SCHEDULE-V

TECHNICAL QUALIFICATION

Engineer-in-Chief, RWS & Department, Director, Panchayati Raj Odisha Secretariat Bhubaneswar

NIT NO EIC/ RWSS/85/2021-22

RFP REFERENCE NO EIC/ RWSS/85/2021-22

District wise Implementation of LED Street Lighting System in 1 (one) Village
SCOPE OF WORK of each Gram Panchayat (GP) 30 Districts in Odisha on Turn-Key basis.

NAME OF PANCHAYATS UNDER THE DISTRICT Jagatsinghpur District

(Qualifying Requirement Data Applicable For Bidders seeking Technical Qualification Under e-RFP Documents).

To,
The Tender Issuing Authority,
Engineer-in-Chief, RWS & S Department

Dear Sir,
Inviting reference to the above, we confirm that we meet the qualifying requirement mentioned under Clause-4, Section-II of e-RFP Documents. The Details are given Below:

Name of the Bidder ELITE INDUSTRIES

Bid Proposal No & Date No. 2085 / Date: 10.03.2022

SL Technical Qualification as per Clause-4, Section- Documentary Evidence in support of Qualifying
BIDDER TO FILLED IN Requirement in (.PDF)
No II of e-RFP Documents.
A.Eligible Bidder:
I. Sole Proprietor/ Partnership Firms/ Company having
Electrical Contract License (MV and above) or HT I. Sole Proprietor having Electrical Contract License (MV) License.
License. a. MSME/Udyog Aadhar Registration Certificate, Factory License.
or b. Electrical Contractor License.pdf
II.OEM (LED Bulb) or any of its Authorized Dealer/ Distributor duly
authorized by the OEM to participate in the tender in Consortium with
Electrical Contractor having License (MV and above or HT License).
I (a). Whether Sole Proprietor/ Partnership Firms/ Company <Indicate> Sole Proprietor
I (b). Year of operation in India <Indicate> 2004
I (c). Whether worked as principal contractor or sub contractor
worked as principal contractor
<Indicate>
I (d). Whether possesses Electrical Contract License (MV and above) or Electrical Contract License (MV)
1 HT License.<Indicate>
I (e). Electrical Contract License No. <Indicate> 104320185405052021
I (f). Validity of Electrical Contract License. <Indicate> 05/05/2021 to 04/05/2024
II (a). Whether participate as consortium <Indicate> NOT APPLICABLE
II (b). Whether the lead partner of the consortium is OEM (LED BULB) or
its authorized dealer of in Odisha <Indicate> NOT APPLICABLE
II (c). Name of the consortium partner Electrical Contractors having
License (MV and above or HT License)
NOT APPLICABLE
II (d). Validity of Electrical Contract License of the consortium partner
<Indicate the No. & validity period> NOT APPLICABLE
II (e). Whether consortium partner submitted the consortium
agreement <Indicate>
NOT APPLICABLE

BIDDER:

Authorized Signatory ------------------------ Name: Rajesh Kumar Singh Designation: Project Head Address ------------------------ Company Seal ------------------------

Date:…………………………………..
1/2
 SL Technical Qualification as per Clause-4, Section- Documentary Evidence in support of
BIDDER TO FILLED IN Qualifying Requirement in (.PDF)
No II of e-RFP Documents.
B.Work Experience:
i. The Bidder as a Principal Contractor or as a Sub-Contractor must have
successfully completed and commissioned at least 05 (five) nos. of Electrical
Works viz; Installation of Street Lighting/Installation of DTR / Line Erection a. Details of Work Experiance.pdf
Works/ Installation of Electrical Meters/ Electrification of an Office Building b. Work Completion Certificate.pdf
of at least 10,000 sq. Feet during last 5 (five) Financial Years preceding to the
year of NIT as per the Work Orders and Performance Certificate issued by the
Concerned Utility.

Work Order/LOA Reference No-1 Parnika work completetion certificate_sitc.pdf

a. Work Order/LOA No.& Date
b. Name of the Client Parnika Commercial & Estates Private Limited
c. Work Order scope of works Internal & External Electrification SITC Work At ESIC 100 Bed Hospital Siliguri (W.B)
d. Work Completion period as per LOA/Work Order 03.11.2021
e. Date of Completion of works 22.01.2022
f. Work Completion Certificate Reference No. PCEPL/SILIGURI/ESIC/2021-22/29
Work Order/LOA Reference No-2 Parnika work completetion certificate_ITC.pdf
a. Work Order/LOA No.& Date
b. Name of the Client Parnika Commercial & Estates Private Limited
c. Work Order scope of works Internal & External Electrification ITC Work At ESIC 100 Bed Hospital Siliguri (W.B)

d. Work Completion period as per LOA/Work Order 03.11.2021

e. Date of Completion of works 22.01.2022
f. Work Completion Certificate Reference No. PCEPL/SILIGURI/ESIC/2021-22/30
Work Order/LOA Reference No-3 Elite_Amaze_ Work Completion Certificate.pdf
a. Work Order/LOA No.& Date AMZ/ELITE/CLW/2020-21/35 Dated 25/9/2020
2
b. Name of the Client Amaze Enterprises
c. Work Order scope of works Supply of Poles of 7M length alongwith 45 W street light light and 90 W street fittings.
d. Work Completion period as per LOA/Work Order 20.01.2021
e. Date of Completion of works 28.01.2021
f. Work Completion Certificate Reference No. Ref. AMZ/ELITE/CLW-AMZ/WCC-25
Work Order/LOA Reference No-4 Elite_Amaze_ Work Completion Certificate.pdf
a. Work Order/LOA No.& Date AMZ/ELITE/CLW/2018-19/26 Dated 25/11/2018
b. Name of the Client Amaze Enterprises
Supply installation & commissioning of LED 45 watt street light fitting complete with all
c. Work Order scope of works
accessories and lamps including electronic driver.
d. Work Completion period as per LOA/Work Order 24.05.2019
e. Date of Completion of works 10.03.2019
f. Work Completion Certificate Reference No. Ref. AMZ/ELITE/CLW-AMZ/WCC-25
Work Order/LOA Reference No-5 Elite_Amaze_ Work Completion Certificate.pdf
a. Work Order/LOA No.& Date AMZ/ELITE/CLW/2018-19/26 Dated 25/11/2018
b. Name of the Client Amaze Enterprises

Supply installation & commissioning of LED 48 watt street light fitting complete with all
c. Work Order scope of works
accessories and lamps including electronic driver.
d. Work Completion period as per LOA/Work Order 24.05.2019
e. Date of Completion of works 10.03.2019
f. Work Completion Certificate Reference No. Ref. AMZ/ELITE/CLW-AMZ/WCC-25
D. Other Documents :
I. PAN Card AECPS2621B Pan Card Dines Rajiv Shetty.pdf
II. GST Registration Certificate 26AECPS2621B1Z0 Elite Daman GST Certificate.pdf
3 III. Whether Submitted MAP
IV. Undertaking for not being black listed in recent past from any of the
Electricity Transmission Utility / Generation Utility / OWNER / Govt. Undertaking Elite_undertaking for not blacklisted.pdf
Of Odisha/ Central Govt.of India.

BIDDER:

Authorized Signatory ------------------------ Name: Rajesh Kumar Singh Designation: Project Head Address ------------------------ Company Seal ------------------------

Date:…………………………………..
2/2
 FORM–III
(Details of Turn Over)

1. BID Ref. No: EIC/ RWSS/85/2021-22

2. Name of the Districts Jagatsinghpur District

As per the format below the responding firm should provide information w.r.t.
project on the similar assignments required for evaluation of eligibility criteria along
with other documents.

B. Turnover of last 3 Financial Years as per the Audited Annual

Accounts. Turnover of last 3 Financial Years as per the Audited Annual
Accounts. It will be given in a separate sheet in the following format. (CA
Certificate is mandatory)

Name of Gross Trun Over

Financial Year (In Rs.)
Contractor
2018-19 47,88,95,475.00
2019-20 50,57,02,533.00
ELITE INDUSTRIES 2020-21 51,71,38,305.00
Total of Gross Turnover=A 150,17,36,313.00
Average Annual Turnover= A/3 50,05,78,771.00

Authorized Signatory ------------------------

Name Rajesh Kumar Singh
Designation : Project Head
Address

Company Seal
 FORM–III
(Details of Experience)

1. BID Ref. : No:EIC/ RWSS/85/2021-22

2. Name of the District : Jagatsinghpur District

As per the format below the responding firm should provide information w.r.t.
project on the similar assignments required for evaluation of eligibility criteria along
with other documents.

A. Work Experience Certificate. It will be given in a separate sheet in the

following format.

Sl. no Name of Department Year of Execution Amount of work

1 Internal & External Electrification SITC Work At ESIC 100 Bed Hospital
Siliguri (W.B). Work Order No : 2022 2,08,32,398.00
Internal & External Electrification ITC Work At ESIC 100 Bed Hospital 2022 41,96,759.00
2 Siliguri (W.B). Work Order No :
Supply of Poles of 7M length alongwith 45 W street light light and 90
3 2020 36,89182.00
W street fittings at CLW_Railway
Supply installation & commissioning of LED 45 watt street light fitting
4 complete with all accessories and lamps including electronic driver 2018 7,34,160.00
CLW_ Railway.
Supply installation & commissioning of LED 48 watt street light fitting
5 2018 7,48,432.00
complete with all accessories and lamps including electronic driver
CLW_ Railway.

Authorized Signatory ------------------------

Name

Designation

Address

Company Seal