CONSTRUCTION OF INLET STRUCTURE AT 3.60KM OF WPLC WITH DRAIN CHANNEL AND INLETTING AT CH 7.6KM

Technical Sheet

Name of Work Cost of Work as per BOQ(Rs in Lakhs) Time of Completion in months ALL COLOURED CELL TO BE FILLED ACCORDINGLY

26660007 Date of Sanction Date of Tender

Sl No. Items Requirement Requirement Cl. No. Name of the contractor

1 Bid Validity Bids shall remain valid for a period not less than 120 days after the deadline date. A Bid valid for a shorter period shall be rejected by the Employer as non-responsive 120 Days Bid validity periods In days

2 Bid Security Amount To be entered (Rs in Lakhs)

Amount To be entered (Rs in Lakhs)

Bid Security Amount - (Rs. In Lakhs) 0.9999 Bid Security Amount - Rs.

3 (i) Legal Status of Bidder.

(ii) Place of Registration.

(iii) Principal place of Business

(iv) Power of attorney of signatory Bid Attached (If any) or Not

4 Total value of civil engineering construction work performed in last five years. 1. Annual Financial Turn Over usually not less than 50% of the estimated annual payments under the contract (Rs in Lakhs)

Amount To be entered (Rs in Lakhs)

Amount To be entered (Rs in Lakhs)

Amount To be entered (Rs in Lakhs)

5 Work Experience of Similar nature Amount To be entered (Rs in Lakhs)

6 Items Unit Quantity

7 Bidding Capacity: More than the total Bid value of present work = A*N*3-B=Rs. ____.Where A = Maxm. Value of work executed in any one yr during last 5 yrs. N= Nos of years for completion of works. B=Value of existing commitments & ongoing works to be completed in period

(a) Existing commitments and ongoing works Amount To be entered (Rs in Lakhs)

(b) Work for which Bid already submitted Amount To be entered (Rs in Lakhs)

8 Availability of key items of Contractor's Equipment Nos. Nos./ Max. Age

9 Key Personnel Nos. Name of the Personnel and Experince in years

10 Evidence of accesses to Financial Resources Evidence of access to or availability of creadit facilities (10% of estimated cost), certified by bankers (Not more than 3 months old). (Rs in Lakhs). Amount To be entered (Rs in Lakhs)

11 Proposed methodology and programme of construction. Justifying their capability of execution and completion of the work as per technical specifications within the stipulated period of completion as per milestones. (Attached or not)

12 Litigation History Information regarding any litigation, current or during the last five years, in which the Bidder is involved, the parties concerned, and disputed amount. (Attached or not)

13 Affidavit Regarding statements made in the required attachments are true and correct.

14 Undertaking Able to invest a minimum of cost upto 25% of contract value of work. During implementation of contract.

15 Time of Completion

16 Registration No.

19 Labour License

20 NOC for Debar (If required)

QUALIFICATION INFORMATION

The information to be filled in by the Bidder in the following pages will be used for purposes of post qualification as provided for in Clause 4 of the Instructions to Bidders. This information will not be incorporated in the Contract.

NAME OF THE CONTRACTOR

1 For Individual Bidders

1.1 Constitution or legal status of Bidder (Attach copy)

Place of registration :

Principal place of business :

Power of attorney of signatory of Bid (Attach)

1.2 Total value of Civil Engineering construction work performed in the last five years** (in Rs. Million)

1.3.1 Work performed as prime contractor, work performed in the past as a nominated sub- contractor will also be considered provided the sub-contract involved execution of all main items of work described in the bid document, provided further that all oth

NAME OF THE CONTRACTOR

Project Name Name of the Employer* Description of work Contract No. Value of Contract (Rs. In Crore) Date of issue of work order Stipulated period of completion Actual date of completion* Remarks explaining reasons for delay & work completed)

* Attach certificate(s) from the Engineer(s)-in-Charge

 Attach certificate from Chartered Accountant.

1.3.2 Quantities of work executed as prime contractor, work performed in the past as a nominated sub-contractor will also be considered provided the sub-contract involved execution of all main items of work described in the bid document, provided further

NAME OF THE CONTRACTOR

Year Name of the work Name of the Employer* Quantity of work performed (cum) @ Remarks

Remarks* (indicate contract Ref)

1.4 Information on Bid Capacity (works for which bids have been submitted and works which are yet to be completed) as on the date of this bid.

(A) Existing commitments and on-going works:

NAME OF THE CONTRACTOR

Description of works Place & State Contract No. Name & Address of Employer Value of Contract (Rs Cr) Stipulated Period of Completion Value of works* remaining to be completed (Rs Cr) Anticipated date of completion

* Attach certificate(s) from the Engineer(s)-in-Charge

The item of work for which data is requested should tally with that specified in ITB clause 4.5A ©

** Immediately preceding the financial year in which bids are received.

# Delete, if prequalification has been carried out.

(B) Works for which bids already submitted :

Description of works Place & State Name & Address of Employer Estimated value of works (Rs Cr) Stipulated period of completion Date when decision is expected Remarks, if any

1.5 Availability of key items of Contractor’s Equipment essential for carrying out the Works [Ref. Clause 4.5(B)(a)]. The Bidder should list all the information requested below. Refer also to Sub Clause 4.3 (d) of the Instruction to Bidders.

NAME OF THE CONTRACTOR

Description of works Requirement Availability proposals Remarks (from whom to be purchased)

No. Capacity Owned/Leased to be procured Nos./Capacity Age/ Condition

1.6 Qualifications and experience of key personnel required for administration and execution of the Contract [Ref. Clause 4.5(B)(b)]. Attach biographical data. Refer also to Sub Clause 4.3 (e) of instructions to Bidders and Sub Clause 9.1 of the Condition

NAME OF THE CONTRACTOR

Position Name Qualification Year of Experience (General) Years of experience in the proposed position

1.7 Proposed sub-contracts and firms involved. [Refer ITB Clause 4.3(k)]

NAME OF THE CONTRACTOR

Sanction of the works Value of Sub-contract Sub-contractor (Name & Address) Experience in similar work

Attach copies of certificates on possession of valid license for executing water supply/ sanitary work/ building electrification works [Reference Clause 4.5(d) & Clause 4.5(e)]

*1.8 Financial reports for the last five years: balance sheets, profit and loss statements, auditors' reports (in case of companies/corporation), etc. List them below and attach copies.

1.9 Evidence of access to financial resources to meet the qualification requirements: cash in hand, lines of credit, etc. List them below and attach copies of support documents.

1.10 Name, address and telephone, telex and fax numbers of the Bidders' bankers who may provide references if contacted by the Employer.

1.11Information on litigation history in which the Bidder is involved.

NAME OF THE CONTRACTOR

Other Party(ies) Employer Cause of Dispute Amount involved Remarks showing Present Status

1.12 Statement of compliance under the requirements of Sub Clause 3.2 of the instructions to Bidders. (Name of Consultant engaged for project preparation is ** ........................ …………….............................)

Proposed work method and schedule. The Bidder should attach descriptions, drawings and charts as necessary to comply with the requirements of the Bidding documents. [Refer ITB Clause 4.1 & 4.3(1)]

1.15 Quality Assurance Programme

2 Additional Requirements

2.1 Bidders should provide any additional information required to fulfill the requirements of Clause 4 of the Instructions to the Bidders, if applicable.

(ii) Undertaking

*** (iii) Update of original prequalification application

*** (iv) Copy of original prequalification application

*** (v) Copy of prequalification letter

* Delete, if prequalification has been carried out.

** Fill the Name of Consultant.

*** Delete, if prequalification has not been carried out.