Application Form For Enlistment Of Contractors & …...Bharat Petroleum Corporation Limited, Mumbai Refinery intends to enlist contractors & architects for various categories of jobs
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SHEET 1 OF 12
Application Form
For
Enlistment Of Contractors
& Architects
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SHEET 2 OF 12
NOTICE TO THE APPLICANT
Preamble
Bharat Petroleum Corporation Limited, Mumbai Refinery intends to enlist contractors & architects for
various categories of jobs for Estates Department.
We are enclosing herewith application for enlistment along with documents /details required for
enlistment, which is required to be filled in by you, complete in all respects and submitted to us.
Party’s application form duly filled in and containing all information & supporting documents should be
submitted, in a sealed envelope clearly super scribing “EOI FOR CONTRACTORS / ARCHITECTS
REGISTRATION - ESTATES” (Mention the category for which contractors/Architects intends to
register with BPCL)” to:
Mr. G. K. Murali
Chief Manager (P&CS)
Bharat Petroleum Corporation Limited
Mumbai Refinery, MAHUL,
CHEMBUR,
MUMBAI- 400074
On or Before 28th
February 2014.
Cost/expenditure incurred by the applicant in submitting the application by any mode of transport, travel,
boarding and lodging or any other manner shall be entirely on the applicant’s account.
In case the applicant intends to give additional information for which specified space is not sufficient, the
party may do so by adding extra sheets by indicating duly at the appropriate column.
Clarifications could be sought from the Office of the Senior Manager or Chief Manager (P&CS), Bharat
Petroleum Corporation Ltd., 4th
floor south block , admin building, Mumbai Refinery, Mumbai
400074.” (On all working days – Monday to Friday from 8:00 am to 4:15 am).
Contact details
Mr. A. B. Samanta
Senior Manager (P&CS)
P&CS Department
022-2552 4439
OR
Mr. G. K. Murali
Chief Manager (P&CS)
P&CS Department
022-2553 3297
The applicants should strictly furnish all the information only in the formats given. All the supporting
documents should be duly attested/ notarized. All corrections and over writings should be duly
countersigned by the applicant.
Bharat Petroleum Corporation Limited reserves the right to accept/reject any or all applications for
enlistment at its sole discretions without assigning any reasons whatsoever.
SHEET 3 OF 12
Introduction
BPCL, P&CS invites “Expression of Interest” in the prescribed format form reputed and competent
Contractors & Architects with sound technical and financial capabilities and having specialized experience
of executing jobs for categories listed below for Estates Department involving activities inside Mumbai
Refinery and Staff Colony.
1. Civil Jobs for Buildings 2. Plumbing Jobs 3. Electrical Jobs for Buildings 4. Maintenance of drinking water supply pumps 5. Horticulture & Gardening jobs 6. Housekeeping jobs 7. Operation & Maintenance of Bio-gas plant/vermi-composting pits 8. Operation & Maintenance of Health Clubs (Gym/Spa etc) 9. Operation & Maintenance of Swimming pools 10. Water proofing and external painting of buildings/flats 11. Internal painting of buildings/flats 12. Pest Control in flats / surrounding areas 13. Maintenance of lifts for buildings (7 storeys and above) 14. Road works 15. Maintenance of bore wells and fountains 16. Carpentry and interior jobs 17. Interior Architects 18. Maintenance of telephone network and telephone exchange 19. Operation & Maintenance of Access Control Equipments 20. Maintenance of Air Conditioners 21. Help Desk assistance/operation
Interested Contractors/architects must submit their Expression of Interest to the address mentioned in
application by 28th
Feb 2014 with all particulars in a sealed envelope superscripted with “EOI FOR
CONTRACTORS / ARCHITECTS REGISTRATION - ESTATES”.
BPCL reserve the right to accept or reject any or all applications without assigning any reasons.
SHEET 4 OF 12
APPLICATION FORM FOR ENLISTMENT
From Dated:
____________________________________
_____________________________________
_____________________________________
_____________________________________
To,
The Chief Manager (P&CS)
Bharat Petroleum Corporation Limited (BPCL)
Mahul Refinery, (Mumbai Refinery)
Chembur, Mumbai- 400074
Dear Sir,
Subject: Registration of Contractors/Architects for __________________ jobs in Estates at BPCL-
MR
In response to your advertisement inviting applications through “Expression of Interest” for
the registration of Contractors & Architects and after gone through the documents, I/we
hereby submit necessary information/documents, as desired.
The application is made by me/us on behalf of
…………………………………………………………………………
………………………………. duly authorized to submit the same.
We understand that The Chief Manager (P&CS), BPCL Mumbai Refinery reserves the right
to reject any/all or accept any applications without assigning any reasons whatsoever.
Place: Signature of the Proprietor/Partner/
Date: Authorized representative
Seal of the firm:
SHEET 5 OF 12
BHARAT PETROLEUM CORPORATION LTD
VENDOR REGISTRATION FORM FOR SERVICE PROVIDER /
CONSULTANT
Sr.
No.
Description of Information to be
Submitted by Vendor
Information submitted by Vendor
1 Name of the Company
2 Services for which Vendor registration is
being sought
3 Postal Address (Office)
4 Telephone No (Office)
5 Fax No. (Office)
6 Contact Person (Office)
7 Mobile No. of Contact Person (Office)
8 E-Mail ID of Contact Person (Office)
9 Name of Local Representative
SHEET 6 OF 12
Sr.
No.
Description of Information to be
Submitted by Vendor
Information submitted by Vendor
10
Address of Local Representative
11 Telephone No. Local Representative
12 Fax No. Local Representative
13 Mobile No. Local Representative
14 E-mail of Local Representative
15 Company’s Organisational Structure
(Attach Xerox copies as Annexure I)
16 Names of Proprietor/ Partners /
Directors / Executives
17 Constitution of the Firm – Sole
Proprietorship / Partnership / Pvt Ltd /
Public Ltd. / Public Sector
18 Partnership deed / Article of Association
or Memorandum of Association (Attach
Xerox copies as Annexure II)
19 Year of Establishment & Starting of
Production / Shop & Establishment
Certificate (Attach Xerox copies as
Annexure III)
SHEET 7 OF 12
Sr.
No.
Description of Information to be
Submitted by Vendor
Information submitted by Vendor
20 Whether holding any valid license for the
trade; if yes, please furnish details. For
Electrical Contractors, whether the applicant
possesses valid Electrical Licenses for Low
Tension (LT) and / or High Tension (HT)
Works
21 Investment - Initial
22 Investment - Present
23 Name of the Bankers
24 Latest / Current Financial Year Solvency
Certificate (Either Original or Notarized copy
of the Original Issued by the bank to be
attached as Annexure IV)
25 Whether registered under SSI / NSIC/MSME
(Attach Xerox copy Annexure V)
26 Whether Income Tax Returns Filed with
Acknowledgement from the Income Tax
Authorities for the last three financial
Years(2010-11, 2011-12, 2012-13) and
whether Registration for Permanent Account
No. (PAN) is over (Attach Xerox Copy
Annexure VI)
27 Excise Registration Number (Attach Xerox
Copy Annexure VII)
28 Sales Tax/Central Sales Tax , i.e, VAT & CST
Registration Numbers (Attach Xerox Copy
Annexure VIII)
29 Copy of Service Tax Registration (Attach
Xerox Copy Annexure IX)
30 Copy of Works Contract Tax Registration
31 Maximum Value of Single Contract executed
during the last 3 years (2010-11, 2011-12,
2012-13) ; Copy of the concerned Contract
with copy of the Contract Completion
Certificate
SHEET 8 OF 12
Sr.
No.
Description of Information to be
Submitted by Vendor
Information submitted by Vendor
32 Whether the applicant has gone for
Arbitration / Litigation for any of the past
jobs with BPCL (awarded directly by BPCL
through Press Tender, Limited Tender,
etc.)
33 Last 3 Year’s (2010-11, 2011-12, 2012-13)
Audited Balance Sheet and Profit & loss
account, auditor’s Note and Directors
report (Attach Xerox copy Annexure X)
34 No. of Engineers Employed
35 No. of Supervisors Employed
36 No. of Skilled Workers
37 No. of Unskilled
38 No. of Workers Office Staff
39 Total No. of Employees
40 List of Tools and Machineries available for
providing Services
(Attach the List Annexure XI)
41 Whether ISO 9000 Certified (Attach Xerox
Copy Annexure XIV)
42 Safety Policies and procedures ( Attach
Annexure XX)
43 Supporting Services from outside agencies
(Give details) Annexure XXII
44 List of Project Engineering Consultants
(like EIL, UDHE, PDIL, Toyo, etc.) who
have registered the Vendor
45 List of Clients in the Petroleum Refining /
Petrochemical / Fertilizer Industries along
with copies of letters issued for Vendor
Registration (Attach Annexure XXIII)
SHEET 9 OF 12
Sr.
No.
Description of Information to be
Submitted by Vendor
Information submitted by Vendor
46 List of Purchase Orders including Annual
Rate Contracts (ARCs) received from
Clients in the Petroleum Refining /
Petrochemical / Fertilizer Industries
(Attach Xerox copies for major items
supplied)
47 Details of approvals and registration with
other reputed Companies / Organizations
such as Nuclear Power Corporation, BARC,
NTPC, BHEL, etc. (Attach Xerox copies)
48 Information regarding whether the
company has executed any order in the
past for BPCL / received any POs from
BPCL directly or through any PMC / BPCL
approved Contractor or Supplier
49 Whether the applicant is already
registered in Bharat Petroleum Corporation
with Engineering & Projects, Aviation /
Retail / Lubes / LPG / CPO – Marketing /
CPO – Refineries, in this organization. If
yes, provide Class of Registration,
Category of Registration and Region / SBU
50 Whether the Applicant is already
registered with BPCL for any other
Category of Service; if yes, details to be
furnished
51 Whether the applicant has any sister
concern registered in this organization, if
yes please provide Class of Registration
and Category of Registration
52 Whether any relative (Brother, Sister,
Mother, Father, Brother In Law or Sister
In Law, Father In Law, Mother In Law )
of any Director of the Company’s Board of
Directors or the Proprietor is employed
with Bharat Petroleum Corporation Limited
SHEET 10 OF 12
Sr.
No.
Description of Information to be
Submitted by Vendor
Information submitted by Vendor
53 Whether the Applicant has any
dismissed employee of BPCL
54 Whether the Applicant is willing to
participate in BPCL’s e – Tenders for
which the Applicant should register
himself in the e – Procurement Website
of BPCL
I/ We certify that I/We will not get myself/ourselves registered as Vendor(s) in the undertaking
under more than one name.
I/We hereby confirm that the above information is true to the best of my/our knowledge and
belief.
I/We also undertake that, if at any stage, the above information are found to be incorrect, the
Corporation shall reserve the right to cancel my/our registration, at any time, without notice, at
its discretion
Place: _________________ Signature: ________________________
Date: _________________ Designation: ________________________
COMPANY SEAL
SHEET 11 OF 12
DETAILS OF JOB EXECUTED Appendix I
Sl.
No
.
Full Postal
Address of
Client and
name of Officer-
in-charge
Description
of work
Value of
contract
Completion
period as per
tender
Scheduled
date of
commence-
-ment
Actual
commence- -
ment
Scheduled
date of
completion
Actual date
of
completion
Remarks
SHEET 12 OF 12
DETAILS OF JOBS IN PROGRESS
Appendix II
Full Postal
Address of Client
and name of
Officer-in-charge
Description of
work
Value of
contract
Completion
period as per
tender
Date of
commencement
Present Status Remarks
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