Costruction of CC Road from NH-4 to Ulagadi Khanapur Halakrni upto Maharastra State Border from km 1.50 to km 3.27 in Hukkeri Taluk Belagavi District Under HOA 5054-01-337-0-01-154 MDR for the year of 2024-25.

Name Of work:Costruction of CC Road from NH-4 to Ulagadi Khanapur Halakrni upto Maharastra State Border from km 1.50 to km 3.27 in Hukkeri Taluk Belagavi District Under HOA 5054-01-337-0-01-154 MDR for the year of 2024-25.

Sl no Items Unit Qty Rate Amount Milestone -1 Quantity Milestone -2 Quantity Milestone -3 Quantity Total Quantity Rate in Rs. Amount for Mile Stone 1 in Rs Amount for Mile Stone 2 in Rs Amount for Mile Stone 3 in Rs Total Amount in Rs

Construction of Road

1 Clearing and grubbing road land including uprooting rank vegetation, grass, bushes, shrubs, saplings and trees girth up to 300 mm, removal of stumps of trees cut earlier and disposal of unserviceable materials and stacking of serviceable material to be used or auctioned, including removal and disposal of top organic soil not exceeding 150 mm in thickness..(ii) a. In area of light jungle (Vol.-3, P.No.9, I.No. 2.5 ii(a)) 100 m2 11.38 412.65 4694.31 11.38 0.00 0.00 11.38 412.65 4694.31 0.00 0.00 4694.31

2 Surface Drains in Soil Construction of unlined surface drains of average crosssectional area 0.40 m2 in soil to specified lines, grades,levels and dimensions. Excavated material to be used in embankment with a lift upto 3m and lead of 50 m (average lead 25 m) as per Technical Specification Clause 307 (Vol.-3, P.No.144, I.No. 16.8) m 948.00 26.25 24885.00 316.00 316.00 316.00 948.00 26.25 8295.00 8295.00 8295.00 24885.00

3 Scarifying the existing bituminous road surface to a depth of 50 mm and disposal of scarified material by Mechanical Means using Hydraulic excavator with in all lifts and lead.(Vol.-3, P.No.17, I.No. 3.5) m3 4345.00 6.30 27373.50 1448.33 1448.33 1448.33 4345.00 6.30 9124.50 9124.50 9124.50 27373.50

4 Preparation and Surface Treatment of Formation.Preparation and surface treatment of formation by removing mud and slurry, watering to the extent needed to maintain the desired moisture content, trimming to the required line, grade, profile and rolling with 8-10 t smooth wheeled roller, complete as per clause 310.(Vol.-3, P.No.18, I.No. 3.11) m3 8690.00 4.20 36498.00 2896.67 2896.67 2896.67 8690.00 4.20 12166.00 12166.00 12166.00 36498.00

5 Construction of Embankment by excavating the available approved Gravel/Murrum deposited at a place or borrow pits during or prior excavation with all lifts and lead, transportation to site, spreading, grading to required slope and compacting to meet the requirement complete as per specifications, including cost of labour,rolling,water,all materials,usage& all other appurtenaces required to complete the work. (Vol.-1, P.No.7, I.No. 1.8) m3 1781.46 497.70 886632.64 593.82 593.82 593.82 1781.46 497.70 295544.21 295544.21 295544.21 886632.64

6 Construction of Embankment with approved materials deposited at site from roadway cutting and excavation from drain and foundation of other structures graded with desired compaction. (Vol.-1, P.No.7, I.No. 1.7) m3 346.04 124.95 43237.07 115.35 115.35 115.35 346.04 124.95 14412.36 14412.36 14412.36 43237.07

7 Construction of Subgrade and Earthen Shoulders Construction of sub-grade and earthen shoulders with approved material obtained from borrow pits with all lifts & leads, transporting to site, spreading, grading to required slope and compacted to meet requirement of table No. 300-2 (Vol.-3, P.No.17, I.No. 3.6) m3 1241.20 517.65 642507.18 413.73 413.73 413.73 1241.20 517.65 214169.06 214169.06 214169.06 642507.18

8 By Mix in Place Method Construction of Granular Sub-Base of required grading as per design spreading in uniform layers with motor grader on prepared surface mixing by mix in place method with front end loader at OMC and compacting with vibratory roller to achieve the desired density, complete as per clause 401 (v) For Grading -V Material (Vol.-3, P.No.23, I.No. 4.2(v)) m3 2525.00 2476.95 6254298.75 841.67 841.67 841.67 2525.00 2476.95 2084766.25 2084766.25 2084766.25 6254298.75

9 Dry Lean Cement Concrete Sub-base IRC SP 49: 2014 Construction of dry lean cement concrete Sub- base over a prepared sub-grade with coarse and fine aggregate conforming to IS: 383, the size of coarse aggregate not exceeding 25 mm, aggregate cement ratio not to exceed 14:1, aggregate gradation after blending to be as per table 600-1, cement content not to be less than 140 kg/ m3 , optimum moisture content to be determined during trial length Construction, concrete strength not to be less than 7 Mpa at 7 days, mixed in a batching plant, transported to site, laid with a paver with electronic sensor, compacting with 8-10 t vibratory roller, finishing and curing.(Vol.-3, P.No.49, I.No. 6.1) m3 1730.10 5166.00 8937696.60 576.70 576.70 576.70 1730.10 5166.00 2979232.20 2979232.20 2979232.20 8937696.60

10 Pavement Quality Concrete using paver - M40 Grade Construction of M40 Grade un-reinforced, dowel jointed, plain cement concrete pavement over a prepared sub base in recommended proportions, coarse and fine aggregate conforming to IS 383:2016, maximum size of coarse aggregate not exceeding 25 mm, mixed in a batching and mixing plant as per approved mix design transported to site, laid with a slip form paver finisher, spread, compacted and finished in a continuous operation including provision of contraction, expansion, construction and longitudinal joints, joint filler, separation membrane, sealant primer, joint sealant, debonding strip, dowel bar, tie rod, admixtures, curing compound, steel channels, finishing to lines and grades as per drawing 6.2.1 OPC @ 420 kg/m3 .(Vol.-3, P.No.49, I.No. 6.2.1) m3 2765.00 9514.05 26306348.25 921.67 921.67 921.67 2765.00 9514.05 8768782.75 8768782.75 8768782.75 26306348.25

11 Precast Cement Concrete Interlocking Blocks Providing and laying 80mm thick factory made precast M -30 grade Cement Concrete Paver Block as per IRC SP 63:2018 & IS 15658 for Commercial Traffic Axle load repetitions upto 10MSA & for Residential Streets of approved shape and colour, laid in required pattern and including over 40mm thick compacted bed of coarse sand, filling the joints with fine sand etc. all complete as per the direction of Engineer-in-charge. (WMM/WBM Base to be paid separately as per relevant technical specification) (Vol.-3, P.No.51, I.No. 6.8.2) m3 1400.00 1219.05 1706670.00 466.67 466.67 466.67 1400.00 1219.05 568890.00 568890.00 568890.00 1706670.00

12 Providing and laying in position Cement Concrete for levelling course for all works in foundation. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed, laid in layers not exceeding 150 mm thickness, well compacted using plate vibrators, including all lead & lifts, cost of all materials of quality, labour, Usage charges of machinery, curing, and all the other appurtenances required to complete the work as per technical specifications. (Vol.-1, P.No.15 I.No.2.1.4) m3 70.94 6527.85 463085.68 23.65 23.65 23.65 70.94 6527.85 154361.89 154361.89 154361.89 463085.68

13 Supplying and fixing M15 grade precast cement concrete Kerb stones for Roadway, Sidewalls and gutters fixed with CM 1:3 fixed and finsihed in line as per direction of Engineer in charge. (The cost of PCC shall be paid extra) 600 x 300 x 150 mm Kerb Stone (P No-74/ 8.42.7,Vol 3) m 1400.00 394.80 552720.00 466.67 466.67 466.67 1400.00 394.80 184240.00 184240.00 184240.00 552720.00

14 Direction and Place Identification Signs with size more than 0.9 m2 size Board. Providing and erecting direction and place identification retroreflectorised sign as per IRC:67:2022 made of high intensity grade sheeting vide clause 801.3, fixed over aluminium sheeting, 2 mm thick or Aluminium composite material sheet with overall thickness of 4mm with area exceeding 0.9 m2 fixed over back support frame of min 40 x 40 x 5mm angle mounted on a mild steel circular pipe 65 NB, firmly fixed to the ground by means of properly designed foundation with M25 grade cement concrete 45 x 45 x 60 cm, 60 cm below ground level as per approved drawing. (Vol.-3, P.No.65, I.No.8.8) m2 2.00 10187.10 20374.20 0.00 0.00 2.00 2.00 10187.10 0.00 0.00 20374.20 20374.20

15 Retro-Reflectorised Traffic Signs Providing and fixing of retro- reflectorised cautionary, mandatory and informatory sign as per IRC:67:2022 made of Class B Type IV retro reflective sheeting fixed over 2 mm thick aluminium sheeting vide clause 803.1, 3mm/4mm thick Aluminium composite material sheet depending on the size of the sign fixed over the back support frame of min 25 x 25 x 3mm angle mounted on a mild steel circular pipe 65 NB, 3.2 mm thickness firmly fixed to the ground by means of properly designed foundation with M25 grade cement concrete 45 cm x 45 cm x 60 cm, 60 cm below ground level as per approved drawing.The sign shall be maintained as per section 12 of IRC:67:2022. 90 cm equilateral triangle.(Vol.-3, P.No.64, I.No.8.5 A(ii)) m2 7.00 4918.20 34427.40 0.00 0.00 7.00 7.00 4918.20 0.00 0.00 34427.40 34427.40

16 Road Marking with Hot Applied Thermoplastic Compound with Reflectorising Glass Beads on Bituminous SurfaceProviding and laying of hot applied thermoplastic compound 2.5 mm thick including reflectorising glass beads @ 250 g/m2 area, thickness of 2.5 mm is exclusive of surface applied glass beads as per IRC:35:2015.The finished surface to be level, uniform and free from streaks and holes. (Vol.-3, P.No.67, I.No.8.15) m2 343.00 556.50 190879.50 114.33 114.33 114.33 343.00 556.50 63626.50 63626.50 63626.50 190879.50

17 Supplying and Fixing of Molded Shank Raised Pavement Markers / Cat's Eye made of polycarbonate and ABS moulded body and reflective panels with micro prismatic lens capable of providing total internal reflection of the light entering the lens face and shall support a load of 16000 kg tested in accordance to ASTM D 4280 Type H and complying to Specifications of Category A of MORTH Circular No RW/NH/33023/10-97 DO III Dt 11.06. 1997. The height, width and length shall not exceed 50 mm, 100 mm and 102 +/- 2 mm and with minimum reflective area of 13 cm2 on each side and the slope to the base shall be 35 +/- 5 degree. The strength of detachment of the integrated cylindrical shanks, (of diameter not less than 19 +/- 2 mm and height not less than 30+/- 2 mm) from the body is to be a minimum value of 500 Kg. Fixing will be by drilling holes on the road for the shanks to go inside, without nails and using epoxy resin based adhesive as per manufacturer's recommendation and complete as directed by the engineer.The contractor shall submit a two year warranty for satisfactory field performance including stipulated retro-reflectance of the reflecting panel, to the Engineer. (Vol.-3, P.No.74, I.No.8.43) m2 208.00 383.25 79716.00 69.33 69.33 69.33 208.00 383.25 26572.00 26572.00 26572.00 79716.00

18 Kilometre Stone Reinforced cement concrete M15grade kilometre stone of standard design as per IRC:8-1980, fixing in position including painting and printing etc (ii) Ordinary Kilometer Stone (Precast) (Vol.-3, P.No.67 I.No.8.16 (ii)) m2 2.00 3073.35 6146.70 0.00 0.00 2.00 2.00 3073.35 0.00 0.00 6146.70 6146.70

19 Metal Beam Crash Barrier (i) type - A, "W" : Metal Beam Crash Barrier Providing and erecting a "W" metal beam crash barrier system comprising of 3 mm thick corrugated sheet metal beam rail, 70 cm above road/ground level, fixed on ISMC series channel vertical post, 150 x 75 x 5 mm spaced 2 m centre to centre, 1.8 m high, 1.1 m below ground/road level, all steel parts and fitments to be galvanised by hot dip process, all fittings to conform to IS:1367 and IS:1364, metal beam rail to be fixed on the vertical post with a spacer of channel section 150 x 75 x 5 mm, 330 mm long complete as per clause 811 (Vol.-3, P.No.69,I.No.8.25) m2 450.00 3822.00 1719900.00 0.00 0.00 450.00 450.00 3822.00 0.00 0.00 1719900.00 1719900.00

20 Cable Duct Across the Road Providing and laying of a reinforced cement concrete pipe duct, 300 mm dia, across the road (new construction), extending from drain to drain in cuts and toe of slope to toe of slope in fills, constructing head walls at both ends, providing a minimum fill of granular material over top and sides of RCC pipe as per IRC:98-1997, bedded on a 0.3 m thick layer of granular material free of rock pieces, outer to outer distance of pipe at least half dia of pipe subject to minimum 450 mm in case of double and triple row ducts, joints to be made leak proof, invert level of duct to be above higher than ground level to prevent entry of water and dirt, all as per IRC: 98 - 1997 and approved drawings.(i) Single row for one utility service. (Vol.-3, P.No.71, I.No.8.29) m2 60.00 2322.60 139356.00 30.00 30.00 0.00 60.00 2322.60 69678.00 69678.00 0.00 139356.00

CD WORK 48077446.78

1 Earth work excavation for Foundation by mechanical means for all works & depth upto 3 m, as per drawing and technical specifications, including setting out, shoring, strutting, barricading, caution lights, including dressing of excavated surfaces, disposing off or levelling the excavated earth or sorting & stacking the selected earth for reuse in a radius of 50 m and lift upto 1.5 m including cost of labour, tools, usage of machinery & other appurtenaces required to complete the work 1.14.1 In all kinds of soils Depth upto 3 m (Vol.-1, P.No.8 I.No.1.14.1 (i)) m3 81.17 107.10 8693.31 81.17 0.00 0.00 81.17 107.10 8693.31 0.00 0.00 8693.31

2 Providing and laying in position Cement Concrete for levelling course for all works in foundation. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed, laid in layers not exceeding 150 mm thickness, well compacted using plate vibrators, including all lead & lifts, cost of all materials of quality, labour, Usage charges of machinery, curing, and all the other appurtenances required to complete the work as per technical specifications. Mix 1:3:6 Using 40 mm nominal size graded crushed coarse aggregates.(Vol.-1, P.No.15 I.No.2.1.3) m3 5.56 6288.45 34963.78 5.56 0.00 0.00 5.56 6288.45 34963.78 0.00 0.00 34963.78

3 Providing and laying in position Cement Concrete for all Sub structures of building, Irrigation works, Sub structure works of bridges, Drain works & other parallel works from 0.50m to 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers, laid in layers, well compacted using needle vibrators, providing weep holes wherever necessary, including all lead & lifts, cost of all materials of quality, confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing and all other appurtenances required to complete the work as per technical specifications. M20 Design Mix Using 20 mm nominal size graded crushed coarse aggregates (Vol.-1, P.No.16 I.No.2.4.2) m3 70.88 7170.28 508229.45 70.88 0.00 0.00 70.88 7170.28 508229.45 0.00 0.00 508229.45

4 Steel Fabrication Supplying, fitting and placing TMT FE 550 / 550D Steel Reinforcement including cost of all materials, machinery, labour, cleaning, straightening, cutting, bending, hooking, laping/welding joints, tying with binding wire / soft annealed steel wire and other ancilary operations complete as per drawing and technical specification.(d.) Super structure of Bridges.(Vol.-1, P.No.16 I.No.2.4.2) t 1.48 82961.55 122783.09 1.48 0.00 0.00 1.48 82961.55 122783.09 0.00 0.00 122783.09

5 Providing and Laying Reinforced Cement Concrete Pipe NP3 as per design in Single Row Providing and laying reinforced cement concrete pipe NP3or culverts on first class bedding of granular material in single row including fixing collar with cement mortar 1:2 but excluding excavation, protection works, backfilling, concrete and masonary works in Head walls and parapets Clause 1101.6 b. 1000mm dia. (Vol.-1, P.No.146 I.No.16.15 b,Vol-3) m 50.00 8355.90 417795.00 50.00 0.00 0.00 50.00 8355.90 417795.00 0.00 0.00 417795.00

6 Providing and Laying Reinforced Cement Concrete Pipe NP3 as per design in Single Row Providing and laying reinforced cement concrete pipe NP3or culverts on first class bedding of granular material in single row including fixing collar with cement mortar 1:2 but excluding excavation, protection works, backfilling, concrete and masonary works in Head walls and parapets Clause 1101.6 c. 750mm dia. (Vol.-1, P.No.146 I.No.16.15 c,Vol-3) m 25.00 3501.75 87543.75 25.00 0.00 0.00 25.00 3501.75 87543.75 0.00 0.00 87543.75

6 Construction of Embankment by excavating the available approved Gravel/ Murrum deposited at a place or borrow pits during or prior excavation with all lifts and lead, transportation to site, spreading, grading to required slope and compacting to meet the requirement complete as per specifications, including cost of labour,rolling,water,all materials,usage& all other appurtenaces required to complete the work. (Vol.-1, P.No.7, I.No. 1.8) m3 14.22 497.70 7077.29 14.22 0.00 0.00 14.22 497.70 7077.29 0.00 0.00 7077.29

1 Earth work excavation for Foundation by mechanical means for all works & depth upto 3 m, as per drawing and technical specifications, including setting out, shoring, strutting, barricading, caution lights, including dressing of excavated surfaces, disposing off or levelling the excavated earth or sorting & stacking the selected earth for reuse in a radius of 50 m and lift upto 1.5 m including cost of labour, tools, usage of machinery & other appurtenaces required to complete the work 1.14.1 In all kinds of soils Depth upto 3 m (Vol.-1, P.No.8 I.No.1.14.1 (i)) m3 2550.00 107.10 273105.00 850.00 850.00 850.00 2550.00 107.10 91035.00 91035.00 91035.00 273105.00

2 Providing and laying in position Cement Concrete for levelling course for all works in foundation. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed, laid in layers not exceeding 150 mm thickness, well compacted using plate vibrators, including all lead & lifts, cost of all materials of quality, labour, Usage charges of machinery, curing, and all the other appurtenances required to complete the work as per technical specifications. Mix 1:3:6 Using 40 mm nominal size graded crushed coarse aggregates.(Vol.-1, P.No.15 I.No.2.1.3) m3 204.00 6288.45 1282843.80 68.00 68.00 68.00 204.00 6288.45 427614.60 427614.60 427614.60 1282843.80

3 Providing and laying in position Cement Concrete for all Sub structures of building, Irrigation works, Sub structure works of bridges, Drain works & other parallel works from 0.50m to 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers, laid in layers, well compacted using needle vibrators, providing weep holes wherever necessary, including all lead & lifts, cost of all materials of quality, confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing and all other appurtenances required to complete the work as per technical specifications.Cement Concrete Drain Walls @ 35% (Addendum I - Sr.no.8/pg.no.111)(Vol.-1, P.No.16 I.No.2.4.2) m3 885.36 8962.85 7935348.88 295.12 295.12 295.12 885.36 8962.85 2645116.29 2645116.29 2645116.29 7935348.88

4 Steel Fabrication Supplying, fitting and placing TMT FE 550 / 550D Steel Reinforcement including cost of all materials, machinery, labour, cleaning, straightening, cutting, bending, hooking, laping/welding joints, tying with binding wire / soft annealed steel wire and other ancilary operations complete as per drawing and technical specification.(d.) Super structure of Bridges. (Vol.-1, P.No.16 I.No.2.4.2) t 47.63 82961.55 3951458.63 15.88 15.88 15.88 47.63 82961.55 1317152.88 1317152.88 1317152.88 3951458.63

5 Providing weep holes in Brick masonry/Plain/ Reinforced concrete abutment, wing wall/ return wall with PVC Pipe 110mm outer dia at 2 kg per m2 , extending through the full width of the structure with slope of 1V :20H towards drawing foce. Complete as per drawing and Technical Specifications.(Vol.-3, P.No.117 I.No.12.2) m 40.80 250.95 10238.76 13.60 13.60 13.60 40.80 250.95 3412.92 3412.92 3412.92 10238.76

For Maintenance

1 Crack Groove Cutting: Groove shall be cut using hand held electrically operated concrete cutting machine of size of 50 mm wide and 75 mm deep on each side of the crack to form as "V" groove all along the crack to fill the polyester resin/ Epoxy putty (horizontal and vertical cracks). After the groove cutting, the concrete shall be removed from the groove using the pneumatic concrete chipping machine to form "V" groove. The item includes the cost of hire charges for all machineries, tools and barges and all labour charges etc., complete.(V-3 Item No 10 Page No 161) Per Km 31.60 787.50 24885.00 0.00 0.00 31.60 31.60 787.50 0.00 0.00 24885.00 24885.00

2 Crack Sealing/Filling using epoxy mortar: Base and hardener of the high strength repair mortar . Epoxy putty shall be mixed using the slow speed heavy duty mixing machine to obtain a uniform mix. The mixed materials shall be placed all along the prepared "V" groove and finished smoothly using the putty blade/ trowel within 30 minutes by using the divers. The finished surface shall be allowed for curing minimum of 24 hours to attain the strength. The item includes the cost of usage charges of all equipment , tools and plants and all labour charges etc (V-3 Item No 11 Page No 161) Per Km 31.60 1155.00 36498.00 0.00 0.00 31.60 31.60 1155.00 0.00 0.00 36498.00 36498.00

3 Road Marking with Hot Applied Thermoplastic Compound with Reflectorising Glass Beads on Bituminous SurfaceProviding and laying of hot applied thermoplastic compound 2.5 mm thick including reflectorising glass beads @ 250 g/m2 area, thickness of 2.5 mm is exclusive of surface applied glass beads as per IRC:35:2015.The finished surface to be level, uniform and free from streaks and holes. (Vol.-3, P.No.67, I.No.8.15) Per Km 527.40 556.50 293498.10 0.00 0.00 527.40 527.40 556.50 0.00 0.00 293498.10 293498.10

4 Supplying and Fixing of Molded Shank Raised Pavement Markers / Cat's Eye made of polycarbonate and ABS moulded body and reflective panels with micro prismatic lens capable of providing total internal reflection of the light entering the lens face and shall support a load of 16000 kg tested in accordance to ASTM D 4280 Type H and complying to Specifications of Category A of MORTH Circular No RW/NH/33023/10-97 DO III Dt 11.06. 1997. The height, width and length shall not exceed 50 mm, 100 mm and 102 +/- 2 mm and with minimum reflective area of 13 cm2 on each side and the slope to the base shall be 35 +/- 5 degree. The strength of detachment of the integrated cylindrical shanks, (of diameter not less than 19 +/- 2 mm and height not less than 30+/- 2 mm) from the body is to be a minimum value of 500 Kg. Fixing will be by drilling holes on the road for the shanks to go inside, without nails and using epoxy resin based adhesive as per manufacturer's recommendation and complete as directed by the engineer.The contractor shall submit a two year warranty for satisfactory field performance including stipulated retro-reflectance of the reflecting panel, to the Engineer. (Vol.-3, P.No.74, I.No.8.43) m2 222.00 383.25 85081.50 0.00 0.00 222.00 222.00 383.25 0.00 0.00 85081.50 85081.50

Add for GST 11368348.22

Add for Tender Premium 3726291.92

Add for Electric Pole Shifting ,Add for Utility Shifting and Others 1200000.00

Add 1% for QC Charges and price Contigencies , Office Equipments and other Unforseen Items Lumpsum 547869.75

Estimate Amount 80000000.00

Percentage 33% 32% 35% 100%

Information on litigation in which the Tenderer is involved:

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

BANKER’S CERTIFICATE

This is to certify that M/s. ………………………….. is a reputed company with a good financial standing. If the contract for this work, namely ……………………………… (Name of the work) is awarded to the above firm, we shall be able to provide overdraft/credit facilities to the extent of Rs. …………… to meet the working capital requirements for executing the above contract

Name of the Bank, Senior Bank Manger

Address:…………………………

List of Machinery

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

No. Capacity Number/Capacity Age/ Condition

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

Attach letters of Acceptance received.

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

Attach Certificate for each work indicated above, in Format 3, obtained from the Competent Authority

Monthly Physical and Financial Progress Achieved in all Contracts which are referred to in Format 3

Names of Works Item of Work Names of Employers 2018-19 Remarks (Indicate contract reference)

January February march April May June July August September October November December

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

Earthwork & Embankment in cum Physical

Base Course (WMM/WBM) in cum Physical

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) in cum Physical

Concrete in cum Physical

Steel in MT Physical

Others Specify Details Physical

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 :

Progress * : 2018-19

January February March April May June July August September October November December

Earthwork & Embankment Physical in cum :

Financial in lac :

Base Course (WMM/WBM) Physical in cum :

Financial in lac :

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) Physical in cum :

Financial in lac :

Others (Pl specify) Physical is cum/sqm :

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Others (Pl specify) Physical :

Financial in lac :

Progress * : 2019-20

January February March April May June July August September October November December

Earthwork & Embankment Physical in cum :

Financial in lac :

Base Course (WMM/WBM) Physical in cum :

Financial in lac :

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) Physical in cum :

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Others (Pl specify) Physical is cum/sqm :

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Others (Pl specify) Physical :

Financial in lac :

Progress * : 2020-21

January February March April May June July August September October November December

Earthwork & Embankment Physical in cum :

Financial in lac :

Base Course (WMM/WBM) Physical in cum :

Financial in lac :

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) Physical in cum :

Financial in lac :

Others (Pl specify) Physical is cum/sqm :

Financial in lac :

Others (Pl specify) Physical :

Financial in lac :

Progress * : 2021-22

January February March April May June July August September October November December

Earthwork & Embankment Physical in cum :

Financial in lac :

Base Course (WMM/WBM) Physical in cum :

Financial in lac :

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) Physical in cum :

Financial in lac :

Others (Pl specify) Physical is cum/sqm :

Financial in lac :

Others (Pl specify) Physical :

Financial in lac :

Progress * : 2022-23

January February March April May June July August September October November December

Earthwork & Embankment Physical in cum :

Financial in lac :

Base Course (WMM/WBM) Physical in cum :

Financial in lac :

Asphalt Quantities (MSS/BM/BC/SDBC/DBM) Physical in cum :

Financial in lac :

Others (Pl specify) Physical is cum/sqm :

Financial in lac :

Others (Pl specify) Physical :

Financial in lac :

7 Stipulated Period of Completion (including monsoon)

8 Prescribed Date of completion

9 Actual Date of Completion/ Probable Date of Completion

10 Cost of balance work (if work is in progress) :

11 Reasons if any for delay in completion, if work completion is delayed :

12 Penalty if any imposed :

13 Any other information :

* Monthwise progress shall be furnished seperately.

Date: (Authorised Signatory)

Address for correspondence:

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)

Attach Workdone Certificate for each work indicated above, in Format 3, obtained from the Competent Authority

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

Billed upto date during 2023-24

Attach Chartered Accountant's Yearwise Statements.