Construction of CC road from Sri Nandi house to Eidgah Masjid, in Sindagi town of Sindagi constituenc

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 2019 Remarks (Indicate contract reference)

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

Earthwork & Embankment in cum Physical

GSB in cum Physical

Base Course (WMM/WBM) in cum Physical

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

Others Specify Details Physical

Earthwork & Embankment in cum Physical

GSB in cum Physical

Base Course (WMM/WBM) in cum Physical

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

Others Specify Details Physical

Earthwork & Embankment in cum Physical

GSB in cum Physical

Base Course (WMM/WBM) in cum Physical

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

Others Specify Details Physical

Earthwork & Embankment in cum Physical

GSB in cum Physical

Base Course (WMM/WBM) in cum Physical

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

Others Specify Details Physical

Earthwork & Embankment in cum Physical

GSB in cum Physical

Base Course (WMM/WBM) in cum Physical

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

Others Specify Details Physical

Earthwork & Embankment in cum Physical

GSB in cum Physical

Base Course (WMM/WBM) in cum Physical

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

6 Progress * : 2019

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

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Steel Physical in MT :

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Financial in lac :

Progress * : 2020

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

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Progress * : 2021

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

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Progress * : 2022

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

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

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Steel Physical in MT :

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Progress * : 2023

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

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Steel Physical in MT :

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Progress * : 2024

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

Earthwork & Embankment Physical in cum :

Financial in lac :

GSB Physical in cum :

Financial in lac :

Base Course (WMM/WBM) Physical in cum :

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

Financial in lac :

Concrete Physical in cum :

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Steel Physical in MT :

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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 2024-25

Attach Chartered Accountant's Yearwise Statements.

Name of Work:- Construction of CC road from Sri Nandi house to Eidgah Masjid, in Sindagi town of Sindagi constituency of Vijayapura district.HOA-4059-80-051-0-60-132 CMIDP FOR THE YEAR 2025-26.(WINO.PWD/2025-26/RD/WORK_INDENT31981)

Sl No Description Unit Quantity Rate Amount Mile Stone no.1 Mile Stone no.2 Mile Stone no.3

Ist Month IIst Month Total IIInd Month IVnd Month Total V nd Month VI nd Month Total

Physical Financial Physical Financial Physical Financial Physical Financial Physical Financial Physical Financial Physical Financial Physical Financial Physical Financial

1 Earth work in surface excavation by mechanical means for lowering & leveling the ground for all works other than foundation in all kinds of soils & upto depth not exceeding 300mm as per drawing and technical specifications, including setting out, shoring, strutting, arricading, caution lights, removal of stumps and other deleterious matter 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 appurtenances required to complete the work. In all kinds of soils upto 300 mm depth cum 1051.2000000000003 99.75

2 Construction of Granular Sub-Base of required grading as per design mixing in a mechanical mix plant at OMC, carriage of mixed Material to work site, spreading in uniform layers with motor grader on prepared surface and compacting with vibratory power roller to achieve the desired density, complete as per clause 401 (v) For Grading -V Material m3 2611.35

3 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. m3 2686.95

4 Providing and constructing un-reinforced plain cementconcrete pavement, thickness as per design, over a prepared sub base, with 43 grade cement or any other type as perClause 1501.2.2 M30 (Grade), coarse and fine aggregates conforming to IS:383:2016:, maximum size of coarseaggregate not exceeding 25 mm, mixed in a concrete mixer of not less than 0.2 cum capacity and appropriate weighbatcher using approved mix design, laid in approved fixed side formwork (steel channel, laying and fixing of 125 micronthick polythene film, wedges, steel plates including levellingthe formwork as per drawing), spreading the concrete withshovels, rakes, compacted using needle, screed and plate vibrators and finished in continuous operation includingconstruction joints, primer, sealant, curing of concrete slabsfor 14-days, and water finishing to lines and grade as per drawing and technical specification clause 1501 with alllead, lifts, loading & unloading charges, cost and conveyance of allmaterials, labour, equipments etc., complete. as per the directions of the Engineer-in-charge of the work. cum 6970.95 0

5 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 m3 517.65

6 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 ree 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 m 49.5

7 Providing and fixing of retro- reflectorised cautionary,mandatory and informatory sign as per IRC:67:2012 madeof 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:67:2012. 60 cm equilateral triangle Each 3

8 Providing and laying of hot applied thermoplastic compound 2.5 mm thick including reflectorising glass beads @ 250 g/ m 2 area, hickness 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 rom streaks and holes sqm 133

9 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 lessthan 19 +/- 2 mm and height not less than 30+/- 2 mm) from the body is to be a minimum value of 500 Kg. Fixing willbe 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 directedby the engineer.The contractor shall submit a two yearwarranty for satisfactory field performance including stipulated retro-reflectance of the reflecting panel, to the Engineer Nos 132

10 Repairs to Machinehole for different depths including removal of debris, levelling the brick masonry, construction of brick masonry upto Ground level, providing CC coping alround the MH cover, plastering both inside and outside to the brick masonry and fixing of manhole frame and cover, curing, refilling with appurtenances complete. each 18 154394.1

11 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 In all kinds of soils Depth upto 3 m m3 107.1 0

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 chinery, 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 rushed coarse aggregates m3 76.5

13 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 ibrators, 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 ecifications.M20 Design Mix Using 20 mm nominal size graded crushed coarse aggregates m3 6532.05

14 Providing and removing centering, shuttering, strutting, propping etc.,and removal of form work for RCC works including cost of all materials, labour complete as per specifications. m3

15 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 All other type of structures Tonne 10.92

16 Providing and laying 100mm thick pre-cast cover slabs over Road side drains / utility ducts / Rain water harvesting pit of width not exceeding1000 mm using M20 concrete reinforced with TMT bars Fe 550 @ 6kg/m2, slabs jointed in CM 1:3 proportion and nicely finished Including providing holes in the Cover slabs wherever necessary for easy drainage of surface water including of labour, materials, scaffolding, usage of machinery, curing, lead and lift charges etc, Complete Sqm 636.35

17 Providing weep holes in Brick masonry/Plain/ Reinforced concrete abutment, wing wall/ return wall with 100 mm dia AC pipe, extending through the full width of the structure with slope of 1V :20H towards drawing foce. Complete as per drawing and Technical Specifications m 106 0

Month wise Amount Miles Amount Fenalty Sd/-

1 Month 1 Miles (1 & 2 Month) Executive Engineer

2 Month ಗುತ್ತಿಗೆದಾರರ ಸಹಿ PWD Division Viajayapur

3 Month 2 Miles (3 & 4 Month)

5 Month 3 Miles (5 & 6 Month)