3.
Format for Integrity Pact
(Certificate to be furnished by the bidder with the tender document downloaded from e-GP
Website)
CERTIFICATE
I/We . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . undertake that the tender submitted by
us is downloaded from e-GP Website (www.etenders.kereala.gov.in) and is same in content and
form (verbatim), and any deviation, of detected, at any stage, would entitle the Employer to reject
our bidding/ offer without assigning any reason or recourse to any penal action and would be
legally binding on us.
Signature . . . . . . . . . . . . . . . . . . . . . . . . (of Bidder)
Seal . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Format for Affidavit
AFFIDAVIT
I/We, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Local Self Government Department
bidder/Partner/Legal Attorney/Accredited Representative of M/s . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . .solemnly declare that:
1. I/We are submitting Tender for the Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . against Tender
Notice No . . . . . . . . . . . . . . . . . . . . . . . . . dated . . . . . . . . . . . . . . . . . . . . . . . . . .
2. None of the Partners of our firm is relative of employee of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . (Name of the Employer) who is involved with the arrangement and execution of this
work.
3. All information furnished by us in respect of fulfilment of eligibility criteria and qualification
information of this Tender is complete, correct and true.
4. All documents/credentials submitted along with this Tender are genuine, authentic, true and
valid.
5. I/we undertake to deploy all plant and machinery, tools and tackles, man and materials etc. as
required for execution of the work.
6. I/We hereby declare that I/We have perused in detail and examined closely the Central Public
Works Department Specifications, Revised Kerala PWD Manual-2012, Kerala PWD Quality
Manual and Laboratory Manual, before I/We submit the tender/ bid and I/We agree to be bound
by and comply with all such specifications and requirements.
7. If any information and document submitted is found to be false/incorrect at any time,
department may cancel my/our Tender and action as deemed fit may be taken against us,
PRICE (Printed On: 2023-02-10 10:58:39.984) page 101
including termination of contract, forfeiture of all dues including Earnest Money, revoking of
Bank Guarantees and banning/delisting of our firm and all partners of the firm etc.
Signature of the Tenderer : . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Dated . . . . . . . . . . . . . . . . . . .
5. Form of Performance Guarantee by Bank
1) This deed of Guarantee made on the day of . . . . . . . . . . . . . . . . . . . . . . (month & year) between
Bank of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(hereinafter called the " Bank ") represented by . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .(name of authorised signatory ) of the one part, and the . . . . . . . . . . . . . . . . .
...............................................................................
. . (tender inviting authority) (hereinafter called " the Employer ") represented by . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(name) of the other part.
2) Whereas Employer has awarded the contract for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Local Self Government Department
...............................................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(Name of work as per Notice Inviting
Tender) (hereinafter called the contract) to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . .(Name of the Contractor) hereinafter called the " Contractor ".
3) AND WHEREAS the Contractor is bound by the said Contract to submit to the Employer
aPerformance Guarantee for a total amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Amount in figures and words).
4) Now we the Undersigned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...............................................................................
. . . . . . . . . . . . . . . . . . (Name of the Bank and Branch) being fully authorized to sign and to incur
obligations for and on behalf of and in the nameof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...............................................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . (Full name of Bank), hereby declare that the said Bank will
guarantee the Employer the full amount of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Amount
in figures and Words) as stated above.
5) After the Contractor has signed the aforementioned Contract with the Employer, the Bank is
engaged to pay the Employer, any amount up to and inclusive of the aforementioned full amount
upon written order from the Employer to indemnify the Employer for any liability of damage
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