SHEET 1 OF 12

Application Form

For

Enlistment Of Contractors for Different

Categories of Mechanical / Electrical /

Instrumentation / Process Works

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SHEET 2 OF 12

NOTICE TO THE APPLICANT

Preamble

Bharat Petroleum Corporation Limited, Mumbai Refinery intends to enlist contractors for different

categories of Mechanical / Electrical / Process / Civil / Process Works. .

We are enclosing herewith application for enlistment along with details of documents /information required

for enlistment, which is required to be filled in by you, complete in all respects and submitted to us.

Party’s application form duly filled in and containing all information & supporting documents should be

submitted, in a sealed envelope clearly superscribing “ Expression Of Interest (EOI) FOR

CONTRACTORS FOR REGISTRATION FOR DIFFERENT CATEGORIES OF MECHANICAL /

ELECTRICAL / INSTRUMENTATION / PROCESS WORKS ” (Mention the category for which

Contractor intends to register with BPCL)” to:

Mr. G. K. Murali

Chief Manager (P&CS)

Bharat Petroleum Corporation Limited

Mumbai Refinery, MAHUL,

CHEMBUR,

MUMBAI- 400074

On or Before 15th

March 2014.

Cost/expenditure incurred by the applicant in submitting the application by any mode of transport, travel,

boarding and lodging or any other manner shall be entirely on the applicant’s account.

In case the applicant intends to give additional information for which specified space is not sufficient, the

party may do so by adding extra sheets by indicating duly at the appropriate column.

Clarifications could be sought from the Office of the Senior Manager or Chief Manager (P&CS), Bharat

Petroleum Corporation Ltd., 4th

floor south block , admin building, Mumbai Refinery, Mumbai

400074.” (On all working days – Monday to Friday from 8:00 am to 4:15 am).

Contact Details

Mr. A. B. Samanta

Senior Manager (P&CS)

P&CS Department

022-2552 4439

OR

Mr. G. K. Murali

Chief Manager (P&CS)

P&CS Department

022-2553 3297

The applicants should strictly furnish all the information only in the formats given. All the supporting

documents should be duly attested / notarized. All corrections and over writings should be duly

countersigned by the applicant.

SHEET 3 OF 12

Bharat Petroleum Corporation Limited reserves the right to accept/reject any or all applications for

enlistment at its sole discretion without assigning any reasons whatsoever.

Introduction

BPCL, P&CS invites “Expression of Interest” in the prescribed format from reputed and competent Contractors with sound technical and financial capabilities and having specialized experience of executing jobs for categories listed below for Mumbai Refinery:-

1. Sludge removal from Crude Tanks including Oil Recovery 2. Oil Spill Containment and Removal 3. De-silting Jobs from Cooling Tower basins, Oil Catchers, Sump Pits 4. Dredging Jobs 5. Loading / Unloading of Catalysts 6. Tank Cleaning Jobs (White Oils / Black Oils) 7. Insulation Jobs 8. IBR Piping Jobs 9. FRP Lining Jobs 10. Rubber Lining Jobs 11. Online Leak Sealing Jobs 12. Servicing of different types of Valves (Gate/Globe/Check) 13. Servicing of different types of Instrumentation Valves including Control Valves 14. Instrumentation Works including Cabling, Loop Checking, Erection / Installation & Commissioning

of various Instruments such as Pressure Gauges, Pressure Transmitters, Junction Boxes, Control Panels, DCS Systems, etc. ,

15. Repairs of Electronic Cards 16. High Tension (HT) & Low Tension (LT) Electrical Works including Erection / Installation, Testing

and Commissioning of HT / LT Breakers / Switch Boards / Cables / Motors / Transformers, Flameproof, Industrial Type Push Button Stations, Structural Works pertaining to installation of Cable Trays, etc. ,

17. Testing of all types of Protective Relays including Numerical / Digital Relays 18. Transformer Oil Filtration and Transformer Oil Testing 19. Capital Overhauling of Power / Distribution Transformers 20. Diagnostic Testing of Power / Distribution Transformers for Residual Life Assessment 21. HT / LT Cable Fault Location and Rectification 22. Boring of Earthing Pits 23. HT / LT Motor Rewinding 24. Trouble-shooting and Servicing of Explosion proof, Industrial Type Plant Communication System 25. Cathodic Protection of Underground Pipelines and Process Equipment 26. Maintenance of Central Air Conditioning Plants

Interested Contractors must submit their Expression of Interest to the address mentioned in application by 15

th March 2014 with all particulars in a sealed envelope superscribed with “EOI FOR CONTRACTORS

FOR REGISTRATION FOR DIFFERENT CATEGORIES OF MECHANICAL / ELECTRICAL / INSTRUMENTATION / PROCESS WORKS ” (Mention the category for which Contractor intends to register with BPCL)”. BPCL reserves the right to accept or reject any or all applications without assigning any reasons.

SHEET 4 OF 12

APPLICATION FORM FOR ENLISTMENT

From Dated:

____________________________________

_____________________________________

_____________________________________

_____________________________________

To,

The Chief Manager (P&CS)

Bharat Petroleum Corporation Limited (BPCL)

Mahul Refinery, (Mumbai Refinery)

Chembur, Mumbai- 400074

Dear Sir,

Subject: Registration of Contractors For Registration for Different Categories Of

Mechanical / Electrical / Instrumentation / Process Works ” at BPCL-

Mumbai Refinery

In response to your advertisement, inviting applications through “Expression of Interest”

for the registration of Contractors and after going through the documents, I/we hereby

submit necessary information/documents, as desired.

The application is made by me/us on behalf of

…………………………………………………………………………

………………………………. duly authorized to submit the same.

We understand that The Chief Manager (P&CS), BPCL Mumbai Refinery reserves the right

to reject any/all or accept any applications without assigning any reasons whatsoever.

Place: Signature of the Proprietor/Partner/

Date: Authorized representative

Seal of the firm:

SHEET 5 OF 12

BHARAT PETROLEUM CORPORATION LTD

VENDOR REGISTRATION FORM FOR SERVICE PROVIDER /

CONSULTANT

Sr.

No.

Description of Information to be

Submitted by Vendor

Information submitted by Vendor

1 Name of the Company

2 Services for which Vendor registration is

being sought

3 Postal Address (Office)

4 Telephone No (Office)

5 Fax No. (Office)

6 Contact Person (Office)

7 Mobile No. of Contact Person (Office)

8 E-Mail ID of Contact Person (Office)

9 Name of Local Representative

SHEET 6 OF 12

Sr.

No.

Description of Information to be

Submitted by Vendor

Information submitted by Vendor

10

Address of Local Representative

11 Telephone No. Local Representative

12 Fax No. Local Representative

13 Mobile No. Local Representative

14 E-mail of Local Representative

15 Company’s Organisational Structure

(Attach Xerox copies as Annexure I)

16 Names of Proprietor/ Partners /

Directors / Executives

17 Constitution of the Firm – Sole

Proprietorship / Partnership / Pvt Ltd /

Public Ltd. / Public Sector

18 Partnership deed / Article of Association

or Memorandum of Association (Attach

Xerox copies as Annexure II)

19 Year of Establishment & Starting of

Production / Shop & Establishment

Certificate (Attach Xerox copies as

Annexure III)

SHEET 7 OF 12

Sr.

No.

Description of Information to be

Submitted by Vendor

Information submitted by Vendor

20 Whether holding any valid license for the

trade; if yes, please furnish details. For

Electrical Contractors, whether the applicant

possesses valid Electrical Licenses for Low

Tension (LT) and / or High Tension (HT)

Works

21 Investment - Initial

22 Investment - Present

23 Name of the Bankers

24 Latest / Current Financial Year Solvency

Certificate (Either Original or Notarized copy

of the Original Issued by the bank to be

attached as Annexure IV)

25 Whether registered under SSI / NSIC/MSME

(Attach Xerox copy Annexure V)

26 Whether Income Tax Returns Filed with

Acknowledgement from the Income Tax

Authorities for the last three financial

Years(2010-11, 2011-12, 2012-13) and

whether Registration for Permanent Account

No. (PAN) is over (Attach Xerox Copy

Annexure VI)

27 Excise Registration Number (Attach Xerox

Copy Annexure VII)

28 Sales Tax/Central Sales Tax , i.e, VAT & CST

Registration Numbers (Attach Xerox Copy

Annexure VIII)

29 Copy of Service Tax Registration (Attach

Xerox Copy Annexure IX)

30 Copy of Works Contract Tax Registration

31 Maximum Value of Single Contract executed

during the last 3 years (2010-11, 2011-12,

2012-13) ; Copy of the concerned Contract

with copy of the Contract Completion

Certificate

SHEET 8 OF 12

Sr.

No.

Description of Information to be

Submitted by Vendor

Information submitted by Vendor

32 Whether the applicant has gone for

Arbitration / Litigation for any of the past

jobs with BPCL (awarded directly by BPCL

through Press Tender, Limited Tender,

etc.)

33 Last 3 Year’s (2010-11, 2011-12, 2012-13)

Audited Balance Sheet and Profit & loss

account, auditor’s Note and Directors

report (Attach Xerox copy Annexure X)

34 No. of Engineers Employed

35 No. of Supervisors Employed

36 No. of Skilled Workers

37 No. of Unskilled

38 No. of Workers Office Staff

39 Total No. of Employees

40 List of Tools and Machineries available for

providing Services

(Attach the List Annexure XI)

41 Whether ISO 9000 Certified (Attach Xerox

Copy Annexure XIV)

42 Safety Policies and procedures ( Attach

Annexure XX)

43 Supporting Services from outside agencies

(Give details) Annexure XXII

44 List of Project Engineering Consultants

(like EIL, UDHE, PDIL, Toyo, etc.) who

have registered the Vendor

45 List of Clients in the Petroleum Refining /

Petrochemical / Fertilizer Industries along

with copies of letters issued for Vendor

Registration (Attach Annexure XXIII)

SHEET 9 OF 12

Sr.

No.

Description of Information to be

Submitted by Vendor

Information submitted by Vendor

46 List of Purchase Orders including Annual

Rate Contracts (ARCs) received from

Clients in the Petroleum Refining /

Petrochemical / Fertilizer Industries

(Attach Xerox copies for major items

supplied)

47 Details of approvals and registration with

other reputed Companies / Organizations

such as Nuclear Power Corporation, BARC,

NTPC, BHEL, etc. (Attach Xerox copies)

48 Information regarding whether the

company has executed any order in the

past for BPCL / received any POs from

BPCL directly or through any PMC / BPCL

approved Contractor or Supplier

49 Whether the applicant is already

registered in Bharat Petroleum Corporation

with Engineering & Projects, Aviation /

Retail / Lubes / LPG / CPO – Marketing /

CPO – Refineries, in this organization. If

yes, provide Class of Registration,

Category of Registration and Region / SBU

50 Whether the Applicant is already

registered with BPCL for any other

Category of Service; if yes, details to be

furnished

51 Whether the applicant has any sister

concern registered in this organization, if

yes please provide Class of Registration

and Category of Registration

52 Whether any relative (Brother, Sister,

Mother, Father, Brother In Law or Sister

In Law, Father In Law, Mother In Law )

of any Director of the Company’s Board of

Directors or the Proprietor is employed

with Bharat Petroleum Corporation Limited

SHEET 10 OF 12

Sr.

No.

Description of Information to be

Submitted by Vendor

Information submitted by Vendor

53 Whether the Applicant has any

dismissed employee of BPCL

54 Whether the Applicant is willing to

participate in BPCL’s e – Tenders for

which the Applicant should register

himself in the e – Procurement Website

of BPCL

I/ We certify that I/We will not get myself/ourselves registered as Vendor(s) in the undertaking

under more than one name.

I/We hereby confirm that the above information is true to the best of my/our knowledge and

belief.

I/We also undertake that, if at any stage, the above information are found to be incorrect, the

Corporation shall reserve the right to cancel my/our registration, at any time, without notice, at

its discretion

Place: _________________ Signature: ________________________

Date: _________________ Designation: ________________________

COMPANY SEAL

SHEET 11 OF 12

DETAILS OF JOB EXECUTED Appendix I

Sl.

No

.

Full Postal

Address of

Client and

name of Officer-

in-charge

Description

of work

Value of

contract

Completion

period as per

tender

Scheduled

date of

commence-

-ment

Actual

commence- -

ment

Scheduled

date of

completion

Actual date

of

completion

Remarks

SHEET 12 OF 12

DETAILS OF JOBS IN PROGRESS

Appendix II

Full Postal

Address of Client

and name of

Officer-in-charge

Description of

work

Value of

contract

Completion

period as per

tender

Date of

commencement

Present Status Remarks