Appointment of Safety Consultant for the work of Construction of new 4 lane major bridge with approaches on Sabarmati River near Dharoi at Km. 82.00 to 86.00 Design length 3.300 km on NH-58 in the state of Gujarat on HAM. Job No.58_GJ_2023-24_743

Select, Excess (+), Less (-)

Tender Inviting Authority: Executive Engineer, National Highway Division, Ahmedabad

Name of Work: Appointment of Safety Consultant for the work of Construction of new 4 lane major bridge with approaches on Sabarmati River near Dharoi at Km. 82/00 to 86/00 (Design length 3.300 km) on NH-58 in the state of Gujarat on HAM. (Job No. 58/GJ/ 2023-24/743)

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Project Item Code / Make Quantity Units Estimated Rate in Rs. P Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency Amount in Figure (Rs.) Excise Duty Amount in INR Rs. P GST Amount in INR Rs. P Freight Charges ( Unloading & Stacking) in Rs. P Any Other Taxes in Rs. P Any Other Duties/Levies in Rs. P IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category TOTAL AMOUNT Without Taxes col (13) = (4) x (7) in Rs. P TOTAL AMOUNT With Taxes col (14) = sum (8) to (13) in Rs. P Amount in Words (Rs.)

1 xyz Full Conversion 1 Construction of chamber for 100mm sluices valve item1 10 1 Nos

1.01 Remuneration of Key Personnel / Experts and Support Staff item 1.01 1 Nos 0 Excess(+) Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

1.02 Boarding & Lodging and Per Diem for Site Visits item 1.02 1 Nos 0 Excess(+) Full Conversion INR 1.02 Construction of chamber for 100mm sluice plates item2 213 Nos

1.03 Total of 1 (A) + (B) Full Conversion 1 Construction of chamber for 100mm sluices valve item1 10 1 Nos

2 abc Full Conversion 1 Construction of chamber for 100mm sluices valve item1 10 1 Nos

2.01 Transportation at Site and Head Office item 2.01 1 Nos 0 Excess(+) Full Conversion INR 2 Construction of chamber for 100mm sluices valve item3 10 Nos

2.02 Duty Travel to Site item 2.02 1 Nos 0 Excess(+) Full Conversion INR 2 Construction of chamber for 100mm sluices valve item3 10 Nos

2.03 Total of 2 (A) + (B) Full Conversion 1 Construction of chamber for 100mm sluices valve item1 10 1 Nos

3 Reports and Document Costs item3 1 Nos 0 Excess(+) Full Conversion INR 2 Construction of chamber for 100mm sluices valve item3 10 Nos

4 Cost of office space, equipment, computer hardware/software etc. required for the assignment. (In Rs.) item4 1 Nos 0 Excess(+) Full Conversion INR 2 Construction of chamber for 100mm sluices valve item3 10 Nos

5 Other Cost (Pl. describe) item5 1 Nos 0 Excess(+) Full Conversion INR 2 Construction of chamber for 100mm sluices valve item3 10 Nos

Total in Figures 4 Construction of chamber for 100mm sluice plates item5 10 Nos

Quoted Rate in Figures Select %

Quoted Rate in Words

Break up of Cost of Assignment

1 (A) Remuneration of Key Personnel / Experts and Support Staff

Sr. No. Position Name Whether the Name of Key Personnel was included in document for empanelment or not Sr. No. of Key Personel in the List of document for empanelment Rate Input of Staff Man months* Amou nt (In Rs.)

At office At Site Total

Experts / Key Personnel

1 Sr. Road Safety Auditor/ Team Leader

2 Traffic Planner

Support Staff Need not be named

Minimum man months for projects on BOT/DBFOT/ HAM/ EPC/O&M/Item Rate basis for each Key Personnel are as under:

Sr. No. Key Personnel Development Construction Maintenance

(Home + Site) (Home + Site) (Home + Site)

1 Sr. Road Auditor/Team Leader 2.0 months 3 months 3 months

2 Traffic Planner 1.5 months 2 months 2 months

1(B) Boarding & Lodging and Per Diem for Site Visits

- Experts/ Key Personnel

- Support Staff

2 (A) Transportation at Site and Head Office

Vehicles …… Vehicle-month @ Rs. per vehicle-month = Rs.

Total Total (In Rs.)

2 (B) Duty Travel to Site

- Experts/ Key Personnel

- Support Staff

3. Reports and Document Costs

Sr. No. Description No. of copies Rate (Rs.) Amount (Rs.)

4. Cost of office space, equipment, computer hardware/ software etc. required for the assignment. (In Rs.)

5. Other Cost (Pl. describe)

Format of FinancialProposal :– FOR DEVELOPMENT PERIOD/CONSTRUCTION PERIOD/ MAINTENANCE PERIOD

Name of Project : Appointment of Safety Consultant for the work of Construction of new 4 lane major bridge with approaches on Sabarmati River near Dharoi at Km. 82/00 to 86/00 (Design length 3.300 km) on NH-58 in the state of Gujarat on HAM. (Job No. 58/GJ/ 2023-24/743)

Total length of the Project : 3.300 kms.

Formats of Financial Proposal and Payment Terms :

FORWARDING LETTER OF FINANCIAL PROPOSAL

Subject : Appointment of Safety Consultants for the HAM projects as per schedule-I

Name of Work : Appointment of Safety Consultant for the work of Construction of new 4 lane major bridge with approaches on Sabarmati River near Dharoi at Km. 82/00 to 86/00 (Design length 3.300 km) on NH-58 in the state of Gujarat on HAM. (Job No. 58/GJ/ 2023-24/743)

Financial/Price Proposal.

firm/organization herewith enclose the *Financial/ Price Proposal for selection of our firm/organization as Safety Consultant for Project mentioned at Appointment of Safety Consultant for the work of Construction of new 4 lane major bridge with approaches on Sabarmati River near Dharoi at Km. 82/00 to 86/00 (Design length 3.300 km) on NH-58 in the state of Gujarat on HAM. (Job No. 58/GJ/ 2023-24/743). We confirm that this offer is valid for 60 days from due date for submission of this proposal.

We undertake that, in competing for and, if the award is made to us, in executing the above contract, we will strictly observe the laws against fraud and corruption in force in India namely “Prevention of Corruption Act 1988”.

Yours faithfully,

(Authorized Representative)

Note :-The Financial / Price Proposal shall be filled strictly in the prescribed formats.The proposals not in the prescribed formats and not containing full details shall be rejected.