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Annexure - XVI - EIL

Annexure - XVI. FORMAT: PDD- HE- 01. SUPPLY LIST FOR HEAT EXCHANGERS AS PER TEMA. Supplier name: Empty weight (kg). Metallurgy &Thickness in mm Welded Grooves/. thickness (mm). Date of supply Tube to Tube Scope of Expanded /. Tube sheet Sheet joint, Welded TEMA Shell service: TEMA Thermal/ Inspection Client Plant Unit Service Class Diameter Type Tube Mechanical/ Authority R/C/B Shell Tube Channel (mm). sheet Fabrication FORMAT: PDD- PV- 01. SUPPLY LIST FOR PRESSURE VESSELS/COLUMNS / REACTORS. Supplier name: Code Metallurgy & Size Rolled Of Date of supply Item Diameter construction Inspection Nozzles Description & Shell Empty Contractual Client Project Service Flanges Qty Value Authority (ASME, BS, Shell D/End Thickness Weight delivery date IS etc.) (mm). FORMAT: PDD- V- 01. SUPPLY LIST FOR VALVES. Supplier name: Valve Service conditions S. Date of supply Temperature Client Project Qty.

Annexure - XVI FORMAT: PDD- HE- 01 SUPPLY LIST FOR HEAT EXCHANGERS AS PER TEMA Supplier name: Client TEMA Plant Unit Service Class

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Transcription of Annexure - XVI - EIL

1 Annexure - XVI. FORMAT: PDD- HE- 01. SUPPLY LIST FOR HEAT EXCHANGERS AS PER TEMA. Supplier name: Empty weight (kg). Metallurgy &Thickness in mm Welded Grooves/. thickness (mm). Date of supply Tube to Tube Scope of Expanded /. Tube sheet Sheet joint, Welded TEMA Shell service: TEMA Thermal/ Inspection Client Plant Unit Service Class Diameter Type Tube Mechanical/ Authority R/C/B Shell Tube Channel (mm). sheet Fabrication FORMAT: PDD- PV- 01. SUPPLY LIST FOR PRESSURE VESSELS/COLUMNS / REACTORS. Supplier name: Code Metallurgy & Size Rolled Of Date of supply Item Diameter construction Inspection Nozzles Description & Shell Empty Contractual Client Project Service Flanges Qty Value Authority (ASME, BS, Shell D/End Thickness Weight delivery date IS etc.) (mm). FORMAT: PDD- V- 01. SUPPLY LIST FOR VALVES. Supplier name: Valve Service conditions S. Date of supply Temperature Client Project Qty.

2 Inspection Authority User's feedback Remarks No. Pressure Material Rating Type Fluid Size FORMAT: PDD- G- 01. SUPPLY LIST FOR GENERAL ITEMS. Supplier name: Item Description /. Contact Technical Process Fluid Contractual Client / Project Site PO No. Quantity / Inspection Reasons for person & Parameters, Size / / Delivery Date of supply Site Location & Date Value Authority Delay Details Rating, Material Application Date Specifications PDD RM 01. Testing / Overall Assembly / system Service and Manufacturing Engineering Inspection/Location/ system Development Support Despatch point Guarantee EIL Item Code &. Sr No Item (MODEL NO , series ) Major Components If done inhouse Remarks Description If done inhouse If done inhouse If done inhouse If done inhouse mention self , else Specify mention self ,else mention self ,else mention self ,else mention self , else specify sub Self /.

3 Specify sub vendor specify sub vendor specify sub vendor specify sub vendor vendor Name & Principals Name & Location Name & Location Name & Location Name & Location Location 1. 2. 1 3. 4. Add Rows if required INCASE OF CERTIFICATION BY STATUTORY AUDITORS THIS FORMAT SHALL BE USED. FORMAT-A. COVERING LETTER ON LETTER HEAD OF STATUTORY AUDITOR/ CHARTERED. ACCOUNTANT. To, Date: Sub: Certificate regarding .. Dear Sir, We .. (name of Statutory Auditor/Chartered Accountant) are the Statutory Auditor/Chartered Accountant of M/s .. (name of supplier). We hereby confirm that we have issued following certificate: 1. Supplier Certificate Form - B. 2. Supplier Form C. 3. Form - D. Thanking You, (Signature). Place : Name of Authorised Signatory Date : Membership no.: Encl: As above Note: Supplier whose accounts are not audited by auditors as per Law/Jurisdiction, Certification from a Chartered Accountant (not being an employee or a Director or not having any interest in the Supplier's Company / Firm) to be submitted.

4 INCASE OF CERTIFICATION BY STATUTORY AUDITORS THIS FORMAT SHALL BE USED. FORMAT - B. Certificate from the Statutory Auditor regarding Supply of Goods/ Works/ services Based on books of accounts and other published information authenticated by it, this is to certify that : 1. PO/FOA/LOA was/were awarded to ..(name of the supplier) and executed as per information mentioned in Supplier Form - C. 2. It is certified that order(s) has/have been executed end user has provided the satisfactory performance feedback(s) as per details mentioned in Form-C. 3. Supporting document for the information mentioned in Supplier Form - C has been verified with original documents. Name of Audit Firm/: [Signature of Authorized Signatory]. Chartered Accountant: Designation: Date: Name: Seal: Membership no. Encl: 1. Supplier Form - C (number of pages -----). 2. Supporting documents for Supplier Form - C (number of pages---).

5 INCASE OF CERTIFICATION BY STATUTORY AUDITORS THIS FORMAT SHALL BE USED. FORMAT C. Sl. Client/ Contact Site PO No. Item Process Quantity Inspection Contractual Insp. Release Date of Date of End user Major No. Project Site Person & Location & Date Description & Fluid & & Authority Delivery note no. and supply commission feedback Reasons Details Technical Application Value Date date -ing ref. no. for Parameters, Delay Size & Rating, *. Material Specifications Name of Audit Firm/ [Signature of Authorized Signatory]. Chartered Accountant : Name: Date: Designation: Seal: Membership no. Note: Copies of following supporting documents to be attached: a) PO/FOA. b) Technical Spec/Drg. c) Inspection release note d) End user feedback e) Any other documents required to be meeting qualification criteria. 1. All pages of supplier Form -C shall be stamped and signed by statutory auditor.

6 *State not applicable INCASE OF CERTIFICATION BY PUBLIC NOTARY THIS FORMAT SHALL BE USED. FORMAT-A. COVERING LETTER ON COMPANY LETTER HEAD. To, Date: Sub: Certificate regarding .. Dear Sir, We .. (Name of Authorised Signatory) are the Authorised Signatory of M/s .. (name of supplier). We hereby confirm that we have certifying the following certificates: 1. Supplier Certificate Form - B. 2. Supplier Form C. 3. Form - D. Thanking You, (Signature). Place : Name of Authorised Signatory Date : Encl: As above. INCASE OF CERTIFICATION BY PUBLIC NOTARY THIS FORMAT SHALL BE USED. FORMAT - B. Certificate from the Authorised Signatory regarding Supply of Goods/ Works/ services This is to certify that : 1. PO/FOA/LOA was/were awarded to ..(name of the supplier) and executed as per information mentioned in Supplier Form - C. 2. It is certified that order(s) has/have been executed end user has provided the satisfactory performance feedback(s) as per details mentioned in Form-C.

7 3. Supporting document for the information mentioned in Supplier Form - C has been verified with original documents. [Signature of Authorized Signatory]. Place : Designation: Name: Date : Seal: Encl: 1. Supplier Form - C (Number of pages ). 2. Supporting documents for Supplier Form - C (Number of pages ). INCASE OF CERTIFICATION BY PUBLIC NOTARY THIS FORMAT SHALL BE USED. FORMAT -C. Sl. Client/ Contact Site PO No. Item Process Quantity Inspection Contractual Insp. Release Date of Date of End user Major No. Project Site Person & Location & Date Description & Fluid & & Authority Delivery note no. and supply commission feedback Reasons Details Technical Application Value Date date -ing ref. no. for Parameters, Delay Size & Rating, *. Material Specifications [Signature of Authorized Signatory]. Place : Designation: Name: Date : Seal: Note: 1. Copies of following supporting documents duly notarized to be attached: a) PO/FOA.

8 B) Technical Spec/Drg. c) Inspection release note d) End user feedback e) Any other documents required to be meeting qualification criteria. 2. All pages of supplier Form -C shall be stamped and signed by authorized signatory. *State , if not applicable THIS IS MANDATORY TO FURNISH IN CASE OF CERTIFICATION BY PUBLIC NOTARY. FORMAT- E. AFFIDAVIT. AFFIDAVIT OF .., S/o D/o ., resident of .. EMPLOYED AS . WITH.. HAVING OFFICE AT ..PIN .. I, the above named deponent do hereby solemnly affirm and state as under:- 1. That I am the authorized representative and signatory of M/s .. 2. That the document (s) submitted, as mentioned hereunder, by M/s .. alongwith the enlistment application no.. dated .. for trade category .. has / have been submitted under my knowledge. Sr. Document Reference no. & date Document subject Issuing Authority No. 3. That the document(s) submitted, as mentioned above, by M/s.

9 Alongwith the enlistment application for meeting the Qualification Criteria there under, vide application no.. dated .., for trade category .. are authentic, genuine, copies of their originals and have been issued by the issuing authority mentioned above and no part of the document(s) is false, forged or fabricated. 4. That no part of this affidavit is false and that this affidavit and the above declaration in respect of genuineness of the documents has been made having full knowledge of (i) the provisions of the Indian Penal Code in respect of offences including, but not limited to those pertaining to criminal breach of trust, cheating and fraud and (ii) provisions of bidding conditions which entitle the Owner / EIL to initiate action in the event of such declaration turning out to be a misrepresentation or false representation. 5. I depose accordingly. DEPONENT. VERIFICATION.

10 I, .. the deponent above named do hereby verify that the factual contents of this affidavit are true and correct. No part of it is false and nothing material has been concealed there from. Verified at .. on this .. day of .. DEPONENT. FORMAT-D. FORMAT FOR STATUTORY AUDITOR / CHARTERED ACCOUNTANT. CERTIFICATE FOR FINANCIAL CAPABILITY OF THE SUPPLIER. (For Supply of Goods/ Works/ services ). We have verified the Annual Accounts and other relevant records of M/s .. (Name of the Supplier) and certify the following A. ANNUAL TURNOVER OF LAST 3 FINANCIAL YEARS : Year Amount (Currency). Year Year Year B. FINANCIAL DATA FOR LAST AUDITED FINANCIAL YEAR : Description Year .. Amount (Currency). Net Worth (Paid up Share Capital + share application Money pending allotment* + Reserves Accumulated Losses Deferred Revenue Expenditure to the extent not written off). *Share Application Money pending allotment will be considered only in respect of share to be allotted.


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