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?ender No.

2A20 PfilDRB 115069 t


" - OFFICE OF TIIE EXECUTIVE ENGINEER
P.W.D. (B&R) DIyISTON ru,jcann
.13 No. 07372_255050 Fax 07372_254109
Email- eepwdrajarh@mp.nic.in
Rajgarh dared 1-ql_l
./_., 7
- /.^_/ I

SECTION 5
ACRf,IMENT FORM

This asreement, madc on ihe 2s.0!.2021


Employer) (hcreiratier caltcd ,' the Emproye,)
*l"t*'rtfl'"llr. u"rreer p.w.D. Rajgarh (name and address of
\u., ,rrr,,*, . rn,,on'i ;,;, ,..;; ;;;1,,,n,,." sa.rsnpur Dislr.
Rni!.r.ri ruob. ro. r82a'289;56 (^rame and address
of conracroo rr*"n"r"r-.",,"a ,r," aontra*or,,of$e
pd,r. N er(.,. h( t.mr'o\e. i. d(,i,o_. other
rt,r. rt,e *"+ n.,. *..,,.ii.-.",.1,;;;:,;,_'.,rt,,rer\ur,.Di\i\ion
\:rr':,'rqt,rr.Ai,eir \o..L....1.2,rt0-'t,, rn,<dnd.den,i.,iun,,rrr.,;,'i:,r,.".,,,.,.r(indtrerca,cJ.rt,e
en'
l\ urk\')and thc F mpto\ e, hJs ;(c(Dted thc
Bid b1, ,t,. C*o*ro, fo. ,t.," .r"*ri* ,ri
and rhe r(rneLt) ing ol anl delectr thenin. of such Works
rr a pAC - t7.0, ,"".
6rr.*r" ".r,,*a,
,",,,* iOn noad and Bridge work
29.{)8.2017 Lrpro Amendmenls Upro.l:.03.202t
Completion period (t) ,"r,. .*a"rO*Or,*
Dale t6.t2..2020
l?)i:,):Jli,rr".,
D.ued 20.,r.i02r) (3) co**""' ,o r" rn*iii,i;;,,;;;.;"""r,",." No anr Da,c ?,,
NOW THIS AGITEEMENT WII^-[SSED
.l. In fiis Agreement. words and exDre
as fo ous:
,r,".;,iii""""tii]",,.."i#i,;:ffiT.:#:l,lJi::;J"::il",ffT]:i."j"il:j::T,iJ*;:,i:11j:
dnd cutFrrucLr .
pJr o, lr,. q_rect.rert.
'. lI cor,\'d(r .on. o. n(ta\r.rrl..Jl-cn,rdeb)tt,<tmp,oJer ro.J.eao
,.((onrr"c,o, ..rqbr lrJc.orr...er<.natlermenr.on(d,
rnren.n..ui.r ret.nioler
,,t.,f.i-
. l!*" " j, -,ror m.r\ in Jt, astcLr. s ,i.n r,,e pr","..,"i,","j.""11Ji.11.uo,n.u,,a,.,-,.0;,,1
i.;on. oi r.r. conLr-i
hc on,%. o. i co .idc J :or or hc (\cJU
;; ; : ii",:i:,n;T]::):,lill ::,'d:l"lt $hcrcin cunrruct on -nd Lunp,e ir
palable underthe provisions ofilr. Pricc or str(h other sum as may become
c
+. ir" rorr""i,g_a""i',,#;"ii._ -_, ;:;""t 1':'lrhc rimcr rnd in thc manner prcscribed bv the Contract.
--c ned to form anJ be rcJd\ rna conrr.uea as pan oflhis
\jz. Agrcement
i. lefter ofAcceponcc ii. Contractor,s
ilid iii. Condrrion ot Conracr: Ceneral and
r!. (-onlr.. r uard \. Bid uarx \ i. Dtu$ iIS. r Special
ii. Bi o, u,.rnr:L:e,a,a
viii. Any orher documents r;.tea i, *" t,i,r.a.i
tn \\ irnc\red \\hercot the oxnics rh
6""".J,."r11* ,11i"rr,," con,*r.
_
.r.r b(r^re \\rilr<.
e-c ln lr\e c_u'cd rrli' qgr<r' (rrr
Io b< cr(c.red rh( da) ,,nJ
)eJr
Co.n,.lon \eJl ot FmJ,,o) (r A (
.fhe ortro.roJ $a. hereur,lo at ,red in lhe
trc
.e. L< otl
;i!n,::;:::1".:.:r.r.i,:c(oh) e diJfu,UJcr As,.e.n.nr inrus;-...1,.op,-.,
Binding Signaorre of Cond;..........
Encl:- One copy Agrt.. tpD4'
- a/ E
Endi.\o........... ...... rc 2020_21 ' ""u@i*",
/CA.o. rB&R, Dr". Rajgarh
Cop) ro.- / tU Rajeathdated........ ...
I. AG M.p. Bhonat
2. Ctrret Enjire<r (CZ) p$ D BhoD.rt
pr\ D i^ 16;"
1, 2 sror-1
,' fl:.1'1,:i9:-,,.'l.,,cer
-. r-..A,.r.ldnlt gineerp\iD{88Ri\ubDi,i.ion.rrrn::purt.orne.e,iJnacr,,n
sDo,,u .-,,,.,,,,
i )i] i :ll"::..:.,:"l,,ro,r:r D sub D,,i.,,n.,l,,,:pu......
; ,"il:ij$,;l:L-i]l:,,,,
, 3: (Jn(
Lnct
r<.t, :.dt 5<c.iun D u,i"n
. op) A!1.
q,.ja,rt,

E\ccutiv(. Engineer
p.r1o.
Signaturer ocnr
Notoni nalgarrr
Verified
Bharat/Engtish Nivida 2020-2 I Digitally signed by HEMENDRA SHARMA
Date: 2021.01.30 14:13:09 IST
page 56
Location: Madhya Pradesh-MP

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