TENDERS ARE INVITED FOR INFORMATION TECHNOLOGY CONSULTANCY SERVICES

Similar documents
Request for Proposal (RFP) for. Corporate Agency Arrangement for General Insurance Business

Request for Proposal (RFP) for. Corporate Agency Arrangement for General Insurance Business HO : Near Bajrang Bhawan, Delhi Road

REQUEST FOR PROPOSAL (RFP) FOR ENGAGEMENT OF INSURANCE BROKER / CONSULTANT FOR GROUP MEDICLAIM POLICY FOR EMPLOYEES / PENSIONERS / FAMILY MEMBERS

Invitation of Expression of Interest (EOI) From Consultancy Organizations For Creating Master Database of Regular Employees

International Peace Support Training Centre Westwood Park P O Box Karen, Kenya

TENDER DOCUMENT FOR RISK MANAGEMENT POLICY (ALM Policy and Hedging Policy)

SUPPLY AND INSTALLATION OF INTERNET BANDWIDTH SERVICES

REQUEST FOR EXPRESSION OF INTEREST (EoI)

Expression of Interest. Scanning of Documents

Reference No. RFP/IT/CO/2016/2 Dated 29/02/2016. IMPORTANT DATE: Last date for submission of Quotes: 10 th March, 2016

For providing Facility Management Services of IT Infrastructure at College of Engineering Pune

North American Development Bank. Model Prequalification Document: Prequalification of Contractors

Document Control Sheet

REQUEST FOR PROPOSAL (RFP) FOR SELECTION OF HEALTH CARE CONSULTANCY SERVICES FOR BIHAR MEDICAL SERVICES & INFRASTRUCTURE CORPORATION LTD.

EXPRESSION OF INTEREST (EOI) RESTRUCTURING / REDESIGNING OF DATA CENTRE OF STATE BANK OF PATIALA

EOI - Empanelment of Vendors for Load Testing. Expression of Interest (EOI) Empanelment of Vendors for Load Testing

Bank of Baroda inviting tenders from Gujarat Based Reputed Printers for F.Y with BOB Zonal Stationery Cell, Baroda. Ph.

PREQUALIFICATION DOCUMENT FOR SUPPLIERS OF GOODS AND SERVICES ITEM:..

Application Form. Empanelment of Contractors for Electrical Maintenance Works at SEBI Bhavan. Name of the Applicant...

Empanelment of Vendors for Load Testing

TENDER DOCUMENTS FOR SUPPLY INSTALLATION AND COMMISSIONING OF BIOMETRIC DEVICE FOR FINGERPRINT ATTENDANCE SYSTEM

Tender Document for Supply, Implementation & Maintenance of Human Resource (HR) Software

The Price Bid of those tenderers only, who qualify in the Technical Bid will be opened duly informing them.

RFP for Designing, Developing and Maintaining websites on: - Indian Pumps and Valves & - Indian Transformers and Conductors

STANDARD PROCUREMENT PREQUALIFICATION DOCUMENT. (Works, Heavy Equipment, Supply and Installation Contracts)

TENDER DOCUMENT FOR ESTABLISHMENT OF VIDEO CONFERENCING FACILITY TENDER ENQUIRY

CONCEPT. Sr No. Center/Village District Region Area of Plot 1 Alipura/Sayajipura Baroda Baroda

Development of application Software for Election Commission

OFFICE OF THE PRINCIPAL COMMISSIONER OF CENTRAL EXCISE & SERVICE TAX COMMISSIONERATE, FARIDABAD-I CGO COMPLEX, D BLOCK, NH-IV- FARIDABAD

Request for proposal for Designing of a Logo for Department of Commerce

Production of audio visual capsules on Innovations from India for India Brand Equity Foundation (IBEF)

Consultancy Service Tools For Promoting Entrepreneurship In Renewable Energy Access In Rural Areas

REQUEST FOR PROPOSAL FOR EMPANNELMENT OF VENDORS FOR DESIGNING, DEVELOPMENT, MAINTENANCE & HOSTING OF WEB-SITE/ WEB-PORTAL AS PER BANK S NEED

1. Technical Offer Submission Sheet

OFFICE OF THE MUNICIPAL CORPORATION FARIDABAD

Life Insurance Corporation of India, Divisional office, Jeevan Prakash, Julu Park, Hazaribag Ref. No. HDO/E&OS Date:

PREQUALIFICATION DOCUMENT FOR PROVISION OF WEBSITE HOSTING AND MAINTENANCE SERVICES - TENDER NO KENAS NO/19/2013/2015

BANK OF UGANDA REPUBLIC OF UGANDA

LIMITED TENDER FOR DESIGN, DEVELOPMENT AND IMPLEMENTATION OF WEBSITE FOR NON TIMBER FOREST PRODUCE (NTFP)

Securities and Exchange Board of India

NOTICE INVITING QUOTATION

1.1 The tendering process is online at Airports Authority of India s e-portal URL address or


OIL INDIA LIMITED DULIAJAN (A Government of India Enterprise) P.O. DULIAJAN , ASSAM

Expression of Interest (EOI)

BANK OF UGANDA REPUBLIC OF UGANDA

REQUEST FOR PROPOSALS (RFP) PL/RFP/2012/O/034

Corrigendum Document. For. Selection of Agency

REQUEST FOR PROPOSAL (RFP) FOR SCANNING & DOCUMENT MANAGEMENT SOLUTION FOR THE COMMISSIONER OF INCOME TAX, DELHI-II NEW DELHI

Tender No. CWC/RO-CNI/H&T-MDU I & II (Adhoc) / / Date: Tender notice

How To Sell Cement In Jamshedpur

Expression of Interest (EoI) Design, Development and Maintenance of New Website for National Institute of Solar Energy, Gurgaon

Tender Notice. Tender no. : NTSC (O)/EM/F&F/ Date: 8th June, 2015

REPUBLIC OF KENYA MINISTRY OF FOREIGN AFFAIRS AND INTERNATIONAL TRADE PRE-QUALIFICATION/REGISTRATION OF SUPPLIERS FY /

SCHOOL OF PLANNING AND ARCHITECTURE

न द र य सम र म त स यय अन स ध न स यथ न

Prequalification Document for Procurement of Works

Notice for appointment of Chartered Accountants firm for statutory audit

EMPLOYEES OLD-AGE BENEFITS INSTITUTION

PRE-QUALIFICATION OF PROVIDERS FOR GOODS AND SERVICES

SOFTWARE TECHNOLOGY PARKS OF INDIA

Expression of Interest (EoI) Design, Development and Maintenance of New Mobile Application for National Institute of Solar Energy, Gurgaon

(No.-IIITD/S&P/05/ ) Page 1 of 16

REQUEST FOR PROPOSAL FOR DESIGNING AND PRINTING OF NEWSLETTER- SAMVAD

Website development, maintenance and hosting of for India Brand Equity Foundation (IBEF) Request for Proposal [RFP] Date: March 23, 2015

Advt.No.: IISER/S&P/2/15-16 Dt. 12 th May 2015 NOTICE INVITING TENDER

period Cost of tender documents : Rs. 5000/- (Five thousand only) - (Non refundable )

CITY OF LANCASTER RFP NO LANCASTER PERFORMING ARTS CENTER TICKETING SOFTWARE SUBMISSION DEADLINE. July 24, 2015 BY 11:00 A.M.

NETAJI SUBHASH CHANDRA BOSE MEDICAL COLLEGE JABALPUR

INVITATION FOR EXPRESSION OF INTEREST SYSTEM INTEGRATOR- SUPPLY AND IMPLEMENTATION OF ERP BASED CGLMS

Tender for Procurement of -2- Nos of GeoTrust SSL Certificate (Secure Site with EV) Tender Ref. No. - BCC:IT:PROC:108:26 Tender Date - 10 th June 2016

PUNJAB NATIONAL BANK EXPRESSION OF INTEREST (EOI) FOR EARLY WARNING SYSTEM LOAN ACCOUNTS

Expression of Interest Pre-Qualification Medical Evacuation Services Ref: EOI/HMRRP/0004/2009

STANDARD PRE-QUALIFICATION DOCUMENT FOR THE PROCUREMENT OF WORKS (MAJOR CONTRACTS)

RFP for Search Engine Optimisation (SEO) of IBEF Websites. Request for Proposal [RFP]

Invitation for Expression of Interest for providing software development services

Software Technology Parks of India

EXPRESSION OF INTEREST FOR EMPANELMENT OF ADVERTISING AGENCIES

Empanelment of Private Security Agency (PSA) for Bhubaneswar Region

GOVT. WOMEN S POLYTECHNIC COLLEGE Shivaji Nagar, Bhopal, Madhya Pradesh

TCIL/61/12/IT/ /12/2014. Expression of Interest for Identifying Partner for development and Integration of IT enabled Software Services

Expression of Interest (EOI) For Software Escrow Services. IDBI Bank proposes to invite response to the EOI for Software Escrow Services

T54/09/14 APPOINTMENT OF A PANEL OF STOCK BROKERS TO PROVIDE BROKERAGE SERVICES TO THE IDC BID CLOSING DATE: WEDNESDAY, 08 OCTOBER 2014 AT 12:00 NOON

ZONAL OFFICE KARNATAKA ZONE EMPANELMENT OF AIR CONDITIONER SUPPLY CONTRACTORS

Rajya Sabha Secretariat Rajya Sabha Television 12 A, Gurudwara Rakab Ganj Road, New Delhi TENDER NOTICE FOR INTERNET CONNECTIVITY

(RFP) PURCHASE OF BLADE SERVER

TENDER NOTIFICATION ENTRY OF DATA FROM I-R/II-R/I-U/II-U FORM INTO DATABASE

Expression of Interest

Debt Collection Services

RFP for Social Media Optimisation (SMO) integrated campaign for India Brand Equity Foundation (IBEF) Request for Proposal [RFP]

FINANCIAL INTELLIGENCE UNIT INDIA 6 th Floor, Hotel Samrat, Kautilaya Marg, Chanakya Puri, New Delhi

STAR HOUSE, 1 st FLOOR, PREMISES DEPARTMENT C- 5, G -BLOCK, BANDRA KURLA COMPLEX BANDRA (EAST), MUMBAI TENDER DOCUMENT FOR

Tender for. Provision of Risk Management Services for the Eyre Peninsula Local Government Association and Member Associations

(A K Chatterjee ) Sc. F & Head, BIS-DSBO

Corrigendum Document On

5. Preparation of the State and Federal Single Audit Reports.

APPLICATION FOR REGISTRATION AS AN EXPORTER OF COFFEE

Notice for Inviting EOI from Chartered Accountants Firms for Conducting Statutory Audit of DRDA, Malkangiri. For the FINANCIAL YEAR

EXPRESSION OF INTEREST. for. Reconciliation System

Transcription:

TENDERS ARE INVITED FOR INFORMATION TECHNOLOGY CONSULTANCY SERVICES FOR THE NABARD FINANCIAL SERVICES NABARD Financial Services Limited # 190, Rashtriya Vidyalaya Road, Jayanagar 2nd Block, Bengaluru-560 004, Karnataka, INDIA Telephone : 26574222 Fax: :+91 80 26563442 Toll Free number: 1800 1024 205 CIN: U85110KA1997PLC021862 Ref No: NABFINS/ITS/16/2015-16 Date: 18-01-2016 NABFINS Invitation for Tender for Technology Consultancy Services Consultancy from Vendors/firms/ organizations, with outstanding performance Last Date for Submission of Technical and Financial Bids : 30.01.2016 (01:00 PM) Date of Opening of Bids : 31-01-2016 (02:30 PM) Date of Tender Evaluation : 31-01-20-16 (03.30 PM) PLACE OF OPENING OF TENDERS : NABFINS Office ADDRESS FOR COMMUNICATION : The General Manager, NABARD Financial Services Limited # 190, Rashtriya Vidyalaya Road, Jayanagar 2nd Block, Bengaluru-560 004, Karnataka, INDIA

Table of Contents Terms of Reference....4 1. Background....4 2. Scope of Work 5 3.Tasks to be undertaken by the Technology Consultant... 5 4.Selection of Technology Consultant and Eligibility Criteria...7 5. Brief Description of Selection Process.9 6. Submission, Receipt and Opening of the Technical and Financial Bids...9 7. Technical Details.10 8. TENDER Processing fee to NABFINS and TENDER application fee to e- governance.....10 9. Other Terms and Conditions...13 ANNEXURES Forms. Form 1 Covering Letter to TENDER application..15 Form 2..Particulars of applicant.17 Form-T.. Letter of Transmittal (Annexure- 1).19 Appendix I-Self Declaration with respect to Blacklisting 20

1. 1. BACKGROUND Terms of Reference NABARD Financial Services Limited, [NABFINS] is a subsidiary of National Bank for Agriculture and Rural Development (NABARD) with equity participation from NABARD, Government of Karnataka, Canara Bank, Union Bank of India, Bank of Baroda, Dhanalakshmi Bank and Federal Bank. It is a non-deposit taking NBFC registered with the Reserve Bank of India and shall operate throughout India. The main objectives of the Company are to provide financial services in two broad areas of agriculture and microfinance. NABFINS provides credit and other facilities for promotion, expansion, commercialization and modernization of agriculture and allied activities. NABFINS shall engage in the business of providing micro finance services (with or without thrift) and other facilities to needy and disadvantageous sections of the society for securing their prosperity in both rural and urban areas. NABARD, which is the world renowned apex development bank of our country and pioneered the world s largest microfinance movement, while promoting NABFINS has envisaged that NABFINS shall evolve into a Model Microfinance Institution to set standards of governance among the MFIs, operate with exemplary levels of transparency and operate at reasonable / moderate rates of interest. NABFINS has plans to go in for digital transformation of its operations using latest technologies, which needs to be completed within specified time frame. It requires a Technology Consultancy Services for enabling the above task. Firms willing to provide such services within the specified duration are requested to submit their Tenders as per the qualifying criteria & scope of the work given below. 2. Scope of work NABFINS invites the tender selection of consultants for providing the technology consultancy services. The scope of work is indicated below in broad terms: a) Creation of data back up from the existing system maintained by an external service provider Transfer the data and make it available in user friendly retrievable manner b) Designing IT Policy, IT Security Plan, Refining the Disaster recovery planning and Business Continuity Planning, drawing a IT Road map for the operations of the Company and drafting an RFP for the software applications indicated and accepted by the Management as a part of the IT Road Map for the company c) IT Infrastructure Resource Mapping (including Human Resources) and suggestions for improvement of IT infrastructure including staffing pattern, vetting the Job Description of IT Staff and assist in shortlisting of candidates for IT Staff as per the plan (For conduct of technical interview of shortlisted candidates)

Time limit The entire scope of work is expected to be completed within 40 days of the award of the contract. Any extension beyond this limit shall be solely at the discretion of the Managing Director of the Company. Detailed scope of work along with estimated time lines should be furnished by the Consultant. In case of any delay in completion of the task within the time limit agreed to, a deduction of 5% of the contract fee shall be made for each such week of delay. 3. Role and Responsibilities of the Parties a. The Bidders Responsibilities Submission of the Completed Technical and Financial Bids. The Financial Bid Sl. No Description of Requirements Supporting Document Required Marks 1 The Applicant should be a company registered Copy of the Certificate of Registration 10 2 The Applicant should have service tax registration and PAN number. Self-attested Copy of PAN Card/ Service Tax Registration 10 3 The Applicant should have experience in the areas of IT Applications, Data product development and have provided services in Data Handling and the Application of IT to the Banking/ Microfinance domain Self-declaration duly signed by the head of the company with supporting documents 20 4 The Applicant should not have been Blacklisted by Government of India or any State government / PSU over the last three years Self-declaration duly signed by the head of the company 10 5 6 Experience in execution of IT work with any other Govt. Departments or to any other sectors. The Applicant should have the required domain knowledge of microfinance and technologies to be capable of providing expert consultancy Copies of orders 20 Documentary Proof 30 should specify the prices for each of the scope items separately. Providing the required services as per the contract schedule

b. NABFINS responsibilities: 1. To extend guidance, cooperation, help and support required for completing the assignments and to generally facilitate the work. 2. To monitor the progress of work as per the agreement 3. To make payments as per the contract and the payment schedule 4. SELECTION OF TECHNOLOGY CONSULTANT Technical Eligibility Criteria for the firms submitting the Bids is set out below: Note: 1. The Applicants shall enclose with its application an undertaking providing the necessary supporting documents. Only those Applicants, who provide adequate information to establish that they meet the technical eligibility criteria and the required technical specifications will be eligible for the consideration of the financial bid submitted by them. 2. Consortium is not allowed. 3. Preference will be given to companies having their registered office in Karnataka. 4. Firm/Organization has to execute an agreement with NABFINS with regard to the project. 5.The Services/solutions required of the consultant should be tailored to the needs of the NABFINS assignment. 5. Brief Description of Selection Process TENDER is being invited with well- defined eligibility criteria and scope of work. TENDER without completeness will be rejected. Based on the TECHNICAL BIDS received from the various Applicants, NABFINS BANGALORE will shortlist Applicants who fulfill the Technical qualification criteria. The FINANCIAL BIDS of only those applicants who have qualified for the shortlist will be opened and evaluated by the NABFINS Tender Committee. Any queries can be made through e mail to the id :ho@nabfins.org or by letter to the General Manager, NABFINS, RV Road, Bangalore. No verbal enquiries shall be made. The Applicants will submit Technical and the Financial Bids on line and also in separate sealed envelopes along with documents as specified the tender invitation on or before 30-01-2016 (01:00 PM) Technical Evaluation for eligibility will be undertaken first on QCBS Marks of 100. The Financial Bids of only those Applicants who qualify in technical evaluation will be opened.

Financial Bids Evaluation and Final Contract Award to the Bidder will be done using the World Bank QCBS Method. Quality and Cost Based Selection (QCBS) uses a competitive process among short-listed firms that takes into account the quality of the proposal and the cost of the services in the selection of the successful firm. The relative weight to be given to the quality and cost shall be determined for each case depending on the nature of the assignment. 6. Submission, Receipt, and Opening of Proposals The original bids shall be prepared and submitted. Copy of Bids through hard copy should be submitted to The General Manager, NABFINS before the due date & Time in a closed envelop in above mentioned address. The bidder shall also submit the bid proposals electronically to the email ID:ho@nabfins.org. The completed bid must be submitted electronically on or before the due date for bid submission. 7. TECHNICAL DETAILS The bidder is required to prepare and submit a technical proposal indicating the following: Proof of Incorporation of the legal entity Proof of turn over: Copies of audited balance sheets / Income-Expenditure statement or a letter of certificate issued by the auditors of the applicant indicating the annual turnover Valid proof of Income Tax Filing of returns Proof of Service Tax/VAT/PAN Registration. All the above copies to be enclosed 8. OTHER TERMS & CONDITIONS Last Date: The deadline for submission of the TENDER document is 30-01- 2016 (01:00 PM) a. The Bidder shall prepare bid and submit in a sealed Cover. b. It shall contain no Interlineations or overwriting. c. All pages of the proposal must be sequentially numbered and shall be initialed by the Authorized Representative of the bidder. d. Bids should be sent to and the hard copy of the proposal has to reach the designated office on or before the last date and time of the submission. f. Any proposal received by NABFINS after the above deadline shall be rejected and returned unopened to the Bidder.

g. NABFINS shall not be responsible for any postal delay or non-receipt/ non-delivery of the documents. No further correspondence on the subject will be entertained. h. NABFINS reserves the right to modify and amend any of the abovestipulated condition/criterion depending upon project priorities vis-à-vis urgent commitments. i. NABFINS reserves the right to assign additional work to the selected vendor if and when required by mutual agreement. j. An applicant should submit only one proposal. If an applicant submits or participates in more than one proposal, all such proposals shall be disqualified. k. Each page, Form, Annexure and Appendices of the Technical Proposal must be signed by the Authorized signatory of the firm /legal entity. l. NABFINS reserves the right to accept or reject one or all applications without assigning any reasons. Managing Director Reserves rights to Accept or Reject,either Partially or wholly any bid without assigning reasons for the same. j. At any time but three working days prior to the last date for submission of tenders, NABFINS may modify the TENDER and such modified TENDER will be made available in e-procurement web site and such modification shall be binding on all concerned. NABFINS, at its discretion, may extend the last date for submission of tenders. l. The bid inviting authority may, at its discretion, extend the last date for submission of bid, in which case, all rights and obligations of the tendering authority and the bidders, subjected to the previous last date, will thereafter be subject to such extended last date. m. The bids with incomplete information, subjective and conditional offers as well as partial offers will be liable for rejection. n. The bids submitted without the enclosures to prove about the bidder s specific experience, capabilities, domain experience, etc., and having non-compliance of any of the clauses of this tender, will be liable for rejection. o. The company, which is pre-qualified and receives an enquiry but does not respond to the enquiry, will be blacklisted as non-responsive. However, if the company cannot supply the software as per the enquiry, it shall submit a regret letter with reasons failing which, it will be blacklisted. p. Bangalore is the jurisdiction for all disputes. All communications need to be addressed to: THE GENERAL MANAGER. NABARD FINANCIAL SERVICES LIMITED # 190, RASHTRIYA VIDYALAYA ROAD, JAYANAGAR 2ND BLOCK, BENGALURU-560 004, KARNATAKA, INDIA

ANNEXURES Forms Form: 1- Covering Letter for TENDER Application(On the letterhead of the Applicant) No. ------ Dated: ----- To THE GENERAL MANAGER. NABARD FINANCIAL SERVICES LIMITED # 190, RASHTRIYA VIDYALAYA ROAD, JAYANAGAR 2ND BLOCK, BENGALURU-560 004, KARNATAKA, INDIA Dear Sir, Sub: TENDER Application for Selection of Vendor for providing Information Technology Consultancy to the NABFINS With reference to your INVITATION FOR TENDER document dated., I/we, having examined the document and understood its contents, hereby submit my/our Application (Bids) for the aforesaid subject. 1. I/ We acknowledge that NABFINS BANGALORE will be relying on the information provided in the Application and the documents accompanying such Application, and we certify that all information provided in the Application and all Forms are true and correct; nothing has been omitted which renders such information misleading; and all documents accompanying such Application are true copies of their respective originals. (The above statement is made for the purpose of and as part of the TENDER Application for Selection of Vendor for providing Information Technology Consultancy to the NABFINS notified in TENDER document. 2. I/ We shall make available to the NABFINS BANGALORE any additional information it may find necessary or require to supplement or authenticate the statements in the Application. 3. I/ We acknowledge the right of the NABFINS BANGALORE to reject our Application without assigning any reason or otherwise and hereby waive, to the fullest extent permitted by applicable law, our right to challenge the same on any account whatsoever. 4. I/ We fully certify that our organization meet(s) all the pre-qualification criteria laid down in the Request for TENDER document. 5. I/ We hereby irrevocably waive invoking any right or remedy which are available to us at any stage as per law or howsoever otherwise arising to challenge or question any decision taken by the NABFINS BANGALORE in connection with the TENDER process. 6. I/ We agree and undertake to abide by all the terms and conditions of the TENDER document. In witness thereof, I/ We submit this TENDER Application in accordance with the terms of the Request for TENDER document. Yours faithfully, (Signature, name and designation of the Authorized Signatory) Name and seal of the Applicant Place: Date:

Form: 2- Particulars of Applicant (On the letterhead of the Applicant) Sl. No Description Response 1. Name of the Firm 2. Origin of the Firm 3. Complete Address of Registered Office 4. Type of Firm (Proprietary/ Partnerships/Private/Public) 5. Year and Place of Establishment (Please enclose selfcertified copy of certificate of incorporation) 6. Brief description of the Applicant including details of its main lines of business along with the brief profile of the organization 7. Firm is: Member of a group of Companies (if Yes, give name, address, connection and description of other Companies) Subsidiary of a large organization (if Yes, give full details of the holding Company) 9. Annual Turnover for FY 13-14 and further (Certificate duly signed by Chartered Accountant for FY 13-14,FY 14-15) 10. Please mention locations where you have offices in India and development centers in Karnataka 11. Number of employees working on Product Development for similar domain Support of Data Others 12. Please attach copy of PAN Card/ Service Tax Registration (Please attach self-attested copy of PAN Card/ Service Tax Registration) 14. Optional: Number of Data and Real Time Monitoring Projects. (Please provide brief write-up on each project on separate sheets) Location: Date: Signature of Authorised Signatory: Name and Designation of Authorised Signatory: Telephone Number (with ISD & STD Code) Fax Number (with ISD & STD Code) E-Mail Address

To Letter of Transmittal The General Manager, NABARD Financial Services Limited # 190, Rashtriya Vidyalaya Road, Jayanagar 2nd Block, Bengaluru-560 004, Karnataka, INDIA Sir, We, the undersigned, offer to provide the technical services for automating the operations of the NABFINS in accordance with your Request for Proposal dated... We are hereby submitting our Proposal for the assignment. The proposal is placed in the attached covers which two covers as follows: Cover-1 containing Technical Details Cover -2 containing Financial Bid We hereby declare that all the information and statements made in this TENDER submission are true and we accept that any misrepresentation of facts may lead to our disqualification and /or blacklisting. We agree to bear all costs incurred by us in connection with the preparation and submission of the proposal and to bear any further pre-contract costs. We confirm that we have the authority of [Insert Name of the Agency/Firm] to submit the proposal and to negotiate on its behalf. Yours truly Signature of authorized person

Self Declaration with respect to Blacklisting This is to certify that << COMPANY NAME >> is not blacklisted by the Government of Karnataka or any of its agencies/central/any other State/UT Governments or their agencies for indulging in corrupt or fraudulent practices or for indulging in unfair trade practices or for any reasons whatsoever as on the 31 December 2015. Authorized Signatory Name of Signatory: Bidder Name: Date: Place: