Details of Material Annexure-I D. A. Gas 3260 Kg. As per SIL Oxygen Gas 5000 Kg. As per SIL. Sl.

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2 Annexure-I Details of Material Sl. No. SIL Material Code Description Quantity Required Specifications D. A. Gas 3260 Kg. As per SIL Oxygen Gas 5000 Kg. As per SIL - 2 -

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8 CHECK LIST (Tender No. and 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 Quoted prices (tick one option only and cross other) A) Shall be firm during the period of supply - Accepted OR (B) Shall vary as per price variation formula (Refer Annexure VII )- Accepted and Enclosed 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 Price bid-:party to indicate GST. - All column of price bid filled up in the price bid Yes Yes Yes Yes 6 Price quoted shall be in figure and also in words in price bid Yes 7 The delivery term shall be FOR SIL Stores, Yes 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 For delivery term FOR SIL, Transit insurance shall be at party s end and it should be included in quoted basic rate. Yes Yes Yes 11 Integrity Pact document accepted and Signed by Party Yes 12 Cost Sheet ( As per Annexure-VI) filled & attached Yes 13 Declaration that the party is the manufacturer of the items Enclosed Yes Vender to undertake declaration on the letter head about supply of material uninterrupted supplies as per SIL s monthly/ fortnightly delivery schedule Enclosed FOR NEW VENDORS ONLY: (In addition to sl. No. 1 to 14 the following are also applicable) (a) Vendors should attach proof of OEM supplier Yes (b) Filled vendor registration Format.- Enclosed Yes (c ) Company profile and brochure along with documents related to manufacturing and testing facility for the tendered items Enclosed. Yes Yes - 8 -

9 COST SHEET Annexure-IV Name of the Party : Address of the Party : Assembly No. : Part No. : Item Description : Drawing No. : Product (Model) : (A) Material Cost Per Piece: Description Raw Material Specification Raw Material Rate Per Unit Raw Material Input Weight Gross Material Cost Finished Weight Scrap Weight/Part Scrap Rate Credit Scrap Recovery Process Loss Other Directly Purchased Items Number, Quantity & Rate Cost of the above items Enquiry No.: Date : Page : Details Net Material Cost per piece Opn. No. (B) Conversion Cost Per Piece: Process Machine Name Rate/ Unit Base Unit No. of Strokes Conversion Cost(Rs) Net Conversion Cost Per Piece : Other Overheads Description Labour Overhead Cost Inventory Carrying Cost Profit Packing & Forwarding Transportation Excise Duty Sales Tax Net Rate of the Part Strike off where not Applicable. Assembly No. to be filled by SIL. Details - 9 -

10 PRICE BID Annexure-V Tender No. : GSTIN No. : (Please enclose GSTIN Certificate) Sl. No. Material Code Description Quantity Required Basic Rate /unit (exclusive taxes) ( In Rupees) In digits In words TO BE FILLED BY VENDOR HSN Code IGST (%) CGST (%) SGST (%) D. A. Gas 3260 Kg Oxygen Gas 5000 Kg. Date: Signature of Supplier Seal:

11 SIL SPECIAL TERMS AND CONDITIONS Criteria for quantity distribution shall be as follows:- Annexure-VI The following Special Conditions without any deviation needs to be adhered to: 1. Check list must be filled up and enclosed by vendors. 2. The Bidder may opt for FIRM/ PV Clause. However in case of L1/L2 offers FIRM/PV Clause the following scenario /circumstance that may emerged will be addressed as follow :- Sl. No Conditions Remarks Conclusion Distribution (in %) Item Sl. No. L1 Source L2 Source 1 to 2 as on Annexure-IV 70% 30% L1 Firm L2 Firm L1 Firm L2 Price Variation L1 Price Variation L2 Firm L1 Price Variation L2 Price Variation No change in rates during the period of Purchase Order. L1 has to match with L2 rates in case of price decrease of L2 due to raw material rate decrease. L2 has to match with L1 if price of L1 decrease due to raw material rate decrease. In case of price increase due to raw material increase, SIL will not allow any price higher than L2. Prices of both L1 & L2 will be reviewed as per inbuilt Price variation clause. However L1 has to maintain his status as L1 only. In other words, vendor who have emerged L1 at the time of bid opening shall have to maintain their status as L1 in case of invoking of price variation to maintain their allotted share of 70% of tender quantity. However, SIL reserves the right for reallocation of tender quantity in case of price variation and emphasis will only be given for adhering to L1 rates. 3. Vendor should submit prevailing / authenticated Raw Material invoices/ documents for items. 4. The payment terms shall be 45 days direct credit from the date of receipt of material at SIL. 5. The supply shall be strictly as per SIL specifications and Delivery Schedules raised by SIL periodically within the validity span of PO. 6. The vendors are required to submit offer with delivery term on FOR SIL STORE basis only. 7. The quantity distribution shall be made in the ratio L1 : L2 as above. 8. a) New and undeveloped vendors who will participate in the tender enquiry for the subject items shall be dealt by SIL Vendor Development (VD) Deptt. as per policy. The sealed tender document of all the new vendors shall be handed over to VD Deptt. However the bids of partially developed vendors shall be opened by TOC. The developed or partially developed vendors are those who have previously supplied any of the tendered materials vide a valid Purchase order to SIL b) However the quantity considered for developmental order through new vendors will be 25% of the SIL annual requirements. The shortlisting of suitable/ capable parties among new vendors shall be done by the committee constituted by the management of SIL. a) In case of any query the new vendor may visit SIL and contact In-charge of Vendor Development Deptt. 9. Extra for new vendors: a) Vendors should attach proof of OEM supplier. b) Filled vendor registration format has to be enclosed. c) Company profile and brochure along with documents related to manufacturing and testing facility for the tendered items has to be enclosed. 10. In case of response by Startups without prior turnover and prior experience, and MSMEs the suitability on quality and technical specification shall be evaluated under vender development route of the company and if found suitable shall be considered for participation in the future tenders

12 SCOOTERS INDIA LIMITED LUCKNOW PRICE VARIATION FORMULA :( Column B & C to be filled by vendor at the time of submission of offer). Sl. No. Part No. Descriptions Rates Awarded as per P.O D.A. Gas X Oxygen Gas X Input RM Specification Weight / piece (in Kg) Element Ref. RM Rate as prevailing on P.O. date (in Rs.) Ref. RM Rate (*) as on at the time of half year end (in Rs.) Increase per piece Annexure-VII Revised Rate As on.. A B C D E F= Cx(E-D) G= A+Fa+Fb+Fc (a) (b) (c) (a) (b) (c) *CONDITIONS: 1. Price increase/decrease shall be considered only for those elements which are major direct input of components 2. For reference rates only standard parties/news Papers / SIAM DATA/ Office of the Economic Advisor rates/ trends shall be considered. i) Economics Times: - For Copper, Zinc, Tin Brass and Rubber. ii) M/s Upper India Steel, M/s Aarti Steels: - for black Bar Steel required for manufacturing steel forgings. iii) M/s Rastiya Ispat for carbon steel for manufacturing of turn components Nut, Bolt Stud & Pin etc. iv) For Aluminum M/s HINDALCO v) M/s Steel Authority of India:- for Sheet Metal components 3. No increase shall be considered on account of labour and over head etc. 4. Price will be reviewed half yearly in a financial year and will be considered if variation is beyond ± 5%. In any case escalation beyond 10% of the material cost for the whole year shall not be allowed. 12

13 Annexure-VIII 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 for items:- Sl. No. 1 Basic 2 Discount Factors 3 Packing & Forwarding 4 Others 5 Freight (a) (b) Ex-works FOR SIL Lucknow 6 Transit Insurance 7 GST (a) (b) (c) CGST SGST IGST 8 Payment Term (From Table) 9 GST Credit (i.e. total of 7) Total Note: (i) Cost to SIL= [ ] (ii) Landed Cost = (Cost to SIL + 7) - 8 (iii) Payment term = Factor applicable x Landed cost (refer table) Payment Term (in days) (Multiplication factor Landed Cost) Credit days Credit (standard) Credit days Against delivery Advance** ** For illustration only. The loading factor shall be based on no. of days for delivery after advance committed by party.

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20 PROFORMA TO BE FILLED FOR RTGS/NEFT Annexure-X 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 20