OPERATION AND MAINTENANCE OF 04 NOS OF CENTRIFUGAL PUMP SET OF 60 CUSEC CAPACITY AND 29M HEAD, INDUCTION MOTOR EACH IN PUMP HOUSE INCLUIDING OTHER ALLIED MECHANICAL AND ELECTRICAL COMPONENTS FOR CHAUSA PUMP CANAL SCHEME IN CHAUSA BLOCK OF BUXAR DISTRICT UNDER IRRIGATION ELCETRICAL CUM MECHANICAL DIVISION, WALMI PATNA FOR PERIOD OF FIVE YEARS.

TECHNICAL CHECKLIST SUBMISSION SHEET (https://eproc2.bihar.gov.in/EPSV2Web/)

Name of Work OPERATION AND MAINTENANCE OF 04 NOS OF CENTRIFUGAL PUMP SET OF 60 CUSEC CAPACITY AND 29M HEAD, INDUCTION MOTOR EACH IN PUMP HOUSE INCLUIDING OTHER ALLIED MECHANICAL AND ELECTRICAL COMPONENTS FOR CHAUSA PUMP CANAL SCHEME IN CHAUSA BLOCK OF BUXAR DISTRICT UNDER IRRIGATION ELCETRICAL CUM MECHANICAL DIVISION, WALMI PATNA FOR PERIOD OF FIVE YEARS Cost of Work as per BOQ(Rs in Lakhs) 493.34223 Time of Completion in months 60 Month ALL COLOURED CELL TO BE FILLED ACCORDINGLY

Sactioned Amount 49541235 Date of Sanction 09.03.2026 Last Date of Tender 16.06.2026

Sl No. Items Requirement Requirement Cl. No. Name of the contractor

Address of the contractor

1 Registration no. As per IFB & NIT

2 Bid Validity Bids shall remain valid for a period not less than 120 days after the deadline date. A Bid valid for a shorter period shall be rejected by the Employer as non-responsive 120 Days ITB 15.1 Bid validity periods In days

3 Bid Security (A) Unconditional bank guarantee from any scheduled Indian bank issued within the state in the format given (If issued from any bank outside state will be converted to any bank within the state before executing the agreement. ITB 16.1 Amount To be entered (Rs in Lakhs)

(B) Earnest Money can be paid through Internet Payment Gateway (Credit/Debit Card), Net Banking, NEFT/RTGS in online mode. Amount To be entered (Rs in Lakhs)

Bid Security Amount - (Rs. In Lakhs) 0.99999 Bid Security Amount - (Rs. IN Lakhs)

4 (i) Legal Status of Bidder. ITB 4.3(a)

(ii) Place of Registration.

(iii) Principal place of Business

(iv) Power of attorney of signatory Bid ITB 4.2(iv)

5 Total value of Mechanical engineering work performed in last five years. 1. Annual Financial Turn Over usually not less than 50% of the estimated cost of work for which bid has been invited (achieved during any one financial year of last five financial years) (Rs in Lakhs). 4.5(A) (a)

2021 - 2022 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.08

2022 - 2023 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.17

2023 - 2024 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.26

2024- 2025 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.36

2025- 2026 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.47

6 Work Experience of Similar nature Satisfactorily completed atleast one similar work of value not less than 10% of estimated value of contract (Rs in Lakhs) 4.5(A) (b) Amount To be entered (Rs in Lakhs)

7 Eligibility Criteria Bidder must be a Manufacturer / Authorised dealer of Pumps / Have Experience in Operation and Maintenance of Pump House of Similar Nature

8 Minimum Quantities of work done as prime / Sub contractor in any one year during last five years. Items Unit Quantity ITB 4.5(A)(c)

OPERATION/MAINTENANCE/FABRICATION / ERECTION WORK OF CENTRIFUGAL PUMP SET OF SIMILAR NATURE AND INDUCTION MOTORS INSTALLED IN THE PUMP HOUSE FOR PUMPING SCHEME & ITS ALL OTHER ALLIED COMPONENTS. (QUANTITY IS IN NOS.) Nos 2 Value to be entered in same unit

MAINTENANCE, OPERATION, ROUTINE INSPECTION, REPAIR AND SERVICING OF ALLIED ELECTRO-MECHANICAL COMPONENTS INCLUDING CONTROL PANELS, VALVES, PIPELINES AND ELECTRICAL SYSTEMS TO ENSURE SMOOTH FUNCTIONING OF THE PUMPING STATION (QUANTITY IS IN NOS. ) Nos 2

9 Bidding Capacity: More than the total Bid value of present work = A*N*3-B=Rs. ____.Where A = Maxm. Value of work executed in any one yr during last 5 yrs. N= Nos of years for completion of works. B=Value of existing commitments & ongoing works to be completed in period ITB 4.7

(a) Existing commitments and ongoing works Amount To be entered (Rs in Lakhs)

(b) Work for which Bid already submitted Amount To be entered (Rs in Lakhs)

10 Availability of key items of Contractor's Equipment Type of Equipment/Maximum age No. Required Max. Age in years Nos. Required ITB 4.5(B) (a) Nos./ Max. Age

EOT / Chain Pulley Block (for lifting pump and motor during maintenance)(12.50 TON) 5 1

Bearing Puller 5 2

Diesel Generator – 62.5 KVA 5 1

Welding machine (3 phase 450A) 5 2

Gas cutting Machine 5 2

11 Key Personnel Personnel/Qualification/Contract Package Size ITB 4.5(B) (b) Name of the Personnel and Experince in years

Site Engineer-B.E.Mechanical/Electrical+ 07 years exp.or retired A.E(Mech./Electrical) 1

Site Supervisor - Fresh Graduate in Mechanical-01 nos or Diploma Mechanical -01 nos + 03 years Exp. Or retired ITI Holder OR Fresh Graduate in Electrical-01 nos or Diploma Electrical-01 nos + 03 years Exp. Or retired ITI Holder 1

12 Evidence of accesses to Financial Resources Evidence of access to or availability of credit facilities (minimum 10% of estimated cost), certified by bankers. (Rs in Lakhs). ITB 4.2(i) Amount To be entered (Rs in Lakhs)

13 Proposed methodology and programme of work Justifying their capability of execution and completion of the work as per technical specifications within the stipulated period of completion as per milestones. ITB 4.3(l)

14 Litigation History Information regarding any litigation, current or during the last five years, in which the Bidder is involved, the parties concerned, and disputed amount. ITB 4.3(j)

15 Affidavit Affidavit should be submitted in the format as per the Annexure-3 of the Water Resources Department letter no. 536 dated 13.06.2013 . As per SBD Format

16 Undertaking Able to invest a minimum of cost upto 25% of contract value of work, during implementation of contract. ITB 4.2(ii)

17 Time of Completion 60 Months To be entered in months

18 Factory License no. & UDYAM AADHAR No.

18 Character Chertificate (As per letter no. 124 dated 04.02.2021 of WRD.)

19 I.T. & GST Registration Certificate.

20 Non Association With Departmental Officials.

21 NOC for Debar (If required)

QUALIFICATION INFORMATION

The information to be filled in by the Bidder in the following pages will be used for purposes of post qualification as provided for in Clause 4 of the Instructions to Bidders. This information will not be incorporated in the Contract.

NAME OF THE CONTRACTOR

1 For Individual Bidders

1.1 Constitution or legal status of Bidder (Attach copy)

Place of registration :

Principal place of business :

Power of attorney of signatory of Bid (Attach)

1.2 Total value of Mechanical Engineering work performed in the last five years** (in Rs. Million)

1.3.1 Work performed as prime contractor, work performed in the past as a nominated sub- contractor will also be considered provided the sub-contract involved execution of all main items of work described in the bid document.

NAME OF THE CONTRACTOR

Project Name Name of the Employer* Description of work Contract No. Value of Contract (Rs. In Crore) Date of issue of work order Stipulated period of completion Actual date of completion* Remarks explaining reasons for delay & work completed)

* Attach certificate(s) from the Engineer(s)-in-Charge

** Upto last day of the month Immediately preceding the last date of bids received. (PWD letter no. 2863(E) dt. 7.6.2017

 Attach certificate from Chartered Accountant.

1.3.2 Quantities of work executed as prime contractor, work performed in the past as a nominated sub-contractor will also be considered provided the sub-contract involved execution of all main items of work described in the bid document, provided further

NAME OF THE CONTRACTOR

Year Name of the work Name of the Employer* Quantity of work performed

OPERATION/MAINTENANCE/REPAIR/FABRICATION / ERECTION WORK OF CENTRIFUGAL PUMP SETS AND INDUCTION MOTORS INSTALLED IN THE PUMP HOUSE FOR IRRIGATION PUMPING SCHEME & ITS ALL OTHER ALLIED COMPONENTS. MAINTENANCE, OPERATION, ROUTINE INSPECTION, REPAIR AND SERVICING OF ALLIED ELECTRO-MECHANICAL COMPONENTS INCLUDING CONTROL PANELS, VALVES, PIPELINES AND ELECTRICAL SYSTEMS TO ENSURE SMOOTH FUNCTIONING OF THE PUMPING STATION Remarks* (indicate contract Ref)

1.4 Information on Bid Capacity (works for which bids have been submitted and works which are yet to be completed) as on the date of this bid.

(A) Existing commitments and on-going works:

NAME OF THE CONTRACTOR

Description of works Place & State Contract No. Name & Address of Employer Value of Contract (Rs Cr) Stipulated Period of Completion Value of works* remaining to be completed (Rs Cr) Anticipated date of completion

* Attach certificate(s) from the Engineer(s)-in-Charge

The item of work for which data is requested should tally with that specified in ITB clause.

** Immediately preceding the financial year in which bids are received.

# Delete, if prequalification has been carried out.

(B) Works for which bids already submitted :

Description of works Place & State Name & Address of Employer Estimated value of works (Rs Cr) Stipulated period of completion Date when decision is expected Remarks, if any

1.5 Availability of key items of Contractor’s Equipment essential for carrying out the Works [Ref. Clause 4.5(B)(a)]. The Bidder should list all the information requested below. Refer also to Sub Clause 4.3 (d) of the Instruction to Bidders.

NAME OF THE CONTRACTOR

Description of works Requirement Availability proposals Remarks (from whom to be purchased)

No. Capacity Owned/Leased to be procured Nos./Capacity Age/ Condition

1.6 Qualifications and experience of key personnel required for administration and execution of the Contract [Ref. Clause 4.5(B)(b)]. Attach biographical data. Refer also to Sub Clause 4.3 (e) of instructions to Bidders and Sub Clause 9.1 of the Condition

NAME OF THE CONTRACTOR

Position Name Qualification Year of Experience (General) Years of experience in the proposed position

1.7 Proposed sub-contracts and firms involved. [Refer ITB Clause 4.3(k)]

NAME OF THE CONTRACTOR

Sanction of the works Value of Sub-contract Sub-contractor (Name & Address) Experience in similar work

Attach copies of certificates on possession of valid license for executing water supply/ sanitary work/ building electrification works [Reference Clause 4.5(d) & Clause 4.5(e)]

*1.8 Financial reports for the last five years: balance sheets, profit and loss statements, auditors' reports (in case of companies/corporation), etc. List them below and attach copies.

1.9 Evidence of access to financial resources to meet the qualification requirements: cash in hand, lines of credit, etc. List them below and attach copies of support documents.

1.10 Name, address and telephone, telex and fax numbers of the Bidders' bankers who may provide references if contacted by the Employer.

1.11Information on litigation history in which the Bidder is involved.

NAME OF THE CONTRACTOR

Other Party(ies) Employer Cause of Dispute Amount involved Remarks showing Present Status

1.12 Statement of compliance under the requirements of Sub Clause 3.2 of the instructions to Bidders. (Name of Consultant engaged for project preparation is ** ........................ …………….............................)

Proposed work method and schedule. The Bidder should attach descriptions, drawings and charts as necessary to comply with the requirements of the Bidding documents. [Refer ITB Clause 4.1 & 4.3(1)]

1.15 Quality Assurance Programme

2 Additional Requirements

2.1 Bidders should provide any additional information required to fulfill the requirements of Clause 4 of the Instructions to the Bidders, if applicable.

(ii) Undertaking

*** (iii) Update of original prequalification application

*** (iv) Copy of original prequalification application

*** (v) Copy of prequalification letter

* Delete, if prequalification has been carried out.

** Fill the Name of Consultant.

*** Delete, if prequalification has not been carried out.

Check List for Submission Of Tender

Evaluation will be done as per the information provided in the document attached with tender. Bidder may disqualified, if documents are not attached properly.

Name of the Bidder

Sl. No. Checklist Items (Attach Documents in Link Name As Given in Adjacent coloumn in Edit Attachment Folder) Link Name in Edit Attachment Document attached

1 BID SECURITY PHOTO COPY BID SECURITY PC

2 LAST 5 YEARS ANNUAL TURN OVER ANNUAL TURN OVER

3 EXPERIENCE Of SIMILAR NATURE Of W0RKS EXP SIM NAT

4 QUANTITY OF WORK EXECUTED DURING LAST 5 YEARS WORK EXE QTY

5 MANUFACTURER/ AUTHORISED DEALER CERTIFICATE/DOCUMENT RELATED CERTIFICATE/DOCUMENT

6 BALANCE VALUE OF ON GOING WORKS BAL VAL WORKS

7 EXISTING COMMITMENTS EXIST COMT

8 BANKER'S CERTIFICATE FOR ACCESS OF FINACIAL RESOURCES BANK CER

9 AFFIDAVIT AFFIDAVIT

10 UNDERTAKING FOR BID VALIDITY, INVESTMENT ABILITY, NON ASSOCIATION WITH OFFICIALS. UNDERTAKING

11 LITIGATION HISTORY LIT HIS

12 PLANT and MACHINARIES PT & MAC

13 KEY PERSONNEL KEY PER

14 Registration REGISTRATION

15 Power of Attoney POW AT

16 Legal Status Of Bidder LEGAL

17 PROGRAMME Of WORKS PROG WORK

18 IT & ST REGISTRATION and CLEARANCE CERTIFICATE IT GST CLEARANCE

19 NOC FOR DEBAR DEBAR

20 Proposal of sub-Contract SUB-CONTRACT

21 Joint Venture JV

22 Factory License no. & UDYAM AADHAR NO. FL & UA

23 NON ASSCIATION WITH DEPARMENTAL OFFICIALS NADO

24 PAN & GST REGISTRATION P&GST

25 Character Chertificate CC

IF YOU HAVE NOT BEEN DEBARED WRITE "NOT APPLICABLE" IN YOUR LETTER HEAD SCAN AND UPLOAD IN THE IN NOC FOR DEBAR LINK

Note:-Attachment should be self attested and should be attached as per above instruction, otherwise it may be rejected.

I, the undersigned, do hereby certify that all the statements made in the required attachments are true and correct.

Signature & Seal of the Bidder

TECHNICAL CHECKLIST SUBMISSION SHEET (https://eproc2.bihar.gov.in/EPSV2Web/)

Name of Work OPERATION AND MAINTENANCE OF 04 NOS OF CENTRIFUGAL PUMP SET OF 60 CUSEC CAPACITY AND 29M HEAD, INDUCTION MOTOR EACH IN PUMP HOUSE INCLUIDING OTHER ALLIED MECHANICAL AND ELECTRICAL COMPONENTS FOR CHAUSA PUMP CANAL SCHEME IN CHAUSA BLOCK OF BUXAR DISTRICT UNDER IRRIGATION ELCETRICAL CUM MECHANICAL DIVISION, WALMI PATNA FOR PERIOD OF FIVE YEARS Cost of Work as per BOQ(Rs in Lakhs) 493.34223 Time of Completion in months 60 Month ALL COLOURED CELL TO BE FILLED ACCORDINGLY

Sactioned Amount 49541235 Date of Sanction 09.03.2026 Last Date of Tender 16.06.2026

Sl No. Items Requirement Requirement Cl. No. Name of the contractor

Address of the contractor

1 Registration no. As per IFB & NIT

2 Bid Validity Bids shall remain valid for a period not less than 120 days after the deadline date. A Bid valid for a shorter period shall be rejected by the Employer as non-responsive 120 Days ITB 15.1 Bid validity periods In days

3 Bid Security (A) Unconditional bank guarantee from any scheduled Indian bank issued within the state in the format given (If issued from any bank outside state will be converted to any bank within the state before executing the agreement. ITB 16.1 Amount To be entered (Rs in Lakhs)

(B) Earnest Money can be paid through Internet Payment Gateway (Credit/Debit Card), Net Banking, NEFT/RTGS in online mode. Amount To be entered (Rs in Lakhs)

Bid Security Amount - (Rs. In Lakhs) 0.99999 Bid Security Amount - (Rs. IN Lakhs)

4 (i) Legal Status of Bidder. ITB 4.3(a)

(ii) Place of Registration.

(iii) Principal place of Business

(iv) Power of attorney of signatory Bid ITB 4.2(iv)

5 Total value of Mechanical engineering work performed in last five years. 1. Annual Financial Turn Over usually not less than 50% of the estimated cost of work for which bid has been invited (achieved during any one financial year of last five financial years) (Rs in Lakhs). 4.5(A) (a)

2021 - 2022 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.08

2022 - 2023 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.17

2023 - 2024 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.26

2024- 2025 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.36

2025- 2026 Amount To be entered (Rs in Lakhs)

Escalation Factor= 1.47

6 Work Experience of Similar nature Satisfactorily completed atleast one similar work of value not less than 10% of estimated value of contract (Rs in Lakhs) 4.5(A) (b) Amount To be entered (Rs in Lakhs)

7 Eligibility Criteria Bidder must be a Manufacturer / Authorised dealer of Pumps / Have Experience in Operation and Maintenance of Pump House of Similar Nature

8 Minimum Quantities of work done as prime / Sub contractor in any one year during last five years. Items Unit Quantity ITB 4.5(A)(c)

OPERATION/MAINTENANCE/FABRICATION / ERECTION WORK OF CENTRIFUGAL PUMP SET OF SIMILAR NATURE AND INDUCTION MOTORS INSTALLED IN THE PUMP HOUSE FOR PUMPING SCHEME & ITS ALL OTHER ALLIED COMPONENTS. (QUANTITY IS IN NOS.) Nos 2 Value to be entered in same unit

MAINTENANCE, OPERATION, ROUTINE INSPECTION, REPAIR AND SERVICING OF ALLIED ELECTRO-MECHANICAL COMPONENTS INCLUDING CONTROL PANELS, VALVES, PIPELINES AND ELECTRICAL SYSTEMS TO ENSURE SMOOTH FUNCTIONING OF THE PUMPING STATION (QUANTITY IS IN NOS. ) Nos 2

9 Bidding Capacity: More than the total Bid value of present work = A*N*3-B=Rs. ____.Where A = Maxm. Value of work executed in any one yr during last 5 yrs. N= Nos of years for completion of works. B=Value of existing commitments & ongoing works to be completed in period ITB 4.7

(a) Existing commitments and ongoing works Amount To be entered (Rs in Lakhs)

(b) Work for which Bid already submitted Amount To be entered (Rs in Lakhs)

10 Availability of key items of Contractor's Equipment Type of Equipment/Maximum age No. Required Max. Age in years Nos. Required ITB 4.5(B) (a) Nos./ Max. Age

EOT / Chain Pulley Block (for lifting pump and motor during maintenance)(12.50 TON) 5 1

Bearing Puller 5 2

Diesel Generator – 62.5 KVA 5 1

Welding machine (3 phase 450A) 5 2

Gas cutting Machine 5 2

11 Key Personnel Personnel/Qualification/Contract Package Size ITB 4.5(B) (b) Name of the Personnel and Experince in years

Site Engineer-B.E.Mechanical/Electrical+ 07 years exp.or retired A.E(Mech./Electrical) 1

Site Supervisor - Fresh Graduate in Mechanical-01 nos or Diploma Mechanical -01 nos + 03 years Exp. Or retired ITI Holder OR Fresh Graduate in Electrical-01 nos or Diploma Electrical-01 nos + 03 years Exp. Or retired ITI Holder 1

12 Evidence of accesses to Financial Resources Evidence of access to or availability of credit facilities (minimum 10% of estimated cost), certified by bankers. (Rs in Lakhs). ITB 4.2(i) Amount To be entered (Rs in Lakhs)

13 Proposed methodology and programme of work Justifying their capability of execution and completion of the work as per technical specifications within the stipulated period of completion as per milestones. ITB 4.3(l)

14 Litigation History Information regarding any litigation, current or during the last five years, in which the Bidder is involved, the parties concerned, and disputed amount. ITB 4.3(j)

15 Affidavit Affidavit should be submitted in the format as per the Annexure-3 of the Water Resources Department letter no. 536 dated 13.06.2013 . As per SBD Format

16 Undertaking Able to invest a minimum of cost upto 25% of contract value of work, during implementation of contract. ITB 4.2(ii)

17 Time of Completion 60 Months To be entered in months

18 Factory License no. & UDYAM AADHAR No.

18 Character Chertificate (As per letter no. 124 dated 04.02.2021 of WRD.)

19 I.T. & GST Registration Certificate.

20 Non Association With Departmental Officials.

21 NOC for Debar (If required)

QUALIFICATION INFORMATION

The information to be filled in by the Bidder in the following pages will be used for purposes of post qualification as provided for in Clause 4 of the Instructions to Bidders. This information will not be incorporated in the Contract.

NAME OF THE CONTRACTOR

1 For Individual Bidders

1.1 Constitution or legal status of Bidder (Attach copy)

Place of registration :

Principal place of business :

Power of attorney of signatory of Bid (Attach)

1.2 Total value of Mechanical Engineering work performed in the last five years** (in Rs. Million)

1.3.1 Work performed as prime contractor, work performed in the past as a nominated sub- contractor will also be considered provided the sub-contract involved execution of all main items of work described in the bid document.

NAME OF THE CONTRACTOR

Project Name Name of the Employer* Description of work Contract No. Value of Contract (Rs. In Crore) Date of issue of work order Stipulated period of completion Actual date of completion* Remarks explaining reasons for delay & work completed)

* Attach certificate(s) from the Engineer(s)-in-Charge

** Upto last day of the month Immediately preceding the last date of bids received. (PWD letter no. 2863(E) dt. 7.6.2017

 Attach certificate from Chartered Accountant.

1.3.2 Quantities of work executed as prime contractor, work performed in the past as a nominated sub-contractor will also be considered provided the sub-contract involved execution of all main items of work described in the bid document, provided further

NAME OF THE CONTRACTOR

Year Name of the work Name of the Employer* Quantity of work performed

OPERATION/MAINTENANCE/REPAIR/FABRICATION / ERECTION WORK OF CENTRIFUGAL PUMP SETS AND INDUCTION MOTORS INSTALLED IN THE PUMP HOUSE FOR IRRIGATION PUMPING SCHEME & ITS ALL OTHER ALLIED COMPONENTS. MAINTENANCE, OPERATION, ROUTINE INSPECTION, REPAIR AND SERVICING OF ALLIED ELECTRO-MECHANICAL COMPONENTS INCLUDING CONTROL PANELS, VALVES, PIPELINES AND ELECTRICAL SYSTEMS TO ENSURE SMOOTH FUNCTIONING OF THE PUMPING STATION Remarks* (indicate contract Ref)

1.4 Information on Bid Capacity (works for which bids have been submitted and works which are yet to be completed) as on the date of this bid.

(A) Existing commitments and on-going works:

NAME OF THE CONTRACTOR

Description of works Place & State Contract No. Name & Address of Employer Value of Contract (Rs Cr) Stipulated Period of Completion Value of works* remaining to be completed (Rs Cr) Anticipated date of completion

* Attach certificate(s) from the Engineer(s)-in-Charge

The item of work for which data is requested should tally with that specified in ITB clause.

** Immediately preceding the financial year in which bids are received.

# Delete, if prequalification has been carried out.

(B) Works for which bids already submitted :

Description of works Place & State Name & Address of Employer Estimated value of works (Rs Cr) Stipulated period of completion Date when decision is expected Remarks, if any

1.5 Availability of key items of Contractor’s Equipment essential for carrying out the Works [Ref. Clause 4.5(B)(a)]. The Bidder should list all the information requested below. Refer also to Sub Clause 4.3 (d) of the Instruction to Bidders.

NAME OF THE CONTRACTOR

Description of works Requirement Availability proposals Remarks (from whom to be purchased)

No. Capacity Owned/Leased to be procured Nos./Capacity Age/ Condition

1.6 Qualifications and experience of key personnel required for administration and execution of the Contract [Ref. Clause 4.5(B)(b)]. Attach biographical data. Refer also to Sub Clause 4.3 (e) of instructions to Bidders and Sub Clause 9.1 of the Condition

NAME OF THE CONTRACTOR

Position Name Qualification Year of Experience (General) Years of experience in the proposed position

1.7 Proposed sub-contracts and firms involved. [Refer ITB Clause 4.3(k)]

NAME OF THE CONTRACTOR

Sanction of the works Value of Sub-contract Sub-contractor (Name & Address) Experience in similar work

Attach copies of certificates on possession of valid license for executing water supply/ sanitary work/ building electrification works [Reference Clause 4.5(d) & Clause 4.5(e)]

*1.8 Financial reports for the last five years: balance sheets, profit and loss statements, auditors' reports (in case of companies/corporation), etc. List them below and attach copies.

1.9 Evidence of access to financial resources to meet the qualification requirements: cash in hand, lines of credit, etc. List them below and attach copies of support documents.

1.10 Name, address and telephone, telex and fax numbers of the Bidders' bankers who may provide references if contacted by the Employer.

1.11Information on litigation history in which the Bidder is involved.

NAME OF THE CONTRACTOR

Other Party(ies) Employer Cause of Dispute Amount involved Remarks showing Present Status

1.12 Statement of compliance under the requirements of Sub Clause 3.2 of the instructions to Bidders. (Name of Consultant engaged for project preparation is ** ........................ …………….............................)

Proposed work method and schedule. The Bidder should attach descriptions, drawings and charts as necessary to comply with the requirements of the Bidding documents. [Refer ITB Clause 4.1 & 4.3(1)]

1.15 Quality Assurance Programme

2 Additional Requirements

2.1 Bidders should provide any additional information required to fulfill the requirements of Clause 4 of the Instructions to the Bidders, if applicable.

(ii) Undertaking

*** (iii) Update of original prequalification application

*** (iv) Copy of original prequalification application

*** (v) Copy of prequalification letter

* Delete, if prequalification has been carried out.

** Fill the Name of Consultant.

*** Delete, if prequalification has not been carried out.

Check List for Submission Of Tender

Evaluation will be done as per the information provided in the document attached with tender. Bidder may disqualified, if documents are not attached properly.

Name of the Bidder

Sl. No. Checklist Items (Attach Documents in Link Name As Given in Adjacent coloumn in Edit Attachment Folder) Link Name in Edit Attachment Document attached

1 BID SECURITY PHOTO COPY BID SECURITY PC

2 LAST 5 YEARS ANNUAL TURN OVER ANNUAL TURN OVER

3 EXPERIENCE Of SIMILAR NATURE Of W0RKS EXP SIM NAT

4 QUANTITY OF WORK EXECUTED DURING LAST 5 YEARS WORK EXE QTY

5 MANUFACTURER/ AUTHORISED DEALER CERTIFICATE/DOCUMENT RELATED CERTIFICATE/DOCUMENT

6 BALANCE VALUE OF ON GOING WORKS BAL VAL WORKS

7 EXISTING COMMITMENTS EXIST COMT

8 BANKER'S CERTIFICATE FOR ACCESS OF FINACIAL RESOURCES BANK CER

9 AFFIDAVIT AFFIDAVIT

10 UNDERTAKING FOR BID VALIDITY, INVESTMENT ABILITY, NON ASSOCIATION WITH OFFICIALS. UNDERTAKING

11 LITIGATION HISTORY LIT HIS

12 PLANT and MACHINARIES PT & MAC

13 KEY PERSONNEL KEY PER

14 Registration REGISTRATION

15 Power of Attoney POW AT

16 Legal Status Of Bidder LEGAL

17 PROGRAMME Of WORKS PROG WORK

18 IT & ST REGISTRATION and CLEARANCE CERTIFICATE IT GST CLEARANCE

19 NOC FOR DEBAR DEBAR

20 Proposal of sub-Contract SUB-CONTRACT

21 Joint Venture JV

22 Factory License no. & UDYAM AADHAR NO. FL & UA

23 NON ASSCIATION WITH DEPARMENTAL OFFICIALS NADO

24 PAN & GST REGISTRATION P&GST

25 Character Chertificate CC

IF YOU HAVE NOT BEEN DEBARED WRITE "NOT APPLICABLE" IN YOUR LETTER HEAD SCAN AND UPLOAD IN THE IN NOC FOR DEBAR LINK

Note:-Attachment should be self attested and should be attached as per above instruction, otherwise it may be rejected.

I, the undersigned, do hereby certify that all the statements made in the required attachments are true and correct.

Signature & Seal of the Bidder