Odisha Livelihoods Mission Panchayati Raj Department

Odisha Livelihoods Mission Panchayati Raj Department

Government of Odisha

SIRD Campus, Unit VIII, Bhubaneswar 751012, Odisha Tel: 0674 2560169, Mail: [email protected]/[email protected]

EOI NO: OLM/NRLP/16-17/ 09 Dated:23.03.2017

REQUEST FOR EXPRESSION OF INTEREST (CONSULTING SERVICES– FIRMS SELECTION)

India

Odisha Livelihoods Mission

National Rural Livelihoods Project (NRLP)

Credit No: 4978. IN

Assignment Title: “hiring of CA Firm to conduct GPLF (Gram Panchayat Level Federation)

Statutory Audit in 3 different Zone”

1. The Government of India has availed a credit from International Development Association

(IDA), towards the National Rural Livelihoods Project which aims to support the National Rural

Livelihoods Mission under the Ministry of Rural Development, Government of India; and intends

to apply part of the loan proceeds to make payments under the contract for the following services:

The consulting services conduct GPLF (Gram Panchayat Level Federation) Statutory Audit in 3

different Zone” ”) include following;

2. Background.

Odisha Livelihoods Mission (OLM) is a registered society working under the Panchayati Raj Dept.

of Govt. of Odisha for enhancing the socio-economic condition of the rural poor through

promotion of sustainable livelihoods. The society is implementing the centrally sponsored scheme

of Govt. of India called “National Rural Livelihoods Mission” (NRLM). The scheme aim at enhancing social and economic status of the rural poor through development of self-sustained and

community managed institutions. The main focus of project activities will be on strengthening

SHGs and promoting sustainable and inclusive federation at the GP level. The project will also

invest in building the capacity of public and private agencies for the promotion of a range of social

and economic service delivery for these institutions of the poor.

3. Objectives:

1. Enable the auditor to express an independent opinion as to whether GPLFs are being formed

as per OLM guidelines and they are operating properly as per the standard operating

procedures.

2. Enable the auditor to express a professional opinion on the annual financial statement of

GPLF; these would include receipt and Payment account, income and expenditure account,

balance sheet, bank reconciliation statement, statement of expenditure and utilization of

concerned GPLF.

3. Comment on the effectiveness of the overall financial management arrangements including

the system of internal controls as documented in the fund management guidelines, MOU’s and various guidelines for specific funds.

4. Specific opinion that the grant from the project has been used for the intended purpose and

bring to the projects attention any fraud related issues and activities including diversion of

funds from intended purpose or misuse of funds.

5. Comment on the effectives of internal control and internal check.




4. Scope/ Deliverables:

Initial

collection of

information

about the GP

Age of GP.

Component wise fund transferred to the GP (CIF, Livelihoods fund, IB and

startup fund etc).

Utilization certificate submitted to BMMU

Comment on

performance

of GP

Ensure that GPLFs are conducting regular meeting of GB, RGB, EC and Sub-

committee. (Frequency of meeting of GB, RGB, EC and Sub-committee are

annually, half yearly, monthly and monthly respectively)

Verify whether regular saving, lending and repayments are followed by GPLFs.

Ascertain the quantum of lending to SHG out of the funds given to that GPLF.

Ascertain whether loan has been disbursed as per approved MIP, based on the

priority of needs.

Ensure that the loans given to members are utilized properly.

Ascertain whether CRP/MBK/Bank Mitra are placed and getting their

remuneration regularly.

Report of any other innovative work taken by the GPLF on discussion with

Executive Committee.

Verification of

Books of

Accounts and

records.

Maintenance of Books of Accounts

Ascertain whether proper books of accounts have been maintained

(A check list have been prepared which may be refereed, Checklist to be signed

by GPLF office bearer)

Vouching

Verification of cash book, pass book & cheque issue register.

Verification of payment details with supporting vouchers.

All expenditure made must have been passed for payment in minutes book.

Grant received from BMMU has been utilized under the head for which it was

sanctioned and as per the approved conditions.

Whether procurement procedures have been followed. (whether procured

from lowest quoted supplier, budget, community procurement manual)

Whether loan recovered (Both principal and interest) with in prescribed time

limit.

Whether expenditure as mentioned in the cash book is in conformity with the

UC submitted to BMMU.

Last but not least, audit has to verify any fraud, deviation from standard

operating procedure etc.

Preparation of Financial Statement

Receipt & Payment Account

Income and expenditure Account

Balance sheet




Others

The auditor may prepare a management letter (GPLF wise and Zone wise)

containing recommendations for improvement in internal control and other

matters coming to the attention of the auditor during the audit examination,

possibly including the following matters;

Observations on the accounting systems and controls that were examined

during the course of audit.

Deficiencies and weakness in the systems and controls, together with specific

recommendations for improvement.

Compliances with financial covenants.

Matters that might have significant impact on the implementation of the

project.

Any other matter that the auditor consider pertinent.

5. Eligibility:

Only firms fulfilling the following conditions may apply:-

1) A Chartered Accountant firm based at Odisha and on the approved panel of Comptroller

and Auditor General of India (CAG of India) of the year 2016-2017.

2) Last three years average annual turnover of the firm should not be less than Rs.20.00

lakhs. (proof of turnover to be attached and service tax return to be submitted)

3) The firm or any partner of the firm should not have been black listed by any Government

or any other organization in respect of any assignment or behaviour. Authorized

signatory(s) of the firm shall submit an undertaking to this effect.( Annexure-4)

4) The firm should have on team leader / audit partner with at least 5 years of post

qualification experience in external audit and four teams comprising of following

personnel in each team.

1. One semi qualified auditor(CA Inter) and

2. One support staff

5) The Chartered Accountant firm having statutory/ concurrent audit experience of at least

one externally aided project in Odisha. Having more any externally aide projects shall be

given preferences.

6) The firm must have conducted statutory/ concurrent audit of at least 5 Nos assignment in

Government sector. The preference shall be given to the firm having more assignments.

Each assignment value below Rs.5.00 lakhs shall not be considered.

7) One firm can apply for the entire three Zone, however only one zone will be allotted to

one firm on the basis of lowest bidding firm.

8) Preference shall be given to the firm having branch office in the applied zone.

9) The firm shall submit relevant documents duly signed by the authorized signatory, in

support of the eligible criteria given above. (Check list of documents to be submitted is

given in Annexure-2).

10) The firm already been assigned for Statutory Audit/Internal Audit/concurrent Audit in

SMMU, Odisha Livelihoods Mission shall not be considered for this assignment.




i) A firm shall meet all the minimum eligibility criteria otherwise their proposal shall not

be considered for further evaluation.

ii) Incomplete assignments or ongoing assignments shall not be considered.

6. The Odisha Livelihoods Mission (OLM) now invites eligible CA firms to indicate their interest

in providing the Services. Interested Firms should provide information demonstrating that they

have the required qualifications and relevant experience to perform the Services in the prescribed

format at Annexure-1.

7. Period of Contract: The audit shall be completed within three months from the date of

Commencement

8. "The attention of interested Consultants is drawn to paragraph 1.9 of the World

Bank’s Guidelines: Selection and Employment of Consultants [under IBRD Loans and IDA

Credits & Grants] by World Bank Borrowers “Consultants Selection Guidelines of the World Bank dated January 2011” (“Consultant Guidelines”), setting forth the World Bank’s policy on conflict of interest. " "The Guidelines are available at www.worldbank.org/procurement."

9. Joint Venture firm shall not considered for the assignment.

10. Firm will be selected in accordance with the Least Cost Selection (LCS) method set out in the

Consultant Guidelines ( NRLM Procurement Manual)

11. Further information can be obtained at the address below during office hours i.e. 10.00 to 17.00

hours and the details ToR and NRLM Procurement Manual can be seen and downloaded in OLM

website www.olm.nic.in

12. In case of any Addendum/Clarification/Corrigendum/Extension regarding this EOI, the same

will be published in the above websites only.

13. Expressions of interest in sealed envelope must be delivered in a written form to the address

below (in person, or by post ) latest by 10.04.2017 ,17.00 Hours (IST). The interested firm must

submit the EOI proposal separately for 3 different zones.

State Mission Director-Cum-CEO

Odisha Livelihoods Mission (OLM)

SIRD Campus, Unit-8, Bhubaneswar

Contact Person- Goutam Mohanty

Manager (Procurement),0674-2560169

Sd/- State Mission Director-Cum-CEO

http://www.worldbank.org/procure

Terms of Reference

For hiring of agencies to conduct

GPLF (Gram Panchayat Level Federation) Statutory Audit in 3 different Zones

Introduction

Odisha Livelihoods Mission (OLM) is a registered society working under the Panchayati Raj

Dept. of Govt. of Odisha for enhancing the socio-economic condition of the rural poor through

promotion of sustainable livelihoods. The society is implementing the centrally sponsored

scheme of Govt. of India called “National Rural Livelihoods Mission” (NRLM). The scheme aim

at enhancing social and economic status of the rural poor through development of self-

sustained and community managed institutions. The main focus of project activities will be on

strengthening SHGs and promoting sustainable and inclusive federation at the GP level. The

project will also invest in building the capacity of public and private agencies for the

promotion of a range of social and economic service delivery for these institutions of the poor.

The key components of the project are:

(1) Community institution building, which improves the capacity of the community based

organizations of the poor and vulnerable in management of their own institutions and

livelihood activities;

(2) Community Investment Fund, which helps households plan and meet their credit demands

for household and investment plans;

(3) Livelihood Fund, which increase the share of the poor in the value chain leading to

enhanced incomes; and

(4) Implementation support and monitoring, which supports effective project and knowledge

management.

The state project management unit (SPMU) is responsible for overall management,

coordination and implementation of the project. The district project unit based at the district

head quarter shall be the nodal agency for project execution. At the block level the facilitation

team shall provide necessary techno managerial support services for effective implementation

of the project. The federation of the SHGs at the Panchayat Level Federation (GPLF) is a single

unit and cluster level forum (CLF) at village level consisting of 5-15 SHGs are the key stake

holders of the project who will be responsible for planning, implementation & evaluation of

the project activity from time to time with due support of Block Level Facilitation Team (BLFT).

The project presence is in all 30 districts of Odisha. GPLFs are enabled to manage and govern

their institutions and its need of the hour to streamline their financial management system at

institutional level. The project is planning to support GPLFs by hiring three auditing firm for

conducting statutory external audit of GPLFs.

A: Objective:

1. Enable the auditor to express an independent opinion as to whether GPLFs are being formed as

per OLM guidelines and they are operating properly as per the standard operating procedures.

2. Enable the auditor to express a professional opinion on the annual financial statement of GPLF;

these would include receipt and Payment account, income and expenditure account, balance

sheet, bank reconciliation statement, statement of expenditure and utilization of concerned GPLF.

3. Comment on the effectiveness of the overall financial management arrangements including the

system of internal controls as documented in the fund management guidelines, MOU’s and various guidelines for specific funds.

4. Specific opinion that the grant from the project has been used for the intended purpose and bring

to the projects attention any fraud related issues and activities including diversion of funds from

intended purpose or misuse of funds.

5. Comment on the effectives of internal control and internal check.

B: Audit Standard

The audit shall be carried out in accordance with the “Standards on Audit” promulgated by the Institute of Chartered Accountants of India. The auditor should accordingly consider methodology

when planning and performing the audit to reduce audit risk to an acceptable level that is

consistent with the objective of audit. Although the responsibility for preventing irregularity, fraud

or the use of fund for the intended purpose remains with the mission, the audit should be carried

out in such a way that a clear opinion can be formed regarding any material misstatement in the

mission financial statement.

C: Audit Scope:

Initial collection of

information about the GP

Age of GP.

Component wise fund transferred to the GP (CIF, Livelihoods

fund, IB and startup fund etc).

Utilization certificate submitted to BMMU

Comment on performance of

GP

Ensure that GPLFs are conducting regular meeting of GB, RGB,

EC and Sub-committee. (Frequency of meeting of GB, RGB, EC

and Sub-committee are annually, half yearly, monthly and

monthly respectively)

Verify whether regular saving, lending and repayments are

followed by GPLFs.

Ascertain the quantum of lending to SHG out of the funds given

to that GPLF.

Ascertain whether loan has been disbursed as per approved MIP,

based on the priority of needs.

Ensure that the loans given to members are utilized properly.

Ascertain whether CRP/MBK/Bank Mitra are placed and getting

their remuneration regularly.

Report of any other innovative work taken by the GPLF on

discussion with Executive Committee.

Verification of Books of

Accounts and records.

Maintenance of Books of Accounts

Ascertain whether proper books of accounts have been

maintained

(A check list have been prepared which may be refereed, Checklist

to be signed by GPLF office bearer)

Vouching

Verification of cash book, pass book & cheque issue register.

Verification of payment details with supporting vouchers.

All expenditure made must have been passed for payment in

minutes book.

Grant received from BMMU has been utilized under the head

for which it was sanctioned and as per the approved conditions.

Whether procurement procedures have been followed. (whether

procured from lowest quoted supplier, budget, community

procurement manual)

Whether loan recovered (Both principal and interest) with in

prescribed time limit.

Whether expenditure as mentioned in the cash book is in

conformity with the UC submitted to BMMU.

Last but not least, audit has to verify any fraud, deviation from

standard operating procedure etc.

Preparation of Financial Statement

Receipt & Payment Account

Income and expenditure Account

Balance sheet

Others The auditor may prepare a management letter (GPLF wise and

Zone wise) containing recommendations for improvement in

internal control and other matters coming to the attention of the

auditor during the audit examination, possibly including the

following matters;

1. Observations on the accounting systems and controls that

were examined during the course of audit.

2. Deficiencies and weakness in the systems and controls,

together with specific recommendations for improvement.

3. Compliances with financial covenants.

4. Matters that might have significant impact on the

implementation of the project.

5. Any other matter that the auditor consider pertinent.

D: Details procedures to be followed during audit

During the course of GPLF audit, if the auditor notices any defalcations or

misappropriation of fund, the auditor shall immediately bring the fact to the notice of the

block and District office for necessary action.

E: Deliverables and reporting:

Before submission of final report, the audit report and finding may be discussed with the

auditable units including president and secretary of the GPLF and their views are obtained

and discussions are recorded in the minutes of that GPLF. The report should be structured

in a manner giving observations, the implications of the observations, recommendations

and the management comments and agreed actions. The audit observation should be

supported by instances and quantified, as far as practicable.

1. Filled in check list of performance audit of GPLF.

2. Filled in check list on maintenance of books of accounts.

3. Individual audit report

4. Annual Financial statement

5. Observations on audit and final reporting.

E: Division of Zone

For timely completion of audit, 20 districts covered under audit have been divided into 3

zones keeping on view the geographical distribution. (Annexure-1)

F: Audit period to be covered

The audit of GPLF will be for the period from the date of incorporation by funding start up

fund from the project of GPLF to 31st March 2017.

F: Time Schedule

The audit shall be completed within three months from the date of Commencement..

G: Audit Fee

The minimum audit fee shall be Rs.2000/- per GPLF per year which will be asked during

RFP ( Request For Proposal ) stage.

H: Eligibility Criteria/Evaluation criteria

The auditing firm shall fulfill the following minimum eligibility criteria:

1) A Chartered Accountant firm based at Odisha and on the approved panel of

Comptroller and Auditor General of India (CAG of India) of the year 2016-2017.

2) Last three years average annual turnover of the firm should not be less than Rs.20.00

lakhs. (proof of turnover to be attached and service tax return to be submitted)

3) The firm or any partner of the firm should not have been black listed by any

Government or any other organization in respect of any assignment or behavior.

Authorized signatory(s) of the firm shall submit an undertaking to this effect.(

Annexure-4)

4) The firm should have on team leader / audit partner with at least 5 years of post

qualification experience in external audit and four teams comprising of following

personnel in each team.

1. One semi qualified auditor(CA Inter) and

2. One support staff

5) The Chartered Accountant firm having statutory/ concurrent audit experience of at

least one externally aided project in Odisha. Having more any externally aide projects

shall be given preferences.

6) The firm must have conducted statutory/ concurrent audit of at least 5 Nos

assignment in Government sector. The preference shall be given to the firm having

more assignments. Each assignment value below Rs.5.00 lakhs shall not be

considered.

7) One firm can apply for the entire three Zone, however only one zone will be allotted

to one firm on the basis of lowest bidding firm.

8) Preference shall be given to the firm having branch office in the applied zone.

9) The firm shall submit relevant documents duly signed by the authorized signatory, in

support of the eligible criteria given above. (Check list of documents to be submitted

is given in Annexure-2).

10) The firm already been assigned for Statutory Audit/Internal Audit/concurrent Audit

in SMMU, Odisha Livelihoods Mission shall not be considered for this assignment.

11) Joint venture firm shall be not be considered for the assignment.

i) A firm shall meet all the minimum eligibility criteria otherwise their proposal

shall not be considered for further evaluation.

ii) Incomplete assignments or ongoing assignments shall not be considered.

I. Reporting

The firms will submit its report to SMD-Cum-CEO, Odisha Livelihoods Mission,

Panchayati Raj Department, Government of Odisha. Further the bidder is required to

submit the soft copy of the report written in a CD to Odisha Livelihoods Mission.

J. Payment Schedule

On signing of contract and completion

report of atleast 3 district in the

prescribed format

50%

Rest Final District Report Submission in

the prescribed format.

50%

Annexure-1

Segregation of Zone Nos

South

Name of District Total No of GPLF

Malkanagiri 44

Koraput 58

Gajapati 56

Rayagada 48

Nabarangapur 1

Kalahandi 12

Total GPs 219

Central

Nuapada 10

Balangir 32

Kandhamal 51

Ganjam 95

Bargarh 1

Sonepur 12

Boudh 2

Jharsuguda 2

Total GPs 205

North

Sambalpur 72

Sundargarh 49

Deogarh 60

Dhenkanal 2

Keonjhar 5

Mayurbhanj 61

Total GPs 249

District Block GPLFs Intensive/Non

Intensive 2013-14 2014-15 2015-16 2016-17 Total

Equivalent

number of

Years

Bargarh Bhatli 1 Non Intensive 0 0 1 1 1

Bolangir Bongamunda 14 Intensive 0 6 0 8 14 26

Bolangir Muribahal 14 Intensive 0 6 0 8 14 26

Bolangir Saintala 3 Non Intensive 0 0 0 3 3 3

Bolangir Deogaon 1 Non Intensive 0 0 0 1 1 1

Boudh Harbhanga 2 Intensive 0 0 2 2 2

Deogarh Barkot 22 Intensive 8 6 0 8 22 58

Deogarh Tileibani 16 Intensive 6 6 0 4 16 46

Deogarh Reamal 22 Intensive 0 6 0 16 22 34

Dhenkanal Kankadahad 2 Intensive 0 0 2 2 2

Gajapati Nuagarh 14 Intensive 6 6 0 2 14 44

Gajapati Rayagada 16 Intensive 6 6 0 4 16 46

Gajapati R.Udaygiri 13 Intensive 0 13 0 0 13 39

Gajapati Guma 11 Intensive 0 6 0 5 11 23

Gajapati Mohana 2 Intensive 0 0 2 2 2

Ganjam Beguniapada 14 Intensive 0 14 0 0 14 42

Ganjam Patrapur 14 Intensive 6 6 0 2 14 44

Ganjam Sorada 14 Intensive 0 12 2 0 14 40

Ganjam Shergarh 6 Intensive 0 6 0 0 6 18

Ganjam Chhatrapur 14 Intensive 0 6 0 8 14 26

Ganjam Ganjam 8 Intensive 0 6 0 2 8 20

Ganjam Chikiti 8 Intensive 0 6 0 2 8 20

Ganjam Rengeilunda 10 Intensive 0 6 0 4 10 22

Ganjam Khallikote 7 Intensive 0 6 0 1 7 19

Jharsuguda Kirmira 2 Intensive 0 0 2 2 2

Kalahandi Thuamulrampur 10 Intensive 0 6 0 4 10 22

Kalahandi Langigarh 1 Intensive 0 0 1 1 1

Kalahandi M.Rampur 1 Intensive 0 0 1 1 1

Kandhamal Baliguda 14 Intensive 0 12 0 2 14 38

Kandhamal Chakapad 11 Intensive 6 5 0 0 11 39

Kandhamal Daringibadi 15 Intensive 6 7 0 2 15 47

Kandhamal Phulbani 8 Intensive 0 6 0 2 8 20

Kandhamal Kotagarh 2 Intensive 0 0 2 2 2

Kandhamal Khajuripada 1 Non Intensive 0 0 1 1 1

Keonjhar Bansapal 2 Intensive 0 0 2 2 2

Keonjhar Telkoi 2 Intensive 0 0 2 2 2

Keonjhar Ghasipura 1 Non Intensive 0 0 1 1 1

Koraput Boriguma 18 Intensive 6 8 0 4 18 52

Koraput Kotpad 15 Intensive 6 6 0 3 15 45

Koraput Laxmipur 13 Intensive 6 7 0 0 13 45

Koraput Koraput 9 Intensive 0 6 0 3 9 21

Koraput Boipariguda 2 Intensive 0 0 2 2 2

Koraput Semiliguda 1 Non Intensive 0 1 0 1 2

Makangiri Khariput 9 Intensive 6 3 0 0 9 33

Makangiri Kudmulguma 11 Intensive 6 5 0 0 11 39

Makangiri Malkangiri 13 Intensive 6 7 0 0 13 45

Makangiri Matheli 11 Intensive 0 6 0 5 11 23

Mayurbhanj Bangiriposi 14 Intensive 0 12 0 2 14 38

Mayurbhanj Jashipur 14 Intensive 6 0 6 2 14 38

Mayurbhanj Kusumi 12 Intensive 0 12 0 0 12 36

Mayurbhanj Morada 13 Intensive 0 12 0 1 13 37

Mayurbhanj Karanjia 7 Intensive 0 6 0 1 7 19

Mayurbhanj Tiring 1 Intensive 0 0 1 1 1

Nabarangpur Umerkote 1 Intensive 0 0 1 1 1

Rayagada Chandrapur 7 Intensive 7 0 0 0 7 28

Rayagada Kasipur 14 Intensive 6 6 0 2 14 44

Rayagada Muniguda 14 Intensive 0 12 0 2 14 38

Rayagada Bisam cuttack 11 Intensive 0 6 0 5 11 23

Rayagada Kalyansinghpur 2 Intensive 0 0 2 2 2

Sambalpur Bamra 17 Intensive 0 12 0 5 17 41

Sambalpur Jamankira 21 Intensive 0 12 0 9 21 45

Sambalpur Kuchinda 17 Intensive 0 12 0 5 17 41

Sambalpur Jujumura 17 Intensive 0 6 0 11 17 29

Sonepur Tarava 10 Intensive 0 6 0 4 10 22

Sonepur Birmaharajpur 2 Intensive 0 0 2 2 2

Sundargarh Boneigarh 13 Intensive 13 0 0 0 13 52

Sundargarh Kuanrmund 14 Intensive 12 0 0 2 14 50

Sundargarh Tangarpalli 13 Intensive 13 0 0 0 13 52

Sundargarh Balisankara 8 Intensive 0 6 0 2 8 20

Sundargarh Gurundia 1 Intensive 0 0 1 1 1

Nuapada Sinapali 8 Intensive 0 6 0 2 8 20

Nuapada Nuapada 2 Intensive 0 0 2 2 2

673 137 339 9 188 673 1771

No of Years to be

audited 4 3 2 1

Equivalent no of

Years to be

audited

548 1017 18 188 1771

South Zone Central Zone North Zone

Name of District No of

GPLF

Equivalent

No of Years

Name of

District

No of

GPLF

Equivalent

No of Years

Name of

District

No of

GPLF

Equivalent

No of Years

Malkanagiri 44 140 Kalahandi 12 24 Jharsuguda 2 2

Koraput 58 167 Nuapada 10 22 Bargarh 1 1

Gajapati 56 154 Balangir 32 56 Sambalpur 72 156

Rayagada 48 135 Kandhamal 51 147 Sundargarh 49 175

Nabarangapu

r 1 1 Ganjam 95 251 Deogarh 60 138

Sonepur 12 24 Dhenkanal 2 2

Boudh 2 2 Keonjhar 5 5

Mayurbhanj 61 169

Total GPs 207 597 Total GPs 214 526 Total GPs 252 648

Annexure-2

Check list for submission of documents

Sl

No

Description Yes/No Remarks

1 Copy of CAG empanelled Certificate

2 Certificate of Establishment of Firm

3 Undertaking by authorized signatory.

4 Last three year Financial statement in support of Turnover

achieved (2013-14, 2014-15 and 2015-16)

5 Last two half yearly service tax return(for the half yearly

ending 31st March 2016 and 30th September 2016)

6 Certificate that the firm have not been black listed.

7 Proof of address of branch office in the applied zone if any

8 Experience of government audit and externally aided

project.

Annexure-3

Name of the Assignment:

Date of advertisement:

A – Consultant’s Profile

1. Name of the Organization

2. Postal Address

3. Telephone: Mobile /

Fax/ E-mail/ Website;

4. Contact Person name and

designation with contract details

5 Registration Details: Provide copy of the registration certificate, PAN , Board of

Registered on (Date) Directors, Executive Committee Members, General Body

Legal status ( for profit

company; not for profit

company; registered trust;

members, brief profile and latest annual report

registered trust; others (specify)

6. Details of Branch State/Location of Name of the partners

Offices (provide details of

branch offices if any). office

7. Financial Capacity: Provide the turnover of organization (on the basis of the

Average Annual Turnover of

audited accounts) in the last three financial years in Indian

Rupees.

consultant must be more than

Rs.20 lakh annual turn over

during each year in last three

financial years.

(Enclose Audited financial

reports).

2015-16

2014-15

2013-14

Total

B- Consultant’s Experience

Signature of the authorised representative.

Name of the

Project

Name of the

Client

Duration of Assignment and Status as on June 2016 Value of

Contract( in

INR)

Effective date of

original

contract

Closure date

of contract

Date of

acceptance of

final

deliverables by

the Client

Whether

contract

closed or not

Annexure -4

Declaration Date:…………….

To whom so ever it may be concern

I/We hereby solemnly take oath that I/We am/are authorized signatory in the firms/

Agency/ Institute/ Company and hereby declare that "Our firms/ Agency/ Institute/

Company do not face any sanction or any pending disciplinary action from any authority

against our firms/ Agency/ Institute/ Company or partners." Further, it is also certified that

our firm has not been blacklisted by any government or any other donor/partner organization

in past. In case of any further changes which affect of this declaration at a later date; we would inform the mission accordingly.

Authorized Signatory

(with seal)

Documents

Odisha Livelihoods Mission Panchayati Raj Department