Dye Faginser 40 Dy.Enginger STATEMENT No. 1 Statement of list of works in hand and works tendered for as on the last date ot submission of this Tender. NAME OF CONTRACTOR:- a) WORKS IN HAND y Yabeod Value ge] SL ngeanns| rated | mana | SUA) cay DMM pag Pons no ee. Na | Amiunt. | Commencement, si cal Bea Waektobe ee — e a es wal | ete | Compieion a] 3 3 4 = qigr 7 9 1 | ws WORKS TENDERED FO! A aceasta : I 3 7 7 jample form: NOTE :- Details are to be uploacled in this formad in envelope - 1, duly signed Signature of Contractor Executive Engineer SHIVAJI M. GHUGE Y Preprietor Contractor No. of Corrections Executive EngineerDye Engineer 4 DyEngineer STATEMENT —2 DETAILS OF PLANT & MACHINERY IMMEDIATELY AVAILABLE WITH THE TENDERER FOR THIS WORK NAME OF TENDERE! seniens NuNEOr NO.OF KINDS - \ce& —— PRESEDAT. SR.NO, caracrry eaaRks UWsIENT UNM MAKE. cONDITIOS _LOcATION i 2 3 4 5 6 7 8 SHIN a roprisia, Si re of Conti NOTE +- Details are to be uploaded in this format in envelope = I duly signed Contractor No. of Corrections: Executive EngineerDy-Ex-Fngineer 45 STATEMENT NO. 3 Details of works of similar type and magnitude carried out by the contractor in last Five year 2014-15, 2015-16, 2016-17, 2017-18 & 2018-19) NAME OF TENDERER: ~ ra = $ ota co TP 2 3 7 q e Zils] 9 [0 uple forng-—- ak Detéils are to be uploaded in this format in envelope = 1. duly signed SHIVAJI M. GHUGE Proprietor Contractor No. of Corrections Executive EngineerDy. EcEngineer 46 Dy-Engineer STATI Statement Showing Technical Personnel Available With Contractor Which Can Be Spared Exelusively For This Work NAME OF TENDERER: useroneed Ped fr Whaher workin ia ‘Workiog — Remis SeNa—Nimeor Perot Qualification Nevereat, ESCion Ste Pe Murs 3 Tee Tonserer a eee supp seshggessrancscnnnne z ux? o j x4 ew a 1 2 SHIVAJI M. |GHUGE oy ee Preprietor ‘Signnture of Contractor ote 2+ Details are to be uploacled in this formatin envelope = 1. duly signed fo Contractor No. of Corrections Executive EngineerDy.Ex Engineer 47 Dy-Engineet STATEMENT NO. 5 Statement showing work done in all classes of Civil Engineering Construction works during last Five year (ic. 2014-15, 2015-16, 2016-17, 2017-18 & 2018-19) Name of Contractor t= Z Anim work de ting con utylan | Toul of Anant Oa Dato hive sen Amount ot Acreemeut totes cmncenna work it temunntcot | ™* | eewars 2014) 2015) 2016] 3617-| 2018 | renainngte 15 | 16 | a7, | “a8 | 9 3 4 51 6 17 oof seoseseenes Sumipte For = T Grand Toil Outward No And date of certificate issuing authority E = Details are to be uploaded in this format in envelope - 1. duly signed SHIVAJI Mj GHUGE Proprietor Contractor No, of Corrections Executive EngineerDy Bx Engineer 48 Dy.Enaineer STATEMENT NO. 6 STATEMED SHOWING QUANTITIES OF WORK EXECUTED IN DURING LAST TIVE YEARS (ue. 2014-13, 2015-16, 201 017-18 & 2018-19) Quality of Work Preformed | 3 ; gilz item 2) 2 welsly & 2 = = g2|2 2 (indicate 5 & #/8 coniruct “ S| 5 Reference ) é \ 10 a 1 | 2 3 J 7 9 & am 201416. eld € 2016-17 2017-18 SampleForm | —- Z = | 2018-19 i NOTE :- Details are to be uploaded iu this format in envelope + 1. duly signed Signature of Contractor SHIVAYL Mw, Proprietor Contractor No. of Corrections Executive Engineer