As per NIT enclosed

Name of the Individual / Firm / Company: * Mandatory

Type of ownership

Details of Constitution or Legal Status such as certificate of incorporation, shops and establishments, etc.,

Address for correspondence:

PAN No.:

Contact details

Registered Contractor

Related Document to be Uploaded to eProcurement Portal * Category: E= 75 Lakhs - Lessthan= 100Lakhs F= 50Lakhs - Lessthan 75 Lakhs G = 25Lakhs - Lessthan 50 Lakhs H = 10Lakhs - Lessthan 25 Lakhs I = 5Lakhs - Lessthan 10 Lakhs J = 2Lakhs - Lessthan 5 Lakhs K = Lessthan 2Lakhs

I.T Returns for past 03 years

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Average annual financial turn over during the last 3 years, ending financial year 31st March 2025 [ should not be less than 30% of Amount put to tender]

TURN OVER IN Rupees

Audited Report duly certified by the Auditor to be enclosed to support the turn over

ESI & PF Nos and GST Nos. with proof

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Bank(s) details: [Copy of the cheque leaf to be uploaded]

Related Document to be Uploaded to eProcurement Portal (Note Canceled cheque leaf to be uploaded)

Latest Bankers Solvency Certificate from Nationalized/ scheduled Bank issued NOT before 12 months from the final date of submission of tender.

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Experience of having successfully completed similar works during last 7 years ending last day of previous month. [Latest work experience certificate may be uploaded] (i) THREE similar completed works each costing not less than the amount equal to 40% of the estimated cost. (ii) TWO similar completed works each costing not less than the amount equal to 50% of the estimated cost. (iii) ONE similar completed work each costing not less than the amount equal to 80% of Amount put to the tender.

Type of Work: [ Incase of private works the same shall be supported with TDS certificate]

Please Enter details for Work No 1

Type of Work: [ Incase of private works the same shall be supported with TDS certificate]

Please Enter details for Work No 2

Type of Work: [ Incase of private works the same shall be supported with TDS certificate]

Please Enter details for Work No 3

Details of person holding the power of Attorney (If different from contact person)

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DECLARATION

DECLARATION

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Description

Earth work in excavation All kinds of soil by mechanical means (Hydraulic excavator)/manual means over areas (exceeding 30 cm in depth, 1.5 m in width as well as 10 sqm on plan) including getting out and disposal of excavated earth lead upto 50 m and lift upto 1.5 m, as directed by Engineer-incharge.

Providing 15 mm thickness cement plaster of mix CM 1:6 etc complete as directed by EIC

Raking out joints of existing drain wall stone masonry surface to the required width and depth, with due care and precaution, by mechanical / manual means, including preparing and cleaning the surface for re-pointing/ refilling of joints, including disposal of rubbish to the dumping ground within 50 metre lead.

Disposal of moorum/earth/building rubbish/ malba/ similar unserviceable,GI sheets,Aluminium windows, wooden doors, dismantled or waste material by mechanical transport including loading, transporting, unloading to approved municipal dumping ground for lead upto 10 km for all lifts, all complete as per directions of Engineer-in-charge.

Supplying and laying of RCC Drain cover slab of size 5feet x2feet x 5 inches including the cost of transfortation , laying etc complete as directed by EIC

1:2:4 (1 cement : 2 coarse sand (zone-III) derived from naturalsources : 4 graded stone aggregate 20 mm nominal sizederived from natural sources)

Providing and laying factory made Precast concrete solid blocks of 200 mm thickness of grade M10 made of C&D waste from approved manufacturer in foundation and plinth in:Cement mortar 1:6 (1 cement : 6 coarse sand)