O and M of Toilet Blocks with Food Kiosks of Bundelkhand Expressway for Pkg II and III

Select, Excess (+), Less (-)

Tender Inviting Authority: Uttar Pradesh Expressways Industrial Development Authority, LUCKNOW

Name of Work: Selection of Agenciesfor Operation and Maintenance of Toilet Blocks with Food Kiosks along ‘Bundelkhand Expressway’ for Package II & III

Contract No: UPEIDA/2023/2710/Vol-II/BE_Toilet_Blocks_II & III

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Particulars of Fuel Stations Item Code / Make Quantity Units Estimated Rate in Rs. P Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency Amount to be paid by the Bidder to the Authority per month (inclusive of GST) In Figures To be entered by the Bidder in Rs. P Excise Duty in Rs. P GST in Rs. P Freight Charges ( Unloading & Stacking) in Rs. P Any Other Taxes/Duties/Levies in Rs. P Other Taxes 2 in Rs. P IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax in Rs. P Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category in Rs. P TOTAL AMOUNT in Rs. P TOTAL AMOUNT in Rs. P TOTAL AMOUNT In Words

1 Lump sum amount (inclusive of GST) per month to be paid by the Bidder to the Authority for the Contract w.r.t. Operation & Maintenance of Toilet Block with Food Kiosk in Package II of 'Bundelkhand Expressway' at Chainage 70+500 (RHS) item1 1 Nos Excess(+) Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

Lump sum amount (inclusive of GST) per month to be paid by the Bidder to the Authority for the Contract w.r.t. Operation & Maintenance of Toilet Block with Food Kiosk in Package III of 'Bundelkhand Expressway' at Chainage 128+500 (LHS) item2 1 Nos Excess(+) Full Conversion INR 1.02 Construction of chamber for 100mm sluice plates item2 213 Nos

Total in Figures 4 Construction of chamber for 100mm sluice plates item5 10 Nos

Quoted Rate in Figures Select %

Quoted Rate in Words