Form -6

CHECK LIST
Name of work : Landscaping and Development of Park at Sector 29 in Nava Raipur Atal

Nagar Raipur
NIT Number : 2/ Park Sector 29/MD /NRANSCCL/2020-21 Dated: 28-6-2021
Note :1. All yellow field shall be filled up / proper criteria selected.
2.
The uploaded checklist shall be again checked for its correctness. The same shall be checked as per tender coditions.
3. All amounts to be filled up shall be in in Indian Rupees
Last Date of online submission of Bid 7/20/2021
EMD Amount 690500
Tender cost (inclussive of GST) 10000

Reference
to clauses Details Fill up/ Select correct option
of DNIT
GENERAL IFORMATION
8 Tenderer’s legal name
Tenderer’s legal address

Legal Status of bidder

Whether supporting document in case of
Partnership firm (Partnership deed) / in case of
Corporation (Articles of association & copy of
incorporation) uploaded

Tenderer’s authorized representative

Name:
Address:

Telephone (10 digit mobile number)

Alternate phone number if any
E-Mail id:
4.1 Average Annual Turnover
Average Annual Turnover of the Bidder
Turnover enhanced @
Actual turnover (In Rs) 7% per anum
2015-16 0
2016-17 0
2017-18 0
2018-19 0
Average Annual Turnover for three year duly 0
enhanced @7%
Minimum Average Annual Turnover Required 41424000

Whether minimum eligibility crietria fulfilled

No
Whether Annual Turnover Statement signed by
CA
Whether Annual Turnover Statement Uploaded

Whether Average Annual Turnover Criteria

fulfilled
No

Page 1 of 8
Reference
to clauses Details Fill up/ Select correct option
of DNIT
4.2 Technical Criteria
4.2.A Registration of Bidder
Registered / Enrolled with
Registration valid upto
Last Date of online Submission of Tender 7/20/2021
Whether Registration valid as on last date of
submission
No
Tendering Limit Required (Amount in Rs.) 69040455
Tendering Limit of Bidder (Amount in Rs.)
Whether tenderer fulfills the tendering limit
criteria
No
Whether duly notarised Registration/
Enrollment document uploaded

4.2.B Similar Work Experience

Qualifying under how many similar work
criteria

1. Name of work

Work Executed with the Organisation (Write

name of the organisation)
Whether work is similar in nature / it contains
similar nature of work
Whether completion certificate issued
Whether work has been Satisfactorily
completed
Whether Completion Certificate signed by
official of the rank of Executive Engineer in case
of Govt. Department or of the rank of General
Manager in case of PSU.

Whether Completion Certificate Uploaded

Whether work order for the work uploaded (in

case similar work is part of the completed work
and completion certificate does not not
indicate similar nature of work)

Whether duly approved Copy of final bill

highlighting the amount of similar work
uploaded (in case similar work is part of the
completed work and completion certificate
does not not indicate similar nature of work)

Amount of similar nature work in the Executed

Work
Date of Actual Completion of work (as recorded
in completion certificate)
Cut off date for completion (Last 5 Year) 6/30/2016
Whether work completed within prescribed
period
No
Last Date of Online Submission 7/20/2021
Value of work after increasing @ 7% per
Annum
0
Required Amount of Similar Work
Whether required amount of similar work
criteria satisfied
No

Page 2 of 8
Reference
to clauses Details Fill up/ Select correct option
of DNIT
2. Name of work

Work Executed with the Organisation (Write

name of the organisation)
Whether work is similar in nature / it contains
similar nature of work
Whether completion certificate issued
Whether work has been Satisfactorily
completed
Whether Completion Certificate signed by
official of the rank of Executive Engineer in case
of Govt. Department or of the rank of General
Manager in case of PSU.

Whether Completion Certificate Uploaded

Whether work order for the work uploaded (in

case similar work is part of the completed work
and completion certificate does not not
indicate similar nature of work)

Whether duly approved Copy of final bill

highlighting the amount of similar work
uploaded (in case similar work is part of the
completed work and completion certificate
does not not indicate similar nature of work)

Amount of similar nature work in the Executed

Work
Date of Actual Completion of work (as recorded
in completion certificate)
Cut off date for completion (Last 5 Year) 6/30/2016
Whether work completed within prescribed
period
No
Last Date of Online Submission 7/20/2021
Value of work after increasing @ 7% per
Annum
0
Required Amount of Similar Work
Whether required amount of similar work
criteria satisfied
No

3. Name of work

Work Executed with the Organisation (Write

name of the organisation)
Whether work is similar in nature / it contains
similar nature of work
Whether completion certificate issued
Whether work has been Satisfactorily
completed
Whether Completion Certificate signed by
official of the rank of Executive Engineer in case
of Govt. Department or of the rank of General
Manager in case of PSU.

Whether Completion Certificate Uploaded

Page 3 of 8
Reference
to clauses Details Fill up/ Select correct option
of DNIT
Whether work order for the work uploaded (in
case similar work is part of the completed work
and completion certificate does not not
indicate similar nature of work)

Whether duly approved Copy of final bill

highlighting the amount of similar work
uploaded (in case similar work is part of the
completed work and completion certificate
does not not indicate similar nature of work)

Amount of similar nature work in the Executed

Work
Date of Actual Completion of work (as recorded
in completion certificate)
Cut off date for completion (Last 5 Year) 6/30/2016
Whether work completed within prescribed
period
No
Last Date of Online Submission 7/20/2021
Value of work after increasing @ 7% per
Annum
0
Required Amount of Similar Work
Whether required amount of similar work
criteria satisfied
No

Page 4 of 8
Reference
to clauses Details Fill up/ Select correct option
of DNIT
4.3 Submissions to support eligibility
4.3.a) Whether Letter of proposal signed by
authorised Signatory (Refer FORM -1)
Whether duly signed Letter of proposal
uploaded
4.3.b) In case of tender signed by Authorised person,
whether power of attorney on Rs 100 stamp
paper signed (Refer FORM -2)

Whether duly notarised power of attorney

uploaded
4.3.c) Whether Affidavit of Correct Information
signed on Rs 100 stamp paper (FORM -3)
Whether Affidavit of Correct Information
signed on Rs 100 stamp paper (FORM -3) has
been notarised

Whether duly notarised Affidavit (FORM -3) on

Rs.100 stamp paper uploaded
4.3.e) Whether Integrity Pact (FORM - 5) signed
Whether Duly signed Integrity Pact (FORM - 5)
uploaded
4.3.f) Whether GST Registration Available
GST Number
Whether Scanned copy of GST Registration
uploaded
4.3.g) Whether PAN Registration Available
PAN Number
Whether Scanned copy of PAN Card uploaded

2, 4.3.h) & Required Earnest Money Deposit (EMD)

7a) 690500
Amount of EMD submitted
EMD Format
EMD in favour of
Payable / Encashable at
Valid for
Whether EMD in prescribed format uploaded

2 & 4.3.i) Cost of Tender (including GST) 10000

Amount of online tender Cost paid
Whether online tender cost receipt uploaded

4.3.j) Whether All pages and all parts of tender

Signed by Authorised Representative
Whether all pages of tender sealed
Whether signed and sealed tender document
uploaded
4.3 Whether supporting documents notarised as
per tender conditions

ALL the above information is correct.

Signature of bidder

Page 5 of 8
C:- Landscape & Development of Forest Work (Mayawaki Method)
QTY RATE AMOUNT
A
1 64774.50 3.70 239665.65
2 64774.50 7.20 466376.40
B
4 6522 26088.00
26 649 16874.00
4 510 2040.00
2 70 140.00
60 639 38340.00
10 632 6320.00
6 790 4740.00
100 889 88900.00
30 182 5460.00
10 (i) 4 22626 90504.00
10 (ii) 2 24319 48638.00
17 2.00 9555.00 19110.00
18,A 4500.00 69.00 310500.00
18B 7500.00 49.00 367500.00
19 26800.00 69.00 1849200.00
20 b 150.00 1398.00 209700.00
20 a 120.00 5555.00 666600.00
21 3750.00 30.45 114187.50
22 i 2400.00 193.00 463200.00
22 ii 2400.00 160.00 384000.00
22 iii 3140.00 107.00 335980.00
C
1 28244.00 6.60 186410.40
2 150.00 125.00 18750.00
3 600.00 14.00 8400.00
4 3915.00 168.00 657720.00
5 6700.00 134.00 897800.00
6 6700.00 7.42 49714.00
7 434.96 14.00 6089.44
8 17550.00 21.00 368550.00
9 17550.00 13.00 228150.00
10 1170.00 37.00 43290.00
1 01 st year
a 564.00 170.00 95880.00
b 1344.00 5.50 7392.00
c 312.00 24.00 7488.00
d 40.00 200.00 8000.00
 02 year
a 564.00 170.00 95880.00
b 1344.00 5.50 7392.00
c 312.00 24.00 7488.00
d 40.00 250.00 10000.00

2a 6700.00 74.85 501495.00

2b 6700.00 33.45 224115.00
3a 3915.00 138.00 540270.00
3b 3915.00 138.00 540270.00
4a 28044.00 131.00 3673764.00
4b 28044.00 131.00 3673764.00
5a 750.00 74.85 56137.50
5b 750.00 33.45 25087.50
TATAL 17693360.39
14154688.31

55232000
16569600
69040455
0.799995