Technical Bid-Modular Kitchen
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, , .24,
, (),
! 400 051
" +91 22-2653 0094#$ "
+91 22-2653 0060
" www.nabard.org
National Bank for Agriculture and Rural
Development
Department of Premises, Security
& ProcurementHead Office !"o# $o.24% &' ("oc)% (*%
(andra, % /bai- 400 051
e" +91 22 2653 0094 a +91 22 2653 0060-ai"[email protected] ebsi#ewww.nabard.org
NOTICE INVITING TENDER
Ref. No. NB. DPSP/ Modular Kitchen/ / 2!" # !$ !% Septemer2013
'o
M/S((((((((((((((((((((((
((((((((((((((((((((((((((
((((((((((((((((((((((((((
((((((((((((((((((((((((((
Dear Sirs,
Tender for Supply and installation of pre-fabricated(factory made modular
!itc"en #nits in N$%$RD&s officers 'uarters at N$%$RD ar!)
Santacru*(+ and ,VS) Dadar) umbai.
National Ban) for *+riculture and Rural Deelopment intends to underta)e the
captioned -or). ou are reuested to sumit your offer in sealed enelope for the
aforesaid -or) as per detailed specifications and other reuirements as mentioned
more specifically else-here in this tender document.
'ender documents is attached -ith this letter.
Properly filled tenders as 'echnical Bid 0Part13 and Price Bid0Part13 shall e
sumitted separately in t-o sealed enelopes, duly furnishin+ all the reuired
information. 'hese t-o separate sealed enelopes should e superscried as
/Tec"nical %id(art-0 for Supply and installation of pre-fabricated(factory
made modular !itc"en #nits in N$%$RD&s officers 'uarters at N$%$RD
ar!) Santacru*(+ and ,VS) Dadar) umbai1 and /rice %id(art-2 for
Supply and installation of pre-fabricated(factory made modular !itc"en
#nits in N$%$RD&s officers 'uarters at N$%$RD ar!) Santacru*(+ and
,VS) Dadar) umbai1 respectiely. 'he t-o enelopes 0 Part1! & Part123
should e inserted in another sealed enelope -hich should e superscried as/Tender for Supply and installation of pre-fabricated(factory made modular
P*45 ! 67 "2
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!itc"en #nits in N$%$RD&s officers 'uarters at N$%$RD ar!)
Santacru*(+ and ,VS) Dadar) umbai1 and should eaddressed to8Shri.
*.P. Sandilya, 9hief 4eneral Mana+er, DPSP, National Ban) for *+riculture and
Rural Deelopment, 912$, 41Bloc), 4round 7loor, B1-in+, BK9, Bandra053,
Mumai 1 $ :!;, so as to reach this office latest by 03455 "ours on 56October
2507. 'he tenders shall e sumitted in
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". iuidated dama+es for delay in completion of the -or)s -ill e leied at .2:E of the
alue of the accepted tender for eery -ee) of delay or part thereof, suAect to ma=imum
of :E of the alue of the accepted tender.
$. N*B*RD reseres the ri+ht to accept or reAect any /all tender/s in part or -hole of any
firm / firms -ithout assi+nin+ any reasons for doin+ so.
:. 'he successful idder shall e=ecute an a+reement -ith N*B*RD at his
cost on non1Audicial stamp paper of -orth Rs2/1 in accordance -ith the
standard format enclosed 0articles of a+reement3 -ithin C days from the date of
issue of -or) order failin+ -hich the idderFs 5MD may stand forfeited.
. * pre-bid meetin+ -ill e conened at site 0N*B*RD
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T$,ING R#R$: INDI$ ;;
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76RM 67 '5ND5R
Date @
'he 9hief 4eneral Mana+er
Department of Premises, Security and Procurement
National Ban) for *+riculture and Rural Deelopment
Iead 6ffice,
Mumai # $:!
Dear Sir,
Tender for /Supply and installation of pre-fabricated(factory made modular
!itc"en #nits in N$%$RD&s officers 'uarters at N$%$RD ar!) Santacru*(+
and ,VS) Dadar) umbai1
Iain+ e=amined the 'echnical id and price id of tender document relatin+ to the
-or)s specified in the Memorandum hereinafter set out, hain+ isited and e=amined
the site of the -or)s specified in the said Memorandum and hain+ acuired thereuisite information relatin+ thereto as affectin+ the tender, /He herey offer to
e=ecute the -or)s specified in the said Memorandum -ithin the time specified, at the
rates mentioned in the Price Bid and in accordance in all respects of the tender and
-ith such materials as are proided for, y and in all other respects in accordance -ith
such conditions so far as they may e applicale.
M5M6R*NDJM
a3 Description of -or) @ 'ender for Supply and installation of pre1
faricated0factory made3 modular )itchen
Jnits in N*B*RD
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d3 Retention Money Deposit 0RMD3 @ :E from eery R.*. Bill.
e3 nitial security deposit @ 2E of alue of accepted tender alue
f3 Galidity period of id @ % days after openin+ of Price1id
He re1iterate that the time for completion sho-n aoe shall e rec)oned from the
date of issue of the Hor) 6rder.
Should this tender e accepted, /He herey a+ree to aide y and fulfill the terms and
proisions or the said 9onditions of the tender anne=ed hereto so far as they may e
applicale or in default thereof to forfeit the 5MD and pay to the National Ban) for
*+riculture and Rural Deelopment, the amount mentioned in the said tender
conditions.
6ur Ban)erFs are @
i3
ii3
'he names of partners of our firm are @
i3
ii3
iii3
Name of the partner of the firm
*uthori?ed to si+n@
6R
Name or person hain+ Po-er of
*ttorney to si+n the contract
0certified copy of the Po-er of*ttorney should e attached3@
ours faithfully,
Si+nature of 'enderer
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$. E:IGI%I:IT> CRITERI$ O< T=E CONTR$CTORS ($pplicable to non-
empanelled a9encies4
'he contractors eceptthose -ho hae already een empanelled y N*B*RD shall hae
to meet the follo-in+ ualifyin+ criteria for participatin+ in the tender@
the contractor should hae re+istered -ith any +oernment departments li)e Sales ta=,
9PHD, 9ustom & 5=cise etc.
the contractor / firm should hae minimum " years 0endin+ "!.L.2!"3 e=perience in
the field of Modular Kitchen -or) .
the aera+e annual turnoer of the contractor/ firm oer the last three years 0endin+
"!.".2!"3 shall not e less than Rs $$ la)h.
the contractor / firm should hae successfully e=ecuted and completed the Modular
Kitchen -or) of atleast any of the follo-in+ alues durin+ last C years 0 endin+
"!.L.2!"3 @
i3 three -or)s -hose indiidual -or) order / completion alue is not less than Rs :.L
la)h
ii3 t-o -or)s -hose indiidual -or) order/completion alue is not less than Rs C.2:
la)h
iii3 one -or) -hose indiidual -or) order/completion alue is not less than Rs !!.
la)h
'he contractors shall hae to fill the proforma(para-
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%. SECI$: INSTR#CTIONS TO T=E CONTR$CTORS
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C. GENER$: INSTR#CTIONS TO T=E CONTR$CTORS $ND GENER$:
CONDITIONS
!. 9ontractors are adised to isit the site and thorou+hly understand the nature andscope of the -or)s and e familiar -ith the site conditions efore uotin+.
2. 'he uantities indicated in the B6 are only tentatie and shall e e=ecuted only
at the sole discretion of N*B*RD.
". uoted rates should e -or)ale and reasonale and should include incidental and
all oerheads and profits. 'he contractor should furnish Rate *nalysis for scrutiny
of the rates y N*B*RD, if reuired.
$. Rates should include all 'a=es, Serice 'a=, Duties, 6ctroi, eies, Ha+es as per
*ct, etc. and should e firm for the entire 9ontract period. No escalation of rates
-ill e allo-ed for the entire contract period on any account.
:. Materials used should conform to releant national 9odes.
. Specifications and Method of Measurements shall e follo-ed as applicale.
Io-eer, in the asence of the same and / or in case of any discrepancy, the
decision of N*B*RD -ill e final.
C. 'he items not coered in the Schedule of uantities of the 9ontract Document
shall e paid at the rates as per Rate *nalysis ased on the mar)et prices supported
y documentary proof -ith !:E to-ards 9ontractor
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all the Statutory and other liailities, if any, includin+ minimum -a+es, leae
salary, uniform, e=1+ratia, +ratuity, 5S, Proident 7und, Hor)man
9ompensation, if any, etc. in connection there-ith shall e on the 9ontractorFs
account and payale y the 9ontractor.
!:. 'he 9ontractor should otain necessary permission that may e reuired for the
purpose of this 9ontract from such authorities as may e prescried y a- from
time to time.
!. 'he 9ontractor or his authorised representatie should isit the site freuently as
reuired y N*B*RD and meet N*B*RDFs 5n+ineer -ith prior appointment for
any clarifications and to receie instructions, ta)e measurements, etc. at the site.
1'. Te contractor so#ld engage #alified tecnical personnel in respective
Engineering fields to s#pervise te ,or+ on reg#lar basis as per te specifications
and instr#ction of te an+=s Engineer.
!L. 'he 9ontractor shall e fully responsile and shall compensate N*B*RD -ith
suitale nsurance coer 0 9ontractor *ll ris) policy 3 in the eent of any dama+eto men or material, inAury / dama+e or death as the case may e, caused directly or
indirectly due to the ne+li+ence of the 9ontractor or his a+ents and / or his
employees, or -or)men. 'he decision of N*B*RD in this re+ard shall e final
and indin+. 'he policy -ill e in Aoint names of N*B*RD 07irst Party3 and the
contractor0second Party3 for a alue of !.2: times of contract amount.
!%. Te &ontractor sall indemnify te Employer against any losses as per format
given at #nne$!re %.
2. *ny act of indiscipline / misconduct / theft / pilfera+e on the part of any employee
en+a+ed y the 9ontractor resultin+ in any loss to N*B*RD in )ind or cash -ill
e ie-ed seriously and N*B*RD -ill hae the ri+ht to claim dama+es or ley
fine and / or terminate the 9ontract forth-ith, if necessary.
2!. n case of any default or failure on 9ontractor
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2. 'he 9ontractor should otain approals, if any, necessary for the -or) from the
statutory odies on ehalf of N*B*RD. Io-eer, N*B*RD may assist the
9ontractor in respect of any liaison -ith the Municipal or any other authority for
necessary approal / permission -ith re+ard to the construction / maintenance
-or)s. 'he fees and other statutory char+es, if any, -ill e reimursed to the
9ontractor ased on the ori+inal receipts produced to N*B*RD.
2C. 'he 9ontract can e terminated y N*B*RD on !: days notice if serices are
found to e unsatisfactory and if there is no improement een after issue of three
notices to the contractor. 'he 5MD of the contractor -ill e forefeited.
2L. 6n1site stora+e space -ill e proided to the 9ontractor suAect to aailaility.
Io-eer, the 9ontractor may erect temporary sheds for stora+e purposes at his
cost -ith the permission of N*B*RD. N*B*RD -ill not e responsile for
9ontractor
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date of Girtual 9ompletion of -or)s proided the 9ontractor has satisfactorily
carried out all the rectification -or)s and attended to all defects to the satisfaction
of N*B*RD.
":. Defects :iability period 46ne year from the date of Girtual 9ompletion of -or)s
certified y N*B*RD.
". Galidity of 'ender Rates @ % days from the date of openin+ of Price Bid 0Part123.
"C. iuidated Dama+es @ .2:E of the accepted 'ender Galue per -ee) or part of
the -ee) suAect to ma=imum of :E of the alue of -or).
"L. P*M5N'@ 'he contractor shall e entitled to receie payment -ith an interim
ill of amount more than Rs. :. la)h only durin+ e=ecution of the -or) , and
after sumission of the ill -ith Aoint measurements.
He accept all the aoe 'erms and 9onditions in all respects -ithout any reseration.
Place @
D*'5 @
N*M5 and S5*
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D. SECI$: CONDITIONS
!. 'he 'ender is strictly on tem Rate asis.
2. *ll the pa+es of the 'ender Document shall e si+ned y the 'enderer.
". N*B*RD ta)es no responsiility for delay / loss in post or non receipt of 'ender
Documents.$. Bids sumitted y unauthorised a+ents and 7* / 'ele= / 'ele+raphic ids shall
not e entertained / considered.
:. 'enderers are adised to isit the site at their cost, conduct surey of e=istin+
conditions so as to familiarise themseles -ith the site conditions, nature of -or)s
etc. and +et all clarifications as necessary from N*B*RD efore uotin+ the rates.
. Rates should include for remoal of deris out of premises to the safe limit,
remoin+ stains, cleanin+ the site thorou+hly and unless the same is done to the
satisfaction of the N*B*RD
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for 'hird Party. Policies should e ta)en in the Aoint names of N*B*RD
and the 9ontractor for -hich first name should e N*B*RD.
c. *ny dama+es caused to the uildin+ / premises durin+ the e=ecution of the
-or) shall e made +ood y the 9ontractor at his ris) and cost and if
necessary, throu+h suitale nsurance coer.d. 'he contractor at his cost and ris) should shift / displace the Ban)
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not e more than " cm. Hhen a ladder is used an e=tra ma?door shall e en+a+ed for
holdin+ the ladder.
5ery openin+ in the floor of a uildin+ or in a -or)in+ platform e proided -ith
suitale means to preent the fall of persons or materials y proidin+ suitale fencin+ or
railin+ -hose minimum hei+ht shall e one metre.
Hor)ers employed on mi=in+ and handlin+ material such as asphalt, cement, mortar shall
e proided -ith protectie foot-ear and ruer hand+loes.
Ioistin+ machine and tac)le used in the -or)s, includin+ their attachments, anchora+e
and supports shall e in perfect condition.
'he 9onsultants / 5mployer reseres the ri+ht to instruct the 9ontractors to ta)e
additional safety precautions if found necessary.
*ll -or)ers shall e proided -ith helmet, Safety Shoes and Safety elts as per the
reuirement.
D59*R*'6N B 'I5 96N'R*9'6R
He / hae read and understood all the instructions / conditions made aoe and -e /
hae ta)en into account the aoe nstructions / 'erms and 9onditions -hile uotin+ the
rates. He / accept all the aoe 'erms and 9onditions -ithout any reseration, in all
respects.
Place @
D*'5 @
0S4N*'JR5 67 'I5 '5ND5R5R3
*DDR5SS @N*M5 and S5*
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E. SECI
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$ 'halli as)et $L" $ ! $2 :! 2
: 6il Pull out -ith three tier
SS tray/as)et
22L C2" ! !C :! :L:
9orner shutter $%L C2! !
. a3 'rolley for 4as 9ylinder 2
C Perforated 9utlery L2 !"L ! C:: :! !L Plain as)et L2 !"L ! C:: :! !
% Plain as)et L2 $": ! C:: :! 2
! Plain as)et L"2 2CL ! CC: :! 2
!! Plain as)et L"2 $": ! CC: :! !:
O8er =ead
!2 -ooden shutter shelf -ith a
hori?ontal inner partition
-ith !Lmm/!%mm marine
ply -ood02 sheles3
"$L :%L 2 C " 1
!" :mm thic) 4lass shutter
shelf -ith a hori?ontal inner
partition -ith !mm thic)
float +lass02 sheles3
$$L :%L ! $: " 1
!$ allance %L 2: !
!: :mm thic) 4lass shutter
shelf -ith a hori?ontal inner
partition -ith !mm thic)
float +lass02 sheles3
$$L :%L ! $: " 1
! -ooden shutter shelf -ith a
hori?ontal inner partition
-ith !Lmm/!%mm marine
ply -ood02 sheles3
"C" :%L 2 C: " 1
See t"e typical layout and ele8ations in t"e folloJin9 pa9es
T"ese are only indicati8e and may 8ary Jit" t"e samples appro8ed by t"e %an! site conditions
0B. 'he finishes in the )itchen shall e made +ood if dama+ed /discoloured/ stained
durin+ farication or installation of modular )itchen.
03. 'elescopic channel rails shall e fitted to the e=istin+ ertical )adappah supportin+
sla y proidin+ and fi=in+ marine ply -ood plan)s/ hard -ood plan)s of reuired
thic)ness to the )adappah support usin+ non1corrossie scre-s. Hood used in the -or)shall e first uality, properly seasoned, free from rots/ -hite and treated -ith approed
uality anti1termite chemicals.
0. 'he dimensions sho-n in the dra-in+s are tentatie and may ary sli+htly at site
accordin+ to site conditions. 'he entire Aoinery and fi=in+ shall e customi?ed to the site
reuirement and carried out in a hi+hly professional manner. *dditional supports as
reuired at site may e proided for proper fi=ity/ ri+idly of the entire cainet. Suitale
arran+ements may e made for fi=in+ of the slides/ hin+es etc. No e=tra payment shall e
considered after a-ard of -or).
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!C. 4ap et-een modular unit and e=istin+ ertical )adappah sla shall e filled -ith
marine ply -ood/ hard -ood plan)s of reuired thic)ness and painted -ith synthetic
enamel paint -ith primer and finished smoothly.
!L. *ll faces and ed+es of Kadappah support slas elo- the )itchen sla shall e
painted -ith a coat of synthetic enamel primer and t-o coats of -hite colour syntheticenamel paint.
%. S' 67 M*'5R*S 67 *PPR6G5D BR*ND *ND/ 6R
M*NJ7*9'JR5R
SI No aterial %rand
! M*RN5 PH66D 95N'JR PH66D, K'P # K'
46D,*N9I6R,H5S'5RN ND*
PH66DS,4R55NP, *56N2 *MN*'5 4R55N*M, M5RN6, 5JG*5N'
*PPR6G5D B N*B*RD
2 SN'I5'9 R5SN 75G96,*R*D*'5,G*M96
" "$ 4R*D5 S.S.
7''N4S/*995SS6R5S
I5''9I,5B96, I*755, *N 6'I5R
5JG*5N' *PPR6G5D B N*B*RD
Place@ Si+nature of the 'enderer
Date@ *ddress@
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% P*N No.
Si+nature of the applicant -ith full address and office seal
Note 4 Statements I) II ? III are enclosed.
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ST$TEENT - I
:ist of professional staff Jit" t"e contractor) 9i8in9 t"eir 'ualification) eperience)
includin9 t"at in t"e present or9anisationH
Sr.
No.
Name *+e ual
ifica
tion
5=per
i1
ence
Nature
of
-or)s
handled
Name of the
assi+nments
handled
Date from
-hich
employed in
the present
or+ani1
sation
! 2 " $ : C L
H #se separateadditional s"eets as per t"e re'uirement
Si+nature of the applicant -ith full address and office seal
Note4 ndicate other points 0includin+ clientsF certificates3, if any, relatin+ to your
technical and mana+erial competency -hich you -ould li)e to rin+ to our notice.
.
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ST$TEENT - II
:ist of important contracts ( odular ,itc"en Jor! eecuted by t"e contractor
Sr.
No.
Name of
the Hor)
includin+
name of theuildin+
and
location.
Nature of
-or)
inoled
in thecontract
0Modular
Kitchen3.
Name of the
o-ner and
indicate
-hether it isa State 4ot./
4ot. of
ndia
underta)in+
or Pt. ody
-ith full
address and
telephone
numers.
9ompletion Period Galue of the
-or)
0 Rs in la)h3Stipulated *ctual
! 2 " $ : C
H #se separate additional s"eets as per t"e re'uirement
HH ention t"e assi9nments J"ere 8alue of Jor! costin9 Rs 3.F la!" and abo8e only.
HHH $ttac" completion certificates or copies of
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ST$TEENT - III
:ist of important contracts (odular ,itc"en Jor! ON =$ND bein9 eecuted by
t"e contractorH
Sr.No. Nameof the
Hor)
includin
+ name
of the
uildin
+ and
location
Natureof -or)
inole
d in the
contract
0Modul
ar
Kitchen
3.
Name ofo-ner and
indicate
-hether it is a
State 4ot./
Semi1 4ot./
4ot. of ndia
Jnderta)in+ or
Pt. Body -ith
full address
and telephone
numers.
Stipulated date
of
complet
ion
5=pected date
of
complet
ion
Presentsta+e of
-or)
-ith
reasons
if the
-or) is
+ettin+
delayed
Galue of the-or)
0 Rs in la)h3
! 2 " $ : C L
H #se separate additional s"eets as per t"e re'uirement
HH ention t"e assi9nments J"ere 8alue of properties costin9 Rs 3.F la!" and abo8e only.
HHH $ttac" clients certificates
Si+nature of the applicant -ith full address and office seal
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L. 'ime shall e considered as the essence of this contract, and the 'enderer herey
a+rees to complete the entire -or) -ithin the time period prescried in the tender
rec)oned from the date of issue of -or) order suAect neertheless to the proision for
e=tension of time.
%. *ll payments y the 5mployer under this contract -ill e made only at Mumai
!. *ll disputes arisin+ out of or in any -ay connected -ith this a+reement shall e
deemed to hae arisen at Mumai and only 9ourts in Mumai shall hae the
Aurisdiction to determine the same to the e=clusion of all other courts.
!!. 'hat the seeral parts of this contract hae een read y the tenderer and fully
understood y the tenderer.
N H'N5SS HI5R567 the 5mployer has set its hands to these presents throu+h its
duly authori?ed officials and the 'enderer has caused its common seal to e affi=ed
hereunto and the said t-o duplicates/ has caused these presents and the said t-o
duplicates here of to e e=ecuted on its ehalf, the day and year first herein aoe
-ritten. 0f the 'enderer is a company3.
Si+nature 9lause
S4N5D *ND D5G5R5D y the
National Ban) for *+riculture and
Rural Deelopment y the hand of
Shri
0Name & Desi+nation3
n the presence of@
Hitness T!
Si+nature@
Name@
*ddress
Hitness T2
Si+nature@Name@
*ddress
S4N5D & D5G5R5D y
f the idder is a partnership firm or an an indiidual
should e si+ned y all or on
ehalf of all the partners.
in the presence of @
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'he 96MM6N S5* 67@
-as hereunto affi=ed pursuant to the resolutions
passed y its Board of Directors at the meetin+
held on@
Directors -ho hae si+ned these f the idder si+ns under Presents 9ommon seal, the si+nature
clause should tally -ith the
sealin+ clause in the *rticles
of *ssociation
S4N5D *ND D5G5R5D y the Bidder f the idder is si+nin+ y the .
hand of Po-er of *ttorney,
Hhether a company or an indiidual.
Duly 9onstituted *ttorney.
Hitness T!
Si+nature@
Name@
*ddress
Hitness T2
Si+nature@
Name@
*ddress
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#NNE&'RE - % (NDEMN(T) %ND
->n 6s.1??:9 "tamp aper
@N>A all men by tese presents tat I0 "ri..............................................................of
M:s ....................................................... ......................................do ereby e;ec#te Indemnity
ond in favo#r of National an+ for 5gric#lt#re and 6#ral Development - N556D0
aving teir 6egistered >ffice at &9240 % loc+0 andra9@#rIa &omple;0 andra-E
M#mbai94???!1 and M:s.......................................................................................... aving teir
office at ............................................................. on tis ............. day of........................ 2?13.
ABE6E5" N556D ave appointed M:s................................................as te &ontractor
for teir roposed ,or+ relating to+Supply and installation of pre-fabricated(factorymade modular !itc"en #nits in N$%$RD&s officers 'uarters at N$%$RD ar!)
Santacru*(+ and ,VS) Dadar) umbai,.
TBI" DEED AITNE""ETB 5" F>**>A" C9
I:Ae M:s ....................................................ereby do Indemnify0 and same armless
N556D against and from
1. any tird party claims0 civil or criminal complaints liabilities0 site misaps
and oter accidents or disp#tes and:or damages occ#rring or arising o#t ofany misaps at te site d#e to fa#lty ,or+0 negligence0 fa#lty constr#ction
and:or for violating any la,0 r#les and reg#lations in force0 for te time being
,ile e;ec#ting:e;ec#ted ,or+s by me:#s0
2. any damages0 loss or e;penses d#e to or res#lting from negligence or breac
of d#ty on te part of me:#s or any s#b9contractor:s if any0 servants or agents.
3. any claim by an employee of mine:o#rs or of s#b9contractor:s0 if any0 #nder
te Aor+men &ompensation 5ct and Employers *iability 5ct0 1)3) or any
oter la,0 r#les and reg#lations in force for te time being and any 5cts
replacing and:or amend te same or any of te same as may be in force at te
time and #nder any la, in respect of inF TBE M:s ...............................................as set is:teir ands on
tis .............day of ............. 2?13.
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"I%NED 5ND DE*IE6ED TBE 5F>6E"5ID M:s
IN TBE 6E"EN&E >F AITNE"" C
-1 ..
-2 ..
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$NNEK#RE-C
(RT'# MET(N ERT((#TE
Baving e;ec#ted te ,or+ in terms of te contract0 ,e ereby certify and affirm tat ,e
ave virt#ally completed te contracted ,or+s.
Ae ereby certify tat te ,or+ as been e;ec#ted ,olly to o#r satisfaction and ,it
materials and ,or+mansip in accordance ,it te contract.
Ae do certify f#rter tat ,e ave e;ec#ted te ,or+ in accordance ,it te applicable
la,s and ,ito#t any transgression of s#c la,s.
"ignat#re of te &ontractor
laceC Name C
DateC 5ddress C
2eal