TEST CHECK STATEMENT

BILL NO. - 3rd RA bill

Division Sub- Division

Name of Work :- Comprehensive Annual Maintenance contract of passenger Lifts(6 No. Lift in Hospital Building & 2 No. Lift
in Type V in Residential Complex at AIIMS Bhopal )

BILL NO. - 3rd RA bill

Agreement no.: 14/EE/ABEU/AIIMS/BPL/2019-20

Name of Contractor :M/s Johnson Lifts Pvt. Ltd. C.M.B :-

Sr. Ref. Of MB & Amount of AE Amount of EE
Description of Items Qty. Remarks
No. Pages Test Check Test Check
1

10

Assistant Engineer Executive Engineer (E)

ABEU AIIMS Bhopal ABEU AIIMS Bhopal
Name of Work :- Comprehensive Annual Maintenance contract of passenger Lifts(6 No. Lift in
Hospital Building & 2 No. Lift in Type V in Residential Complex at AIIMS Bhopal )

M/S Johnson Lifts Pvt Ltd

Bill : 3rd RA bill

File no-14/EE/ABEU/AIIMS/BPL/2019-20

Date of Issue : / / 2020

Vol -l

MB Page no.

Executive Engineer
ABEU AIIMS BHOPAL
 ABSTRACT
3rd RA bill
Name of Work :-Comprehensive Annual Maintenance contract of passenger Lifts(SH:6 No. Lifts in Hospital Building & 2 No. Lift in Type V of Residential Complex at AIIMS
FILE no -14/EE/ABEU/AIIMS/BPL/2019-20
Name of Agency -M/s Johnson Lifts Pvt Ltd
Date of start- 1/11/2018
Date of completion-31/10/2019
Extended date of comletion -NA
Date of actual completion-WIP
Tender cost-Rs. 14,08,464
Description
This bill Upto date
Previous Quoted rates for Previous Since previous Upto date
S.no Unit BOQ unit qty for Qty for Rate for 1 month Ref page
QTY 12 months amount amount amount
month month

Comprehensive maintenance of M/s Johnson make 26

Passenger Lifts, installed at AIIMS Hospital Building
which include routine, preventive and breakdown
maintenance i/c. repair/ replacement warn out items/
parts with minimum down time without changing
original design and warranty and guarantee of
repaired /replaced items etc. as required with
following specifications:-
(i) Speed = 1.00 mtrs/sec
(ii) Travel= about 13.5 mtrs
(iii) Floor= up Gr+3
(iv) Stops & Openings = 4 stops, 4 openings (All
opening on the same side)
(v) Controller = AC variable voltage & variable
frequency 6Nos for 6 Nos for 6Nos for
1 (vi) Operation = Microprocessor based duplex control Nos 12 month 0 3month 3month 179244.00 14937.00 537732 268866.00 806598.00
system with full collective system with /without
attendant.
entral opening brushed stainless steel finish
 Comprehensive maintenance of M/s Johnson make 08
Passenger Lifts, installed at AIIMS Type V Housing
complex which include routine, preventive and
breakdown maintenance i/c. repair/replacement
warn out items/ parts with minimum down time
without changing original design and warranty and
guarantee of repaired /replaced items etc. as required
with following specifications:-
(I) Speed = 1.0 mtrs/sec
(II) Travel= about 12.74 mtrs
(III) Floor= Gr+4
(IV) Stops & Openings = 5 stops, 5 openings (All 2 Nos for 2 Nos for 2 Nos for
2 Nos 0 333000 27750 166500 83250 249750
opening on the same side) 12 month 3month 3month
(V) Controller = AC variable voltage & variable
frequency
(VI) Operation = duplex control system with full
collective system

TOTAl 352116.00 1056348.00

S.D 2.5% 8802.90 26408.70
income tax 2% 7042.32 21126.96
LWC 1% 3521.16 10563.48
NET AMOUNT 332749.62 998248.86
SAY 332750.00 332750.00

CERTIFIED THAT:-
1. The work has been carried out as per Contract provisions ans specifications
2. No labour complaint has been received so far in this office.
3. No T&P was issued to the contractor.
 Measurement
3rd RA bill
Name of Work :- Comprehensive Annual Maintenance contract of passenger Lifts(6 No. Lift in Hospital Building & 2 No. Lift in Type V
in Residential Complex at AIIMS Bhopal )
FILE no - 4052/AMC of Lift/EE(E)/ABEU/AIIMS/BPL/18-19
Name of Agency -M/s Johnson Lifts Pvt Ltd
Date of start- 01/11/2018
Date of completion-31/10/2019
Extended date of comletion - 30/04/2020
Date of actual completion-
Tender cost-Rs 14,08,464/-
Description
This bill Upto date
S.no Unit BOQ unit Previous qty for Qty for Ref page
QTY
month month
 Comprehensive maintenance of M/s Johnson make 26
Passenger Lifts, installed at AIIMS Hospital Building
which include routine, preventive and breakdown
maintenance i/c. repair/ replacement warn out items/
parts with minimum down time without changing
original design and warranty and guarantee of
repaired /replaced items etc. as required with
following specifications:-
(i) Speed = 1.00 mtrs/sec
(ii) Travel= about 13.5 mtrs
(iii) Floor= up Gr+3
(iv) Stops & Openings = 4 stops, 4 openings (All
opening on the same side)
(v) Controller = AC variable voltage & variable
frequency 6 Nos for 6 Nos 6 Nos for
1 (vi) Operation = Microprocessor based duplex control Nos 12 month 0 for 12 6 month
system with full collective system with /without month
attendant.
entral opening brushed stainless steel finish From
01/05/2019-31/10/2019
 Comprehensive maintenance of M/s Johnson make 08
Passenger Lifts, installed at AIIMS Type V Housing
complex which include routine, preventive and
breakdown maintenance i/c. repair/replacement
warn out items/ parts with minimum down time
without changing original design and warranty and
guarantee of repaired /replaced items etc. as required
with following specifications:-
(I) Speed = 1.0 mtrs/sec
(II) Travel= about 12.74 mtrs
(III) Floor= Gr+4
(IV) Stops & Openings = 5 stops, 5 openings (All
opening on the same side) 2 Nos for 2 Nos for 2Nos for
2 (V) Controller = AC variable voltage & variable Nos 12 month 0 12 6 month
frequency month
(VI) Operation = duplex control system with full
collective system
From 01/05/2019-31/10/2019
 HEAD OF A/C - GRANT IN AID (CAPITAL WORK)
PROFORMA TO ACCOMPANY TO EACH BILL
1 Serial No. of Bill - 3rd RA Bill 3RD RA BILL
Name of work Comprehensive Annual Maintenance contract of passenger
2 Lifts(SH:6 No. Lifts in Hospital Building & 2 No. Lift in Type V of
Residential Complex at AIIMS
3 Agreement No./work order No. 14/EE/ABEU/AIIMS/BPL/2019-20
4 Name of Contractor M/s Johnson Lifts Pvt Ltd
5 Estimated Amount Rs. 14,08,464
6 Tendered Amount Rs. 14,08,464
7 Final Competition Amount WIP
8 Percentage Under Clause-12 NA
9 Date of commencement of work 1/11/2018
10 Stipulated date of completion 31/10/2019
11 Date of actual completion of the work completed WIP
Has the contractor applied for extension of time and has the application NA
been forwarded and recommended to the EE. Do you propose any
12 recovery for delay in completion of work?

13 Measurement Books.
a)     Give the number of accompanying measurement books 1
 
b)     Has the AE/EE test checked the measurements to the extent of 50%. YES PLEASE
 
c)     Has the EE Test Checked the measurements to the extent of 10% YES PLEASE
 
Has the contractor’s signature taken in the MB & Bill in taken of YES PLEASE
d)
accountancy of measurements
14 Additions, Substitution and Deviations NO
Have all extra/substituted items billed for been covered by proper NA
a)    
sanctions of reference to the letter under which the substituted items
 
statement have been sent for approval.
b)     If part rates have been proposed have been reasons given therefore. NA
 
Are the quantities deviated beyond permissible limits? If so give NA
c)    
reference to sanctions obtained for executing excess less quantities if
 
any, be stated.
d)     In the case of percentage rate tenders, reasons for excess in quantities NO
  if any
15 Site Order Book NO OBSERVATION RECOREDED
a)     Has the Site Order Book been consulted before sending the bills ALL SPECIFICATION & OBSERVATIONS COMPLIED
 
Has the contractor complied with all the instructions given to him YES
through site order book? If not AE to confirm that no item of work in
b)    
respect of which defects have been pointed out & which have not
 
rectified have been measured and recorded in M.B.

16 Issue of materials NA
Is recovery statement for issue of departmental materials attached? If NA
a)    
full recovery has not been made for materials issued departmentally.
 
b)     Has a statement of theoretical consumption been attached for NA
  materials?
If materials not stipulated. In agreements have been issued has NA
c)    
sanction of the competent authority been obtained and the issue rates
 
not approved.
d)     Are there any dismantled materials? If so, have they been accounted NA
  for property in the dismantled material register?
e)     Have unstamped dated receipts been obtained from the contractor for NA
  materials issued to him upto date?
f)       Have necessary T.E. orders for issued of materials to contractor NA
  submitted to Divisional Office?
17 Excess Over Estimate:
In case up to date expenditure on the work exceeds the permissible NA
limit of exceeds the permissible limit of excess over technical sanction
has a revised estimate been submitted to Divisional Office.
 18 Recoveries ALL STATUTORY RECOVERIES HAS BEEN MADE IN THE BILL
Have recoveries been proposed by the following officer and if so, has NA
the recovery been affected.
a)     Chief Technical Examiner, amplifying the nature of observations made, NA
  and whether any recovery is called for.
b)     Labour Enforcement Officer NA
 
c)     Labour Officer NA
 
d)     Any other Authorities NA
 
e)     Has recovery been affected for T&P issued to these contractors? NA
 
If water has been supplied under Clause 31 for the work, has the NA
19
recovery been made?
If T&P stipulated in the amount has been issued to the contractor has NA
20 the rate of recovery been approved by EE and has the recovery been
made?
Has the contractor returned empty gully bags/bitumen drums if not, NA
21
has recovery been proposed?
(In the case of final bill has the completion certificate been recorded in NA
22
MB? Give reference to MB & Page No.
In the Case of final bill has the contractors signed the bill/M.B. is full NA
23
and final settlement if not broad reasons may be given.
Whether the contractor has complied with the provisions of clause 36 NA
24
of the agreement and if not to what extent.
25 Whether the contractor submitted the fortnightly labour report. NA
Has the bill checked by the SDC & Certificate of check recorded by him AUDITING IS TO BE DONE IN FINANCIAL WING OF AIIMS BEFORE
26
in the MB. PAYMENT AND FINANCIAL CONCURRENCE
 FORM 26
1st RA Bill
(Referred to in Paragraph 10-2-12 and 10-2-14)

(Final payment must invariably be made on forms Printed on Yellow paper which should not be used for intermediate payments)
(For Contractor : This form provides for (1) advance payments and (2) Payment for Measured Works. The form of Account
Secured advances which has been printed separately should be attached, where necessary).

Division :- : SE Office,AIIMS BHOPAL

Comprehensive Annual Maintenance contract of passenger Lifts(SH:6 No.
Lifts in Hospital Building & 2 No. Lift in Type V of Residential Complex at
Name of Work : AIIMS
Name of Contractor : M/S johnson Lifts Pvt Ltd
Serial No. of this Bill : 3rd RA Bill
Work order no
14/EE/ABEU/AIIMS/BPL/2019-20
:
Date of start ; 1/11/2018
Stipulated Date of completion of work : 31/10/2019
Date of actual completion WIP
I. ACCOUNT OF WORK EXECUTED
Quantity
executed Payment on the basis of actual
Item of works (grouped under "sub-head" and"sub-works" of up-to-date measurements.
Unit Rate Remarks
estimate) as per Since previous
Up-to-date
measurem Bill
1 2 3 ent 4
book 5 6 7

As per bill attached 1,760,580.00 352,116.00

C/o Total 1,760,580.00 352,116.00

1 2 3 4 5 6 7

P-2

Total value of work done upto date (A) 1,760,580.00 352,116.00

Deduct-Valuve of work shown on previous bill - -
Net value of work since previous bill (F) 352,116.00
Figure "F" in words Three Lakh fifty two thousand one hundred sixteen only
When there are two or more entries in Column 6 relating to each Sub-head of estimate they should, in case of 'work the accounts of which are
N.B.:- kept by sub-heads, be totalled and the total recorded in column 7 for posting the work abstract.

(II Certificate & Signatures)

1 The measurements on which are based the entries in column 1 to 7 account I were made by agency on ….

2 Certified that :-
1. The work has been carried out as per Contract provisions ans specifications.
2. No labour complaint has been received so far in this office.
3. No T&P was issued to the contractor.

Dated Signature of Contractor

Executive Engineer

*Dated Signature of Officers authorising payment

(Financial Adviser)
Engineer In Charge
 (III. Memorandum of Payment)
P-3 Rs. P.
1 Total value of work acutally measured, as per Acct 1, col. 5 entry (A) ………………………………. 352,116.00
2 Total up-todate, advance payment for work not yet measured, as per details given below. (B) -
a) Total as per Previous bill ` -
b) Since Previous bill as per page …………… of M.B. No. …………… (D) -
c) MOBLIZATION ADVANCE -
3 Total "up-to-date" secured advance on security of materials as per annexure (Form 26A) Col. 8
4 entry
Total (c)
Items (1+2+3)
5 Less already paid 352,116.00
Since previous Bill -
Deduct Amount withhold -
Figures a) From previous bill as per last Running Account bill No ……… -
for works b) From this bill No.…………………….…………………………….. -
abstract 6. Balance ie "up-to-date" payment item (4-5) ………………… (K) 352,116.00
7. Total amounts of payments already made as per entry (K) of last Running Account Bill No
-
37 .. Of 13-08-2014…. Forwarded with accounts for …… 20 …….
8. Payments now to be made as detailed below :-
a) By recovery of amount creditable to this work.
Mobilization Adv. Principal Amount Rs P -

Total 5b+8a (G)

(b) By recovery amounts creditable to other work or heads of

accounts :
i) Income Tax 2% 7,042.32
ii) Building cess 1% 3,521.16
iii) Security deposited 2.5 % 8,802.90
19,366.38 IV)Deduction (b) -
332,749.62 (C) by Cheque K - a - b + d (C) 332,749.62
352,116.00 (H) Total 8(b)+(C) 352,116.00

Pay Rs. (320,477/- Rupees THREE LAKH TWENTY THOUSAND FOUR HUNDRED SEVENTY SEVEN ONLY
By Cheque
Dated initials of Disbursing Officer

Received Rs. (………………………………………….………..) ……………as per above memorandum on account of work

Date
Witness Signature of Contractor

Checked Account Clerk Divisional Accountant

P-4

Paid by me vide Cheque ** No. ………………………………………………. Dated :-

Dated initial of person acutally making the payment.

* This figure should be tested to see that it agree with the total of item …... & …...
* If the net amount be paid is less than Rs. 10 and it cannot be included in cheque the payment should be made in cash this entry being altered suitably
and the alteration attested by dated initials

Here specify the net amount payable vide item 8 (c).

The Payee's acknowledgement should be for the gross amount paid as per item 8 (ie a+b+c)
Payment should be attested by some known person when the payee's acknowledgement is given by a mark
seal or thumb impression.

(IV. Remarks)

( This space is reserved for any remarks which the Disbursing Officer or the Divisional Officer may wish to record in respect of the execution of the work,
check of measurements or the state of contractors amount)

FOR USE IN DIVISIONAL OFFICE

Checked

Account Cleark Divisional Accountant

FOR USE IN ACCOUNTANT GENERAL'S OFFICE

Audited
Auditor Superintendent Gazeted Officer
 1st RA Bill
Abstract of Cost

Comprehensive Annual Maintenance contract of passenger Lifts(SH:6 No. Lifts in Hospital Building & 2 No. Lift in Type V
of Residential Complex at AIIMS

Name of Agency:

Agreement no. 14/EE(E)/ABEU/AIIMS/BPL/2018-19

Bill No.: 3rd RA Bill

Sl. No. Description of item Quantity Unit Rate Amount

1. Round the clock running operation and minor maintenance of fire
alarm system and PA system in Hospital building, medical college,
Auditorium, Library, nursing college, hostels (Annexure I,II&III
attached) and as per direction of engineer – in charge in all day i/c
holidays.
etc. complete as required. by deputing the
following minimum staff.

a Operator cum technician (Skilled) Two Each in three shifts. 4 per month 152670 610680.00
()
B/F From This CMB No.……………….Pg. No. 1
b Khallasi (Unskilled) one no. in general shift. B/F From This 4 per month 18291 73164.00
CMB No.……………….Pg. No. 1
Total Rs. 683844.00
Contractors quoted percentage (2.99%) Below 20446.94
Total of schedule items 663397.06

Extra ITEM(APPROVED)
2 Operation and minor maintenance of CCTV system/EPABX system
in Hospital building & other bldgs in AIIMS campus Bhopal by
deploying fallowing staff in general shift as per direction of engineer
– in charge in all day i/c holidays etc. complete as required.
From 1march2019 to 30 may 2019 (3month)

a Operator cum technician ( Skilled) one Each in general shifts.B/F 3 per month 21129 63387.00
From This CMB No.……………….Pg. No. 2
B/F From This CMB No.……………….Pg. No. 2
Total Rs. 726784.06
i)S.D 2.5% 18169.60
ii) Income Tax 2% 14535.68
iii) Building cess 1% 7267.84
Net amount 686810.94
Say Rs. 686811

Certificate
1 The work has been carried out as per CPWD specifications & terms and conditions of agreement.
2 No T&P issued to contractor.
3 No labour complaint received so far.
 Sheet
3rd RA bill
Name of Work :- Annual routine maintenance of 4 Nos. KONE Make Lifts installed in Nursing Women at AIIMS bhopal
Hostels at AIIMS Bhopal
FILE no -4062/EE (E)/ABEU/AIIMS/BPL/18-19
Name of Agency -M/s KONE Elevators India Pvt Ltd
Date of start- 1/10/2018
Date of completion-30/09/2019
Extended date of comletion -WIP
Date of actual completion-WIP
Tender cost-Rs 4,22,451
S.no Description Unit BOQ unit This bill Up to Rate for Amount
qty for 6 date qty the
months for month
months

Comprehensive maintenance of M/s Johnson make 26 Passenger

Lifts, installed at AIIMS Hospital Building which include routine,
preventive and breakdown maintenance i/c. repair/replacement
warn out items/ parts with minimum down time without changing
original design and warranty and guarantee of repaired /replaced
items etc. as required with following specifications:-
(i) Speed = 1.00 mtrs/sec
(ii) Travel= about 13.5 mtrs
(iii) Floor= up Gr+3
(iv) Stops & Openings = 4 stops, 4 openings (All opening on the
same side)
(v) Controller = AC variable voltage & variable frequency
(vi) Operation = Microprocessor based duplex control system with
full collective system with /without attendant.

4 Nos for 4 Nos for 4 Nos for

Nos 12 month 6month 12month 52283.5 418268
TOTAl 418268
As tender is ABOVE 1.00 % 4182.68
sum 422450.68
Say TOTAL 422451
 Sheet
3rd RA bill
Name of Work :- Annual routine maintenance of 4 Nos. KONE Make Lifts installed in Nursing Women at AIIMS bhopal
FILE no -4062/EE (E)/ABEU/AIIMS/BPL/18-19 Hostels at AIIMS Bhopal
Name of Agency -M/s KONE Elevators India Pvt Ltd
Date of start- 1/10/2018
Date of completion-30/09/2019
Extended date of comletion -WIP
Date of actual completion-WIP
Tender cost-Rs 4,22,451
S.no Description Unit Nos L B H QTY

Comprehensive maintenance of M/s Johnson make 26 Passenger

Lifts, installed at AIIMS Hospital Building which include routine,
preventive and breakdown maintenance i/c. repair/replacement
warn out items/ parts with minimum down time without changing
original design and warranty and guarantee of repaired /replaced
items etc. as required with following specifications:-
(i) Speed = 1.00 mtrs/sec
(ii) Travel= about 13.5 mtrs
(iii) Floor= up Gr+3
(iv) Stops & Openings = 4 stops, 4 openings (All opening on the same
side)
(v) Controller = AC variable voltage & variable frequency
(vi) Operation = Microprocessor based duplex control system with 4NOS.6
full collective system with /without attendant. Nos
MONTH

EQ no 40203603( dt 1/04/2019 to 30/09/2019) 1no. For 6 month

EQ no 40203600( dt 1/04/2019 to 30/09/2019) 1no. For 6 month
EQ no 40203613( dt 1/04/2019 to 30/09/2019) 1no. For 6 month
EQ no 40203610( dt 1/04/2019 to 30/09/2019) 1no. For 6 month