Empanelment of Contractors

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____________________________ ____________________________ ____________________________ EMPANELMENT OF CONTRACTORS General information for the contractors who wish to Include their name

in the Banks panel to carry out Civil work, Furniture / Furnishing, Electrical, Air-conditioning, Pest Control, Fire Safety, etc. 1. Intending contractors are requested to furnish details about their firm, technical experience, competence and evidence of their financial standing as per enclosed proforma for considering their names for empanelment. 2. 3. 4. 5. Selection of contractors will be based on the ability and competence required for good quality jobs to be performed by them. If the space provided in the proforma is insufficient for giving full details, the same may be given on a separate sheet of paper. Information furnished to Bank will be kept as strictly confidential. Decision of the Union Bank of India regarding selection of contractors for empanelment will be final and binding and no further correspondence will be entertained. empanelled will be informed by post. 6. 7. 8. Intending contractors are requested to read carefully before filling the particulars in the proforma. Incomplete applications will not be considered. Information / details furnished by selected party, if found to be false at any time in future or any information affecting empanelment is willingly / unwillingly withheld, if come to the notice of the Bank at any point of time, the partys empanelment can be cancelled immediately. 9. 10. 11. 12. Where copies are required to be furnished, these should be certified copies. Cost of the application form is Rs.500.00 which is not refundable, to be paid by way of Pay Order / Demand Draft favoring Union Bank of India payable at _________. Application form is not transferable. Empanelment of the firm will be valid only for 3 years, if selected. Contractors

BIO DATA OF CONTRACTING AGENCY 1. 1 a) Name of the firm Address (Head Office) Telephone No. Office Residence Mobile : Fax E-Mail 1 b) Address (Head Office) Telephone No. Office Residence Mobile : Fax E-Mail 2.a) Whether proprietary/partnership/ Pvt. Ltd. / Public Ltd. (certificate of registration / partnership deed to be enclosed as Annexure-I). Name of the Proprietor, Partners, Directors I) II) c) 3. Year of establishment Registration with Tax Authorities i) ii) iii) iv) v) Income-tax (PAN) No. Service tax no. EPF Regn. No. ESI Regn. No. TIN / VAT No. : : : : : : : : : : : : : : : : : : : : : :

b)

(copies of certificates of registration with relevant authorities to be enclosed as AnnexureII-A, II-B, II-C, II-D & II-E) 4. Names of the Bankers with address & telephone numbers: I)

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II) 5. Enclose solvency certificate of the amount as mentioned at Point No.18(5) (Certificate to be enclosed as Annexure III). : Enclosed / Not enclosed

Note: The solvency certificate should be addressed to Union Bank of India and not older than six months from the date of advertisement. 6. Furnish copies of audited balance: Enclosed / Not enclosed Sheet and Profit & Loss A/C. for the last 3 years as Annexure-IV-A, IV-B & IV-C. 7. Registration with Govt. / Public Sector / Banks (certificates of Registration to be enclosed as Annexure-V. Name of the Organization Year since empanelled

8. Sr. No.

Give details if at present involved in Name of Project Name of Employer

litigation in similar type of contracts: Work order dated Date of completion of work Value Rs.

Nature of work

9. Details of civil suit, if any, that arose: during execution of contract in the past 10 years. 10. Specify maximum value of single : value project executed during the last three years. 11. Name & relation, if any, with the staff member of Union Bank of India. :

12. Details of work executed during the last 3 years:

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Work executed for (name of the Institution / Body)

Type of work

Nature of work (in brief)

Location

Value Rs.

Duration of work with date of Commence and completion

If work left incomplete or terminated ( give reasons)

Note: Copies of work orders along with xerox copies of relevant TDS certificate, satisfactory completion certificate obtained from the client shall be enclosed as Annexure VI. Please note without the copies of certificates, your application is liable to be rejected.

13.

Details of work on hand (photo copies of performance certificate, work orders issued by valued clients, preferably Banks, Govt., Semi-Govt. Bodies should be enclosed as Annexure VII). Work executed for (name of the Institution / Body) Nature of work (in brief) Location Value Rs. Duration of work, stipulated time Present stage of work

Type of work

14. LIST OF NAME/S OF PROPRIETOR / PARTNERS & EMPLOYEES

Name

Qualifications

Experience

Particulars of work done

Employed in your firm since

Value of work done

15. Turnover in last 5 years: Sr. No. 1 2 3 4 5 Copies of income-tax returns / assessment orders for each year to be enclosed as Annexure VIIIA,B,C,D & E 16. List of equipments / machinery owned: Sr. No. Name of equipment Year of manufacture Nos. available Year Turnover (Rs.in lacs) Income-tax paid VAT paid Service Tax paid

17. GROUP FOR WHICH REGISTRATION IS SOUGHT OUT OF THE FOLLOWING CATEGORIES Sr. No. 1 Name of the activity Furniture / Furnishing / Civil work (Civil repairs including new work, Structural rehabilitation of building, Sanitary & plumbing, Waterproofing). Category A Upto Rs.40 lacs Category B Upto Rs.15 lacs Electrical work including repairs. Category A Upto Rs.30 lacs Category B Upto Rs.15 lacs Air-conditioning Installation, servicing and maintenance. Pest control. Fire safety installation & servicing. Work for which empanelment is sought

2 3 4 5

NOTE: For works at Sr. Nos. 1 and 2, category shall be mentioned; whereas for works at Sr. Nos. 3 to 5, empanelment will be done without category. 18. PRE-QUALIFICATION CRITERIA: Sr. No. 1 Criteria For works at Sr. Nos. 1 & 2 - Should have executed one similar work of 80% of the value Weightages 60 Self

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indicated for the category for which registration is sought during last 3 years OR - Should have executed two similar works of 50% of the value indicated for the category for which registration is sought during last 3 years OR - Should have executed three similar works of 40% of the value indicated for the category for which registration is sought during last 3 years OR - For works without classification i.e. from 3 to 5, three similar works of Rs.5.00 lacs each. Average turnover for the last three years shall be 30% of the upper ceiling mentioned / estimated cost of the work For Work at Sr. No. 1 - Category A Rs.12.00 lacs - Category B Rs.4.50 lacs For Work at Sr. No. 2 - Category A Rs.9.00 lacs - Category B Rs.4.50 lacs 3 4 For works at Sr. nos. 3 to 5 Rs.1.50 lacs. Should have made profit for at least two years during the last three years. Should have submitted solvency certificate of 30% of the upper ceiling mentioned (Solvency certificate shall not be older than six months) For Work at Sr. No. 1 - Category A Rs.12.00 lacs - Category B Rs.4.50 lacs For Work at Sr. No. 2 - Category A Rs.9.00 lacs - Category B Rs.4.50 lacs - For works at Sr. nos. 3 to 5 Rs.1.50 lacs. TOTAL 100 10 10

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NOTE: Criteria mentioned above is just minimum requirement. The Bank at its discretion may upgrade the criteria. No complaint on this account will be entertained. Contractors scoring 80 marks & above will only be considered for pre-qualification. Contractors themselves have to fill in self-rating marks column in the above table.

19. LIST OF ENCLOSURES: ANNEXURE NO. I IIA, IIB, IIC, PARTICULARS Certificate of registration of Company / partnership deed. Certificates of registration with Income Tax, Service Tax, , TICK IF ENCLOSED

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IID, IIE III IVA, IVB, IVC V VI VII VIIIA, VIIIB, VIIIC, VIIID, VIIIE EPF, ESI and VAT / TIN authorities. Solvency Certificate. Audited Balance Sheet & Profit & Loss A/c. Statement for last three years. Certificates of Registration with Govt. / Public Sector / Banks. Copies of work orders along with xerox copies of relevant TDS certificate, satisfactory completion certificate mentioning value of work. Copies of performance certificate, work orders issued by valued clients, preferably Banks, Govt., Semi-Govt. Bodies. Copies of income-tax returns / assessment orders for previous 05 years.

Note: In absence of any of the above enclosures, your application is likely to be rejected.

DECLARATION

1.

I / We have read the instructions appended to the proforma and I / We understand that if any false information is detected at a later date, any future contract made between ourselves and Union Bank of India, on the basis of the information given by me / us can be

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treated as invalid by the Bank and consequences. I / We will be solely responsible for the

2.

I / We agree that the decision of Union Bank of India in selection of contractors will be final and binding to me / us.

3.

All the information furnished by me hereunder is correct to the best of my knowledge and belief.

4.

I / We agree that I / we have no objection if enquiries are made about the work listed by me / us in the accompanying sheets.

5.

I / We agree that I / We have not applied in the name of sister concern for the subject empanelment process.

Place Date

: :

SIGNATURE NAME & DESIGNATION SEAL OF ORGANISATION

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