tender no: hpc/nz/bahadurgarh/bulk/pol/2012-13/1 technical bid

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Tender No. Hindustan Petroleum Corporation Limited Page 60 of 94 Tender for Road Transportation of Bulk POL products: MS /HSD and Branded fuels (On Non-Judicial Stamp Paper as prescribed in the respective State) AFFIDAVIT Annexure to Attachment-2 I / We ______________________________ S/O Shri________________________ resident of _____________________________ do hereby solemnly affirm and declare as under: 1. That I / we have booked for _______ Nos. of chassis as per the particulars given below. Sl No TT capacity Make & model Supplier name Booking order/ invoice reference 2. That I / we confirm, if the transport contract is awarded to me/us, the tank trucks offered as per above details shall be positioned before signing of the transport contract agreement. DEPONENT VERIFICATION Verified that the contents of the above affidavit are true and correct to the best of my knowledge and belief. No part of it is false and nothing has been concealed therein. DEPONENT Verified at _____________________ on ______________________________ Notary Public Note: Proof of booking the chassis shall be attached in respect of tank trucks offered against affidavit. Tank trucks without proof of booking shall be summarily rejected. Seal Signature of Tenderer 60
Tender No. Hindustan Petroleum Corporation Limited Page 61 of 94 Tender for Road Transportation of Bulk POL products: MS /HSD and Branded fuels DETAILS OF RELATIONSHIP WITH HPC DIRECTORS, ETC. Attachment-3 (Technical Bid) Tenderers should furnish following details in the appropriate part based on their organization structure. Organizational structure Part of the form applicable. Sole Proprietor PART – A Partnership Firm PART – B Company Private / Public / Co- operative Society. PART -- C PART – A (Applicable where Tenderer is Sole Proprietor) 1. Name: 2. Address: 3. State whether tenderer is related to any of the Director(s) of HPC: YES / NO 4. If ‘ YES ‘ to 2, State the name(s) of HPC Director(s) and Tenderer’s relationship with him / her. Strike off whichever is not applicable. Date: Signature___________________ Name of Person signing___________________ Tenderer's Name and address with seal___________________ PART – B (Applicable where the Tenderer is a partnership firm) 1. Name of the partnership firm responding to the tender: 2. Address: 3. Names of partners: 4. State whether any of the partner of the tenderer is a Director of HPC: Yes/No 5. If ‘Yes’ to (4) state the name(s) of the HPC Director(s). 6. State whether any of the partner of the tenderer is related to any of the Director(s) of HPC: Yes/No 7. If ‘Yes’ to (6) state the name(s) of HPC Director(s) & the concerned partner’s (of the tenderer) relationship with him/ her. Strike off whichever is not applicable. Date: Signature___________________ Name of Person signing___________________ Tenderer's Name and address with seal___________________ Seal Signature of Tenderer 61
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tender no: hpc/nz/bahadurgarh/bulk/pol/2012-13/1 technical bid

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