Improvements of Road from Mavinahonda to Jodatti (Rural Road) (Chikkodi Railway station mughalkhod handigunda MDR to joining Mudhol Nippani SH-18) in Raibag Constituency of Raibag Taluk Belagavi District Under Chief Minister Basic facilities and Development fund for the year 2025-26

Name of Work : Improvements of Road from Mavinahonda to Jodatti (Rural Road) (Chikkodi Railway station mughalkhod handigunda MDR to joining Mudhol Nippani SH-18) in Raibag Constituency of Raibag Taluk Belagavi District Under Chief Minister Basic facilities and Development fund for the year 2025-26 (WORK INDENT NO : 31625)

Sl no Items Unit 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 30% 30% 40%

1 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 (P No-17 / 3.5,Vol 3) Sq.m 2812.500 2812.500 6.30 17718.75 0.00 0.00 Rs. 17,718.75 30% 30% 40%

2 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 slopeand compacted to meet requirement of table No. 300-2 (P No-17/ 3.6,Vol 3) Cum 3955.900 3955.900 517.65 2047771.64 0.00 0.00 Rs. 2,047,771.64 30% 30% 40%

3 Granular Sub-Base-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-For Grading -V Material (P No-23 / 4.2 B (V),Vol 3) Cum 2100.000 561.000 2661.000 2476.95 5201595.00 1389568.95 0.00 Rs. 6,591,163.95 30% 30% 40%

4 Wet Mix Macadam (Plant mix method) Providing, laying, spreading and compacting graded stone aggregate to wet mix macadam specification including premixing the Material with water at OMC in mechanical mix plant carriage of mixed Material by tipper to site, laying in uniform layers with paver/grader in sub-base / base course on well prepared surface and compacting with vibratory roller to achieve the desired density.(P No-26 / 4.17,Vol 3) Cum 2200.000 157.813 2357.813 2686.95 0.00 5911290.00 424034.30 Rs. 6,335,324.30 30% 30% 40%

5 Prime Coat over WMM/WBM Providing and applying primer coat with SS1 grade Bitumen Emulsion on prepared surface of granular base including cleaning of road surface and spraying primer at the rate of 0.70 kg/m2 using mechanical means..(P No-31 / 5.1 A (i),Vol 3) Sq.m 9431.250 9431.250 43.05 0.00 0.00 406015.31 Rs. 406,015.31 30% 30% 40%

6 Tack coat on Granular surface treated with primer Providing and applying tack coat with VG-10 Bitumen using pressure distributor at the rate of 0.25 kg/m2 on Granular Surface.. (P No-43 / 5.33,Vol 3) Sq.m 9431.250 9431.250 15.75 0.00 0.00 148542.19 Rs. 148,542.19 30% 30% 40%

7 Dense Graded Bituminous Macadam Grading - II for traffic >20 MSA Providing and laying Dense Graded Bituminous Macadam with 40/60 TPH capacity HMP using crushed aggregates of specified grading, premixed with btuminous binder VG-40, @ 4.5 per cent by weight of total mix and filler, transporting the hot mix to work site, laying with mechanical paver finisher to the required grade, level and alignment, rolling with smooth wheeled, vibratory andtandem rollers to achieve the desired compaction as per MoRTH specification clause No. 505 complete in all respects.(P No-36/5.13 C Vol-3) Cum 471.563 471.563 10256.40 0.00 0.00 4836538.75 Rs. 4,836,538.75 30% 30% 40%

8 Bituminous Concrete Grading II for traffic >20 MSA Providing and laying Bituminous Concrete with 40/60 TPH capacity hot mix plant using crushed aggregates of specified grading, premixed with bituminous binder VG-40, @ 5.4 per cent of mix and filler, transporting the hot mix to work site, laying with mechanical paver finisher to the required grade, level and alignment, rolling with smooth wheeled, vibratory and tandem rollers to achieve the desired compaction as per MORTH specification clause No. 507 complete in all respects. (P No-38/5.17 C Vol-3) Cum 282.938 282.938 11912.25 0.00 0.00 3370428.19 Rs. 3,370,428.19 30% 30% 40%

9 Direction and Place Identification Signs more than 0.9 m2 Size Board. providing and erecting direction and place identification retroreflectorised sign as per IRC:67:2012 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 (P No-65/ 8.8,Vol 3) Sq.m 2.158 2.158 10168.20 0.00 0.00 21942.98 Rs. 21,942.98 30% 30% 40%

10 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 (P No-64/ 8.5 A(ii),Vol 3) Nos. 2.000 2.000 4904.55 0.00 0.00 9809.10 Rs. 9,809.10 30% 30% 40%

11 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 900 mm Circular Traffic sign boards(P No-64/8.5 A(vi) ) Vol-3) Nos. 2.000 2.000 6604.50 0.00 0.00 13209.00 Rs. 13,209.00 30% 30% 40%

12 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. Single row for one utility service (P No-71/ 8.29(ii),Vol 3) Mtrs 15.000 15.000 2322.60 0.00 0.00 34839.00 Rs. 34,839.00 30% 30% 40%

2 to 3 Year Maintenance 30% 30% 40%

1 Road Maintenance for 3rd year for road with BM+SDBC as wearing coat Maintenance of Road for 3rd year by Clearing and Uprooting Vegetation on either sides of the road. Maintenance of surface drains by clearing, cleaning reshaping, deepening of side drains. Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary. Maintenance & painting of 200 metre and km stones. White washing of parapet walls of CD work and tree trunks Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance per KM 2.500 2.500 28630.00 0.00 0.00 71575.00 Rs. 71,575.00 30% 30% 40%

Road Maintenance for 4th year for road with BM+SDBC as wearing coat Maintenance of Road for 4th year by Clearing and Uprooting Vegetation on either sides of the road Maintenance of surface drains by clearing, cleaning reshaping, deepening of side drains. Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary Maintenance & painting of 200 metre and km stones White washing of parapet walls of CD work and tree trunks Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance per KM 2.500 2.500 47010.00 0.00 0.00 117525.00 Rs. 117,525.00 30% 30% 40%

2 Road Maintenance for 5th year with BM+SDBC coat as wearing coat Maintenance of Road for 5th year by Clearing and Uprooting Vegetation on either sides of the road Maintenance of surface drains by clearing, cleaning reshaping deepening of side drains. Stripping excess soil from the shoulder surface and Making up loss.of material/ irregulanties on shoulder wherever necessary Maintenance & painting of 200 metre and km stones. White washing of parapet walls of CD work and tree trunks, Patching of shallow and deep potholes using prenixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance per KM 2.500 2.500 58330.00 0.00 0.00 145825.00 Rs. 145,825.00 30% 30% 40%

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 :

Financial in lac :

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 :

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Base Course (WMM/WBM) Physical in cum :

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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 * : 2022-23

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

Earthwork & Embankment Physical in cum :

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Base Course (WMM/WBM) Physical in cum :

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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.