Expression of Interest (EOI) for selection for the assignment of Base line survey for Saturation of Selected Block Phase-2 (SSB-2 ) Under Organic Farming Project.

Dated:……….

Application Reference No:

Applicant's Name and Address:

Person to be contacted:

Designation:

Interested Area : Block………………………

Telephone No: ……………………………

Fax…………………… email …………………………

To,

Managing Director,

Uttarakhand Organic Commodity Board ,

Kishan Bhawan, Ring Road, Jogiwala , Dehradun

Uttrakhand

Tel/ Fax: 0135-2662770,2662771

Subject: Expression of Interest (EoI) for short listing for the assignment of carrying out the Base line Survey for Saturation of Selected Block phase -2 (SSB-2) Under Organic Farming Project.

Dear Sir/Madam,

The undersigned applicant, have read and examined in detail your solicitation of EoI for the purpose of short-listing of our Agency for inviting technical and financial proposal for the assignment of carrying out the project funded by Rashtriya Krishi Vikas Yojana (RKVY).

1.  Structured Questionnaire: We are submitting the Credentials/Information as stipulated in your aforesaid solicitation of EoI in Annexure: I. In case you require any further information in this regard, we agree to furnish the same.

2.  Supporting documents: We have enclosed documents supporting compliance and information provided in the Structured Questionnaire.

3.  We are also submitting the declaration mentioned as per the requirement. Annexure: II

Enclosures attached:

1.

2.

3.

Yours sincerely,

Date:...... (Signature of authorized person)

Place: ...... Seal of the Agency

Annexure: I

Questionnaire for Expression of Interest (EoI) for selection assignment for Base line Survey.

Applicant's Name & Address:

……………………………………………

……………………………………………

……………………………………………

To,

Managing Director,

Uttarakhand Organic Commodity Board ,

Kishan Bhawan, Ring Road, Jogiwala , Dehradun

Uttrakhand

Dear Sir

In support of our Expression of Interest, we furnish herewith Structured Questionnaire, along with other information, as follows:

1. General Particulars of Agency

1 / Name of the Agency
2 / Registered Address
3 / Phone No:
4 / Email id:
5 / Name of the Contact Person for this EoI
6 / Phone no. of the Contact Person for this EoI
7 / Email id of the Contact person for this EoI
8 / Office/ Branch offices, if any, in Uttarakhand (give complete address)
9 / Office/ Branch in Other States if any ( give complete address)

2. Particulars of Agency

1 / Date of establishment of the Agency
2 / Registration No. (attach copy)
3 / Registration Authority/Act
4 / Validity of Registration
5 / Service Tax Registration No. & Validity(attach copy)
6 / Provident Fund Registration No.
7 / Empanelment with other Govt./ Govt. under takings
8 / Type of the Agency (Please tick the appropriate)
-  Society
-  Trust
-  Company
-  Cooperative Society
-  Others (mention detail)
9 / List of Directors / Members in the Governing Body
( provide names)
10 / Number of full time qualified staff
11 / Number of other staff who are semi qualified/unqualified
12 / PAN No.
13 / TIN No.
14 / ITR ( please attach last three assessment years Income Tax Return receipt)

3. Financial Particulars of the Agency

Financial Year / Turnover from Professional Services / Turnover from other Activities / Total Turnover / Income tax return filed ( yes/ no)*
2012-13
2013-14
2014-15

·  Audited Balance Sheet

Financial Year / Audit of Balance sheet
(Yes/ No) / Remarks
2012-13
2013-14
2014-15

·  Annual Report

Financial Year / Yes/No / Remarks
2012-13
2013-14
2014-15

* Attach self attested copies of Annual Report and Balance Sheets and Profit & Loss Account for the last three years.

4. Other particulars of the Agency.

Particular / Code No./ Policy No. / Validity if any / Remarks
Provident Fund
ESI Department
Insurance Policy for staff

5. Present Professional Staff members working full-time with the Agency kindly note professional staff and qualification should be in accordance to the need of the assignment.

Name of Staff / Position / Age / Years of experience / Qualification / Number of years associated with the agency / Brief nature of work done (assignment with undertaken agency)

* Excluding the Office Support Staff viz. – Clerk, Steno, Computer Operator, Class-IVetc.

6. A. Staff who can be deputed on full time basis for the above assignment if selected (attach the bio-data/CV of key staff)

S.N / Name of Staff / Qualification / Working Experience. Sector, / Month/Year

7. Experience of the agency for conducting base line survey/similar assignment in the last 5 years.

S.N / Name of Project / Donor Agency / Duration of the study / Amount of agreement entered / Key features of assignment / Outcome
From / To

8. Best two assignment experiences of the agency in conducting of base line survey or any other similar assignment.

Name of Deptt/ Project/ Agency / (1) Funded by
Multilateral/ Bilateral funding
agency;
(2) Agencies implementing
government projects
(other than above);
(3) Public sector
undertakings in the
same sector (Rural
Development).
Please specify 1, 2, / Nature of
Assignment / Year of Work
Done / Value of Assignment / District/State
where the assignment was carried out

8. Area of operation:

Whether the organization is entitled to operate the activities in all Uttarakhand or the targeted districts / Yes/No
If yes, Please refer provision in Bye-laws / MoA and describe /attach self attested copy of the bylaw highlighting the provision to work in area.
Duration of presence in Uttarakhand (Years)

9. Entitlement for the assignment of base line survey.

Whether the organization has provisions to undertake the proposed assignment as per its Bye-laws or MoA / Yes/No
If yes, Please refer provision in By-laws / MoA and describe (attach self attested copy of By-laws / MoA highlighting the provision)

10. Give your comments, if any, on the TOR of the assignment in separate sheet

11. Has the organization been awarded at National/State level?

(If yes, please attach relevant documents and describe briefly)

12. Whether the Agency has been rated/evaluated by an independent organization? If yes provide relevant details.

13. Has the agency done the base line survey project Ministry/Department/Organization/NABARD/CAPART/ Aajiweka Project/LISP Multinational donor agency/etc. or any other donor/partner organization in the past.

13. Has the Agency been blacklisted by any government (Union and/or state)

Ministry/Department/Organization/NABARD/CAPART/ Aajiweka Project/LISP Multinational donor agency/etc. or any other donor/partner organization in the past?

Annexure: II

Declaration

Date…………..

To whom so ever it may be concern

I hereby solemnly take oath that I am authorized signatory in the……………………………………………………………………a Society / Trust / Propriety firm /Company hereby declare that "my Agency do not face any sanction or any pending disciplinary action from any authority." Further, it is also certified that our Agency has not been blacklisted by any government or any other donor/partner organization in past.

In case of any future developments which may affect this declaration at a later date; we would inform the project accordingly.

Signature of Authorized

Signatory

Name:…………………………

Designation:……………………

Name of the Agency:…………….

Signature:………………………….

Seal of the Agency:……………….