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2 Annexure-I Details of Material Sl. No. SIL Material Code Description Quantity Required In Nos. Size & Specifications /1 FUSE /1 FUSE /1 FUSE MCB MCB MCB MCB 10 HRC 80A KNIFE EDGE DIN TYPE WITH BLADE CONTACT SQUARE BODY HRC 100A KNIFE EDGE DIN TYPE WITH BLADE CONTACT SQUARE BODY HRC 400A KNIFE EDGE DIA TYPE WITH BLADE CONTACT SQUARE BODY 1P 16A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) 1P 32A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) 3P 32A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) 3P 63A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) Note: - (1) Fuse HRC required only Siemens / Bussmann / L&T / Havels Make. (2) MCB required only Havels / Siemens / L&T / Merlin Gerlin / Schnieder / ABB Make.

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8 CHECK LIST (Tender No Due date: ) Annexure-III (Please ensure that following documents/details have been enclosed /accepted) Sl. No. Particulars Status 1 Every page of tender duly signed, stamped and attached. Yes Please tick ( ) 2 Validity of offer 90 days from the tender opening date Yes 3 4 Quoted prices shall be kept FIRM till complete execution of the P.O. Accepted. Following declarations on party letterhead enclosed a) We hereby certify that we have not been blacklisted by any Public Sector Undertaking/Public Department. b)we have gone through the terms and conditions given in your above tender form, is accepted and agreed by us Yes Yes 5 6 Vendor s undertaking on letter head to supply the tendered items uninterruptedly as per monthly/fort nightly delivery schedules of SIL. All prices quoted against individual items in figures and also in words in price bid 7 The delivery term shall be FOR SIL Stores, Yes 8 9 The Payment term shall be 45 days direct credit from the date of receipt of material at SIL. S.I.L. reserves the right to reject any offer due to non-compliance with the above conditions and/or non-receipt of this form in duly filled condition - Agreed Yes Yes Yes Yes 10 For delivery term FOR SIL, Transit insurance shall be at party s end and it should be included in quoted basic rate. Yes 11 Integrity Pact document accepted and Signed by Party Yes Extra in case of New Vendor: a) Company Profile and Brochures, etc - Enclosed. 12 b) Duly filled in Vendor Registration Form - Enclosed. c) Proof of OEM supplier to an automobile manufacturer/general engineering company during the past two financial years.-enclosed Yes

9 Price Bid Annexure IV Sl. No. Material Code Description /1 FUSE HRC 80A KNIFE EDGE DIN TYPE WITH BLADE CONTACT SQUARE BODY /1 FUSE HRC 100A KNIFE EDGE DIN TYPE WITH BLADE CONTACT SQUARE BODY /1 FUSE HRC 400A KNIFE EDGE DIA TYPE WITH BLADE CONTACT SQUARE BODY MCB 1P 16A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) MCB 1P 32A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) MCB 3P 32A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) MCB 3P 63A 230/415V A/C 35 DIN RAIL MTG (C-CURVED) Quantity Required In Nos Basic Rate / Unit (exclusive taxes in Rupees) In digits In words To Be filled by vendor Excise Duty (%) CST against Form C (%) VAT + SAT (%) Note: - (1) Fuse HRC required only Siemens / Bussmann / L&T / Havels Make. (2) MCB required only Havels / Siemens / L&T / Merlin Gerlin / Schnieder / ABB Make. Supplier s Name: Signature of Supplier: Dated: Seal

10 Annexure-V SIL SPECIAL TERMS AND CONDITIONS Criteria for quantity distribution shall be as follows:- Distribution (in %) Item Sl. No. L1 Source L2 Source 1 to The following Special Conditions without any deviation needs to be adhered to. 1. Check list must be filled up and enclosed by vendors. 2. Prices shall be FIRM & FINAL for full supply of order. 3. The payment terms shall be 45 days direct credit from the date of receipt of material at SIL. 4. The supply shall be strictly as per Annexure I. 5. The delivery term shall be FOR SIL Store 6. Rejection, if any, shall be party s account and freight for transaction of rejection shall be borne by supplier (To & fro.) 7. In addition to the above New Vendors shall submit Vendor Registration Form (available in SIL web site along with offer. 8. In case of response by startups without prior turnover and prior experience, the suitability on quality and technical specifications shall be evaluated under vendor development route of the company and if found suitable shall be considered for participation in the future tenders.

11 Annexure-VI PRICE-BID EVALUATION CRITERIA (1) Bid shall be evaluated on the basis of cost to SIL (as per the basis given below), subject to fulfillment of special terms & conditions:- Sl. No. 1 Basic Price 2 Discount (Less) Factors 3 Packing & forwarding 4 Excise Duty 5 CST with or without form 6 UP VAT 7 others 8 Development Tax 9 freight 10 Transit insurance 11 Payment Terms In Days 12 Modvat(Less) 13 UPTC(Less) Excise Duty and UP VAT will be returned to SIL. Cost to SIL = [ ] Landed cost = [ ] Payment term = Factor Applicable* x Landed cost *(2) Quantity distribution 100% On L1 source. The following loading factors shall be applicable w.r.t. different payment terms in number of days for relative evaluation purpose. Sl. No. Payment Term Credit Days Value of Loading factor 1. Credit period(prefered) Credit period 60 (-) Credit period (>) 60 (-) Credit period 30 (+) Credit period 21 (+) Credit period 15 (+) Payment through bank/ COD 0 (+) Advance payment (against Performa Invoice) (-) 45 (+)

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18 Annexure-VIII PROFORMA TO BE FILLED FOR RTGS/NEFT 1. Particulars of Vendor/Contractor: A B C D E Name of the Vendor Vendor PAN No. Contact Person ID for advice Telephone/Mobile No. 2. Particulars of Bank Account: A B C D E F Name of the Bank Name of the Branch Address RTGS/NEFT, IFSC code Bank Account Number 9-Digit Bank& Branch MICR code Bank Telephone No. with STD code I/We hereby declare that the particulars given above are correct and complete. I/We confirm that I/we shall bear the charges, if any levied by our Bank & you Bank for the credit in our above account through RTGS/NEFT the transaction is delayed or lost because of incomplete or incorrect information, we would not hold the company responsible. Authorised Signatory & Stamp Bank Certificate We Confirm that the details given above are correct as per our records. Date:.. Place:. Signature, Code & Stamp of Authorised Bank Official Note: Hard Copy of request Form is acceptable only. Encl.: Cancelled Cheque in original Pan No. photocopy

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Annexure-I. Details of Material. Size & Specifications. SIL Material Code. Sl. No. Required In Nos. Annexure-I Details of Material Sl. No. SIL Material Code Description Quantity Required In Nos. Size & Specifications 1. 890910001 Printing of Annual Report Book nos. of pages 110 approx. 7000 As per specifications

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