Appendix 22 C
Format of Certificate of
Payments Issued by the Project Authority
Note: Please See Paragraph 8.3.1 and 8.4 of the
Handbook (Vol. I)
Form I-A
(Certificate of Payment to be Issued by
the Project Authority for Supplies Made to Categories (d), (e), (f) and (g)(i) and (j) of Paragraph 8 of the
Policy)
I ................................. (Name and Designation) am duly
authorised to issue the payment certificate.
Certified that the goods of quantity and value as described below
and in Invoice No....................Dated ......... have been supplied to us
on date) against purchase order No....................dated ............ and we
have paid to the suppliers, namely, M/s............................ the sum of
Rs.(figures and words...............................) on............. (date)
being ......................... per cent of the value of the goods/ equipments/
capital goods supplied as per terms of the contract No................ dated............
entered into with the suppliers in accordance with the conditions applicable
to:
(a) That
supplies under contract No....... Dated....... made in India to a project
financed by multilateral or bilateral Agencies/Funds namely..............which has
been notified by the Department of Economic Affairs, Ministry of Finance vide
their reference No....... Dated ....... and the same is under the procedure of
International Competitive Bidding in accordance with the procedure of the above
mentioned Agency/Fund, legal agreement of which provides for tender evaluation
without including the customs duty in accordance with the provision in Para
8.2(d) and 8.4.4 (ii) of the policy,2004-2009 and that
the import content of the order is Rs.(figure and words.....................).
Supply and installation of goods and equipment
(single responsibility of turnkey contracts) to projects financed by
multilateral or bilateral agencies/funds as notified by Deptt. of
Economic Affairs, Ministry of Finance under International Competitive Bidding
in accordance with the procedures of those agencies/funds, which the bids may
have been invited and evaluated on the basis of Delivered Duty Paid (DDP)
prices for the goods manufactured abroad”.
(b) That
supply of capital goods under the contract made to fertiliser
plants in India is under the procedure of international competitive bidding in
accordance with the provision of Para 8.2(e) and 8.4.5 of the policy,2004-2009 and that the import content of the order is
Rs.(figure and words.....................)
(c) That
Supplies made under the contract made to a project/ purpose
namely....................., import to which is permitted at zero customs duty,
by the Ministry of Finance vide Notification No......dt..........but
if procured domestically, then the benefit of Deemed exports has been
prescribed in accordance with the provision of Para 8.2(f) and 8.4.4(iii) of
the policy,2004-2009 and that the import content of
the order is Rs.(figure and words.....................)
(d) That
Supply of goods required in connection with Petroleum exploration licences or mining leases under international competitive
bidding is made in accordance with the provisions of Paragraph 8.2(f) and 8.4.4
(iii) of the Policy, 2004-2009 and the import content of the order is Rs.. (Figures and words of the order is Rs.(figure
and words.....................)
(e) That
Supply of goods under the contract made to power project in India is under the
procedure of international competitive bidding in accordance with the provisions
of Paragraph 8.2(g) and 8.4.4 (iv) of the Policy, 2004-2009 and the import
content of the order is Rs.. (Figures and words of the
order is Rs.(figure and words.....................)
(f) That Supply of goods under the contract made to refineries in
India is under the procedure of international competitive bidding in accordance
with the provisions of Paragraph 8.2(g) and 8.4.4 (v) of the Policy,2004-2009
and the import content of the order is Rs.. (Figures and words of the order is
Rs.(figure and words.....................)
(g) That
Supply of goods to projects funded by UN agencies in accordance with the
provisions of Paragraph 8.2(i) and 8.4.6 of the
Policy,2004-2009 and the import content of the order is Rs.. (Figures and words
of the order is Rs.(figure and words.....................)
(h) That
Supply of goods to specified nuclear power projects under the procedure of
competitive bidding is made in accordance with the provisions of Paragraph
8.2(j) and 8.4.7 of the Policy,2004-2009 and the import content of the order is
Rs.. (Figures and words of the order is Rs.(figure and
words.....................)
It is also certified that the supplies have been accepted by us at
the site at the price stated in the invoice.
It is also certified that no CENVAT Credit/rebate under the
Central Excise Rules have been availed by us nor will be availed in future on
supply of these items.
*(use whichever is applicable)
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Description, Quantity and Value of goods supplied |
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Signature |
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Name |
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Designation |
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Name of the Project |
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Place |
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Date |
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Note: 1. This certificate
should be signed by the Chief Executive Incharge of
the Project concerned or by a senior officer specially authorised by him for
this purpose.
2. In case of
supplies to Fertilizer Projects, this certificate should be signed by such
officer/ authorities as may be notified from time to time by the Department of
Fertilizers.
Form I-B
(Certificate of Payment to be Issued to the Sub-Contractor
Whose Name Appears in the Main Contract in Respect of Categories
(d),(e)(f),(g),(i)& (j) of Para 8.2 of the
Policy)
1. Certified
that M/s ...................... is an Indian sub-contractor to M/s
............................... (Main Contractor). The contract of the main
contractor has been accepted by us vide No. ....................... date
...........The name of the sub-contractor has been included in the main
contract itself and the description, quantity and value of the goods which has now
been supplied to us or to the main contractor, has already been indicated in
the main contract. These supplies conforms to the specifications laid down in
the main contract
2. It is also certified that the goods/equipment of quantity and
value as described below and in invoice No. ................ dated ............
have been supplied to us by the above mentioned sub-contractor on
...................... (date) against purchase order No.
....................... dated .................. and we have paid to the
subcontractor, namely, M/s. .................... the sum of Rs.(figures and
words ..................................) on .........(date) being
..................... percent of the value of the goods/equipments/capital
goods supplied as per terms of the contract No. ....... dated ............
entered into with the suppliers in accordance with the conditions applicable
to:
(a) That
supplies under contract No....... Dated....... made in India to a project
financed by multilateral or bilateral Agencies/Funds namely..............which
has been notified by the Department of Economic Affairs,Ministry
of Finance vide their reference No....... Dated ....... and the same is under
the procedure of International Competitive Bidding in accordance with the
procedure of the above mentioned Agency/Fund, legal agreement of which provides
for tender evaluation without including the customs duty in accordance with the
provision in Para 8.2(d) and 8.4.4 (ii) of the policy,2004-2009 and that the
import content of the order is Rs.(figure and words.....................)
Supply and installation of goods and equipment
(single responsibility of turnkey contracts) to projects financed by
multilateral or bilateral agencies/funds as notified by Deptt.
of Economic Affairs, Ministry of Finance under International Competitive
Bidding in accordance with the procedures of those agencies/funds, which the
bids may have been invited and evaluated on the basis of Delivered Duty Paid
(DDP) prices for the goods manufactured abroad”.
(b) That supply
of capital goods under the contract made to fertiliser
plants in India is under the procedure of international competitive bidding in
accordance with the provision of Para 8.2(e) and 8.4.5 of the policy,2004-2009
and that the import content of the order is Rs.(figure and
words.....................)
(c) That
Supplies made under the contract made to a project/ purpose
namely....................., import to which is permitted at zero customs duty,
by the Ministry of Finance vide Notification No......dt..........but
if procured domestically, then the benefit of Deemed exports has been
prescribed in accordance with the provision of Para 8.2(f) and 8.4.4(iii) of
the policy,2004-2009 and that the import content of the order is Rs.(figure and
words.....................)
(d) That Supply
of goods required in connection with Petroleum exploration licences
or mining leases under international competitive bidding is made in accordance
with the provisions of Paragraph 8.2(f) and 8.4.4 (iii) of the Policy,2004-2009
and the import content of the order is Rs.. (Figures and words of the order is
Rs.(figure and words.....................)
(e) That Supply
of goods under the contract made to power project in India is under the procedure
of international competitive bidding in accordance with the provisions of
Paragraph 8.2(g) and 8.4.4 (iv) of the Policy,2004-2009 and the import content
of the order is Rs.. (Figures and words of the order is Rs.(figure and
words.....................)
(f) That
Supply of goods under the contract made to refineries in India is under the
procedure of international competitive bidding in accordance with the
provisions of Paragraph 8.2(g) and 8.4.4 (v) of the Policy and the import
content of the order is Rs.. (Figures and words of the order is Rs.(figure and
words.....................)
(g) That
Supply of goods to projects funded by UN agencies in accordance with the
provisions of Paragraph 8.2(i) and 8.4.6 of the
Policy,2004-2009 and the import content of the order is Rs.. (Figures and words
of the order is Rs.(figure and words.....................)
(h) That Supply of goods to specified Nuclear Power Projects under the
procedure of competitive bidding is made in accordance with the provisions of
Paragraph 8.2(j) and 8.4.7 of the Policy,2004-2009 and the import content of
the order is Rs.. (Figures and words of the order is Rs.(figure and
words.....................)
* (use whichever is applicable)
3. It is further certified that the supplies have been made in
terms of the contract No. ............... date ............. entered into with
the suppliers and the supplies have been accepted by us at site at the price
stated in the invoice. We are satisfied that the supplies have been made at
international prices.
** it is further certified that the supplies have been made in
terms of the contract secured against international competitive bidding in the
project being undertaken by us and which has been (a) approved by the
Department of Fertilizers vide their Reference No.________ dated ______; or (b)
notified vide Department of Economic Affairs, Ministry of Finance Reference
No______ dated _______ and the supplies have been accepted by us at site at the
price stated in the invoice.
Signature
....................................
Name
.........................................
Designation
..................................
Name
of the
Project/Agency .............................
Place ...............
Date ...............
Description, Quantity and Value of Goods supplied ....................................
....................................
....................................
Signature ....................................
Name ....................................
Designation ....................................
Name of the
Project/Agency ....................................
Note:-
(1) Note 1&2 below Form I-A is equally applicable in this
case.
Certificate of payment to be issued by the main contractor for
supplies made by sub contractor whose name appear in the main contract to
categories (d) (e) (f) & (g) (i) & (j) of
paragraph 8.2 of the Policy.
Certified that the goods of quantity and value as described below
and in invoice No.__________ dated __________ have been supplied to us on date
________ against purchase order No.________ dated ___________________and we
have paid to the sub-contractor namely M/s _________________________ the sum of
rupees (figure and words) _______________ on _____________ (date) being______________
percent of the value of the goods/ components/equipment/capital goods supplied
as per terms of the contract No. ____________ dated ________ entered into with
the sub contractor.
It is also certified that we, the main contractor
have supplied such goods/ components/ equipments / capital goods supplied by
the sub contractor to the project authority against contract no. ________ dated
_______ and have received payment on _________ (date) against invoice No.
___________ dated _________.
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S.No. |
Description Of Goods |
Qty |
Sub-Contractor |
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Invoice No. |
Date |
Value |
Date Of Payment |
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S.No. |
Description Of Goods |
Qty |
Contractor |
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Invoice No. |
Date |
Value |
Date Of Payment |
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It is also certified that we have accepted the
supplies at the site at the price stated in the invoice.
Signature
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:..................................... |
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Name |
:..................................... |
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Date: ......... |
Designation |
:..................................... |
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Place: ........ |
Name of the main |
:..................................... |
Form II
(Undertaking to be Given by the Applicant)
We,M/s.............................. undertake in respect
of our application dated ........ against................ (description of
goods) supplied to ....................... (name of buyer), that :-
(1) If at any
future date we are required to refund any amount to the buyer,namely
....................... on account of non-satisfactory performance of the
equipment during the guarantee period or on account of replacement of defective
parts as per contractual agreement we shall send an intimation to the licensing
authority giving full particulars within one month of the date of such refund.
(2) We shall
refund to the licensing authority proportionate amount in respect of the amount
refunded to the Project authority by us.
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Signature |
: |
................................. |
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Place ..................... |
Name (In Block Letters) |
: |
................................. |
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Date ..................... |
Designation |
: |
................................. |
Form III
(Declaration)
We hereby declare and certify
that :-
(a) particulars
stated in the application dated ............................ are correct;
(b) the goods
as mentioned in application have been supplied to .....................................
in terms of the contracts secured by us.
(a) the
payment against these supplies have been received; and
(b) supplies
have been made at the prices indicated in Contract No........ dated
.............
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Signature |
: |
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Name (In Block Letters) |
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Place: |
Designation |
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Date: |
Name of the Applicant Firm |
: |
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