1st Perpetual WSA WA Empanelment

STATEMENT OF CREDENTIAL & BID SUBMISSION CHECKLIST

S N Particulars Details Uploaded: Page Number in submitted documents

(A) General Information

1 Name of the bidder:

2 Address of the Bidder

3 Login E-Mail id for portal

4 Correspondence E-Mail id as per portal

5 Name of Contact Person:

6 Contact Person's Mobile no -

7 Company details: Type of Firm

8 Copy of PAN card (For Indian bidders / Indian Agents of Foreign Bidders) Yes / No

9 Copy of GST Registration (For Indian bidders / Indian Agents of Foreign Bidders) Yes / No

10 Copy of PF registration Yes / No

11 Partnership deed (For Indian bidders – The deed should be registered with Registrar of Firms) Yes / No

Certificate of Incorporation with memorandum and articles of Association (as applicable for partnership firms and companies)

12 Power of Attorney / Board Resolution in favour of tender signing Authority. Yes / No

13 Bid security Declaration (BSD) - Annexure K Yes / No

14 GeM ID Yes / No

(B) Details for Stage I Evaluation : PQC Documents

1 Turn Over Criteria (In Rs.)

1.1 FY 2023-24 UDIN no.: Yes / No

1.2 FY 2024-25 UDIN no.: Yes / No

1.3 FY 2025-26 UDIN no.: Yes / No

2 Similar Work: Work completed by the bidder, as main contractor, or as sub-contractor, during the last seven years ending last day of month previous to the original end date of bid submission. The value of completed work for evaluation shall be considered as under:

2.1 1st Work Order Yes / No

a Description of Work/Purchase/Services

b Name of Client with Address

c Contact Person & Contact details of End client

d E-mail id of End Client

e WO/PO Ref No / Date / Amount Yes / No

f Schedule of Rates/ Scope of Works Document Yes / No

g Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

h Date of Actual Completion as per Completion Certificate

i TDS Certificate/Bank Statement for proof of payment Yes / No

j CA certificate for executed work Yes / No

2.2 2nd Work Order Yes / No

a Description of Work/Purchase/Services

b Name of Client with Address

c Contact Person & Contact details of End client

d E-mail id of End Client

e WO/PO Ref No / Date / Amount Yes / No

f Schedule of Rates/ Scope of Works Document Yes / No

g Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

h Date of Actual Completion as per Completion Certificate

i TDS Certificate/Bank Statement for proof of payment Yes / No

j CA certificate for executed work Yes / No

2.3 3rd Work Order Yes / No

a Description of Work/Purchase/Services

b Name of Client with Address

c Contact Person & Contact detail of End client

d E-mail id of End Client

e WO/PO Ref No / Date / Amount Yes / No

f Schedule of Rates/ Scope of Works Document Yes / No

g Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

h Date of Actual Completion as per Completion Certificate

i TDS Certificate/Bank Statement for proof of payment Yes / No

j CA certificate for executed work Yes / No

(C) Technical Qualification

1 Registration certificate of Council of Architecture Yes / No

(D) Details for Stage II Evaluation

1 Past Experience of the firm

1.1 Work Order-1

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Schedule of Rates/ Scope of Works Document Yes / No

e Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

f Date of Actual Work comecement Yes / No

g Date of Actual Completion as per Completion Certificate Yes / No

h TDS Certificate/Bank Statement for proof of payment Yes / No

i CA certificate for executed work Yes / No

j In case of project executed outside the country, proof of remittance Yes / No

1.2 Work Order-2

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Schedule of Rates/ Scope of Works Document Yes / No

e Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

f Date of Actual Work comecement Yes / No

g Date of Actual Completion as per Completion Certificate Yes / No

h TDS Certificate/Bank Statement for proof of payment Yes / No

i CA certificate for executed work Yes / No

j In case of project executed outside the country, proof of remittance Yes / No

1.3 Work Order-3

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Schedule of Rates/ Scope of Works Document Yes / No

e Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

f Date of Actual Work comecement Yes / No

g Date of Actual Completion as per Completion Certificate Yes / No

h TDS Certificate/Bank Statement for proof of payment Yes / No

i CA certificate for executed work Yes / No

j In case of project executed outside the country, proof of remittance Yes / No

1.4 Work Order-4

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Schedule of Rates/ Scope of Works Document Yes / No

e Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

f Date of Actual Work comecement Yes / No

g Date of Actual Completion as per Completion Certificate Yes / No

h TDS Certificate/Bank Statement for proof of payment Yes / No

i CA certificate for executed work Yes / No

j In case of project executed outside the country, proof of remittance Yes / No

1.5 Work Order-5

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Schedule of Rates/ Scope of Works Document Yes / No

e Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

f Date of Actual Work comecement Yes / No

g Date of Actual Completion as per Completion Certificate Yes / No

h TDS Certificate/Bank Statement for proof of payment Yes / No

i CA certificate for executed work Yes / No

j In case of project executed outside the country, proof of remittance Yes / No

Rows may be added here for any additional work orders

Cumulative Value of works

2 Financial Creditability

2.1 FY 2021-22 UDIN no.: Yes / No

Turnover: Yes / No

2.2 FY 2022-23 UDIN no.: Yes / No

Turnover: Yes / No

2.3 FY 2023-24 UDIN no.: Yes / No

Turnover: Yes / No

2.4 FY 2024-25 UDIN no.: Yes / No

Turnover: Yes / No

2.5 FY 2025-26 UDIN no.: Yes / No

Turnover: Yes / No

3 Period of Architectural Practice/Experience:

Details of first successfully completed Building works executed by the applicant.

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Schedule of Rates/ Scope of Works Document Yes / No

e Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

f Date of Actual Work comecement Yes / No

g Date of Actual Completion as per Completion Certificate Yes / No

h TDS Certificate/Bank Statement for proof of payment Yes / No

i CA certificate for executed work Yes / No

j In case of project executed outside the country, proof of remittance Yes / No

4 In-House Professional Strength

4.1.1 Name of Employee

Educational qualification (Degree Certificate to be attached) Yes / No

Years of Experience (Experience Certificate from present & previous (if any) employer of all employees to be attached) Yes / No

Curriculum Vitae (CV), field of specialization and tenure of work with the firm to be furnished (signed by the employee as well as the bidder/present employer) Yes / No

4.1.2 Name of Employee

Educational qualification (Degree Certificate to be attached) Yes / No

Years of Experience (Experience Certificate from present & previous (if any) employer of all employees to be attached) Yes / No

Curriculum Vitae (CV), field of specialization and tenure of work with the firm to be furnished (signed by the employee as well as the bidder/present employer) Yes / No

4.1.3 Name of Employee

Educational qualification (Degree Certificate to be attached) Yes / No

Years of Experience (Experience Certificate from present & previous (if any) employer of all employees to be attached) Yes / No

Curriculum Vitae (CV), field of specialization and tenure of work with the firm to be furnished (signed by the employee as well as the bidder/present employer) Yes / No

Rows may be added here for any Architect employees

4.2.1 Name of Employee

Educational qualification (Degree Certificate to be attached) Yes / No

Years of Experience (Experience Certificate from present & previous (if any) employer of all employees to be attached) Yes / No

Curriculum Vitae (CV), field of specialization and tenure of work with the firm to be furnished (signed by the employee as well as the bidder/present employer) Yes / No

4.2.2 Name of Employee

Educational qualification (Degree Certificate to be attached) Yes / No

Years of Experience (Experience Certificate from present & previous (if any) employer of all employees to be attached) Yes / No

Curriculum Vitae (CV), field of specialization and tenure of work with the firm to be furnished (signed by the employee as well as the bidder/present employer) Yes / No

4.2.3 Name of Employee

Educational qualification (Degree Certificate to be attached) Yes / No

Years of Experience (Experience Certificate from present & previous (if any) employer of all employees to be attached) Yes / No

Curriculum Vitae (CV), field of specialization and tenure of work with the firm to be furnished (signed by the employee as well as the bidder/present employer) Yes / No

Rows may be added here for any Engineer employees

5 Experience of projects that have been awarded Green Certification

5.1 Work Order-1

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

e Certification indicating rating from GRIHA/IGBC/LEED Yes / No

f IGBC/GRIHA/LEED Ratings

5.2 Work Order-2

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

e Certification indicating rating from GRIHA/IGBC/LEED Yes / No

f IGBC/GRIHA/LEED Ratings

5.3 Work Order-3

a Description of Work/Purchase/Services

b Name of Client with Address Contact Person & Contact details of End client E-mail id of End Client

c WO/PO Ref No / Date / Amount Yes / No

d Completion Certificate Ref No / Date / Amount/Actual Executed Amount of Work Yes / No

e Certification indicating rating from GRIHA/IGBC/LEED Yes / No

f IGBC/GRIHA/LEED Ratings

Rows may be added here for additional cerification

6 Empanelment with Govt./PSU

6.1 Empanelment 1

a Name of organization

b Category of Empanelment

c Date of Empanelment

d Validity of Empanelment

e Document/ letter from Organization indicating about empanelment for Architectural works Yes / No

6.2 Empanelment 2

a Name of organization

b Category of Empanelment

c Date of Empanelment

d Validity of Empanelment

e Document/ letter from Organization indicating about empanelment for Architectural works Yes / No

6.3 Empanelment 3

a Name of organization

b Category of Empanelment

c Date of Empanelment

d Validity of Empanelment

e Document/ letter from Organization indicating about empanelment for Architectural works Yes / No

6.4 Empanelment 4

a Name of organization

b Category of Empanelment

c Date of Empanelment

d Validity of Empanelment

e Document/ letter from Organization indicating about empanelment for Architectural works Yes / No

6.5 Empanelment 5

a Name of organization

b Category of Empanelment

c Date of Empanelment

d Validity of Empanelment

e Document/ letter from Organization indicating about empanelment for Architectural works Yes / No

(E) OTHER DOCUMENTS:

1 Acceptance of all terms & conditions of tenderer- Annexure ‘A’ of Technical Bid Part-B. Yes / No

2 Declaration on NCLT/NCLAT/DRT/DRAT/Court receivership/ liquidation- Annexure ‘B’ of Technical Bid Part-B. Yes / No

3 Certificate for bidders from a country which shares a land border with India- Annexure ‘C’ of Technical Bid Part-B. Yes / No

4 Undertakings and declarations for non-tampering of data- Annexure ‘D’ of Technical Bid Part-B. Yes / No

5 Declaration of blacklisting / holiday listing clearly mentioning the details of Holiday listing or "NIL" in case of no details - Annexure ‘E’ of Technical Bid Part-B. Yes / No

6 Declaration "A", "B", "C" & "D"- Annexure ‘F’ of Technical Bid Part-B. Yes / No

7 Undertaking for business transaction status of bidders- Annexure ‘G’ of Technical Bid Part-B. Yes / No

8 Particulars of bidder firm- Annexure ‘H’ of Technical Bid Part-B. Yes / No

9 Undertaking on no multiple bidding- Annexure ‘I’ of Technical Bid Part-B. Yes / No

10 Declaration on purchase preference (linked with local content) (PP-MII) policy- Annexure ‘J (Part-I)’ of Technical Bid Part-B. Yes / No

11 Declaration on purchase preference (linked with local content) (PP-MII) policy- Annexure ‘J (Part-II/III)'’ of Technical Bid Part-B. Yes / No

12 Bid Security Declaration (BSD) from bidders in lieu of Earnest Money Deposit (EMD) / Bid Security Annexure ‘K’ of Technical Bid Part-B. Yes / No