Construction of Road from Khano Godown to Chhotamuria within Galsi-II Block at Khano GP, Length-1.150 km

Any discrepancies regarding the authenticity of information furnished in the check list will lead to cancellation of bid.

Name of the Bidder:-

PhoneNo./Fax No.:-

1. Details of Earnest Money:-

(a) Name of the Bank Online EMD through ICICI payment gateway in e-procurement portal for deposit and refund of EMD/ Tender fees : PANCHAYAT AND RURAL DEVELOPMENT||WBSRDA||PURBA BURDWAN DIVISION FOR

2. Turnover Amount Certified by C/A Amount of civil engineering work done Amount of payment certificate submitted

3. Credential:-

Maximum value of similar nature of works done during last 5 years as prime Contractor:-

Project Name Name of Employer Description of Work Value of Contract Agreement No. Date of issue of Work order Date of Completion

4. Existing Commitment of work:-

Place Description of work Agreement No. Name of the Employer Value of Contract Stipulated period of Completion Value of Remaining Work Anticipated Date of Comletion

5. Works for which bid already submitted:-

Place Description of work NIT No. Name of the Employer Estimated value of work Stipulated period of Completion Date when decision is expected Remarks

6. Availability of Construction Equipment & Machineries:-:-

7. Availability of Laboratory Equipments:-

8. Detail of Technical Personnel:-

9. Enviromental Check List Submitted

10. Detail of Financial Resources:-

(a) Cash in Bank:-

(i) Name of the Bank

(ii) Name of the Branch

(b) Cash Credit Facility:-

(i) Name of the Bank

(ii) Name of the Branch

(iii) Credit Amount

(c) Credit Facility from Bank for this particular Package:-

(i) Name of the Bank

(ii) Name of the Branch

11. Methodology & Work Programme Submitted:-

12. Affidavit Submitted:-

13. (i) Name of the Bank & Branch where EM is to be refunded by WBSRDA

(ii) IFSC No. of the Bank Branch where EM is to be refunded

(iii) Bank A/c No. of the Agency where EM is to be refunded

Select, At Par, Excess (+), Less (-) IOCL

Tender Inviting Authority: The Executive Engineer, WBSRDA, Purba Bardhaman Division.

Name of Work: Construction of Road from Khano Godown to Chhotamuria within Galsi-II Block at Khano GP under Rural Road 2025. Length-1.150 Km

Contract No: eNIT No. WBSRDA/EE/PBD/NIT-52 of 2025-26/Rural Road 2025 (3rd Call)

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description 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 BASIC RATE In Figures To be entered by the Bidder Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 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

1.01 Construction of Road from Khano Godown to Chhotamuria within Galsi-II Block at Khano GP under Rural Road 2025. Length-1.150 Km BI01010001010000000000000515BI0100001113 0.000 Nos 0.456 Excess(+) Full Conversion INR

Total in Figures

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