IMPROVEMENTS TO BENAKATTI INGALAGI MDR ROAD FROM KM 0.00 TO 5.20 IN SELECTED REACHES IN BAGALKOT CONSTITUENCY OF HUNAGUNDA TALUK OF BAGALKOTE DIST UNDER 5054-04-337-0-01-132 FOR THE YEAR 2026-27

Order Item Details Floor/Lift No. Base Rate Final Rate (Excluding GST) Quantity Net Amount (Excluding GST) Actions

1 Category : Vol - 3 -Chapter -3- EARTH WORK, EROSION CONTROL AND DRAINAGE --- 6 6 11051.25 66307.5

Item Code : 3.5

Item Description : Scarifying the existing bituminous road surface to a depth of 50 mm and disposal of scarified material by Mechanical Means using Hydraulic excavator with in all lifts and lead. Ref to MoRT&H : IRC - 305.4.3

Rate Analaysis Performed ?: Yes

2 Category : Vol - 3 -Chapter -3- EARTH WORK, EROSION CONTROL AND DRAINAGE --- 493 493 8131.03 4008597.79

Item Code : 3.6

Item Description : Construction of Subgrade and Earthen Shoulders - Construction of sub-grade and earthen shoulders with approved material obtained from borrow pits with all lifts & leads, transporting to site, spreading, grading to required slope and compacted to meet requirement of table No. 300-2. Ref to MoRT&H : IRC - 305

Rate Analaysis Performed ?: Yes

3 Category : Vol - 3 -Chapter -4- SUB-BASES, BASES (NON-BITUMINOUS), SHOULDERS AND STABILIZATION METHODS --- 2359 2359 2903.25 6848766.75

Item Code : 4.2.B.v

Item Description : Granular Sub-Base - By Mix in Place Method - Construction of Granular Sub-Base of required grading as per design spreading in uniform layers with motor grader on prepared surface mixing by mix in place method with front end loader at OMC and compacting with vibratory roller to achieve the desired density, complete as per clause 401 - For Grading -V Material. Ref to MoRT&H : IRC - 401

Rate Analaysis Performed ?: Yes

4 Category : Vol - 3 -Chapter -4- SUB-BASES, BASES (NON-BITUMINOUS), SHOULDERS AND STABILIZATION METHODS --- 2559 2559 3286.88 8411125.92

Item Code : 4.17

Item Description : Wet Mix Macadam (Plant Mix Method) - Providing, laying, spreading and compacting graded stone aggregate to wet mix macadam specification including premixing the Material with water at OMC in mechanical mix plant carriage of mixed Material by tipper to site, laying in uniform layers with paver/grader in sub-base / base course on well prepared surface and compacting with vibratory rollerto achieve the desireddensity. Ref to MoRT&H : IRC - 406

Rate Analaysis Performed ?: Yes

5 Category : Vol - 3 -Chapter -5- BASES AND SURFACE COURSES (BITUMINOUS) --- 63 63 15787.5 994612.5

Item Code : 5.1.A.i

Item Description : Prime Coat over WMM/WBM - Providing and applying primer coat with SS1 grade Bitumen Emulsion on prepared surface of granular base including cleaning of road surface and spraying primer at the rate of 0.70 kg/m2 using mechanical means. Ref to MoRT&H : IRC - 502

Rate Analaysis Performed ?: Yes

6 Category : Vol - 3 -Chapter -8- TRAFFIC CALMING MEASURES, ROAD SIGNAGES & MARKING (ROAD FURNITURE) --- 365 365 100 36500

Item Code : 8.43

Item Description : Supplying and Fixing of Molded Shank Raised Pavement Markers / Cats Eye made of polycarbonate and ABS moulded body and reflective panels with micro prismatic lens capable of providing total internal reflection of the light entering the lens face and shall support a load of 16000 kg tested in accordance to ASTM D 4280 Type H and complying to Specifications of Category A of MORTH Circular No RW/NH/33023/10-97 DO III Dt 11.06. 1997. The height, width and length shall not exceed 50 mm, 100 mm and 102 +/- 2 mm and with minimum reflective area of 13 cm2 on each side and the slope to the base shall be 35 +/- 5 degree. The strength of detachment of the integrated cylindrical shanks, (of diameter not less than 19 +/- 2 mm and height not less than 30+/- 2 mm) from the body is to be a minimum value of 500 Kg. Fixing will be by drilling holes on the road for the shanks to go inside, without nails and using epoxy resin based adhesive as per manufacturers recommendation and complete as directed by the engineer.The contractor shall submit a two year warranty for satisfactory field performance including stipulated retro-reflectance of the reflecting panel, to the Engineer. Ref to MoRT&H : IRC - MoRTH 806

Rate Analaysis Performed ?: Yes

7 Category : Vol - 3 -Chapter -8- TRAFFIC CALMING MEASURES, ROAD SIGNAGES & MARKING (ROAD FURNITURE) --- 3562 3562 10 35620

Item Code : 8.5.iv

Item Description : Retro-Reflectorised Traffic Signs - Providing and fixing of retro- reflectorised cautionary, mandatory and informatory sign as per IRC:67:2022 made of Class B Type IV retro reflective sheeting fixed over 2 mm thick aluminium sheeting vide clause 803.1, 3mm/4mm thick Aluminium composite material sheet depending on the size of the sign fixed over the back support frame of min 25 x 25 x 3mm angle mounted on a mild steel circular pipe 65 NB, 3.2 mm thickness firmly fixed to the ground by means of properly designed foundation with M25 grade cement concrete 45 cm x 45 cm x 60 cm, 60 cm below ground level as per approved drawing.The sign shall be maintained as per section 12 of IRC:67:2022 - 60 cm equilateral triangle

Rate Analaysis Performed ?: Yes

8 Category : Vol - 3 -Chapter -8- TRAFFIC CALMING MEASURES, ROAD SIGNAGES & MARKING (ROAD FURNITURE) --- 530 530 649 343970

Item Code : 8.15

Item Description : Road Marking with Hot Applied Thermoplastic Compound with Reflectorising Glass Beads on Bituminous Surface - Providing and laying of hot applied thermoplastic compound 2.5 mm thick including reflectorising glass beads @ 250 g/m2 area, thickness of 2.5 mm is exclusive of surface applied glass beads as per IRC:35:2015.The finished surface to be level, uniform and free from streaks and holes. Ref to MoRT&H : IRC - 803

Rate Analaysis Performed ?: Yes

9 Category : Vol - 3 -Chapter -16- PANCHAYATH RAJ ENGINEERING DEPARTMENT ITEMS --- 25 25 4900 122500

Item Code : 16.8.b

Item Description : Surface Drains in Soil - Construction of unlined surface drains of average cross- sectional area 0.40 m2 in soil to specified lines, grades, levels and dimensions. Excavated material to be used in embankment with a lift upto 3m and lead of 50 m (average lead 25 m) as per Technical Specification Clause 307. - Mechanical Means. Ref to MoRT&H : IRC - 307

Rate Analaysis Performed ?: Yes

10 Category : Vol - 3 -Chapter -5- BASES AND SURFACE COURSES (BITUMINOUS) --- 25 25 15787.5 394687.5

Item Code : 5.33

Item Description : Tack coat on Granular surface treated with primer - Providing and applying tack coat with VG-10 Bitumen using pressure distributor at the rate of 0.25 kg/m2 on Granular Surface. Ref to MoRT&H : IRC - 503

Rate Analaysis Performed ?: Yes

11 Category : Vol - 3 -Chapter -5- BASES AND SURFACE COURSES (BITUMINOUS) --- 21 21 4510 94710

Item Code : 5.32

Item Description : Tack coat on Bituminous surface - Providing and applying tack coat with VG-10 Bitumen using pressure distributor at the rate of 0.20 kg/m2 on the prepared bituminous surface cleaned with mechanical broom. Ref to MoRT&H : IRC - 503

Rate Analaysis Performed ?: Yes

12 Category : Vol - 3 -Chapter -5- BASES AND SURFACE COURSES (BITUMINOUS) --- 10665 10665 1014.88 10823695.2

Item Code : 5.8.ii.C

Item Description : Bituminous Macadam Grading - II for traffic <20 MSA - Providing and laying Bituminous Macadam with 40/60 TPH capacity hot mix plant using crushed aggregates of specified grading premixed with bituminous binder VG-30 @ 3.4% by weight of mix, transported to site, laid over a previously prepared surface with mechanical paver finisher to the required grade, level and alignment and rolled as per clauses 501.6 and 501.7 to achieve the desired compaction. Ref to MoRT&H : IRC - 504

Rate Analaysis Performed ?: Yes

13 Category : Vol - 3 -Chapter -5- BASES AND SURFACE COURSES (BITUMINOUS) --- 14785 14785 507.44 7502500.4

Item Code : 5.31

Item Description : Semi Dense Bituminous Concrete - Providing and laying Semi Dense Bituminous Concrete with 40/60 TPH capacity hot mix plant batch type using crushed aggregates of specified grading premixed with bituminous binder VG-30 @ 5% by weight of mix and filler, transported to site, laid over a previously prepared surface with mechanical paver finisher to the required grade, level and alignment and rolled as per MoRTH V revision. Ref to MoRT&H : IRC - IRC-37:2018

Rate Analaysis Performed ?: Yes

1 Item Code : SE BGM Circle Approved rates 28630 2.45 No --- 70143.5

Item Name : 3rd year Maintenance "Road Maintenance for 3rd year for road with BM+SDBC as wearing coat For Single Lane Maintenance of Road for 3rd year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. "

2 Item Code : SE BGM Circle Approved rates 31210 2.02 No --- 63044.2

Item Name : Road Maintenance for 3rd year for road with BM+SDBC as wearing coat for Intermediate lane Maintenance of Road for 3rd year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance.

1 Item Code : SE BGM Circle Approved rates 47010 2.45 No --- 115174.5

Item Name : 4th year Maintenance "Road Maintenance for 4th year for road with BM+SDBC as wearing coat For Single Lane Maintenance of Road for 4th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. "

2 Item Code : SE BGM Circle Approved rates 54730 2.02 No --- 110554.6

Item Name : Road Maintenance for 4th year for road with BM+SDBC as wearing coat for Intermediate lane Maintenance of Road for 4th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance.

1 Item Code : SE BGM Circle Approved rates 58330 2.45 No --- 142908.5

Item Name : Road Maintenance for 5th year with BM+SDBC coat as wearing coat For Single Lane Maintenance of Road for 5th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance.

2 Item Code : SE BGM Circle Approved rates 69070 2.02 No --- 139521.4

Item Name : Road Maintenance for 5th year with BM+SDBC coat as wearing coat for Intermediate lane Maintenance of Road for 5th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance.

NAME OF WORK: IMPROVEMENTS TO BENAKATTI INGALAGI MDR ROAD FROM KM 0.00 TO 5.20 IN SELECTED REACHES IN BAGALKOT CONSTITUENCY OF HUNAGUNDA TALUK OF BAGALKOTE DIST UNDER 5054-04-337-0-01-132 FOR THE YEAR 2026-27

Sl .No Item Name Item Code Unit Qty basic Rate Total

1 Item Description : Scarifying the existing bituminous road surface to a depth of 50 mm and disposal of scarified material by Mechanical Means using Hydraulic excavator with in all lifts and lead. Ref to MoRT&H : IRC - 305.4.3 Item Code : 3.5 Unit : m² 11051.25 6 66307.5

2 Item Description : Construction of Subgrade and Earthen Shoulders - Construction of sub-grade and earthen shoulders with approved material obtained from borrow pits with all lifts & leads, transporting to site, spreading, grading to required slope and compacted to meet requirement of table No. 300-2. Ref to MoRT&H : IRC - 305 Item Code : 3.6 Unit : m³ 8131.03 493 4008597.79

3 Item Description : Granular Sub-Base - By Mix in Place Method - Construction of Granular Sub-Base of required grading as per design spreading in uniform layers with motor grader on prepared surface mixing by mix in place method with front end loader at OMC and compacting with vibratory roller to achieve the desired density, complete as per clause 401 - For Grading -V Material. Ref to MoRT&H : IRC - 401 Item Code : 4.2.B.v Unit : m³ 2903.25 2359 6848766.75

4 Item Description : Wet Mix Macadam (Plant Mix Method) - Providing, laying, spreading and compacting graded stone aggregate to wet mix macadam specification including premixing the Material with water at OMC in mechanical mix plant carriage of mixed Material by tipper to site, laying in uniform layers with paver/grader in sub-base / base course on well prepared surface and compacting with vibratory rollerto achieve the desireddensity. Ref to MoRT&H : IRC - 406 Item Code : 4.17 Unit : m³ 3286.88 2559 8411125.92

5 Item Description : Prime Coat over WMM/WBM - Providing and applying primer coat with SS1 grade Bitumen Emulsion on prepared surface of granular base including cleaning of road surface and spraying primer at the rate of 0.70 kg/m2 using mechanical means. Ref to MoRT&H : IRC - 502 Item Code : 5.1.A.i Unit : m² 15787.5 63 994612.5

6 Item Description : Supplying and Fixing of Molded Shank Raised Pavement Markers / Cats Eye made of polycarbonate and ABS moulded body and reflective panels with micro prismatic lens capable of providing total internal reflection of the light entering the lens face and shall support a load of 16000 kg tested in accordance to ASTM D 4280 Type H and complying to Specifications of Category A of MORTH Circular No RW/NH/33023/10-97 DO III Dt 11.06. 1997. The height, width and length shall not exceed 50 mm, 100 mm and 102 +/- 2 mm and with minimum reflective area of 13 cm2 on each side and the slope to the base shall be 35 +/- 5 degree. The strength of detachment of the integrated cylindrical shanks, (of diameter not less than 19 +/- 2 mm and height not less than 30+/- 2 mm) from the body is to be a minimum value of 500 Kg. Fixing will be by drilling holes on the road for the shanks to go inside, without nails and using epoxy resin based adhesive as per manufacturers recommendation and complete as directed by the engineer.The contractor shall submit a two year warranty for satisfactory field performance including stipulated retro-reflectance of the reflecting panel, to the Engineer. Ref to MoRT&H : IRC - MoRTH 806 Item Code : 8.43 Unit : No. 100 365 36500

7 Item Description : Retro-Reflectorised Traffic Signs - Providing and fixing of retro- reflectorised cautionary, mandatory and informatory sign as per IRC:67:2022 made of Class B Type IV retro reflective sheeting fixed over 2 mm thick aluminium sheeting vide clause 803.1, 3mm/4mm thick Aluminium composite material sheet depending on the size of the sign fixed over the back support frame of min 25 x 25 x 3mm angle mounted on a mild steel circular pipe 65 NB, 3.2 mm thickness firmly fixed to the ground by means of properly designed foundation with M25 grade cement concrete 45 cm x 45 cm x 60 cm, 60 cm below ground level as per approved drawing.The sign shall be maintained as per section 12 of IRC:67:2022 - 60 cm equilateral triangle Item Code : 8.5.iv Unit : each 10 3562 35620

8 Item Description : Road Marking with Hot Applied Thermoplastic Compound with Reflectorising Glass Beads on Bituminous Surface - Providing and laying of hot applied thermoplastic compound 2.5 mm thick including reflectorising glass beads @ 250 g/m2 area, thickness of 2.5 mm is exclusive of surface applied glass beads as per IRC:35:2015.The finished surface to be level, uniform and free from streaks and holes. Ref to MoRT&H : IRC - 803 Item Code : 8.15 Unit : m² 649 530 343970

9 Item Description : Surface Drains in Soil - Construction of unlined surface drains of average cross- sectional area 0.40 m2 in soil to specified lines, grades, levels and dimensions. Excavated material to be used in embankment with a lift upto 3m and lead of 50 m (average lead 25 m) as per Technical Specification Clause 307. - Mechanical Means. Ref to MoRT&H : IRC - 307 Item Code : 16.8.b Unit : m 4900 25 122500

10 Item Description : Tack coat on Granular surface treated with primer - Providing and applying tack coat with VG-10 Bitumen using pressure distributor at the rate of 0.25 kg/m2 on Granular Surface. Ref to MoRT&H : IRC - 503 Item Code : 5.33 Unit : m² 15787.5 25 394687.5

11 Item Description : Tack coat on Bituminous surface - Providing and applying tack coat with VG-10 Bitumen using pressure distributor at the rate of 0.20 kg/m2 on the prepared bituminous surface cleaned with mechanical broom. Ref to MoRT&H : IRC - 503 Item Code : 5.32 Unit : m² 4510 21 94710

12 Item Description : Bituminous Macadam Grading - II for traffic <20 MSA - Providing and laying Bituminous Macadam with 40/60 TPH capacity hot mix plant using crushed aggregates of specified grading premixed with bituminous binder VG-30 @ 3.4% by weight of mix, transported to site, laid over a previously prepared surface with mechanical paver finisher to the required grade, level and alignment and rolled as per clauses 501.6 and 501.7 to achieve the desired compaction. Ref to MoRT&H : IRC - 504 Item Code : 5.8.ii.C Unit : m³ 1014.88 10665 10823695.2

13 Item Description : Semi Dense Bituminous Concrete - Providing and laying Semi Dense Bituminous Concrete with 40/60 TPH capacity hot mix plant batch type using crushed aggregates of specified grading premixed with bituminous binder VG-30 @ 5% by weight of mix and filler, transported to site, laid over a previously prepared surface with mechanical paver finisher to the required grade, level and alignment and rolled as per MoRTH V revision. Ref to MoRT&H : IRC - IRC-37:2018 Item Code : 5.31 Unit : m³ 507.44 14785 7502500.4

14 Item Name : 3rd year Maintenance "Road Maintenance for 3rd year for road with BM+SDBC as wearing coat For Single Lane Maintenance of Road for 3rd year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. " Item Code : SE BGM Circle Approved rates Unit : Per Km 2.45 28630 70143.5

15 Item Name : Road Maintenance for 3rd year for road with BM+SDBC as wearing coat for Intermediate lane Maintenance of Road for 3rd year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. Item Code : SE BGM Circle Approved rates Unit : Per Km 2.02 31210 63044.2

16 Item Name : 4th year Maintenance "Road Maintenance for 4th year for road with BM+SDBC as wearing coat For Single Lane Maintenance of Road for 4th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. " Item Code : SE BGM Circle Approved rates Unit : Per Km 2.45 47010 115174.5

17 Item Name : Road Maintenance for 4th year for road with BM+SDBC as wearing coat for Intermediate lane Maintenance of Road for 4th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. Item Code : SE BGM Circle Approved rates Unit : Per Km 2.02 54730 110554.6

18 Item Name : Road Maintenance for 5th year with BM+SDBC coat as wearing coat For Single Lane Maintenance of Road for 5th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. Item Code : SE BGM Circle Approved rates Unit : Per Km 2.45 58330 142908.5

19 Item Name : Road Maintenance for 5th year with BM+SDBC coat as wearing coat for Intermediate lane Maintenance of Road for 5th year by Clearing and Uprooting Vegetation on either sides of the road, Maintenance of surface drains by clearing, cleaning, reshaping, deepening of side drains, Stripping excess soil from the shoulder surface and Making up loss of material/ irregularities on shoulder wherever necessary , Maintenance & painting of 200 metre and km stones , White washing of parapet walls of CD work and tree trunks , Patching of shallow and deep potholes using premixed bitumen mixes corresponding to the layers of the road and Repairs to CDs including Vent Clearance. Item Code : SE BGM Circle Approved rates Unit : Per Km 2.02 69070 139521.4

NAME OF WORK: IMPROVEMENTS TO BENAKATTI INGALAGI MDR ROAD FROM KM 0.00 TO 5.20 IN SELECTED REACHES IN BAGALKOT CONSTITUENCY OF HUNAGUNDA TALUK OF BAGALKOTE DIST UNDER 5054-04-337-0-01-132 FOR THE YEAR 2026-27

Milestone dates Physical works to be completed Period from the date of issue of Notice to proceed with the work Amount Liquidated damages 0.1% of the contract price per day in Rupees rounded off to nearest hundred (Rs)

1 Item Description : Scarifying the existing bituminous road surface to a depth of 50 mm and disposal of scarified material by Mechanical Means using Hydraulic excavator with in all lifts and lead. Ref to MoRT&H : IRC - 305.4.3 1 months 10923672.04 10923.67 27.09

2 Item Description : Wet Mix Macadam (Plant Mix Method) - Providing, laying, spreading and compacting graded stone aggregate to wet mix macadam specification including premixing the Material with water at OMC in mechanical mix plant carriage of mixed Material by tipper to site, laying in uniform layers with paver/grader in sub-base / base course on well prepared surface and compacting with vibratory rollerto achieve the desireddensity. Ref to MoRT&H : IRC - 406 1 months 10433725.92 10433.73 25.87412617

3 Item Description : Bituminous Macadam Grading - II for traffic <20 MSA - Providing and laying Bituminous Macadam with 40/60 TPH capacity hot mix plant using crushed aggregates of specified grading premixed with bituminous binder VG-30 @ 3.4% by weight of mix, transported to site, laid over a previously prepared surface with mechanical paver finisher to the required grade, level and alignment and rolled as per clauses 501.6 and 501.7 to achieve the desired compaction. Ref to MoRT&H : IRC - 504 4 months 18967542.30 18967.54 47.03675239

Executive Engineer

PUBLIC WORKS DEPARTMENT DIVISION

Financial Year Total value of Civil Engineering works executed and payments received in the last five years (in Rs.lakhs)

Billed upto date during 2024-25

Attach Chartered Accountant's Yearwise Statements

Work executed as prime contractor (in the same name) on works of similar nature during the five years specified)

Project Name Name & Address of the Employer Name of Work Contract Number Value of contract Rs. Lakhs Date of markout / Date of Handing over of site Specified period of completion (including/ excluding Monsoon) Actual date of completion Remarks (appreciation letter received for early completion or reasons, if there is delay in completion)

Attach Workdone Certificate for each work indicated above, in Format 3, obtained from the Competent Authority.

FORMAT FOR WORK DONE CERTIFICATE TO BE OBTAINED FROM COMPETENT AUTHORITY

This is to certify that M/s Sri / Smt.

has executed / is executing (strike off which ever is not applicable) the work of..

in this Organisation. The details of the work is as under :

1 Name of the Project

2 Name of the Work

3 Contract Amount

4 Date of signing the Agreement

5 Date of handing over of the Site

6 Progress 2017

January February March April May June July August September October November December

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

6 Progress 2018

January February March April May June July August September October November December

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

6 Progress 2019

January February March April May June July August September October November December

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

6 Progress 2020

January February March April May June July August September October November December

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

6 Progress 2021

January February March April May June July August September October November December

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

7 Stipulated Period of Completion (including monsoon)

8 Prescribed Date of completion.

9 Actual Date of Completion/Probable Date of Completion.

10 Cost of balance work (if work is in progress)

11 Reasons if any for delay in completion, if work completion is delayed

12 Penalty if any imposed

13 Any other information.

* Monthlywise progress shall be furnished seperately.

Place : (Authorised Signatory)

Address for correspondence:

Monthly Physical and Financial Progress Achieved in all Contracts which are referred to in Format 3

Names of Works Item of work Names of Employers 2017

January February March April May June July August September October November December Remarks (Indicate contract reference)

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

Names of Works Item of work Names of Employers 2018

January February March April May June July August September October November December Remarks (Indicate contract reference)

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

Names of Works Item of work Names of Employers 2019

January February March April May June July August September October November December Remarks (Indicate contract reference)

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

Names of Works Item of work Names of Employers 2020

January February March April May June July August September October November December Remarks (Indicate contract reference)

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

Names of Works Item of work Names of Employers 2021

January February March April May June July August September October November December Remarks (Indicate contract reference)

Earthwork Physical in Cum

Financial in lac

GSB Physical in Cum

Financial in lac

WBM/WMM Physical in Cum

Financial in lac

Asphalting (Including DBM/BC/BM/SDBC) Physical in Cum

Financial in lac

PCC/RCC Physical in Cum

Financial in lac

TMT Steel Physical in Tonne

Financial in lac

* Monthlywise progress shall be furnished seperately.

Place : CONTRACTOR

Address for correspondence:

Information on works which are yet to be completed.

Project Name Name & Address of the Employer Name of Work Contract Number Value of contract Rs.Lakhs Date of Markout / Date of Handing over of site Speified period of completion (including / excluding Monsoon) Cost of balance works remaining Rs.in Lac Probable date of completion.

Attach Certificate for each work indicated above, in Format 3, obtained from the Competent Authority

Information of the works for which Tender acceptance letters are received.

Project Name Name & Address of the Employer Name of Work Tendered Amount in Rs. Lac Specified period of completion (including / excluding Monsoon) Probable Date of Handing over of site.

Attach letters of Acceptance received.

Information of the works for which Tenderer has submitted Tender.

Project Name Name & Address of the Employer Name of Work Amount put to Tender in Rs.lac Specified period of completion (including / excluding Monsoon) Prescribed last date of submission of tender Probable date of decision on the Tender Remarks if any.

List of Machinery

Item of Equipment Requirement Owned / Hired / Leased Owner / Hired / Lease and available Remarks

No. Capacity Number / Capacity Age / Condition

BANKER’S CERTIFICATE

This is to certify that M/s. ________________________________________________ is a reputed company with a good financial standing. If the contract for this work, namely ________________________________________________________ (name of the work) is awarded to the above firm, we shall be able to provide overdraft/credit facilities to the extent of Rs._______________________________ to meet the working capital requirements for executing the above contract

Signature of the Bank Manger

along with Seal

Information on litigation in which the Tenderer is involved:

Other Party/Parties Employer Details of Dispute Amount involved Remarks showing Present Status