Annexure C


authority under the contract labour (Regulation & Abolition Act) as relevant, if applicable. 7. ... If it is reported and proved that child labour is engaged by us, we will be penalized. 10% of the contract ... Location: Coal India Limited. Signature Not ...

Annexure C Format for Affidavit: To be Submitted by Bidder on Non-Judicial Stamp Paper of Rs. 10/- duly attested by Notary Public AFFIDAVIT. I/We,….............................................................,Proprietor/Partner/Legal Attorney/ Director/ Accredited Representative of Shri/Smt./M/S. ......................., solemnly declare that: 1. I/We am/are submitting Bid for the work……......................................................against Bid Notice No. ......................... dated………………… and I/we offer to execute the work in accordance with all the terms, conditions and provisions of the bid. 2. Myself / Our Partners/Directors don’t has/have any relative as employee of South Eastern Coalfields Limited (Name of the Company) 3. All information furnished by me/us in respect of fulfillment of eligibility criteria and qualification information of this Bid is complete, correct and true. 4. All copy of documents, credentials and documents submitted along with this Bid are genuine, authentic, true and valid. 5. I/ We hereby authorize department to seek references / clarifications from our Bankers. 6. I/We hereby undertake that we shall register and obtain license from the competent authority under the contract labour (Regulation & Abolition Act) as relevant, if applicable. 7. We hereby confirm that we shall deploy matching equipment/ excavators/ dozer/ dumpers/ tippers/ sprinkler/ grader etc. of required capacity as per NIT either owned or through hiring. 8. ** I/We have not been banned or delisted by any Govt., or Quasi Govt. Agencies or PSUs. (In case of JV, all partners are covered) OR **I / We ………………..have been banned by the organization named “_____________” for a period of ………………… year/s, effective from ………………. to……………………..….. [ in case of JV, name(s) of the JV Partner(s) ] * Delete whichever is not applicable.

9. *I/We hereby confirm that we have registration with CMPF Authorities. We shall make necessary payments as required under law. Or *I/We hereby undertake that we shall take appropriate steps for registration as relevant under CMPF authorities, if applicable, if the work is awarded to us. We shall make necessary payments as required under law. * Delete whichever is not applicable. 10. I/We do undertake that we are not engaging and will not engage any child labour in any of the activities for which we are participating in the tender. 11. If it is reported and proved that child labour is engaged by us, we will be penalized 10% of the contract value and will be blacklisted. 12. We accept the prevailing diesel price nearest to the work site. If any information and document submitted is found to be false/ incorrect at any time, department may cancel my Bid and action as deemed fit may be taken against me/us, including termination of the contract, forfeiture of all dues including Earnest Money and banning/ delisting of my/our firm and all partners of the firm. DEPONENT VERIFICATION I, ------------------------, the deponent above named do hereby state and declare that the contents of the above affidavit from para1 to 12 are true and correct to the best of my knowledge and that no part of this affidavit is false and that nothing material has been concealed there from. Verified on this ------------- day of -------------, 2018 at ----------------- (place) DEPOPNENT Signature

of

the

Bidder Dated ..........................

In case of JV, Signature of all partners of JV

Seal of Notary

Signature Not Verified Digitally signed by KANTI BHUSHAN CHOWDHURY Date: 2018.05.11 12:35:28 IST Location: Coal India Limited

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