16/EN/SPS/2025-2026 (2nd call)

BID INFORMATION FORM

1 Name of the Bidder

2 Bid submitted for (NIeT No)

5 BIDDERS DETAILS

Title Description in Brief. Page No.

(a) Address for communication

(b) Contact No.(Mobile)

(c) Register e-mail Address

(d) Professional Tax Clear Upto

(e) GST Registration Certificate

(g) Trade Licence renewal upto

(i) INCOME TAX AY 2025-26

(j) Audit Report AY 2025-26

(k) Any others documents as per NIT EMD AND PAPER COST

6 Credential for similar nature of work. (To be supported with work order & completion report / Payment Certificate)

Name of Work executed (Submit Only one similar nature of work.) : Work No.-1 Name of Department where executed

Amount put to tender

Amount of final Bill

Date of Completion

Work No.-2 Name of Department where executed

Amount put to tender

Amount of final Bill

Date of Completion

* NB- Filled up properly & Upload necessary documents in BIDDERFILE.

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

Tender Inviting Authority: Sagardighi Panchayat Samity, Sagardighi, Murshidabad.

Name of Work: Construction of Concrete Road from Main Road towards Kalu Sk house at Uttar Balia village under Balia GP, Sagardighi Panchayat Samity. Work Id- 123542364 /2025 26 (AAP NO-212)

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate 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

6 Construction of Concrete Road from Main Road towards Kalu Sk house at Uttar Balia village under Balia GP, Sagardighi Panchayat Samity. Work Id- 123542364 /2025 26 (AAP NO-212) BI01010001010000000000000515BI0100001128 Nos Excess(+) Full Conversion INR

Total in Figures

Quoted Rate in Figures Select

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