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Appendix 1

Applicants Information
All individual firms and each partner of a joint venture are requested to complete the
information in this form.
1. Name of Firm
2. Head office Address

3. Address on which correspondence should


be done with Tel. Nos., Fax No. & E-mail
address
4. Place of incorporation / registration Year of
incorporation / registration
5. Constitution of Firm
I) Specify, if the Applicant is
a. An individual
b. A proprietary firm
c. A firm in partnership
d. A Limited Company or Corporation
e. A group of firms / joint venture
(If yes, give complete information in respect of
each member)

II) Attach a copy of Proprietorship or


Partnership Deed or Article of Association or
Incorporation of Company or JV Agreement as
the case may be.
6. Give particulars of registration with Govt. /
Semi Govt. / Public Sector Undertakings / Local
Bodies
7. PAN No
8. PF No

For SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.

DIRECTOR

Attachment III

Appendix 1
licants Information

of a joint venture are requested to complete the


M/s. SHRI SIDDHIKUMAR INFRASTRUCUTE PVT.LTD.
A-101/102 SWARUP NAGAR CHS
SAHAR PIPE LINE ROAD ANDHERI
-99.
A-101/102 SWARUP NAGAR CHS
SAHAR PIPE LINE ROAD ANDHERI
-99. 022-28210049
skumargroup@gmail.com

OM NAGAR
(E) MUMBAI
OM NAGAR
(E) MUMBAI

Mumbai Maharashtra

Privated Limited company

Attached Seperately

Attached Seperately
AAGCS3258M
MH/PF/AAP/211611/SRO/ICAD/174

RUCTURE PVT.LTD.

Sr
No

Name of
Work

2
Complete Civil Works for Laying 3000 mm dia Pipeline for 21 Kms at
Middle Vaiterna - I
Infrastructure Work including Earthwork,Bitumen Asphalt Roads for
Development of free Trade Warehouse Zone forArshiya International Ltd.
At Sai Village,Panvel (Phase-I)
Earthwork in Excavation for Residential cum commercial buildings at
Versova, Mumbai
Earthwork in Excavation for Basement at Commercial Building for
Neptune Realtors at L.B.S. Marg, Kamani,Mumbai
Basement Excavation of Multilevel Car Park at Mumbai International
Airport (Package-2)
Earthwork in Excavation for Infotech Park at Powai
Infrastructure Work including Earthwork at Tansa Rep
Earthwork in Excavation at BKC Site
Earthwork in Excavation for Car Park at Ghodbunder Road, Thane
Infrastructure Work including Earthwork in Excavation for Teaxtile Park at
Kalyan
Earthwork in Excavation for 8 Residential Towers

JOY BUILDERS
CIvil Works Western Suburbs and Eastern Suburbs

CIvil Works Western Suburbs and Eastern Suburbs


Sunstream City

For SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.

DIRECTOR.

ANNEXURE - II
LIST OF WORKS COMPLETED IN LAST THREE FINANCIAL YEAR
[Para 6.2(b)]

Name of
Organization for
whom executed
and Contract
awarding authority

date of
awarded

Contract

agreement
No

Pratibha Industries Limited Universal Majestic,14 th 13 Floor ,Off Eastern Express Highway
P.L.Lokhande Marg,Ghatkopar Mankhurd link Road,Behind RBK International School
19.09.2007
Govandi Mumbai -400043 / 022-39559999

PILWODHO-900

10.12.2009

CJ/SAI/2009/18

Ecstasy Reality Pvt. Ltd.Solitaire, 80, S.V. Road, Santacruz (West), Mumbai - 400 054.Tel:
+91 22 32211083
30.12.2009
Site:
Parthenon,
866/B/2,
J.P.
Road,
Andheri
(W),
Mumbai
400
058.
Neptune Developers Ltd.3rd Floor, Karmastambh, Opp. MTNL Office, L.B.S. Road,

WO/ERPL/VR/1

L & T Constructions L&T House ,N.M.Marg Ballard Estate Mumbai

Vikhroli-W, Mumbai 400 083.


Tel: 022-6777 0600 . Fax:022-6777 0640
L & T Constructions L&T House ,N.M.Marg Ballard Estate Mumbai

01.03.2010

23001480/23
MAIL/S/LSCP/0

L & T Constructions L&T House ,N.M.Marg Ballard Estate Mumbai


Pratibha Industries Limited Universal Majestic,14 th 13 Floor ,Off Eastern Express Highway
P.L.Lokhande Marg,Ghatkopar Mankhurd link Road,Behind RBK International School
24.09.2009
Govandi Mumbai -400043 / 022-39559999
VALECHA ENGINEERING LIMITED,Valecha Chambers,4th Floor, Plot No. B-6,New
30.06.2012
Link Road,Andheri (West),Mumbai 400 053/022-26733625

VEL/WO/BMP/SS

Capacite Infraprojects Pvt. Ltd.Lodha Splendora, Bhyander Pada, Ghodbander Road,


Thane- West. Maharashtra

11.01.2013

CIPL/MUM/145/

Asmeeta Infratech Pvt. Limited

03.06.2010

ACL/20416/E-2

Larsen & Toubro Ltd.L&T Realty Project-Powai .


PH 022 67058535

01.12.2013

E9852WOD400

JOY BUILDERS 306,MADHAVA,Commercial Compleax 3 rd Floor BKC BANDRA EAST


-400051 / 022-67488888

09.07.2014

JBWO/133/2014

The Asst.Commissioner Acharya Marg Chembur Mumbai.71

01.04.2010

ACM/W/OD/346/

The Asst.Commissioner Acharya Marg Chembur Mumbai.71

01.04.2010

ACM/W/OD/346/

Sunstream City Pvt Ltd. Mulund Taluka Kurla ,Near EEH Mulund Toll Naka Mulund East
-400081

07.06.2012

ACL/81130/E-8

RE - II

LAST THREE FINANCIAL YEAR


2(b)]

Approx. Value of in lakhs


contract
Agreement
Value
5

758586719.23

221800000
150000000
150000000
511600000
20000000
775192948
70000000
36300000
100000000
220000000

Final
Value
6

Date of
Commencement

Date of Finish

Period of completion

Scheduled

Actual

Scheduled

Actual

Scheduled

Actual

10

11

12

1500000.00
200000000.00

200000000.00
51159996

Main features of
the work

Remarks

13

14

Sr.
No.

Name of work

Name of
Organization
for whom
executed and
Contract
awarding
authority

Earthwork in Excavation for Residential


Towers at Tilak Nagar for Godrej & Co.

Capacite Infraprojects Pvt. Ltd. 603 , shrikant chamber 6 th


floor ,adjacwnt to r.k..studios sion -trombay road chembur
mumbai-71/022-71733717

Land Development works for up coming


Industrial Park at Wada, Maharashtra

Sonal Realty 111,Pagrav,57 S.V.Road Goregaon (W)


Mumbai -62 / 022 28789260

Earthwork in Excavation for Residential


Towers at Powai for M/s. L&T Realty

L & T Constructions L&T House ,N.M.Marg Ballard Estate


Mumbai

Rennovation & Refurbishment of Mumbai


International Airport (Package - 3)

L & T Constructions L&T House ,N.M.Marg Ballard Estate


Mumbai

Land Development and Earth Filling Activity


for upcoming Industrial Park at Chakan,
Pune

M/s. Indospace Infrastructure Parks Pvt Ltd, One India Bulls


Centre ,16th floor tower 2,a,Senapati Bapat Marg Mumbai400013/ 02240436000

Earthwork in Excavation for Residential


project at Bandra, Mumbai

Ashapura builders an developers.

Civil works for Repairs of Existing Roads and


Bombay Municipal Corporation
Storm water Drains at M West Ward, Mumbai

Earthwork in Excavation for Basement at


Bhandup

Neptune Developers Ltd.3rd Floor, Karmastambh, Opp.


MTNL Office, L.B.S. Road, Vikhroli-W, Mumbai 400 083.
Tel: 022-6777 0600 . Fax:022-6777 0640

Earthwork For proposed piramal agustya


Business Park Kurla

L & T Constructions L&T House ,N.M.Marg Ballard Estate


Mumbai

Earthwork in excavation for up coming


10 residential complex for Adhiraj Builders At
Kharghar

Aditya Construction

11

Earthwork in excavation for development of


detention pond at kharghar for CIDCO

vub Engineering

12

Earthwork in excavation for Proposed tower


ICC-1 AND ICC-2 at Bombay Dyeing

L & T Constructions L&T House ,N.M.Marg Ballard Estate


Mumbai

13

Excavation Work For Project Bajaj Andheri


Site

Shapoorji Pallonji And Company Private Limited ,SP


Center ,41/44,Minoo Desai Marg Colaba Mumbai -400005 /
022-66233600

14

Excavation , civil works for landscape at L & T Constructions L&T House ,N.M.Marg Ballard Estate
Mumbai
powai

Narsee Monjee Institute of Management


Aditya Construction
15 Collage Kharghar
L & T Constructions L&T House ,N.M.Marg Ballard Estate
16 Excavation works behind tower T1 TO T6
Mumbai

For SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.

DIRECTOR.

ANNEXURE - III
LIST OF WORK ON HAND
[Para 6.2(c)]

Approx. Value of contract


Contract
agreement No
and date of
Award

date of
Award

Paymen Approx.
Agreemen
t
balance
t
receive
to be
Value
d
received

Date of
Commencement

Scheduled

Actual

Scheduled

10

7.70

6.7

1.00

May-16

07.05.2013

15.00

11

4.00

Oct-16

13.06.2013

25.00

23.5

1.50

Apr-16

10.03.2014

7.00

6.3

0.70

Apr-16

IIPPPL/2015/CHISICI/26.05.2014

7.00

1.00

Jun-16

CPIL/90200/77/14-1506.07.2014

LTC/AKM/T1/001

Date of Finish

BALAJI/.O./NO.01

31.05.2015

1.00

0.65

0.35

Mar-16

01.04.2014

10.00

Mar-17

20.09.2014

22.00

14

Apr-16

NRPL/KUL/112/L&T/S05.05.2015

11.55

7.5

4.05

Jun-16

AE/01/2015-16

22.04.2015

18.62

9.97

8.65

Jun-16

CIDCO/EE/(KHR-III)/ 22.07.2015

26.00

LT/BF/HQ-PROC/15-117.08.2015

5.50

3.5

2.00

Mar-16

SPCL/1190/15-16/0012.10.2015

6.21

4.21

Oct-16

5200001952

19.10.2015

1.94

0.94

16-Mar

AC/001/2015-16

15.11.2015

6.00

5.00

5200002289

16.02.2016

1.53

23001591

Dec-16

0.5

1.03

17-Feb
16-Mar

Date of Finish

Period of completion

% age Progress

Expected

Scheduled

Expected

Physical

Physical

Reasons
for
Delay, if
any

11

12

13

14

15

16

Main
features
of the
work

Remarks

17

18

ANNEXURE - IV

LIST OF PERSONNEL/ORGANISATION AVAILABLE ON HAND AND


PROPOSED TO BE ENGAGED FOR THE SUBJECT WORK
[Para 6.2(d)]

Sr.
No.

Name & Designation

Qualification

Professional experience

Mr. Dhaval Jaswani

B.E.Civil

18 Years

Mr. Dalel Singh

B.E.Civil

14 Years

Mr. Umeshkumar Gohel

Civil Diploma

10 Years

Mr. Shibi X

Civil Diploma

07 Years

5
6
7

Mr. VIJAY CHAWAN

Civil Diploma

02 Years

Mr.UMESH RAJPUT
Mr.SHIVAJI LOKHANDE

Civil Diploma
Civil Diploma

16 YEAR
16 YEAR

I hereby certify that no retired Engineer/Gazetted Officer of the Railways who has retired within 2 years of date of submission of tender and h
authority has been engaged by me/our firm. I also certify that none of my relative is engaged in Engineering Department in Central Railway.

For SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.

DIRECTOR.

- IV

AVAILABLE ON HAND AND


THE SUBJECT WORK

Remarks
Infrastructure Work including Earthwork at Tansa Rep
Complete Civil Works for Laying 3000 mm dia Pipeline for 21
Kms at Middle Vaiterna - I
Infrastructure Work including Earthwork at Tansa Rep
Infrastructure Work including Earthwork in Excavation for
Teaxtile Park at Kalyan
Earthwork in Excavation for 8 Residential Towers
Earthwork in Excavation and road work at pune
Earthwork in Excavation and road work at pune

s of date of submission of tender and has not obtained permission of competent


ring Department in Central Railway.

ANNEXURE - V

A. LIST OF PLANT & MACHINERY (OWNED) AVAILABLE ON


PROPOSED TO BE INDUCTED ON THE SUBJECT WO
[Para 6.2(e)]

Sr.
No.

particulars of equipments

No.of unit

Excavator
Komstu PC-130
Komstu PC-200
Komstu PC-210
Komstu PC-300

2
3
6
7

2
12
2
6

L&T KOMATSU LIMITED


L&T KOMATSU LIMITED
L&T KOMATSU LIMITED
L&T KOMATSU LIMITED

Excavator cum Loader


JCB 4D Excavator / Loader
Tippers /Trucks
Ashok Leyaond
Tractors
Mahindra

1
35

Ashok Leyaond

Mahindra

2
2

Schwing Stetter
Schwing Stetter

Universal Construction Machinery

5
6

G.L.ROCK BREAKER
ATLAS

Rushab International

Trimbal

Transit Mixers
Schwing Stetter
Schwing Stetter

Kind/Make

Batching & Mixing Plant / Mixer

Universal Construction Machinery


9 Rock Breaker
G.L.ROCK BREAKER
ATLAS
11 Welding Set
Rushab International
13 Survey equipment
Trimbal

For SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.

DIRECTOR.

ANNEXURE - V

ACHINERY (OWNED) AVAILABLE ON HAND AND


BE INDUCTED ON THE SUBJECT WORK
[Para 6.2(e)]

capacity

age and
condition

5
5
4
4

Years
Years
Years
Years

5 Years
5 Years
9 Years
5 Years
5 Years
3 Years
3 Years
3 Years
7 Years
5 Years

Remark

ANNEXURE -V

B. LIST OF PLANT & MACHINERY PROPOSED TO BE HIRED FOR THE WORK

Particulars of
equipments

Sr. No.

1
2
3
4
5

No. of
units

pc-200

3d jcb

2
45

Tippers /Trucks

For SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.

DIRECTOR.

Capacity

ANNEXURE -V

ACHINERY PROPOSED TO BE HIRED FOR THE WORK

Remarks

Proposed Key Personnel / Engin


Proposed Position:
Name of Firm:
Name of Staff:
Profession:
Date of Birth:
Years with Firm / Entity:
Membership in Professional Societies:
Detailed Tasks Assigned:

Key Qualifications:

Education:
Employment Record:
Languages:

Certification:
I, the undersigned, certify that to the best of my knowledge and belief, the
qualification and my experience.

[Signature of staff member and authorized representative of the Firm]


Full name of staff member: Dalele Singh

Full name of authorized representative: Mr. Apurva Jaswani

Proposed Key Personnel / Engin


Proposed Position:
Name of Firm:
Name of Staff:
Profession:
Date of Birth:
Years with Firm / Entity:
Membership in Professional Societies:
Detailed Tasks Assigned:

Key Qualifications:

Education:
Employment Record:
Languages:

Certification:
I, the undersigned, certify that to the best of my knowledge and belief, the
qualification and my experience.

[Signature of staff member and authorized representative of the Firm]


Full name of staff member: Mr. Ashok Kumar

Full name of authorized representative: Mr. Apurva Jaswani

Proposed Key Personnel / Engin


Proposed Position:
Name of Firm:
Name of Staff:
Profession:
Date of Birth:
Years with Firm / Entity:
Membership in Professional Societies:
Detailed Tasks Assigned:

Key Qualifications:

Education:
Employment Record:
Languages:

Certification:
I, the undersigned, certify that to the best of my knowledge and belief, the
qualification and my experience.

[Signature of staff member and authorized representative of the Firm]

Full name of staff member:Mr. Amay Gawde


Full name of authorized representative: Mr. Apurva Jaswani

Proposed Key Personnel / Engineers


Project Manager
SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.
Mr. Dalel Singh
Civil Engineer
3/2/1964
14 Years

Nationality:

Indian

NIL
Total Project Handling

Having experience in construction of concrete roads, asphalt roads,


Weir, Water Treatment Plants, Pipeline works, Bridges, reservoirs &
other works of water supply scheme.
BE.CIVIL
EXCELLENT
Hindi, English,Marathi

o the best of my knowledge and belief, these data correctly describe me, my

authorized representative of the Firm]

ntative: Mr. Apurva Jaswani

Proposed Key Personnel / Engineers


Project Manager
SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.
Mr. Ashok Kumar
Civil Engineer
15/10/1963
07 YEAR

Nationality:

Indian

NIL
Total Project Handling

Having experience in construction of concrete roads, asphalt roads,


Weir, Water Treatment Plants, Pipeline works, Bridges, reservoirs &
other works of water supply scheme.
Civil Diploma
EXCELLENT
Marathi, Hindi, English

o the best of my knowledge and belief, these data correctly describe me, my

authorized representative of the Firm]

ntative: Mr. Apurva Jaswani

Proposed Key Personnel / Engineers


Project Manager
SHRI SIDDHIKUMAR INFRASTRUCTURE PVT.LTD.
Mr. Amay Gawde
Civil Engineer
20/11/1980
9 Years

Nationality:

Indian

NIL
Total Project Handling

Having experience in construction of concrete roads, asphalt roads,


Weir, Water Treatment Plants, Pipeline works, Bridges, reservoirs &
other works of water supply scheme.
Civil Diploma
EXCELLENT
Hindi, English, Telgu

o the best of my knowledge and belief, these data correctly describe me, my

authorized representative of the Firm]

ntative: Mr. Apurva Jaswani

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