ANNEXURE-I

FORM OF BID-SECURITY DECLARATION

(Printed on Organization Letter Head)
(To be submitted by Micro and Small Enterprises along with valid MSE Certificate)
To
The Director
National Institute of Technology Warangal
Hanumakonda Dist. - 506004, Telangana State.

Tender Ref. No. __________________________________________________Dated ______________

I/We. The undersigned, declare that:

I/We understand that, according to your conditions, bids must be supported by a Bid Security Declaration.
I/We accept that We may be disqualified from bidding for any contract with you for a period of one year from
the date of notification if l am /We are in a breach of any obligation under the bid conditions, because I/We
a) Have withdrawn/modified/amended, impairs or derogates from the tender, my/our Bid during the period of bid
validity specified in the form of Bid; or
b) Having been notified of the acceptance of our Bid by the purchaser during the period of bid validity (i) fails or
refuse to execute the contract, if required, or (ii) fail or refuse to furnish the Performance Security, in
accordance with the Instructions to Bidders.

I/We understand this Bid Securing Declaration shall cease to be valid if I am/we are not the successful Bidder,
upon the earlier of (i) the receipt of your notification of the name of the successful Bidder; or (ii) thirty days
after the expiration of the validity of my/our Bid.

Signed: (insert signature of person whose name and capacity are shown)
in the capacity of (insert legal capacity of person signing the Bid Securing Declaration)

Name: (insert complete name of person signing he Bid Securing Declaration)

Duly authorized to sign the bid for an on behalf of (insert complete name of Bidder)
Dated on ____________ day of __________________ (insert date of signing)
Corporate Seal (where appropriate)
(Note: In case of a Joint Venture, the Bid Securing Declaration must be in the name of all partners to the Joint
Venture that submits the bid)

(Note: This letter should be on the letterhead of the quoting firm and should be signed by a Competent
Authority. Non-submission of this will lead to DISQUALIFICATION of bids).

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 ANNEXURE –II
BIDDER/COMPANY DETAILS

Name of the bidder

Date of Incorporation / Registration
details
PAN Number
GST Registration Number
Bidder’s Bidding Capacity for the
tendered items (As a Manufacturer/
Trader/ dealer / channel partner /
system integrator, etc.)
Account Number
IFS Code
Bank Name
Bank Details Branch Name

Registered Office Address

Authorized Signatory Details Name

Designation
(Company/Firm Authorization by the
competent authority, to be attached) Email
Phone
Name

Details of Contact other than Designation

Authorized Signatory Email
Phone

Date: Signature and Seal of the Tenderer:

Place: Name in Block Letter:

Designation:

Contact no.

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 ANNEXURE-III

िनिवदा की ीकृित / ACCEPTANCE OF TENDER

(TO BE PRINTED ON ORGANIZATION LETTERHEAD)

Bid Ref. No.:

To
The Director
National Institute of Technology Warangal
Hanumakonda Dist. - 506004, Telangana State.

I/ We ________________________________________ (name and designation of the bidder) on behalf of

____________________________________ (name of the organization/company) have downloaded /
obtained the tender document(s) for the above mentioned ‘Tender from the website(s). I/ We hereby certify
that I/ we have read the entire terms and conditions of the tender documents from Page No. _______ to
______ (including all documents like annexure(s), schedule(s), specification terms and condition etc.), which
form part of the contract agreement and I/ we shall abide hereby by the terms / conditions / clauses contained
therein. The corrigendum(s) issued from time to time by your organization have also been taken into
consideration, while submitting this acceptance letter.

I/ We hereby unconditionally accept the tender conditions of above-mentioned tender document(s) /

corrigendum(s) in its totality / entirety. I/ We do hereby declare that our organization/company has not been
blacklisted/ debarred by any Govt. Department/Public sector undertaking. I/We certify that all information
furnished by our Firm is true & correct and, in the event, that the information is found to be incorrect/untrue or
found violated, then your department/ organization shall without giving any notice or reason therefore or
summarily reject the bid or terminate the contract.

(Signature of the Authorized Person with Organization Seal)

Designation with Contact No:

Company Name:

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 ANNEXURE-IV

िन ादन सुर ा फ़ॉम / PERFORMANCE SECURITY FORM

MODEL BANK GUARANTEE FORMAT FOR PERFORMANCE SECURITY
To
The Director
National Institute of Technology Warangal
Hanumakonda Dist. - 506004, Telangana State.

WHEREAS ………………………………. (Name and address of the supplier) (Hereinafter called “the supplier”)
has undertaken, in pursuance of contract no. ……. dated ………….to supplies (description of goods and
services) (herein after called “the contract”).

AND WHEREAS it has been stipulated by you in the said contract that the supplier shall furnish you with a
bank guarantee by a scheduled commercial bank recognized by you for the sum specified therein as security
for compliance with its obligations in accordance with the contract;

AND WHEREAS we have agreed to give the supplier such a bank guarantee;

NOW THEREFORE we hereby affirm that we are guarantors and responsible to you, on behalf of the supplier,
up to a total of …………………………………. (amount of the guarantee in words and figures), and we
undertake to pay you, upon your first written demand declaring the supplier to be in default under the contract
and without cavil or argument, any sum or sums within the limits of (amount of guarantee) as aforesaid, without
your needing to prove or to show grounds or reasons for your demand or the sum specified therein.

We hereby waive the necessity of your demanding the said debt from the supplier before presenting us with
the demand.

We further agree that no change or addition to or other modification of the terms of the contract to be performed
there under or of any of the contract documents which may be made between you and the supplier shall in
any way release us from any liability under this guarantee and we hereby waive notice of any such change,
addition or modification. This guarantee shall be valid until the …. Day of ………, 20…………...

(Signature of the authorized officer of the Bank)

………………………………………………………….

Name and designation of the officer

………………………………………………………….

Seal, name & address of the Bank and address of the Branch

Note: Whenever, the bidder chooses to submit the Performance Security in the form of Bank Guarantee, then
he should advise the banker issuing the Bank Guarantee to immediately send by Registered Post (A.D.) an
unstamped duplicate copy of the Guarantee directly to the Purchaser with a covering letter to compare with
the original BG for the correctness, genuineness, etc.

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FOR SUPPLIER FOR PURCHASER
Signature ….…………………………. Signature ….…………………………...
Name…………………………………... Name…………………………………......
Designation …………………………. Designation …………………………...
Date ……….……………………….…… Date
……….………………………………

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 ANNEXURE-V

DECLARATION REGARDING NON-BLACKLISTING / NON-DEBARRING FOR TAKING PART IN

TENDER

I/We………………………………………………………………………… (Bidder) hereby declare that our

Firm/Agency namely M/s……………………………………………………………… has not been Blacklisted or
Debarred in the past by Union / State Government/Autonomous Institute/CPSE or any other organization from
taking part in Government Tenders in India.
(Or)
I/We………………………………………………………………………… (Bidder) hereby declare that our
Firm /Agency namely M/s………………………………………………………………………………. was
Blacklisted or Debarred by Union / State Government/Autonomous Institute/CPSE or any other organization
from taking part in Government Tenders for a period of Years w.e.f ____________ to ______________. The
period is expired on and now the Firm/Company is entitled to take part in Government Tenders.
In case the above information found false, l/ We are fully aware that the Tender / Contract will be
rejected / cancelled by Director, NIT Warangal and Performance Security Deposit (PSD/PBG) shall be
forfeited.
In addition to the above, Director, NIT Warangal, will not be responsible to pay the bills for any
completed / partially completed work/supplies made.

DEPONENT
Attested:

(Public Notary / Executive Magistrate)

Name

Signature:
Full Name:
Address:
Mobile No:
Aadhar No:

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 ANNEXURE-VI
FORMAT OF MANUFACTURERS' AUTHORIZATION FORM
[The Bidder shall require the Manufacturer to fill in this Form in accordance with the instructions indicated.
This letter of authorization should be on the letterhead of the Manufacturer and should be signed by a
person with the proper authority to sign documents that are binding on the Manufacturer].
Bid Ref. No with Date:
To
The Director
National Institute of Technology Warangal
Hanumakonda Dist. - 506004, Warangal Urban, Telangana State.

Dear Sir:
We __________________________________________ who are established and reputable Manufacturers
of __________________________________________________________________ having factories /
office at ____________________________________________________________ (address of
factory/office) do hereby certify that
________________________________________________________________________ (Name of the
Authorized Dealer) is our authorized dealer to quote against your tender enquiry no
__________________________________________________ dated ______________________.
We hereby extend our full guarantee and warranty in accordance with the General Conditions of Contract,
with respect to the Goods / Services offered by the above authorized company.

Yours faithfully,

Name of the Signatory:

Contact Number
Name of Manufacturer
Seal and Signature

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 ANNEXURE-VII
SELF DECLARATION
[FOR LOCAL CONTENT OF PRODUCTS, SERVICES OR Works]
(On company letter head)

To
The Director
National Institute of Technology Warangal
Hanumakonda Dist. - 506004, Telangana State.

Tender Reference Number:

1. With reference to Order no P.-45021/2/2017 PP (BE-II) dated 04.06.2020 of DPIIT, Ministry of Commerce and
Industry, Govt. of India, we fall under the following category of supplier (please tick the correct category) for
the items for which this tender has been floated and the bids are being submitted.

▪ Class I local supplier – has local content equal to more than 50%

▪ Class II local supplier – has local content more than 20% but less than 50%

▪ Non –local supplier – has local content less than or equal to 20%

2. We are solely responsible for the abovementioned declaration in respect of category of supplier. False
declarations will be in breach of the Code of Integrity under Rule 175(1)(i)(h) of the General Financial Rules
for which we may can be debarred for up to 2 years as per Rule 151(iii) of the General Financial Rules along
with such other actions as may be permissible under law.

Detail of the location(s) at which the local value addition is made: _________________________
Note:

1. In case of procurement value more than 10 crores, this certificate is to be issued by Statutory Auditor/Cost
Auditor/ practicing Cost Accountant / practicing Chartered Accountant as applicable as per the aforesaid
order).

2. The bidders offering the imported product will fall under the category of non-local suppliers. They can’t claim
themselves as class-I local suppliers/Class-II local suppliers by claiming the service such as transportation,
insurance, Installation, commissioning, training and after sales service support like AMC/CMC etc. as local
value addition.

(Signature of the Authorized Person with Organization Seal)

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 ANNEXURE-VIII

से वा समथन िववरण (सरकारी। संगठन/ िवभाग की सूची)

SERVICE SUPPORT DETAILS (LIST OF GOVT. ORGANIZATION/DEPARTMENT)

List of Government Organizations for whom the Bidder has undertaken such work during last three years (must be
supported with supply orders)
Name of Contact Person/
Name of the organization Year of Supply/Installation Contact No.
User with Designation

(Signature of the Authorized Person with Organization Seal)

Designation with Contact No:

Company Name:

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 ANNEXURE-IX
PRICE REASONABILITY CUM FALL CLAUSE CERTIFICATE
(ON THE LETTER HEAD OF THE COMPANY)

I/We undertake that we have not offered to supply / supplied / are not supplying same or similar
products / systems or sub systems at a price lower than that offered against theGeM Bid No…………
dtd…………..in respect of any Organization/Ministry/Department of the Govt. of India or its
Subsidiaries or other PSU or any other private organization during the currency of the contract and if
it is found at any stage that same or similar product/systems or subsystems was supplied by the
bidder to any Organization/Ministry/Departmentofthe [Link] IndiaoritsSubsidiaries orotherPSUor
any other private organization at a lower price during the currency of the contract, then that very price
will be applicable to the present case and the difference in the cost would be refunded by the bidder
to buyer, if the contract has already been concluded.

I/We also accept that:

1. I/We have to submit a copy of the last (latest) purchase order for the similar/ordered item(s)
received from any Organization/Ministry/Department of the [Link] or its Subsidiaries or other
PSU or any other private organization.

2. We will inform the purchaser of offer to supply/supply of the similar/ordered item(s) at a lower rate
to any Organization/Ministry/Department of the [Link] its Subsidiaries or other PSUor any
other private organization during the currency of the contract.

Yours faithfully,

Authorized signatory of Bidder with Seal

Name ___________________________
Designation ______________________

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 ANNEXURE-X
CHECK LIST FOR BIDDERS

It is hereby certified that, I/we have uploaded the relevant documents as per the tender requirement in
compliance with the Qualifying Criteria by checking “Yes” against each of the following documents.

Sl.
Documents Content Document Uploaded
No.

1 Technical Compliance Sheet (Yes /No) Pg. No

2 Particulars of the Tender Fee (Yes /No) Pg. No

Proof of Payment of Earnest Money Deposit (EMD) or Bid
3 Security Declaration (Annexure-I) against submission of (Yes /No) Pg. No.
valid MSE Certificate along with Bid Security Declaration.
4 Self-Attested copy of GST & PAN Number (Yes /No) Pg. No.

5 Bidder/Company Details as per Annexure-II

(Yes /No) Pg. No.
6 Valid Trade License and Incorporation Certificate (Yes /No) Pg. No.
7 Acceptance of Tender document as per the Annexure-III (Yes /No) Pg. No.

8 Undertaking for Performance Security as per Annexure-IV (Yes /No) Pg. No.

9 Declaration for Non-Blacklisting as per the Annexure-V

(Yes /No) Pg. No.
Technical
10 Manufacturers’ Authorisation as per the Annexure-VI
Bid (Yes /No) Pg. No.

11 Local Content Certificate as per the Annexure-VII (Yes /No) Pg. No.
Similar work experience in the last 3 years with at least of
12 one annual contract of INR 1.10 lakhs as per the Annexure- (Yes /No) Pg. No.
VIII
Annual Turnover of not less than INR 8.80 lakhs (for last 3
13 (Yes /No) Pg. No.
years)
14 Five consecutive years of similar work experience (Yes /No) Pg. No.
Balance sheet, Profit & Loss A/c., ITR, Trade or
16 (Yes /No) Pg. No.
Manufacturing A/c for the last 3 years
A Declaration in Company Letterhead to the effect that there
17 is no vigilance/CBI Case/Enquiry pending against the bidder/ (Yes /No) Pg. No.
firm/supplier.
Price reasonability cum fall clause certificate as per the
18 (Yes /No) Pg. No.
Annexure-IX

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21 Check list for bidders as per the Annexure-X
(Yes /No) Pg. No.

22 Duly signed and stamped copy of each page of tender document (Yes /No) Pg. No.
Price bid in the Excel (.xls) format (BOQ format as mentioned in
23 the Para D(4) of Section 1 of the tender document). Please (Yes /No) Pg. No.
do not quote in the technical bid/cover.

Signature with seal (BIDDER)

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