Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088

भारत सरकार GOVERNMENT OF INDIA

परमाणु उर्जा विभाग DEPARTMENT OF ATOMIC ENERGY

निर्माण, सेवा एवं संपदा प्रबंध निदेशालय DIRECTORATE OF CONSTRUCTION, SERVICES AND ESTATE MANAGEMENT

तीसरी मंजिल, विक्रम साराभाई भवन, अणुशक्तिनगर, मुंबई - 400 094 3rd floor, Vikram Sarabhai Bhavan, Anushaktinagar, Mumbai – 400 094 टेलीफ़ोन Telephone: (022) 25487393, फैक्स Fax: (022) 2556 5362

तकनीकी डाटा शीट / TECHNICAL DATA SHEET

EOI No. DCSEM/CQD/QSC/AN-EV/26-27/EOI-01, Dtd. 13/07/2026

कार्य का नाम Name of work:-

“ Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088.”

स. क्र. S. NO ब्यौरा PARTICULARS टिप्पणियां REMARKS डाटा भरा जाना है DATA TO BE FILLED UP

भाग I: एजेंसी के लिए विवरण PART I : DETAIL FOR THE AGENCY

i एजेंसी का नाम Name of the Agency पंजीकरण प्रमाणपत्र के अनुसार पूरा नाम Full name as per Registration Certificate

ii फर्म का प्रकार / Type of Firm स्वामित्व / साझेदारी / लिमिटेड कंपनी / कोई अन्य Proprietorship/ partnership / Limited Company/ any other

iii स्थापना वर्ष / Year of establishment कृपया वर्ष भरें Pl. furnish Year

iv डाक का पता /Postal address कृपया पिन के साथ पूरा डाक पता बताएं Pl indicate full postal Address with PIN

v एसटीडी कोड के साथ संपर्क नं. Contact No. with STD code कृपया एसटीडी कोड के साथ संपर्क नंबर बताएं Please indicate Contact No. with STD code

vi एसटीडी कोड के साथ फैक्स नं. / Fax No. with STD code कृपया एसटीडी कोड के साथ फैक्स नंबर बताएं Please indicate Fax No. with STD code

vii संपर्क व्यक्ति का नाम और पदनाम / Name of Contact person & Desiganation कृपया संपर्क व्यक्ति का नाम और पदनाम बताएं Please indicate Name of Contact person & Desiganation

viii मोबाइल नं. Mobile No. कृपया मोबाइल नंबर बताएं Please indicate Mobile No.

ix ईमेल आईडी e-mail ID कृपया ई-मेल आईडी बताएं Please indicate e-mail ID

भाग II: स्कैन और अपलोड किए जाने वाले दस्तावेज़ PART II : DOCUMENTS TO BE SCANNED AND UPLOADED.

1 Financial Turn Over Certified by CA

2020 - 2021 कृपया राशि भरें और सीए द्वारा प्रमाणित टर्न ओवर प्रमाणपत्र की स्कैन की गई प्रतियां अपलोड करें (अनिवार्य) PLEASE FILL UP AMOUNT & UPLOAD SCANNED COPIES of Turn Over Certificate Certified by CA (MANDATORY)

Average annual financial turn over (gross) of Rs. 25 Lakh during immediate last three consecutive financial years ending 31st March 2025.

2 Profit & Loss Statement Certified by CA bidder should not have incurred any loss in more than two years during the last five consecutive immediate financial years ending 31st March 2025

2020 - 2021 कृपया राशि भरें और सीए द्वारा प्रमाणित टर्न ओवर प्रमाणपत्र की स्कैन की गई प्रतियां अपलोड करें (अनिवार्य) PLEASE FILL UP AMOUNT & UPLOAD SCANNED COPIES of Profit & Loss Statement Certified by CA (MANDATORY)

3 नवीनतम बैंक सॉल्वेंसी प्रमाणपत्र (रु 10.00 लाख की सॉल्वेंसी होनी चाहिए) Latest Bank Solvency Certificate. (Should have solvency of 10.00 lakh ) कृपया राशि, तारीख, बैंक का नाम भरें और स्कैन की गई कॉपी अपलोड करें (अनिवार्य) PLEASE FILL UP AMOUNT, DATE, BANK NAME & UPLOAD SCANNED COPY (MANDATORY)

4 पिछले 7 वर्षों में पूर्ण किए गए समान कार्य Similar Works carried out in last 7 years. समान कार्य का अर्थ होगा: Similar work shall mean: “Deployment of E mobility services including e-vehicle”

5 हाथ में कार्यों की सूची इंगित करते हुए LIST OF WORKS IN HAND INDICATING: i) एजेंसी जिसके लिए निष्पादित किया जा रहा है Agency for whom executing ii) कार्य का मूल्य Value of Work iii) पूरा होने का निर्धारित समय Stipulated time of completion iv) वर्तमान स्थिति प्रतिशत (%) में Present position in percentage (%). कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPIES

6 तकनीकी कर्मचारियों की सूची List of Technical Staff. कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPIES

7 प्रमाणपत्र Certificates:

i) पंजीकरण प्रमाणपत्र, यदि कोई हो Registration Certificate, if any कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPIES

ii) कार्य अनुभव प्रमाण पत्र/प्रदर्शन प्रमाण पत्र Certificates of Work Experience / Performance certificates कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPIES

iii) पैन (स्थायी खाता संख्या) PAN (Permanent Account Number) कृपया पैन नंबर भरें और स्कैन की गई कॉपी अपलोड करें (अनिवार्य) PLEASE FILL UP PAN NO. & UPLOAD SCANNED COPY (MANDATORY)

iv) जीएसटी के लिए पंजीकरण प्रमाण पत्र Registration certificate for GST. कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPIES

v) Own equipment as per list required for the proper and timely maintenance of the work कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPY

vi) List of Technical Staff / Auxiliary staff /Qualified Drivers कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPY

vii) Letter from OEM of E-vehicles for full technical support and O&M. कृपया स्कैन की गई कॉपी अपलोड करें PLEASE UPLOAD SCANNED COPY

8 निविदा स्वीकृति पत्र (कंपनी के लेटर हेड पर दिया जाना है) TENDER ACCEPTANCE LETTER (To be given on Company Letter Head) : “I/ We undertake and confirm that eligible similar work(s) has/have not been got executed through another contractor on back to back basis. Further that, if such a violation comes to the notice of DCSEM, then I/We shall be debarred for tendering in DCSEM Contracts in future forever. Also, if such a violation comes to the notice of DCSEM before date of start of the work, the Engineer-in-Charge shall be free to forfeit the entire amount of Earnest Money Deposit/ Performance Guarantee.” कृपया स्कैन की गई कॉपी अपलोड करें (अनिवार्य) PLEASE UPLOAD SCANNED COPY (MANDATORY)

9 Undertaking for the TENDER ACCEPTANCE LETTER as Annexure-I. कृपया स्कैन की गई कॉपी अपलोड करें (अनिवार्य) PLEASE UPLOAD SCANNED COPY (MANDATORY)

9 अनुबंध-II के रूप में सार्वजनिक खरीद (मेक इन इंडिया को प्राथमिकता) के प्रावधानों के लिए उपक्रम। Undertaking for the provisions of Public Procurement (Preference to Make in India) as Annexure-II. कृपया स्कैन की गई कॉपी अपलोड करें (अनिवार्य) PLEASE UPLOAD SCANNED COPY (MANDATORY)

10 Undertaking for Land Border sharing certificate (refer EOI page no.20) कृपया स्कैन की गई कॉपी अपलोड करें (अनिवार्य) PLEASE UPLOAD SCANNED COPY (MANDATORY)

ध्यान दें: एजेंसी को सभी शीट अर्थात् तकनीकी डेटा शीट, फॉर्म-ए और बी, फॉर्म-सी, फॉर्म-डी, फॉर्म-ई, फॉर्म-एफ, फॉर्म-जी और फॉर्म-एच भरना होगा।

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C, FORM D, FORM E, FORM F , FORMG & FORM H

GOVERNMENT OF INDIA

DEPARTMENT OF ATOMIC ENERGY

DIRECTORATE OF CONSTRUCTION, SERVICES AND ESTATE MANAGEMENT

3rd floor, Vikram Sarabhai Bhavan, Anushaktinagar, Mumbai – 400 094 Telephone: (022) 25487355 Fax: (022) 2556 5362

Form "A" & "B" Financial Information & Bank Solvency

EOI No. DCSEM/CQD/QSC/AN-EV/26-27/EOI-01, Dtd. 13/07/2026

“ Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088.”

S. NO PARTICULARS REMARKS

I Name of the Agency

BELOW GIVEN DOCUMENTS TO BE SCANNED AND UPLOADED IN THE WEBSITE https://eprocure.gov.in/eprocure/app WITHIN THE PERIOD OF SUBMISSION SCAN COPY ATTACHED "YES" OR "NO"

1 Financial Turn Over Certified by CA Gross turnover Amount in lakh Profit/ Loss Amount in lakh Certified by Chartered Accountant

2 Latest Bank Solvency Certificate.

3 Financial Arrangements for carrying out the proposed work

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H

GOVERNMENT OF INDIA

DEPARTMENT OF ATOMIC ENERGY

DIRECTORATE OF CONSTRUCTION, SERVICES AND ESTATE MANAGEMENT

3rd floor, Vikram Sarabhai Bhavan, Anushaktinagar, Mumbai – 400 094 Telephone: (022) 25487355 Fax: (022) 2556 5362

FORM C : Details of all similar works completed in all respect during the last seven years ending previous day of last date of submission of tenders.(Starting with latest work)

EOI No. DCSEM/CQD/QSC/AN-EV/26-27/EOI-01, Dtd. 13/07/2026

“ Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088.”

S. NO Name of the work/ Project and location Owner or sponsoring organisation Cost of work Rupees (in lakhs) Date of commencement as per contract Stipulated date of Completion Actual date of completion Litigation/ arbritation pending/ in progress (with details) Name & addresses/ Phone Nos of the officers to whom reference can be made. REMARKS

Name of the Agency

* Indicate gross amount claimed and amount awarded by the Arbitrator if any.

i) The agency may submit separate form for giving details of work (completed) for each year to fill up the details as above.

Separate sheets if any shall be numbered in sequence.

ii) The scanned copies of the work orders for each work be uploaded . BOQ shall be furnished at a later date on request.

iii) Certified that the above list of works is complete and no work has been left-out and the information given is correct to my

knowledge and belief.

iv) The hard copy all similar works completed during last seven years ending previous day of last date of submission of tenders.

shall also be submitted on or before due date.

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H

GOVERNMENT OF INDIA

DEPARTMENT OF ATOMIC ENERGY

DIRECTORATE OF CONSTRUCTION, SERVICES AND ESTATE MANAGEMENT

3rd floor, Vikram Sarabhai Bhavan, Anushaktinagar, Mumbai – 400 094 Telephone: (022) 25487355 Fax: (022) 2556 5362

FORM D : Details of all works of any nature under execution or awarded (No work shall be left out).

EOI No. DCSEM/CQD/QSC/AN-EV/26-27/EOI-01, Dtd. 13/07/2026

“ Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088.”

S. NO Name of the work/ Project and location Owner or sponsering organisation Cost of work Rupees (in lakhs) Date of commencement as per contract Stipulated date of Completion Upto date percentage progress of the work Slow progress, if any and reasons thereof. Name & addresses/ Phone Nos of the officers to whom reference can be made. REMARKS

Name of the Agency

i. The agency may submit separate form for giving details of each project (in progress/awarded) and fill up the details

as above. Separate sheets if any shall be numbered in sequence.

ii. The scanned copies of the work orders for each work be uploaded. BOQ shall be furnished at a later date on request.

iii. Certified that the above list of works is complete and no work has been left-out and the information given is correct

to my knowledge and belief

iv. The hard copy all works of any nature in hand and awarded shall also be submitted on or before due date. No works

shall be left out

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H

GOVERNMENT OF INDIA

DEPARTMENT OF ATOMIC ENERGY

DIRECTORATE OF CONSTRUCTION, SERVICES AND ESTATE MANAGEMENT

3rd floor, Vikram Sarabhai Bhavan, Anushaktinagar, Mumbai – 400 094 Telephone: (022) 25487355 Fax: (022) 2556 5362

FORM E : Performance Reports of Works (Separate certificates for each work)

EOI No. DCSEM/CQD/QSC/AN-EV/26-27/EOI-01, Dtd. 13/07/2026

“ Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088.”

Name of the Agency

S. NO Name of the Work/ Project & Location Agreement No. Estimated Cost Tendered Cost Date of start Date of completion Amount of compensation levied for delayed completion, if any. Amount of reduced rated item, if any. Performance report REMARKS

(i) Stipulated date of Completion (ii) Actual Date of Completion (iii) Present position of the work, if in progress. (1) Quality of work (2) Financial soundness (3) Technical profiency (4) Resourcefulness (5) General behaviour (6) Time consciouness

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G, FORM H

GOVERNMENT OF INDIA

DEPARTMENT OF ATOMIC ENERGY

DIRECTORATE OF CONSTRUCTION, SERVICES AND ESTATE MANAGEMENT

3rd floor, Vikram Sarabhai Bhavan, Anushaktinagar, Mumbai – 400 094 Telephone: (022) 25487355 Fax: (022) 2556 5362

EOI No. DCSEM/CQD/QSC/AN-EV/26-27/EOI-01, Dtd. 13/07/2026

“ Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088.”

FORM F: STRUCTURE AND ORGANISATION

1 Name & Postal Address of the applicant:

2 Telephone No./Telex No./Fax No.

3 Legal status of the applicant (Please tick and attach attested copies of original document defining the legal status)

(a) An individual; (b) A proprietary firm; (c) A firm in partnership (d) A limited company or Corporation

4 Particulars of registration with various Government bodies (scanned & uploaded photocopy) Sl.No. Dept/Organisation &Place of registration Registration No.

5 Names and Titles of Director & Officers with designation proposed to be concerned with this work

6 Designation of individuals authorised to act for the organisation

7 Was the agency ever required to suspend construction for a period of more than six months continuously after you commenced the construction? If so, give the name of the project and reasons of suspension of work.

8 Has the agency or any constituent partner in case of partnership firm, ever abandoned the awarded work before its completion? If so, give name of the project and reasons for abandonment.

9 Has the agency, or any constituent partner in case of partnership firm, ever been debarred / black listed for tendering in any organisation at any time? If so give details.

10 Has the agency, or any constituent partner in case of partnership firm , ever been convicted by a court of law? If so, give details.

11 In which fields of Engineering construction the applicant has specialisation and interest?

12 Any other information considered necessary but not included above.

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ. TECHNICAL DATA SHEET, FORM A to H

GOVERNMENT OF INDIA

Department of Atomic Energy

Dierctorate of Construction, Services & estate Management

3rd. Floor, Vikram Sarabhai Bahvan, Anyshaktinagar, Mumnai- 400094

EOI No. DCSEM/CQD/QSC/AN-EV/26-27/EOI-01, Dtd. 13/07/2026

“ Deployment, operation and maintenance of Electric Mobility Services on trial basis inside Anushaktinagar colony, Mumbai-400094 and other DAE colonies in old Mandala, Mumbai-400088.”

Form "G"- DETAILS OF TECHNICAL & ADMINISTRATIVE PERSONNEL TO BE EMPLOYED FOR THIS WORK

Name of the Agency

Sr. No Name Designation Qualifications Professional experience and details of work carried out How these would be involved in this work Remarks

NOTE: THE AGENCY MUST FILL UP ALL THE SHEETS VIZ.TECHNICAL DATA SHEET, FORM A AND B, FORM C,

FORM D, FORM E , FORM F , FORM G , FORM H