CONSTRUCTION OF INTERNAL ROADS WITH CEMENT CONCRETE ROAD AT CW SONEPUR, ODISHA.

Name of the Bidder

Bidder Address, (registered)

Bidder Organization ID /CIN in case of Company

Bidder Telephone number

Bidder E-mail address

Type of Bidder constituent (Organization)

Attested copy of documents in support of Bidder Organization Type

Current List of Directors/Partners: as applicable

Name of the person holding the power of attorney for this Bid

Designation

Contact details of person holding the power of attorney

Attested Copy of Power of Attorney to sign & submit the Tender (as per format given in EXHIBIT-III of Appendix-II)

Earnest Money Deposit (EMD) of Amount 3,70,000/- as mentioned in APPENDIX-1 (TIS) through e- payment Gateway

PF Registration code number of Bidder

COPY of PF Registration number of Bidder

GST Registration code number of Bidder

COPY of GST Registration number of Bidder

PAN of the Bidder

COPY of PAN of Bidder

Whether Enlisted /Empaneled with CPWD/ MES/ Railway/ PWD/ CWC/any other PSU etc. if any,

Copy of Enlistment/Empanelment certificate Submitted or Not

Whether Bidder is executing or completed any work awarded by CENTRAL WAREHOUSING CORPORATION in Past Three FY Year (FY 2023-24, FY 2024-25 & FY 2025-26) and Current FY 2026-27.

Affidavit along with this PQ Performa (EXHIBIT-I) on NJS paper signed and submitted after filling necessary details.

Declaration of near relatives (EXHIBIT-IV) submitted.

Particular Technical Experience w.r.t. Similar Nature of Work:

Brief of Similar Nature Work Experience-1

Work order/ contract agreement ref number and date

Name of client issued the work order and completion certificate

Completion certificate -ref number and date

Total value of work completed (Rs.)

Stipulated date of completion

Actual date of completion

If LD is levied: Amount / period of delay for which Liquidity damage is levied by client (if any)

Copy of completion/experience certificate of work and Copy of Agreement/Workorder issued by Client is submitted as per format given in EXHIBIT-V or EXHIBIT-VI or EXHIBIT-VII as applicable

Brief of Similar Nature Work Experience-2

Work order/ contract agreement ref number and date

Name of client issued the work order and completion certificate

Completion certificate -ref number and date

Total value of work completed (Rs.)

Stipulated date of completion

Actual date of completion

If LD is levied: Amount / period of delay for which Liquidity damage is levied by client (if any)

Copy of completion/experience certificate of work and Copy of Agreement/Workorder issued by Client is submitted as per format given in EXHIBIT-V or EXHIBIT-VI or EXHIBIT-VII as applicable

Brief of Similar Nature Work Experience-3

Work order/ contract agreement ref number and date

Name of client issued the work order and completion certificate

Completion certificate -ref number and date

Total value of work completed (Rs.)

Stipulated date of completion

Actual date of completion

If LD is levied: Amount / period of delay for which Liquidity damage is levied by client (if any)

Copy of completion/experience certificate of work and Copy of Agreement/Workorder issued by Client is submitted as per format given in EXHIBIT-V or EXHIBIT-VI or EXHIBIT-VII as applicable

Annual Financial Turnover-Total Revenue (Income) (as per CA certificate and audited P&L Account)

FY 2020-21 (only when audited turnover for FY 2025-6 is not available)

The average of financial turnover for the last three financial years i.e. FY 2025-26, FY 2024-25 and FY 2023-24 Or FY 2022-23 (FY 2022-23 to be referred only when Audited turnover of FY 2025-26 is not available)

Annual Financial Turnover-Total Revenue (Income) from Construction Works (as per CA certificate and audited P&L Account)

Bidder's Profit after Tax (PAT) (as per CA certificate and audited P&L Account)

FY 2020-21 (only when audited P&L account for FY 2025-26 is not available)

FY 2024- 25 (only when audited Balance Sheet for FY 2025-26 is not available)

FY 2020-21 (only when audited P&L account for FY 2025-26 is not available)

E NIT_CWC/RO/BHBR/Engg. /26-27/119553/17

CONSTRUCTION OF INTERNAL ROADS WITH CEMENT CONCRETE ROAD AT CW SONEPUR, ODISHA.

Description of Work

Price Schedule: Items mentioned at Sub Schedule A(1) consisting of • Items based on DSR 2023 for civil works,

E NIT_CWC/RO/BHBR/Engg. /26-27/119553/17

CONSTRUCTION OF INTERNAL ROADS WITH CEMENT CONCRETE ROAD AT CW SONEPUR, ODISHA.

Description of Work

Schedule -II: All Items of civil works based on Market Rates (MR)

E NIT_CWC/RO/BHBR/Engg. /26-27/119553/17

CONSTRUCTION OF INTERNAL ROADS WITH CEMENT CONCRETE ROAD AT CW SONEPUR, ODISHA.

Price Sub Schedule A.I

Price Sub Schedule A.II

Total of All Sub Sch (I)+(II){In Figures}

Total of All Sub Sch (I)+(II) {In Words}