E NIT_ CWC RO-MUM/Engg/ZMC/26-27/05

Price Schedule:

Rs. (In figure)

Execution of Miscellaneous Repair /Maintenance, Upgradation and Construction works in Zone 1 – a cluster of central warehouses located at Akola ,Amravati ,Gondia ,Yavatmal ,Badnera and Nagpur On Annual rate Contract basis

E NIT_ CWC RO-MUM/Engg/ZMC/26-27/05

Description of Work

Price Schedule:

Rs. (In figure)

Execution of Miscellaneous Repair /Maintenance, Upgradation and Construction works in Zone 1 – a cluster of central warehouses located at Akola ,Amravati ,Gondia ,Yavatmal ,Badnera and Nagpur On Annual rate Contract basis

E NIT_ CWC RO-MUM/Engg/ZMC/26-27/05

Description of Work

Price Schedule:

Rs. (In figure)

Execution of Miscellaneous Repair /Maintenance, Upgradation and Construction works in Zone 1 – a cluster of central warehouses located at Akola ,Amravati ,Gondia ,Yavatmal ,Badnera and Nagpur On Annual rate Contract basis

E NIT_ CWC RO-MUM/Engg/ZMC/26-27/05

Contractor Percentage (CP) Quoted Above/ Below/At Par of rates -mentioned in Price Schedule

Description

Price Sub Schedule A.I

Price Sub Schedule A.II

Price Sub Schedule A.III

Description

Address,

(Proprietorship/Partnership/Private Limited/ Limited)

Attested copy of organization Details

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

Contact details of person holding the power of attorney

Name of Account Holder - CENTRAL WAREHOUSING CORPORATION - REGIONAL OFFICE MUMBAI, Bank Name - HDFC BANK LTD, Branch Name -A-24, HAUZ KHAS, NEW DELHI- 110016, Account No. – 50100434218201, IFSC - HDFC0000467, MICR – 110240071.

PF Registration code

GST Registration code

PAN No. of the Bidder

Contractor Registration enlistment with CPWD/

Financial Eligibility Criteria:

Total Turnover against the criteria Rs. ………………

Total Turn Over- RS…….

Total Turn Over- RS…….

Total Turn Over- RS…….

Technical Experience:

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. Bidder would be required to submit the proof of office address at the time of contract signing.

GST Number

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