DETAILED INVITATION FOR BIDS

NTPC Ltd.

(A Govt. of India Enterprise)

(EASTERN REGION (II) , HEAD QUARTERS (ERHQ-II))

INVITATION FOR BIDS (DCB)

FOR

BI-ENNIAL JOB CONTRACT FOR “RUNNING , MAINTENANCE & CATERING SERVICES OF TRANSIT CAMP & OFFICE OF GAJAMARA STPP

AT

GAJAMARA , DISTRICT DHENKANAL , STATE OF ODISHA, INDIA (Domestic Competitive Bidding)

NIT No.: BI No.40034737 Date: 27/03/2015

1.0 NTPC Ltd invites Online Bids on Single Stage Two Part bidding basis (Part – I : Techno-Commercial Bid & Part – II : Price Bid) from eligible bidders for Bi-ennial job contract for “ running , maintenance & catering services of Transit Camp & office of Gajamara STPP “ at Gajamara , Distt. Dhenkanal , Odisha, as per the Scope of Work mentioned hereinafter.

2.0 Brief Scope of Work

1.The requirement of work would be to provide pantry services at Site Office of NTPC Gajamara as well as maintenance and catering of Transit Camp consisting of 03 rooms. Provision of Caretaking of Transit Camp, facilitating accommodation, Housekeeping and allied services for comfortable stay of employees/guests of NTPC Limited and Catering are the main activities of this contract. Besides, Pantry services (Tea/Coffee/Snacks etc.) is to be provided in the office of NTPC Gajamara which is located in the building of the Transit Camp and its adjacent building. The scope shall however not be limited to the above functions only but all other functions reasonably required for the professional management of the Transit Camp. The agency shall provide all consumables like vim powder, nylon scrubbers and liquid soap etc. for manual wash and appropriate floor cleaning agents for cleaning of the rooms and common areas including toilet cleaners. The agency will also provide the housekeeping tools like the brooms, wipers, dusters etc. required to keep the rooms, toilets, common areas and kitchen area clean. The agency will provide standard toiletries including toilet paper, paper napkin etc. at its own cost. The Fuel for cooking (LPG) will be arranged by the agency at their own cost.Water and electricity for the functioning of the guesthouse shall be in the scope of NTPC.

GAJAMARA SUPER THERMAL POWER PROJECT (2X800 MW)

BI NO. 40034737

Running & Mainenance of Transit Camp & Office , GSTPP

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DETAILED INVITATION FOR BIDS

3.0

4.0 Detailed specification, scope of work and terms & conditions are given in the bidding documents which are available for examination and sale at the address given below as per the following schedule:

------------------------------------------------------------------------------------------------------------------------------------ BI No. : 40034737

Documents Sale Dates & Timings : 31.03.2015 to 14.04.2015

(from 1000 hrs to 22 30 hrs. (IST))

Last Date for receipt of queries for : 18.04.2015 clarification from prospective Bidders

Bid Receipt Date & Time for : Upto 22.04.2015 by 1530 hrs (IST) Techno-Commercial Bid and

Price Bid

Bid Opening Date & Time : 22.04.2015 at 1600 hrs (IST)

for Techno-Commercial Bid

Bid Opening Date & Time : Shall be intimated separately by for Price Bid NTPC.

Cost of Bidding Document: : Rs.450/- (Rupees Four hundred fifty only)

EMD Amount : Rs 26,000.00

------------------------------------------------------------------------------------------------------------------------------------

6.0 A complete set of Bidding Documents may be downloaded by any interested Bidder on payment (non-refundable) of the cost of the documents as mentioned above in the form of a crossed account Payee demand draft in favour of NTPC Ltd., Payable at BHUBANESWAR or directly through the payment gateway at our SRM Site (https://etender.ntpclakshya.co.in/sap/bc/gui/sap/its/bbpstart). For logging on to the SRM Site, the bidder would require vendor code and SRM user id and password which can be obtained by submitting a questionnaire available at our SRM site as well as at NTPC tender site (www.ntpctender.com). First time users not allotted any vendor code are required to approach NTPC at least three working days prior to Document Sale Close date along with duly filled in questionnaire for issue of vendor code and SRM user id/password.

GAJAMARA SUPER THERMAL POWER PROJECT (2X800 MW)

BI NO. 40034737

Running & Mainenance of Transit Camp & Office , GSTPP

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DETAILED INVITATION FOR BIDS

7.0 Qualifying Requirements for Bidder

In addition to satisfactory fulfillment of the Qualifying requirements stipulated in section ITB ( instruction to bidders) of bid documents, the bidder should also meet the qualifying requirements stipulated hereunder:

7.1 The bidder must have experience of Running, Maintenance and catering Services of Guest House / Transit Camp / Management Training Institute of Central Govt. Deptts/ PSUs/Large Organizations of repute/ 2 Star (or above star) Hotels for last 3 years ending 31st March ,2014

7.2 Average Annual financial turnover during the last 3 years, ending 31st March of the previous financial year, should be at least Rs 03.80 Lakhs

AND

7.3 Experience of having successfully completed similar works during last 7 years ending last day of month previous to the one in which applications are invited should be either of the following:

a) three similar completed works, each costing not less than the amount equal to Rs 5.0 lakhs or

b) two similar completed works, each costing not less the amount equal to

Rs 6.30 lakhs or

c) one similar completed work costing not less than the amount equal to Rs 10.00 lakhs.

“Similar Completed Works’ means “Running, Maintenance and catering Services of Guest House / Transit Camp / Training Institute of Central Govt. Deptts/ PSUs/Large Organizations of repute/ 2 Star (or above star) Hotels having minimum 04 no of rooms during the last seven years”

Note:-

Further, for completed similar works, agency shall submit copies of work-order along-with successful completion certificate, (TDS if applicable) as a documentary proof, otherwise bid may be summarily rejected. The completed cost of the work may be updated @ 8% compounded for each completed year ending March 31’.Bidders should attach self attested certificates along with tender on the date of the submission for assessing pre-qualification.The Bidder should submit Documentary proof related to minimum requirements as stated above along with the bid.It may also be noted that lowest bidder has to produce original certificates for verification before award of the work

GAJAMARA SUPER THERMAL POWER PROJECT (2X800 MW)

BI NO. 40034737

Running & Mainenance of Transit Camp & Office , GSTPP

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DETAILED INVITATION FOR BIDS

GENERAL TERMS & CONDITIONS:

8.1 The Bidder may be a proprietary firm, Partnership firm, Limited Company, Registered Cooperative Society, Corporate body legally constituted possessing the required licenses, registrations etc as per law valid at least for 12 months from the date of the opening of tender.

8.2 Bidder shall provide documentary evidence of Service Tax, VAT registration, PF registration, ESIC registration (wherever applicable) and power of attorney at the time of bidding. Necessary registration with local bodies under Shops & Establishment Act or other applicable acts of State / Central Govt. authorities for providing Catering /Guesthouse related activities, if applicable, shall be obtained by the agency before commencement of work and submitted to EIC for verification.

8.3 Bidders shall provide such evidence of their continued eligibility, satisfactory to the

Company, as the Company shall reasonably demand any time within the currency of the contract.

8.4 The Bidder shall submit attested copies of original documents defining the constitution or legal status, place of registration, and principal place of business; written power of attorney of the signatory of the Bid to commit the Bidder; along with the bid.

CONTRACT ELIGIBILITY CRITERIA:

Further, the contract eligibility includes the following:

9.1 Experience on similar completed works executed during the last seven years; and details like monetary value, clients, proof of successful completion.

9.2 Documentary evidence of adequate financial standing, Certified by Bankers, Audited Profit & Loss A/c and Balance Sheet, Annual turnover in last three years, access to adequate working capital. In case where audited results of last(preceeding) financial year is not available, certificate of financial statement from a Chartered Accountant shall also be considered acceptable)

9.3 On the Guest House contract works of NTPC, the agency shall deploy its own regular employees and no subcontracting, in any form is allowed. Key personnel available and proposed to be engaged for management and supervision of the, Guest House/Transit Camp, their qualifications and experience - Valid certificates by a recognized University, technical Board or Ministry of Government of India would only be taken cognizance of.

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9.4 The minimum qualification and experience* of the personnel proposed to be engaged may be as under-

Manager- Diploma in Hospitality Management or Hotel Management with min 3 years of

experience

Or

Graduate with min 7 years of experience

Or

12th pass with min 10 years of experience.

Supervisor- Graduate and min 2 years of experience

Or

12th pass and min 5 years of experience

Cook- 8th Pass and min five years experience

Bearer-8th Pass and min 2 years of experience

Sweeper/Cleaner/Housekeeping Staff –Literate (At least should be able to speak and read local languages).

*- experience should be in Guest House / Transit Camp / Management Training Institute

of Central Govt. Deptts/ PSUs/Large Organizations of repute/ 2 Star (or above star) Hotels

Further, the character and antecedent report of the personnel proposed to be engaged should be clean. It shall be the responsibility of the agency to submit to NTPC, such verification report in respect of the staff proposed to be engaged, from a statutory authority, before deployment of the person on the work.

9.5 Information regarding projects in hand, current litigation, orders regarding exclusion/expulsion or black listing, if any.

10.0 GUIDELINE for Participation in SRM/ E- tender:

Access To Tender Document:

This is an e- tender case. Tender document can be accessed / downloaded from NTPC website after paying the stipulated tender fee.Please ensure that you have the vendor code, user ID and password to log on to our e-tender portal. In case you do not have either vendor code or user ID and Password, please contact NTPC well in time as mentioned hereunder:

Initial steps for participating in our E-tender is as per the table mentioned below:

GAJAMARA SUPER THERMAL POWER PROJECT (2X800 MW)

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Running & Mainenance of Transit Camp & Office , GSTPP

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DETAILED INVITATION FOR BIDS

Type of Vendor

Required Document for viewing our tender document

Vendors already having E-tender User Id and Password

Before download/ viewing the tender document, bidder has to pay requisite tender fee either through payment gate way by clicking on “pay tender fee” after loging in our SRM site or send crossed Demand draft / Pay order/Bankers cheque in favour of NTPC Limited payble at Bhubaneswar, directly to us , which should reach us at least seven working days prior to Last Date of Tender Fee Payment.

Vendors already having NTPC Vendor Code, but not having E-tender User Id and Password

1. Duly filled Annexure-1 (format available in Guidelines to Bidders on the e-tender website given below) should reach us at least five working days prior to Last Date of Tender Fee Payment.

2. Before download/ viewing the tender document, bidder has to pay requisite tender fee either through payment gate way by clicking on “pay tender fee” after login in our SRM site or send crossed Demand draft / Pay order/Bankers cheque in favour of NTPC Limited payble at Bhubaneswar directly to us , which should reach us at least seven working days prior to Last Date of Tender Fee Payment.

New Vendor neither having any NTPC vendor code nor

any E-tender User Id and Password

1. Duly filled Annexure-2 (format available in Guidelines to Bidders on the e-tender website given below) and PAN card scanned / photo copy (Self Attested) along with the detailed address should reach us at least seven working days prior to Last Date of Tender Fee Payment.

2. Before download/ viewing the tender document, bidder has to pay requisite tender fee either through payment gate way by clicking on “pay tender fee” after login in our SRM site or send crossed Demand draft / Pay order/Bankers cheque in favour of NTPC Limited payble at Bhubaneswar directly to us, which should reach us at least seven working days prior to Last Date of Tender Fee Payment.

Note:

1. The agency can login e-tender site (SRM login site) for participation in our tendering after complying to above. The agency can reach our e-tender site SRM login site) directly through below mentioned address.

https://etender.ntpclakshya.co.in/sap/bc/gui/sap/its/bbpstart

They can also reach our e-tender site (SRM login site) through www.ntpctender.com and clicking on Login (e-Tender).

2. Digital Certificate (Class III) is a must for vendors desiring to participate in this tender. For further details regarding this please visit the link “GUIDELINES TO BIDDERS” in NTPC E-Tender Website. NTPC won’t be responsible for any vendor not having a suitable valid digital certificate.

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Running & Mainenance of Transit Camp & Office , GSTPP

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Document to be submitted to Project –in-Charge (AGM-C&M-ERIIHQ) in sealed envelope ( offline) is as under:

Envelope must contain Earnest Money Deposit (EMD) and be superscribed “EMD/ Original bid security for the work of “for Bi-ennial job contract for “ running , maintenance & catering services of transit Camp & Office of Gajamara STPP ”, NIT No 40034737 , DT.27/03/2015 due on date: 22.04.2015 from ____________________________________________ (Name and Address of bidder).

NOTE: The EMD must be submiited/received by us prior to technical bid opening date , otherwise their technical bid shall not be opened.

B) TECHNICAL BID (Online submission): Technical (un-priced) Bid comprising of required documents as mentioned in Attachment -A of bid document along with required supporting documents shall be strictly uploaded online in C-folder as per instructions provided in “Instruction to Bidder-E-procurement” and Bidder’s Manual /Guidelines available on NTPC E-tender website.

Sequence of operations in brief for uploading in "C" folder:

Login Process bid bid no change General Data

unpriced bid collaboration button Attach in 'C' folder

Bidder should submit all the relevant documents in support of Qualifying Requirements and other conditions stipulated in the tender documents and technical details. No offline submissions of above mentioned documents are acceptable.

Original documents for verifications shall be produced as and when called for.

C ) PRICE BID (Online submission): The PRICE bid shall be submitted online by quoting prices of all the items as per instructions provided in “Instruction to Bidder-E-procurement” and Bidder’s Manual /Guidelines available on NTPC E-tender website. Prices submitted / uploaded elsewhere shall not be considered for evaluation.Following procedure must be followed while submitting price bid online.

Rate shall only be filled in " item data - condition" as same are to be considered for evaluation bid .

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Running & Mainenance of Transit Camp & Office , GSTPP

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Sequence of operations in brief for filling of Amount in " item data – condition"

Login Process bid bid no change Item Data

Click on item no. click on condition botton Fill the amount & save (i.e hold button)

The online bidding system will not allow bid submission after the respective specified expiry date and time. Bidders are advised to make sure that the bid submission is completed well in advance before the stipulated time for bid submission.

D.TENDER OPENING

Tenders shall be opened online as follows:

a) First Part of Opening:

EMD (received offline) will be opened as and when received before the technical opening date.

Technical Bid (QR documents / Technical offer as per attachments mentioned in Attachment -A ) shall be opened online on the scheduled day only of the bidders whose EMD are found in line with our requirements as mentioned in the tender documents.

Note:

i. All the supporting documents should have at least certified / attested by the bidder.

ii. After opening of Technical-bids, the documents submitted by the bidders against QR conditions will be scrutinized. NTPC reserves the right to seek clarifications / confirmations on Technical Bid during the evaluation of same (i.e. before opening the Price Bid) and the bidders shall furnish the details within a short period of time.

The bidders shall produce the original documents for verification of NTPC, as & when called for.

iii. In case the bidder fails to submit the documents in support of meeting the qualifying requirement (QR), the offer shall be liable for rejection. Offer of the bidder not fulfilling the QR shall be rejected and the bid security shall be returned.

b) Second Part of Opening:

The price bids of only those parties shall be opened who are found qualified after evaluation of the first part bid, for which separate intimation will be sent to such qualified bidders.

GAJAMARA SUPER THERMAL POWER PROJECT (2X800 MW)

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c) OTHER CONDITIONS

1. Earnest money deposit (EMD):

(A) The EMD offered shall, at bidders option, be in the form of (i) A Crossed Demand Draft/Pay Order/Bankers Cheque in favour of NTPC Limited payable at, Bhubaneswar or (ii) an unconditional and irrevocable Bank Guarantee (BG) from any of the banks specified in the bidding documents. The format of Bank Guarantee towards bid security shall be in accordance with the ‘Proforma for BG’ included in the bidding documents. EMD for an amount less than or equal to Rs. 50,000.00 shall not be accepted in the form of Bank Guarantee.

(B) The bid security shall remain valid for a period of forty five (45) days beyond the original bid validity period or beyond any extension in the period of bid validity subsequently requested

(C) ANY BID NOT ACCOMPANIED BY AN ACCEPTABLE BID SECURITY IN A SEPARATE SEALED ENVELOPE SHALL BE REJECTED BY THE EMPLOYER AS BEING NON-RESPONSIVE AND SHALL NOT BE OPENED.

(D1)NSIC / SSI units registered with OSID (Odisha) for the items / services for which such units are registered, shall be exempted from payment of Tender Fee/Bid Security / Earnest Money Deposit. Eligible NSIC/SSI units shall be exempted from paying Security Deposit (SD) up to the monetary limit for which the unit is registered with NSIC/ OSIDC. This shall be subject to submission of a self certified legible copy of valid registration certificate giving details, such as ‘items / services for which registered, validity, monetary limits etc’ in the EMD envelope. This should reach us before stipulated bid opening Date.

D2)Tender document will be issued free of cost to Micro and Small Enterprises. Such Enterprises are not required to submit EMD, however they have to submit copy of Enterprise Memorandum II issued by DIC/Registration Certificate issued by khadi and village Industries Commission/Coir board/NSIC/Directorate of handicrafts and handloom or any other body specified by Ministry of Micro, Small and Medium Enterprises GOI

E) Notwithstanding anything stated above, NTPC reserve the right to assess bidder’s capability and capacity to perform the contract, should the circumstance warrant such assessment in overall interest of the owner.

F. NTPC reserves the right to reject any or all bids or cancel / withdraw the Notice Inviting Tender without assigning any reason whatsoever and in such case no bidder / intending bidder shall have any claim arising out of such action. In such circumstances, EMD only shall be returned without any additional financial liability to NTPC Limited.

G. Tender documents are not transferable. Issuance of tender documents does not automatically mean that the bidders are considered qualified. NTPC shall evaluate the qualifying requirements of each bidder as per NIT after opening of Technical Bid and the Price bids of the bidder who is not meeting the qualifying requirements shall not be opened.

H. If the last date of receiving application and date of bid opening coincides with a holiday, the date will be shifted to the next working day.

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I.Above details are only indicative. Other detailed terms and conditions shall be as per our tender documents. Interested bidders are advised to visit the site and familiarize themselves with the site conditions.

J.Parties blacklisted/ banned by any NTPC Unit/ Corporate Centre as well as other Public Sector/ Govt. agencies are not eligible to participate.

(NOTE: Earlier NIT No. 40029426 is cancelled)

Help Desk (problem related with Login ID / C- Folder attachment ):

In case of any problem related with login ID / password & C- Folder, vendors may pl contact on following nos. Helpdesk Contact Nos. 0120-2952319 or 0120-2597319 or 0120-2410252 or 2410259 or 0120-2410306 or 9650992097 or 9650991941 or 9650996029

Contact details of concerned person at NTPC ERHQ II , Bhubaneswar :

a) P K Samantaray (AGM/ C&M ), E-mail Id :pksamantray@ntpc.co.in,

Ph: 9437043529

b) D P Pradhan (AGM/ C&M ), E-mail Id :dppradhan@ntpc.co.in,

Ph: 9437043570

ADDRESS FOR COMMUNICATION:

ADDITIONAL GEN. MANAGER(C&M) , NTPC LTD , EASTERN REGION (II) , HEAD QUARTERS (ERHQ-II) ,PLOT NO. N/17/2 , ORISSA LIFT IRRIGATION BHAWAN (OLIC BLDG.) , 3RD & 4TH FLOOR , PO: NAYAPALLI , BHUBANESWAR – 751012, ORISSA PHONE NO. 0674-2500946, 9437043529 FAX NO: 0674-2500906

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SALIENT TECHNICAL FEATURES

Subject: Bi-ennial job contract for “ running , maintenance & catering services of transit Camp & Office of Gajamara STPP

Gajmara STPP,Dhenkanal (Orissa) (of 2 X 800 MW) is one of the premier Power Project of Flagship Power major NTPC Ltd. and located at a distance of about 07 Kms, from NH-42 and about 15 Kms from Dhenkanal Town of Orissa.

Dhenkanal Town : Around 110 Km from Bhubaneswar Railway Station & 120 Km from Bijupattnaik Airport , Bhubaneswar

The requirement of work would be to provide pantry services at Site Office of NTPC Gajamara as well as maintenance and catering of Transit Camp consisting of 03 rooms. Provision of Caretaking of Transit Camp, facilitating accommodation, Housekeeping and allied services for comfortable stay of employees/guests of NTPC Limited and Catering are the main activities of this contract. Besides, Pantry services (Tea/Coffee/Snacks etc.) is to be provided in the office of NTPC Gajamara which is located in the building of the Transit Camp and its adjacent building. The scope shall however not be limited to the above functions only but all other functions reasonably required for the professional management of the Transit Camp. The agency shall provide all consumables like vim powder, nylon scrubbers and liquid soap etc. for manual wash and appropriate floor cleaning agents for cleaning of the rooms and common areas including toilet cleaners. The agency will also provide the housekeeping tools like the brooms, wipers, dusters etc. required to keep the rooms, toilets, common areas and kitchen area clean. The agency will provide standard toiletries including toilet paper, paper napkin etc. at its own cost. The Fuel for cooking (LPG) will be arranged by the agency at their own cost.Water and electricity for the functioning of the guesthouse shall be in the scope of NTPC.

Annexure No 1

Request for Login ID on NTPC e-Tender.

If you are already a supplier/contractor of NTPC, and interested in participating in e-tenders of NTPC, please fill in the following form.

Form B

For Existing Venders:

Existing Vender Code with NTPC: _______________

Phone Number: ____________________ Extn: _________________

Email ID:_______________________________________________________

Contact Person’s Name: ___________________________________________

Designation: _______________________________________________

Bid Invitation number interested in: _________

DD/BC/Pay Order details as tender fee: Issuing Bank: _____________________________

No: _____________ Date of Issue: __________

Amount: _________ DD/BC/Pay Order Valid till: __________

Address and other detail (Only in case of change)

Name: ___________________________________________________

Address: ___________________________________________________

___________________________________________________

___________________________________________________

State: _________________ City: ____________________

Country: ______________

Pin: _________________

Telephone NO: _______________ Extn: ________

Fax Number: _______________

Email ID: ___________________________________________________

Your Company’s Bank Name _______________________________________

Account Number: ____________________________________

Branch: _____________________________________________

Address: ____________________________________________

_____ ______________________________________

Note: Tender fee payment can be given through DD/BC/Pay Order or payment Gateway. In case the option of DD/BC/Pay Order is opted should be in favor of “NTPC Ltd” payable at the ordering location mentioned in the Bid invitation.

Request for Login may be sent through E-mail or manually sent to Package in charge / Contact person as mentioned in the Bid Invitation.

Annexure No 2

Request for Login ID on NTPC e-Tender.

If you are not a supplier/Contractor of NTPC, and interested in participating in e-tenders in NTPC, please fill in the following.

Form A

New Vender (prospective)

Name: ___________________________________________________

Address: ___________________________________________________

___________________________________________________

___________________________________________________

State: _________________ City: _______________________

Country: ______________

Pin: _________________

Telephone NO: _______________ Extn: ________

Fax Number: _______________

Email ID: ___________________________________________________

Your Company’s Bank Name _______________________________________

Account Number: ____________________________________

Branch: _____________________________________________

Address: _____________________________________________________

________________________________________________________

PAN number: ___________________________________________________

CST number: ___________________________________________________

Excise Regn Number: _____________________________________________

SSI Number: ___________________________________________________

Contact Person’s Name: ___________________________________________

Designation: _____________________________________________

Bid Invitation number interested in: __________________

DD/BC/Pay Order details as tender fee: Issuing Bank: _____________________________

No: _____________ Date of Issue: __________

Amount: _________ DD Valid till:__________

Note: Please download, print and fill up this form & Submit it to the Package in charge/ Contact person as mentioned in the Bid Invitation along with the DD/BC/Pay Order of required amount & a cancelled cheque & EFT form duly filled in as attached herewith. DD/BC/Pay Order should be in favor of “NTPC Ltd” payable at the ordering location mentioned in the Bid Invitation.

Request for Login may be sent to Package in charge / Contact person as mentioned in the Bid Invitation.

ANNEXURE-2A

E.F.T- Form

(TO BE RETURNED TO THE COMPANY)

To,

NTPC Limited.

Talcher Super Thermal Power Station

P.O.: - Deepshikha, Dist: Angul, (Orissa)

Pin- 759 147

Dear Sir,


Ref: AUTHORISATION OF ALL OUR PAYMNETS THROUGH ELECTRONIC FUND

TRANSFER SYSTEM.

We hereby authorize NTPC Ltd., Scope Complex, Lodi Road, New Delhi to make all our payments through Electronic Fund Transfer system. The details for facilitating the payments are given below:

(TO BE FILLED IN CAPITAL LETTERS)

1. NAME OF THE BENEFICIARY

2. ADDRESS

PIN CODE:

3. MOBILE NO:

4. BANK PARTICULARS

A) BANK NAME

B) BANK TELEPHONE NO. (WITH STD CODE)

C) BRANCH ADDRESS

PIN CODE

D) BANK FAX NO. (WITH STD CODE)

E) BRANCH CODE OF THE BANK

F) 9 DIGIT MICR CODE OF THE BANK BRANCH

(ENCLOSE COPY OF A CANCELLED CHEQUE)

G) 11 DIGIT IFSC CODE CODE OF THE BANK BRANCH

H) BANK ACCOUNT NUMBER

I) BANK ACCOUNT TYPE (TICK ONE)

SAVING

CURRENT

LOAN

CASH CREDIT

OTHERS

IF OTHERS SPECIFY

5. PERMANENT ACCOUNT NUMBER (PAN)

6. E-MAIL Address for Intimation regarding release of payments

I/ We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or credit is not erected at all for reasons of incomplete or incorrect information, I/ We would not hold the Company responsible.

SIGNATURE

DATE

(AUTHORISED SIGNATORY)

Name :

OFFICIAL STAMP

BANK CERTIFICATION:

It is certified that above mentioned beneficiary holds a bank Account No. _________________ with our branch and the Bank Particulars mentioned above are correct.

SIGNATURE

DATE

(AUTHORISED SIGNATORY)

Authorization No.: ……………………………………..

Name: