Battery Tender Document 100AH
Battery Tender Document 100AH
Battery Tender Document 100AH
CMRL invites sealed tender under Two Bid System, from reputed suppliers /manufacturers of
Batteries for Supply, installation, commissioning and testing(including warranty) of 2V 100
AH SMF VRLA batteries for UPS at CMRL Metro Stations (CMBT, Arumbakam &
Ekkattuthangal) . The key details are as follows:-
Email id mgrmep@cmrl.in
Those who are single or JV under suspension,
debarred, black-listed, by GOI, GOTN, PSUs,
Bidders barred from bidding for this Metro Rail Corporations, CMRL or whose
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work contracts were terminated as on date of submission
of bid are not eligible to apply for this supply
tender.
1. For Hard Copy: Rs.10000/- (Indian Rupees
Ten Thousand only)including TNVAT,
non-refundable and payable in the form of
Demand Draft in favour of CHENNAI
METRO RAIL LIMITED.
2. For soft Copy: Rs.8000/-(Indian Rupees
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Eight Thousand only) including TNVAT,
Cost of Tender Documents
non-refundable and payable in the form of
Demand Draft in favour of CHENNAI
METRO RAIL LIMITED. The Tender
Documents can be downloaded from CMRL
website www.chennaimetrorail.org
With regards,
JGM (RSO)
For & on behalf of CMRL
The Tender is for Supply, Installation, Commissioning and Testing (Including Warranty) of
1 2V, 100 AH SMF VRLA batteries for UPS at CMRL Metro Stations (CMBT,
Arumbakkam & Ekkattuthangal).
Bidders should read carefully the contents of this document and to provide the required
information. Each page of the Tender Document (including General Conditions of Contract),
Addendum (if any), Reply to Query (if any) and other submissions, along with submission of the
tender, should be numbered, Signed and Stamped, as a token of acceptance of terms and
2 conditions of the tender. Any unsigned and unstamped document will not be considered for
evaluation. Signature is required to be done by the bidder himself / authorized signatory of the
bidder for which an authorised letter on company letter head shall be enclosed. All Tender and
supporting documents to be serially numbered and binded neatly before submission. Do not
keep any lose papers.
Each Bidder shall submit only one tender either by himself or as a partner in a joint venture or as
a consortium. If a Tenderer submits, or if any one of the partners in a joint venture, or any one
3 of the members of the consortium participates in more than one tender then all such tenders in
which the bidder has participated will be considered invalid. Submission of more than one
tender shall lead to disqualification.
Bidders should provide all the required Techno-Commercial & associated information and attach
4 supporting documents as mentioned in the tender document duly signed by the bidder /
authorized signatory of the bidder and attested by the certified auditors wherever asked.
For any queries from the bidder, the same may be clarified in the pre-bid meeting. No extension
5 of any deadline will be granted, if CMRL does not respond to any query or does not provide any
clarification. All queries related to this tender should be written and submitted a day prior
to the pre-bid meeting.
Bidders may clearly note the date and time of submission of Tender. Late or delayed Tenders
will not be accepted. Bidders are reminded that no supplementary material will be entertained by
6 CMRL and Techno-Commercial Evaluation will be carried out only on the basis of submissions
received by CMRL as per the date / time of the tender submission schedule. However, CMRL
may ask for any supplementary information, if required.
Techno-Commercial Evaluation will help to assess whether the bidder possesses the earmarked
Techno-Commercial / Financial capabilities. Bidders will not be considered for further tender
7 process, if they have a poor performance record such as abandoning works, not following
statutory requirements, Financial failure etc. CMRL reserves the right to approach previous
clients of the Bidders to verify / ascertain Bidders performance.
8 Separate Techno-Commercial and Financial bids are required to be submitted as per the
Tender conditions.
Bidders should note that CMRL will not discuss any aspect of the evaluation process. Bidders will
deem to have understood and agreed that no explanation or justification of any aspect of the selection
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process will be given by CMRL and that CMRL's decisions are without any right/t of appeal /
litigation whatsoever. Applicants may note that the selection process will entirely be at the discretion
of CMRL.
Bidders will not be considered in the tender process, if they make any false or misleading
representations in statements / attachments. If any submission is found false or misleading, even
10 at later stage i.e. after completion of the tender process then also CMRL may annul the award,
forfeit EMD (if any held with CMRL) and Performance Security (if any available). Further, the
bidder may be blacklisted for participation in any future tender(s) of CMRL.
11 The financial bid of the technically qualified bidders only will be opened and the firm dates of
opening of financial bids will be intimated only to the technically qualified bidders separately.
**********
a. The cost of tender document will be as mentioned in the key details of Notice inviting
tender sr. no. 14 at pg. 04.
b. Mode of payment:-The payment for the cost of bid document can be made through a
crossed demand draft/pay order issued by a scheduled bank of INDIA, payable to Chennai
Metro Rail Limited at Chennai
c. Schedule for tender document sale:- The sale timings of the bid document will be
10.00 hr. to 17.30 hr. excluding lunch recess from 13.30 hr. to 14.00 hr. on all working
days. The sale of document will be closed at 17.30 hr.as per schedule stipulated vide NIT.
You are requested to purchase the tender document at the following address:-
Chennai Metro Rail Limited,
Admin Building, CMRL depot, Poonamallee High Road,
(Adj. to Koyambedu Metro Station), Koyambedu Chennai 107
OR
1. CMRL website :- www.chennaimetrorail.org for downloading soft copy.
i. The EMD shall be made payable without any condition to the CMRL. A demand draft or
specified small savings instruments or where the company deems fit, irrevocable bank
guarantee in a prescribed format in favour of Chennai Metro Rail Limited issued by a
scheduled Public Sector Bank payable at Chennai should be submitted along with the
bid as bid security, for the amount of Rs. 60,000/- (Rupees- Sixty Thousand Only).
ii. All tenderers (including those who possess NSIC, SSIC, etc. certificate holders) should
submit EMD along with the bid documents. Any bid document submitted without the
EMD in the approved form will be summarily rejected. No interest is payable for the
EMD amount.
iii. Bid securities of the unsuccessful bidders will be returned at the earliest after expiry of
the final bid validity or latest on or before the 30th day after the award of the contract.
iv. The successful bidders bid security will be returned after signing of contract by bidder
& receipt of Performance Bank guarantee.
i. This is a two bid packet open tender (packet A & B). Tenderers have to submit their
offer in two different packets. Following are the details for the two covers:-
This envelope shall consist of the technical compliance sheet as specified vide
Annexure A and relevant documents as per the qualifying eligibility criteria
specified in section V.
The technical bid received without qualifying eligibility criteria documents, will
not be considered for further evaluation and will be summarily rejected
a. This envelope shall consist of financial bid in the format as given vide
2 Packet-B Annexure B
ii. The bidder shall seal all the envelopes in packets A & B. Outer cover containing both the
two packets shall be super-scribed as QUOTATION FOR SUPPLY, INSTALLATION,
COMMISSIONING AND TESTING(INCLUDING WARRANTY) OF 2V 100 AH
SMF VRLA BATTERIES FOR UPS. bear the tender number & last date of submission
on top left corner and addressed to the CMRL at the address given in the Invitation of
Tender
iii. Unsealed bids will be summarily rejected. Offers (packets/envelopes) shall be sealed as per
the instructions mentioned above.
iv. 2.4.TENDER VALIDITY:-
The tender shall remain valid and open for acceptance for a period of 180 days from the date
of financial bid opening. In exceptional circumstances, prior to the expiry of the tender validity
period, CMRL may request the bidders for a specified extension in the period of tender
validity. The request and the response thereto shall be made in writing. Bidders have the
option to accept or reject the request without forfeiting their EMD. Bidders agreeing to the
request for extension of tender validity period shall not be permitted to modify their tender but
will be required to extend the validity of the period of the EMD correspondingly as per the
prevailing rates and conditions of the purchase order.
CMRL reserves the right to accept or reject any tender without assigning any reason
thereof at any stage. It is open to CMRL to alter the conditions of the tender schedule in
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appropriate cases in the interest of CMRL. No representations will be entertained in the
matter of selection of the L1.
CMRL reserves the right not to proceed with the tender process at any time without any
a.
notice, justification or liability.
All tenders, documents and other information submitted by the bidders to CMRL shall
b. become the property of CMRL. Bidders shall treat all information furnished as strictly
confidential. CMRL will not return any submission.
CMRL in its sole discretion and without incurring any obligation or liability, reserves the
right, at any time, to:
i. Suspend and / or cancel the Bidding Process and / or amend and / or supplement
the Bidding Process or modify the dates or other terms and conditions relating
thereto.
a.
ii. Consult with any Bidder in order to receive clarification or further information.
iii. Retain any information and / or evidence submitted to CMRL by, on behalf of, and
/ or in relation to any Bidder; and / or
iv. Independently verify, disqualify, reject and / or accept any and all submissions or
other information and / or evidence submitted by or on behalf of any Bidder.
CMRL will award the contract to bidder whose tender has been determined to be
b. substantially responsive, Techno-Commercially and financially suitable, complete and in
accordance with the tender document.
c. Responsive bid is one that conforms to all the terms, conditions, and Specifications of the
tender Documents without material deviations, exceptions, objections, conditionality or
reservation,
Non responsive bids are:-
CMRL may reject the tender that is considered to be substantially non responsive to the
requirements, such indicative list is as follows and the same is not an exhaustive list:
i) Incorrect or shortage or fraudulent EMD/tender security.
ii) Fraudulent qualification relating to proposal.
iii) Fraudulent or incomplete credentials.
iv) Incomplete technical proposal.
v) Major inadequacy in technical offer.
vi) Non submission of documents as stipulated in qualifying criteria in section V
d. CMRLs determination of bid responsiveness will be based on the contents of bid itself
and any written clarifications sought by CMRL in writing, the response to which shall also
be in writing and no change in rates shall be sought, offered or permitted.
e. In case, two or more Techno-Commercially qualified bidders quote the same amounts in
Failure of the successful bidder to submit the required Performance Security shall
c. constitute sufficient grounds for the annulment of the award of the Tender and forfeiture of
the EMD.
*******
Seal and sign of the bidder Page 12 of 31
Section-III
General Terms and conditions
The bidder shall not assign, transfer, pledge or subcontract the Supply, installation,
1. commission & testing (including warranty) of 2V 100 AH SMF VRLA batteries for
UPS at CMRL Metro Stations (CMBT, Arumbakkam & Ekkattuthangal ) .
2. CMRL reserves the right to accept / reject any or all Bids without assigning any reason
thereof.
Right to make substitute arrangement in the event of unsatisfactory services, etc. by
the Contractor:
a. In the event of unsatisfactory service, or any failure or default at any time on the
part of the Contractor to carry out the terms and provisions of the agreement to the
satisfaction of the CMRL (who will be sole judge and whose decision shall be final),
3 then without prejudice to any other remedy that may be available to the CMRL
under this Agreement or otherwise, the CMRL reserve the right to make any
substitute arrangement in any manner, it may deem fit at the cost and risk of the
Contractor.
b. The Contractor agrees to make good all cost and expenses, if any incurred by the
CMRL for making the substitute arrangements referred to above.
CONFIDENTIALITY:
a. It is agreed and acknowledged by the parties herein that every aspect of the present
Agreement including but not limited to the commercial terms, Techno-Commercial
parameters, etc. are invaluable to each party and are to be collectively regarded as
4 part of confidential information.
b. In addition to the above, during the Term of this Agreement, the Contractor
acknowledges that all information, data, material, etc., shared by CMRL with the
Contractor, shall be regarded as part of confidential information by the
Contractor.
DELIVERY PERIOD:
The items should be delivered, installed, commissioned and tested within 30 days from
5. the date of receipt of Purchase order, to the following metro stations:-
i. CMBT Metro Station
ii. Arumbakkam Metro Station
iii. Ekkattuthangal Metro Station
PAYMENT TERMS:
100% payment would be released through RTGS/NEFT within thirty days on receipt and
acceptance of items and the completion of commissioning and testing against the
following documents:
a. Original invoice duly signed by the authorized signatory.
6. b. Warranty/Guarantee certificate for the items supplied
c. Installation and Commissioning certificate duly certified by CMRL Representative
d. Dealership or Manufacturer Authorisation certificate. Item Acceptance Certificate
duly signed and sealed from authorized representative of HR department in CMRL
after delivery of all the items in full quantity as mentioned in Purchase Order.
e. PAN Card number, Bank Account details, Bank address & RTGS details of the
Agency are to be forwarded along with the Invoice.
CORRUPT PRACTICES:
The Bidder shall not offer or give or agree to give to any person in the employment of
the Customer or working under the orders of the Customer any gift or consideration of
any kind as an inducement or reward of doing or forbearing to do or having done or
forborne to do any act in relation to the obtaining or execution of the contract or any
other contract with the Customer or Government for showing any favour or for bearing
to show disfavour to any person in relation to the contract or to any other contract with
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the Customer or Government. Any breach of the aforesaid condition by the Contractor,
or any one employed by him or acting on his behalf, under Chapter IX of the Indian
Penal code,1860 or the Prevention of Corruption Act, 1947 or any other act enacted for
the prevention of corruption by public servants shall entitle the Customer to cancel the
contract and all or any other contracts with the Bidder and to recover from the bidder the
amount of any loss arising from such cancellation in accordance with the provision of
clause 12
LAWS GOVERNING THE CONTRACT:
This contract shall be governed by the Laws of India for the time being in force
irrespective of the place of delivery and the place of payment under the contract, the
contract shall be deemed to have been made at the panel in India from where
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the acceptance of tender has been issued.
The court of jurisdiction is Chennai. The English language shall be the official
language for all purposes
AMENDMENTS
20 Any changes or modifications to this contract can only be made by a written amendment
mutually signed by both the parties.
The special conditions of contract contained herein shall be supplemented to the General
1. Conditions of the contract. In the event of any conflict or inconsistency between them,
Special conditions of the contract will supersede the General conditions of the contract
*******
Sl. Documents to be
Criteria
No. submitted
Certified audited
Average annual financial turnover during last 3 financial years should Balance Sheet for the
be 80% of estimated cost, i.e. Rs. 48, 00,000/- (Rupees Forty Eight year
1. 2016 - 2017
Lakh Only).
2015 2016
2014 - 2015
Work Experience:-
During last 7 years ending last day of month previous to the one in
which applications are invited bidder should have any one of the
following experiences:-
a. The bidders should have successfully completed three similar
works costing not less than the amount equal to 40% of estimated Purchase Order from the
2. cost, i.e. Rs. 24,00,000/- (Rupees. Twenty Four Lakhs Only). OR. concerned firm and
b. Two similar completed works costing not less than the amount performance certificate.
equal to 50% of estimated cost, i.e.Rs. 30, 00,000/- (Rupees
Thirty Lakh Only). OR.
c. One similar completed works costing not less than the amount
equal to 80% of estimated cost, i.e. Rs. 48, 00,000/- (Rupees
Forty Eight Lakh Only).
Technical Compliance Sheet:-
The agency should submit the brochure for the quoted product & technical compliance statement
3.
as annexed in Annexure -A. If any deviation is there between the required & quoted item, same
should be mentioned clearly.
Dealership/manufacturer authorisation certificate:-
4. Bidders shall submit the dealership/manufacturer authorisation certificate shall be provided by the
bidders for supplied items.
Note:-
i. A performance statement as mentioned in Annexure-C, giving a list of at least 5 major
customers in India in last 5 years, giving details of the customer's name and address, order no.
and the date and the quantity supplied and whether the supply was made within the delivery
schedule, and date of commissioning, number of years in service, and number of failures.
Purchase order of past performance to be enclosed. If purchase order / letter of award is not
enclosed bid would be rejected.
ii. The bidders who do not comply as per the eligibility criteria stipulated above and who fails to
submit dealership/manufacturer authorisation certificate will be summarily rejected.
********
Scope of work
The successful bidder shall supply, install, commission and test 12 sets of 2V 100 AH
SMF VRLA batteries for UPS along with required frames, modules and inter
connections etc, neede to completely install, commission and test at following metro
stations:-
a. i. CMBT Metro Station (04 sets battery)
ii. Arumbakkam Metro Station (04 sets battery)
iii. Ekkattuthangal Metro Station (04 sets battery) , iv). Healthiness check up of batteries
once in 3 months, throughout the life of the battery.
Note: 1 Set consists of 192 cells.
The successful bidder should supply item of same make and quality specified in technical
b. bid.
Any battery goes faulty during warranty period; the contractor has to supply and replace
c. battery at free of cost immediately.
After getting supplied the batteries if any battery is found faulty/damaged then same shall be
d. replacing with new battery within 48 hours of reporting it to contractor. If spare battery fails
it shall be recouped.
The CMRL reserves the right to place full or partial orders within the validity period of the
e. contract.
**********
Compliance
Sl. Particulars Description Deviation
No. (yes/no)
Preferred Brand/Make
Panasonic or Rocket Specify the make and Model for
1.
2V, 100 AH or quoted item
equivalent
5. Sets/ Banks : 4
4.1 Type
The battery shall be Valve Regulated Lead Acid (VRLA) Sealed Maintenance Free
type with AGM (Absorbent Glass Mat) technology
Battery shall not require water addition ever and shall suppress generation of
hydrogen gas by means of such a system that the oxygen generated at positive plate
is absorbed by negative plate by reaction in the battery.
The positive plates shall be flat pasted type and made of lead calcium tin alloy for
low water loss and low self-discharge characteristic during float operation.
Antimony or Cadmium is not acceptable in positive plate alloy.
Composition of Calcium & Tin in the positive alloy shall not exceed 0.09% and
1.7% respectively
The plates shall either be tank formed or container formed.
Design shall have provisions for grid growth, during the service life time preferably
through one leg design.
Plates shall be parallel to the ground to minimize stratification effect
4.3 Negative Plates :
The negative plates shall be of flat pasted type and made of lead calcium-tin alloy.
Negative plates shall be designed to match the positive plates and combination of
positive and negative plates shall ensure long life and trouble free operation of
battery.
4.4 Separator:
a) The separator shall be either glass or synthetic material having acid absorption
capabilities, double layered high density glass material, non woven with
excellent porosity, shall be resistant to sulphuric acid and shall have good
insulating properties.
b) Minimum of two layers of separator shall be provided between the plates.
c) The uncompressed water absorption of separator shall be at least 5 gms of water
per gram of separator material.
4.5 Container and lid :
Should be made of polypropylene co-polymer plastics. They shall be sufficiently
robust and not liable to deformation under internal operating pressures and within
the temperature ranges normally encountered. It should be leak-proof, non-
absorbent and resistant to the acid with low permeability. The cells above 500 AH
should have ribbed exterior to facilitate heat dissipation as well as to provide
mechanical robustness.
Valve shall
a) Have explosion proof vent closure
b) be self-resealing pressure regulating type
c) Operate on opening & closing pressure between 2 to 6 Psi.
d) Have flame arrestor to prevent the possibility of external sparks entering the
cell.
4.7 Racks/Trays
Mild steel with powder coating with anti-corrosive paint including base channel
plated foundation nuts bolts etc.
4.8 Electrolyte:
The electrolyte shall be prepared from battery grade sulphuric acid conforming to
latest edition of relevant IS 266.
4.9 Water :
Water used in preparation of electrolyte shall conform to the latest edition of IS-
1069.
4.10 Terminals:
Terminals shall be of integral lead terminal with solid copper core suitable for
minimum M6 threading inter-cell, inter-module and inter-stack. Both inter-cell
connectors & terminals shall be suitably protected by transparent covers or total
front cover.
4.12 Connectors :
The connectors shall be lead plated copper connector. Connector shall be suitably
lead coated to withstand corrosion due to sulphuric acid. The coating shall be of
minimum 25 micron.
4.13 Seal
a) TIG welding shall be done for post sealing
b) Additional Epoxy resin sealing shall be provided for double assurance against
leakage.
Self-discharge rate shall be less than 0.5% of C10 capacity per week at 27 deg. C.
4.15 Charging:
Design life of the battery shall be around 20 years on float mode and at 27 deg. C.
The capacity of the battery shall be declared at 10 hour rate of discharge to an end
voltage of 1.80 volts per cell.
Three random sample cells shall be taken and let the following test be performed
Temperature and float current of the cell shall remain stable under the above
conditions. Uneven rise of float current and terminal temperature shall be translated
as thermal runaway behavior in the cells.
Vendor shall perform the above experiment in house / external laboratory and
submit a copy of the same along with the bid document. The validity of Test report
not later than 3 years.
a) 100% cells shall be tested by Helium Ion leak tester for leak free performance.
Vendor shall attach a copy of the Helium Ion tester report along with the
dispatch documents
b) Vendor is expected to monitor the voltage and current data of the cells during
initial charge and test discharge by means of automatic data logging for
traceability. Vendor shall maintain the data base of the same and provide the
document to the Company as and when called for.
4.21 Marking:
Tenderer should use the following items during quarterly health check up.
The successful bidder shall ensure that instruments and gauges to be used for testing
and inspection of critical parameters as identified in the specification have valid
calibration and the accuracy can be traceable to National standards
1. The In-house laboratory should have the NABL certification for electronic tests
& calibrations as per ISO/IEC 17025:2005
4. Computer controlled charge / discharge facilities for Life cycle and Endurance
Tests having accuracy levels of 0.1%.
Must have advanced test facilities like Scanning Electron Microscope test
facility, X- ray diffraction facility, Inductive coupled plasma facility,
Differential scanning calorimeter facility etc. for practical verification during
inspection.
o CE (Conformity European)
o UL certification
Note: - (Certified copies of Purchase Order for above mentioned items also to be provided.)
Page 26 of 31
ANNEXURE D
Vendor Information Form
Note: Bidders are requested to furnish the following information and enclose along with quotation.
Name & Address of the Company :
Bank details
Bank name
Beneficiary name
Bank address
Bank account no
IFSC code
PAN No.
Page 27 of 31
ANNEXURE E
Ref _______________
Date____________________
1. This deed of Guarantee made this day of ________________________ between Bank of ___________________________(hereinafter called the Bank) of
the one part, and Chennai Metro Rail Limited (hereinafter called the the Employer) of the other part.
2. Whereas Chennai Metro Rail Limited, has awarded the contract for ______________ (Name of work) (hereinafter called the contract)
_____________________________ (hereinafter called the Contractor). (Name of the Contractor)
3. AND WHEREAS the Contractor is bound by the said Contract to submit to the Employer a Performance Security for a total amount of
Rs.__________________________________(Amount in figures and words).
4. Now we the Undersigned _______________________________ (Name of the Bank) being fully authorized to sign and to incur obligations for and on behalf
of and in the name of _____________________________ (Full Name of Bank), hereby declare that the said Bank will guarantee the Employer the full
amount of Rs._____________________ (Amount in figures and Words) as stated above.
Page 28 of 31
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 resulting from any defects or
shortcomings of the Contractor or the debts he may have incurred to any parties involved in the Works under the Contract mentioned above, whether these
defects or shortcomings or debts are actual or estimated or expected.
The Bank will deliver the money required by the Employer immediately on demand without delay and demur any without reference to the Contractor and
without the necessity of a previous notice or of judicial or administrative procedures and without it being necessary to prove to the Bank the liability or
damages resulting from any defects or shortcomings or debts of the Contractor. The bank shall pay to the Employer any money so demanded notwithstanding
any dispute/disputes raised by the Contractor in any suit or proceedings pending before any Court, Tribunal or Arbitrator/s relating thereto and the liability
under this guarantee shall be absolute and unequivocal.
6. This Guarantee is valid till ________________(The initial period for which this Guarantee will be valid for 24 months from the date of completion of all
contractual obligations of the supplier ( ie. Warranty period) as stated in Tender Document)
7. At any time during the period in which this Guarantee is still valid, if the Employer agrees to grant a time extension to the Contractor or if the Contractor fails
to complete the Works within the time of completion as stated in the Contract, or fails to discharge himself of the liability or damages or debts as stated under
Para 5 above, it is understood that the Bank will extend this Guarantee under the same conditions for the required time on demand by the Employer and at the
cost of the Contractor.
8. The Guarantee hereinbefore contained shall not be affected by any change in the Constitution of the Bank or of the Contractor.
9. The neglect or forbearance of the Employer in enforcement of payment of any moneys, the payment whereof is intended to be hereby secured or the giving of
time by the Employer for the payment hereof shall in no way relieve the bank of their liability under this deed.
Page 29 of 31
10. The expressions the Employer, the Bank and the Contractor hereinbefore used shall include their respective successors and assigns.
This bank guarantee is payable on demand at a designated bank branch locating at Chennai.
Page 30 of 31
In witness whereof I/We of the Bank have signed and sealed this guarantee on the day of .. (Month).. (Year) being
herewith duly authorized.
For and on behalf of
The _____________________________Bank.
Name: _____________________________________
Designation: _______________________________
Witness 1. Witness 2.
Signature . Signature
Name Name..
Address. Address.
Page 31 of 31