1

For Authorized Use Only

IRRIGATION DEPARTMENT
UTTAR PRADESH

Lot No. 1

PRE-QUALIFICATION BID


For



Construction of Rapti main Canal and its Distribution System from
Km. 125.562 to Tail including earth work and pucca works in
Districts Siddhartha Nagar Gorakhpur & Maharajganj of U.P.





Superintending Engineer
Rapti Nahar Nirman Mandal- 2
Basti (U.P.)




The tenderers are advised to go through the prequalification
documents carefully and furnish the required details duly supported by
documentary evidence (which must be self attested), as their eligibility
for this contract will be decided on the strength of the
information/documents submitted by them.








2

INDEX



Page S.No. Contents
From To
1 Introduction and Salient Features 4 7
2 Tender Notice 8 12
3 Information and Instructions to Applicants 13 20
4 Letter of Transmittal 21 21
5 Form "A" (Questionnaire) 22 25
6 Form "B" (Financial, Business & Tech. Capability) 26 26
7 Form "C" 27 27
8 Form "D" 28 28
9 Form "E" 29 29
10 Form "F-1" 30 30
11 Form "F-2" 31 31
12 Form "G" 32 32
13 Form "H" 33 33



Note:- In Case of work executed in the past as joint ventures the certificate
enclosed in support of qualification criteria should indicate their share holding in
those joint ventures. Copies of those JV agreements should be enclosed with the
prequalification documents.
All necessary details about joint ventures must be submitted in Format 7.03 and
Form A to Form H

3

INTRODUCTION & SALIENT FEATURES
The State Government in the Cabinet meeting at Gorakhpur on 07.08.1976 considered
the proposal of extending the scope of Left Bank Ghaghara Canal Project to the Trans-
Rapti area and coverage of most of Ghaghara Rohini- Rapti doab. It was approved by
the State Government for Rs. 299.20 crores vide letter no. 284/82-83-4-23W/74 Dated
24.03.1982.
The Saryu Main Canal which off-takes from the left Bank to Saryu Barrage,
reaches the main water shed in Rapti-Ghaghra doab after traversing about 60 Kms. The
Rapti Link Canal takes off from left bank of Saryu Main Canal at Km. 34.6 and
negotiates Rapti river through a barrage cum-level crossing near Lachmanpurghat. The
Rapti Link Channel is 21.40 Km. long. The Rapti main Canal takes-off on the left bank
of Rapti Barrage and runs almost parallel to the Indo-Nepal international border. It is
essentially a contour channel and is the only means for providing irrigation in this trans-
Rapti area. The 125.6 Km. long Rapti Main Canal terminate on the right bank of
existing Banganga Barrage. CCA and discharge of Rapti Main Canal is 2.8 lac ha & 95
cumecs. respectively. The work is proposed to be completed by the year 2016.
The Saryu canal Project was last revised in November 2008. This project has been
found acceptable in 103
rd
meeting of TAC of CWC and investment clearance has been
issued by planning commission vide their letter No. 2(287)/2012-WR, Dated
16.04.2010 for Rs 7270.32 (Price Level 2008-09).

4

SARYU NAHAR PARIYOJANA
SALIENT FEATURES
1. SARYU BARRAGE 10 KM. Upstream of N.E.R. Bridge
1.1 Location 1. River Saryu
2. Tehsil- Nanpara
3. Distt. Bahraich
4. Longitude-81
0
25E
5. Latitude- 28
0
2 N
12. Catchment Area 1760 Sq.mile
1.3 Value of C in Dickens Formula 600
1.4 Designed Flood Discharge 460 Cumec
1.5 Length of Barrage 243.5 M
1.6 No. of Bays 12 Nos. of 18 M. each
1.7 No. of Piers 11 Nos. of 2.5 M. each
1.8 Gate Size a. 18x18x4.25 M
b. 2x18x4.45 M
1.9 Elevation of Crest 129.00 M
1.10 River Bed Level 129.00 M
1.11 Pond Level 133.00 M
1.12 Road Level 137.00 M
1.13 Energy Dissipation Device Dented Sill Device
1.14 Inlet Regulator
a. No . of Bays 18x8 M
b. Capacity 360 Cumec
1.15 Outlet Regulator
a. No . of Bays 14x8 M
b. Capacity 435 Cumec
2.0 RAPTI BARRAGE
2.1 Location 8 Km. From downstream of
Indo Nepal Border
Laxmanpurghat.
i. River Rapti
ii. Tehsil Bhinga
iii. District Bahraich
iv. Longitude 81
0
41 East
v. Latitude 27
0
51 North
2.2 Catchment Area 2589 Sq-mile
2.3 Value of C in Dicknes Formula 485
2.4 Designed Flood discharge 4990 Cumec
2.5 Length of Barrage 284.5
2.6 Nos. of Bays 14 No. of 18 M each
2.7 Nos. of Piers 13 Nos. of 2.5 M each
2.8 Gate Size 14x18x3M
2.9 Elevation of Crest 125.0 M
2.10 River bed Level 123.0 M
2.11 Pond Level 127.7 M
2.12 Road Level 133.0M
5

2.13 Energy Dissipation Dented Sill Device
2.14 Inlet Regulator
i. No. of Bays 4x8 M
ii. Capacity 95 Cumec
2.15 Outlet Regulator
i. No. of Bays 8x8 M
ii. Capacity 115 Cumec.
3.0 SARYU LINK CHANNEL (S.L.C)
3.1 Length 47.135 Km
3.2 Water depth 4.1 M
3.3 Discharge Head of D/S 435 Cumec.
0.9 Km. D/S 360 Cumec.
3.4 Bed Width Head of D/S 78.0 M.
13.7 Km D/S 73.0 M.
3.5 Bed Slope Head of D/S 0.12M/Km.
13.7 Km D/S 0.09 M/Km
3.6 Silt Ejector (Km.0.90)
i. Length 1.275 km
ii. Discharge 75 Cumec.
3.7 Escape (Km. 11.95)
i. Length 0.85 Km
ii. Discharge 150 Cumec.
3.8 Masonry Work
i. Syphon/Cross Drainage Works 07
ii. Railway Bridge 02
iii. P.R.B 01
iv. V.R.B 13
v. Foot Bridge 03
vi. Cross Regulator & Other Works 04
4.0 SARYU MAIN CANAL
4.1 Length 63.15 Km.
4.2 Water Depth Head of D/S 4.5Km.
34.7 Km/Ds 4.0 Km.
4.3 Discharge (in Cumec) Head of D/S 435
0.3 Km D/S 360
10.5 Km D/S 350
20.0 Km D/S 325
34.74 Km D/S 230
4.4 Bed Slope 0.09 M Per Km.
4.5 Bed Width Head 69.6 M
0.03 Km. D/S 66.2 M
10.2 Km D/S 62.4 M
20.0 Km. D/S 50.2 M
34.7 Km. D/S 50.0 M
4.6 Silt Ejector (Km.0.3)
i. Length 0.55 Km
ii. Discharge 70 Cumec

6

4.7 Escape (Km. 0.94)
i. Length 1.37 Km
ii. Discharge 90 Cumecs
4.8 Masonry Works
i. Syphon/ Croos Drainage Works 08 Nos.
ii. Railway Bridge 01 Nos.
iii. P.R.B 06 Nos.
iv. V.R.B 16 Nos.
v. Foot Bridge 01 Nos.
vi. Cross Regulator & Other Works 14 Nos.
5.0 RAPTI LINK CHANNEL (Km. 34.70 of
S.M.C)
5.1 Length 21.4 Km
5.2 Water Depth Head of D/S 2.75 M.
12.3 Km D/S 2.6 M.
5.3 Discharge (in Cumecs) 95
5.4 Bed Width Head of D/S 40 M
12.3 Km D/S 44M
5.5 Masonry Work
i. Syphon/Cross Drainage Works 04 Nos.
ii. P.R.B 02 Nos.
iii. V.R.B 05 Nos.
iv. Foot Bridge 01 Nos.
6.0 RAPTI MAIN CANAL
6.1 Length 125.582 Km
6.2 Water Depth Head of D/S 2.6 M
50.0 Km D/S 2.4 M.
70.0 Km D/S 2.2 M
100.0 Km. D/S 2.0 M
6.3 Discharge (in Cumecs) 0.00 to 50.0Km 95
50.0 to 70.0Km 75
70.0 to 100.0 Km 60
100.0 to 105.0Km. 40
105.0 Km D/S 20
6.4 Bed Slope Head of D/S 0.12M/Km
70.0KmD/S 0.15M/km
100.0 Km D/S 0.12M/Km
6.5 Bed Width Head of D/S 42.0 M
50.0 Km D/S 36.0 M.
70.0 Km D/S 30.0 M
100.0 Km. D/S 24.0 M
6.6 Masonry Work
i. Syphon/Cross Drainage Works 42 Nos.
ii. P.R.B 10 Nos.
iii. V.R.B 30 Nos.


7

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1. Construction of Rapti
main Canal and its
Distribution System
from Km. 125.562 to
Tail including earth
work and pucca works
in Districts Siddhartha
Nagar Gorakhpur &
Maharajganj of U.P.
32000.00 640
sa -ir
(iii
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300
+12.50%
VAT
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Qualification in Technical Bid will be made available on-line.
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12







INFORMATION
&
INSTRUCTION
TO
APPLICANTS


13



COMPETITIVE BIDDING
1. GENERAL-
1.01. Letter of transmittal and forms for pre-qualification are attached.
1.02. ALL INFORMATION REQUESTED FOR IN THE ENCLOSED FORMS SHOULD BE
FURNISHED AGAINST THE RESPECTIVE COLUMNS IN THE FORM. IF
INFORMATION IS FURNISHED IN A SEPARATE DOCUMENT, REFRENCE TO
THE SAME SHOULD BE GIVEN AGAINST RESPECTIVE COLUMN. IF
INFORMATION IS NIL IT SHOULD ALSO BE MENTIONED AS NIL OR NO
SUCH CASE IF ANY PARTICULAR QUERY IS NOT APPLICABLE IN CASE OF
THE APPLICANT IT SHOULD BE STATED AS NOT APPLICABLE HOWEVER,
THE APPLICANTS ARE CAUTIONED THAT NOT GIVING COMPLETED
INFORMATION IN THE FORMS REQUIRED OR NOT GIVING IT IN CLEAR
TERMS OR MAKING ANY CHANGE IN THE PRESCRIBED FORMS MAY
RESULT, THE APPLICANT BEING SUMMARILY DISQUALIFIED
APPLICATIONS MADE BY TELEGRAM OR TELEX AND THOSE RECEIVED
LATE MAY BE REJ ECTED.
1.03 All the information must be submitted in English or in Hindi.
1.04. The application should be type written or printed but not handwritten. The applicant's
name & signature should appear on each page of the application.
1.05. Overwriting should be avoided. Correction, if any, shall be made by crossing out,
initialing, dating and rewriting, all page of the tender document Shall be numbered
and submitted as a package with signed letter of transmittal.
1.06. References, information and certificate from the respective clients certifying
suitability, technical know-how or capability of the applicant should be signed by
the client.
1.07. The applicant is advised to attach any additional information which he thinks is
necessary in regard to his capabilities. No further information will be entertained after
submission of tender document unless it is called for by the Employer.
1.08. Applications are invited for complete work as detailed in the brief note of this
document, the tender document in the prescribed form duly completed and
signed shall be superscribed "Pre-qualification document for the Construction of
14

Rapti main Canal and its Distribution System from Km. 125.562 to Tail including
earth work and pucca works in Districts Siddhartha Nagar Gorakhpur &
Maharajganj of U.P. Documents submitted in connection with pre-qualification
Bid will be treated as confidential and will not be returned.
1.09. The cost incurred by applicants in preparing this application, in providing
clarifications or attending discussion, conference in connection with this
document will be borne by the applicant and the Employer will in no case be
responsible or liable for these costs, regardless of the conduct or outcome of the pre-
qualification process.
2. DEFINITION-
2.01 In this document the following words and expression have the meaning hereby
assigned to them.
2.02 EMPLOYER - means the Governor of Uttar Pradesh acting through, the
Superintending Engineer, Rapti Nahar Nirman Mandal-2, Basti, Uttar Pradesh.
2.03 APPLICANT- means the individual, proprietary firm, firm in partnership,
limited company, or a corporation eligible to tender.
3. METHOD OF APPLYING-
3.01 If the application is made by individual it should be signed by the individual
above his full typewritten or printed name and current address.
3.02 If the application is made by a proprietary firm, it shall be signed by the
proprietor above his full typewritten or printed name and the full name of his firms
with its current address.
3.03 If the application is made by a firm in partnership, it shall be signed by all the
partners of the firm above their full typewritten or printed names and their current
address, or alternatively by a partner holding power of attorney who shall accompany
with the application. A certified copy of the registered partnership deed and
current address of all the partners of the firm shall also accompany the application.
3.04 If the application is made by a limited company or a corporation it shall be
signed by a duly authorized person holding power of attorney for signing the
application in which case certified copy of the power of attorney shall
accompany the application. Such limited company or corporation may be required
to furnish satisfactory evidence of its existence registration of firm in company Act
before the pre-qualification application is filled.
4. FINAL DECISION MAKING AUTHORITY-
4.01 The employer reserves the right to accept or reject any or all application without
15

assigning any reason. For this action any claim from the firm/contractor will not be
entertained. (admissible)
5. PARTICULARS PROVISIONAL-
5.01 The particulars of the proposed work given in Chapter-I are provisional and must be
considered only advance information to assist applicant.
Particulars of Work
Name of the work
Construction of Rapti main Canal and
its Distribution System from Km.
125.562 to Tail including earth work
and pucca works in Districts Siddhartha
Nagar Gorakhpur & Maharajganj of
U.P.
Employer Superintending Engineer, Rapti Nahar
Nirman Mandal -2 Basti.
Period of Completion 30 Months (including Monsoon Period).
Estimated cost of the work. Rs. 320 Crores.

6. SITE VISIT-
6.01 The applicant is advised to visit and examine the site of works and its
surroundings & obtain for himself on his own responsibility all information that may be
necessary for preparing the pre-qualification application. The cost of visiting the site
shall be at applicant's own expense.
6.02 The applicant and any of his personal or agents will be granted permission by the
Employer to enter upon his premises and lands for the purpose of such
inspection, but only upon the express condition that the applicant, his personal and
agent from and against all liabilities in respect thereof and will be responsible
for personal injury (whether fatal or otherwise), loss of or damage to property and any
other loss, damage, costs and expenses however caused, which but for the exercise of
such permission would not have arisen.
7. ELIGIBILITY AND MINIMUM CRITERIA FOR PRE- QUALIFICATION

7.01 This invitation to Pre-qualification is open to all eligible applicants registered in Uttar
Pradesh Irrigation Department as Contractor of specified category.
7.02 To eligible for Pre-qualification, applicant shall provide evidence satisfactory to the
employer of their eligibility under sub clause 7.01 above, and of their capability
16

and adequacy of resources to carry out the contract effectively. To this end, all
application submitted shall include the following information.
(a) Letter of transmittal.
(b) Copies of original documents defining the Construction or legal status, structure of
organization, place of registration and principle place of business of the company
or corporation or firm or partnership in Form 'A'
(c) Reports on the financial standing of the applicant such as profit and loss statements,
balance sheets and auditor's report for the past three years including current year
estimated financial projection for the next two years, and an authority from the
applicant to seek references from the applicant's bankers Form 'B'
(d) Details of experience and past performance for the applicant in the construction of
spillway/ barrage/ concrete dam/ pump canal and similar civil engineering works
(Aqueduct/ Bridges/ Canal/ Canal lining works/Flood works river training works and
drains etc.) in part three years in Form 'C and details of current work in hand and other
contractual commitments in Form 'D'
(e) Major items of constructional plant proposed for use in carrying out the contract in the
format prescribed in Form 'E'.
(f) The qualification and experience of key personnel proposed for administration and
execution of the contract, both on and off site, in the format prescribed in Form 'F-l & F-2'
(g) Any other relevant additional information on Form 'G'
(h) Litigation History should be given on Form 'H' (Information regarding any current litigation
in which the applicant is involved. The Applicant should provide accurate information on
any litigation or arbitration resulting from contracts completed or under execution by him
over the last five years.
7.03 For the purpose of this particular contract, applicants should meet the following qualifying
criteria as a minimum.
(a) The applicant must be well established contractor with experience and capability in
construction of spill way/ barrage/ concrete dam/ pump canal and similar civil engineering
works (Aqueduct/Bridges/Canal/Canal lining works/Flood works river training works and
drains etc.)
(b) The applicant must give evidence of having adequate experience in mobilizing equipment
and personnel of large contracts and in the deployment of heavy equipment and in
using modern technology in construction of spill way/ barrage/ concrete dam/ pump canal
and similar civil engineering works (Aqueduct/Bridges/Canal/Canal lining works/Flood
works river training works and drains etc.)
(c) To qualify, applicant must have achieved as a minimum of the following performance.
,but in case of joint ventures maximum two member shall be allowed. The lead member has
to qualify full where as the other one has to qualify 50% of the S.No. 1 to 4 of the
17

qualifying criteria.




S.No. Description of Requirement Qualifying Criteria
1
Turnover The bidder should have annual turnover in Civil
engineering works of not less than Rs 150 crores in
any one year during the last Five Financial years
updated by giving 10% simple weightage per year to
bring them to Current Financial Year price level.
2
Net Worth The Bidder should have Net Worth of the previous
completed financial year shall not be less
than Rs. 75 Crores
3
Credit Facility Bidder shall submit a certificate in original
from Nationalized Banks or Scheduled banks, other
than a cooperative bank, located in India that the bank
shall extend a credit limit to the
extent of Rs.30 Crores for this specific work
independently.
4
Financial Soundness
(Profitability)
The bidder shall submit audited financial statements
supported by Income Tax Returns for the last 5
financial years to demonstrate the current
soundness of the Bidder's financial position and its
prospective long-term profitability.
5
Similar Work Bidder should have executed at least (1) one number
of similar Work from each of the following:
(a) Spillways / Dams / Barrages / Aqueducts / River
& Canal Bridges /Tunnels,
(b) Canals/ Canal Lining works / Flood works and
river training works and / Drains etc.
In case of joint venture the lead member has to be
qualified for all the requirements and IInd member
has to qualify for one of the above.
6
Similar Nature of Work
(Value)
The bidder should have satisfactorily completed
similar work (completed not less than 90% of
contract value of the said similar work) of value Rs
150 Crores and above as a contractor in the same
name and style during any one in the last 5 Financial
years updated by giving 10% simple weightage per
year to bring them to Current Financial Year price
level.
7 Design Experience The lead member should have in house capacity for
design office backup and field backup having
experience in structural and hydraulic design for
NOF, Spillway, Earth dam, Hydraulically operated
Gates and other hoisting arrangements and hoist
bridges, Construction of River Sluices, off take
sluices and river training works etc., or design of
similar works as per the requirement of project or
should have MOU with such firm of experience.
18

8 Earth Work Bidder should have executed ..50,00,000..cum of
Earth Work in any one year during last 5 financial
years. For J V member it should be 20,00,000 m3

9 Concrete Bidder should have executed...50,000 .cum of
Concrete in any one year during last 5 financial years
and as in joint venture IInd member should have
executed 50% of the above.

10. Dewatering Bidders should have experience of dewatering up to 5
Mt. head for construction of the similar nature of
work for alluvial soil.
11 Any Other Major items

Note : Specific to the
Contract/
Project.

Attach separate sheet including photographs CDs
etc.
Submit certificates acquired from the previous
employer not below the rank of Superintending
Engineer to support your suitability.
12. Registration at Irrigation
Department
all applicants must be registered in Uttar Pradesh
irrigation Department as Contractor of specified
category. In case of J oint Venture, both J .V. and
Principal firm must be registered in the same category
(AA) in U.P. Irrigation Department.
13. ISO Certification The Bidder should have Valid ISO certification. and
J oint Venture member should also have Valid ISO
certification.

14. Bid Capacity The Bidder should have the Assessed available Bid
capacity as per formula (2AN-B) should be greater
than the Estimated Value of the work

A=Maximum Value of Civil Engineering works
executed in any one year during the last Five years
(updated to Current Financial Year price level) taking
into account the completed as well as works in
progress.

N=Number of years prescribed for completion of the
works for which tenders are invited.

B=Value of existing commitments and ongoing
works to be completed during the period of
completion of the project for which tenders are
invited.

Note:-
(i) I n case of work executed in the past as joint venture, the certificate
enclosed in support of qualification criteria should indicate their share
holding in those joint ventures. Copies of those J V agreements forming
part of those contract agreements should be enclosed with the pre-
qualification documents.

(ii) All applicants are requested to provide above mentioned information
which is required for prequalification should have been strictly based on true
fact. All information must have been issued from the organization, where the
19

applicants performed their civil engineering construction works.

(iii) Pre-qualification application supported by prescribed forms attached,
should be signed by firms/contractors and will be submitted in sealed envelope
by Registered post or directly in the mentioned offices till up to date
Firms/contractors must have superscribed the name of work on sealed
envelope with their signatures.
(8.0) PRICE BIDS
8.01 After evaluation of pre-qualification applications, a list of qualified tenders will be
prepared. Therefore, only those applicants who prequalify for work will be invited
to submit sealed price bids, Employer will notify the successful applicants in writing by
registered post that he has been pre-qualified for submitting price bids.
DECLARATION TO BE FURNISHED
I/We hereby declare that the information furnished by me/us is true statement of facts.
Date ................ (Name &Designation and Title of person signing)
20

LETTER OF TRANSMITTAL
(TO BE FILLED BY THE APPLICANT)
For pre-qualification
To,
The Superintending Engineer
Rapti Nahar Nirman Mandal-2, Basti.

Construction of Rapti main Canal and its Distribution System from Km. 125.562 to Tail
including earth work and pucca works in Districts Siddhartha Nagar Gorakhpur &
Maharajganj of U.P.
Sir,
Reference to your advertisement No. ................................................................
dated .......................... I/We are interested in getting ourselves pre-qualified for the
aforesaid work in district Siddhartha Nagar Gorakhpur & Maharajganj of U.P.
Enclosed herewith please find the questionnaire duly filled in along with the
document listed below for perusal and consideration. I/We agree to abide by the terms
and conditions as stipulated in pre-qualification documents and to be prescribed by the
Irrigation Department, Uttar Pradesh from time to time in this respect.
List of documents enclosed :-
(i)
(ii)
(iii)
(iv)
(v)
(vi)
Your's faithfully
Name.................................................................
Designation :
(For and on behalf of contractor)


21


QUESTIONNAIRE FOR QUALIFICATION
FORM- A
SI.
No
Question
Replies by the
Firm/Contractor
1. Name of firm-

2. Nationality of firm -

3. Registered office Address-Address-

4. Head office Address-Telephone-Telex/Tele-Fax

5. Former name of company (if any)

6. Branch office and Address-

7. Status of organization-Individual Partnership

8. Year when establishment and where-

9. The firm is a



a) Member of a group of companies (if yes, give
name address, connection and descriptions of
the other companies)

(b) Subsidiary of large organization (if yes, give
particulars)-




22

10. Has your firm worked as a,
i) J oint venture-
ii) Prime contractor or
iii) Sub-contractor (if yes, please give name
and address of prime contractor and detail
of contractor)and,
- arrangement with the prime contractor)

10.
a.
Have you executed works in the following areas
in last three years, construction of the
spillway or dam or type of hydraulic
structure on major river in alluvial soil and
on hard rock or similar work if so, please
furnish details and particular of such
work/works in the relevant format.

b. Attach a note as per format highlighting the
detail of works indicating degree of
mechanization adopted, major equipments
used and time schedule adhered to in respect of
each of the major works pertaining to
construction of spillway/ barrage/ concrete
dam/ pump canal and similar civil engineering
works (Aqueduct/Bridges/Canal/Canal lining
works/Flood works and river revetment and
drains etc.)

c.
What best describes your firm,
a) Engineer & Contractors
b) Consulting Engineers & Contractors,
c) Contractors,
d) If other, please specify.
e) Quantity of concrete executed per year in
last Five years in any work under Central/State
Govt. or in P.S.U. of India. Give details with
attested certificate from official not less than
the rank of Superintending Engineer of the
department concerned.


23

11. Are you registered with any other Govt.
Deptt./Public sector undertaking (If yes, give
details)

12. Are you working any where on turnkey
basis (if yes, give details)

13. What type of work you usual l y
subl et? (I f yes, give details)

14. For what countries/states/cities have you
performed such work (Give reference)

15. For what Bureaus of Deptt. have you
performed such work (Give reference).

16. Have your ever failed to complete any work
awarded to you (if so, give particulars)

17
a.
In how many project have you asked for
arbitration (if so, give details) how many cases
were settled in your favour? (Give detail)

18. In how many projects were you saddled with
penalties for delay?

19. In what other line or business are you engaged?

20. Do you have material testing laboratory and
mobile laboratories? (give details)

21. Were you ever debarred for tendering by any
Govt. Deptt./Public sector Undertaking of
India or any other country? (Give details)

22.
a.
For how many years have you been in business
under your present business name?

b. What were your working fields when your
organization was established? whether any new
work areas were added in your organization? If
so when?

23. In what field do you claim specialization?

24. What are you sources of finance? (Please give
details, bank reference in the prescribed format)
-

25.
a
Have your company ever been declared
bankrupt? (if yes, please give details) -

24

b. Were you ever asked to suspend construction
work for a period of more than six months at a
stretch after start of work? If so, give details.

26.
a
What is the maximum value of project/work
that you have handled so far? (give details).

b. What is the maximum value of the single
contract that you have handled so for? (give
details)

27.
a.
Give the last three years account with
auditors reports, balance sheets, profit and loss
account.

b. Attach a attested photocopy of last year's
income tax clearance certificate.

28. Do you intend to associate any other
organization, for the works for which you are
applying? if so, please give full particulars and
deed execute with that organization
separately under each head of questionnaire and
forms.

29. Whether the firm/contractor have criminal
record. A certificate on this regard from the
district magistrate is to be attached.

I/We hereby declare that the above information furnished by me/us is a true
statement of facts.

Signature of
Contractor/Firm
25

Form - 'B'
FINANCIAL, BUSINESS AND TECHNICAL CAPABILITY
NAME OF FIRM -
NAME OF PARTNERS/DIRECTORS. -

Address of applicant
Telephone No-
Latest balance sheet filed with ...........................on.....................................attach a copy.
Latest profit and loss statement from............................to ........................filed with ..................
on ......................... attach a copy.
Financial Position
a) Cash
b) Current assets
c) Current liabilities
d) Working capital
e) Net worth.
Total Liabilities
a) Current Ratio Current Assets to current Liabilities-
b) Acid Test Ratio Cash, temporary investment held in lieu of cash and current
receivable to current liabilities.
c) Total liabilities of Net worth.
Capital-
Authorized-
Issued-
Annual value of construction work undertaken of each of the last five years and project for
current year.
Year 2008 2009 2010 2011 2012
Home

Abr oad

Net Profit Before Tax-
a) Current Period
b) During the last financial year-
c) During the year before last financial year-
The profit and loss statements have been certified through ...................................................
by ..............................................................................................................................................
Applicant's financial arrangement (Check appropriate item)
a) Own Resources-
b) Bank credits -
c) Other (Specify)
26

FORM - 'C'
Work of similar type and magnitude to work under consideration
Work Substantially Completed by the Contractor / Firm

Sl.
No.
Name of work Place &
Country
Tendered
Cost
Period of
completion as
provided in
the original
agreement.
Time in
which
completed
Cost of work
on
completion
Principal
features
Claims filed
by the
applicant
1 2 3 4 5 6 7 8 9

















Signature of Contractor/Firm

Note : Attested copies of certificates should be enclosed as proof of information entered.
27

FORM - 'D'
Work Tender for and work to be completed as on the date of Submission of Application

Work in Hand Work Tendered for Sl.
No.
Name of work Place &
Country Tendered
cost
Cost of work
remaining to
be executed
Anticipated
date of
completion
Estimated
cost Date when
decision is
expected
Stipulated date
and period of
completion
Remarks
1 2 3 4 5 6 7 8 9 10


















Signature of Contractor/Firm
Note : Attested copies of certificates should be enclosed as proof of information entered.
28

Form - 'E'

List of minimum essential T & P in workable condition to be available with the
contractor / firm for Construction of Rapti main Canal and its Distribution
System from Km. 125.562 to Tail including earth work and pucca works in
Districts Siddhartha Nagar Gorakhpur & Maharajganj of U.P. Note : Only
those machinery/equipment should be listed whose invoices of in contractor's/firm name.
Attested copy of the invoices/proof of possession should be attached.

Sl.No. Name of T&P in workable
condition
Minimum
essential
quantity/No.
Make/capacity/
year of
manufacturer
Total useful
life of new
T&P in Hrs.
Past use
in Hrs.
1 2 3 4 5 6
1 Excavators. 15
2 Dumpers/Tipper 60
3 Loaders 2
4 Dozers 2
5 Sheep-foot Rollers/
Pneumatic Vibratory
Rollers
10
6 Batching Plant 3
7 Concrete Vibrators 10
8 Concrete Mixers
/Readymix Transit Mixers
10
9 Dewatering equipments
(i) Electric/Diesel Motor
& pump sets including
accessories.
(ii) Diesel generators of
suitable capacity (125
KVA or above)

100



10

10 Welding machine 5
11 a.Steel Shuttering plates
b. Steel Shoulders
1500 Sqm
100 mt

12 Survey instrument
(Auto Level/Total Station)

4 sets

13 Air Compressors 2 Nos.
14 Concrete pump. 3 Nos.
15 Batching Plant 2 Nos.
16 Vibro Compactors 4 Nos.

Note: Other machinery if any available with the firm / contractor may also be listed.
Signature of Contractor/Firm.......................
29

Form - 'F-1'

Designation Name of
(i) Nominee
(ii) Alternate
Summary of qualification
experience and present
occupation
Headquarters.

Partner/Director
including other key
staff (give designation)




Site Office

Site Superintendent
Deputy Superintendent
Supervising Engineers
Construction
Supervisor
Other Key Staff.


The applicant shall list in this schedule the key personals (including first nominee and
the second choice alternate). He will submit details of employees from headquarters and from
site office, to direct and execute the work, together with their qualification, experience,
positions held.


Signature of Contractor/Firm

30

Form - 'F-2'
Details of Personnel with the Contractor / Firm for the work
Name of Contractor / Firm
...........................................................................................................................

Sl.No. Designation Name Qualification
& Date of
appointment
Professional
experience
and detail of
works
carried out
Remarks
1 2 3 4 5 6
1 Project Manager
2 Work Manager (Civil
Engineer

3 Work Manager
(Mech. Engineer)

4 Engineer Graduate
5 Administration/
Management
Graduate



Sl.No. Designation With contractor /
Firm
That could be made
available for work
1 2 3 4
1 Number of skilled employees



2 Number of unskilled employees





Signature of Contractor / Firm .................................

31

Form - 'G'

A. Please add any further information, which the applicant
considers relevant in regard to his capabilities.










B. Please give a brief note indicating why the applicant considers
himself eligible for prequalification for the work.
32

Form - 'H'
LITIGATION HISTORY
(Of Last five years)



















Signature of the Contractor/Bidder....................................

Note: There might be some grammatical and spelling mistakes or typing
errors while preparing this documents, such mistakes and errors if any shall
be ignored and treated with their usual meaning in accordance with the
dictionary meanings.