PROFORMA TO ACCOMPANY THE PROPOSAL FOR EXTENSION OF TIME AS PER CHIEF

ENGINEER (R&B) CIRCULAR MEMO NO 114043-CONTR(1) 74 DATED 16-06-1974

1 Name of work :: Strengthening of PHC at Bukkapatnam

2 Estmate amount and Number
Sub Estimate amount
3 Head of Account to which the
expenditure is chargeable
(V)&(M),Vengalammacheruvu (V),Puttaparthi (M),
Kothacheruvu (V)&(M) and Puttaparthi (V)&(M)in
Anantapuramu District
:: 195.85 Lakshs
:: 4210-02-110-11-04-530/531

4 Agreement NO.and amount :: 34/2020-21, Rs. 12198645.00

5 Name and address of the contractor
6 The Division in which the work is
situated
7 Tender approving authority
:: M/s Sri J.Ram Mohan Reddy
Gunipalli (V),Anantapur District.
:: Dharmavaram
:: Superintending Engineer ,(R&B) Circle, Anantapuramu
Lr.No. 482/Building work/SE(R&B)ATP/ 2020-21, Dated
: 13-11-2020

8 Tender percentage :: 4.58 % excess over E.C.V framed with S.S.R. 2019-20

9 Date of handing over site to the :: 11/13/2020

contractor

10 Date fixed for completion of work as per :: 5/12/2021

agreement

11 Value of work done up to the agreement :: 74%, (Rs. 8165090.00)

date (which percentage)

12 Extension of time granted previously :: yes, upto 31-07-2022

13 The value of work done during the :: 2023560

extended period
14 value of work yet to be done :: 290786

15 provisions made in the estimate :: PHC at Puttaparthy,Bukkapatnam and

Vengalammacheruvu :
1) Flooring/Toilets
2) Joinery
3) Roof Repairs
4) Plinth Protection
5 )Painting
6 )Compound wall
7) CC Pavements and Internal roads
8) Wter supply and sanitary items

9) Electrical Items
PHC at Kothacheruvu :
1) Compound wall
2) CC Pavements and Internal roads
16 physical stage of work
17 Details of penalties.if any levied so far
18 If no penal action was taken, reasons
for not taking such action so far
19 The date up to which the extension of
time is applied for by the contractor
20 Extension of time upto which it is
necessary in the opinion of the EE
21 General Remarks of the Executive
Engineer (R&B) Dharmavaram
,Asst. Executive Engineer
Section, Puttaparthy )R&B(
:: Roof repairs,CC road,Flooring, painting,Water supply
and sanitary works and othe miscellaneous civil works
completed at PHCs of
Bukkapatnam,Vengalammacheruvu.ACP LED Board
erection is pending at all PHCs
:: NIL
:: No
:: 8/30/2022
:: 9/15/2022
::
,Deputy Executive Engineer
.Sub Division, Dharmavaram )R&B(