Government of Chhattisgarh: Ublic Orks Epartment
Government of Chhattisgarh: Ublic Orks Epartment
Government of Chhattisgarh: Ublic Orks Epartment
Issued to:
..
Name of Work: -
Qualification criteria
1
at the
earlier
(i)
tenderer
MUST
submit
detail
information
Availability
for
construction
Plants
and
machineries,
Key
equipments
required
for
establishing laboratories to perform mandatory
tests at the prescribed frequency owned/lease/on
hire, as stated in the enclosed list
M = 2.5
Note:
The statements showing the value of existing
commitments and on-going works, as well as the
stipulated period of completion remaining, for each of
the works so listed should be countersigned by the
Engineer-in-charge, not below the rank of an Executive
Engineer or equivalent.
(i)
ANNEXURE-1
Qualification Information
5
1.1
Constitution or legal
status of Bidder[attach
copy]
Place of registration of
Firm/ Company (in case
of other than
individuals)
Principal place of
business:
Name of Power of
attorney
holder
of
signatory
of
Bid
(bidder)[attach copy]
1.2
(Rs. in crores)
Finan
cial
Year
Civil engineering
construction work
Turn over in the
year
Add for
indexin
g
1.61
1.46
1.33
Total
Engineer
in
Chiefs
committee) indexed @
10%
(ten
percent)
compounded per year.
1.21
1.10
Note : 1.1
1.2
Mention and highlights the year, which the tenderer considers for
evaluation for the Committee
ANNEXURE-2
Information regarding minimum one similar work, performed by Prime Contractor.
(i)
(ii)
Name of
Employer
10
Note: (i) Attach certificates from the Engineer in charge not below the rank of Executive Engineer or equivalent
(ii) Tenderer may attach certified copies of work order and completion certificate issued by Engineer in charge not below
the rank of Executive Engineer
ANNEXURE-3
Work performed by Prime Contractor on all classes of Civil Engineering Construction Works over the last five
years
Year wise value of work done as per
certificate of employer
Sno
Project
Name
Contract
No.
Remarks explaining
reasons for Delay, if
any; and the
amount of
deductions due to
delay also mention if
any claim or dispute
is pending in any
forum.
Rs. In Lacs
10
11
12
13
14
15
16
Note: (i)Attach certificates issued by the competent authority of the Department (Engineer in chief's committee)
(ii)T.D.S. or other certificates shall not be considered for calculation of bid capacity.
ANNEXURE-4
Existing commitments and on going all classes of civil engineering construction works, by the Prime Contractor
Name
Value of Probable value Anticipated
Stipulate Anticip work done
&
Value Date of
of works
months
Stipulate d period ated
Descri Contra addres
of
Issue
up to date of remaining to
required for
Project
d Date of
of
date of
Sno
ption ct No
s of contra
of
issue of
be completed completion of
Name
Completi completi comple
of work &Year the ct(Rs. Work
N.I.T.(Rs.
(Rs. Lakhs) ** balance works
on in tion **
on
employ Lakhs). Order
Lakhs)**
months
er
10
11
12
13
Value of claims or
dispute if any,
pending
14
Note: (i) ** Enclose certificates from Engineer(s) in charge (Not below the rank of Executive Engineer or equivalent) for value of
work remaining to be completed, value of work done, anticipated date of completion.
(iii)
Tenderer may attach certified copies of work order issued by Engineer in charge not below the rank of Executive
Engineer
ANNEXURE-5
Availability of Major items of Contractor's Equipment proposed for
carrying out the Works. List all information requested below.
Item of
Equipme
nt
Total
number
available
Descripti
on,
make,
and age
(Years),
and
capacity
Conditio
n (new,
good,
poor)
and
number
available
4
Nos.
(i)Owned
, (ii)
leased,
or (iii) to
be
purchase
d
5
If these
are in use
in some
work,
mention
the
details.
6
No. of
equipments
proposed to
be utilised
in this
work (Out
of total
Nos.)
7
Note :- Enclosed the certificate for owned, leased and hiring of above plant and
machineries.
ANNEXURE-6
Qualifications of consultants /each technical personnel proposed for
the Contract.
Positio
n
Name
Note :-1(if
2-
Qualifi
cation
Date from
which they
are working
in the
bidders
organisation
4
Years of experience
Remark
Road
Works
Buildin
g
Works
Bridg
e
works
Other
s
5(a)
5(b)
5(c)
5(d)
If any personal is proposed to be engaged, furnish details here under:necessary use separate sheet for each for C.V.)(Enclose certificates)
If any technical persons are to be changed during the construction
periods, than it can be changed with prior intimation to the Engineer
in charge.
ANNEXURE-7
Financial reports for the immediate previous five years: balance sheets,
profit and loss statements, audited auditors' reports, etc., list below
and attach copies.
Year
Income Tax
Clearance
Certificate
(optional)
Balance
Sheet
Profit &
loss
statem
ents
Reserve
brought
forward
in any
Net
credit
Balance
if any
[for
debit
show
(-)]
Auditor
s
Report
Other
inform
ation if
the
bidder
wishes
to
submit
8
ANNEXURE-8
Information on current claims, arbitration, litigation in which the Bidder
is involved.
Sl. No.
Name of
Other
party(s)
Agt. No.
date year
and Deptt.
Brief of cause of
claims, arbitration
/dispute (give
reference of
contract details )
Where Litigation
pending (in the
department/Cour
t/arbitration)
(mention
Deptt./Court
/Arbitration)
Amount
involved/
claimed
ANNEXURE-9
Sl
.
Type of Equipment
Maximum
age as on
01.04.16
From Rs.
5 Crores
to Rs.10
Crores
From Rs.
10 Crores
to Rs.30
Crores
From Rs.
31Crores
to Rs.50
Crores
From Rs.
Rs.51
Crores &
above
(years)
1
Steel Shuttering
1000
Sqm
Steel Staging
80 T
Concrete mixture
with integral weight
batching facility
1 No
Concrete Batching
and mixing
Plant(minimum
capacity 15 cum per
hour)
1 No
Dewatering Pump 10
HP
6 Nos
2 Nos
3 Nos
Concrete Pump
3 Nos
Electricity Generator
2 Nos
1 No
Compressor Machine
1 No
Total
ANNEXURE-10
Type of Equipment
Maximum
age as on
01.04.16
(years)
From Rs.
11 Crores
to Rs.30
Crores
From Rs.
31Crores
to Rs.50
Crores
From
Rs..51
Crores &
above
Motor Grader
Dozer
Vibratory Roller
Water Tanker
Bitumen Sprayer
5-7
10
Tandem Roller
11
12
Total
Note
:-
ANNEXURE-11
Personnel
Project
Manager
Qualification
From Rs.
10
Crores
to Rs.30
Crores
From Rs.
30Crores
to Rs.50
Crores
From Rs.
Rs.51
Crores &
above
B.E.
Civil+15years
Exp. (5 years as
manager)
Site Engineer
B.E.
Civil+10years
Exp. (5 years in
roads
construction
Plant Engineer
B.E. Mech.+10
Years Exp. or
Dip. Mech+15
years Exp.
Quantity
Surveyor
B.E. Civil+7
Years Exp. or
Dip. Civil+10
Years Exp.
Survey
Engineer
B.E. Civil +5
years Exp. or
Dip. Civil+8
years Exp.
Total
Note :- The list of the Technical persons as mentioned above are tentative. S.E. of
the circle can modified the above list of the Technical persons as per their
requirements.
Annexure-12
Contact persons
Sl
No.
Name of
Engineer
Division
2
1
Executive
of
the Divisional
3
Y.K. Sonkar
P.W.D.
Bridge
Bilaspur
STD Code
Phone No.
Office/
residence
Name
District
07752
413523
of
Bilaspur
Annexure-13
Affidavit
IS/o...
Agedyearsresident..of . .
(address..)
6. I hereby authorize the PWD Officials to get all the documents verified from
appropriate source(s).
Deponent
(..)
Authorized signatory /
for and on behalf of
(affix seal)
Verification
IS/o. do here by affirm that
the contents stated in Para 1 to 6 above are true to the best of my knowledge and
believe and are based on my / our record.
Verified that this.. date of 200at (Place)
.
Seal of attestation by a Public Deponent
Notary with date (..)
Authorized signature /
for and on behalf of..
(affix seal)