Execution of Miscellaneous Repair /Maintenance, up-gradation and Construction works in Zone 12 a cluster of central warehouses located at Sonepur, Bargarh, Kalamati, Bolangir, Kendupalli I, Kendupalli II, Sohela.on Annual rate Contract basis (2026

Price Schedule: Items mentioned at Sub Schedule A(1) consisting of • Items based on DSR 2023 for civil works, • Non-Scheduled Market rate Items of Civil work.

TOTAL QUOTED PRICE=

Amount Quoted (In Words)

CENTRAL WAREHOUSING CORPORATION (A Govt. of India Undertaking)

Price Bid

Schedule-A Sub schedule A. (II): Items based on DSR 2025 (with up-to-date correction slips) and Non-Scheduled Items for E&M Works,

NIT Number

NAME OF CONTRACTOR

Price Schedule: Items mentioned at Sub Schedule A(II) consisting of • Items based on DSR (E &M) 2025 for Electrical works • Non-Scheduled Market rate Items of E&M work.

TOTAL QUOTED PRICE=

Amount Quoted (In Words)

CENTRAL WAREHOUSING CORPORATION (A Govt. of India Undertaking)

Price Bid

Schedule-A Sub schedule A. (III): Items for General Maintenance Services -Horticulture Works and Housekeeping Services

NIT Number

NAME OF CONTRACTOR

Price Schedule:Items mentioned at Sub Schedule A(III) consisting of • Items for General Maintenance Works & Services consisting Horticulture works and House Keeping Services.

TOTAL QUOTED PRICE=

Amount Quoted (In Words)

CENTRAL WAREHOUSING CORPORATION (A Govt. of India Undertaking)

Schedule A Price Bid (Summary Sheet)

NIT Number

NAME OF CONTRACTOR

Price Sub Schedule A.I

Price Sub Schedule A.II

Price Sub Schedule A.III

Total of All Sub Sch (I)+(II)+(III) {In Figures}

Total of All Sub Sch (I)+(II)+(III) {In Words}

Central Warehousing Corporation (A Govt. of India Undertaking)

CHECK LIST {To be Filled by Bidder & Submitted Alongwith the Tender}

E NIT_NO.CWC/RO-BBSR/ENGG/ZMC_Zone12/202627/120316/19

Execution of Miscellaneous Repair /Maintenance, up-gradation and Construction works in Zone 12 a cluster of central warehouses located at Sonepur, Bargarh, Kalamati, Bolangir, Kendupalli I, Kendupalli II, Sohela.on Annual rate Contract basis (2026)-Reg.

Name of the Bidder *Mandatory

Experience Certificate: For Executing Works of Similar Nature as per tender eligibility criteria (Annexure-A)

Year 2022-23 (only when Audited turn over for FY 25-26 is not available)

Proof of Office in the state of Odisha (Valid GST number issued for state shall be considered as proof of office address. Bidder would be required to submit the proof of office address at the time of contract signing.)

Eligibility declaration form as per NIT-clause 3 and ITB-clause 3.2 under form -E of this PQ Performa

Power of Attorney* AND/ OR Board Resolution in favour of signatory(ies) duly attested by the Notary as per ANNEXURE III

Certificate of Registration with Registrars of Company (ROC).in case of Ltd. / Pvt. Ltd. company/PSU, if required.

Central Warehousing Corporation (A Govt. of India Undertaking)

Pre-Qualifying (PQ) Proforma {To be Filled by Bidder and Submitted along with Tender Document}

Execution of Miscellaneous Repair /Maintenance, up-gradation and Construction works in Zone 12 a cluster of central warehouses located at Sonepur, Bargarh, Kalamati, Bolangir, Kendupalli I, Kendupalli II, Sohela.on Annual rate Contract basis (2026)-Reg.

E NIT_NO.CWC/RO-BBSR/ENGG/ZMC_Zone12/202627/120316/19

Name of the Bidder,

Type of constituent (Organization) (Proprietorship / Partnership / Private Limited / Limited)

Name of the person holding the power of attorney for this Bid

Financial Eligibility Criteria:

(a) FY - 2022-23 (only when Audited turn over for FY 22-23 is not available)

Experience No.1

Experience No.2

Experience No.3

Bidder Office in the State

1. Tenderers have to fill complete details in Pre-Qualifying Proforma.

2. Documents pertaining to above details should be scanned and uploaded on e-tendering website at the time of on-line tender submission.

3. RTGS/NEFT E-payment Challans with UTR no. duly authenticated by Bank may also be scanned & uploaded along with tender submission.

4. Bidder must refer Tender eligibility criteria and Qualification norms as per ITB clause 3.2 and Annexure A

5. Affidavit (Annexure-IV) and Signed copy of Integrity Pact must be submitted by the Bidder.

Sign of Bidder. (Digital Signature)