New Construction of Drinking Water Treatment Plant/Project at Purandarpur village at Gurudaspur G.P under Berhampore Block. (Main Plan-16(2025-26) (Activity Work Code - 111236816)

BIDDER INFORMATION FORM (Mandatory)

1 Name of the bidder

2 Bid submitted for (NIeT No) 09/PRODHAN/GURUDASPUR GP/2025-2026

5 BIDDERS DETAILS

Title Documents Description Page(s) No.

(a) Address for communication

(b) Contact No. (Mobile)

(c) Registered e-mail Address

(d) Professional Tax Clear Up to

(e) GST Registration No.

(g) Trade Licence renewal up to

(i) INCOME TAX RETURN FY 2022-23

(j) Audit Report FY 2022-23

(k) PF Registration (Y/N) (If yes upload return)

(l) Any others documents as per NIT

6 TENDER FES & EMD Details

(a) Name of the deposited bank

(b) Amount for Cost of Tender Papers

(C) Amount for Earnest money

6 Credential for similar nature of work. (To be supported with work order & completion report / Payment Certificate)

Name of Works executed (Submit Only one similar nature of work.) : Work No.-1 Name of Department where executed

Amount put to tender

Amount of final Bill

Date of Completion

Bank statement where reflect

Work No.-2 Name of Department where executed

Amount put to tender

Amount of final Bill

Date of Completion

Bank statement where reflect

Work No.-3 Name of Department where executed

Amount put to tender

Amount of final Bill

Date of Completion

Bank statement where reflect

* NB- Filled up properly with page no. & Upload necessary documents in BIDDERFILE.

Select, At Par, Excess (+), Less (-) IOCL

Tender Inviting Authority :- Prodhan, Gurudaspur Gram Panchayat, Maharajpur, Berhampore, Murshidabad

Name of Work :- New Construction of Drinking Water Treatment Plant/Project at Purandarpur village at Gurudaspur G.P under Berhampore Block. (Main Plan –16(2025-26) (Activity Work Code - 111236816)

Contract No :- 09/PRODHAN/GURUDASPUR GP/2025-26, Sl No - 01

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

1 New Construction of Drinking Water Treatment Plant/Project at Purandarpur village at Gurudaspur G.P under Berhampore Block. (Main Plan –16(2025-26) (Activity Work Code - 111236816) BI01010001010000000000000515BI0100001113 0.000 Nos Excess(+) Full Conversion INR

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