CIVIL WORKS TO ARREST LEAKAGES IN PROTON THERAPY CENTRE

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

TECHNICAL DATA SHEET

Civil works to arrest leakages in Proton Therapy Centre

NIT No. : TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

S. NO PARTICULARS DATA TO BE FILLED UP REMARKS

PART I : DETAIL OF THE AGENCY

I Name of the Agency Full name as per Regd. Cer.t

II Type of Firm Proprietoryship/ partnership/Limited Company/ any other

III Registration details with PWD/CPWD etc. Pl. furnish date of Registration and its validity

IV Yaer of establishment

V Postal address Pl indicate full postal Address with PIN

VI Contact with STD code

VII Fax with STD code

VIII Name of Contact person

PART II : DOCUMENTS TO BE SCANNED AND UPLOADED.

1 Financial Turn Over Certified by CA

2020-2021 PL. FILL UP AMOUNT & UPLOAD SCANNED COPIES

Average of last 3 years

2 Profit & Loss Statement Certified by CA

2020-2021 PL.FILL UP AMOUNT & UPLOAD SCANNED COPIES

3 Latest Bank Solvency Certificate. PL. FILL UP AMOUNT, DATE & UPLOAD SCANNED COPY

4 List of Similar Works carried out in last 7 years i) Agency for whom exceuted ii) Value of Work iii)Stipulated and Actual time of Completion. PL. FILL UP DETAILS IN SEPARATE SHEET & UPLOAD SCANNED COPIES

3 similar works works a) PL. FILL UP THE AMOUNT & UPLOAD SCANNED COPY

2 similar works works a) PL. FILL UP THE AMOUNT & UPLOAD SCANNED COPY

1 similar works works PL.FILL UP AMOUNT AND UPLOAD SCAN NED COPY

5 Bidding Capacity PL.FILL UP AMOUNT AND UPLOAD SCAN COPY

6 List of all works in Hand indicating: i)Agency ii) Value of Work iii) Stipulated time of completion/ present position etc. PL. UPLOAD SCANNED COPIES

Typr of works executed since last seven years PL. UPLOAD SCANNED COPY

7 List of Construction Plants and Machinery. PL. UPLOAD SCANNED COPY

Maximum amount of single works executed since lats 7 years PL. UPLOAD SCANNED COPY

8 List of Technical Staff. PL. UPLOAD SCANNED COPY

9 Certificates: (MANDATORY)

i) Registration Certificate if any PL. FILL UP REGD. NUMBER & UPLOAD SCANNED COPY

ii) Certificates of Work Experience /Performance certificates PL. FILL UP REGD. NUMBER & UPLOAD SCANNED COPY

iii) PAN (Permanent Account Number) PL.FILL UP PAN & UPLOAD SCANNED COPY

iv) Certificates of Registration for Goods and Services Tax (GST) PL. FILL UP REGD. NUMBER & UPLOAD SCANNED COPIES

v) EPFO registration certificate. PL. FILL UP REGD. NUMBER & UPLOAD SCANNED COPIES

vi) ESIC registration certificate.

vii)Scanned copy of 'Bid Declaration form' in lieu of EMD PL. UPLOAD SCANNED COPY

10 Undertaking that the eligible similar work(s) have not been executed through another contractor on back to back basis: PL. UPLOAD SCANNED COPY

11 UNDERTAKING PL. UPLOAD SCANNED COPY (MANDATORY)

UNDERTAKING: I / We have read and examined the E-Tender Notice for Inviting Pre Qualification (PQ) of Contracting Agencies, Section I, II & III, & other documents and rules referred to and all other contents in the tender documents for the work AND ACCORDINGLY I / We, hereby submit credentials and other documents as are provided for, by, and in respects in accordance with, such conditions so far as applicable.

12 I/We have downloaded and gone through the pre-bid clarifications issued by the Department after close of sale of tenders and submitting tender accordingly. PL. UPLOAD SCANNED COPY (MANDATORY)

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H,FORM I & FORM J

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

Form "A" & "B" Financial Information & Bank Solvency

NAME OF WORK:-“ Civil works to arrest leakages in Proton Therapy Centre''

NIT No. : TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

S. NO PARTICULARS REMARKS

I Name of the Agency

BELOW GIVEN DOCUMENTS TO BE SCANNED AND UPLOADED IN THE WEBSITE www.eprocure.gov.in/eprocure/app WITHIN THE PERIOD OF SUBMISSION SCAN COPY ATTACHED "YES" OR "NO"

1 Financial Turn Over Certified by CA Gross turnover Amount in lakh Profit/ Loss Amount in lakh Certified by Chartered Accountant

2 Latest Bank Solvency Certificate.

3 Financial Arrangements for carrying out the proposed work

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H,FORM I & FORM J

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

FORM C : Details of all similar works completed in all respect during the last seven years ending previous day of last date of submission of tenders.(Starting with latest work)

Civil works to arrest leakages in Proton Therapy Centre

NIT No. : TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

S. NO Name of the work/ Project and location Owner or sponsoring organisation Cost of work Rupees (in lakhs) Date of commencement as per contract Stipulated date of Completion Actual date of completion Litigation/ arbritation pending/ in progress (with details) Name & addresses/ Phone Nos of the officers to whom reference can be made. REMARKS

Name of the Agency

* Indicate gross amount claimed and amount awarded by the Arbitrator if any.

i) The agency may submit separate form for giving details of work (completed) for each year to fill up the details as above.

Separate sheets if any shall be numbered in sequence.

ii) The scanned copies of the work orders for each work be uploaded . BOQ shall be furnished at a later date on request.

iii) Certified that the above list of works is complete and no work has been left-out and the information given is correct to my

knowledge and belief.

iv) The hard copy all similar works completed during last seven years ending previous day of last date of submission of tenders.

shall also be submitted on or before due date.

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H,FORM I & FORM J

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

FORM D : Details of all works of any nature under execution or awarded (No work shall be left out).

Civil works to arrest leakages in Proton Therapy Centre

NIT No. : TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

S. NO Name of the work/ Project and location Owner or sponsering organisation Cost of work Rupees (in lakhs) Date of commencement as per contract Stipulated date of Completion Upto date percentage progress of the work Slow progress, if any and reasons thereof. Name & addresses/ Phone Nos of the officers to whom reference can be made. REMARKS

Name of the Agency

i. The agency may submit separate form for giving details of each project (in progress/awarded) and fill up the details

as above. Separate sheets if any shall be numbered in sequence.

ii. The scanned copies of the work orders for each work be uploaded. BOQ shall be furnished at a later date on request.

iii. Certified that the above list of works is complete and no work has been left-out and the information given is correct

to my knowledge and belief

iv. The hard copy all works of any nature in hand and awarded shall also be submitted on or before due date. No works

shall be left out

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H,FORM I & FORM J

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

FORM E : Performance Reports of Works (Separate certificates for each work)

Civil works to arrest leakages in Proton Therapy Centre

NIT No. :TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

Name of the Agency

S. NO Name of the Work/ Project & Location Agreement No. Estimated Cost Tendered Cost Date of start Date of completion Amount of compensation levied for delayed completion, if any. Amount of reduced rated item, if any. Performance report REMARKS

(i) Stipulated date of Completion (ii) Actual Date of Completion (iii) Present position of the work, if in progress. (1) Quality of work (2) Financial soundness (3) Technical profiency (4) Resourcefulness (5) General behaviour (6) Time consciouness

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H,FORM I & FORM J

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

Civil works to arrest leakages in Proton Therapy Centre

NIT No. :TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

FORM F: STRUCTURE AND ORGANISATION

1 Name & Postal Address of the applicant:

2 Telephone No./Telex No./Fax No.

3 Legal status of the applicant (Please tick and attach attested copies of original document defining the legal status)

(a) An individual; (b) A proprietary firm; (c) A firm in partnership (d) A limited company or Corporation

4 Particulars of registration with various Government bodies (scanned & uploaded photocopy) Sl.No. Dept/Organisation &Place of registration Registration No.

5 Names and Titles of Director & Officers with designation proposed to be concerned with this work

6 Designation of individuals authorised to act for the organisation

7 Was the agency ever required to suspend construction for a period of more than six months continuously after you commenced the construction? If so, give the name of the project and reasons of suspension of work.

8 Has the agency or any constituent partner in case of partnership firm, ever abandoned the awarded work before its completion? If so, give name of the project and reasons for abandonment.

9 Has the agency, or any constituent partner in case of partnership firm, ever been debarred / black listed for tendering in any organisation at any time? If so give details.

10 Has the agency, or any constituent partner in case of partnership firm , ever been convicted by a court of law? If so, give details.

11 In which fields of Engineering construction the applicant has specialisation and interest?

12 Any other information considered necessary but not included above.

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H,FORM I & FORM J

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

Civil works to arrest leakages in Proton Therapy Centre

NIT No. :TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

Form "G"- DETAILS OF TECHNICAL & ADMINISTRATIVE PERSONNEL TO BE EMPLOYED FOR THIS WORK

Name of the Agency

Sr. No Name Designation Qualifications Professional experience and details of work carried out How these would be involved in this work Remarks

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H,FORM I & FORM J

TATA MEMORIAL CENTRE Advanced Centre For Treatment, Research And Education In Cancer. (ACTREC) Kharghar Node, Navi Mumbai – 410210 A GRANT-IN-AID INSTITUTE UNDER DEPARTMENT OF ATOMIC ENERGY, GOVERNMENT OF INDIA

Civil works to arrest leakages in Proton Therapy Centre

NIT No. :TMC/ACTREC/ENGG/SPM/ET-84/Leakages Works in Proton Centre/2026

Form H- DETAILS OF CONSTRUCTION PLANT AND EQUIPMENT LIKELY TO BE USED IN CARRYING OUT THIS WORK

Name of the Agency

Sr. No Name of Equipment/ Plant Nos Capacity or Type & make Age Condition Ownership status Current Location Remarks

Presently owned Leased To be purchased Proposed to be hired

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G & FORM H.

Select, Excess (+), Less (-) Less (-)

Tender Inviting Authority: Director TMC

Name of Work: “Civil Works to arrest leakages in Proton Therapy Center.”

Contract No: TMC/ACTREC/ENGG/APM/ET-84/Leakages Works in Proton Center/2026.

Name of the Bidder/ Bidding Firm / Company :

S. No. Item Description Item Code / Make Quantity Units Estimated Rate in Rs. P 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 in 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

2 Dismantling stone slab flooring laid in cement mortar including disposal of debris out of ACTREC premises. item3 Sqm Excess(+) Full Conversion INR

3 PLASTER BREAKING: Removing existing metal/ damaged / cracked / loosened cement / neeru /rough casts and faced plaster or tile work with back coat at all floors and levels including leaning the surfaces clear of all loose concrete/mortar foreign materials, carting away the debris out of hospital premises including scaffolding raking concrete surfaces etc. complete with quantities to be executed as and when required and as directed by the Engineer- In-Charge. item4 Sqm Excess(+) Full Conversion INR

4 Providing and laying water proofing treatment (plaster) 20mm by applying cement slurry mixed with water proofing cement compound consisting of applying : (a) First layer of slurry of cement @ 0.488 kg/sqm mixed with water proofing cement compound @ 0.253 kg/ sqm. This layer will be allowed to air cure for 4 hours. (b) Second layer of slurry of cement @ 0.242 kg/sqm mixed with water proofing cement compound @ 0.126 kg/sqm. This layer will be allowed to air cure for 4 hours followed with water curing for 48 hours. The rate includes preparation of surface, treatment and sealing of all joints, corners, junctions of pipes and masonry with polymer mixed slurry. item5 Sqm Excess(+) Full Conversion INR

5 Screed Repair: Remove loose and damaged concrete roof screed in pockets with mechanical cutter. Clean the concrete screed with high pressure water jet to remove dirt and loose particles. Brush apply a bond coat of Dr. Fixit Pidicrete URP mix in the ratio of 1:1 (URP 1: Cement 1) by volume to make it lump free slurry when applied on in the pre wet surface. Laid to fall roof screed in correct slope and gradient. Mix Dr. Fixit Pidicrete URP 10% by weight of cement in (M20) concrete in ratio of 1:1.5:3 i.e., one bag of 50kg cements: 1.5 times volume of sand: 3 times volume of aggregates: 25L water. Level the repair mortar and finish with trowel. Moist cure should be done for 7days. Air cure screed for 7days, before application of roof top coat coating system. item7 Sqm Excess(+) Full Conversion INR

6 SHAHAHABAD STONE FLOORING: Supplying and laying to required pattern 40mm (average) thickness rough shahbad stone size min. 600x600mm paving to proper line level or slope including cutting the edges for proper line and providing sunk flush pointing with cement mortar 1:3 including transporting curing etc. complete all as directed by the Engineer-in-Charge. item8 Sqm Excess(+) Full Conversion INR

7 Surface Preparation: All loose and de-bonded concrete/ screed, loose particles, dirt & should be removed. Roof substrate must be pressure-washed with water with, a minimum working pressure of 1,400 psi is to be used to and/or remove all dirt, dust, chalking and waste products. Remove algae, mold by using bleach solution or biowash. item9 Sqm Excess(+) Full Conversion INR

8 Waterproofing: Apply a coat of Dr. Fixit Roofseal Classic (diluted with water in the ratio 2:1) as Self Priming 9.0 – 10.0 Sq.mt / liter in the SSD condition. Allow coating to dry for 3-4 hours. Apply two coats of Dr. Fixit Roofseal Classic @ 2.0 - 2.2 Sq.mt / liter / coat, without water dilution, the rate of application being the same for both the coats. This would ensure correct consumption of material that will deliver a total DFT of 450– 500 microns. Allow the system to air cure for 5 days minimum. Check to see no void surface is left untreated / uncoated. The material having following technical Specification as per ASTM D 6083 M – Type II, Attains a Tensile Strength of 2.5 N/mm2 confirming to ASTM D 2370; Elongation at break ≥ 300% confirming ASTM D 2370, Adhesion to Concrete 2.0 N/mm2 confirming ASTM D 4541 and Crack bridging ability up to 2 mm, Air cure the coating for 7 days, before water pound test for 48 hrs. The system comes with 10 years waterproofing warranty from M/S Pidilite Industries. For vertical surfaces: Apply a 2 coat of Dr. Fixit Roofseal Classic with forced coverage of 3.3 - 3.7 Sq.mt / liter / Coat. The entire terrace should be coated with Roofseal Classic along with parapet walls needs to be enveloped with Roofseal Classic / Raincoat system. Note – Coating should be terminated below the drip mould on the vertical surface. item10 Sqm Excess(+) Full Conversion INR

9 Roughen and clean the junction of wall and floor with wire brush and air blower to remove the dust particles. Moisten the surface with water & apply a bond coat of Dr. Fixit Pidicrete URP and cement (1:1) by volume with brush. Providing & Laying angle fillet (gola) of size 50 x 50 mm in width over the bond coat when it’s in wet condition. Preparing PMM by taking 1 kg Dr. Fixit Pidicrete URP, 5 kg fresh cement, and 15 kg graded quartz sand. (i.e., in the ratio of 1:5:15) on RCC surface (slab and wall junction) finishing in smooth finish. Including moisture cure for 5 days then allow drying out slowly. etc complete. item11 Meter Excess(+) Full Conversion INR

10 Separation Layer: Providing & Laying 200 GSM Geotextile (non-woven polyester) membrane with a min of 100mm wide overlap loosely laid over Dr. Fixit Flexi PU 270(I) membrane, etc., complete. item12 Sqm Excess(+) Full Conversion INR

11 Providing and applying One coat primer and one waterproof base coat and two coat of textured Elastomeric paint of approved make, quality and colour including scrapping the surface to remove all loosely adhered particles followed by washing with water then wire brush so as to ensure thorough cleaning item13 Sqm Excess(+) Full Conversion INR

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