Appointment of transaction advisor from the list of panel of pre qualified transaction advisors approved vide Adll. Chief Sect. to GOVT. of HARYANA for the project of construction of multi level parking cum commercial complex at MC Kaithal

Select, Excess (+), Less (-) Less (-)

Tender Inviting Authority: Municipal Council, Kaithal

Name of Work:APPOINTMENT OF TRANSACTION ADVISOR, FROM THE LIST OF PANEL OF PRE-QUALIFIED TRANSACTION ADVISORS,APPROVED VIDE ADDL. CHIEF SECRETARY TO GOVT. OF HARYANA, FINANCE DEPARTMENT MEMO. NO. 40/7/2016/Asstt./HBPE(FD) DT. 19/01/2017, FOR THE PROJECT OF CONSTRUCTION OF MULTI LEVEL PARKING CUM COMMERCIAL COMPLEX AT MC KAITHAL ON PUBLIC PRIVATE PARTNERSHIP (PPP)

Name of the Bidder/ Bidding Firm / Company :

Sl. No. Item Description Item Code / Make Quantity Units Estimated Rate Addition / Deduction Addition / Deduction Values Currency Convertion against each Item Quoted Currency in INR / Other Currency RATE In Figures To be entered by the Bidder Rs. P Excise Duty VAT Freight Charges ( Unloading & Stacking) Any Other Taxes/Duties/Levies Other Taxes 2 IIIrd Party i.e DGS&D / RITES etc Inspection Charges @0.34%+Service Tax Less for Cenvat Credit,if any respect of Supplies Under full Excise Duty Category TOTAL AMOUNT TOTAL AMOUNT With Taxes TOTAL AMOUNT In Words

1 Transaction Advisory Services for Construction of a Multi level Parking cum Commercial Complex at MC Kaithal, on PPP Mode itemH1Code1 1 Total Fees 0 Excess(+) Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

2 Local taxes, if any code1.02 1 If any 0 Excess(+) Full Conversion INR 1.01 Supplying, Conveying and fixing spls. Including eart item1 123.223 Nos

3 Service Tax on Sr.No.1 (If Any) itemH1Code2 1 If any 0 Excess(+) Full Conversion INR 1.02 Construction of chamber for 100mm sluice plates item2 213 Nos

Total in Figures 4 Construction of chamber for 100mm sluice plates item5 10 Nos

Quoted Rate in Figures Select

Quoted Rate in Words