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Form-Iv Details of Similar Works Executed During Past 10 Years

This document provides a template for listing details of similar works executed during the past 10 years. The template includes columns for the name of work and location, name of the owner, name of any consultant, value of work awarded, date of award, original and amended contract periods, date of completion, value of work completed, and whether any liquidated damages were imposed for delay.

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Saptarshi Roy
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263 views2 pages

Form-Iv Details of Similar Works Executed During Past 10 Years

This document provides a template for listing details of similar works executed during the past 10 years. The template includes columns for the name of work and location, name of the owner, name of any consultant, value of work awarded, date of award, original and amended contract periods, date of completion, value of work completed, and whether any liquidated damages were imposed for delay.

Uploaded by

Saptarshi Roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FORM-IV

DETAILS OF SIMILAR WORKS EXECUTED DURING PAST 10 YEARS

Sl.
No.

Name of work with


Name of project &
Location

Name of
Owner

Name of
Consultant if
applicable

Value of
work
awarded

Date of
award

Contract period
Original/Amended

Date of
Completion

Value of
work
Completed

Whether
L.D.
Imposed for
delay

Sl.
No

Description of the
FOA/
Full Postal Address &
Goods/works/ Services LOA/PO/WO phone nos. of Client.
No. and date
Name, designation and
address of Engineer/

Value of Contract/
Order (Specify
Currency Amount)

Date of
Scheduled Date of
Commencement Completion Actual
of Work/ Services Time
Completion
(Months)

Completion
certificate
reference no.

Major reasons for


delay in execution

Officer-in-Charge (for
cases other than
purchase)
(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

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