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new delhi - Income Tax Department

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19 Affidavit stating that the agency is / has not been black listed by Centre / StateGovernment / PSU (Attach attested copy)20. Declaration about Fraud and corrupt practices (Duly signed & attested asgiven in the Tender Document – Annexure-III)21. Details of Earnest Money Deposited: DD No……………Dated……….Amounts:Rs………….. Drawn Bank…………………….22. Brand Name of the following cleaning materials to be given (The bidder mayhowever add further consumable items, if required) :-Sl.No. PARTICULARS BRAND NAME1 Soap Oil2 Phenyl3 Floor Cleaner4 Colin or Glass Cleaner5 Duster Cloth6 Soft Broom7 Coconut Broom8 Harpic9 Mop Stick/PINZA Mop10 Air Freshner/Odinal11 Urinal Cakes12 Napthalene Balls13 Garbage Bag14 Garbage Bag Small15 Toilet Brush with Stand16 Squeezer17 Scrub Pad18 Buckets19 Mugs20 Dust Pan21 Toilet Roll22 Paper Napkings23 Room Spray24 Mosquito Spray25 Hand Wash FemSl.No CLEANING EQUIPMENTS BRAND NAME1 Industrial Scrubber Machine2 Industrial Vacuum CleanerSignature of authorized personDate:Place:Name:Seal:

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