Wideninig of Road From Chinchali Railway Gate to Alakanoor Harugeri Road KM 7.40 to 9.01 in Raibag Taluk of Belagavi District under 4059 CMIDP for 2025-26.

Information on litigation in which the Tenderer is involved:

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BANKER’S CERTIFICATE

This is to certify that M/s. ………………………….. is a reputed company with a good financial standing. If the contract for this work, namely ……………………………… (Name of the work) is awarded to the above firm, we shall be able to provide overdraft/credit facilities to the extent of Rs. …………… to meet the working capital requirements for executing the above contract

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Address:…………………………

List of Machinery

Item of Equipment Requirement Owned/ Hired/Leased Owned/ Hired/Lease and available Remarks

No. Capacity Number/Capacity Age/ Condition

Information of the works for which Tenderer has submitted Tender.

Project Name Name & Address of the Employer Name of Work Amount put to Tender in Rs lac. Specified period of completion (including/excluding Monsoon Prescribed last date of submission of tender Probable date of decision on the Tender Remarks if any.

Information of the works for which Tender acceptance letters are received.

Project Name Name & Address of the Employer Name of Work Tendered Amount in Rs lac Specified period of completion (including/excluding Monsoon Probable Date of Handing over of site

Attach letters of Acceptance received.

Information on works which are yet to be completed.

Project Name Name & Address of the Employer Name of Work Contract Number Value of contract Rs. Lakhs Date of Markout /Date of Handing over of site Specified period of completion (including/excluding Monsoon cost of balance works remaining Rs. in lac Probable date of completion

Attach Certificate for each work indicated above, in Format 3, obtained from the Competent Authority

Monthly Physical and Financial Progress Achieved in all Contracts which are referred to in Format 3

Names of Works Item of Work Names of Employers 2018-19 Remarks (Indicate contract reference)

January February march April May June July August September October November December

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

FORMAT FOR WORK DONE CERTIFICATE TO BE OBTAINED FROM COMPETENT AUTHORITY

has executed/ is executing(strike off which ever is not applicable) the work of .............................................

in this Organisation. The details of the work is as under:

1 Name of the Project :

2 Name of the Work :

3 Contract Amount :

4 Date of signing the Agreement :

5 Date of handing over of the Site :

Progress * : 2018-19

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Others (Pl specify) Physical is cum/sqm :

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Progress * : 2019-20

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Progress * : 2020-21

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Progress * : 2021-22

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Progress * : 2022-23

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7 Stipulated Period of Completion (including monsoon)

8 Prescribed Date of completion

9 Actual Date of Completion/ Probable Date of Completion

10 Cost of balance work (if work is in progress) :

11 Reasons if any for delay in completion, if work completion is delayed :

12 Penalty if any imposed :

13 Any other information :

* Monthwise progress shall be furnished seperately.

Date: (Authorised Signatory)

Address for correspondence:

Work executed as prime contractor (in the same name) on works of similar nature during the five years specified)

Project Name Name & Address of the Employer Name of Work Contract Number Value of contract Rs. Lakhs Date of Markout /Date of Handing over of site Specified period of completion (including/excluding Monsoon Actual date of completion Remarks (appreciation letter received for early completion or reasons, if there is delay in completion)

Attach Workdone Certificate for each work indicated above, in Format 3, obtained from the Competent Authority

Financial Year Total value of Civil Engineering works executed and payments received in the last five years (in Rs. lac)

Billed upto date during 2023-24

Attach Chartered Accountant's Yearwise Statements.

Name of Work : Wideninig of Road From Chinchali Railway Gate to Alakanoor Harugeri Road KM 7.40 to 9.01 in Raibag Taluk of Belagavi District. (WORK INDENT NO : 31870)

Sl no Items Unit Milestone -1 Quantity Milestone -2 Quantity Milestone -3 Quantity Total Quantity Rate in Rs. Amount for Mile Stone 1 in Rs Amount for Mile Stone 2 in Rs Amount for Mile Stone 3 in Rs Total Amount in Rs

Improvements to Road

1 305.4.3 Scarifying the existing bituminous road surface to a depth of 50 mm and disposal of scarified material by Mechanical Means using Hydraulic excavator with in all lifts and lead m2 1811.250 1811.250 6.30 11410.88 0.00 0.00 Rs. 11,410.88 1811.25

2 1.12 Earth work in surface excavation by mechanical means for lowering & Levelling the ground for all works other than foundation in all kinds of soils & up to depth not exceeding 300mm as per drawing and technical specifications, including setting out, shoring, strutting, barricading, caution lights, removal of stumps and other deleterious matter including dressing of excavated surfaces, disposing off or levelling the excavated earth or sorting & stacking the selected earth for reuse in a radius of 50 m and lift up to 1.5 m including cost of labour, tools, usage of machinery & other appurtenances required to complete the work. In all kinds of soils up to 300 mm depth m3 3441.375 3441.375 99.75 343277.16 0.00 0.00 Rs. 343,277.16 3441.38

3 305 Construction of Subgrade and Earthen Shoulders Construction of sub-grade and earthen shoulders with approved material obtained from borrow pits with all lifts & leads, transporting to site, spreading, grading to required slope and compacted to meet requirement of table No. 300-2 m3 1304.100 1304.100 517.65 675067.37 0.00 0.00 Rs. 675,067.37 1304.10

4 401 B By Mix in Place Method Construction of Granular Sub-Base of required grading as per design spreading in uniform layers with motor grader on prepared surface mixing by mix in place method with front end loader at OMC and compacting with vibratory roller to achieve the desired density, complete as per clause 401 (v) For Grading -V Material m3 849.275 849.275 2476.95 2103611.71 0.00 0.00 Rs. 2,103,611.71 849.28

5 406 Wet Mix Macadam (Plant mix method) Providing, laying, spreading and compacting graded stone aggregate to wet mix macadam specification including premixing the Material with water at OMC in mechanical mix plant carriage of mixed Material by tipper to site, laying in uniform layers with paver/grader in sub-base / base course on well prepared surface and compacting with vibratory roller to achieve the desired density. m3 200.000 504.375 704.375 2686.95 537390.00 1355230.41 0.00 Rs. 1,892,620.41 704.38

6 5.1 502 A Prime Coat over WMM/WBM (i) Providing and applying primer coat with SS1 grade Bitumen Emulsion on prepared surface of granular base including cleaning of road surface and spraying primer at the rate of 0.70 kg per m2 using mechanical means. m2 2817.500 2817.500 48.30 0.00 136085.25 0.00 Rs. 136,085.25 2817.50

7 503 Tack coat on Bituminous surface Providing and applying tack coat with VG-10 Bitumen using pressure distributor at the rate of 0.20 kg/m2 on the prepared bituminous surface cleaned with mechanical broom m2 8855.000 8855.000 12.60 0.00 111573.00 0.00 Rs. 111,573.00 8855.00

8 5.8 504 (ii) Bituminous Macadam Grading - II for traffic <20 MSA Providing and laying Bituminous Macadam with 40/60 TPH capacity hot mix plant using crushed aggregates of specified grading premixed with bituminous binder VG-30 @ 3.4% by weight of mix, transported to site, laid over a previously prepared surface with mechanical paver finisher to the required grade, level and alignment and rolled as per clauses 501.6 and 501.7 to achieve the desired compaction m3 240.000 202.750 442.750 8618.40 0.00 2068416.00 1747380.60 Rs. 3,815,796.60 442.75

9 Semi Dense Bituminous Concrete 1) IRC-37:2018 Providing and laying Semi Dense Bituminous Concrete with 40/60 TPH capacity hot mix plant batch type using crushed aggregates of specified grading premixed with bituminous binder VG-30 @ 5% by weight of mix and filler, transported to site, laid over a previously prepared surface with mechanical paver finisher to the required grade, level and alignment and rolled as per MoRTH V revision. m3 221.375 221.375 11545.80 0.00 0.00 2555951.48 Rs. 2,555,951.48 221.38

10 805 Kilometre Stone Reinforced cement concrete M15grade kilometre stone of standard design as per IRC:8-1980, fixing in position including painting and printing etc (ii) Ordinary kilometer stone (precast) Each 4.000 4.000 3033.45 0.00 0.00 12133.80 Rs. 12,133.80 4.00

11 805 Kilometre Stone Reinforced cement concrete M15grade kilometre stone of standard design as per IRC:8-1980, fixing in position including painting and printing etc (iii) 200 m stone (precast) Each 16.000 16.000 861.00 0.00 0.00 13776.00 Rs. 13,776.00 16.00

12 8.5 801 A Retro-Reflectorised Traffic Signs Providing and fixing of retro- reflectorised cautionary, mandatory and informatory sign as per IRC:67:2022 made of Class B Type IV retro reflective sheeting fixed over 2 mm thick aluminium sheeting vide clause 803.1, 3mm/4mm thick Aluminium composite material sheet depending on the size of the sign fixed over the back support frame of min 25 x 25 x 3mm angle mounted on a mild steel circular pipe 65 NB, 3.2 mm thickness firmly fixed to the ground by means of properly designed foundation with M25 grade cement concrete 45 cm x 45 cm x 60 cm, 60 cm below ground level as per approved drawing.The sign shall be maintained as per section 12 of IRC:67:2022. Each 2.000 2.000 3740.10 0.00 0.00 7480.20 Rs. 7,480.20 2.00

13 8.5 801 A Retro-Reflectorised Traffic Signs Providing and fixing of retro- reflectorised cautionary, mandatory and informatory sign as per IRC:67:2022 made of Class B Type IV retro reflective sheeting fixed over 2 mm thick aluminium sheeting vide clause 803.1, 3mm/4mm thick Aluminium composite material sheet depending on the size of the sign fixed over the back support frame of min 25 x 25 x 3mm angle mounted on a mild steel circular pipe 65 NB, 3.2 mm thickness firmly fixed to the ground by means of properly designed foundation with M25 grade cement concrete 45 cm x 45 cm x 60 cm, 60 cm below ground level as per approved drawing.The sign shall be maintained as per section 12 of IRC:67:2022. Each 2.000 2.000 4498.20 0.00 0.00 8996.40 Rs. 8,996.40 2.00

14 801 Direction and Place Identification Signs upto 0.9 m2 Size Board. Providing and erecting direction and place identification retro-reflectorised sign as per IRC:67:2012 made of high intensity grade sheeting vide clause 801.3, fixed over aluminium sheeting, 2 mm thick or Aluminium composite material sheet with overall thickness of 4mm with area not exceeding 0.9 m2 fixed over back support frame of min 35 x 35 x 3mm angle mounted on a mild steel circular pipe 65 NB, firmly fixed to the ground by means of properly designed foundation with M25 grade cement concrete 45 x 45 x 60 cm, 60 cm below ground level as per approved drawing m2 m2 7.560 7.560 9444.75 0.00 0.00 71403.85 Rs. 71,403.85 7.56

15 Providing Speed Breakers/Raised pedestrian crossings in Trapezoidal section with 2.5 m Top width and transition length of 0.8 m length and height of 0.1 m as per IRC 99:2018 using Bituminous Macadam (BM) Gr II and Semi Dense Bituminous Macadam (SDBC) Gr II for entire formation width & WBM Gr II for Shoulder hump portion only (150 mm thick), completing with road marking paint with applied thermoplastic compound with reflecting glass beeds on bituminous surface and providing 2 Nos. retro reflective traffic signs as per IRC 67 -2022 Intermediate lane with formation width of 7.50 m Each 1.000 1.000 36676.50 0.00 0.00 36676.50 Rs. 36,676.50 1.00

16 803 Road Marking with Hot Applied Thermoplastic Compound with Reflectorising Glass Beads on Bituminous Surface Providing and laying of hot applied thermoplastic compound 2.5 mm thick including reflectorising glass beads @ 250 g/ m2 area, thickness of 2.5 mm is exclusive of surface applied glass beads as per IRC:35:2015.The finished surface to be level, uniform and free from streaks and holes. m2 322.000 322.000 556.50 0.00 0.00 179193.00 Rs. 179,193.00 322.00

17 21-C Traffic Signages & Other Appurtenant Works 1 MoRTH 806 Supplying and Fixing of Molded Shank Raised Pavement Markers/Cat's Eye made of polycarbonate and ABS moulded body and reflective panels with micro prismatic lens capable of providing total internal reflection of the light entering the lens face and shall support a load of 16000 kg tested in accordance to ASTM D 4280 Type H and complying to specifications of Category A of MORTH Circular No RW/ NH/ 33023/ 10-97 DO III Dt 11.06. 1997. The height, width and length shall not exceed 50 mm, 100 mm and 102 +/- 2 mm and with minimum reflective area of 13 cm2 on each side and the slope to the base shall be 35 +/- 5 degree. The strength of detachment m2 178.000 178.000 383.25 0.00 0.00 68218.50 Rs. 68,218.50 178.00