Construction of Footpath/Patrolling Footpath around the Periphery of Boundary wall at 765/400KV Substation Lucknow

Clearing jungle including uprooting of rank vegetation grass, brush wood tress and saplings of girth upto 30 cm measured at a height of 1m above ground level and removal of rubbish upto a distance of 50 m outside the periphery of the area cleared

Earth work in surface excavation not exceeding 30 cm in depth but exceeding 1.5 m in width as well as 10 sqm on plan including getting out and disposal of excavated earth upto 50 m and lift upto 1.5 m, as directed by Engineer-in- Charge: All kind of soil

Filling available excavated earth (excluding rock) in trenches, plinth, sides of foundations etc. in layers not exceeding 20cm in depth, consolidating each deposited layer by ramming and watering, lead up to 50 m and lift upto 1.5 m.

Providing and laying in position cement concrete of specified grade excluding the cost of centering and shuttering - All work up to plinth level 1:1½:3 (1 Cement: 1½ coarse sand (zone-III) derived from natural sources : 3 graded stone aggregate 20 mm nominal size

Centering and shuttering including strutting, propping etc. and removal of form work for :Foundation, Footing, bases of columns

Preparation and consolidation of sub grade with power road roller of 8 to 12 tonne capacity after excavating earth to an average of 22.5 cm depth, dressing to camber and consolidating with road roller including making good the undulations etc. and re-rolling the sub grade and disposal of surplus earthwith lead upto 50 metres.

1:4:8 (1 Cement : 4 coarse sand (zone-III) derived from natural sources : 8 graded stone aggregate 40 mm nominal size derived from natural sources)

Supplying and stacking at site ,63 mm to 45 mm size stone aggregate

Supplying and stacking at site, stone screening at site 13.2 mm nominal size( Type A)

Supplying and stacking at site.Moorum

Laying, spreading and compacting stone aggregate of specified sizes to WBM specifications in uniform thickness, hand picking, rolling with 3 wheeled road/vibratory roller 8-10 tonne capacity in stages to proper grade and camber, applying and brooming requisite type of screening / binding material to fill up interstices of coarse aggregate, watering and compacting to the required density .

Providing and fixing pre-moulded joint filler in expansion joints of RCC roads / CC pavements after making the joints dust free with high pressure air jet cleaners, all complete as per direction of the Engineer-in-Charge. (Pre-moulded joint fillers shall be made of bitumen hot sealing compound impregnated fibre board having impregnation more than 35%, conforming to IS:1838 for fibre board and IS: 1834 for hot sealing bitumen compound grade A.)

per cm depth per cm width per metre length

Providing and filling in position rubberized bitumen hot sealing compound for sealing of expansion joints in roads / pavements all complete as per direction of the Engineer-in-Charge.Using grade 'A' sealing compound conforming to IS: 1834. per cm depth

Providing and laying non-pressure NP2 class (light duty) R.C.C. pipes with collars jointed with stiff mixture of cement mortar in the proportion of 1:2 (1 cement : 2 fine sand) including testing of joints , 150 mm dia RCC pipe

FALSE

Bank Guarantee

NSIC Certificate No.

Amount & Currency

For Individual Firm

Turnover* (in Rs. Lakh)

Networth (in Rs. Lakh)

in Rs. Lakh

Certificate of Incorporation

Copy of PAN Card Submitted (Y/N)

Designation:

Description of Deviation

Designation:

Attachment-4

Description of Deviation

Designation:

Schedule-4

Ref/ Page No.

Designation:

Schedule-4

Ref/ Page No.

Designation:

Schedule-4A

Clause No./ Page No.

Designation:

Schedule-4A

Clause No./ Page No.

Designation:

Date of Retirement/ resignation from POWERGRID (DD-MM-YYYY)

Designation:

Quantity proposed to be bought/ sub-contracted

Designation:

Quantity proposed to be bought/ sub-contracted

Designation:

Period from Date of LOA

Designation:

Designation:

Northern Region Transmission System-III

Name of the published index

Wholesale Price Index Number for ‘High Speed Diesel’ (Individual commodity) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Indian Labour Bureau, Shimla, Govt. of India (monthly) (Base: 2001 = 100) (www.labourbureau.nic.in)

Wholesale Price Index Number for ‘Ferrous Metals’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Wholesale Price Index Number for High Speed Diesel’ (Individual commodity) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Indian Labour Bureau, Shimla, Govt. of India (monthly) (Base: 2001 = 100) (www.labourbureau.nic.in)

Wholesale Price Index Number for ‘Cement & Lime’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Wholesale Price Index Number for ‘Structural Clay Products’ (Group Item) (monthly) (Base: 2004-05=100) as published by Office of Economic Advisor, Ministry of Commerce & Industry (www.eaindustry.nic.in).

Printed Name :

Designation :

Printed Name :

Designation :

Details of Contract and date

Details of Transgression of Integrity Pact by the bidder

Estimated completion date

Printed Name :

Designation :

Attachment- 10

Ref. and Page No.

Printed Name :

Designation :

Designation:

Power Grid Corporation of India Ltd.,

3rd Floor

Yes (Documentary Evidence attached)

Printed Name :

Designation :