Construction of Pickup and Canal to flowing stream near the agricultural land of SC community in Chennayanakote village of Virajapete taluk in Kodagu district

WORK DONE CERTIFICATE

Name of the Department

Name of Division

1 Name of work :

2 Estimated Cost :

3 Agreement No. :

4 Name of Contractor :

5 Tendered cost :

6 Date of work order :

7 Stipulated period of completion :

8 Intended date of Complition :

9 Final Date of completion, (For completed work) :

10 Revised amount of work (including claims/extra/arbitration amount,if any) :

11 Cost of work executed :

12 Balance cost of work :

13 Whether final bill is paid :

14 Reasons for non completion of work in schedule period of completion :

15 Whether any penalties fine/stop notice/compensation/liquidated damage imposed/Imposed & canceled :

a) Earth Excavation :

b) Embankment :

c) Providing & laying M-15 :

d) Providing & laying M-10 :

f) Rubber & Earth Filling :

g) Providing & laying M-20

16 Remarks of the Engineer performance of the Contractor working style quality consciousness tendency of claims :

Divisional Officer

Format for 3.2 (b)

SI.No Name of Work Estimated cost Tendered cost Cost of work executed Cost of work to be executed Date of agreement Stipulated period of completion Scheduled date of completion

Divisional Officer

Note:- The statement showing the value of existing commitments and On - Going works as well as the stipulated period of completion remaining for each of the works listed should be countersigned by the employer in charge, not below the rank of an Executive Engineer or equivalent.

3 3 3rd month 4th month 5th month 6th month 7th month 8th month 9th month 10th month 11th month Total Amount

Financial Turnover

Criteria Financial Year Value in Rs

Total value of civil engineering construction works executed and payments received in the last five years (in Rs. Lakhs) (Attach Certificate from Chartered Accountant and corresponding Balance sheet) 2020-21

Work performed as Prime Contractor (in the same name) on works of similar nature

Project Name Name of Employer Description of Work Contract Number Value of contract Rs. Lakhs Date of issue of work order Specified period of completion Actual date of completion Remarks explaining reasons for delay in completion of work

Quantities of work executed as prime contractor (in the same name)

Year Name of Work Name of Employer Quantity of work performed Remarks (Indicate contract reference)

De-silting/Earthwork in both excavation and embankment (combined quantities) in Cum Cement concrete (including RCC and PCC) in Cum Steel works for RCC in MT

Existing commitments and on-going works

Description of work Place and State Contract No and Date Name & Address of Employer Value of Contract (Rs. lakhs) Stipulated period of completion Value of works remaining to be completed (Rs. lakhs) Anticipated date of completion

Attach certificates from Employer

Works for which Tenders already submitted

Description of work Place and State Name & Address of Employer Estimated Value of works (Rs. lakhs) Stipulated period of completion Date when decision is expected Remarks if any

Information on litigations in which the Tenderer is involved

Other Party (ies) Employer Details of dispute Amount involved Remarks showing present status

Programme of work

Name of work: Construction of Pickup and Canal to flowing stream near the agricultural land of SC community in Chennayanakote village of Virajapete taluk in Kodagu district

MI/2025-26/DA/WORK_INDENT11078

SNo Item Name Unit Estimate Quantity Rate Amount 1st Month 2nd Month 3rd Month 4th Month 5th Month 6th Month 7th Month 8th Month 9th Month 10th Month 11th Month Total Amount

Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount Qty Amount

1 Clearing and grubbing road land including uprooting rank vegetation, grass, bushes, shrubs, saplings and trees girth up to 300 mm, removal of stumps of trees cut earlier and disposal of unserviceable materials and stacking of serviceable material to be used or auctioned, including removal and disposal of top organic soil not exceeding 150 mm in thickness, by Mechanical Means using Dozer in area of light jungle, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. 100 Sqm 380.000 440.16 167260.80 380.00 167260.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 167260.80

2 De-silting in Tank bed/Feeder Channel/Canal in dry condition by excavating the deposited bed material and loading the same to transport vehicle (excluding cost of transportation) including cost of all machinery, labour & all necessary works as directed and complete as per specification with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 8400.000 60.48 508032.00 2100.00 127008.00 2100.00 127008.00 2100.00 127008.00 2100.00 127008.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 508032.00

3 Earth work excavation for Foundation by mechanical means for all works & In all kinds of soils Depth upto 3 m, as per drawing and technical specifications, including setting out, shoring, strutting, barricading, caution lights, including dressing of excavated surfaces, disposing off or levelling the excavated earth or sorting & stacking the selected earth for reuse including cost of labour, tools, usage of machinery & other appurtenaces required to complete the work-In all kinds of soils Depth upto 3 m, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 2938.470 114.24 335690.81 750.00 85680.00 750.00 85680.00 740.00 84537.60 698.47 79793.21 0.00 0.00 0.00 0.00 0.00 0.00 0.00 335690.81

4 Providing and laying in-situ vibrated M-15 grade cement concrete using 40 mm down approved, clean, hard, graded aggregates for plain concrete works including cost of all materials, machinery, labour, cleaning, providing mortar layer for lift joints, batching, mixing, placing in position, levelling, vibrating, finishing, curing with all other ancillary operations complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 228.428 6707.68 1532221.93 45.00 301845.60 45.00 301845.60 46.00 308553.28 46.00 308553.28 46.43 311424.17 0.00 0.00 0.00 0.00 0.00 0.00 1532221.93

5 Providing and laying insitu vibrated M-20 ( 28 days cube compressive strength not less than 20 N / sq mm ) grade cement concrete using 20 mm down size approved, clean, hard, graded aggregates as per relevant IS Codes machine mixed with super plasticisers, laid in layers, well compacted using needle vibrators, including cost of all materials of quality, confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing, centering, formwork and scafolding and all other appurtenances required to complete the work as per technical specifications for check dam /pickups /irrigation tanks/waste weir/sluice, sluice canal and other allied works like abutments/wing walls/returns/cutoff walls works & all necessary works as directed and complete as per specification with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 787.918 7664.16 6038729.62 85.00 651453.60 85.00 651453.60 87.00 666781.92 87.00 666781.92 90.00 689774.40 90.00 689774.40 90.00 689774.40 87.00 666781.92 86.92 666153.46 0.00 0.00 6038729.62

6 Supplying, fitting and placing TMT FE 550 / 550D Steel Reinforcement including cost of all materials, machinery, labour, cleaning, straightening, cutting, bending, hooking, laping/welding joints, tying with binding wire / soft annealed steel wire and other ancilary operations complete as per drawing and technical specification. h)All other type of structures. Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. t 26.850 78118.88 2097491.93 2.80 218732.86 2.85 222638.81 2.90 226544.75 3.00 234356.64 3.00 234356.64 3.10 242168.53 3.10 242168.53 3.05 238262.58 3.05 238262.58 0.00 0.00 2097491.93

7 Design, fabrication, supply, erection and commissioning of embedded parts consisting of sill beam, wall plates, seal seats, first stage anchors, anchor girders, anchor bars, trunnion supports with all accessories for outflow regulating automatic gates for barrage/escape including cost of all all materials, machinery, labour, cutting, aligning, anchoring, welding, finishing, cleaning, applying one coat of zinc rich epoxy primer and four coats of cold applied coal tar epoxy paint and all other ancillary operations complete as per specifications and approved drawings with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. t 0.125 225232.00 28154.00 0.00 0.00 0.00 0.00 0.13 28154.00 0.00 0.00 0.00 0.00 0.00 0.00 28154.00

8 Design, fabrication, supply, erection, testing and commissioning of fixed wheel type vertical lift gate consisting of skin plate, vertical and horizontal girders, wheels, stiffeners, lifting brackets, guide shoes, rubber seals with all accessories for barrage including cost of all materials, machinery, labour, cutting, aligning, welding, finishing, cleaning, applying one coat of zinc rich epoxy primer and three coats of cold applied coal tar epoxy paint, seal fixing and all other ancillary operations complete as per specifications and approved drawings with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. t 0.097 172256.00 16708.83 0.00 0.00 0.00 0.00 0.10 16708.83 0.00 0.00 0.00 0.00 0.00 0.00 16708.83

9 Construction of Embankment by excavating the available approved Gravel/ Murrum deposited at a place or borrow pits during or prior excavation with all lifts and lead, transportation to site, spreading, grading to required slope and compacting to meet the requirement complete as per specifications, including cost of labour,rolling,water,all materials,usage& all other appurtenaces required to complete the work with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 957.000 530.88 508052.16 0.00 0.00 0.00 136.00 72199.68 136.00 72199.68 138.00 73261.44 138.00 73261.44 140.00 74323.20 140.00 74323.20 129.00 68483.52 0.00 508052.16

10 Providing and constructing dry size stone pitching of 300 mm thick using 200 to 250 mm size stones with pin headers at 2 per m2 using stones and stone chips from approved source including cost of all materials, labour, hand packing / wedging stone chips into joints, finishing and all other ancillary operations complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Sqm 980.000 434.56 425868.80 0.00 0.00 0.00 0.00 139.00 60403.84 139.00 60403.84 140.00 60838.40 141.00 61272.96 141.00 61272.96 140.00 60838.40 140.00 60838.40 425868.80

11 Providing rubble stone/boulder filling between or behind abutment below apron including cost of all materials, labour, hand packing, finishing top surface & all necessary works as directed and complete as per specification. Complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 68.000 1431.36 97332.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.00 97332.48 0.00 0.00 0.00 97332.48

12 Providing and constructing 75 mm dia PVC pipe weep holes for concrete / masonry walls including providing 200 x 200 x 200 mm size porous concrete block made of cement and 20 mm down coarse aggregate in 1 : 4 proportion including 100 mm thick sand backing at the junction of wall and soil back fill, cost of all materials, machinery, labour & all necessary works as directed and complete as per specification with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. m 132.840 377.44 50139.13 0.00 0.00 19.00 7171.36 19.00 7171.36 19.00 7171.36 19.00 7171.36 19.00 7171.36 19.00 7171.36 18.84 7110.97 0.00 0.00 50139.13

13 Providing and laying in position Cement Concrete for all Sub structures of building, Irrigation works, Sub structure works of bridges, Drain works & other parallel works from 0.50m to 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers, laid in layers, well compacted using needle vibrators, providing weep holes wherever necessary, including all lead & lifts, cost of all materials of quality, confirming to the requirements of relevant IS codes, labour, Usage charges of machinery, curing, including cost of formwork, and all other appurtenances required to complete the work as per technical specifications-For M20 Design Mix Using 20 mm nominal size graded crushed coarse aggregates, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 455.000 7589.62 3453277.10 48.00 364301.76 48.00 364301.76 50.00 379481.00 53.00 402249.86 53.00 402249.86 53.00 402249.86 53.00 402249.86 50.00 379481.00 47.00 356712.14 0.00 0.00 3453277.10

14 Providing casing embankment using semi-pervious / pervious approved soil from borrow areas in layers of 250 to 300 mm (before compaction ) including cost of all materials, machinery, labour, all other operations such as collection of soil, spreading soil in layer of specified thickness, sorting out, breaking clods, levelling, sectioning edges / sides, watering, compacting each layer to density control of not less than 95 percent or as stipulated using power roller and all other ancillary operations complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 886.080 704.48 624225.64 0.00 0.00 0.00 0.00 0.00 140.00 98627.20 140.00 98627.20 140.00 98627.20 140.00 98627.20 140.00 98627.20 186.08 131089.64 624225.64

15 Providing and laying in position Cement Concrete for all Super structures of building, Road works, Water works, Irrigation works & super structure works of bridges upto 3.50 m height. The granite/trap/basalt crushed graded coarse aggregates and fine aggregates as per relevant IS Codes machine mixed with super plasticisers laid in layers, well compacted using needle vibrators. The cost includes all lead & lifts, cost of all materials, quality confirming to the requirements of relevant IS codes , labour, Usage charges of machinery, curing, including cost of formwork and all other appurtenances required to complete the work as per technical specifications-For M25 Design Mix Using 20 mm nominal size graded crushed coarse aggregates, complete with all lead and lifts, loading and unloading charges as per the direction of Engineer in charge. Cum 15.120 9050.50 136843.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15.12 136843.56 0.00 0.00 136843.56

De-silting/EW/embankment 13181.55 10,546.00 Cum

Cement concrete 1486.47 1,190.00 Cum

Steel 26.85 21.50 MT

milestone 1 7,367.00 7,400.00 5,294,213.36 WD 8,010,014.40 80.10 Executive Engineer,

milestone 2 13,961.00 14,000.00 4,970,190.60 EMD 240,300.43 240,500.00 M.I. & GWD Division, Mangaluru