TERRACE ROOF COVERING WITH MS STRUCTURE AND GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

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

TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. .: TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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:-“ TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. .: TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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)

TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. : TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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).

TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. .: TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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)

TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. .: TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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

TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. .: TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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

TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. .: TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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

TERRACE ROOF COVERING WITH MS STRUCTURE & GI SHEET ROOFING TO RADIOTHERAPY DEPT, CRC ACTREC

NIT No. : TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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: “Terrace Roof Covering with MS Structure & GI Sheet roofing to Radiotherapy Dept, CRC ACTREC.”

Contract No: TMC/ACTREC/ENGG/CB/ET-78/Terrace Roof Covering/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 Providing, fabricating, hoisting and erecting in position structral steel works in welded of reputed make in built up sections comprising of trusses, lattice girders, brackets, columns, bracing and other connected steel work with necessary joists, channels, angles L-sections, plates, chequered plates , gusset plates, rivots, chemical anchor fastners , epoxy bolts, nuts, washers, including cutting, welding, for all heights and levels in all type of structural steel with applying a priming coat of approved steel primer using structural steel etc. as required. item3 Kg Excess(+) Full Conversion INR

3 Providing corrugated G.S. sheet roofing including vertical / curved surface fixed with polymer coated J or L hooks, bolts and nuts 8 mm diameter with bitumen and G.I. limpet washers or with G.I. limpet washers filled with white lead, including a coat of approved steel primer and two coats of approved paint on overlapping of sheets complete (up to any pitch in horizontal/ vertical or curved surfaces), excluding the cost of purlins, rafters and trusses and including cutting to size and shape wherever required .0.63 mm thick with zinc coating not less than 275 gm/ m² item4 sqm Excess(+) Full Conversion INR

4 Providing ridges or hips of width 60 cm overall width plain G.S. sheet fixed with polymer coated J or L hooks, bolts and nuts 8 mm dia G.I. limpet and bitumen washers complete.0.63 mm thick with zinc coating not less than 275 gm/m² item5 Rmt Excess(+) Full Conversion INR

5 Painting with synthetic enamel paint of approved brand and manufacture to give an even shade.Two or more coats on new work item7 sqm Excess(+) Full Conversion INR

6 Providing and fixing G.I. chain link fabric fencing of required width in mesh size 25x25 mm made of G.I. wire of dia 3 mm including strengthening with 2 mm dia wire or nuts, bolts and washers as required complete as per the direction of Engineer-in-charge. item8 sqm Excess(+) Full Conversion INR

7 Removing brick bat coba including stacking the spoils as directed with all leads,lifts etc,complete, disposing out of ACTREC premises as directed and instructed. item9 cum Excess(+) Full Conversion INR

8 Providing and laying integral cement based water proofing treatment including preparation of surface as required for treatment of roofs balconies, terraces etc consisting of following operations: (a) Applying a slurry coat of neat cement using 2.75 kg/sqm of cement admixed with water proofing compound conforming to IS. 2645 and approved by Engineer-in-charge over the RCC slab including adjoining walls upto 300 mm height including cleaning the surface before treatment. (b) Laying brick bats with mortar using broken bricks/brick bats 25 mm to 115 mm size with 50% of cement mortar 1:5 (1 cement : 5 coarse sand) admixed with water proofing compound conforming to IS : 2645 and approved by Engineer-in-charge over 20 mm thick layer of cement mortar of mix 1:5 (1 cement :5 coarse sand ) admixed with water proofing compound conforming to IS : 2645 and approved by Engineer-in-charge to required slope and treating similarly the adjoining walls upto 300 mm height including rounding of junctions of walls and slabs. (c) After two days of proper curing applying a second coat of cement slurry using 2.75 kg/ sqm of cement admixed with water proofingcompound conforming to IS : 2645 and approved by Engineer-in-charge. (d) Finishing the surface with 20 mm thick jointless cement mortar of mix 1:4 (1 cement :4 coarse sand) admixed with water proofing compound conforming to IS : 2645 and approved by Engineer-in-charge including laying glass fibre cloth of approved quality in top layer of plaster and finally finishing the surface with trowel with neat cement slurry and making pattern of 300x300 mm square 3 mm deep. (e) The whole terrace so finished shall be flooded with water for a minimum period of two weeks for curing and for final test.“All above operations to be done in order and as directed and specified by the Engineer-in-Charge : item10 cum Excess(+) Full Conversion INR

9 Demolishing R.C.C. work manually/ by mechanical means including stacking of steel bars and disposal of unserviceable material out of ACTREC premises compete per direction of Engineer - in- charge. item11 cum Excess(+) Full Conversion INR

10 Providing, fixing, jointing and testing of UPVC Agri pipes confirming to IS : 4985 (Pipe Class III - 6 kg / sq.cm) cut to required lengths including all necessary fittings and specials such as bends, junctions offsets, access pieces (plain or door) & vent cowl with Solvent Joint . Fixing at wall / ceiling level supported by G.I. clamps, hangers etc. ( Terrace RWP) 110mm nominal bore item12 0.0 RMT Excess(+) Full Conversion INR

11 Appointment of Govt. Registered Strucutral Consultant for designing, issue of good for construction drawing, site inspection during the work porgress, submission of as built drawing. Available Strucutral audit reports will be shared for design, and the structural designer intent to have any additional test on existing structre for design of roofing shall be included and no addtional chareges. item13 1 LS Excess(+) Full Conversion INR

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