Providing and fixing of road furniture on SH-30 Sindhanur-Hemmadga Road from KM 0.00 to 3.00 in sindhanur town in Sindhanur taluk Raichur District (Sindhanur Constituency) Under 3054 Annual Maintenance for the year 2026-27(WORK RESERVED FOR CAT-2A)

Information on litigation in which the Tenderer is involved:

Other Party/Parties Employer Details of Dispute Amount involved Remarks showing Present Status

ON BANKS LETTER HEAD ……………………………………………………………………………………………………….. FORMAT OF BANKER’S CERTIFICATE / LINE OF CREDIT LETTER [TO BE ISSUED IN THE LETTER HEAD OF THE BANK BRANCH] Reference Number (Sl. No) Place: Date: To, [Name and Address of the beneficiary) This is to certify that Mr. / M/s ………………………………………………. [name of the customer] having his / their registered / administrative office at …………………………………………………………………………… ……………………………………………………………….. is a customer of out Bank and is / are engaged in ……………………………………………………….. [nature of activity]. If the said customer is allotted / awarded with ………………………………. [brief detail of works]. We may extend credit facilities upto Rs. ……………………………….. lakhs, to meet his / their working capital requirement towards the execution of the said work order as per the Loan Policy of the Bank. This is certificate is valid upto three months from date of issue, that is upto dd/mm/yyyy. Yours faithfully, BRANCH MANAGER

List of Machinery

Note: Minimum 50% of the required machinery should be owned by the Tenderer. Remaining 50% of the required machinery may be owned / procurred on Lease basis / Hire basis.

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

No. Capacity Number/Capacity Age/ Condition

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 :

6 Items executed :

Earth work excavation :

Alluminium & Steel work (Doors, Windows & Partition) :

Address for correspondence:

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

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

Year Name of work Name of Employer Quantity of work performed Remarks (Indicate contract reference)

2021-22 Earth work excavation

Alluminium & Steel work (Doors, Windows & Partition)

2022-23 Earth work excavation

Alluminium & Steel work (Doors, Windows & Partition)

2023-24 Earth work excavation

Alluminium & Steel work (Doors, Windows & Partition)

2024-25 Earth work excavation

Alluminium & Steel work (Doors, Windows & Partition)

2025-26 Earth work excavation

Alluminium & Steel work (Doors, Windows & Partition)

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)

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