post qualification form

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MAHARASHTRA INDUSTRIAL DEVELOPMENT CORPORATION (Government of Maharashtra Undertaking) DOMBIVLI DIVISION DOMBIVLI POST-QUALIFICATION FORM Tender Notice No.11(2) HQ of 2011-2012 (To be enclosed in Envelope No.1) Name of work: Taloja Water Supply Scheme...; Providing, laying & jointing 900mm dia MS pipes parallel to existing Taloja Feeder Pipeline & relaying of previously laid MS pipeline Balance Work from Ch. 0.0 to 2200.0 m. Estimated Cost: Rs.1,82,79,506.00 Submitted by : M/s.____________________________________ (T4520)

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Page 1: Post Qualification Form

MAHARASHTRA INDUSTRIAL DEVELOPMENT CORPORATION (Government of Maharashtra Undertaking)

DOMBIVLI DIVISION DOMBIVLI

POST-QUALIFICATION FORM Tender Notice No.11(2) HQ of 2011-2012

(To be enclosed in Envelope No.1)

Name of work:

Taloja Water Supply Scheme...; Providing, laying & jointing 900mm dia MS pipes parallel to existing Taloja Feeder Pipeline & relaying of previously laid MS pipeline Balance Work from Ch. 0.0 to 2200.0 m.

Estimated Cost: Rs.1,82,79,506.00

Submitted by : M/s.____________________________________ (T4520)

Page 2: Post Qualification Form

T4520

MAHARASHTRA INDUSTRIAL DEVELOPMENT CORPORATION (Government of Maharashtra Undertaking)

POST-QUALIFICATION FORM

Name of work : Taloja Water Supply Scheme...; Providing, laying & jointing 900mm dia MS pipes parallel to existing Taloja Feeder Pipeline & relaying of previously laid MS pipeline Balance Work from Ch. 0.0 to 2200.0 m.

INDEX

Page No S.No. Form

No. Description From To

1 Tender Notice 1 2

2 Instructions to contractors 3 3

3 Notes to Applicants 4 5

4 Conditions for Post Qualification 6 6

5 Direction for filling PQ form 7 9

6 Conditions for JV 10 10

7 Summary Sheet 11 14

8 Form A Statement of Machinery 15 15

9 Form B Statement of Manpower 16 16

10 Form C Statement for works executed 17 17

11 Form D1 Statement for works in progress 18 18

12 Form D2 Statement of works tendered for 19 19

13 Form E Work Experience Certificate 20 20

14 Form F Financial Statement 21 23

Page 3: Post Qualification Form

T4520 P-1

Page__________ of __________ total pages Contractor Exe.Engineer

MAHARASHTRA INDUSTRIAL DEVELOPMENT CORPORATION (A Government of Maharashtra Undertaking)

DETAILED TENDER NOTICE NO.11(2) HQ OF 2011-2012 1. Sealed tenders on percentage basis in B-1 Form are invited by the under-signed for the

work mentioned below from eligible contractors & will be received in sealed covers addressed to "The Chief Engineer(HQ), MIDC, Mahakali Caves Road, Andheri (E), Mumbai-93 or The Suptd Engineer(MMR), MIDC, Dombivli (E) or The Executive Engineer, MIDC, Dombivli Division, Dombivli (E)" duly superscribed with the name of work.

2. The DD for EMD & separate DD for the cost of blank tender of Natl/Schd Bank shall be drawn in favour of the Executive Engineer, MIDC, Dombivli Divn, Dombivli & enclosed in Envelope No.1 without which no tender will be opened.

3. An undertaking in the Declaration Form provided in the tender, must be signed by the contractor (to declare that no MIDC staff is enrolled as employee in the company). Otherwise tender will be summarily rejected.

4. The tenders shall be received in two envelopes. 1st Envelope shall contain DD for EMD/EMD exemption certificate issued by MIDC, DD for

cost of blank tender, qualification documents as specified in the tender, "Reply to Queries of contractors" duly downloaded from MIDC website & completed as specified in the tender & a covering letter and

2nd Envelope containing price bid in B-1 form duly downloaded from MIDC website & completed as specified in the tender.

5. The sealed tenders should be submitted either by RPAD/reputed courier service/hand delivery only. No tender will be accepted beyond the date & time given below:

1 Name of work Taloja Water Supply Scheme...; Providing, laying & jointing 900mm dia MS pipes parallel to existing Taloja Feeder Pipeline & relaying of previously laid MS pipeline Balance Work from Ch. 0.0 to 2200.0 m.

2 Estimated Cost Rs.1,82,79,506.00 3 E.M.D. Rs.1,37,100.00 by DD 4 Security Deposit Rs.5,49,000.00 or 3% of tendered cost whichever is higher by DD/BG of

Natl/Schd Bank Rs.9,14,000.00 or 5% of tendered cost whichever is higher thro' Bills. 5 Cost of Blank Tender

Form Rs.7,000.00 (by DD)(Non Refundable)

6 Time Period Nine calendar months including monsoon 7 Availability of blank

PQ form & tender 21.7.11 to 17.8.11 (to be downloaded from the MIDC web site "www.midcindia.org").

8 Queries of contractor Will be received on the website upto 5.8.11 9 Reply to queries Will be published on the website on 11.8.11 10 Last date of sub-

mission of PQ form & tender

24.8.11 upto 15.00 hrs.@ CE(HQ)'s office, MIDC, Mahakali Caves Road, Andheri (E), Mumbai-93 or SE(MMR)'s office,MIDC, Dombivli (E) or EE's office, MIDC, Dombivli Div, Dombivli (E) (by RPAD/reputed courier service/hand delivery only)

11 Date of opening of 1st Envelope

25.8.11 at 11.00 hrs. if possible @ SE(MMR)'s office, MIDC, Dombivli Div., Dombivli(E).The date, time & venue of opening of 2nd Envelope will be intimated to the contractors qualified by MIDC for this work, after scrutiny of PQ form.

12 Eligibility Contractors registered in Class-III & above with PWD, Govt of Maharashtra or in appropriate class with CPWD/ MES/ Railways/ MJP/ CIDCO & having experience of executing similar type of single work costing not less than Rs.92 lakhs in last 3 years & qualified by MIDC for this work.

13 Compensation Rs.3,000/- per day for delay in work execution 14 Validity of offer 180 days from the date of opening of the tender.

Page 4: Post Qualification Form

T4520 P-2

Page__________ of __________ total pages Contractor Exe.Engineer

Right to reject any or all the tenders without assigning any reason thereof is reserved by the competent authority. Additional details, if required, may be obtained from the office of the Executive Engineer, MIDC, Dombivli Division, Opp.Pendharkar College, Kalyan Road, Dombivli(E)-421203 (Ph:2471316, Fax:2471255) during working hours.

Executive Engineer, MIDC, Dombivli Division,Dombivli.

-------------------------- TENDER NOTICE ENDS ----------------------------

No.EE/TC/ /of 2011 Office of the Executive Engineer, MIDC, Division Dombivli, Opp. K.V.Pendharkar College, Kalyan Road, Dombivli(E) 421203. Date : 1. Copy submitted to the Chief Engineer(HQ), MIDC, Mumbai-93 for favour of information

please. 2. Copy submitted to the Chief Accounts Officer, MIDC, Mumbai-93 for information please. 3. Copy submitted to the Superintending Engineer(MMR), MIDC, Dombivli for favour of

information please. 4. Copy to all Exe.Engrs. in MIDC for displaying the tender notice on the notice board in their

office. 5. Copy to all Dy.Engr. under Dombivli Division for information. 6. Copy to guard file.

// BOOK POST // To,

M/s.______________________________ __________________________________ __________________________________

Page 5: Post Qualification Form

T4520 P-3

Page__________ of __________ total pages Contractor Exe.Engineer

IMPORTANT INSTRUCTIONS TO THE CONTRACTORS 1. Please answer all the questions.

2. Please fill up all tables properly.

3. All the information must be filled in the enclosed proforma only. The

information furnished in any other format will not be accepted except

annexures as mentioned under relevant clauses. Incomplete applications

or applications in other formats are liable for rejection. It may please be

noted that, if any information furnished in Post qualification form or the

enclosures/ annexures thereto is subsequently found to be false or

misleading at any stage of tender process or even after award of work,

severe action against the applicant will be taken by MIDC.

4. The contractor should ascertain that they fulfill post-qualification criteria.

The contractor who fulfills post-qualification criteria should only submit the

tender. The tenders of contractors who do not fulfill the PQ criteria will not

be opened.

Page 6: Post Qualification Form

T4520 P-4

Page__________ of __________ total pages Contractor Exe.Engineer

MAHARASHTRA INDUSTRIAL DEVELOPMENT CORPORATION (Government of Maharashtra Undertaking)

FORM GENERAL 1.1 NOTES TO APPLICANTS

Name of work : Taloja Water Supply Scheme...; Providing, laying & jointing

900mm dia MS pipes parallel to existing Taloja Feeder Pipeline & relaying of previously laid MS pipeline Balance Work from Ch. 0.0 to 2200.0 m.

Division : MIDC, Division Dombivli, Dombivli.

1. Please answer all the questions 2. Please fill up all tables properly. 3. Attach all necessary supporting documents. 4. Supplementary pages may be attached if required (strictly in the format given). 5. Please number each page in the space provided (at the bottom). 6. Financial data is to be given in Indian Rupees unless otherwise requested. 7. Each page should be duly signed by the applicant or his authorized

representative. 8. Please retain a copy of your complete submission. 9. No cost incurred by the applicant in making this document or making the

offer or providing clarifications and attending discussions or site visits will be reimbursed by the department.

10. Post-qualification form duly filled in by the contractor should be submitted in the office of the The Chief Engineer(HQ), MIDC, Mahakali Caves Road, Andheri (E), Mumbai-93 or The Suptd Engineer(MMR), MIDC, Dombivli (E) or The Executive Engineer, MIDC, Dombivli Division, Dombivli (E) on or before the date mentioned elsewhere.

11. All original certificates will have to be shown in the office of the Executive Engineer, MIDC, Dombivli Division with certified xerox copies of the original certificates for verification as & when required. The xerox copies will be retained in the office and original certificates will be returned immediately after verification.

12. Valid registration certificates in proper class will have to be produced (Class of registration: Class III & above with PWD, Maharashtra or in appropriate class with MES/Railways/CPWD/CIDCO/MJP) will have to be produced.

13. The information furnished must be sufficient to show that the applicant is capable in all respects to successfully complete the envisaged work.

Page 7: Post Qualification Form

T4520 P-5

Page__________ of __________ total pages Contractor Exe.Engineer

14. The applicant is expected to have visited the project site before submitting post-qualification form.

15. The conditional applications will not be treated as valid applications. 16. Right to reject any or all post-qualification applications of tenderers without

assigning any reason thereof is reserved. 17. Joint Venture or Association (of maximum 2 firms) will be allowed. It

should be noted that an agency shall be allowed to quote either individually or in associations. Joint Venture shall be allowed only for plant & machinery & consent letter of JV/Association should be submitted along with PQ. A MOU must be submitted along with PQ form on stamp paper of Rs.100/-. Each Joint Venture partner are requested to give an undertaking on stamp paper of Rs.100/- stating that he will make him as a Joint Venture partner along with main contractor firm M/s._________ only for this work & further he can not make a joint venture partner with other contractor/firm for this work. The main contractor shall furnish the joint venture constituting agreement along with other joint venture partner on Rs.100/- stamp paper along with PQ form only. The joint venture is allowed only for fulfilling technical & experience criteria. It is obligatory that the main contractor in the joint venture gets post-qualified individually for financial criterias as per the norms of MIDC.

18. Audited (& certified by CA) financial reports, balance sheets, profit & loss account statements etc should be produced for last 3 financial years.

19. Post qualification form & tender form duly filled in by the contractor should be submitted in the office of the Superintending Engineer(MMR), Dombivli or CE(HQ)’s office, MIDC, Mahakali Caves Road, Andheri (E), Mumbai-93 on or before the date mentioned in the tender notice.

20. All the information must be filled in the forms downloaded from MIDC's website only. The information furnished in any other format will not be accepted except Annexures as mentioned under relevant clauses. It shall be noted that, if any information furnished in PQ form or the enclosures/ annexures thereto, is subsequently found to be false/ misleading, severe action against the applicant will be taken by MIDC.

Page 8: Post Qualification Form

T4520 P-6

Page__________ of __________ total pages Contractor Exe.Engineer

Form General 1.2 CONDITIONS FOR POST-QUALIFICATION

1. The contractor/firm should have executed a single work of similar nature

having following disciplines, of atleast magnitude mentioned below in cost & quantity satisfactorily. The work completion certificate should be produced in the format given in Form ‘E’. Disciplines Details MS Pipeline work

The contractor should have executed single similar type of work costing not less than Rs.92 Lakhs.

2. The maximum of annual turnover in one of the preceding 3 financial years

should not be less than Rs.244 Lakhs. 3. The contractor/firm should own the following machinery/plant in good

working condition. (The details should be produced in the format given as Form-A). The machinery taken on lease agreement basis will not be entertained.

S. No.

Machinery Minimum Requirement

1 Concrete Mixer 1 No 2 JCB / Poclain 2 No 3 Dumper/ tipper 1 No 4 Dewatering set (5 HP atleast) 4 No 5 DG welding set 2 No

4. The contractor / Firm should have following experienced personnel on his

own pay roll. (A copy of Form No.24 of Annual Return filed with IT authorities or extract of employment tax register or extract from PF department should be produced as list of personnel working with the firm.

S.No. Designation Min. Requirement1 Project Manager 1 No 2 Civil Engineer 1 No 3 Supervisors 3 No

5. Bid capacity derived in Form-F should not be less than the project cost. 6. Contractor should have valid registration of work in Class-III & above as

mentioned elsewhere. 7. Valid registration under Maharashtra Sales Tax/VAT Act.

Page 9: Post Qualification Form

T4520 P-7

Page__________ of __________ total pages Contractor Exe.Engineer

DIRECTIONS FOR FILLING THE POST QUALIFICATION FORM (PQ Form) 1. The contractor should fill-up the blanks of the PQ form downloaded from

MIDC’s website. The duly filled & signed PQ form along with required documents shall only be submitted along with tender as stipulated in NIT. Each & every page of PQ form shall be signed by the contractor, without which the contractor shall not be post qualified.

2. The information submitted on contractor’s format ie. other than down-

loaded PQ form, shall not be accepted & rejected outright. 3. In case of joint venture, each member of joint venture shall submit the

Financial Statement ‘F’ separately & one of the partners (main partner) should individually meet the minimum requirements of financial indicators as mentioned in the PQ form.

4. No changes should be made in the script of the PQ form by the tenderer. If

any changes are found to be done on the downloaded document, then the contractor shall not be qualified for the work & his tender shall be rejected outright.

5. The tenderer who fulfills the post-qualification criteria shall only submit the

post-qualification form along with tender as stipulated in the NIT otherwise his post-qualification form & tender form shall be rejected outright.

6. In any case, subletting of work will not be allowed. 7. For every year, 10% increase in cost shall be considered from the date of

completion of work under ‘E’ Form (for which experience certificate is produced) upto the date of submission of PQ form & tender.

8. The terms & conditions of the PQ form shall be part & parcel of the tender

document. 9. Joint Venture is allowed as per the stipulated conditions.

Page 10: Post Qualification Form

T4520 P-8

Page__________ of __________ total pages Contractor Exe.Engineer

10. Important Note: (to be read & signed by the contractor). The contractor shall not be declared qualified unless he produces the required documents & information & fulfills the required criteria as listed below:

a) Certified true copy of valid registration as per clause under appropriate

class is not enclosed. The contractor or Joint Venture partner contractors must be registered with appropriate authorities as mentioned under tender notice.

b) The annual turnover of the contractor is less than as stipulated under

Clause 6 of Form General 1.3. c) Certified true copy of valid registration under Maharashtra VAT Act-2002

as per Clause 7(a) & (b) of Form General 1.3 is not enclosed. d) Does not own the machineries owned as required for the works & has not

produced sufficient proof as per Form-A in support of machinery owned by him. The rent agreement for hiring machinery shall not be accepted. (Joint Venture for machinery is allowed as mentioned in PQ Form).

e) Insufficient staff & does not produce the information in Form-B. f) If the list of works of similar nature in Form-C is not furnished.(The list of

one/two works which satisfies the norms of similar nature of work shall only be given for which he should produce experience certificate in Form ‘E’).

g) Work done certificate for similar nature of work is not submitted as per

Form ‘E’. (Only one/two certificates for the works which he claims to be the best & satisfying the required norms shall only be submitted).

h) If the list of works tendered for & in hand as per Form ‘D’ showing cost of

balance work is not furnished. i) If the actions as stipulated under Clause 3(a), 3(b) & 3(c) of tender are

taken & the work is rescinded due to poor performance of contractor.

Page 11: Post Qualification Form

T4520 P-9

Page__________ of __________ total pages Contractor Exe.Engineer

j) If the compensation is recovered for slow progress or bad quality of work,

the contractor shall not be qualified. k) If the financial statement in Form-F required as per Clause 15 of Form

General 1.3 duly signed by the Chartered Accountant is not furnished. l) If the bid capacity is found less than cost put to tender. m) The financial indices for any one of the 3 years are not meeting (Sr No.14,

15 to 17 of PQ form) n) If the information as stated above is found incorrect or misleading. o) The information submitted is not readable & certificates are not attested by

Gazetted Officer. p) The PQ form submitted is incomplete & every page of PQ form is not

signed. q) Information is not furnished in the PQ form downloaded from MIDC’s

website & any other PQ form is used by contractor.

Page 12: Post Qualification Form

T4520 P-10

Page__________ of __________ total pages Contractor Exe.Engineer

MAHARASHTRA INDUSTRIAL DEVELOPMENT CORPORATION (Government of Maharashtra Undertaking)

CONDITIONS FOR JOINT VENTURE

1. Maximum two contractors can make the joint venture for execution of work, if contractor desires to form a joint venture firm.

2. Joint venture agreement shall be notarized at the time of submission of

PQ form without which the contractor shall not be qualified. The contractor shall supply copy of registered JV partnership deed at the time of execution of agreement, without which agreement shall not be executed.

3. Joint venture firm is as whole & not as individual partners. 4. Joint venture firm shall be allowed in respect of work experience &

machinery only & no benefit can be availed for financial status. 5. Financial norms shall have to be satisfied by one of the partners (main

partner) of JV firm in respect of bid capacity, turnover & other financial indices.

6. Joint venture partners which are associated, should have executed the

specific work as mentioned under Sr.No.9 of PQ form & they should fulfill the financial indices, for the magnitude mentioned.

7. In case of joint venture, machineries owned by each partner can be

clubbed together to comply norms of machineries. 8. The PQ form shall be accepted in the name of joint venture firm only. 9. In case of joint venture firm, the partner who fulfills the financial norms,

should fill up the PQ form & all the partners shall have to produce the relevant documents as required & mentioned in PQ form.

10. When contractors submits the PQ form & tender in the individual capacity

satisfying the required norms & the same contractor submits the PQ form & tender as a joint venture partner, in such case the PQ form in individual capacity shall only be accepted. The PQ form & tender submitted in the Joint Venture capacity shall be rejected outright.

11. All joint venture partners shall be fully responsible for the satisfactory

completion of work.

Page 13: Post Qualification Form

T4520 P-11

Page__________ of __________ total pages Contractor Exe.Engineer

FORM GENERAL 1.3 SUMMARY SHEET

Sr. No

Item Details (to be filled in by the contractor)

For Office use only

1 Name of Contractor

2 Address, Phone, Fax No. & Email ID

3 Status of firm (Proprietory firm/ Partnership firm / Pvt. Ltd. Co. / Public Ltd. Co. / Co-op. Society / JV firm).

a) Class of Registration of the contractor

b) Validity of Registration

4

c) Authority issuing the registration certificate (Copy of registration certificate to be enclosed as Annexure-I)

If partnership/JV firm or a company, Names of Partners/Directors

1.

2.

3.

4.

5.

5

Are the JV partners registered in appropriate class as per tender notice.

Yes / No

I 2007-08

II 2008-09

III 2009-10

6 Annual Turnover of the firm for last 3 years (Rs. In Lakhs) (as certified by the Chartered Accountant vide Form-F)

Rs.

Rs.

Rs.

Page 14: Post Qualification Form

T4520 P-12

Page__________ of __________ total pages Contractor Exe.Engineer

Sr. No

Item Details (to be filled in by the contractor)

For Office use only

7 a) Whether the contractor is registered under Mahara-shtra VAT Act-2002

b) If so, whether the certified

copy of such registration is enclosed (as per Annexure II).

Yes / No

Yes / No

8 Whether copy of current Income Tax Clearance Certificate is enclosed (as per Annexure III).

Yes / No

9 a) Whether the contractor is having plant/ machinery/ equipments as per requirement of MIDC ?

b) If yes, whether information

in Form-A with document-tary evidence is furnished.

Yes / No

Yes / No

10 Whether the information in respect of trained & qualified staff has been given in Form-B with documentary evidence.

Yes / No

11 a) Whether the contractor has executed a single work of similar nature costing not less than Rs.92 Lakhs.

b) If yes, whether the

information in Form-C has been furnished.

c) Whether the certificates

from the concerned authorities in Form-E has been furnished (Value of work should be more than the amount mentioned at Sr.No.11a.

Yes / No

Yes / No

12 Whether the list of work in hand / tendered for is enclosed in Form-D.

Yes / No

Page 15: Post Qualification Form

T4520 P-13

Page__________ of __________ total pages Contractor Exe.Engineer

Sr. No

Item Details (to be filled in by the contractor)

For Office use only

13 State the amount of balance work vide Column 5 of Form-D.

Rs.______________Lacs

14 a) State in how many cases the notice under clause 3a,b,c was issued to the applicant during last 3 years.

b) State in how many cases the work was rescinded during the last 3 years.

c) If the work was rescinded, state the reasons for the same with documentary proof.

d) In how many cases com-pensation was recovered for slow progress.

______ Nos. / Nil

______ Nos. / Nil

______ Nos. / Nil

15 Whether financial information in Form-F duly signed by CA is furnished by the contractor.

Yes / No

16 State the bid capacity calcula-ted as per formula prescribed for the purpose (Vide Form-F) shall not be less than cost put to tender.

Rs.___________Lakhs

17 Whether the solvency certificate from any nationalised/scheduled bank am-ounting to Rs.37 Lakhs is produced

Yes / No

18 a) Total no.of civil engineering works executed by the contractor during last 5 years.

b) Out of above (Sr.No.18a) in how many works contractor claimed for idle machinery, labour.

c) Out of above (Sr.No.18a) in how many cases contractor has resorted to arbitration.

d) Out of above (Sr.No.18a) in how many cases contractor has approached Hon. Court

Page 16: Post Qualification Form

T4520 P-14

Page__________ of __________ total pages Contractor Exe.Engineer

The information given above & in the enclosed forms & annexures is true to the best of my knowledge & belief. I am/We are aware that, I/We will be disqualified at any stage of post-qualification or work will be withdrawn at any stage of execution, if any of the above information is found to be incorrect. In case of such eventuality, I/We will have no claim on the department. Date Signature of Contractor

(with seal) Accounts Officer/Sr. Accountant Exe.Engineer (Dombivli) SE (MMR)-Dombivli

Page 17: Post Qualification Form

T4520 P.15

Page__________ of __________ total pages Contractor Exe.Engr.

FORM – A LIST OF MACHINERY AVAILABLE WITH THE TENDERER WHICH WILL BE USED IN THIS WORK:

Name of Tenderer : Sr. No. Description of machinery / equipment/ plant #1 Machinery/ equipment

required for the work Macninery/ equipment owned by contractor

Machinery/ equipment spareable for this work

1 2 3 4 5

1 Concrete Mixer 1 No

2 JCB / Poclain 2 No

3 Dumper/ tipper 1 No

4 Dewatering set (5 HP atleast) 4 No

5 DG welding set 2 No

Documentary evidence of ownership of the machinery & copy of RTO’s Registration Papers must be produced. The supporting documents shall be legible & shall be attested by gazetted officer or MIDC officer. If the bidder does not own the machinery or if the information furnished is found to be false or misleading, he will not be qualified.

Page 18: Post Qualification Form

T4520 P.16

Page__________ of __________ total pages Contractor Exe.Engr.

FORM-B LIST OF TECHNICAL PERSONNEL OF THE TENDERER LIKELY TO BE APPOINTED ON THIS WORK

Name of Tenderer: Sr. No. Name of Person Designation / Holding

Post in the firm Academic Qualification

& Total Experience Experience with the firm &

Status in the firm Remarks & any

other points. 1 2 3 4 5 6

State only those personnel of the firm (& not associated with the firm) who are likely to be appointed on this project. The bidder should produce either a copy of Form No.24 of annual return of IT authority like extract of employment tax register

Page 19: Post Qualification Form

T4520 P.17

Page__________ of __________ total pages Contractor Exe.Engr.

FORM – C DETAILS OF WORKS OF SIMILAR TYPE & MAGNITUDE CARRIED OUT BY TENDERER

Name of Tenderer :

Sr. No. Name of Work

Name of Organisation & Place of work

Tender Cost Stipulated Date of completion

Actual date of completion

Principal features in brief

1 2 3 4 5 6 7

Total The contractor should have completed at least one work of similar nature as mentioned elsewhere in this document. Only one/two works which the contractor claims to be the best & fulfills the specified norms & for which he is able to furnish experience certificate in Form E shall only be mentioned

Page 20: Post Qualification Form

T4520 P.18

Page__________ of __________ total pages Contractor Exe.Engr.

FORM – D1 DETAILS OF WORKS TENDERED FOR & IN HAND ON THE DATE OF SUBMISSION OF THIS APPLICATION

Name of Tenderer : Works in hand Works tendered for Sr.

No. Name

of Work

Name of Organisation

& place of work

Tendered cost

Cost of remaining

work

Anticipated date of

completion

Estimated Cost

Date when decision is expected

Stipulated period for

completion

Remarks

1. 2. 3. 4. 5. 6. 7 8 9 10

Total Rs. Total

Rs.

Page 21: Post Qualification Form

T4520 P.19

Page__________ of __________ total pages Contractor Exe.Engr.

FORM – D2 WORKS FOR WHICH BIDS ARE ALREADY SUBMITTED BUT NOT AWARDED.

Please fill in information about all works for which bids are already submitted but not awarded. Name of Tenderer : Sr. No.

Description, location & type

of project

Capacity of the project

Estimated Value of contract

Name & address of employer

Stipulated time limit

Date on which decision is expected

Remarks, if any

1. 2. 3. 4. 5. 6. 7. 8.

Total Rs. Rs.

Suppressing any information will be viewed very seriously & will be liable to total disqualification.

Page 22: Post Qualification Form

T4520 P-20

Page__________ of __________ total pages Contractor Exe.Engineer

FORM-E CERTIFICATE FROM CONCERNED DEPARTMENT IN RESPECT OF WORKS

COMPLETED BY CONTRACTOR

1. Name of Contractor

2. Name of work

3. Estimated Cost put to tender

4. Tendered Cost

5 Major quantities / disciplines of the work executed

6. Period stipulated in tender for completion of work

7. Date of Work Order

8. Actual Date of Completion

9. If time over-run, the reasons for the same.

10. Final cost of work completed

11a. Had the tenderer started the work promptly after issue of work order

Yes / No

b. Had the tenderer maintained progress of work as per agreement ?

Yes / No

c. Quality of work Excellent / Good / Satisfactory

d. Compensation / Penalty levied if any with reasons

12. Any other fact about the overall performance of the contractor, the authority may like to mention.

Certified that the information given is based on the facts and figures recorded in this office through various documents & is true to the best of my knowledge & belief. Signature of Officer issuing the certificate (not below the rank of SE/EE)# Outward No.of Issuing Authority________________ Date : _____________ # Note : For works above Rs.1 Crore and above, no certificate issued by

officer below the rank of SE will be accepted.

Page 23: Post Qualification Form

T4520 P-21

Page__________ of __________ total pages Contractor Exe.Engineer

FORM-F FINANCIAL STATEMENT

1. Name of Applicant (in case of joint ventures / consortium, the names of the constituent firms).

2 Summary of Assets & Liabilities on the basis of audited financial statement of the last 3 financial years duly signed by C.A.

(Rs. In Lakhs wherever applicable)

Year 1 2007-08

Year 2 2008-09

Year 3 2009-10

a. Authorised Capital

b. Issued Capital

c. Paid up capital / partners / proprietors capital

d. Reserves & Surplus

e. Long Term Liabilities

f. Current Liabilities & Provisions

g. Total (c+d+e+f)

h. Net tangible fixed assets

i. Intangible Assets

j. Long Term Investments

k. Current Assets, Loans & Advances

l. Total (h+i+j+k)

m. Quick assets ie.cash & cash equivalent short-term investments and current receivables.

n. Net profit after interest & depreciation

o. Net Worth (c+d-i.)

p. Turn over in terms of value of Civil Engineering works executed during each year (as reflected in the Profit & Loss Account).

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T4520 P-22

Page__________ of __________ total pages Contractor Exe.Engineer

3. Ratios: i. Net worth to Long Term Liabilities

(o/e)

ii. Current Ratios (k/f)

iii. Quick Ratios (m/f)

iv. % of Net Profit to Capital Invested i.e. (n x 100) / (c + d)

4. Net Profit before Tax a. Current Period

b. During the last Financial Year

c. During each of the four previous financial years.

Certified that the facts & figures given above have been verified from the audited Balance Sheet as at the end of the respective year & the Profit & Loss Accounts for the respective year & are true to the best of our knowledge & belief. Signature of the Chartered Accountant (with seal & registration number)

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T4520 P-23

Page__________ of __________ total pages Contractor Exe.Engineer

Detail calculations for all the ratios should be submitted on separate annexure. 5. Applicants financial arrangements

(mention amount in Rupees)

a) Own Resource

b) Bank Credit

c) Others (Specify)

6. Certificates of financial soundness

from bankers of applicant together with their full address.Bank

7. Credit Facilities a. Name & address of the

Nationalised Bank providing Credit facilities

b. Total amount of credit line (attach certificate from the bank).

c. Approximate value of works in hand

d. Bid Capacity i.e. (A x N x 2) – B (shall not be less than the cost put to tender) Where

A= Maximum of the updated values of civil engineering works executed in one of the preceding 3 years. The updation of the value of work should be done at 10% per annum (compounded) by multiplying the values with applicable factor i.e. 1.1, 1.21 or 1.331 as the case may be.

B= Value of existing commitment and works (on-going or to be completed in the period stipulated for completion of the work in the present tender).

N= Number of years prescribed for completion of the project for which tenders are invited. (9 Months)

Signature of Chartered Accountant Signature of Contractor (with seal) (with seal)