P&CS (Refinery- Contract Services) Application Form For Enlistment Of Contractors & Architects SHEET 1 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: On or Before 28 th February 2014. Mr. G. K. Murali Chief Manager (P&CS) Bharat Petroleum Corporation Limited Mumbai Refinery, MAHUL, CHEMBUR, MUMBAI- 400074 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., 4 th 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 2 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 28 th 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 3 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: Date: Signature of the Proprietor/Partner/ Authorized representative Seal of the firm: SHEET 4 OF 12
BHARAT PETROLEUM CORPORATION LTD VENDOR REGISTRATION FORM FOR SERVICE PROVIDER / CONSULTANT Sr. No. Description of Information to be Submitted by Vendor 1 Name of the Company Information submitted by Vendor 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 5 OF 12
Sr. Description of Information to be No. Submitted by Vendor 10 Address of Local Representative Information submitted by Vendor 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 6 OF 12
Sr. Description of Information to be No. 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 Information submitted by Vendor 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 7 OF 12
Sr. No. Description of Information to be 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.) Information submitted by Vendor 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 8 OF 12
Sr. No. Description of Information to be 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) Information submitted by Vendor 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 9 OF 12
Sr. No. Description of Information to be Submitted by Vendor 53 Whether the Applicant has any dismissed employee of BPCL Information submitted by Vendor 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 10 OF 12
DETAILS OF JOB EXECUTED Appendix I Sl. No. Full Postal Address of Client and name of Officerin-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 11 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 SHEET 12 OF 12