national fertilizers ltd., panipat production department
TRANSCRIPT
National Fertilizers Ltd., Panipat
Production Department
Ref No: NFL/PT/Prod./PQ/CM (P)/2018 Dated: 29.01.2019
The prequalification job for ARC of 1. a) Up-keep of various Plant & Machinery in
Ammonia, (b)Urea, (c) Handling of Ash spillage, Equipment cleaning, House-keeping
activities and other Misc. jobs in CPP & SGP (d) O&U Plants
(2) Unloading and Handling of Coal from Railway Wagons and related jobs.
(3) Assistance in coal Bunkering, Handling of Coal Mill Rejects and related jobs and
(4) High pressure water jet cleaning of Heat exchangers.” at NFL Panipat has been
completed and parties have been shortlisted.
Now, above mentioned NIT for prequalification of various contracts of Production
department has been re-opened. Interested parties can apply for prequalification for these
contracts till 18-01-2021 and their eligibility shall be decided during review of
prequalification of contracts.
Last date for application of prequalification and submission of required documents of the
NIT of above mentioned contracts is 18-01-2021.
(Rajan Kanwar)
DGM (Production)
Page 1 of 22
(PRODUCTION DEPARTMENT)
DOCUMENTS
FOR
“Pre- qualification of the parties for ARC of i) Up-keep of various Plant & Machinery in
Ammonia, Urea , O&U Plants and Handling of Ash spillage, Equipment cleaning,
House-keeping activities and other Misc. jobs in CPP & SGP. ii) Unloading and
Handling of Coal from Railway Wagons and related jobs. iii) Assistance in coal
Bunkering, Handling of Coal Mill Rejects and related jobs. iv) High pressure water
jet cleaning.”
NIT No. NFL/PT/Prod./PQ/CM(P)/2018 DATED : 4.07.2018 DUE DATE OF SALE OF TENDER DOCUMENTS : 13.08.2018 UPTO 1230 Hr.
DUE DATE OF RECEIPT OF TENDER DOCUMENTS: 13.08.2018 UPTO 1500 Hr. DUE DATE OF OPENING OF TENDER DOCUMENTS : 13.08.2018 UPTO 1530 Hr. THIS DOCUMENT CONTAINS: TOTAL 22 PAGES (Signature of Issuing Authority)
Page 2 of 22
INDEX
SR.NO. PARTICULARS FROM PAGE
TO PAGE NO.OF PAGES
1. Covering page of tender document 01 01 01
2. Index 02 02 01
3. Notice Inviting Application for Pre-qualification 03 03 01
4. Enlistment Fees and Eligibility criteria (Annexure-A) 04 04 01
5. Estimated value of contracts (Annexure-B) 05 05 01
6. Conditions for prequalification (Annexure-C) 06 06 01
7. Application Form for registration/PQ of parties for various ARCs/categories of jobs (Annexure-D)
07 11 05
8. Bank reference letter/solvency certificate(Annexure-I) 12 12 01
9. Performa for Eligibility criteria of parties w.r.t. to experience (Annexure-II)
13 13 01
10. Information regarding Tenderer (Annexure-III) 14 14 01
11. Detail of experience(Annexure-IV) 15 15 01
12. Present Commitments(Annexure-V) 16 16 01
13 Information regarding Equipment (Annexure-VI) 17 17 01
14. Certificate for not black listed(Annexure-VII) 18 18 01
15. Submission of GST registration number(Annexure-VIII)
19 19 01
16. Submission of ESI registration number(Annexure-IX) 20 20 01
17. Submission of Labor License number(Annexure-X) 21 21 01
18. No relation certificate(Annexure-XI) 22 22 01
Total Page 22
NOTE:-
Parties are requested to see that all the papers of tender documents issued to them are intact as
per above index.
Page 3 of 22
National Fertilizers Limited: Panipat Unit
Production Department
No. NFL/PT/Prod/PQ/CM(P)/2018/ Dated: 4.07.2018
Applications are invited from reputed, experienced and competent contractors for empanelment for a
period of three years in NFL’s select panel of Contractors for execution of following works in
Production Department. Existing prequalified parties are also required to apply for pre-qualification:
i) Up-keep of various Plant & Machinery in Ammonia, Urea , O&U Plants and Handling
of Ash spillage, Equipment cleaning, House-keeping activities and other Misc. jobs in
CPP & SGP.
ii) Unloading and Handling of Coal from Railway Wagons and related jobs.
iii) Assistance in coal Bunkering, Handling of Coal Mill Rejects and related jobs.
iv) High pressure water jet cleaning
Requirement is for pre-qualification of works as per Annexure-A, depending upon the work
experience and financial capability. The various experience criteria according to nature of job to be
considered for pre-qualification as given in the enclosed Annexure-A. The intending contractors
may submit the following information/documents along with their application.
a) Name of the firm with full postal address, Phone No. and Fax No. etc.
b) Firm constitution i.e. Proprietary/Partnership/Private/Limited/Public Ltd., along with
partnership deed or memorandum of Articles of Association.
c) Firm’s organization structure along with Bio-data of key personnel.
d) PAN Number
e) Details of deposits, bank limits, latest solvency certificate etc. in the format of Annexure-I.
f) Provident Fund’s Registration Number.
g) GST Number, Sales Tax, CST No., Labour License No.
h) ESI Code Number
i) Details of works executed in the last seven years with copies of agreements, work
orders/completion certificates, performance certificates.
j) Details of annual turnover during last three years ending up to March, 2018.
k) Details of machines/equipments/staff etc. owned by the firm.
l) Any additional information in support of contractor’s credentials.
Applications shall be submitted along with the aforesaid documents/information. In case the
application has been down loaded from our web site the requisite amount of Application Fee in the
form of Demand Draft of any scheduled Bank drawn in favour of “National Fertilizers Limited-
Panipat”, payable at Panipat shall have to be submitted in separate envelope to reach to the office
of DGM (Production) on or before 13.08.2018 (1500 hrs.)
The empanelment of contractors shall be at entire discretion of NFL based on an objective
evaluation and financial competence and resourcefulness of the contractors.
NFL reserves the right to reject any or all the applications without assigning any reason thereof.
(Rajan Kanwar )
Dy. General Manager (Prod)
Page 4 of 22
Annexure-A
Enlistment Fees and Eligibility Criteria of Experience to be considered for Pre-qualification
S.
No.
Name of the Contract/Job Enlist-
ment Fee
including
of VAT
Estimated
Value based
on latest
awarded
value (Rs.in
lacs)
Average
Annual
Turnover
(Rs.in lacs)
30% of
Estimate
Required value of job executed
during last 7-years (Rs.in lacs)
Required experience/infrastructure
One
contract
(80% of
Estimate)
Two
contracts
each of
(50% of
Estimate)
Three
contracts
each of
(40% of
Estimate)
1. Up-keep of various plants
a) Up-keep of Ammonia Plant area &
Machinery
Rs.1000/-
25.00 7.5 20.00 12.50 10.0 Up-keep of Plant area and machineries by
deployment of labours.
b) Up-keep of Plant Machinery and
other misc. jobs in Urea Plant 33.00 9.9 26.40 16.50 13.20 Up-keep of Plant area and machineries by
deployment of labours.
c) Handling of ash spillage,
equipment cleaning, house-keeping
activities and other Misc. jobs in
CPP & SGP.
23.00 6.9 18.40 11.50 9.20 Up-keep of Plant area and machineries by
deployment of labours.
d) Up-keep of O&U Plants and
Machinery 13.00 3.9 10.4 6.5 5.2 Up-keep of Plant area and machineries by
deployment of labours.
2. Contract for Unloading and Handling of
coal from Railway Wagons and related
jobs. Rs.1000/-
55.00 16.50 44.00 27.50 22.00 Experience of having successfully completed
works of material handling.
3. Contract for Assistance in Coal
Bunkering, Handling of Coal Mill
Rejects and related jobs. Rs.1000/-
58.00 17.40 46.40 29.00 23.20 Up-keep of Plant area and machineries by
deployment of labours and machines.
4. High pressure water jet cleaning
Rs. 250/-
5.30 1.59 4.24 2.65 2.12 Cleaning of heat exchanger tubes with high
pressure water jet machine, electrical/diesel driven
of minimum 75 KW and cleaning of HPD Re-
boiler with 1000 kg. Pressure.
Page 5 of 22
Annexure-B
Estimated Value of the Contracts
S.No. Job/Contract Estimate based on latest
awarded Value (Rs.in lacs)
1. Plant up-keep contracts
a) Up-keep of Ammonia Plant area &
Machinery
25.00
b) Up-keep of Plant Machinery and other misc.
jobs in Urea Plant
33.00
c) Handling of ash spillage, equipment
cleaning, house-keeping activities and other
Misc. jobs in CPP & SGP.
23.00
d) Up-keep of O&U Plants and Machinery 13.00
2. Unloading and Handling of coal from
Railway Wagons and related jobs.
55.00
3. Assistance in Coal Bunkering, Handling of
Coal Mill Rejects and related jobs.
58.00
4. High pressure water jet cleaning 5.30
Page 6 of 22
Annexure-C
Conditions for prequalification. Applicant may read carefully and accept the same by putting
his/their signature and seal of the firm/company
1.The applications of only such agencies/ contractor shall be considered who has/have deposited the
Application fee in the requisite form as per our Notice and the required documents as per eligibility
criteria/ Application form.
2. The applications along with the documents submitted by the parties shall be scrutinized to ascertain
their suitability for pre-qualification for a particular category of work as per the Eligibility criteria
mentioned in this document. Accordingly he/ they, if found eligible, will be prequalified for such
applied category of work for which the submitted documents prove their eligibility for that particular
category as per the eligibility criteria.
3.The parties which are considered and pre-qualified for a particular estimated value of any category
of work, will be automatically pre-qualified for the other lower estimated values of the same category
of work, without depositing any extra application fee.
4. The registration/pre-qualification of the parties shall be valid for a period of 03 ( THREE YEARS)
from the date of written confirmation of the same by NFL.
5.The pre-qualification may be reviewed by NFL from time to time on yearly basis for inclusion of
new parties in the pre-qualified list as well deletion of non-responding parties against our NIT’s.
Interested parties may also apply after close date of this NIT. Applications so received may be
considered at the time of annual review of prequalification.
6.Applicants may apply for as many categories of pre- qualifications, as they feel to be considered for
the same, but they have to deposit required application fee as given against each category. The
application fee is non-refundable.
7.In case the application has been downloaded from our Website, the requisite amount of Application
fee in the form of Demand draft of any scheduled Bank drawn in favour of “ National Fertilizers
Limited- Panipat” , payable at Panipat shall have to be submitted in separate envelope in the absence
of which the application is liable to be rejected.
Dated:-----------------
SIGNATURE OF APPLICANT
With seal and address
Page 7 of 22
NATIONAL FERTILIZERS LIMITED - GOHANA ROAD PANIPAT 132 106
APPLICATION FORM FOR REGISTRATION / PREQUALIFICATION OF PARTIES FOR VARIOUS ARCs/CATEGORIES OF
JOBS IN PRODUCTION DEPT. Annexure-D
APPLICATION FORM FOR :
PQ No. :______________________________
CATEGORY :______________________________
PARTICULAR OF WORK :______________________________
1
Name of Applicant/Firm/Company
I) Nationality
ii) Full Address
iii) Phone No.
iv) Fax No
v) E-Mail ID
vi) Name of Contact Person
Sh. / M/s
STD Code Phone No.
Office :
Residence:
Sh.
2
Company Profile
Copy Enclosed
( YES/No)
A
Whether private Limited Company or
Un-divided Hindu Family/ Individual
or Partnership Firm
( Please attach certified copy of partnership
deeds/articles of association and
memorandum of association and power of
attorney who is signing documents on behalf
of applicant/firm/company.
(Strike out whichever is not applicable)
i) Individual
ii) Proprietorship Firm
iii) Partnership Firm
iv) Private Ltd. Firm.
v) Public Limited Firm
vi) Other
Page 8 of 22
B
Year of establishment
C
Name of Bankers and their full address.
(Latest Solvency Certificate to be submitted on
enclosed Annexure-I) Duly Certified Copy to
be enclosed
( Copy enclosed) YES / NO
D
Details of Construction Machinery /Tools etc.
owned by the Firms.
List of Plant & Machinery / Equipments for
carrying out the works is attached YES / NO
E
Detail of Staff Working with Firm
( Copy enclosed) YES / NO
F
Place of Business.
3
Provident Fund Code No
(duly certified copy to be enclosed.)
__________________________________
( Copy enclosed) YES / NO
4
ESI Code no.
(duly certified copy to be enclosed.)
__________________________________
( Copy enclosed) YES / NO
OR Enclose the undertaking that you will obtain the ESI
No whenever any work is awarded to you after registration
of your prequalification (As per ANNEXURE – “IX”.)
Page 9 of 22
5
Details of Labour License
(duly certified copy to be enclosed.)
__________________________________
( Copy enclosed) YES / NO
OR Enclose the undertaking that you will obtain the Labour
Licence No. ,If applicable, whenever any work is awarded to
you after registration of your prequalification (As per
ANNEXURE – “X”.)
6
Permanent Account No (PAN)
(duly certified copy to be enclosed.)
_____________________________________________
( Copy enclosed) YES / NO
7
GST Registration No.
(duly certified copy to be enclosed.)
__________________________________
( Copy enclosed) YES / NO
OR Enclose the undertaking that you will obtain the GST
No. whenever any work is awarded to you after
registration of your prequalification (As per ANNEXURE –
“VIII”.)
8
ELIGIBILITY CTETERIA
as per Annexure II
Annual Turnover during the last three financial
years
Ending 31.03.2016 (2015-16)
Ending 31.03.2017(2016-17)
Ending 31.03.2018 (2017-18)
(Certified copy of P&L Account and Balance
Sheet etc. are to be enclosed
i) ` Lac ( Copy enclosed) YES / NO
ii) ` Lac ( Copy enclosed) YES / NO
ii) ` Lac ( Copy enclosed) YES / NO
Page 10 of 22
9
Work Experience
a) Nature of Work
b) Completed Value of Work
(During last 7 years ending the of month
previous to the one in which the applications
are invited.)
(Certified copy of respective completion
certificates are to be enclosed )
______________________________________
______________________________________
_______________________________________
i) ` Lac (Comp. Cert. enclosed) YES / NO
ii) ` Lac (Comp. Cert. enclosed) YES / NO
iii) ` Lac (Comp. Cert. enclosed) YES / NO
10.
Whether the Applicant is already Registered in
this Undertaking Or elsewhere?
If YES, Mention
Name of Department
Category of work
Financial limit of Prequalification
YES / NO
11
Has the applicant or any of his partner or
shareholders been black listed or de-listed or
put on holiday list from the approved list of
contractors or demoted to lower class or Order
passed, banning /suspending business with the
Applicant etc. by any Deptt, in the past?
Affidavit as per Annexure-VII duly notarized
attached YES / NO
12
A list of those persons who are working with
the Applicant in any capacity and who are near
relatives to any of the employees of the Owner
(NFL) or in the concerned Ministry /
Department, should be submitted (Names are
to be intimated if employment given to such
persons at later date)
List attached YES / NO
OR
Annexure-XI signed and attached YES / NO
Page 11 of 22
13 The Applicant is required to furnish the details
regarding its status of Micro, Small and
Medium Enterprise under the MSMED Act,
2006 at the time of submission of the
Application. The benefits of the Public
Procurement Policy for MSEs Order, 2012 shall
be considered only if self- certified copy of
valid registration certificate of MSME as per
the MSMED Act, 2006 along with the status of
MSEs owned by SC/ST Entrepreneurs, if
applicable, is provided. In case no information
is given by the applicant, it will be presumed
that he is not covered by the Act and
consequently not eligible for any benefits
under the Act.
Self- certified copy of valid Registration Certificate of MSME
Copy of Registration attached
YES / NO
Status of MSEs owned by SC/ST Entrepreneurs
Copy of Certificate attached
YES / NO
NOTE:
1. All parties are requested to submit all the documents as required in one go incomplete application will be liable for rejection.
2. The enlistment of the contractor shall be at the entire discretion of NFL based on objective evaluation of the details regarding past experience, Technical & Financial competence and resource fullness of the contractors/firms/companies.
3. NFL reserve the right to reject any or all the applications and also do not bind to accept the same being poor response.
4. NFL has the right not to issue/consider the Tender/PQ request form to any particular contractor/firm/company in case of their/His suspension / removal / delisting / blacklisting done by NFL in any unit or elsewhere.
5. NFL may inspect the site/works of the party before prequalification if required.
FOLLOWING ARE ALSO DECLARED, ACCEPTED AND CERTIFIED That
All the information filled herein and attached hereto are true to the best of my / our knowledge and belief. I / We declare that in the event of finding the said information false, the enlistment / registration as pre-qualified party made by NFL, will stand cancelled without any notice or reference thereof. It is further certified that I / We will not get myself / ourselve registered under more than one name. NFL reserves the right to debar such tenderer from participation in the prequalification process/
present/future tenders up to a period of 2 years If a tenderer resorts to any frivolous, malicious or
baseless complaints / allegations with an intent to hamper or delay the tendering/prequalification
process or resorts to canvassing/ rigging/ influencing the tendering/ prequalification process,
I/We certify to adhere the Anti-Fraud Policy of the Company and not indulge or allow anybody
else working in the Company to indulge in fraudulent activities and would immediately apprise the
Company of the fraud/suspected fraud as soon as it comes to their notice. In case of failure to do so,
the Company may debar me/us for future transactions. This certification/condition shall form part
of documents both at the time of submission and execution of agreements and contracts with
suppliers and service providers, etc.
DATED :
SIGNATURE OF CONTRACTOR
With SEAL and Address
Page 12 of 22
Annexure-I
BANK REFERENCE LETTER / SOLVENCY CERTIFICATE
(On Banks Letter Head)
Certified that M/s _________________________________________ at (address)
_____________________________________________________________________ is having an
account in our bank as per following particulars: -
1. Type of Account _______________________ is Cash-Credit/Current/Savings.
2. Bank Account No.___________________
3. Cash-Credit/O.D. Limit (if any) ________________ NO/YES, for Rs.__________
4. Since when holding Account? ___________________
5. Financial Standing & Soundness _______________________ Sound/Poor.
6. Dealing & Conduct of the Party ________________ Satisfactory/Un-satisfactory.
7. Any other comments _______________________________________________
This is issued on the request of M/s _________________________________________ for
submission in NFL, Panipat.
Date: ___________ (Sign. of Bank Manager)
Place: __________ Seal:
Page 13 of 22
Annexure-II
(To be filled up separately with appropriate Tender Fee for each Pre-qualification of Job)
ELIGIBILITY CRITERIA OF PARTIES w.r.t. EXPERIENCE
Ref No. Name of Contract Estimated Cost A. Commercial Criteria S.
No. Description Financial Year Details & documents to be
submitted by the contractor 1 Average annual financial turnover during last
three years ending 31st March of the previous
financial year, at least 30% of estimated cost
i.e. Rs._____Lacs
2015-16
2016-17
2017-18
2 Experience of having successfully completed similar works during last seven years ending the day
of month previous to the one in which applications are invited should be either of the following :-
a. Three similar completed works
each costing not less than 40%
amount of the estimated cost.
(with performance/completion
certificate) i.e. Rs.____ Lacs or
more
1
Work Order Ref. No. Name of Company Contract Value
Contract Period 2 Work Order Ref. No.
Name of Company Contract Value Contract Period
3 Work Order Ref. No. Name of Company
Contract Value Contract Period
OR
b) Two similar completed work
each costing not less than 50%
amount of the estimated cost. (with
performance/completion
certificate).i.e. Rs._____ lacs or
more
1 Work Order Ref. No.
Name of Company
Contract Value
Contract Period
2 Work Order Ref. No.
Name of Company Contract Value Contract Period
OR c) One similar completed work
costing not less than 80% of
the estimated cost. (with
performance/completion certificate
i.e. Rs.____ lacs or more
1 Work Order Ref. No.
Name of Company
Contract Value
Contract Period B. Technical Criteria Work Order with detailed technical scope of work indicating experience related to scope of work should be
submitted along with Performance & Completion Certificate.
NOTE:
1. Similar Work means work employing same technology and skill but quantities can vary but should be ARC.
as given in Annexure-A
2. Self-attested documentary evidences for Annual Turnover to be enclosed.
3. Self-attested documentary evidences for Work Orders given above to be enclosed.
4. Self-attested documentary evidences for Performance/Completion Certificate of above given Work Orders to
be enclosed.
Signature of the party/ contractor with seal
Page 14 of 22
Annexure-III INFORMATION REGARDING TENDERER
A) In case of individual
i) Name of Business
ii) Whether his Business is registered
iii) Date of commencement of business
iv) Whether he pays Income-Tax over Rs. 10,000/- per year
B) In case of Partnership
i) Name of Partnership
ii) Whether the Partnership is registered
iii) Date of establishment of firm
iv) If each of the partners of the firm pays Income-Tax over Rs. 10,000/- a year and if not which of them pays the same
C) In case of Limited Liability Company or Company Limited by Guarantee
i) Amount of paid up capital
ii) Name of Directors
iii) Date of Registration of Company
iv) Copies of the last two years’ Balance Sheets of the Company
(SIGNATURE OF TENDERER)
Name ________________________
Dated _______________________
Page 15 of 22
DETAIL OF EXPERIENCE Annexure-IV Tenderer shall give information of similar works done during the past Seven years strictly as per Performa given below
Sr. No.
Full particulars of similar work carried out by Tenderer
Value of Contract
Contracted Completion time
Actual completion time
Year of completion
Name & Postal Address of Client
Certified that the above information is correct.
(SIGNATURE OF TENDERER)
Name ________________________
Date ________________________
Page 16 of 22
PRESENT COMMITMENTS Annexure-V Tenderer shall furnish the details of their present commitments strictly as per this Performa.
Sr. No.
Name of work Name & address of Client with the name of person under whom the work is being executed
Contract Value
Brief description of work
Contracted date of completion with the date of start of work
% age completed as on date
Expected date of completion of balance work with approx. value of such balance work
Certified that the above information is correct.
(SIGNATURE OF TENDERER)
Name: _________________________
Date : _______________________
Page 17 of 22
INFORMATION REGARDING EQUIPMENT WHICH THE TENDERER PROPOSES TO USE FOR THIS WORK
Annexure-VI
Sr. No
Description Qty Make Cap. Owner Approx. date when it will be
deployed at site
Period of attention
at site
Certified that the above information is correct.
(SIGNATURE OF TENDERER)
Name :______________________
Date : _______________________
Page 18 of 22
Annexure-VII
Party has to submit following Certificate on Non-Judicial stamp paper of Rs.10/-
verified by Notary Public/Ist Class Magistrate
I/We _______________________S/o Shri ___________________________ Resident of
_____________________________________________M/s______________________
___________________________.
Solemnly affirm and declare as under: -
a) That party/their associates/sister concerns etc. have not been black listed or put on
holiday by any Institutional Agency/Govt. Deptt./Public Sector Undertaking during
last two years for participating in the tender.
b) No other Firm/sister concerns/associates belonging to the same group is
participating/submitting the tender for the job.
c) That the information furnished by me/us in respect of above Tender is true and correct
and nothing has been concealed. In case any of information is found to be false and
incorrect at any stage, NFL shall be fully competent to take the necessary action as
deemed fit.
Deponent
(_____________)
Seal of the Party
Verification:
Verified that contents given in my/our above paragraphs are true and correct to the best of
my/our knowledge and belief.
Deponent
(_____________)
Seal of the Party
Dated: __________
(Attested by Notary Public)
Page 19 of 22
Annexure-VIII
Sub: Prequalification
Ref.: NFL/PT/Prod/PQ/CM(P)/2018 Date: ____________
SUBMISSION OF GST REGISTRATION NUMBER
It is certified that applicant at present has not got registered his firm/company under GST Act
and hereby do undertake in the capacity of proprietor/partner/authorized representative of the
firm/company to submit the GST Registration No. at the time of award of the job after the
subject prequalification.
The above statement is true and is submitted against NIT Ref.No.NFL/PT/Prod/PQ/CM(P)/
2018/ dated: _________ for prequalification for the job: _____________________________.
Signature of the Co./Firm
(Seal)
Dated: __________
Page 20 of 22
Annexure-IX
Sub: Prequalification
Ref.: NFL/PT/Prod/PQ/CM(P)/2018 Date: ____________
SUBMISSION OF ESI REGISTRATION NUMBER
It is certified that applicant at present has not got registered his firm/company under
ESI Act and hereby do undertake in the capacity of proprietor/partner/authorized
representative of the firm/company to submit the ESI Registration No. at the time of
award of the job after the subject prequalification.
The above statement is true and is submitted against NIT Ref.No.NFL/PT/Prod/PQ/CM(P)/
2018/ dated: _________ for prequalification for the job: _____________________________.
Signature of the Co./Firm
(Seal)
Dated: __________
Page 21 of 22
Annexure-X
Sub: Prequalification
Ref.: NFL/PT/Prod/PQ/CM(P)/2018 Date: ____________
SUBMISSION OF LABOR LICENSE NUMBER
It is certified that applicant at present has not got registered his firm/company under
LABOR LICENSE REGISTRATION Act and hereby do undertake in the capacity of
proprietor/partner/authorized representative of the firm/company to submit the
LABOR LICENSE Registration No. at the time of award of the job after the subject
prequalification.
The above statement is true and is submitted against NIT Ref.No.NFL/PT/Prod/PQ/CM(P)/
2018/ dated: _________ for prequalification for the job: _____________________________.
Signature of the Co./Firm
(Seal)
Dated: __________
Page 22 of 22
Annexure-XI
Sub: Prequalification
Ref.: NFL/PT/Prod/PQ/CM(P)/2018 Date: ____________
NO RELATION CERTIFICATE
It is certified that the applicant in any capacity and any employee of the applicant firm
do not have relationship with any of the employees working in NFL.
The above statement is true and is submitted against NIT Ref.No.NFL/PT/Prod/PQ/CM(P)/
2018 dated: _________ for prequalification for the job: _____________________________.
Signature of the Co./Firm
(Seal)
Dated: __________