Specification No.

: C-03202-M901-3 Schedule-I
Page 1 of 9

SUPPLY AND DISTRIBUTION OF GOLD MEDALLIONS PACKAGE

(QUALIFYING REQUIREMENT DATA)

Bidder's Name & Address: To

Power Grid Corporation of India Ltd.
Saudamini, Plot No.2, Sector-29,
Gurgaon, Haryana - 122 001

In support of the Qualification Requirements (QR) for Bidders, stipulated in Annexure-II

to Section – I: Terms & Conditions of the Bidding Documents, we furnish herewith our
QR data/details/documents etc., along with other information, as follows [ The QR
stipulations have been reproduced in italics for ready reference, however, in case of any
discrepancy, the QR as given in Annexure-II to Section – I: Terms & Conditions of the Bidding
Documents shall prevail].

1.0 In accordance with the QR specified in the Clause 2.1 (a), Part-B of Annexure – II to
Section – I: Terms & Conditions of the Bidding Documents, we are furnishing the
following:

(a) Written power of attorney, in original, of the signatory of the Bid to commit
the Bidder, which is enclosed at FLAG-A to this QR Data Schedule.

2.0 Requisite Experience

[All individual firms bidding for the Subject Package are requested to complete the
information in this form.]

Sl. Particulars
No.
1. Name of the Firm

2. Head Office/ Registered Office

Address

3. Telephone

4. Fax

6. Place of Incorporation/ Registration

7. Year of Incorporation/ Registration

Specification No. : C-03202-M901-3 Schedule-I
Page 2 of 9

Sl. Particulars
No.
8. No. of years the Bidder is the
business of manufacturing and/or Last ___________ years.
selling of Gold Medallions/ Coins
9. Contact Person
i. Name
ii. Designation
iii. Telephone No(s).
iv. Mobile No(s).
v. Fax No(s).
vi. Email(s)

2.1 We are:

□ A Public Ltd. Company in operation since ____/____/_______ (dd/mm/yyyy)

□ A Private Ltd. Company in operation since ____/____/_______ (dd/mm/yyyy)
□ A Scheduled Bank
[Tick the appropriate box providing the requisite information ]

2.1.1 Copies of following original documents defining the constitution or legal status,
place of registration, principal place of business and total duration of operation of
our firm as on date is enclosed at FLAG-B to this QR Data Schedule.

(i) _______________________

(ii) _______________________

(iii) _______________________

…
…

2.2 We furnish herewith our QR data/details/documentary evidence in support of

meeting the requirements as:

□ Manufacturer of Gold Medallions/Coins

□ Seller of Gold Medallions / Coins

[Tick the appropriate box(es)]

Specification No. : C-03202-M901-3 Schedule-I
Page 3 of 9

2.2.1 Copies of the following original documents establishing ourselves to be

manufacturer and/or seller of gold medallions/ coins (strikethrough whichever is not
applicable) is enclosed at FLAG-C to this QR Data Schedule.

(i) _______________________

(ii) _______________________

(iii) _______________________

…
…

2.3 In accordance with the QR specified in the Clause 1.1 (c) & (d), Part-A of Annexure
– II to Section – I: Terms & Conditions of the Bidding Documents, which states –
‘(c) The bidder shall have completed supply of gold medallions/coins of 24 Carat valued at
not less than Rs. 84 millions (aggregate) in not more than three (3) contracts during the
last three (3) financial years, and (d) The bidder should have experience of delivery of gold
medallions / coins on its own or should tie up with an agency who have delivered such gold
medallions / coins at not less than fifty (50) geographically spreaded locations during the
last three (3)financial years. An undertaking of such agency to carry out the work shall be
submitted along with the 1st envelope of the bid (as per the format enclosed)’, we are
furnishing the following details/documents in support of QR for Supply and
Distribution of Gold Medallions Package:

[On a separate page, using the following format, the Bidder is requested to furnish details
of previous experience against the requirements detailed at para 2.3 above, on the basis
of which the Bidder wishes to qualify. The information is to be summarised using
following format for each previous experience of the Bidder on separate sheets. ]

[The bidder shall attach documentary evidence, such as attested copies of work order,
completion certificate etc., in support of its requisite experience as listed in the following
proforma for each experience/Contract just below it. ]

Name of the Bidder (Manufacturer/Seller)

1. Name of Contract
Specification No. : C-03202-M901-3 Schedule-I
Page 4 of 9

2. Contract Reference No. &

Date of Award
3. Name and Address of the
Customer/Utility for whom the
Contract was executed by Bidder
e-mail ID ____________________
Telephone No. ____________________
Fax No. ____________________
4. Scope of work covered under the above Manufacture of Gold
Contract.
Medallions/ Gold Coins
Supply of Gold Medallions/
Gold Coins (at one location)
Delivery Gold Medallions/
Gold Coins (at multiple locations)

(Tick only whichever is/are applicable)

5(A) In case delivery (at multiple locations) of Yes
Gold Medallions/ Coins was covered
under the scope of work, whether the No
same was done by the Bidder itself? Not applicable as delivery (at
multiple locations) was not
covered under the scope of the
Contract
(Tick whichever is applicable)
5(B) In case, response to Sl. No. 5(A) above ____________________________
is ‘No’, then indicate the name and ____________________________
address of the agency with whom tie- ____________________________
up was made for delivery (at multiple
locations) of the Gold Medallions/Coins
6. (i) Total value of the Contract Rs. __________
(ii) Total Nos. of Medallions/coins __________ Nos.
(iii) Total weight of Gold __________ Kgs.
Medallions/coins supplied
(iv) Nos. of locations at which __________ Nos.
delivered
7. Date of completion of the above ______________
Contract (dd/mm/yyyy)

8. Details of documents submitted in

support of stated experience/Contract.
(Use separate sheet for each experience / Contract )

2.3.1 Tie up with an agency for delivery of Gold Medallions

Specification No. : C-03202-M901-3 Schedule-I
Page 5 of 9

[Following details/data/information should be provided by the Bidder, in case, it does not have
experience of delivery of Gold Medallions/Coins on its own.]

2.3.1.1 As we do not have experience of delivery of Gold Medallions on our own, we

propose to have tie-up with the following agency for delivery & distribution of
Gold Medallions for the subject package:

Sl. Particulars
No.
1. Name of the Agency

2. Head Office/ Registered Office

Address

3. Telephone

4. Fax

6. Place of Incorporation/ Registration

7. Year of Incorporation/ Registration

8. Contact Person
i. Name
ii. Designation
iii. Telephone No(s).
iv. Mobile No(s).
v. Fax No(s).
vi. Email(s)

The experience details of our proposed agency is given below:

[On a separate page, using the following format, the Bidder is requested to furnish details
of previous experience of its proposed agency against the requirements detailed at para
1.1(d) of Part – A, Annexure – II to Section – I of the Bidding Documents, on the basis of
which the Bidder wishes to qualify. The information is to be summarised using following
format for each previous experience of the proposed agency on separate sheets. ]

[The Bidder shall attach documentary evidence, such as attested copies of work order,
completion certificate etc., in support of its proposed agency’s requisite experience as listed
in the following proforma for each experience/Contract just below it. ]
Name of the Proposed Agency (Distributor
of Gold Medallions/ Coins)
1. Name of Contract
Specification No. : C-03202-M901-3 Schedule-I
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2. Contract Reference No. &

Date of Award
3. Name and Address of the
Customer/Utility for whom the
Contract was executed by Bidder
e-mail ID ____________________
Telephone No. ____________________
Fax No. ____________________
4. Scope of work covered under the above Manufacture of Gold
Contract.
Medallions/ Gold Coins
Supply of Gold Medallions/
Gold Coins (at one location)
Delivery Gold Medallions/
Gold Coins (at multiple locations)

(Tick only whichever is/are applicable)

5. Whether some or all the locations Yes
covered under the Contract were
geographically spread No

(Tick whichever is applicable)

6. Nos. of geographically spread locations __________ Nos.
where Gold Medallions/Coins were
delivered (A list mentioning names of above
geographically spread locations should be
attached with the stated experience )

7. Date of completion of the above ______________

Contract (dd/mm/yyyy)

8. Details of documents submitted in

support of stated experience/Contract.
(Use separate sheet for each experience / Contract )

2.3.1.2 We have enclosed an undertaking of proposed agency to carry out the delivery
work for the subject package at FLAG-D as per proforma of undertaking provided
at Annexure – II, Section – I of the Bidding Documents.

2.4 In accordance with the QR specified in the Clause 1.1 (e), Part-A of Annexure – II to
Section – I: Terms & Conditions of the Bidding Documents, which states – ‘(e)
Scheduled Banks will have to produce a copy of the authorisation letter from RBI for
importing and dealing in gold. Other Bidders will have to produce a copy of the
Government Licence/Certificate giving them the authority to deal in gold.’, we are
furnishing the following details/documents in support of QR for Supply and
Distribution of Gold Medallions Package:
Specification No. : C-03202-M901-3 Schedule-I
Page 7 of 9

1. If the Bidder is a Scheduled Bank, is it Yes / No

authorized by RBI for importing and
dealing in Gold? [If yes, enclose a copy of
authorization letter from
RBI at FLAG-E.]
2. In case Bidder is not a Scheduled Bank, Yes / No
is it authorized to deal in Gold by
Government of India? [If yes, enclose the copy of
Government Licence /
Certificate at FLAG-E.]

3.0 Financial requirement [Reference: Para 1.2 of Part-A, Annexure-II, Section-I of the
Bidding Documents]

(a) Minimum Average Annual Turnover* (MAAT) for best three(3) years i.e. 36 months out of
last five(5) financial years of the bidder should not be less thanRs.1000 Million.

* Annual total income as incorporated in the profit and loss account.

In case bidder is a holding company, MAAT referred to in clause 4.0(a) above shall be that of a
holding company only (i.e excluding its subsidiary / group companies). In case, bidder is a
subsidiary of a holding company, MAAT referred to in clause 4.0 (a) above shall be that of
subsidiary company only (i.e excluding its holding company).

(In support of its ‘Financial Position’, in line with the above, the Bidder must provide
the relevant information, along with documentary evidence, in the following
format.)

Name of the Bidder

A. Turnover details:
Sl. Financial year Annual turnover in
No. Rs. Million

Average annual turnover for best

three (3) years i.e. 36 months is:

4.0 Financial Capabilities: [Reference: Para 2.1 (b) of Part-B, Annexure-II,

Section-I of the Bidding Documents]

The Bidder shall also furnish following documents/details with its bid:
Specification No. : C-03202-M901-3 Schedule-I
Page 8 of 9

i) The complete annual reports together with Audited statement of accounts of the
company for last five years immediately preceding the date of submission of bid.

(A) As per requirement at para 4.0 i) above, audited balance sheet and income
statements for the last five years as per the following:

Years preceding to the Bid Audited Balance Sheet and Income

opening Statements enclosed
1st Year Yes No
2nd Year Yes No
3rd Year Yes No
4th Year Yes No
5th Year Yes No

5.0 Litigation History [Reference: Para 2.2 of Part-B, Annexure-II, Section-I of the
Bidding Documents]
The bidder should provide detailed information on any litigation or arbitration arising out of
contracts completed or under execution by it over the last five years. A consistent history of
awards involving litigation against the Bidder may result in rejection of Bid.

Details of litigation history resulting from Contracts completed or under execution by

the Bidder over the last five years:

Yea Name of Name of client, cause Details of Award for Disputed

r Bidder of litigation/ Contract and or against amount
arbitration and matter date the Bidder
in dispute

6.0 OTHER INFORMATION

6.1 Current Contract Commitments of works in progress

Specification No. : C-03202-M901-3 Schedule-I
Page 9 of 9

Bidders should provide information on their current commitments on all contracts that
have been awarded, or for which a letter of intent or acceptance has been received, or
for contracts approaching completion, but for which an unqualified, full completion
certificate has yet to be issued.

Installed Capacity (Nos. per annum) : ___________________

Name of Contract Total Qty of Gold Delivery Schedule Balance Quantity yet to be
Medallions (months) supplied as on _______
Nos.) Total Nos. Qty (Nos)/month

Date:.................... (Signature) ………...................................

Place:................... (Printed Name) .......................................

(Designation) ....…...................................

(Common Seal) …....................................