QUALIFICATION INFORMATION

Annexure –I
CHECKLIST TO ACOMPANY THE BID

Submitted in Cover
S.No Description
‘A’
1 2 3
1 Copy of Original DD/ BG towards EMD issued by a
Nationalized Bank/ Scheduled Commercial Bank Yes
2 Copy of contractor’s registration certificate under Yes
appropriate class with the Government.
3 Copy of Pan Card and Copies of income tax returns Yes
submitted for last 5 years i.e. from 2015-16 to 2019-20.
4 GST Registration and latest valid clearance certificate in Yes
Government of Telangana.
5 List of sub-contractors proposed in this project, if relevant NO
6 The particulars of value of civil engineering works executed Yes
in the last Ten financial years in the bidder’s name in the
statement along with work done certificates in support of the
figures or certificate issued by the Chartered Accountant.
7 The details of similar type of work or works executed in last Yes
ten financial years duly supported with certificates as per
qualification criteria.
8 With year wise and work wise breakup as per qualification Yes
criteria.
9 The details of single project executed and commissioned as Yes
per qualification criteria.
10 JV evidenced by a legal registered document, if applicable. Yes
11 Certificate issued by Chartered Accountant that the bidder Yes
has not availed or applied for the Corporate Debt
Restructuring (CDR).
12 The information on ‘existing commitments’ with supportin Yes
certificates
13 The availability of key/ critical construction equipment Yes
existing leased / owned.
14 The availability of key personnel Yes
15 The information regarding litigation history Yes
16 Proof of liquid assets in the shape of solvency. Yes
17 Certificate stating that “I/ we have gone through all the Bid Yes
conditions and accept them without any preconditions”.
18 Certificate for Clause 6.1.a of Vol.1 Part-A Yes
 DECLARATION

I / WE SRI SRI VIGNESWARA CONSTRUCTIONS, NANDYAL have gone through

carefully all the Bid conditions and solemnly declare that I/ we will abide by any penal action
such as disqualification or black listing or determination of contract or any other action
deemed fit taken by the Department against us if it is found that the statements, documents,
certificates produced by us are false or fabricated.

I / WE hereby declare that, I/ WE have not been blacklisted/ debarred/ Suspended/ demoted
in any department in Telangana or in any State in India due to any reasons.

Signature of the Bidder

 STATEMENT – I
Details of civil engineering nature of works as mentioned in NIT executed in each year
during the last ten financial years by the bidder.

Sl. No. Financial Year No of Value in Rs:

works
1 2010-2011 43,65,91,906.00
2 2011-2012 27,90,39,903.00
3 2012-2013 41,64,51,996.00
4 2013-2014 63,39,96,835.00
5 2014-2015 55,16,69,405.00
6 2015-2016 52,32,65,108.00
7 2016-2017 37,73,08,109.00
8 2017-2018 49,59,76,004.00
9 2018-2019 76,86,74,890.00
10 2019-2020
a) Attach certificate(s) issued by the Executive Engineer concerned and counter signed by
Superintending Engineer showing work wise / year wise value of work done in respect of
all the works executed by the bidder during last ten years
OR
b) Certificate from Chartered Accountant supported with annual balance sheet tallying with
I.T clearance certificate.

Signature of the Bidder

STATEMENT – II

The details of single project completed in not more than 6 months duration during the last
ten financial years i.e., 2010-2011 to 2019-2020, whose value shall not be less than 10% of
ECV.
Address of Value of Date of
Sl. Agreemen
Name of the agreement Value of work completion
N t number
work concluding contract executed
o and date
authority

Statement enclosed Separately

Stipulated Actual Total value of Total value of work done

period of date of work done.
completio comple …yr
n tion …yr ..yr ..yr

Attach certificates issued by the Executive Engineer concerned and countersigned by the
Superintending Engineer showing work wise / year wise value of work done and date of
completion.

Signature of the Bidder

 STATEMENT – III
Physical quantities executed by the Bidder in the last ten financial years. [Work wise/ year
wise].Separate sheets may be enclosed if necessary.

Sl. Name of Agt. Quantities executed / Year wise –(CIVIL items) Any
Financial
No. work No Other
year
items
1 2 3 4 5 6 7 8 9 10 11 12 13
1 2010-2011
2 2011-2012
3 2012-2013
4 2013-2014
5 2014-2015
6 2015-2016 Statement enclosed Separately
7 2016-2017
8 2017-2018
9 2018-2019
10 2019-2020

Attach certificates in support of the above quantities issued by the Executive Engineer
concerned and countersigned by the Superintending Engineer duly showing the quantities
executed year wise.

Signature of the Bidder

STATEMENT – IV

Details of existing commitments

Details of works on hand and, yet to be completed as on the date of submission of the Bid
and works for which Bid s have been submitted are to be furnished.
A) Existing Commitments on ongoing works:
Stipul- Balance
Value Antici-
Address of Agt Value ated value of
Name of pated
Sl. Agt. No of period works
the of work date of
No concluding & cont- of to be
work done comp-
authority date ract comp- comple-
so far. letion
letion ted
1 2 3 4 5 6 7 8 9
Statement enclosed Separately
Attach certificates issued by the Executive Engineer concerned and countersigned by
Superintending Engineer, indicating the balance work to be done, and likely period of
completion.
Signature of the Bidder
B) Details of works for which Bids are submitted [awarded / likely to be awarded]
Address Date on
Stipulated
Sl. of Agt. Estimate which Present
Name of period of
No Concludin d value Bid was stage of
work completio
. g of work submitte Bid.
n
authority d
1 2 3 4 5 6 7
Statement enclosed Separately
 STATEMENT - V Signature of the Bidder
Availability of Critical Equipment
The bidder should furnish the information required below, regarding the availability of the
equipment, required for construction / quality control.

Sl. Number
Details of Number
No
Equipment required Owned Leased To be procured
.
1 2 3 4 5 6
Statement enclosed Separately

Signature of the Bidder

A declaration regarding the equipment owned shall be produced by the Bidder on a non-
judicial stamp paper of Rs: 100/- as below.

DECLARATION
“I...........................................................do hereby solemnly affirm and declare that
I / We own the following equipment for using on the subject work and also declare that
I / We will abide by any action such as disqualification or determination of Contract or
blacklisting or any action deemed fit, if the department detects at any stage that I/we do
not possess the equipment listed below.
Whether
Sl. Details of Year of Regn. Any
in
No each purchas Numbe Capacity other
working
. Equipment e r data.
condition
1 2 3 4 5 6 7
Statement enclosed Separately
 STATEMENT – VI.
Availability of Key Personnel
Qualification and experience of Key Personnel proposed to be deployed for
execution of the Contract.
Working
Sl. Details of
Name Designation Qualification with the
No Experience
Bidder since.
1 2 3 4 5 6
Statement enclosed Separately

Signature of the Bidder

STATEMENT - VII
Information on litigation history in which Bidder is the Petitioner.
Court Subject Matter /
S. Case No. / Respondents
where Prayer in the Present Stage.
No Year i.e., SE / CE
filed. case.
1 2 3 4 5 6
Statement enclosed Separately

Signature of the Bidder

STATEMENT – VIII
The details of similar type of work or works executed in last ten financial
years duly supported with certificates .The statement shall be furnished
financial year wise.

Address of Stipulated Value of Date of

Sl. Agreemen
Name of agreement Value of period of work completion
N t number
the work concluding contract completion executed
o and date
authority
Statement enclosed Separately

Value of work done year wise during the last ‘ten’ Total
years. value
… of
…. …. …. …. …. …. …. …. …. Work
Yr Yr Yr Yr Y Yr Yr Yr Yr Yr done.
r

Attach certificates issued by the Executive Engineer concerned and

countersigned by the Superintending Engineer showing work wise / year
wise value of work done and date of completion.

Signature of the Bidder