Construction of New Toilet Block at Vadgaon,Pandare and Malad Section

Construction of New Toilet Block at Vadgaon, Pandare and Malad Section.

Work Portion Rs.12,37,334/- Royalty Charges including Surcharges Rs.7475.50/- Add 0.5% for work insurance Rs.6186.67/- Add 2% for work Architectural Charges Rs.24746.67/- (Offer Quoted above and below not allowed on Royalty and Insurance)

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SELF EVALUATION SHEET

( TO BE PREPARED PREPARED BY THE BIDDER IN LETTER HEAD)

Part- 1 - General Conditions

Valid PWD Registration Certificate of Proper Class as per cost put to tender.

Whether E.M.D. & Tender fee have been deposited online from the bidder’s own bank account? ( Screen Shot / Copy of Transcation must be attached)

Legal status of the bidder -

Individual, Partnership firm, company etc. documents, memorandum of association etc. may be attached in support

Whether all documents signed by authorized signatory. A document like Pan Card, Registration certificate, Power of Attorney etc. may be attached in support for signature verification.

Whether all documents are attested by Gazetted officer?

Pan Card, Audited financial reports by C.A., form no. 26AS generated online from portal of Income tax department, Civil engineering works turn over certificate by C.A.

G S T Registration

P.T. clearance Certificate

EPF Registration

Latest Electronic- chalan-cum return (ECR) showing employee’s name for EPF

Letter of Transmittal (on letter head)

Undertaking – 1 (on stamp paper Rs.100/-)

Undertaking – 2 (on stamp paper Rs.100/-)

Undertaking – 3 (on stamp paper Rs.100/-)

Undertaking – 4 Declaration of the Contractor (on stamp paper Rs.100/-)

Undertaking – 5 (on Constractor Letter Head)

Certificate of acceptance of all terms and conditions of the tender booklet.

Affidavit (on stamp paper Rs.500/- Notarised) & Form of agreement ( On stamp paper Rs. 500/-)

Form - 1 basic information

Whether the technical personnel are sufficient for this work?

Form – 5 Details of works tendered for as on the date of submission of Tender document

All work done Certificates (No exclusion)

Certified that the above information is true and correct to the best of my knowledge and belief. I fully aware that my Bid will be treated as nonresponsive & will be summarily rejected at any time if above information is found to be false & misleading.

CONTRACTOR'S SIGNATURE