………………

Name …………………………………..


Signature ……………………………….

WITNESS :

I. ……………………………………

II. ……………………………………

For Party No…..For and on behalf of…………………..

(Signature of the authorizedrepresentative)

Form ELI-4: Power of Attorney for signing of Bid-Format

Know all men by these presents, We…………………………………………….. (name of the firm and address of the registered office) do hereby irrevocably constitute, nominate, appoint and authorize Mr/ Ms (name), …………………… son/daughter/wife of ……………………………… and presently residing at …………………., who is presently employed with us/ the Lead Member of our Consortium and holding the position of ……………………………. , as our true and lawful attorney (hereinafter referred to as the “Attorney”) to do in our name and on our behalf, all such acts, deeds and things as are necessary or required in connection with or incidental to submission of our Application for the Design, Supply, Construct, Erect, Test, Commission, Operate and Maintain ( 1 MLD CETP at Naidupeta in Nellore District (the “Project”) being developed by the Andhra Pradesh Industrial Infrastructure Corporation Limited (the “Employer”) including but not limited to signing and submission of all applications, participate in meetings and providing information/ responses to the Employer, representing us in all matters before the Employer, signing and execution of all contracts including the agreement and undertakings consequent to acceptance of our Application and generally dealing with the Employer in all matters in connection with or relating to or arising out of our Application for the said Project.AND we hereby agree to ratify and confirm and do hereby ratify and confirm all acts, deeds and things done or caused to be done by our said Attorney pursuant to and in exercise of the powers conferred by this Power of Attorney and that all acts, deeds and things done by our said Attorney in exercise of the powers hereby conferred shall and shall always be deemed to have been done by us.

IN WITNESS WHEREOF WE, …………………………., THE ABOVE NAMED PRINCIPAL HAVE EXECUTED THIS POWER OF ATTORNEY ON THIS ……… DAY OF …………. 201.For .........................(Signature, name, designation and address of person authorized by Board Resolution(in case of Firm/ Company)/ partner in case of Partnership firmWitnesses: 1.2.Accepted……………………………(Signature)(Name, Title and Address of the Attorney) (Notarised)Person identified by me/ personally appeared before me/Attested/ Authenticated*(*Notary to specify as applicable)(Signature Name and Address of the Notary)Seal of the NotaryRegistration No. of the NotaryDate:………………Notes:

The mode of execution of the Power of Attorney should be in accordance with the procedure, if any, laid down by the applicable law and the charter documents of the executant(s) and when it is so required, the same should be under common seal affixed in accordance with the required procedure.

Wherever required, the Applicant should submit for verification the extract of the charter documents and documents such as a board or shareholders’ resolution/ power of attorney in favour of the person executing this Power of Attorney for the delegation of power hereunder on behalf of the Applicant

Form ELI-5 Power of Attorney for Lead Member of Consortium-Format

Whereas the Andhra Pradesh Industrial Infrastructure Corporation Limited (“the Employer”) has invited BIDs from bidders for Design, Supply, Construct, Erect, Test, Commission, Operate and Maintain 1 MLD CETP at Naidupeta in Nellore District (the “Project”). Whereas, …………………….., ………………… and …………………….. (collectively the “Consortium”) being Members of the Consortium are interested in bidding for the Project in accordance with the terms and conditions of the document and other BID documents including agreement in respect of the Project, and Whereas, it is necessary for the Members of the Consortium to designate one of them as the Lead Member with all necessary power and Employer to do for and on behalf of the Consortium, all acts, deeds and things as may be necessary in connection with the Consortium’s BID for the Project and its execution. NOW THEREFORE KNOW ALL MEN BY THESE PRESENTS

We, M/s.......................... having our registered office at …………………….., M/s.………………….. having our registered office at …………………….., and M/s…………………….. having our registered office at …………………….., (hereinafter collectively referred to as the “Principals”) do hereby irrevocably designate, nominate, constitute, appoint and authorize M/s …………………….. having its registered office at …………………….., being one of the Members of the Consortium, as the Lead Member and true and lawful attorney of the Consortium (hereinafter referred to as the “Attorney”). We hereby irrevocably authorize the Attorney (with power to sub-delegate) to conduct all business for and on behalf of the Consortium and any one of us during the Bidding process and, in this regard, to do on our behalf and on behalf of the Consortium, all or any of such acts, deeds or things as are necessary or required or incidental to the Bid, including but not limited to signing and submission of all applications, BIDs and other documents and writings, participate in meetings, respond to queries, submit information/ documents, sign and generally to represent the Consortium in all its dealings with the Employer, in all matters in connection with or relating to or arising out of the Consortium’s Application. AND hereby agree to ratify and confirm and do hereby ratify and confirm all acts, deeds and things done or caused to be done by our said Attorney pursuant to and in exercise of the powers conferred by this Power of Attorney and that all acts, deeds and things done by our said Attorney in exercise of the powers hereby conferred shall and shall always be deemed to have been done by us/ Consortium.

IN WITNESS WHEREOF WE THE PRINCIPALS ABOVE NAMED HAVE EXECUTED THIS POWER OF ATTORNEY ON THIS …………………. DAY OF ………. 201…For ……………………..(Signature)……………………..(Name & Title)For ……………………..(Signature)……………………..(Name & Title)For ……………………..(Signature)……………………..(Name & Title)(Executants)(To be executed by all the Members of the Consortium)Witnesses:1.2.Notes:

The mode of execution of the Power of Attorney should be in accordance with the procedure, if any, laid down by the applicable law and the charter documents of the executant(s) and when it is so required, the same should be under common seal affixed in accordance with the required procedure.

Also, wherever required, the Applicant should submit for verification the extract of the charter documents and documents such as a board or shareholders’ resolution/ power of attorney in favour of the person executing this Power of Attorney for the delegation of power hereunder on behalf of the Bidder.

Form LIT – 1: Pending Litigation and Arbitration

Each Bidder must fill out this form if so required under Criterion 2.2 of Section 3 (Evaluation and Qualification Criteria) to describe any pending litigation or arbitration formally commenced against it.

In case of joint ventures, each Joint Venture Partner must fill out this form separately, and provide the Joint Venture Partner name below:

Joint Venture Partner: ___________________

Pending Litigation and Arbitration

Choose one of the following:

No pending litigation and arbitration.

Below is a description of all pending litigation and arbitration against the Bidder (or each Joint Venture member if Bidder is a Joint Venture).

Year Matter in Dispute

Value of Pending Claim in

US$ Equivalent

Value of Pending

Claim as a Percentag

e of Net Worth

- Note -This form shall only be included if Criterion 2.2 of Section 3 (Evaluation and Qualification Criteria) is applicable.

Form FIN - 1: Historical Financial Performance

Each Bidder or member of a JV must fill in this form

Financial Data for Previous 5 Years [INR]

Year 1: 2014-15

Year 2: 2013-14 Year 3: 2012-

13Year 4: 2011-12

Year 5: 2010-11

Information from Balance Sheet

Total Assets (TA)Total Liabilities (TL)Net Worth = TA-TLCurrent Assets (CA)Current Liabilities (CL)Working Capital = CA – CL

Most RecentWorking Capital

To be obtained for most recent year and carried forward to FIN-3 Line 1; in case of Joint Ventures, to the corresponding Joint Venture Partner’s FIN-3

Information from Income Statement

Total RevenuesProfits Before TaxesProfits After Taxes

Attached are copies of financial statements (balance sheets including all related notes, and income statements) for the last five years, as indicated above, complying with the following conditions.

Unless otherwise required by Section 3 of the Bidding Documents, all such documents reflect the financial situation of the legal entity or entities comprising the Bidder and not the Bidder’s parent companies, subsidiaries or affiliates.

Historical financial statements must be audited by a certified accountant.

Historical financial statements must be complete, including all notes to the financial statements.

Historical financial statements must correspond to accounting periods already completed and audited (no statements for partial periods shall be requested or accepted).

Form FIN - 2: Average Annual Turnover

Each Bidder or member of a JV must fill in this form

The information supplied should be the Annual Turnover of the Bidder or each member of a Joint Venture in terms of the amounts billed to clients for each year for work in progress or completed, converted to US dollars at the specified exchange rate.

In case of joint ventures, each Joint Venture Partner must fill out this form separately, and provide the Joint Venture Partner name below:


Annual Turnover Data for the Last 5 Years

Year AmountCurrency

ExchangeRate

INREquivalent

Average Annual Turnover

Form FIN – 3: Availability of Financial Resources

Bidders must demonstrate sufficient financial resources, usually comprising of Working Capital supplemented by credit line statements or overdraft facilities and others to meet the Bidder’s financial requirements for

(a) its current contract commitments, and

(b) the subject contract.

In case of joint ventures, each Joint Venture Partner must fill out this form separately and provide the Joint Venture Partner name below:


Financial Resources

No. Source of financing Amount (US$ equivalent)

1 Most Recent Working Capital (to be taken from FIN-1)

2 Credit Linea

3 Other Financial Resources

Total Available Financial Resources

a To be substantiated by a letter from the bank issuing the line of credit.

Form FIN- 4: Financial requirements for Current Contract Commitments

A. Bidders (or each Joint Venture partner) should provide information on their current commitments on all contracts that have been awarded, or for which a letter of intent or acceptance has been received, or for contracts approaching completion, but for which an unqualified, full completion certificate has yet to be issued.

B. In case of joint ventures, each Joint Venture Partner must fill out this form separately and provide the Joint Venture Partner name below:

C. Joint Venture Partner: ___________________

Current Contract Commitments

No.

Name of Contract

Employer’sContact

(Address, Tel, Fax)

Contract Completion

Date

Outstanding Contract

Value(X)

Remaining Contract Period in

months (Y)

Monthly Financial Resources Requirement

(X / Y)

1

2

3

4

Total Monthly Financial Requirement for Current Contract Commitments US$ . . . . . . . . . . . . . . . . .

Form FIN - 5: Compliance Check of Financial Resources (Criterion 2.3.3 of Section 3)

Form FIN-5A: For Single Entities

For Single Entities:


from FIN-3(C)

Total Monthly Financial

Requirement for Current Contract

Commitments (CCC) from FIN-4

(D)

Available Financial

Resources net of CCC(C-D)

≥Requirement

___________________(Name of Bidder)

_______________ ________________ _______________

≥100% of

Requirement from Section 3 - 2.3.3(b)

_______________

Form FIN-5B: For Joint Ventures

For Joint Ventures:


from FIN-3(C)

Total Monthly Financial

Requirement for Current Contract

Commitments (CCC) from FIN-4

(D)

Available Financial

Resources net of CCC(C-D)

≥ requirement

One Partner:

___________________(Name of Partner)

_______________ _______________ _______________ ≥B(%) of

Requirement

____________

Each (Other) Partner:

___________________(Name of Partner 1)

_______________ _______________ _______________ ≥A(%) of

Requirement____________

___________________(Name of Partner 2)

_______________ _______________ _______________ ≥A(%) of

Requirement

____________

___________________(Name of Partner 3)

_______________ _______________ _______________ ≥A(%) of

Requirement____________

All partners combined ∑ (C-D)b =

_______________

≥100% of

Requirement from Section 3 - 2.3.3(b

_______________

_______________

- Note -Form FIN – 5 is made available for use by the bidder as a self-assessment tool, and by the employer as evaluation work sheet, to determine compliance with financial resources.

a Requirement for the subject contract is defined in Criterion 2.3.3(b) of Section 3. Value A is the required percentage of the subject contract, which each partner must meet; and value B is the required percentage of the subject contract, which one partner must meet. A and B values are defined in Criterion 2.3.3 of Section 3 (Evaluation and Qualification Criteria).

b Σ (C – D) = sum of available financial resources net of current contract commitments (CCC) for all partners.

Form EXP – 1: Contracts of Similar Size and Nature

Fill out one (1) form per contract.

Contract of Similar Size and Nature

Contract No . . . . . . of . . . . . .

Contract Identification

Award Date Completion Date

Role in Contract Contractor Management Contractor Subcontractor

Total Contract Amount US$

If partner in a Joint Venture or subcontractor, specify participation of total contract amount

Percent of Total Amount

Employer’s name Address Telephone number Fax number E-mail

Description of the similarity in accordance with Criterion 2.4.1 of Section 3

Form EXP - 2: Experience in Key Activities


Contract with Similar Key Activities

Contract No . . . . . . of . . . . . . Contract Identification






Employer’s nameAddressTelephone numberFax numberE-mail

Description of the key activities in accordance with Criterion 2.4.2 of Section 3

Form EXP - 3: Subcontractors


Contract for the Major Items

Contract No . . . . . . of . . . . . . Contract Identification






Employerʼs nameAddressTelephone numberFax numberE-mail

Description of the major items in accordance with Criterion 2.5 of Section 3

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