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2 Central Coalfields Limited (A Subsidiary of Coal India Limited) Materials Management Department Darbhanga House,RanChi ( Jharkhand), India Ph: (PBX): / ;GM (MM) / Fax (91) (0651) Website: Online bidding website: CORRIGENDUM Tender Sl. No. : 207 dtd Tender Ref No.: Tender ID: CCL/MMD/HQ(S&IC)/SKS/OMTI/ _CCL_60169_1 Sub : Annual Policy for Open Marine Transit Insurance. Reference to above, the Tender ID in Annexure-A & Annexure-B is to be corrected to read as 2017_CCL_60169_1 in place of existing entry(2017_ccl_58397_1)_. The revised corrected Annexure-A & Annexure-B is attached herewith which is replaced to the issued NIT. Page 1 of 4

3 Annexure-A (This format is to be downloaded & printed on LETTER HEAD OF except the filling the required information) BIDDER without any modification To The Tender Committee MM Department CCL, Ranchi Sub: Letter of Bid Ref: 1. NIT No. : CCL/MMD/HQ(S&IC)/SKS/OMTI/ Tender Id No. : 2017_CCL_60169_1 3. Offer Reference No. (Optional) :.. Dear Sirs, I/We offer to supply the material as per our offered rate/price in accordance with the conditions of the NIT document as available in the website. This Bid and your subsequent Supply/Purchase Order shall constitute a binding contract between us. I/We hereby confirm our acceptance of all the terms and conditions of the NIT document unconditionally. If any information furnished by me/us online towards eligibility in this tender is found to be incorrect at any time, penal action as deemed fit may be taken against me/us f or which I/we shall have no claim against CCL. N.B: The following details as per registration with NIC portals to be furnished: If the bidder himself is the DSC holder (Furnish following details as per registration with CIL portal): Name of the DSC holder: Designation of DSC holder in the company Registered/Corporate Address Correspondence E mail Id: Contact Number (Landline. Mobile No. Fax : a. If the physical signatory in Annexure B(affidavit/undertaking) uploaded by the DSC holder digitally signing the bid is not the bidder himself ( Attach/Upload Power of Attorney or letter of authority to digitally signed the bids on behalf of bidder with letter of Bid ) Name of the DSC holder: Login Id/ E mail Id of the DSC holder: Contact Number of DSC holder (Landline. Mobile No of DSC holder. Name of the person & designation signing the Annexure B Correspondence E mail Id of the company: Mobile no. : Fax : ` Page 2 of 4

4 ANNEXURE-B PROFORMA FOR AFFIDAVIT TO BE SUBMITTED BY THE BIDDER Non Judicial Stamp Paper (minimum value of Rs.10). AFFIDAVIT I/We, , authorized representative of M/s.. Solemnly declare that: 1. I/We am/are submitting T e n d e r for Annual Policy for Open Marine Transit Insurance against NIT No. CCL/MMD/HQ(S&IC)/SKS/OMTI/ dated vide Tender ID 2017_CCL_60169_1. 2. All i n f o r m a t i o n furnished by me/us on-line in r e s p e c t of f ulf il lme nt of elig ib il it y criteria and qualification information of this Tender is complete, correct and true. 3. All scanned copy of documents uploaded by me / us in support of the information furnished online by me / us towards eligibility are valid and authentic. 4. * I/We have never been banned or delisted by any Govt. or Quasi Govt. Agency or any Public Sector Undertaking. OR I/We have been banned by the organization named.. for a period of. year/s, effective from.. to 5. * I/We are a Micro/ Small Enterprise covered unde r the provision of Micro Small a nd Medium Enterprises Act 2006 and registered with the authority of the State Government. OR I/We are not covered under the provision of Micro Small and Medium Enterprise Act, I/We further confirm that, we are not engaging and will not engage any child labour in any of the activities for which I/we are participating in the tender. In case it is reported & proved that child labour is engaged by me/us, imposition of 10% of the contract value & blacklisting of my/our firm by CCL is acceptable. 7. If any information furnished by me / us online and scanned copy of documents uploaded in support of the information furnished online by me / us towards eligibility is found to be fake / incorrect at any time, Central Coalfields Ltd. may cancel my Tender and penal action as deemed fit may be taken against me /. * Strike out whichever is not applicable Signature & Seal of the Tenderer Dated.. Signature & Seal of Notary Page 3 of 4

5 Page 4 of 4

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