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Annexure-I

SUB: NTON AVAILABILITY AND CRETICALITY CHRTIFICATE

FOR EMERGENCY JOB CONTRACT/PURCHASH.

iiiil
1
DEPTT.

NAME OF THE WORK / ITEM.

(Detailed description)
SECTION DEPTT. CODE

i
, TEL.NO.

2 NO AVAILABILITY CONFIF3MATION
FROM STORE (lN CASE OF
PuF`CHASE ONLY
3 ESSTIMATED VALUE / AMOUNT(F{s.)

4 BUDGET PROVIsloN WITH A/C HEAD

5 FtEASON/JUSTIFICATION FOR
EMERGENCYJ OB/WORK/PURCHASE

6 EXPECTED T!ME SCHEDULE

• DT.OFCOMMENCEMENT

® DT.OFCOMPLET!ON

7 MODE OF TENDERING/METHOD OF
PLCEMENT oF oFaDEF`.
• SINGLETENDER
• PROPRIETARY/NON-PROPR.
• REPEATORDER
a SPOTTENDER
• RATECONTRACT
• PFtc)V!SIONAL ORDERDoPREFEF`ENCE/CLAUSE
8
® W!THCFA
S WITHOuTCFA

SECTION INCHARGE
si8natiire
Name
Designation :
Heacl of` Deptt.
Signature :
Name
Designation :
SR MGR. ST()RES
Signature :
Name

DE