Empanelment Form

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MAHANAGAR GAS LTD.

5th Floor, Centrum House, Vidyanagari Marg, Kalina, Santacruz (E), Mumbai – 400 098

NOTICE NO.: MGL/EMPANELMENT FOR ARCHITECT & DESIGN CONSULTANT FOR OFFICE BUILDING

Empanelment Form

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INDEX

Sr. No.

Description Page No.

1

Invitation for Empanelment of CONSULTANTS

3

2 Experience Criteria required for Empanelment 4

3 NORMS FOR QUALIFICATION 5

4 Brief Scope of Work 6

5 Form for Empanelment 7-11

6 Annexure I (HSE Questionnaire) 12

7

Annexure II (CONSULTANTs Health, Safety & Environment Assessment)

13-14

8 Declaration 15

9 ANNEXURE – ‘ A ‘ Details of enrollment

16

10 ANNEXURE – ‘ B ‘ LIST OF WORKS

COMPLETED DURING LAST SEVEN YEARS

17

11 ANNEXURE – ‘ C ‘ LIST OF MAJOR WORKS IN

HAND AS ON Aug 2017

18

12 ANNEXURE – ‘ D ‘ PARTICULARS OF

PERMANENT TECHNICAL STAFF

19

Total No. of Pages: 19

Empanelment Form

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MAHANAGAR GAS LTD.

5th Floor, Centrum House, Vidyanagari Marg, Kalina, Santacruz (E), Mumbai – 400 098

EMPANELMENT NOTICE

1.1 Mahanagar Gas Limited (MGL) is one of India’s leading natural gas distribution company

Established in 1995, MGL is a joint venture between GAIL (India) Ltd and BGAPH (a subsidiary of Royal Dutch Shell Plc). MGL has to its credit, the distinction of pioneering the natural gas distribution network in Mumbai and its neighboring areas. MGL’s vision envisages providing safe, efficient and reliable energy and contributing significantly for pollution free environment. MGL today is an ISO 9001:2008, ISO 14001:2004 and OHSAS 18001:2007 certified organization.

1.2 Mahanagar gas Ltd. had purchased a piece of land with admeasuring 3721 sqm of area from MIDC, Plot No P-1., Phase “A” Block, TTC industrial Area, and Mahape. Out of the total area 2521 sqmt have been planned for office building with FSI 1.5.

1.3 This offer is for Architectural & Design Services for MGL’s Proposed Office.

Architect & design consultant who is having relevant experience and who wish to empanel with MGL can download the Empanelment form from web site.

Empanelment Form

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Experience Criteria required for Empanelment

The bidders shall satisfy the following minimum eligibility criteria: -

I. The bidder should also have a full-fledged office and should have adequate number of qualified architects with valid licenses from Indian Council of Architecture, engineers and other personnel on the payroll / establishment of the company.

II. Must be registered with the Council of Architecture of India. (As per Architect Act Govt. of India.)

III. The bidder should have License Structural design engineer, issued by the Municipal Corporations under the government of Maharashtra.

IV. The bidder should have in-house expertise in various disciplines such as architecture, civil and structural design, electrical & mechanical and HVAC design, Lift, fire alarm and fighting services etc. and should be familiar with the provisions of the relevant BIS Specifications and Codes, the National Building Code and local municipal Bye-laws applicable.

V. The bidder should have a minimum of 7 years’ experience in the field of planning, designing and periodic supervising for construction of multi-storeyed (G+5 and above) commercial buildings with iconic view as on 31.08.2017.

VI. The bidder should submit the details of the firm / client for whom the work is executed along with the value of the contract with duration of completion during the past seven years.

VII. If the bidder does not have in-house expertise in any of the relevant areas Except Architectural services, it should have a tie-up with associate consultants having required expertise in the areas and minimum experience of 5 years. The details of such tie-ups with details of the associate consultants shall be furnished. (relevant document for association should be submitted during participation)

VIII. The bidder should have, during last 7 years ending on 31.08.2017, planned & designed as principal Architect/ Consultant, offering all services as in (IV) above, any of the following:

(a) At least ONE multi storey commercial/ office building of at least 50000 sq. ft. built-up area.

(b) At least TWO multi storey commercial/ office buildings of at least 40000 sq. ft. built-up area.

Empanelment Form

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NORMS FOR QUALIFICATION FOR PROVIDING COMPREHENSIVE DESIGN &

ARCHITECTURAL CONSULTANCY FOR THE CONSTRUCTION OF OFFICE BUILDING

Note: Document evidence should be submitted along with technical bid as per below details.

A Past Experience of the Firm 65

1 Experience in Architectural Design consultancy work 10

1.1 More Than or equal to 15 years 10

1.2 10 to 15 Years 7

1.3 7 to 10 Years 5

2 Similar Experience (Architectural & Design consultancy) Value of architectural consultancy executed in the last Five Year

25

2.1 More than or equal to 100 Lac 25

2.2 Pro-rata for in Between cases (e.g 60 Lac) 15

3 Performance On previous work in last Seven Year 20

3.1 Successful completion of Three or more project consultancy fees for major works in time. 20 Each of 30 Lac

3.2 Successful completion of one project consultancy fees for major work in time. 8 Each of 30 Lac

OR

3.1 Successful completion of Five or more project consultancy fees for major works in time. 20 Each of 24Lac

3.2 Successful completion of Two major work in time. 8 Each of 24Lac

4 Highest value of single work completed in 7 years 10

4.1 Value of the job more or equal to 120 Lac 10

4.2 (Pro-rata for in between cases) (e.g 60 lac) 5 B Experience of Key personnel 20

1 In-house Qualified staff availability 15

1.1 If 4 Graduate Architects, 4 Structural Engineers, 5 Draftsman, 2 Plotter A0 Size 15

1.2 If 3 Graduate Architects, 3 Structural Engineers, 4 Draftsman, 1 Plotter A0 Size 11

1.3 If 2 Graduate Architects,2 Structural Engineers, 4 Draftsman, 1 Plotter A0 Size 9

2 In House MEP Design Staff 5

2.1 1 or more Electrical Design Engineer 1

2.2 1 or more HVAC Design Engineer 1

2.3 1 or more Fire Fighting Design Engineer 1

2.4 1 or more CCTV & Security System Designer 1

2.5 1 or more Plumbing Design Engineer 1

C Financial Strength of Consultant 15

1 Average Annual Turnover of similar works in last 5 Financial Years 10

1.1 More Than 250 lac 10 250 Lac

1.2 (Pro-rata for in between cases) 5 125 Lac

2 Financial Stability Solvency ( issued by Bank) 5

2.1 More Than or equal to 75 lac 5 50 lac

2.2 Pro-rata for in between cases)

2.5 25 Lac (Certificate validity up to six months before the tender opening

100 %

Minimum % required to Qualified Empanelment 60 %

Empanelment Form

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Brief Scope of Work

SCOPE OF WORK FOR ARCHITECT & DESIGN SERVICES FOR MGL’S OFFICE BUILDING The brief scope of work is given below for the purpose of understanding. The detailed scope of work shall be provided at the time of Tender.

GENERAL:

The consultant shall broadly render to MGL, design consultancy services, but not limited to the following:

1. Architectural Services 2. Civil, Structural (RCC) Building design services 3. Electrical design services both internal and external, compound lighting,

electrical substation, DG set. 4. Fire Detection and Protection systems 5. Security systems (CCTV, Public Addressing system and Access control). 6. Rodent control System. 7. HVAC design works 8. Solar Power system. 9. LAN and Telecommunication system 10. Interior, Furniture, graphic signage’s Design. 11. Lift, Parking System, Cladding & Façade design 12. Plumbing, Sewerage, Strom water drainage, rain water harvesting 13. Land development works like internal and external roads entrance culverts,

approach road, compound wall, Sliding gate and landscape design like garden, tree plantation.

14. All the requirement of Green building design.

Empanelment Form

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FORM FOR EMPANELMENT

We are desirous of being enrolled for Architect & Design consultancy work and hereby apply for the same. We give the following details for your

consideration:

Sr. No Description Applicant’s Confirmation

1. Name of the Company / Firm

2. Full Address of Registered Office /

Corporate Office

Telephone No:

Fax No.:

Contact Person:

Mobile No.:

E-Mail:

Website

3. Company’s Organizational Structure

(Attach Organogram)

4. Nature of Company / Firm i.e

Proprietorship / Partnership / Private

Limited / Government / Public

Sector / CONSULTANTs / Others

4.1 Particulars of sister concern if any

4.2 List of Associate consultant if any

5. In case of Proprietorship firm, attach

relevant document showing name of proprietor

6. In case of Partnership firm, specify

names of the Partners and attach copy

of partnership deed

7 In case of a Company, attach copy of

Articles of Association and Memorandum

of Association

Empanelment Form

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Sr. No Description Applicant’s Confirmation

8. Year of Establishment & Starting of

Production / Shop & Establishment

Certificate (Attach copies)

OR

Registration No. of the Company

(Attach copy)

9. Authorization letter from the concerned

10. Confirm Following:

A Whether registered under SSI /

NSIC (Attach copy)

B Whether PSU or Govt. Dept.

11. Registration Nos. (Whichever is

applicable)

1) PAN

2) Sales Tax Registration

No.(Central / State)

3) Service Tax

4) TIN No. 5) PF No.

6) ESIC No.

7) Works Contract Tax Registration

No.

8) GST No.

Please attach copies of documents

for above.

12. Audited Balance Sheets of

immediately preceding Five

Financial year including Profit and

Loss account statement (to be

enclosed)

Empanelment Form

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Sr. No Description Applicant’s Confirmation

13. If you are already existing consultant with MGL,

please indicate the same.

14. Whether ISO 9001:2008/14001

/OSHAS 18001 or equivalent Certified Company

(Attach photo copy, also indicate if under process of

certification)

15. Works completed : Fill in and enclose Annexure “B” giving full particulars about works completed during past seven years.

a) List of Clients (Attach list preferably indicating

services involving relevant job)

b) Work Order of Clients (Attach photo copies for

the same)

c) Single largest value of order executed in the last

seven years (Attach copy of WO / Completion

certificate) as stated in eligibility criteria ( point

no.1 & 2)

16. Fill – in and enclose Annexure “A” to give details of enrollment with Govt./Semi Govt/PSU & with other organizations. Is it enclosed?

17. Any other information. Like Works in progress : Special/relevant.

a Whether full details of major works on hand given in Annexure “C” ?

b Number of Copies of work orders for such large works enclosed ?

d How do you normally carry out work Structural & MEP Design work ?

e Who is the license holder and what is his experience of this work?

f Bidder should be fully conversant with various local statutory guidelines & procedures for execution of such projects in like MIDC.

g Confirmation for availability of 1. Copy of council of architect 2. Copy of structural engineer 3. Copy of plumber license

Empanelment Form

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18. Whether the Company/Firm is under litigation /

arbitration cases during last five years; if yes furnish details.

19. Whether the Company / Firm / Director / Partner /

Proprietor has been de-listed / debarred / kept on

holiday / blacklisted in India. If so, the reason for the same.

20. Applicant confirms that the document / information

furnished are true and valid for the duration of the

empanelment and in case there are any changes /

variation, the same shall be immediately brought to

the notice of MGL. Applicant also confirms that in

case of conflicting version, MGL may consider

any version as convenient to MGL.

21. Please provide the details of the manpower engaged

by your company as per Annexure “D”

22. Pl. provide Safety Policy of Your Company as a attachment ( if exists)

23. Pl. ensure that you submit duly filled in Safety

Questionnaire (Annexure

I) & HSE Assessment Sheet (Annexure II) along

with other details as stipulated in above documents-

fill wherever applicable

24. Pl. ensure that you have attached copy of

PF/ESIC/ Shops and establishment certificates

25. We understand and agree that mere

empanelment does not entitle us for award of work

Note: It is mandatory to fill in all the columns by the company and submit the same along

with all necessary documents / credentials / copies of the certificates etc. Any other relevant

information in support of empanelment may be volunteered by the applicant. All pages

may be signed in ink with stamp by the authorized signatory of the Company.

Place: Signature:

Name & Designation:

Date: Company Seal:

Empanelment Form

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HSE Questionnaire

Annexure I

Sr. No.

HSE requirement Status Clarification/Answer

Yes No

1 Kindly attach your ESIC policy or Workmen compensation policy

2 Do you have a Safety Policy / intent to have one.

3 Are you committed to Safety in terms of avoidance of work related injury to your employees, reporting of hazards & safety suggestions on site and attending Safety trainings

4 Kindly submit the organization structure for your company. (Please give a detailed list of the employees with their qualifications and Experience)

6 Give your legal compliance status? e.g. ESI returns, PF returns etc

7 Provide PPE (Personal Protective Equipment) list used in your last contract of similar job

8 Who is responsible for safety of all

your work force in your firm & have your site HSE contacts in place?

Declaration: The information provided herewith is true & correct to the best of my knowledge & belief and if found incorrect during any phase of the contracted job the client is authorized to cancel the work order allotted to me without any financial obligations arising out of such act.

Authorized Signatory:

Seal:

Empanelment Form

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Annexure II

CONSULTANTS HEALTH, SAFETY & ENVIRONMENT ASSESSMENT

CONSULTANT’s Name: _ _ _ _ _ _ _ _ _ _Telephone : _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Fax :

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Number of Employees : _ _ _ _

Completed by Position Date Signature

_ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Having made all possible enquires to the best of my knowledge, information

and belief

1. Provide at least 3 examples of work carried out by your company in the last

two years of a similar nature to that being carried out. Please state the

nature, value, duration and who the work was carried out for, Examples

enclosed.

YES NO

2. Does your company have a Health, Safety and Environment policy. If yes,

please provide copies. If No, please indicate your intentions.

YES NO

3. Who in your company has day-to-day responsibility for the management of

of health, safety and environment protection.

Name Position Tel.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

4. Who will be responsible for on-site health, safety and environmental

protection for work carried out on behalf of MGL.

Name Position Tel.

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

5. Provide details of relevant experience and qualification of the person named

in 4 above. Details enclosed.

YES NO

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6. Provide details of the Health, Safety and Environment training provided to

your employees.

Details enclosed. YES NO

7. a. Provide details of the system in place to monitor your health, safety and

environment performance and record accidents, incidents and near misses.

Details enclosed

YES NO

b. Provide details of your company safety record over the last 2 years e.g.,

No. of accidents, injuries etc.

Details enclosed

YES NO

8. Has your company or any individual employee been prosecuted by or reported

to any enforcing authorities in relation to Health, Safety or Environmental

issues.

YES NO

9. Provide details of Employers Liability Insurance and Public Liability Insurance

held by your company. Please give the value of Insurance cover held and the

renewal dates.

Details enclosed. YES NO

10. Provide examples of Risk Assessments and/or method statements for the

activities you carry out.

Details enclosed. YES NO

11. a) Where applicable, can you confirm that all your systems and equipment

are fully Year 2004 complaint. YES NO

b) If the answers is No, give details separately of the actions being taken to

ensure compliance.

Please attach the completed questionnaire together with copies of all relevant

documentation in duly signed by authorized signatory in technical bid of tender.

Empanelment Form

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(To be submitted on the CONSULTANTs Letter Head)

D E C L A R A T I O N

1. I / We have read the instructions appended to the proforma and I / We understand that if any false information is detected at a later date, any future contract made between ourselves and MGL, on the basis of the information given by me / us can be treated as invalid by MGL and I / We will be solely responsible for the consequences.

2. I / We agree that the decision of Mahanagar Gas Limited in selection of CONSULTANTs will be final and binding to me / us.

3. All the information furnished by me hereunder is correct to the best of my knowledge and belief.

4. I / We agree that I / we have no objection if enquiries are made about the work listed by me / us in the accompanying sheets.

5. I / We agree that I / We have not applied in the name of sister concern for the subject empanelment process.

6. The empanelment of a CONSULTANT shall not confer any right on him either to be necessarily issued the tender or for award of work. MGL has sole discretion to accept or reject any or all the applications at any stage of the process and/ or modify the process without assigning any reason whatsoever. Applications submitted through Agents / Intermediaries will not be considered.

PLACE: SIGNATURE DATE: NAME & DESIGNATION SEAL OF ORGANIZATION

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ANNEXURE – ‘ A ‘

I. ENROLLMENT WITH MAHANAGAR GAS LIMITED : Name of works for which enrolled by MGL in the past. 1) 2) 3) 4) 5) Give the Vendor registration number and the work orders received from Mahanagar Gas Limted. II) ENROLLMENT WITH OTHER ORGANISATIONS:

First time enrollment Last renewal of Enrolment

Sr. no.

Name and address of Authority with whom You are Enrolled

Year to year

Is copy of letter enclosed

Year to year

Class or category

Limited (Rs. In Lacs)

Is copy of letter enclosed ?

III) Documents shall be submitted by design Consultants:

a. Letter of enrollment issued by the organization.

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ANNEXURE – ‘ B ‘

LIST OF WORKS COMPLETED DURING LAST SEVEN YEARS, ENDING WITH Aug 2017. Mention only those projects that match with the required works mentioned in the “Notice to empanelment form”

Sr.

no

Value of

work as

per final

bill in

Lacs.

Commenc

ement of

work-

Month

year

Completio

n of work

Month&

Year

Penalty

levied for

delay of

completio

n if any.

Site of

work &

nature of

work

Client/

Owner

Authority

under

whom

work was

carried

out

Work

order no.

& Date

Contract

Amount

(rs. In

Lacs)

Is copy

enclosed

Name and Complete Address

of Order

Documents shall be submitted by design Consultant:

a. Work order copies of completed works which are mentioned in “Annexure-B” issued by clients/owners in the favor of design Consultant.

b. Work completion certificates of works which are mentioned in “Annexure-B”

Documents shall be submitted by consultant as follows :

a. Work order copies of completed jobs that match with the required qualification criteria mentioned in the “Notice to empanelment form”.

b. Work completion certificates issued by the client/owner for the completed jobs that match with qualification criteria mentioned in the “Notice to empanelment form”.

Consultant

Empanelment Form

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ANNEXURE – ‘ C’

LIST OF MAJOR WORKS IN HAND AS ON Aug 2017.

Sr. no.

Date of

commence

ment

Scheduled

date of

completion

Progress

made and

expected

date of

completio

n and

reasons

for delay

if any.

Site of

work &

nature of

work Owner

Authority

under

whom

work is

carried

out

Ref. No. &

Date

Amount

(Rs. In

lacs)

Is copy

enclsoed

Name and Complete Postal

Address ofOrder

Documents shall be submitted by design Consultant:

a. Work order copies of completed works which are mentioned in “Annexure- C” issued by clients/owners in the favor of design Consultant.

Consultant

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ANNEXURE – ‘ D ‘ PARTICULARS OF PERMANENT TECHNICAL STAFF

Name Designation AgeAcademic

Qualification

Service

with the

firm

Employee

ID

number

Total

ExperienceDetails of experience

Consultant OTHER RELEVANT INFORMATION

1. Copy of council of architect 2. Copy of structural engineer 3. Copy of plumber license