T000003547_FileName_BHILAI FO Tender ... - Bharat Petroleum

Attachment-9DECLARATION ‘A’We declare that we have complied with and have not violated any clause of the standardAgreementPlace: Signature & SealDate:DECLARATION ‘B’We declare that we do not have any employee who is related to any officer of the Corporation/ Central / State GovernmentORWe have the following employees working with us who are near relatives of the officers of theCorporation / Central / State Government.Name of the employee; Name & designation of the officer of the Corporation /Central / StateGovernment:1. ________________________________________________2. ________________________________________________3. ________________________________________________4. ________________________________________________Place: Signature & SealDate:Strike off whichever is not applicable.DECLARATION ‘C’The Tenderer is required to state whether he is a relative of any Director of our Corporation orthe tenderer is a firm in which Director of our Corporation or his relative is a partner or is anyother partner of such a firm or alternatively the Tenderer is a private company in whichDirector of our Corporation is member or Director, (the list of relative(s) for this purpose isgiven overleaf)Place: Signature & SealDate:N.B: Strike off whichever is not applicable. If the Contractor employs any person subsequentto signing the above declaration and the employee so appointed happen to be near relativesof the Officer of the Corporation/Central/State Government, the Contractor should submitanother declaration furnishing the names of such employees who is/are related to the Officer/sof the Corporation/Central/State Government.(Pl refer to the enclosed list of relatives)T E N D E R N O . B P C / I & C / W R / 0 2 / F O / 2 0 1 2 Page 47