Construction of vented dam at Karnurugutthu colony in Nettanige Mudnuru village of Puttur taluk and constituency in Dakshina Kannada district.

WORK DONE CERTIFICATE

Name of the Department

Name of Division

1 Name of work :

2 Estimated Cost :

3 Agreement No. :

4 Name of Contractor :

5 Tendered cost :

6 Date of work order :

7 Stipulated period of completion :

8 Intended date of Complition :

9 Final Date of completion, (For completed work) :

10 Revised amount of work (including claims/extra/arbitration amount,if any) :

11 Cost of work executed :

12 Balance cost of work :

13 Whether final bill is paid :

14 Reasons for non completion of work in schedule period of completion :

15 Whether any penalties fine/stop notice/compensation/liquidated damage imposed/Imposed & canceled :

a) Earth Excavation :

b) Embankment :

c) Providing & laying M-15 :

d) Providing & laying M-10 :

f) Rubber & Earth Filling :

g) Providing & laying M-20

16 Remarks of the Engineer performance of the Contractor working style quality consciousness tendency of claims :

Divisional Officer

Programme of work

Name of work: Construction of vented dam at Karnurugutthu colony in Nettanige Mudnuru village of Puttur taluk and constituency in Dakshina Kannada district.

MI/2026-27/DA/WORK_INDENT11641/CALL-2

SNo Item Name Unit Estimate Quantity Rate Amount 1st Month 2nd Month 3rd Month 4th Month 5th Month 6th Month 7th Month 8th Month 9th Month 10th Month 11th Month Total Amount

Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount

1 Earth work excavation for Foundation by mechanical means for all works & In all kinds of soils Depth upto 3 m, as per drawing and technical specifications, including setting out, shoring, strutting, barricading, caution lights, including dressing of excavated surfaces, disposing off or levelling the excavated earth or sorting & stacking the selected earth for reuse including cost of labour, tools, usage of machinery & other appurtenaces required to complete the work-In all kinds of soils Depth upto 3 m, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 474.50 114.24 54,206.88 300.00 34,272.00 174.50 19,934.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 54,206.88

2 Earth work excavation for Foundation by mechanical means for all works & In all kinds of soils Depth upto 3 m, as per drawing and technical specifications, including setting out, shoring, strutting, barricading, caution lights, including dressing of excavated surfaces, disposing off or levelling the excavated earth or sorting & stacking the selected earth for reuse including cost of labour, tools, usage of machinery & other appurtenaces required to complete the work-In all kinds of soils Depth upto 3 m, (Under water situation)complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 287.30 118.87 34,151.35 150.00 17,830.50 137.30 16,320.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 34,151.35

3 Providing and laying in-situ vibrated M-20 grade cement concrete using 40 mm down approved, clean, hard, graded aggregates for RCC works of gallery, sluice, spillway crest, spillway d / s face, energy dissipating structures, training walls, piers, abutments and such other locations including cost of all materials, machinery, labour, cleaning, batching, mixing, placing in position, levelling, vibrating, finishing, curing with all other ancillary operations (Including cost of dewatering) complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 165.30 7,026.90 1,161,546.57 0.00 55.00 386,479.50 55.00 386,479.50 55.30 388,587.57 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,161,546.57

4 Supplying, fitting and placing TMT FE 550 / 550D Steel Reinforcement including cost of all materials, machinery, labour, cleaning, straightening, cutting, bending, hooking, laping/welding joints, tying with binding wire / soft annealed steel wire and other ancilary operations complete as per drawing and technical specification. For Dam & Allied Works. complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Tonne 6.837 100,616.32 687,913.78 0.00 0.87 87,536.20 0.87 87,536.20 0.87 87,536.20 0.87 87,536.20 0.88 88,542.36 0.87 87,536.20 0.87 87,536.20 0.74 74,154.23 0.00 0.00 687,913.78

5 Providing and laying in position Cement Concrete for all Sub structures of building, Irrigation works, Sub structure works of bridges, Drain works & other parallel works from 0.50m to 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers, laid in layers, well compacted using needle vibrators, providing weep holes wherever necessary, including all lead & lifts, cost of all materials of quality, confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing, including cost of formwork and all other appurtenances required to complete the work as per technical specifications-For M20 Design Mix Using 20 mm nominal size graded crushed coarse aggregates, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 356.70 7,664.27 2,733,845.11 0.00 45.00 344,892.15 45.00 344,892.15 45.00 344,892.15 45.00 344,892.15 45.00 344,892.15 45.00 344,892.15 45.00 344,892.15 41.70 319,600.06 0.00 0.00 2,733,845.11

6 Providing and laying in position Cement Concrete for all Foundation works. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticizers laid in finished layers, well compacted using needle vibrators, including all lead & lifts, cost of all materials, quality confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing, including cost of formwork and all the other appurtenances required to complete the work as per technical specifications-For M25 Design Mix Using 20 mm nominal size graded crushed coarse aggregates, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 23.80 7,253.21 172,626.40 0.00 0.00 7.00 50,772.47 0.00 8.00 58,025.68 0.00 8.80 63,828.25 0.00 0.00 0.00 0.00 172,626.40

7 Providing and laying in position Cement Concrete for all Sub structures of building, Irrigation works, Sub structure works of bridges, Drain works & other parallel works from 0.50m to 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers, laid in layers, well compacted using needle vibrators, providing weep holes wherever necessary, including all lead & lifts, cost of all materials of quality, confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing, including cost of formwork, and all other appurtenances required to complete the work as per technical specifications-For M25 Design Mix Using 20 mm nominal size graded crushed coarse aggregates, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 13.63 7,671.66 104,564.73 0.00 0.00 4.50 34,522.47 0.00 5.00 38,358.30 0.00 4.13 31,683.96 0.00 0.00 0.00 0.00 104,564.73

8 Providing and laying in position Cement Concrete for all Super structures of building, Road works, Water works, Irrigation works & super structure works of bridges upto 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers laid in layers, well compacted using needle vibrators. The cost includes all lead & lifts, cost of all materials, quality confirming to the requirements of relevant IS codes , labour, Usage charges of machinery, curing, including cost of formwork and all other appurtenances required to complete the work as per technical specifications-For M25 Design Mix Using 20 mm nominal size graded crushed coarse aggregates, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 8.78 9,050.50 79,463.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4.50 40,727.25 4.28 38,736.14 0.00 0.00 79,463.39

9 Supply and fixing of FRP “C” section frame of size 100mm and wall thickness of 8mm (#1mm) and Rib thickness of 12mm smooth finish with marine grade gel coat, with side projections at every 1 meter interval to hold the frame firmly in concrete including tie bar at top and key holes provided to tie the binding wire with reinforcement to maintain the alignment. FRP frames should be flushed to the top of the pier level after concreting to avoid damages of frames by debris of flood water. Binding of glass fibre mat must be Isoptholic polyester resin of marine grade with UV stabilizer to withstand all weather conditions and saline water (For any size). Anchor brackets to be provided to avoid the uplift of needles on either side of the groove, & all necessary works as directed and complete as per per specification. Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. m 24.00 4,284.00 102,816.00 0.00 0.00 9.00 38,556.00 0.00 9.00 38,556.00 0.00 6.00 25,704.00 0.00 0.00 0.00 0.00 102,816.00

10 Supplying and fixing FRP Needle gate made out of concealed GI tubes of suitable size & thickness. Zinc coating of not less than 360GSM, I.S make hot rolled from any reputed pipe manufacturing company. FRP wrapping all-round the pipe minimum thickness of 4mm and wall thickness of plates not less than 6mm. made out of Isoptholic polyester resin UV stabilized marine grade and fibre glass chopped strands of 450 GSM electrical grade with gel coat finish. The water seals to be made out of synthetic rubber (EPDM) and housed in anodized aluminium housing as per design and drawing issued according to site conditions with the warranty of 5 years for any manufacturing defects, & all necessary works as directed and complete as per per specification. For 0 to 2.20m width & For 0 to 2.00 m Height Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 12.00 31,271.52 375,258.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.00 375,258.24 0.00 375,258.24

11 Supplying and fixing FRP Needle gate made out of concealed GI tubes of suitable size & thickness. Zinc coating of not less than 360GSM, I.S make hot rolled from any reputed pipe manufacturing company. FRP wrapping all-round the pipe minimum thickness of 4mm and wall thickness of plates not less than 6mm. made out of Isoptholic polyester resin UV stabilized marine grade and fibre glass chopped strands of 450 GSM electrical grade with gel coat finish. The water seals to be made out of synthetic rubber (EPDM) and housed in anodized aluminium housing as per design and drawing issued according to site conditions with the warranty of 5 years for any manufacturing defects, & all necessary works as directed and complete as per per specification. For 0 to 2.20m width & For 2.00m to 3.00 m Height Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 3.00 36,121.12 108,363.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 108,363.36 108,363.36

12 Providing new embankment abutting to existing bund to strength the existing bund using soil from approved borrow area in layers of 200 to 250 mm and compacting each layer to density control of not less than 95 percent by vibrating plate compactor or pnuematic tamper including cost of all materials, machinery, labour, picking previous layer, spreading soil in layer, breaking clods, watering & all necessary works as directed and complete as per specification. Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 273.30 508.48 138,967.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 273.30 138,967.58 138,967.58

13 Providing and constructing protective railing consisting of cast in-situ railing posts of size 150 x 150 mm at bottom, 100 x 100 mm at top and 750 mm height, placed approximately at 2 m centre to centre in M-20 grade cement concrete using 20 mm down approved clean, hard, graded aggregates with each post reinforced by 4 numbers 8 mm dia. main bars embedded in kerb concrete for 400 mm depth and 5 numbers 6 mm dia. stirrups and fixing 3 rows of 40 mm dia. GI pipes with two coats of synthetic enamel painting over a coat of red oxide primer paint including cost of all materials, machinery, labour, formwork, supports, fabricating and placing reinforcement bars, batching, mixing, placing in position, compacting, finishing, curing and all other ancillary operations complete.Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. m 15.20 1,897.28 28,838.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.20 28,838.66 28,838.66

14 Providing and laying in position Cement Concrete for levelling course for all works in foundation. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed, laid in layers not exceeding 150 mm thickness, well compacted using plate vibrators, including all lead & lifts, cost of all materials of quality, labour, Usage charges of machinery, curing, and all the other appurtenances required to complete the work as per technical specifications.Mix 1:3:6 Using 40 mm nominal size graded crushed coarse aggregates.Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 2.92 6,628.16 19,354.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.92 19,354.23 19,354.23

15 Providing Coursed rubble masonry (second sort) with hard stone in foundation & plinth with Cement mortar 1:6 (1 cement : 6 coarse sand).Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 5.40 6,922.72 37,382.69 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.40 37,382.69 37,382.69

16 Providing Size Stone masonry with hard stone in foundation & plinth with Cement mortar 1:6 (1 cement : 6 coarse sand). Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 3.40 7,127.68 24,234.11 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.40 24,234.11 24,234.11

17 Providing and laying in position Cement Concrete for all Foundation works. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticizers laid in finished layers, well compacted using needle vibrators, including all lead & lifts, cost of all materials, quality confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing, including cost of formwork and all the other appurtenances required to complete the work as per technical specifications.M20 Design Mix Using 20 mm nominal size graded crushed coarse aggregates. Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 0.70 7,133.86 4,993.70 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.70 4,993.70 4,993.70

18 Providing and constructing laterite size stone masonry including cost and conveyance of all materials curing etc complete as per specification I.S. 3620/1979 having compressive strength not less than 3.5 N/mm2 for saturated dry samples - For Super structure in CM 1:6. Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 9.30 7,548.80 70,203.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.30 70,203.84 70,203.84

19 Supplying, fitting and placing TMT FE 550 / 550D Steel Reinforcement including cost of all materials, machinery, labour, cleaning, straightening, cutting, bending, hooking, laping/welding joints, tying with binding wire / soft annealed steel wire and other ancilary operations complete as per drawing and technical specification. For All other type of structures. complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Tonne 0.23 89,621.28 20,612.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.23 20,612.89 20,612.89

20 Providing and laying in position Cement Concrete for all Super structures of building , Road works, Water works, Irrigation works & super structure works of bridges upto 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers laid in layers, well compacted using needle vibrators. The cost includes all lead & lifts, cost of all materials, quality confirming to the requirements of relevant IS codes , labour, Usage charges of machinery, curing, including cost of formwork and all other appurtenances required to complete the work as per technical specifications.M20 Design Mix Using 20 mm nominal size graded crushed coarse aggregates.complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 3.20 10,965.36 35,089.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3.20 35,089.15 35,089.15

21 Providing 20 mm cement plaster of mix :1:4 (1 cement: 4 fine sand) to brick/stone masonry including rounding off corners wherever required smooth rendering, providing and removing scaffolding, including cost of materials, labour, curing complete as per specifications and with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 25.80 393.12 10,142.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.80 10,142.50 10,142.50

22 Providing and laying Cement concrete flooring 40 mm thick with 20 mm nominal size stone aggregate using 1:2:4 (1 cement : 2 coarse sand : 4 graded stone aggregate) finished with a floating coat of neat cement, including cement slurry complete.Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 12.00 498.40 5,980.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12.00 5,980.80 5,980.80

23 Supplying and fixing rolling shutters of approved make, made of required size M.S. laths, interlocked together through their entire length and jointed together at the end by end locks, mounted on specially designed pipe shaft with brackets, side guides and arrangements for inside and outside locking with push and pull operation complete, including the cost of providing and fixing necessary 27.5 cm long wire springs manufactured from high tensile steel wire of adequate strength conforming to IS: 4454 - part 1 and M.S. top cover of required thickness for rolling shutters. 80x0.90 mm M.S. laths with 0.90 mm thick top cover including cost of materials, labour, usage charges of machinery complete as per specifications and with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 6.00 2,548.00 15,288.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.00 15,288.00 15,288.00

24 Painting on G.S. sheet with synthetic enamel paint of approved brand and manufacture of required colour to give an even shade :New work (two coats) including a coat of approved steel primer but excluding a coat of mordant solution including preparing the surface after thorougly cleaning oil, grease, dirt and foreign matter, cost of materials, labour complete as per specifications and with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 83.60 146.72 12,265.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.60 12,265.79 12,265.79

25 Providing White washing with lime to give an even shade :New work (three coats) with lime of approved quality, including cost of materials, labour complete as per specifications and with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 83.60 29.12 2,434.43 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 83.60 2,434.43 2,434.43

EW/embankment 1035.10 829.00 Cum

Cement concrete 575.03 461.00 Cum

Steel 7.07 5.70 MT

FRP Needles for gates 15.00 12.00 Sqm

Format for 3.2 (b)

SI.No Name of Work Estimated cost Tendered cost Cost of work executed Cost of work to be executed Date of agreement Stipulated period of completion Scheduled date of completion

Divisional Officer

Note:- The statement showing the value of existing commitments and On - Going works as well as the stipulated period of completion remaining for each of the works listed should be countersigned by the employer in charge, not below the rank of an Executive Engineer or equivalent.