No. 13-U-11/12/Disp. Building/MBB/2018 Date: RE-E-Tender Notice

Similar documents
Tele: ,81

TENDER DOCUMENT FOR HIRING OF BUILDING FOR BRANCH OFFICE DHARUHERA

TENDER DOCUMENT FOR HIRING OF BUILDING FOR BRANCH OFFICE RAJIV CHOWK

No. 15/D/11/14/08//2018/Gen. Tender Notice

Director (Medical)Noida

उप क ष त र य क य लय-अ ब ल कर च र र ज य ब र न गर. Re-tender NOTICE INVITING E-TENDER ( )

LIFE INSURANCE CORPORATION OF INDIA MUZAFFARPUR Divisional Office. JEEVAN PRAKASH U.S.PD.MARG, CLUB ROAD MUZAFFARPUR PHONE NO

Website: Ph , Fax

Sr.Divisional Manager LIFE INSURANCE CORPORATION OF INDIA Divisional Office :Jeevan Prakash, Nagpur Road,Madan Mahal,JABALPUR

Tender Document for hiring of office space

Wanted office Premises on Lease.

Divisional Office Cell, 18-A, Rail Head Complex, Jammu Phone No , Fax No

PFC Consulting Limited (A Govt. of India Undertaking) 9 th Floor, Statesman Building, Barakhamba Lane, Connaught Place, New Delhi

Patna Divisional Office-2 Jeevan Ganga, Frazer Road, Patna Telephone No. (0612)

INDIAN INSTITUTE OF FOOD PROCESSING TECHNOLOGY (Ministry of Food Processing Industries, Govt. of India) PUDULKKOTTAI ROAD, THANJAVUR

Faridabad, Haryana p.m on 26th July, p.m. on 26th July, 2016 General Instructions: 350 to 500 Sq. ft. Envelope marked as I

SBI INFRA MANAGEMENT SOLUTIONS PVT. LTD. (WHOLLY OWNED SUBSIDIARY OF SBI) INVITES TENDERS ON BEHALF OF STATE BANK OF INDIA FOR

Notice Inviting Bid/Tender for Leasing of Office Premises at Sector Faridabad Haryana

र ज य च क त स आय क त य ऱय म र र ज य ब म न गम प द प भव, मध य म ग, स क टर 19-ए ड गढ/ CHANDIGARH

TENDER SCHEDULE LIFE INSURANCE CORPORATION OF INDIA DIVISIONAL OFFICE, INDIA LIFE BUILDING 1543/44 TRICHY ROAD, POST BOX COIMBATORE

ATM PREMISES REQUIRED

2 LIFE INSURANCE CORPORATION OF INDIA JEEVAN PRAKASH, DIVISIONALAL OFFICE, 9A, Punithavathiyar Street, Palayamkottai, Tirunelveli Phone :

UCO Bank Zonal Office Ahmedabad PREMISES REQUIRED

IFCI Infrastructure Development Ltd. (IIDL) IFCI Tower, 61, Nehru Place, New Delhi Phone(s): / , Fax:

Electrification and providing Electrical fittings in the proposed Canteen at ESIC Hospital, Ezhukone

LIFE INSURANCE CORPORATION OF INDIA THANJAVUR DIVISION

SBI INFRA MANAGEMENT SOLUTIONS PVT. LTD. (WHOLLY OWNED SUBSIDIARY OF SBI) INVITES TENDERS ON BEHALF OF STATE BANK OF INDIA FOR

India Infrastructure Finance Company Limited Registered Office: 8 th Floor, HT House, 18 & 20, K. G. Marg, New Delhi

Tender for offer of office premises at

DIVISIONAL OFFICE, INDIA LIFE BUILDING 1543/44 TRICHY ROAD, POST BOX COIMBATORE TENDER SCHEDULE LIFE INSURANCE CORPORATION OF INDIA

Details of formalities and documents required for premises. (Advertisement dated )

TENDER DOCUMENT FOR HIRING OF UNFURNISHED GUEST HOUSE ACCOMODATION

TENDER FOR SALE OF BPCL OWNED HOUSING COMPLEX AGRA TECHNO- COMMERCIAL BID

UNITED INDIA INSURANCE COMPANY LTD. REGIONAL OFFICE, SCO , SECTOR-17 B, CHANDIGARH PHONE NO

TENDER FOR HIRING OF PREMISES

Annexure 2 (B) Details for requirement for Urban/ Metro Branches/Offices UCO BANK ZONAL OFFICE PUNE REQUIREMENT OF OFFICE/BRANCH PREMISES

Regional Outreach Bureau (ROB), Ministry of Information and Broadcasting, Pune.

Tender Id: LUC

Indira Gandhi National Open University Regional Centre, G.R.Complex, 3 rd Floor, No , Anna Salai, Nandanam, Chennai

National Institute of Open Schooling(NIOS)

PENSION FUND REGULATORY AND DEVELOPMENT AUTHORITY B-14/A, Chhatrapati Shivaji Bhawan, Qutab Institutional Area Katwaria Sarai, New Delhi

कर मच र र ज य ब र न गर EMPLOYEES STATE INSURANCE CORPORATION उप क ष त र य क य मऱय, प न य SUB REGIONAL OFFICE, PEENYA

KENDRIYA VIDYALAYA, SINGRAULI` DISTT. SINGRAULI, M.P फ़ क सFax फ न न.Ph.No , (O) , (R)

Tender Enquiry inviting offers for Hiring of Office Space for IGNOU Regional Center Nagpur for a period of Three years.

TENDER NOTICE FOR DEWATERING, CLEANING &DESILTING OF ARTIFICIAL LAKE PUSHPA GUJRAL SCIENCE CITY KAPURTHALA (PUNJAB)

STATE BANK OF INDIA PREMISES DEPT., 9 TH FLOOR, STATE BANK BHAVAN, CORPORATE CENTRE, NARIMAN POINT, MUMBAI PREMISES REQUIRED ON LEASE

Bihar State Tourism Development Corporation Ltd., Patna (A Government of Bihar undertaking)

Signature(s)... (Stamp required in case of firm/ company)

WEBSITE ADVERTISEMENT

: Lease Accommodation for Office Space. Tender Ref. No. : PHL/ER/HR&A/OFF/2017 dated 24/02/2017

TENDER ID CHA NOTICE INVITING TENDER (NIT)

BUREAU OF INDIAN STANDARDS

Sealed offers are invited to acquire premises on lease/ rental & ownership basis for alternative Branch premises.

a. Technical bid for hiring office space for CBN, Chennai. b. Financial bid for hiring office space for CBN, Chennai.

LIFE INSURANCE CORPORATION OF INDIA DIVISIONAL OFFICE-II, A-20, ANITA COLONY, NEAR GANDHI NAGAR RAILWAY STATION, JAIPUR (RAJASTHAN)

(a) For decrement values up to Rs.10/-, rounding off may be made to nearest rupee.

APPLICATION FORM FOR ALLOTMENT OF AN APARTMENT

TENDER DOCUMENTS (FOR HIRING OF OFFICE PREMISES FOR BARDHAMAN BRANCH OFFICE III AT BARDHAMAN, WEST BENGAL UNDER BARDHAMAN DIVISIONAL OFFICE.

TERMS & CONDITIONS OF e-tender

Prescribed Date & Time for Uploading by upto A.M. To be downloaded/opened on at A.M.

INVITATION FOR OFFER

Bharat Petroleum Corporation Limited (A Government of India Enterprise) LEASING OF OFFICE SPACE AT NEW DELHI

PREMISES WANTED. 18 Aug 2018 Deputy General Manager

LIFE INSURANCE CORPORATION OF INDIA Bongaigaon Divisional Office, Jeevan Prakash, Barpara, Main Road, Bongaigaon, PIN No

CORRIGENDUM NOTICE NOTICE INVITING TENDER (NIT) PREMISES REQUIRED ON LEASE

Tender. For. Consultancy Services for Auditorium interior works. All India Institute of Medical Sciences, Patna

T+n++- UCO BA}'{K. Old Pune-Mumbai Highway, Opposite Pimpri ). Hayei&e[; 20{8, at 5:30 PM. Town : PUNE. Hindustan Antibiotic Ltd.

Kavoor Towers, Kavoor Junction, Kavoor, Mangalore , Ph: , ,

Tender for Hiring of Commercial Office Space/Premises on long term Lease basis for Marketing Area Office in Kurukshetra.

EXPRESSION OF INTEREST FOR TAKING OFFICE PREMISES ON LEASE AT BANGALORE

No. M-18012/14/2017/SMD/NMCG National Mission for Clean Ganga Ministry of Water Resources, River Development & Ganga Rejuvenation TENDR NOTICE

Star House H-2, Con. Circus, New Delhi Phones: , , New

COVER PAGE OF APPLICATION

भ रत य स चन प र य गक स थ न र च

NOTICE INVITING TENDER FOR LEASE OF GODOWN PREMISES AT KAKINADA IMPORTANT DATES 3 LAST DATE FOR TENDER SUBMISSION : UP TO 1500 HRS

PATNA DIVISIONAL OFFICE I Jeevan Prakash, Mazharul Haque Path, Patna

COVER PAGE OF APPLICATION

IFCI Infrastructure Development Ltd. (IIDL) IFCI Tower, 61, Nehru Place, New Delhi Phone(s): / , Fax:

Wanted office premises on lease

RITES LIMITED APPLICATION FOR ACQUIRING RESIDENTIAL ACCOMMODATION ON LEASE/RENEWAL OF EXISTING LEASE

FORMAT FOR TECHNICAL BID (TB)

Wanted Office Premises on Lease at Nagercoil

OFFICE PREMISES REQUIRED ON LEASE FOR OUR BRANCH OFFICE AT ARMOOR TOWN, NIZAMABAD DIST., TELANGANA

Office of the Regional Director

Notice inviting Expression of Interest for Renting/ Leasing Out space for Establishment of Call Centre cum Control Room

TENDER FOR HIRING of PREMISES FOR BRANCH OFFICE AT MODEL TOWN DELHI. Last date of submission upto Hrs.

Corporation Bank (A Premier Public Sector Bank) Zonal Office, SCO 54-55, Sector 9-D CHANDIGARH Telephone Nos ,

1 Office Space on Lease at Guwahati. Ref. No. Casf Date : Bharat Petroleum Corporation Limited (A Government of India Enterprise)

Sub: - Application for Registration for Provisional Allotment of Flat in your Proposed Group Housing MAPSKO CASA BELLA at Sector 82, Gurgaon, Haryana.

OFFER DOCUMENT HIRING OF PREMISES TWO BID SYSTEM

SBI INFRA MANAGEMENT SOLUTIONS PVT. LTD. STATE BANK OF INDIA, ADMINISTRATIVE OFFICE, GROUND FLOOR, 5 NEHRU PLACE, TONK ROAD, JAIPUR

UNITED INDIA INSURANCE CO. LTD.

BANK OF BARODA BARODA CORPORATE CENTRE MUMBAI

UCO BANK सम म न आपक व श व स क

E - AUCTION SALE NOTICE PUBLIC NOTICE FOR E-AUCTION FOR SALE OF IMMOVABLE PROPERTIES

LIFE INSURANCE CORPORATION OF INDIA Lucknow,Divisional Office. Form No.

TENDER FOR HIRING OF OFFICE PREMISES FOR SO AT NASHIK

No.70-D/11/14/16/1/17-Genl Dated: RE- E -TENDER FOR HIRING OF OFFICE PREMISES AT VISAKHAPATNAM

WEBSITE ADVERTISEMENT

Section A OFFICE OF THE DISTRICT INSPECTOR OF SCHOOLS (SECONDARY EDUCATION), KOLKATA BIDDING DOCUMENTS FOR FILING OF E-TDS CORRECTION RETURN

Transcription:

Regional Office Employees State Insurance Corporation Panchdeep Bhawan, Sector-16, Faridabad Tele: 0129-2222981,81 E-mail: rd-haryana@esic.nic.in, vinkumdu@esic.nic.in. No. 13-U-11/12/Disp. Building/MBB/2018 Date: 17-01-2019 RE-E-Tender Notice Sl. No. 1. The Regional Director, ESIC, Faridabad, Invites sealed tenders from the interested and eligible tenderers for hiring of leased accommodation for ESIS Dispensary/ESIC Dispensary-cum-Branch office at location of (1) MEDU, Mullana Ambala, (2) Dhulkot, Ambala, (3) Dispensary No. 1, Civil Hospital, Jagadhari, (4) Dispensary No. 2, Sec-17 or 18, Jagadhari, (5) Dispensary No. 4, Kansapur Road, Yamunanagar, (6) Dispensary No. 5, Paper Mill Colony, Yamunanagar, (7)Dispensary No. 1, Model Town, Panipat, (8) Dispensary No. 2, Nangal Kheri, Panipat, (9) Barhi, Sonipat & (10) Bahadurgarh (DCBO) for the period of 3 Years which can be extended for a further period on mutual consent. Name and location of Hiring of Building for ESIS Dispensary/DCBO/MEDU Earnest Money Deposit (EMD) Required Areas 1 MEDU, Mullana ambala Rs. 5000/- 200 sq.mtr (approx) 2 Dhoolkot (Ambala). Rs. 5000/- 200 sq.mtr (approx) 3 Dispensary No. 1, Civil Hospital, Jagadhari 4 Dispensary No. 2, Sec- 17 or 18, Jagadhari 5 Dispensary No. 4, Kansapur Road, Yamunanagar 6 Dispensary No. 5, Paper Mill Colony, Yamunanagar Rs. 5000/- Rs. 5000/- Rs. 5000/- Rs. 5000/- 200 sq.mtr (approx) 200 sq.mtr (approx) 200 sq.mtr (approx) 200 sq.mtr (approx) 7 Dispensary No. 1, Rs. 5000/- 200 sq.mtr (approx) Model Town, Panipat 8 Dispensary No. 2, Rs. 5000/- 200 sq.mtr (approx) Nangal Kheri, Panipat 9 Barhi, Sonipat Rs. 5000/- 400 sq.mtr (approx) 10 Bahadurgarh (DCBO) Rs. 5000/- 300 sq.mtr (approx) Last Date of Receiving of sealed tender bids 18/02/2019 (13:00 PM) Date of technical Tender Opening 18/02/2019 (14:00 PM) 1

2. The interested tenderers can upload their bids along with duly signed scanned copies of all relevant certificates, documents etc., in support of their technical & financial bids on the website https://esictenders.eproc.in or can drop their bids document directly in the tender box at Reception ESIC Regional Office, Sector-16, Faridabad. The basis of evaluation of Tender will be based on online/offline bids submitted by the tenderers. Any bid submitted online or Offline will be considered at par. 3. The interested applicant must have to submit separate application for each location. 4. A copy of Physical Documents duly filled-in shall also be deposited in the tender box, in case of online bid submission, provided at Reception, Regional office, ESI Corporation, Panchdeep Bhawan, Sector-16, Faridabad, Haryana by 18/02/2019 (13:00 PM) along with the Earnest Money Deposit (EMD) of Rs. 5000.00 (Five thousand Only) in the form of Demand Draft drawn in favour of Regional Director ESIC Faridabad payable at Faridabad. 5. Tender document is available for viewing/downloading on the tenders link of the website Employees State Insurance Corporation i.e. www.esic.nic.in 6. Any corrigendum to this tender will be notified through aforesaid websites only. Selection of the successful bidder, will be at the sole discretion of the Regional Director, Regional Office, Faridabad who reserves the right to accept or reject any or all the proposals without assigning any reasons. 7. Technical Bids will be opened at the Regional Office ESIC Faridabad at 18/02/2019 (14:00 PM) Financial bids in respect of only qualified bidders will be considered after physical inspection of premises by Hiring Committee. The date of opening of financial bids will be informed to the qualified bidders by Telephone and email accordingly. 8. For all other practical purposes, Both re-e-tender and offline tender shall be considered for evaluation. 9. Validity of Bid/tender will be 90 days. However, In special circumstances the extension of validity is solely discretion of competent authority. Date: Signature of the Tenderer with seal 2

Important Instructions for Bidders regarding Online Payment All bidders/contractors are required to procure Class-IIIB Digital Signature Certificate (DSC) with Both DSC Components i.e. Signing & Encryption to participate in the ETenders. Bidders should get Registered at https://esictenders.eproc.in. Bidders should add the below mentioned sites under Internet Explorer -> Tools -> Internet Options -> Security -> Trusted Sites -> Sites of Internet Explorer : https://esictenders.eproc.in https://www.tpsl-india.in https://www4.ipg-online.com Also, Bidders need to select Use TLS 1.1 and Use TLS 1.2 under Internet Explorer -> Tools -> Internet Options -> Advanced Tab -> Security. Bidder needs to submit Bid Processing Fee charges of Rs. 2495/- (non-refundable) in favour of M/s. C1 India Pvt. Ltd., payable at New Delhi via Online Payment Modes such as Debit Card, Credit Card or Net Banking for participating in the Tender. Bidders can contact our Helpdesk at https://esictenders.eproc.in/html/support.asp 3

List of Documents to be attached/uploaded with Bid :- 1. Copy of PAN Card of owner/landlord. 2. Copy of Aadhar Card of owner/landlord. (Optional) 3. Plan approved by the competent authority. 4. Clearance certificate from fire authority. (Optional) 5. Copy of latest Municipal Property/House Tax receipt. (Optional) 6. Copy of latest Electricity Bill receipt (Sanctioned electric load of 4 KVA) 7. Copy of Latest Water Supply bill receipt. 8. Undertaking from owner/bidder as per Annexure-B. 9. Copy of tender documents duly signed and stamped. (Blank Price bid Form) 10. Any other technical document, if required. (Optional) 11. Copy of clearance certificate/no Objection Certificates from all the relevant Central/State. 12. Copy of Layout Map of the Building with owner s signature. 13. Copy of cancelled bank cheque of bank account. 4

GENERAL CONDITIONS 1. Facilities required to be provided by the Owner/Lesser a) Covered area of the Dispensary building/dispensary cum Branch Office Building should 200/300/400 sq mtr (approx) as specified para No. 1 of Tender document Building/Property should preferably located on main road and ground floor and easily accessible by local transport. b) The building should be fit for office use. c) Easy accessibility- The approach road of building should be at least 20 ft. wide. d) The premise should have electrical fixtures such as switches, power points, Proper earthing provisions for computers, A.C. Split/Window A.C. etc. e) There should be a provision for sufficient water supply. f) The building should have adequate security cover to protect the Government Property. g) The building should have toilet facilities separately for ladies and gents. h) All mandatory clearances required should be available for the building. i) The owner of the property shall arrange earthing of following parameters (i) Phase to Neutral 220 V -240 V. (ii) Phase to earth 220 V -240 V. (iii) Neutral to earth below 2 volts. (j) The successful bidder shall provided the building in ready condition as per requirements given above within one month of acceptance of the bid. 2. After screening of the technical bids, short-listed landlords will be informed by the ESI Corporation for arranging site-inspection of the offered premises. After site inspection, the price bids of the offers considered to be suitable for the ESI Corporation shall alone be opened. The date, time and venue of opening of price bid will be intimated separately. 3. The monthly rent quoted should include charges/taxed and assessment as applicable at the time of commencement of lease and nothing beyond the quoted rent mentioned in the bid shall be paid by ESIC. 5

4. The owner/land lord will have to construct partitions required for dispensary s or Dispensary-cum-Branch office requirement and make modification/alterations in the premises if so desired by the ESIC at his own cost before handing over possession to the ESIC. Permission/approval required if any regarding additions/alterations/modifications of the premises shall be obtained by the owner/landlord at his own cost from the concerned local authorities. 5. The owner shall provide a separate electric meter, separate water meter and sewerage connections at his own cost before handing over possession to the ESIC. These connections should be in the name of the owner/landlord and all the dues have to be cleared before handing over the premises to ESIC. The consumption charges of water supply, Electric and Sewerage shall be paid by the ESIC from the date of occupation of the Building by ESIC as per the respective Meter Reading. 6. If additional electric power load is required by the ESIC later on (I.e. after taking over possession with electric load of required capacity) within the lease period, the same shall be arranged by the owner/landlord at ESIC s cost. 7. Lease agreement will be executed to the entire satisfaction of ESIC. The registration charges, stamp duty for registration of lease deed will be borne by the owner/landlord only. 8. ESIC shall have the right to carry out any additional necessary alteration/modification or make such structure or other changes to/in the premises as may be required by it for the purpose of its work, provided that the ESIC shall not make any permanent structural alternations incapable to being reversed or which would render incapable the restoration of the premises to its original positions without the consent in writing of the owner/landlord(s) but such consent shall not be unreasonably withheld in the case of such alteration as shall be necessary or required by ESIC for the purpose of better amenities and carrying on its working effectively. However, the ESIC shall have all rights to make temporary alteration in the demised premises and to erect temporary partitions, cabins, counters etc. to carry out its working effectively. 6

9. ESIC shall have the right to install satellite dishes/communication towers and other communication equipments etc. as deemed necessary by the ESIC. ESIC can place sign boards, hoarding/publicity materials, ACs etc. in the terrace for its working activities and the owner/landlord will have no objection of any kind whatsoever and shall not claim any compensation or additional rent. 10. The ESIC shall have the right to install generator sets for carrying its working business effectively. 11. Painting of the premises including front and back verandas, kitchen, bath rooms, toilets, boundary wall, the entire exterior faced and painting or polishing of all doors, windows, ventilators, grills etc. as may be desired by the ESIC will be carried out by the owner/landlord every two years within the lease period. In case the owner/landlord fails to do so, the ESIC shall have the right to arrange it at the cost of the owner/landlord every two year and deduct the amount from the rent payable or that may become payable, or otherwise recovered from the owner/landlord. 12. Whenever necessary, the owner/landlord(s) will carry out necessary repairs of the building from time to time within reasonable period and in the event of failure or neglect or default on the part of the owner/land lord to carry out or effect necessary repairs, it will be optional for ESIC either to terminate the lease or to retain the occupation of the demised premises or part thereto or the make or effect or carry out the necessary repairs of the premises, after a due notice to the owner/landlord and to deduct, the expenses to incurred along with interest etc. from the rent which is payable to become payable or otherwise recover from the owner/landlord. No rent will be payable for the period during which the ESIC is deprived of the use of the demised premises or part thereof due to the failure, neglect or default of the owner/landlord to carry out the necessary repairs of the demised premises. 13. During the currency of the lease agreement the owner/landlord shall not transfer mortgage, sell or otherwise create any interest in the premises leased to the ESIC with any party affecting ESIC s right of occupation and any of the terms of the lease without written consent of the ESIC. 7

14. That if the landlord is desirous of making any addition to the building is shall be ensured by him that no access/approach by whatever means is made from the demised portion or by encroaching upon the open spaces which have been herein above make available to the exclusive use of the ESIC. 15. If the demised premises at any time during the said terms or any extension thereof damaged, destroyed or rendered uninhabitable by fire, earthquake, cyclone, tempest flood, violence of any army of mob or other irresistible force, then in such case it shall be optional with the ESIC to determine the lease period or to retain occupation of the demised premises, if the ESIC so desires without any diminution of rent hereby reserved and in such cases, ESIC is not liable to pay for any such damage or destruction caused to the Building/Premises or for any repair works also. 16. The ESIC shall have the right to terminate the lease prematurely or surrender whole of any part of the premises to the owner/landlord by giving two month notice in writing. The right to terminate the lease before the expiry of lease period will vest only the ESIC. 17. The ESIC after the expiration of the said terms or extension thereof (if agreed mutually) will deliver possession of the demised premises to the owner/landlord in the nearly same condition as at the time of commencement of lease with normal wear & tear, and damage by fire, earthquake, cyclone, tempest, flood, violence of any army or mob or other irresistible force. This condition shall not be construed to render the ESIC liable to do any repairs of any kind to the demised premises. The ESIC shall be at liberty to remove at any time or at the time of vacating the premises, all furniture, fixtures and fittings including strong room doors, FBR ventilators, lockers, safe, counters etc installed in the premises and the owner/landlord shall not claim any compensation. Date: Signature of the Tenderer with seal 8

FINANCIAL BID Annexure- A2 HIRING OF PREMISES TO ESIC DISPENSARY/ DISPENSARY-CUM-BRANCH OFFICE AT (1) MEDU, Mullana ambala, (2)Dhulkot, Ambala, (3) Dispensary No. 1, Civil Hospital, Jagadhari, (4) Dispensary No. 2, Sec-17 or 18, Jagadhari, (5) Dispensary No. 4, Kansapur Road, Yamunanagar, (6) Dispensary No. 5, Paper Mill Colony, Yamunanagar, (7)Dispensary No. 1, Model Town, Panipat, (8) Dispensary No. 2, Nangal Kheri, Panipat, (9) Barhi, Sonipat & (10) Bahadurgarh (DCBO) (To be submitted in a separate sealed envelope super scribed Financial Bid ) I/We offer the premises owned by me/us for Dispensary at :.. Rent per Sq.ft. of floor area : Rs. (In Words) : (Floor area is the covered area to be measured after excluding the portions of walls, columns, staircase, Balcony, Porch etc.) Signature of the Owner(s) Name(s) Contact No.(s) Phone No. Email ID The financial bid will inter-alia include: i. The rent demanded per sq.ft. (Carpet area/covered area etc.) for the entire space offered. The rent offered should be inclusive of property tax or any other tax required to be paid by the property owners. ii. The period of lease should be for 3 years duration and extendable on mutual consent on yearly basis/ 2 years period. iii. iv. The rent of the accommodation offered is inclusive of all taxes/charges excluding water/electricity charges. The monthly rental rate per sq.ft. in Rupees of the carpet are of the accommodation offered should be quoted. Income Tax/TDS will be deducted at the same prevailing rate. Free parking space should be provided/made available for visitors/working Staff. v. The ESI Corporation reserves the right to accept or reject any or all the offers without assigning any reason thereof. Date: Signature of the Tenderer with seal 9

TECHNICAL BID Annexure-A1 OFFER FOR ACCOMODATION Offer for hiring premises to ESIS Dispensary/Dispensary-cum-Branch office at (1) MEDU, Mullana ambala, (2)Dhulkot, Ambala, (3) Dispensary No. 1, Civil Hospital, Jagadhari, (4) Dispensary No. 2, Sec-17 or 18, Jagadhari, (5) Dispensary No. 4, Kansapur Road, Yamunanagar, (6) Dispensary No. 5, Paper Mill Colony, Yamunanagar, (7)Dispensary No. 1, Model Town, Panipat, (8) Dispensary No. 2, Nangal Kheri, Panipat, (9) Barhi, Sonipat & (10) Bahadurgarh (DCBO). (To be submitted in a separate sealed envelope super scribed as TECHNICAL BID ) I/We being(s) offer the premises for ESIS Dispensaries at.. 1. Complete Address of the building offered for rent: 2. Super Area of Property 3. Covered Area of Property a) Carpet Area b) Total Covered Area c) No. of Rooms and dimensions thereof d) No. of Toilets. 4. Distance (in kms) from the Main Road (Specify road and its width) 5. Copy of Plan approved by the Competent Authority 6. Latest Municipal tax receipts, if applicable 7. Ownership Proof (Registry/allotment letter etc.) 8. Latest Water Supply bill Receipts. 9. Clearance/ No Objection Certificates from all the relevant Central/State/Municipal Authorities and fire department. 10. Layout map of the Building with owner s signature 11. Sanctioned electricity load of 4 KVA (Attach copy of latest paid Electricity Bill.) 12. Contact Details of owner: a) Telephone/ Mobile No. b) Email I.D. c) Address for correspondence d) Income tax PAN Date: Signature of the Tenderer with seal 10

ANNEXURE-B (Format of undertaking to be submitted along with Tender) UNDERTAKING 1. I, the undersigned, hereby declare and affirm that I have gone through the terms and conditions mentioned in the tender document and undertake to comply with all the terms and conditions. 2. That the rates quoted by me are valid and binding upon me for the entire period of contract. 3. That the earnest money of Rs / deposited by me vide Banker Cheque/ Demand Draft No. dated.is attached herewith. 4. That I/We authorize Regional Director, ESIC to forfeit the Earnest/Security money deposited by me/us, if any delay of failure to provide rented building to the satisfaction of the ESI Corporation within the stipulated time. 5. I/We also declare that there is no Government/Municipal restrictions barring the letting of the proposed building on rent and I/We am/are the legal owner of the proposed building. 6. I have been informed that the Regional Director has the right to accept or reject any or all the tenders without assigning any reason thereof. 7. I/we hereby undertake that our party/firm is never debarred or blacklisted form any Govt./Autonomous/Private or any other organization. 8. I/We hereby undertake that there is not pending legal case or liability towards me/ us from any Authorities under any law/act. Date: Signature of the Tenderer with seal 11