Laying of Epoxy Flooring in various Shop Rooms of Helicopter Division HAL HC

Name of the Individual / Firm / Company: * Mandatory

Type of ownership

Year of Estblishment of Company/Business

If Other, please specify

Details of Constitution or Legal Status such as certificate of incorporation, shops and establishments, etc.,

Address for correspondence:

TIN number

PAN no and Name of Holder

PF number (If any)

ESI number

Contact details

Contact person name

Designation

Mobile No.

Ph. No. with STD code

FAX No. with STD code

Email Id :

Registered Contractor

If Registered Contractor with HAL Yes/ No

Name of Organisation

Category and Registration No.

PEMD Amount ( If paid )

not required

Maximum value of works excuted during the followinf 5 years. . (In Lakhs)

Avg Annual Turnover criteria is not met

DETAIL OF WORK ON HAND UPTO N-Months (N-contract period) [For Bid capacity calculation] NOTE : PROVISION for 10 works are given. If more, a separate similar sheet to be made showing all the works with all details as per this FORMAT and same to Uploaded. However, 9 works details to be provided and balance work value of other works to be added and to be provided in 10th row as OTHER works.

Sl.No(work No)

Balance Work On Hand

Bid Capacity

Work Schedule for completion of works with in stipulated time [Please enclose action plan / bar chart as to indicate the completion of work, within the scheduled time (contract period)]

Related Document to be Uploaded

Quantity of work Excuted during the last three years

Earthwork [in Cum]

Concrete work [in Cum]

Reinforcement steel [in MT]

Any other quantity of items tenderer would like to mention

Bank(s) details: [Copy of the cheque leaf to be uploaded]

Name of the Bank

Type of Account

Branch, Place

Bank Code No.

MICR No.

ECS No.

IFS Code

Latest Bankers Solvency Certificate from Nationalized/ scheduled Bank issued NOT before 12 months from the date of Tender Notice.

Name of Bank & Branch

Date of Issue(dd-mm-yyyy)

Value Rs. In Lakhs

#VALUE!

Solvency value is as per NIT

Experience of having successfully completed similar works during last 7 years ending last day of previous month. [Work experience certificates / Completion certificates should be uploaded for verification]. [Latest work experience certificate may be uploaded] (i) THREE similar completed works each costing not less than the amount equal to 40% of the estimated cost. (ii) TWO similar completed works each costing not less than the amount equal to 50% of the estimated cost. (iii) ONE similar completed work each costing not less than the amount equal to 80% of the estimated cost. [Amount put to the Tender]

Completed similar works during last 7 years

Work NoI

Name of The organisation

Brief Description of Work:

Completed value of Work in Rs. Lakh:

Date of Commencement of Work [DD/MM/YYYY]:

Date of Actual Completion of Work[DD/MM/YYYY]:

#VALUE!

Work No II

Name of The organisation

Brief Description of Work

Completed value of Work in Rs. Lakh:

Date of Commencement of Work [DD/MM/YYYY]:

Date of Actual Completion of Work[DD/MM/YYYY]:

#VALUE!

Work No III

Name of The organisation

Brief Description of Work:

Completed value of Work in Rs. Lakh:

Date of Commencement of Work [DD/MM/YYYY]:

Date of Actual Completion of Work[DD/MM/YYYY]:

Work Competion is NOT with in 7 years

Remarks

Valid Class I Electrical Licence [or] Undertaking for engaging Electrical Contractor possessing valid Class I Electrical Licence Please Enter Electricial Licence No Electricial Licence valid upto

DEAILS OF TECHNICAL PERSONNEL AVAILABLE( if space provided is insufficant separate sheet to be uploaded with the same format as below)

DETAILS OF MACHINERY AVAILABLE

Concrete Mixers - Type etc

Vibrators - Diesel - Electrical

Weiding equipment's

a) Rectifiers

b) Welding Generators

Erection equipment's

Cranes-

Hoists-

Lifts-

Water Lifting motor pumps

a) Diesel

b) electric

Drilling Equipment's

Compressors

Trucks

Stone crushers

Bitumen hot mixture plant

Bitume boiler

Rollers

Batching plants

Vibratory rollers

Generators

Cranes-Details

Concrete pumps

Road Pavers

Rock breakers

Transit mixers

Excavators

Weight batches

Others

Details of person holding the power of Attorney (If different from contact person)

Position

Mobile No.

Ph. No. with STD code

FAX No. with STD code

DECLARATION

I/We declare and confirm that - 1. All information and attachments submitted in this application are true and correct. 2. I/We are aware that any false information provided herein will result in the rejection of my application and suspension of any registrations granted. 3. I/We shall not make refund claims of expenditure incurred in processing this application.

Tender Document Cost and EMD details

Descipttion

Tender cost

Average annual financial turn over during the last 3 years, ending 31st March 2024 [ should not be less than 30% of amount put to tender] and details for last 5 years to be provided to assess the bid capacity. The values provided to be supported by uploading Balance Sheet along with Profit & loss account statement. . (In Lakhs)

Average

Not Qualified

Balance sheet and Profit & loss statement for last 05 years