Repairs and Improvement Works At Main Entrance with Storm water drain Of Radiotherapy Block D-Block CRC ACTREC

TECHNICAL DATA SHEET

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

PL. FILL UP AMOUNT & UPLOAD SCANNED COPIES

Average of last 3 years

2 Profit & Loss Statement Certified by CA

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

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

PL. FILL UP REGD. NUMBER & UPLOAD SCANNED COPIES

PL. FILL UP REGD. NUMBER & UPLOAD SCANNED COPIES

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)

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

S. NO PARTICULARS REMARKS

I Name of the Agency

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

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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)

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.

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

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

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

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

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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.

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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

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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

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

Tender Inviting Authority: Director TMC

Name of Work: Repairs & Improvement Works At Main Entrance with Storm water drain Of Radiotherapy Block, D-Block, CRC,ACTREC.

Contract No: TMC/ACTREC/ENGG/CB/ET-93/Repairs works at strom water drain/2026

Name of the Bidder/ Bidding Firm / Company :

Sl. 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 FLOORING BREAKING: Dismantling carefully the existing damaged cracked serviceable tiles/slabs/clay tiles/Marble slab/granite slab/Kota stone/tandoor stone/Shahabad stone and all types of flooring in flooring etc. including removing the 20mm thick bedding of cement mortar stone grit or brick bat coba etc. at all floors & levels including stacking of serviceable material out of hospital premises as directed by the Engineer-in-Charge. item1 250 Sqm Excess(+) Full Conversion INR

3 MASONARY BREAKING: Demolishing existing damaged/cracked brickmasonry with cement mortar and plaster at all floors and levels including scaffolding stacking of serviceable materials without damaging the adjacent masonry/RCC structure sanitary fittings & fixtures and disposal of unserviceable material carting away the debris out of hospital premises complete all as directed by the Engineer-in-Charge. item2 5 Cum Excess(+) Full Conversion INR

4 SOLING: Providing & laying rubble stone soling using spotless stones below floors roads/pavements etc. mechanically / manually consolidated thickness as specified below with stones vertically handset interstices packed with smaller stone chips, binding with murrum & sprinkling water for proper consolidating and finishing to required levels in quantities as and when required etc. complete all as directed by the Engineer-in-Charge. of 150 to 230mm thick item3 200 Sqm Excess(+) Full Conversion INR

5 Plain cement concrete 1:2:4 using graced stone aggregate of 20mm / 40mm max. size including consolidation using vibrator & needle if required finishing, curing, form work shuttering, centering etc. complete all as per specification and in quantity as & when required by the Engineer-in-Charge, item4 20 Cum Excess(+) Full Conversion INR

6 REINFORCED CEMENT CONCRETE: (RCC) Reinforced cement concrete of specific grade grade using graded stone aggregate of 20mm max. size including consolidation with vibrator & needle of required capacity finishing Curing,inlcuding form work, shuttering etc. complete all as directed by the Engineer-inCharge. In slabs, chaijas, canopies, columns, shelves window sills staircases walls beams intels bed blocks etc. 1:1:2 (1 cement : 1 coarse sand : 2 graded stone aggregate 20mm item5 40 cum Excess(+) Full Conversion INR

7 REINFORCEMENT: Reinforcement for reinforced cement concrete at all floors and levels including supplying cutting bending fixing and binding in position with 1.6mm dia soft drawn annealed binding wire including cost of binding wire labour etc. complete all as per specifications and as directed by the Engineer-in-Charge. (laps will not be measured). With high yield strength deformed bars (TMT bars) & MS round bars item6 2000 Kg Excess(+) Full Conversion INR

8 STRUCTURAL STEEL WORK: At all levels including supplying cutting fabricating welding or blotting erecting and fixing in position including painting with a primary coat of approved steel primer, including cost of materials labour with chasing in wall or embedding in floor and making good the same by filling 1:2:4 cement concrete and plastering if necessary all as specified and directed by Engineer-in-Charge. Built-up seciton/ tubular sections item7 1000 Kg Excess(+) Full Conversion INR

9 Providing and laying at or near ground level factory made kerb stone of M-25 Grade cement with nominal reinforcement in position to the required line, level and curvature jointed with cement morter 1:3 (1 cement : 3 corse sand) includin making joints with or with out grooves (thickness of joints except at sharp curve shall not more than 5mm) including making drainage opening whever required complete etc., as per direction of Engineer-in-charge (length of finished kerb edging shall be measured for payment). (Precast C.C. kerb stone of 900x300 size approx shall be approved by Engineer-in-charge ) item8 5 Cum Excess(+) Full Conversion INR

10 CEMENT PLASTERING: Cement Plastering for internal wall and ceiling with cement mortar 1:4 finished smooth with neeru over brick walls of concrete surfaces including hacking the concrete surfaces at all floors and levels in quantities as required at site including scaffolding curing, etc. complete all as directed by Engineer-in-Charge. item9 100 Sqm Excess(+) Full Conversion INR

11 Providing & laying approved make and desing 40 mm thick rubbed stone flooring over 20 mm (average) thick base of cement mortar 1:5 (1 cement :5 coarse sand) with joints 3mm thick, side buttered with cement mortar 1:2 (1 cement : 2 stone dust) admixed with pigment to match the shade of stone and pointing with same mortar : The material be exterior grade type to be used for heavy vehicular movment, manufactured byu any reputed company comple as directed and instucted. item10 200 Sqm Excess(+) Full Conversion INR

12 Synthetic enamal paint to MS Strucuture with one coat of primer and two coat of approved colour paint including scafolding etc complete as directed and instructed. item11 100 Sqm Excess(+) Full Conversion INR

13 Chequerred precast cement concrete tiles 22 mm thick in footpath &courtyard, jointed with neat cement slurry mixed with pigment to match the shade of tiles, including rubbing and cleaning etc. complete, on 20mm thick bed of cement mortar 1:4 (1 cement: 4 coarse sand).The material be exterior grade type to be used for heavy vehicular movment, manufactured byu any reputed company comple as directed and instucted. item12 50 Sqm Excess(+) Full Conversion INR

14 External painintg Finishing with Deluxe Multi surface paint system for interiors and exteriors using Primer as per manufacturers specifications of approved shade complete as directed and instructed. item13 50 Sqm Excess(+) Full Conversion INR

15 BRICK WORK: Brick work at all floor level with cement mortar 1:4 using well burnt locally available bricks of approved quality including scaffolding, raking out joints above ground level simultaneous and as directed by engineer in charge. In foundation & plinth drain walls chambers & superstructure of all floor levels. item14 1 Cum Excess(+) Full Conversion INR

16 Providing and fixing Aluminium Composite Panel (ACP) curtain wall system of 4mm thick matching existing ACP Panel or approved colour and make fixing over aluminium frame of 50mm x 25mm thick in grid form including cutting bending, ACP to required size and shape, fixing on Aluminium frame with weather Silicon sealant and finishing the groove with black colour sealant as per manufacturer’s specification complete all inclusive of wastage, labour, shifting, transportation etc. as directed and instructed by Engineer incharge. for trap door etc item15 10 Sqm Excess(+) Full Conversion INR

17 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 item16 10 Rmt Excess(+) Full Conversion INR

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