The Necessary Documents to be submitted/uploaded online on

GeM Portal as per given format:

CHECKLIST FOR DOCUMENT:
Documents Tick
1 OEM Authorisation Letter (Bid Specific)

2 Format 1: Format for Basic Information About the Vendor (Form-C)

3 Format 2: Bank (RTGS/NEFT) Details of Online Payment/ (Annexure- H)

with copy of Cancelled Cheque

4 Format 3: Declaration regrd. Acceptance of All Terms and Conditions

(ATC)/FORM-A
5 Format 4: Declaration regarding Make in India

6 Format 5: Letter of BID (Annexure-G)

7 Format 6: NOTARIZED Affidavit on a non-judicial stamp paper -in case of

authorized dealer (scan copy of Both side of the stamp paper to be
scanned and uploaded on GeM) and hardcopy to be send to the O/O the
DGM(E), C&M, DSTPS.
8 Format 7: GoI Compliance CERTIFICATE

9 Format 8: Declaration [Whether the Bidder is presently debarred /

banned by any other procuring entity for violation of ‘Public Procurement
(Preference to Make in India)
10 Format 9: Annexure-Z

11 Format 10: Proforma for Power of Attorney (Annexure-J)-if required

12 PAN & GSTIN

13 MSME/MSE (If Any)

14 Signed Specification Sheet for token of Acceptance.

15 Signed GeM ATC token of Acceptance.

16 Price Reasonability Certificate & Supporting P.O.

17 Proprietary article Certificate(if applicable)

 FORMAT-1

FORM-C
FORMAT FOR BASIC INFORMATION ABOUT THE VENDOR
Ref. Number: _________________________ Date: ______________

Instructions to fill up the Basic Information:

(i) Please use this worksheet to specify basic financial/ IR/ Contact information; an authorized person should sign
the document at relevant section.

(ii) Past Industrial Relations track record, please mention if there was closure/ cessation of work at any of your
plant(s) in the last 5 years.

(i) Use this form as Proforma/ Format. Use additional sheets to provide relevant information.
(ii) Provide all the certified relevant documents w.r.t claims made in this Form.
1. Company’s Name

2. Ownership Details

3. Manufacturer/ Distributor/ Dealer

4. Mention, if PSU/ Joint venture with PSU/ SSI

5. In case of PSU – Central PSU or state Govt. PSU

6. In case of a Joint Venture, details of % wise equity holding

7. SSI Unit details, if applicable

8. ISO Status

9. Whether product is ISI Marked or as per ISI

10. Contact Person & Designation

11. Phone No./ Mobile No.

12. Fax No.

13. E-mail

14. Financial details of Turnover & profit for the 3 years last

Major Manufacturing Capabilities

Sr. No. Name & Installed Capacity Utilized Present lever order booking
15. Address Capacities
FY1 FY2 FY3

16. The year of inception of the company / business

17. Stocking points

Name & Address of your bank, Bank Account No, Type of Account, Branch Code, Name of the branch:

Income Tax Permanent Account No (PAN) & Place of Issue:

I hereby certify that all information provided above is correct to the best of my knowledge.

(Signature, name & seal of the authorized person)

 FORMAT-2

ANNEXURE- H

Mandate Form for Payment in Electronic Mode

(Details of the person to receive payment)

1. PARTICULARS OF VENDOR/ SUPPLIER/

CONTRACTOR (Please Specify)
a) NAME
b) ADDRESS
c) E-MAIL
2. PARTICULARS OF BANK ACCOUNT
a) BANK NAME
b) BANK BRANCH NAME
c) ACCOUNT NUMBER (Full)
d) (As required for electronic payment/ NEFT/
e) RTGS/SEFT)
f) BANK ADDRESS WITH TELEPHONE NO.
g) BANK BRANCH CODE, if any
h) 9 - DIGIT MICR CODE NUMBER OF THE BANK &
BRANCH, if any
(Appearing on the MICR Cheque issued by the bank)
i) ACCOUNT TYPE (S. B. Account/Current A/C or Cash
Credit)
j) Ledge No. Ledge Folio No.
k) IFSC CODE FOR NEFT/NEFT, if any
(Indian Financial System Code for NEFT/RTGS)
(To be obtained from respective Banker)
I hereby declare that the particulars given above are correct and complete. If the
transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I would
not hold the DVC responsible. I have read the option invitation letter and agree to discharge
responsibility expected of me as a participant under the scheme.

Date: (Signature of the Vendor/Supplier/Contractor with seal of the firm)

Name and Address:

Bank Certification:

It is certified that above mentioned beneficiary holds a Bank Account No.---------- with our branch and
the Bank particulars mentioned above are correct.

Signature of the Authorised official of the Bank

Dated:
FORMAT-3

FORM-A
Declaration regarding Acceptance of All Terms and Conditions (ATC)
(To be submitted during uploading of techno-commercial bid in Company Letter Head)

Ref. No. Dated:

To
Damodar Valley Corporation,
DVC, DSTPS, Andal

SUBJECT: Acceptance of All Terms and Conditions

Tender Reference No:
GeM Bid Number: …………………………………………..

Dear Sir,
We -----------------------------------------, hereby declare that our offering services in above mentioned
Bid is as per your requirement. We also accept all additional terms & conditions of the above
referred GeM Bid vide Number: ……………………………

Bidder's Name:
Address:
Date :
Place:
(Signature)…………………………..

(Designation)………………………..

(Printed Name)………………………

(Common Seal)………………………
FORMAT-4
[Company Letter head]
Declaration regarding Local content in FOR Destination price included in bid price.
(To be submitted during uploading of techno-commercial bid)

Name of Work/ Procurement/ Tender: ……………………………….

NIT NO. …………………………………….
(Declaration regarding Local content in FOR Destination price included in our bid price)

Bidder's Name:

To,
The Superintending Engineer, C&M
Department, DVC, DSTPS, Andal.

Dear Sir,

We have read the provisions of “Preference to Make in India and granting of purchase preference to
Class-I local suppliers”. In terms of the requirement of the aforesaid provisions, we hereby declared the
followings:-
1.0 (A) In order to avail purchase preference, we confirm that we are a ‘Class-I local supplier/ Class- II
local supplier’ and the local content in FOR destination price is ............... % of the total FOR destination
price for this procurement. We also submitted details of the location(s) at which the local value addition
is made.
1.0 (B) We undertake that a certificate from the statutory auditor or cost auditor of the company (in the
case of companies) or from a practicing cost accountant or practicing chartered accountant (in respect
of suppliers other than companies) certifying the percentage of local content shall be submitted by us.

2.0 We further agree to furnish any information as a proof of the above to your satisfaction as and when
required.

Bidder's Name:

Address:

Date:
Place:

(Signature)…………….
(Designation)……………
(Printed Name)……………
FORMAT-5

(To be submitted on Bidder’s Letter Head)

ANNEXURE- G

LETTER OF BID
To
The Superintending Engineer,
C&M Department,
DVC, DSTPS, Andal,
Paschim Bardhhaman,
Pin-713321, (W.B).
Sub: -----------------------------------------------------------------------------------
Ref: 1. NIT No: '-----------------------------------------------------------------------------------------
Dear Sir(s),
We offer to supply the materials/ execute the work as per our offered bill of quantity in
accordance with the conditions of the NIT document as available in the website. The details of the EMD
being submitted by us has been furnished on-line.
I/We are a Micro/ Small Enterprise covered under the provision of Micro Small and Medium Enterprises
Act' 2006 and registered with the authority of the State Government.
OR
I/We are not covered under the provision of Micro Small and Medium Enterprise Act, 2006
This Bid and our written acceptance of it shall constitute a binding contract between us. We understand
that you are not bound to accept the lowest or any bid you receive.

We hereby confirm our acceptance of all the terms and conditions of the NIT document unconditionally.

Yours faithfully,

(Signature of Bidder OR Authorized person of bidder OR

(DSC Holder bidding online with authorization from bidder)

Name of Authorized Signatory:

Type of Authorization:
Name of the Bidder:
Address:
E-mail Address:
Mobile Number:
FAX Number:
Telephone Number:
Place :….

Date:………
 FORMAT-6

ANNEXURE-I

PROFORMA OF AFFIDAVIT TO BE SUBMITTED BY THE BIDDER

(For genuineness of the information furnished on-line and authenticity of the documents produced before Tender
Committee for verification in support of his eligibility) [on Non-Judicial Stamp ( minimum value of Rs10.00)]

AFFIDAVIT

I/We, ----------------------------------------------------, authorized representative of M/s.

……………………………..………………………………………………….. solemnly declare that:
I/We am/are submitting Tender for supply / works / services of --------------------------------
----------------------------------------------------------------------------------------------------------------- against
NIT No.--------------------------- dated -----------------------, vide Bid ID. -------------------------
All information furnished by me/us on-line in respect of fulfilment of eligibility criteria and
qualification information of this Tender is complete, correct, and true.
I/We and or our affiliates is/are not banned/suspended by 'any establishment of DVC' / 'Ministry of
Power- Govt. of India' / 'Department of expenditure (DOE), Ministry of Finance (MOF) - as displayed
on central public procurement portal (CPPP)'.
OR
I/We and or our affiliates have been banned/suspended by 'any establishment of DVC' / 'Ministry of
Power- Govt. of India' / 'Department of expenditure (DOE), Ministry of Finance(MOF) - as displayed
on central public procurement portal (CPPP)' for a period of __________________ year/s, effective
from _________________ to ________________ .
All scanned copy of documents, wherever applicable, uploaded by me / us in support of the information
furnished online by me / us towards eligibility are valid and authentic.
I/We are a Micro/ Small Enterprise covered under the provision of Micro Small and Medium
Enterprises Act’2006 and registered with the authority of the State Government.
OR
I/We are not covered under the provision of Micro Small and Medium Enterprise Act, 2006
If any information furnished by me / us online and scanned copy of documents uploaded in support of
the information by me / us towards eligibility is found to be false / incorrect at any time, DVC may
cancel my Tender and penal action as deemed fit may be taken against me / us, including termination
of the contract, forfeiture of earnest money (as applicable) and banning / delisting of our firm and all
partners of the firm for a minimum period of 01 (one) year.

Signature of the Tenderer

Dated

Signature and Seal of Notary

 FORMAT-7
PROFORMA OF CERTIFICATE FOR COMPLIANCE OF GOI's ORDERS
(To be submitted on Bidder’s Letter Head)
CERTIFICATE

i. We certify that we have read the orders of Department of Industrial Policy and Promotion, MoC&I, GOI vide
No.P-45021/2/2017-B.E.-II dated 15.06.2017 [Public Procurement (Preference to Make in India) Order'2017]
and its subsequent revisions/amendments issued by MoF, GOI and by MoP, GOI time to time.

We further certify that we follow all requirements in this regard (wherever applicable) and are eligible to be
considered.

ii. We certify that we have read the orders of Department of Expenditure, Public Procurement Division, MoF, GOI
vide F.No.6/18/2019-PPD dated 23/07/2020 (Public Procurement No.1 & Public Procurement No.2) and dated
24/07/2020 (Public Procurement No.3) and its subsequent revisions/amendments issued by MoF, GOI time to
time, regarding requirement of registration with the Committee of DPIIT, MoC&I, GOI for "procurement from
a bidder (including its Collaborator/Associate/ 'DJU Partner' / 'JV partner' / 'Consortium Member' /Assignee,
wherever applicable)", "sub-contracting works to any contractors" and "procurement of goods by the bidder
directly/indirectly from the vendors" of a country which shares a land border with India (except for the Countries
to which the Government of India has extended lines of credit or, in which the Government of India is engaged
in development projects).
We further certify that we fulfil all requirements in this regard (wherever applicable) and are eligible to be
considered.
iii. We certify that we have read the MoP, GOI's orders vide no. 25-11/6/2018-PG dated 02.07.2020 & vide no.
11/05/2018-Coord dated 23.07.2020 and its subsequent revisions/amendments issued by MoP, GOI time to time
with regards to "testing of imported items to protect the security, integrity and reliability of the strategically
important and critical Power Supply System & Network in the country, considering vulnerabilities in the Power
Supply System & Network mainly arise out of the possibilities of cyber-attacks through malware / Trojans
etc. embedded in imported equipment".
We further certify that we will follow all requirements in this regard (wherever applicable) and are eligible to
be considered.
Date:

Place:

(Authorised Signatory)

(Printed Name)
(Designation) ________________________________

(Name)_____________________________________
Address_____________________________________

(Company Seal)
FORMAT-8

(To be submitted on Bidder’s Letter Head)

Declaration [Whether the Bidder is presently debarred / banned by any other procuring
entity for violation of ‘Public Procurement (Preference to Make In India)].

Name of the Supply/Work: ……………………………..

NIT NO.

To
The Superintending Engineer(C&M),
DVC, DSTPS, Andal

Dear Sir,

We have read the provisions of “Preference to Make in India and granting of purchase preference
to local suppliers” as mentioned in Bid Documents. In terms of the requirement of the aforesaid
provisions, we confirm the following: -

Whether the Bidder is presently debarred / banned by any

other procuring entity for violation of ‘Public Procurement Yes / NO
(Preference to Make In India), Order 2017’ (PPP-MII Order) [Strike off, whichever is not
dated 15.06.2017 and its subsequent revisions / amendments applicable]
issued by Department of Industrial Policy and Promotion
(DIPP)

We further agree to furnish any information as a proof of the above to your satisfaction as and
when required.

Date : (Signature)…………….

Place : (Designation)……………

(Printed Name)……………

(Common Seal)………..
FORMAT- 9
ANNEXURE-Z

(The bidders are requested to furnish all required data)

Sl. No. Parameters To be filled by the bidder

01. GeM BiD No.:

02. Subject:

03. Bidders’ offer No. & dated

04. Acceptance of all terms & condition Yes/No

as per our ATC & Specification
05. Deviation if Any (Please mention)

06. GST No.

07. PAN

08. Bank Name

09. Bank Account No.

10. Bank Address

11. IFSC code

12. Prop. /Manager Name:

13. Email Id:

14. Mob. No.:

15. Company official address:

16. Authorization (if any) for placement

of order.
(Please attached authorization
certificate)
 FORMAT- 10

PROFORMA FOR POWER OF ATTORNEY

(To be submitted by the Tender signing executive)
[on Non-Judicial Stamp Paper (minimum value of Rs.10)]

ANNEXURE- J

TO WHOM IT MAY CONCERN

This is to certify that < Name of tender signing executive > of M/s. <Name of participating Firm /
Company> has the authority to sign any document (s) in hardcopy using his official usual signature
pertaining to DVC Tender No. / GeM bid No.
…………………………………………………………….….. dated ………….. and the bid shall be
binding upon us during the full period of its validity.

---------------------------------------------------------------------------------
<Signature of signing executive>
Signature of < Name of tender signing executive > is duly attested hereunder.
Thanking you

Yours faithfully

………………………………………..

<Signature of the Attesting Authority of the Company>

Signature of < Signature of signing executive> of M/s. <Name of participating Firm / Company>
Attested by <Name of Attesting Authority>
…………………
…………………
Stamp

Signature and Seal of Notary