SECTION - 4 ANNEXURES Eol for selection of Vocational Training Partner (VTPs) -2025-26si. no £01 SUBMISSION CHECK LIST Description Annexure =| ‘Submitted (YesINo) Page No. /As per Table -1 ofthe Eligibility Criteria (Pre-qualification) : i Filled in Eol Submission Check List (ANNEXURE-I) Covering letter in TECH-1 format ‘Agency s Organisation (General details) n TECH-2 format z 3 4 Eol Processing Fee of Rs.6,000/- in fom to DD BC. Self-attested copy of the documents as asked for in Table- 1 of the eligibility criteria 9 of Certfcate of Incorporation / Registration of the Agency sued by competent Authority of Government be, ‘of Odisha Goods end Services Taxidentfication Numbe STIN) [Copy of valid PANITAN feiss of acknowledgement receipts of IT Return for last tree| sssessment years (2022-23, 2023-24 & 2024-25} Duly filed in TECH-9 format (Afidavit before Executive Iagistrate or Notary Public in Rs.100l- Incian non-Judicial amp Paper) 0 y other document as asked for in tablet of the Eol Self-attested copy of the documents as asked for in Table- 2 ofthe eligibility criteria TT Registration Certificate from NSDC for last 05 years ending 31/03/2024. 2 JAfidavit on non-udidal stamp paper of Rs.100/- along with laddress proof & lease agreement copies towards Organization's Presence in State of Odisha (Head Oice 1 Branch Office) % Copy of tum over Certificate from CA firm in TECH-3 format &| audited Staiement of accounts for the financial year 2021-22, 2022-23 & 2023-24 with UDIN. 14 Documentary eviderce of nos. of person trained in last three FYs ie 2021-22, 2022-23 & 2023-24. Only students traned through Stete or central Government run sill development missions programmes such as_-NSDC.DDU. GKY,PMKKPMKVY or any other recognized Goverment initiatives shall be considered 8 Provide details, along with proof of placement of tie candidates. Only students trained through Stete or central Government run skil development missions / programmes such as NSDC DU. GKY,PNKKPMKVY, or any other recognized Govemment initiatives shall be considered Afidavit on norjudical stamp paper of Rs.{00/- along with address proof & leese agreement copies towards agency’ owned operational taining centers (Not Fanchsee) in Osha a of 31% December 2024 7 Registration certificate issued by NSDC having performancel rating of B and above at least twice in the last two year including current year Eol for selection of Vocational Training Partner (VTPs) -2025-2618 Cerificate fiom Sector Skil Councils (SSC) in connection with relevant sector applied for by the agency. 19 ‘Any other document as asked for in Table-2 ofthe Eol Selfattosted copy of the documents required for 2 stage of Evaluation Copy of tum over Certificate from CA firm in TECH format &| audited Stalement of accounts for the financial year 2021-22, 2022-23 & 2023-24 with UDIN. 2 Copy of Net worth Cerificate from CA Tim in TECH format 8! audited Statement of accounts forthe financial year 2021-22, 2022-23 & 2023-24 with UDIN. ‘Affidavit on norjudical stamp paper of Rs.100/- along wih address proof & lease agreement copies towards seff.ouned operational training center inthe state of Ocisha. lDocumentary evidence of nos. of person trained in last three IFYs ie. 2021-22, 2022-23 & 2023-24. Only students trained [trough State or central Government run skil development Imissions. programmes suchas. NSDC.DDU- IGKY.PMKK.PMKW,or any other recognized Goverment nititves shal be considered pn Provide detlls, along with proof of placement ofthe candidates Only students trained through Stete or central Government run) ski development missions 7 programmes such as NSDC,DDU: GKY.PNKKPMKVY, or any other recognized Govemmen initiatives shall be considered Copy of Work Order! Contract Document with Work Completion Certiicates/invoice ffom the Client in TECHOG format ‘Any other document as asked for in 2* stage evaluation of the Eol Others Duiy filed in TECH-S format (Power of Atfomey) Duiy filed in TECH-7 format (Corfict of interest) Duiy filed in TECH-8 format (Core team details) 2)ss| a) Duly filled in TECH-10 format (in case of existing VIPS) ‘Any other document as asked for in the Eol Undertaking: + Allthe information has been submitted as per the prescribed format and procedure + Allpages of the proposal have been sealed and signed by theeuthorized representative. Authorized Signatory [in full and initials}: Name and Designation with Date and Seal: Eol for selection of Vocational Training Partner (VTPs) -2025-26PERFORMANCE BANK GUARANTEE FORMAT To The State Project Director, OSEPA. WHEREAS... sessrnarnnmsneeeinaennsi senannanasnason (Name — and address of the Agency) (hereinafter celled “the Agency’) has undertaken, in pursuance of EOI no... dated 5 6 to undertake the service (description of services) (here in after called "the contract’). ‘AND WHEREAS it has been stipulated by (Name of the OSEPA) in the said contract that the Agency shall fumish you with a bank guarantee by a scheduled commercial bank recognized by you for the sum specified therein as security for compliance with its obligations in accordance with the contract AND WHEREAS we have agreed to give the agency such a bank guarantee; NOW THEREFORE wo beret afm that we are qurefre and reponse fo yeu on behalf of the Agency, up to a total of . - (amount of the guarantee in words and figures), and we undertake to pay you, upon your fst writen demand declaring the Agency to be in default Under the contract and without cavil or argument, any sum or sums within the limits of (amount of guarantee) as aforesaid, without yourneeding to prove or to show grounds or reasons for your demand or the sum specified therein We hereby waive the necessity of your demanding the said debt from the Agency before presenting us with the demand. We further agree that no change or addition to or other modification of the terms of the contract to be performed there under or of any of the contract documents which may be made between you and the Agency shall in any ‘way release us from any liability under this guarantee and we heroby waive notice of any such change, addition or modification. This performance bank guarantee shall be valid until the ..... day of Our branch at Bhubaneswar (Name & Address of the Bank) is lable to pay the guaranteed amount depending on the fling of claim and any part thereof under this Bank Guarantee only and only if you serve upon us at our Bhubanoswar branch a writen claim or domand and received by us at our Bhubanoswer branch on or bofore ot ctherwise bank shall be discharged of all fabiities under this guarantee thereafter. (Signature of the authorized officer of the Bank) Name and designation of the officerSeal, name & address of the Bank & Branch Eol for selection of Vocational Training Partner (VTPs) -2025-26