Premises Department

Head Office

EMPANELMENT DOCUMENT
APPLICATION FOR EMPANELMENT OF
ARCHITECTS/ CONSULTANTS,
CONTRACTORS & SUPPLIERS/ VENDORS
FOR THE PERIOD 2012-2014

APPLICATION ISSUED TO: M/S.___________________________________________

ISSUE OF APPLICATION FORM : FROM 22/03/2011TO 29/04/2011

SUBMISSION OF APPLICATION FORM : ON OR BEFORE 30/04/2011

Please note to submit your application as early as

possible which will enable us to complete the
process expeditiously

State Bank of Mysore,

Premises Department, Head Office,
K.G. Road, Bangalore-560009.
Ph:080-22375309, fax: 080-22375304

State Bank of Mysore Empanelment -2012-2014 Page 2 of 18

STATE BANK OF MYSORE
Premises Department
Head Office
Advt. No: 79

Date: 22/03/2011

APPLICATION FOR EMPANELMENT OF ARCHITECTS/ CONSULTANTS,

CONTRACTORS & SUPPLIERS/ VENDORS FOR THE PERIOD 2012 TO 2014.

State Bank of Mysore invites applications for empanelment of (I) Architects/

Consultant (II) Contractors (III) Contractors( Miscellaneous works) & (IV)
Suppliers/ Vendors under different category & grade such as (I) Architects/
Consultant : (1)Civil & Sanitary Works (2) Electrical (3) Interior Works & (4) Air
Conditioning (II) Contractors: (1) Civil & Sanitary Works, (2) Interior Works, (3)
Electrical Works (4) Water-proofing Works (5)Data networking (6)Telephone Works
& (7) A/C Works (III) Contractors for Miscellaneous Petty Repair & Maintenance
works: (1) Civil & Sanitary Works, (2) Interior Works, (3) Electrical Works (IV)
Suppliers/ Vendors: for (1)Air Conditioning, (2)Steel/ Wooden Furniture,
(3)Modular Work-Station, (4)Electrical fittings and fixtures, from reputed and
competent agencies fulfilling the prescribed eligibility criteria and other conditions.

The eligible agencies can obtain the empanelment document from our office, during
working days 10.30AM to 5.00 PM on payment of processing fee of Rs.500/- (nonrefundable) in the form of Demand Draft only drawn in favour of State Bank of Mysore
payable at Bangalore. The empanelment document may also be downloaded from our
website www.statebankofmysore.co.in. However, while submission of application the
specified fee should be enclosed.

The sealed envelop containing application duly completed in all respect superscripted as
Application for empanelment ___(category & grade to be mentioned)____ along
with fee of specified amount should be submitted to the below mentioned office on or
before 30/04/2011.

Those who are already in our panel should also apply afresh.Those who are
empanelled already but not applied to any of our tender notification for the past 2
years need not apply.The Bank reserves the right to accept or reject any application

State Bank of Mysore Empanelment -2012-2014 Page 3 of 18

without assigning any reasons whatsoever. Decision of Bank at all stages of empanelment
process will be final.
Sd/Asst. General Manager (Premises)
State Bank of Mysore, Head Office,
K.G. Road, Bangalore-560254.
Ph:080-22375309, fax: 080-22375304 (E-mail: agmremises@sbm.co.in),

State Bank of Mysore Empanelment -2012-2014 Page 4 of 18

APPLICATION FOR EMPANELMENT OF ARCHITECTS/ CONSULTANTS,
CONTRACTORS & SUPPLIERS/ VENDORS FOR THE PERIOD 2012 TO 2014.
ELIGIBILITY CRITERIA & EMPANELMENT GRADE

S.No

Category

Given below are the estimated value (in Rs) of a work for
which the firm can participate
Grade-AA Grade-A Grade B Grade C Grade D

(I) Architects/ Consultant

(1)Civil & Sanitary Works
(2) Electrical

500 Lacs
50 Lacs

100Lacs
30 Lacs

50 Lacs
15 Lacs

25 Lacs
7 Lacs

N.A
3 Lacs

(3) Interior work

(4) A/C.Works

100 Lacs
50 Lacs

50 Lacs
30 Lacs

25 Lacs
15 Lacs

N.A
N.A

N.A
N.A

(1) Civil & Sanitary Works,

(2) Interior Works,

500Lacs
100 Lacs

100Lacs
50 Lacs

50 Lacs
25 Lacs

25 Lacs
10 Lacs

5 Lacs
5 Lacs

(3) Electrical Works

50 Lacs

30 Lacs

15 Lacs

7 Lacs

3 Lacs

(4) Water-proofing Works

NA

10 Lacs

5 Lacs

2 Lacs

1 Lac

(5)Data networking

NA

10 Lacs

5 Lacs

2 Lacs

1 Lac

(6) Telephone
(7) A/C Works

15 Lacs
50 Lacs

5 Lacs
25 Lacs

2 Lacs
15 Lacs

1 Lac
10 Lacs

0.5 Lac
N.A

(1) Air Conditioning

50 Lacs

25 Lacs

15 Lacs

10 Lacs

N.A

(2) Steel/ Wooden Furniture

(chair/ table/ sofa/ almirah)

N.A

25 Lacs

15 Lacs

7 Lacs

3 Lacs

(3) Modular Work-Station,

N.A

30 Lacs

15 Lacs

10 Lacs

5 Lacs

(4) Electrical fixtures

N.A

10 Lacs

5 Lacs

2 Lacs

1 Lac

(II) Contractors:

(III) Suppliers/ Vendors:

1. The average annual financial turnover of the applicant during the last 3 years, ending
31st March 2011, should be at least 30% of the grade limit applied for and also should
have successfully completed similar work (in the respective category applied for) as
per the following manner during the last 5 years (i.e. prior to 28/02/2011) for
Govt./Public Sector Undertakings/ Banks/ reputed public/ private sector / multinational
companies/institutions.

State Bank of Mysore Empanelment -2012-2014 Page 5 of 18

APPLICATION FOR EMPANELMENT OF ARCHITECTS/ CONSULTANTS,

CONTRACTORS & SUPPLIERS/ VENDORS FOR THE PERIOD 2012 TO 2014.
One work costing 80% of the value mentioned in the grade limit applied for
OR
Two works each costing 50% of the value mentioned in the grade limit applied for
OR
Three works each costing 40% of the value mentioned in the grade limit applied for
2. (a) In respect of AC suppliers the agency should be an authorized dealer for
the make of AC dealing with.
(b) In respect of AC contractors the contractors should have dealership of
approved manufacturers as well as should have executed specified value of works
of approved makes.
3. In respect of modular workstation vendors, the agency should have their own
manufacturing/ factory unit as well as installation setup.
4. In respect of electrical fixture, the agency should be an authorized dealer for the make
of fixture dealing with.
5. In respect of network data cabling vendors, the agency should be an authorized dealer
and should have authorization for certification of the make of the data cable dealing
with.
6. The selection of the firms under different category will be based on fulfilling the
eligibility criteria mentioned above for the respective categories. However, the ability
and competence of the applicant to render required services within the specified time
frame will be a major factor while deciding the empanelment of the firms.

7.

In respect of the Miscellaneous repair works, the applicant must have successfully
taken up and completed repair works as per the following manner during the last 3
years (i.e. prior to 28/02/2011) for Govt./Public Sector Undertakings/ Banks/ reputed
public/ private sector / multinational companies/ institutions.
All works put together for a year costing at least Rs. 2 Lacs ( for fresh applicants).
All the existing contractors who take up the repairs/ maintenance of our Bank can
apply without any financial turnover restrictions.

INSTRUCTIONS & GUIDELINES FOR SUBMISSION OF APPLICATION FORM

FOR EMPANELMENT
1. This application for empanelment is for a period of 3 years (2012 to 2014).
2. Application form for empanelment shall be submitted in sealed envelope super
scribing Application for empanelment _(category & grade to be mentioned)_
The application shall be submitted strictly as per the format enclosed (Annexure I
to V). In case of the miscellaneous repair works, the application shall be submitted

State Bank of Mysore Empanelment -2012-2014 Page 6 of 18

APPLICATION FOR EMPANELMENT OF ARCHITECTS/ CONSULTANTS,

CONTRACTORS & SUPPLIERS/ VENDORS FOR THE PERIOD 2012 TO 2014.
enclosing Annexure II, IV &V compulsorily. Each application shall be submitted
along with documentary proof with respect to the details furnished in the
application form regarding eligibility criteria. In this regard, copies of the work
order and completion certificate/ TDS certificates or any such documents which
supports the category , grade & eligibility applied for. Incomplete application or
application without proper proof for establishing their credentials will be
summarily rejected and no correspondence will be entertained in this regard.
3. The application shall be signed by the person/s on behalf of the organization
having necessary Authority/ Power of Attorney to do so. Copy of Power of
Attorney / Memorandum of association (Wherever applicable) shall be furnished
along with application.
4. If the space in proforma is insufficient for furnishing full details, such information
may be supplemented on a separate sheet stating therein the part of proforma and
serial number. Separate sheets may be used for each part of application. While
filling up the application with regard to list of important projects completed or on
hand the applicant shall only include major works handled by the firm.
5. Applications containing false and / or inadequate information are liable for
rejection, besides action for misrepresentation. Canvassing of any sort may also
disqualify the applicant.
6. The applicant is required to sign the empanelment document as token of
acceptance of the contents mentioned there at by himself or through an authorized
signatory duly enclosing the power of attorney / authorization letter.
7. The empanelment shall be made for a specific category and grade. However, the
firm empanelled for a specific category in higher grade shall be eligible for the
works in the lower grade of the same category.
8. The applicant should not have any discouraging/adverse report against their past

performance.
9. The applicant who intends to apply for more than one category, have to apply for
each category separately using the same application form. Photocopies of the
format can be used for various categories of work by the same applicant.
10. The Bank shall approach the applicants clients, corporations, organizations, etc. to
verify the applicants general reputation / competence.
11. The Bank reserves the rights to accept or reject any application without assigning
any reason.
12. Clarifications, if any required, may be obtained from The Asst. General Manager
(Premises) State Bank of Myosre, Head Office, K.G. Road, Bangalore-09..

State Bank of Mysore Empanelment -2012-2014 Page 7 of 18

APPLICATION FOR EMPANELMENT OF ARCHITECTS/ CONSULTANTS,

CONTRACTORS & SUPPLIERS/ VENDORS FOR THE PERIOD 2012 TO 2014.

13. The Bank reserves the right to amend the selection criteria depending upon the
applications received in response to the Advertisement and Banks other
requirements.
14. The Bank reserves right to accept or reject any or all the application without
assigning any reasons whatsoever and decision of the Bank in regard to selection
of the firm shall be final.

Signature of the applicant

Name & Designation :
PLACE:
DATE:

State Bank of Mysore Empanelment -2012-2014 Page 8 of 18

(Format of application forwarding letter)

To
The Asst. General Manager (Premises)
State Bank of Myosre,
Head Office,
K.G. Road, Bangalore-09..

Ref:

Application for empanelment as __________.

Dear Sir,

I / we have read and understood the instructions and the Terms & Conditions
mentioned in the empanelment document. I / we do hereby declare that the
information furnished in the application and the supplementary sheets are correct
to the best of my knowledge and belief.

Signature of applicant with seal

Name:
Designation:
Address:

Place
Date:

State Bank of Mysore Empanelment -2012-2014 Page 9 of 18

EMPANELMENT APPLICATION FORMAT
(INFORMATION TO BE FURNISHED BY THE APPLICANTS)
Category of work and grade applied for:
Category: ____________________________________Grade : ___________

1.

Name of the Organisation

2.

Address with telephone no. and

e-mail address if any.

Address

Telephone Nos.

Fax No.
E-mail ID :
3.

Year of establishment
(enclose incorporation certificate)

4.

Status of the firm

(Enclose copy of status of firm)

5.

Name of Directors/ Partners/ Proprietor

: To be filled in Annexure - I

6.

Name and address of Bankers

: To be filled in Annexure - II

7.

Important major projects executed during

last three years by the firm together with
approximate cost of individual projects and
full address of the clients for whom the
works have been executed

: To be filled in Annexure - IV

8.

Important major projects on which the firm

is engaged at present and their estimated cost
the full address of clients shall be indicated
against each project.

: To be filled in Annexure - V

Proprietorship / partnership / limited /

trust / any other (please specify)

State Bank of Mysore Empanelment -2012-2014 Page 10 of 18

EMPANELMENT APPLICATION FORMAT
(INFORMATION TO BE FURNISHED BY THE APPLICANTS)

9.

Registration with income tax, commercial Tax

departments PAN/ TIN/ Service Tax.

: To be filled in Annexure - III

10.

Whether registered with service tax department

: To be filled in Annexure III
please inform the registration number and
date of registration. Furnish copy of registration.

11.

Additional information In respect of supplier/ vendor : To be filled in Annexure- VIII

(AC, steel/wooden furniture/ modular workstation
Network data cabling).

12.

Furnish copies of audited Balance Sheet and :

Profit & loss account (audited) for the
last three years.

13.

If you are
registered in Panel of other
Organisation / Statutory bodies such CPWD,
PWD, MES, Banks, etc, furnish their name,
Category and date of registration, validity

: To be filled in Annexure III

14.

Details of Key personnel

: As per Annexure VI

15.

Additional information

: As per Annexure VIII

16.

List of documents to be enclosed

: As per Annexure- IX

To be filled in Annexure VII

Signature of the applicant

Name & Designation :
PLACE:
DATE:

10

State Bank of Mysore Empanelment -2012-2014 Page 11 of 18

Annexure - I
DETAILS OF DIRECTORS / PARTNERS / OWNERS
Sr.
no.
1.

Name of partners /
directors

Academic
qualification

Official
designation

Address / phone / fax / e-mail

2.

3.

4.

5.

6.

11

State Bank of Mysore Empanelment -2012-2014 Page 12 of 18

Annexure - II
BANKERS DETAILS
Sl.No.

Name of the Banker

Address of the Banker

Type of Account

Over Draft
Limits

Annexure - III
DETAILS OF REGISTRATION

Sl.
No

Name of organization /
Department

Registration
no.

Date / year of
registration

Valid up
to

Enclosed
proof
Yes

1.
2.
3.

No

Registrar of Companies /
Firms for Constitution
Income tax department
(mention PAN No.)
Service tax department

4.

Work contract tax

registration./ Trade
Identification No. (TIN)

5.

Empanelment/Registration
with other organizations
like CPWD/MES/Govt.
Sector / PSUs/
Nationalised Banks

12

State Bank of Mysore Empanelment -2012-2014 Page 13 of 18

Annexure - IV
PARTICULARS IN RESPECT OF WORK EXECUTED
S.No

Name of the work/

project executed
with address

Short
description
of work
executed

Name and
address of
owner / client

Value of
work
executed

Stipulated
time of
completion

Actual time
of
completion

Month &
Year of
completion

Any other
relevant
information

Signature & seal of the Applicant

___________________________________________________________________________________________________________________
Note

The applicant shall mention only those works executed during last 5 years which fulfills the eligibility criteria on this page.
The list is to substantiated with the documentary evidence such as work order and completion certificates in absence of which the
application is liable to be rejected.
Other works should be mentioned on separate sheet.

State Bank of Mysore Empanelment -2012-2014 Page 14 of 18

Annexure - V
PARTICULARS IN RESPECT OF WORK IN HAND
Sl.N
o.

Name of the work/ project

executed with address

Short description
of work
executed

Name and
address of owner

Value of
work
executed

Date of
start of
work

Stipulated
time of
completion

Status
of
Work

Expected
date of
completion

Signature & seal of the Applicant

Any other
relevant
information

State Bank of Mysore Empanelment -2012-2014 Page 15 of 18

Annexure - VI
LIST OF KEY PERSONAL PERMANANTLY EMPLOYED
Total Experience
Sl.No.

Name

Designation

Qualification

Years with the Firm

2
3

4
5

Signature & seal of the Applicant

Any other information

State Bank of Mysore Empanelment -2012-2014 Page 16 of 18

Annexure - VII

FINANCIAL STATUS
Sl.
No.

Financial year

2005 2006

2006 2007

2007 2008

Turnover of the firm

(in Rs. lacs)

Profit / loss

Enclosed
certified copies
of audited
balance sheets /
chartered
accountants
certificate.
Yes
No

State Bank of Mysore Empanelment -2012-2014 Page 17 of 18

Annexure-VIII
ADDITIONAL INFORMATION
1.

2.

Work force permanently employed

i)

Mason

ii)

Carpenters

iii)

Mechanics

iv)

Electricians

v)

Mates / helpers

vi)

Others

Work shop / manufacturing unit facilities

(in respect of civil/ interior/ electrical modular workstation)
i)
Location

ii)

Area

iii)

Type of structure

iv)

Type of facilities

v)

Installation arrangement (own or hired or through dealer):

(in respect of modular workstation)

Details of Dealers such as Authorization details /

Brand name/ name of make of the fixture/ item/
furniture dealing with item in respect of vendors of AC/
Electrical Fixture/ Data Cabling/ steel/ wooden furniture)

4.

List of major constructional equipments in possession of the firm

State Bank of Mysore Empanelment -2012-2014 Page 18 of 18

Annexure-IX
LIST OF DOCUMENTS TO BE SUBMITTED ALONGWITH THE APPLICATION
1.
2.
3.

4.
5.
6.
7.
8.

Profile of the Company

Details of Constitution of firm / Company and its registration with competent authority.
Proof of Qualification with regard to:
a. Average Annual turnover during the last three years.
b. Copy of work order and completion certificate/ TDS certificate as a proof with regard to
minimum experience of 5 years in executing specified value of work in appropriate
categories & grade for Govt./Public Sector Undertakings/ Banks/ reputed public/ private
sector / multinational companies/ institutions.
c. Audited Balance sheet and profit and loss account statement for the last three years
d. Latest solvency certificate from a nationalized bank for a minimum value of grade limit
applied for.
e. Power of attorney/Letter of Authorization in favour of authorized signatory, if required
so.
Work Contract tax registration certificate.
Work Contract tax clearance certificate.
Electrical contractor licenses in appropriate class.
Photograph of major works executed during last three years.
Registration with various departments such as IT/Service Tax and empanelment with other
Government organization, along with copies of certificates.