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 Check List for Submission Of Tender above 2.0cr and below 50.0 Cr.

Evaluation wilr be done as per the information provided in the document

attached with tender.
Bidder may disqualifi€d, if documents are not attached properly.

Name of the Bidder

Requirements Related document As per SBD

contractor Registered *ith C.n@

Public Sector Undertakings or an Agency ofNational or International
repute may tender, but Rogistration with Building Construction
Departm€nt
will be essential after issue ofLetter OfAcceptance

ELECTRICAL REGISTARTION sELF REc oR suB coNrAaroRs AFFTDf,VnGLZffi

Legal Status Of Bidder INDTvtDUAI_/pARTNensHm

POWER OF ATTORNEY oF AUTHORTZED psnsoN ro slotr uolDnlcFowrE6F

Joint Venture >10 Cr. Document will be submitted as per RCD Letter f'{o.S131
dated 24.7.20L2

BID SECURITY (EMD) Nsc/TD/FDluNcoNDrloNAL BANK GUAnr.rrv(sG)pLEDGEDZSuED

AFTER DATE OF TENDER (AS PER CLAUSE NO. 16 OF SBD)

ANY SCHEDULE INDIAN BANK/ NATIONALISED BANK

TTACH PAN CARD.

GST REGISTRATION

LAST 5 YEARS ANNUAL IURN OVER SHEET, pRoFrr & Loss aNo auDn mpoiTlrti aiatteo

EXPERIENCE Of SIMILAR NATURE Of i) Nor LEss rHAN 5oz op rsffi

WORKS IX TO ITB SN.-19
ii) The completion Certificate shall be issued by employer not
below the rank of executive engineer or project manager. In case
Private client the completion certificate and valuation ofthe
issued by empioyer should be certified bv the retired
executive engineer/Registered Valuer of Nationalised
Company/lncome Tax Department.

Page 1 of 2
 equirements Related document As Per SBD

(A) QUANTITY OF WORK- EARTH /AMOT,]NT AS INDICATED IN ANY ONE YEAR IN LAST FIVE
woRK, ptLE woRK, (RCC/PCC, B/W YEAR ( QUANTITY EXCUTED MUST BE SATISFIED BY CONCERN
ENGINEER INCHARGE. [n case ofPrivate client the quantity executed wi]l
,FLOORING, PHE AND ELECTRICAL ETC ),
issued by employer should be certified by the retired executive
EXECUTED DURING LAST 5 YEARS.
Valuer of Nationalised Bank/lrrsurance Company/lncome
REQUIREMENT OF QUANTIry DEPEN DS
N TYPE OF WORK AND USUALLY 50% In case of specialised j ob like Fire fighting , tlVAC, Lift etc Sub
F QUANTIIY MENIIONED IN BOQ. ender may be aliowcd. But the subcontractor/ Vendor Nominated
(B) ln case of specialised job like Fire prime Contractor should required amountfquantity of experience. Exper€nce
fighting , HVAC, llFT ETC ofSub contractor?vgndor must be atlached-

AMOUNT OF EXISTING COMMITI\4ENTS AITACII AS PER SEC 2- 1.4(A) ( Bidder must decleare themsslve their all
AND ON GOING WORKS exising commitment hiding fact be bc sufficient cause for rejection)

AMOUNI OF WORK FOR ALREADY ATTACH AS PER SEC 2--I,4(B)

SUBMITTED

BIDDING CAPACIW ( BC AxNx3-B) SHOULD BE MORE THAN BID VALUE

PLANT and MACHINARIES AS PER SEC 2-I.5 MAX. AGE 5 YEARS ATTACHED OWNED
VOUCHER,/CASH MEMO/INVOICE AND AFFIDAVIT IN CASE OF
LEASED/HIRE ON AND AFTER DATE OF TENDER(Refor Departmental
letter no 5195 dt I 1-6.2019

KEY PERSON N EL AS PER SRC 2.I,6 ATIACI'II]D NECESSARY CERTIFICATE AND

BANKER,S CERTIFICATE FOR EVIDENCE
OF ACCESS TO OR
AVAILABILITY OF CREDIT FACILITIES
CURRENT AIIFIDAVII'OF' tsOTH EMPLOYEE AND EMPLOYER ON
AND AF]ER DATE OF 'I DNDER (Refer Departmental letrer no 5195 dt I 1-6-
2019
CERTIFICATE ISSUED t}Y I]ANK AS PER PRESCRIBED FORMAT IN
SEC-2 ON AND AF fDR DATE OF TENDER(Refer Departmental letter no
5195 dt l l-6-20r9)

ATTACH AFFIDAVIT AS PRESCRIBED IN SEC-2 ON AND AFTER DATE OF

TEN DER

U N DE RTAKING ATTACH AS PRESCRIBED IN SEC-2

LITIGATION H ISTORY ATTACH AFFIDAVIT AS PRESCRIBED IN SEC"2 ON AND AFTER

DATE OF TENDER

ATTACH SELF DECLARATION.

PROGRAMME Of CONSTRUCTION A_-ACI{ DESCR]PTIONS . DRA.WINGS AND CHARTS AS NECESSARY

IF YOU HAVE NOT BEEN DEBARED WRITE "NOT APPLICABLE" IN YOUR LETTER HEAD SCAN AND
UPLOAD IN THE NOC FOR DEBAR LINK

Note:-Attachment should bc sclf &ttested and should be attached as per above instruction, othcrwise it may be rejected IIl csse of
sign it is not required.

I, the undersigned, do hereby certify that all the statemc[ts mrde in the required attachme[ts are true and correct.

Page 2 ol 2
 Check List for Submission Of Tender >50
Cr.
Evaluation will be done as per the inform-ation
provided in thc document attached with
Biddcr mBy disquslilied, ifdocuments are tendcr.
n"t
"Ur"fr"a'f."p""fy.
Name of the Bidder

Requirements Related document

S]r-o:19 n?t h1/: any loss in more than two years durjng the Attache Audtt report of last ftveyearsiliy
years ending 31stlncurred
March ......
last five
Shcl'd have a so
:rlm-
Asency shoutd have to oroduce ernr"".orr"."y i-;n,i.r,J * '""' Banker'certificate on and after
Revenue solvency certificate of value not ress tnin 1o"i oi in. ..1il"t"o

ATTACHED AS pER ssc z_ia(Aia-il;;

(a)Amount of Existing commjtments must declarc themselves thei, all excising
and ongoing works in Rupees
hiding fact be suflcjenl cause for

(b) Anount of Work for which Bid aJready

subm,tted, in Rupees
ATTACHED AS PER SEC 2.-r.4(B)
t'Oo,.n auO".nr=@
,ork ano where N=Time of completion of the project.
SHOULD BE MORE TI{AN BID VAIUE
e uurrraclng rrrm/agency sha be a wel estabtGhEl-6idl6uGd_f_fr
r,

:i:?",,,,:::",ijl"",l3de,and
resistered u r"s"i""ii[ roi. ,,r,#,, p"iioo Company - Memorandum and anicles of
of 10^ years and having ""capaiity in fl,r" .*".uiion
and " association/Certificate of lncorporation .
"*puri"n"" oi
Firm " Partnershlp deed
lndividual - Reglstration
ln case orro,nt venture unutysir@ Name of organization should not vi[ii-the
subrn tted ( The documents wil be submitted as per RcD letter n different document presented also should
",ii'aii.i.i, J.V guidelines laid in said letter.

Contractor/ firms should have achieved BALANCE 5HEET, pnOftr a LOSS aNO a-Uorr
duflng last frve years in any one vear
a rnin.mun AnnJar f,nancra, turn over. (tn ';lg;;:Jr.n
,] il.r"r';;' ;;.
REPORT ( to be indexed at the rate of 8% for
Sgg{lqfq:gfyr ar .oast 5oo,o of rhe cosr of worr<
-
(i v'i 'v!' a year).

3(C) fhe.-cc"tiactir3 f,
Form 'B'Similar works comDleted
rast frve years,
:""1:r.:,"J"-1y,L9
tender). lreworks each costingendins fo".'n
Three similar
ouro* *0iot i"t"
not;ss tiran;iji" frrr, ir"riElll
11""r".:,5,:1^._"-:,-?'r
600/0
compreted two similar works each
Gixty percent) of the estimated .".t .; -.ti'rg ;"i i".. "l iL,
costing not less than 80% (eighty percent)
;;;;il;;";;:'.;;;:";
of tne estimateO cost.

3 (c) i a)
^Contractors/Firm,s
40% of estimated cost. OR
3 (c) l c)Cc":raclcrsiF
60% ol estimated cost. OR
c).completed one simita.@
lstimated cost.

lolu,-In..oro,.
*sineer or project manaser. tn case of private
ctienr rhe
"^j^:j.,::"::1y.:
completion ce.trficate and vatuatio; of the pri,;".t
iy'"r;;;r'r;:,
rhe reri,ed execulive ".ruO -i",*i O
5,
yfjf:*l':: -by co,puny,n-"";;i;;;#fi"#
"rsin"u+n"giJ,"r."d ,
srar l""i:::^r^::1,,1,,,un."
nave lo atso submtt oood ouality digital photographs r,iJ'lil",.
prolects of tn"
"orpfut"O

&- Page 1of 2

--
Requirements Related document

3(c)v str6[id hav, adequats capacity of carrying out submit certiflcates for capaclty of
worke (elecirioal contlEo.tor) ThBy should also plumbing work and"1( Class eledrlcal
"na
name of "t"ari.rt fire-fighting agency.
specialized contractor
submlt certificate for caPacltY of
work and" electrlcal work

CERTIFICATE ISSUED BY SANK AS PER

cr"oii anJ araiaoirity it ottrer financial rosourcas facilties( 10% of cost

Undertaklng should be submltted

minimum cash up to 25% of cost of work.

Crk, not properly completing the contrac{ , or

"Form G" attached affidavlt on and after date
failures^fleaknesses etc. oftender

ATIACHED SELF DECLAMTION.

Oath tc follow Labour fuile and Regulations as Per Govt norms'

Alfidavlt on and after date oftender

i;rm'E'and E-l AS PER SEC 2'1.6 ATTACHED

NECESSARY CERTIFICATE AND AFFIDAVIT OF
EMPLOYEE AND EMPLOYER ON AND
DATE OF TENDER

;;rm T'A5 PER SEc 2-1.5 MAx. AGE 5 YEARS

TTACHED OWNED VOUCHER AND
IN CASE OF LEASED HIRE ON AND

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