Request for Proposal for Selection of Concessionaire for Smart City Pan City Project in Bhopal under ppp

Form 10 Declaration that the Bidder has not been blacklisted

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Form 10

Declaration that the Bidder has not been blacklisted

(To be submitted on the Letterhead of the responding Bidder)

Place:

Date:

To,

Ref: RFP Notification no dated

Subject: Declaration of Bidder being not blacklisted

Dear Sir,

We confirm that our company, is not blacklisted in any manner whatsoever by any of the State/UT and/or central government in India on any ground including but not limited to indulgence in corrupt practice, fraudulent practice, coercive practice, undesirable practice or restrictive practice.

Place :

Date :

Bidder’s Company Seal :

Authorized Signatory’s Signature :

Authorized Signatory’s Name and Designation:

ANNEXURE 5

Sample Price Bid Format for Reference Purposes

Bidder need to fill the price in the following format;

Grant (Gb) required from BSCDCL:

Bidder need to fill the Grant sought from BSCDCL in the following table;

Grant	Amount (in figures and words)

Bill of Quantity (BoQ) for the Grant:

Following is the minimum BoQ requirement for the project implementation. The total BoQ cost should match with the aforementioned Grant sought from BSCDCL

S. No	Item		Unit of Measurement	Minimum Qty	Unit Price (INR)	Total Price (without tax) (INR)	Taxes, Duties as applicable	Total Price	Remarks
1	Camera		No.	100					Please note the quantities indicated in Row 1 to 7 may not be installed at one go and it is only a minimum indicative number. Bidders are required to quote as per actual requirement
2	Industrial grade 10/100 MBPS 8 Port POE Switch with 2 SFP Combo		No.	50
3	Field Aggregation switch		No.	10
4	Mobile Application		Software	1
5	Fibre		Kms	100
6	Environmental Sensors		No.	100
	Command and Control Centre
7	VMS for the number cameras as indicated in Ser No 1		No.	1
8	IT infrastructure (Server and Storage as required for Ser No 7)		As required
9	Router		No.	2
10	Switches		No.	2
11	Firewall		No.	2
12	19 inch rack-42 U Rack		No.	1
13	Video Wall (2x 2 Cubes)		No.	1
14	Installation and commissioning of above			Lumpsum
		Total BoQ Cost inclusive of all Taxes and Duties for Serial No1 to 14

All Capex related items specified above needs to be implemented within a period of 9 Months from the date of signing of the contract.For the purpose of acceptance few samples (2 each) like Ipole, smart digital panel, 3X4 signages, EV charging etc shall be installed and commissioned.

Revenue from the project

Revenue (INR)	Year
Revenue (INR)	Year 1	Year 2	Year 3	Year 4	Year 5	Year 6	Year 7	Year 8	Year 9	Year 10	Year 11	Year 12	Year 13	Year 14	Year 15
Revenue generated by the Bidder
Quoted Revenue Share
Revenue Share for the Authority
NPV
Total Revenue Share with BSCDCL over Concession Period

Note:

The amount should be INR
The rate of discounting factor shall be 10% for determination of NPV
The prices quoted should be in Indian Rupees
All revenue earning items to be implemented based on the revenue projections and its share to the BSCDCL
Telecom poles would be installed by the concessionaire only as and when the requirement is given by the operator through BSCDCL.

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