Execution of Miscellaneous Repair / Maintenance works at the Central Warehouses under Regional office, Bangalore for the centres Soundatti, Dharwad, Hubli, Gadag-I, Gadag-II, Belgaum and Nargund (Zone II) on Annual Rate Contract basis for Revenue and

Name of the Bidder,

Address, Organization ID, Tel./Fax No. & E-mail address of Bidder

Type of constituent (Organization) (Proprietorship / Partnership / Private Limited / Limited)

Attested copy of organization Details (Proprietorship / Partnership / Private Limited / Limited)

Name of the person holding the power of attorney for this Bid

Contact details of person holding the power of attorney Mobile Number Email id.

Attested Copy of Power of Attorney details to sign the Tender Document

Earnest Money Deposit (EMD) of Rs.4,71,000/-: Only through NEFT/RTGS Name of Account Holder - CENTRAL WAREHOUSING CORPORATION, Bank Name – HDFC Bank LTD Branch Name –A 24, HAUZ KHAS, New Delhi Account No. 50100433976417 IFSC - HDFC0000467 MICR – 110240071

PF Registration code

GST Registration code

PAN No. of the Bidder

Contractor Registration enlistment with CPWD/ MES/ Railway etc if any

Financial Eligibility Criteria:

The Sum (Arithmetic sum) of tenderer’s turnover: revenue (income) from operations for the last three financial year should be of value not less than ₹.211.68 Lakh (90% of Estimated Cost put on Tender). The information shall be supported by audited Balance Sheets and Profit & Loss Statements of specified period. In case Balance Sheet and Statement of Profit/Loss for the immediately preceding financial year have not been prepared / audited; the account for one more preceding financial year can be submitted. In case, Bidder does not submit Audited balance sheet and P&L accounts for a particular year (among previous three years as mentioned above), turn over for that particular year will be considered ‘0’(zero) for calculating arithmetic sum of previous three years. {Please see Eligibility criteria as per Annexure-A in Tender document}

Chartered Accountant’s Certificate for Annual financial turnover/ revenue (income) from operations of specified preceding three years

Annual Financial Turnover/Revenue (Income) from operations (as per P&L Account)

Total Turn Over- RS…….

Total Turn Over- RS…….

Total Turn Over- RS…….

Total Turn Over- RS…….

Experience w.r.t. Similar Nature of Work:

Name of the works completed and presented against the criteria:

Work order/ contract agreement ref number and date

Name of client issuing the work order and completion certificate

Completion certificate -ref number and date

Total value of work completed (Rs.)

Stipulated date of completion

Actual date of completion

Amount / period of delay for which Liquidity damage levied by client (if any)

Work order/ contract agreement ref number and date

Name of client issuing the work order and completion certificate

Completion certificate -ref number and date

Total value of work completed (Rs.)

Stipulated date of completion

Actual date of completion

Amount / period of delay for which Liquidity damage levied by client (if any)

Work order/ contract agreement ref number and date

Name of client issuing the work order and completion certificate

Completion certificate -ref number and date

Total value of work completed (Rs.)

Stipulated date of completion

Actual date of completion

Amount / period of delay for which Liquidity damage levied by client (if any)

Bidder Office in the State

Bidder must have Office, on the latest due date of tender submission in the state where the site of works (as mentioned in Tender) is /are located.…. For this purpose, valid GST number shall be considered as proof of office address. However, Bidder would be required to submit the proof of office address at the time of contract signing. (copy of rent agreement / property ownership document shall be considered as proof of office address)

GST Number

Eligibility declaration form as per NIT-clause 3 and ITB-clause 3.2 under form -E of this PQ Performa

CWC/RO_BLR/ENGG/ZMC/26-27/04

Execution of Miscellaneous Repair / Maintenance works at the Central Warehouses under Regional office, Bangalore for the centres Soundatti, Dharwad, Hubli, Gadag-I, Gadag-II, Belgaum and Nargund (Zone II) on Annual Rate Contract basis for Revenue and CAPEX works

Items mentioned at Sub Schedule A-1 consisting of; • Items based on DSR 2023 for civil works, • Non-Scheduled Market rate Items of Civil work

Rupees Ninety Six Lakh Ninety Thousand Two Hundred Thirty Four and Nineteen Paise Only

CWC estimated amount of this sub schedule, after considering prevailing Cost Index and applicable GST& Labour Cess etc complete, is Rs.106,74,295.86

Items mentioned at Sub Schedule A-2 consisting of; • Items based on DSR (E &M) 2022 for Electrical works • Non-Scheduled Market rate Items of E&M work.

Rupees Seventy Four Lakh Twenty Four Thousand Nine Hundred Eighty Only

CWC estimated amount of this sub schedule, after considering prevailing Cost Index and applicable GST& Labour Cess etc complete, is Rs.85,65,982.67

Items mentioned at Sub Schedule A-3 consisting of; • Items for General Maintenance Works & Services consisting Horticulture works and House Keeping Services.

CWC estimated amount of this sub schedule, after considering prevailing Cost Index and applicable GST& Labour Cess etc complete, is Rs.42,79,997.89

CWC/RO_BLR/ENGG/ZMC/26-27/04

Description of Work

Price Sub Schedule A-1

Price Sub Schedule A-2

Price Sub Schedule A-3

Rupees Two Crore Thirteen Lakh Forty Six Thousand Two Hundred Thirty Nine and Eighty Seven Paise Only