Tender Form - punjab national rural health mission

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ANNEXURE-IISCHEDULE OF REQUIREMENTSSr.No.Description of Steam CleaningSystemQty.requiredDelivery Schedule1. As Annexure - X 11620
ANNEXURE – IIIPROFORMA FOR PERFORMANCE STATEMENT(FOR A PERIOD OF LAST 3 YEARS) Name of bidder___________________________________OrderPlaced by(FullAddress ofPurchaser/consignee)OrderNumberandDateDescriptionandquantity oforderedSteamCleaningSystemValueofOrder(Rs.)Date of completionof ContractAs percontractCompltd.dateRemarksindicatingreasonsfor delayif anyHave the goodsbeenfunctioningSatisfactorilyattachdocumentaryproof) **1 2 3 4 5 6 7 8Signature and Seal of the <strong>Tender</strong>er: __________________________________** The documentary proof will be certificate from the consignee/end user with cross reference oforder No. and date in the certificate along with a notarized certificate authenticating thecorrectness of the information furnished. If at any time, information furnished is proved to befalse or incorrect, the earnest money furnished will be forfeited and the bidder may beblacklisted / debarred either indefinitely or for period as deemed fit by Mission Director, NRHM21
Page 1 and 2: Amended Dates regarding Submission/
Page 3 and 4: State Health Society, PunjabNationa
Page 5 and 6: TENDERS FOR SUPPLY OF STEAM CLEANIN
Page 7 and 8: 18. In complete or conditional offe
Page 9 and 10: standard to the quoted equipments o
Page 11 and 12: “B” will be intimated to only s
Page 13 and 14: period. The performance security am
Page 15 and 16: No bidder will be allowed at any ti
Page 17 and 18: the supply of Steam Cleaning System
Page 19 and 20: of his tender has been sent to him
Page 21: ANNEXURE -IANNUAL TURN OVER STATEME
Page 26 and 27: ANNEXURE -VIPERFORMANCE SECURITY FO
Page 28 and 29: • The evaluation of the Imported
Page 30 and 31: ANNEXURE-IXPROFORMA OF AFFIDAVIT RE
Page 32 and 33: fill.3. Vacuum collection tank shou
Page 34 and 35: Notarized photocopy of above said d

Tender Form - punjab national rural health mission

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