Tender No.

CEG/IGC/1543/2019

FORM 'A'
FINANCIAL INFORMATION

I. Financial Analysis - Details to be furnished duly supported by figures in balance sheet/ profit
and loss account for the last five years duly certified by the Chartered Accountant, as submitted by
the applicant to the Income Tax Department (copies to be attached).

Particulars Financial Year

2013-14 2014-15 2015-16 2016-17 2017-18
i) Gross Annual turnover on
construction work Rupees
(In Lakhs)
ii) Profit/Loss
Rupees (In Lakhs)
iii) Certified by

Name and
address of
Chartered
Accountant

II. Financial arrangements for carrying out the proposed work.

Viz. line of credit, Working Capital, Liquid Capital, Fixed Deposits etc. - Upload scanned copy of
statement

III. The scanned copies of following certificates are to be uploaded.

(a) Profit & Loss account certified by CA & as submitted to Income Tax Department.
(b) Solvency Certificate from banker’s of applicant. Banker’s certificates should be on letterhead
of the Bank. In case of partnership firm, certificate should include names of all partners as
recorded with the Bank as said in the Form ‘B’.
(c) Value Added Tax Registration Certificate.
(d) Permanent Account Number (PAN).

Name of authorized signatory

Note: Further details if required may be asked from the contractor after opening of the bids. There
is no need to upload the entire voluminous balance sheet.
Tender No. CEG/IGC/1543/2019

FORM 'C' : DETAILS OF ALL SIMILAR WORKS COMPLETED IN ALL RESPECTS DURING THE LAST SEVEN YEARS ENDING ON THE LAST DAY OF
THE MONTH JULY 2019

Sl. Name of work /project Owner or Cost of Date of Stipulated Actual date Litigation / Name & Address / Remarks
No. and location sponsoring work commencement date of arbitration Phone No. of officer
organisation Rupees as per contract of completion pending / in to whom reference
(in Lakhs) completion progress may be made.
with details*

* Indicate gross amount claimed and amount awarded by the Arbitrator.

Notes:
a. Applicant may submit separate form for giving details of work (completed) for each year to fill up the details as above. Separate sheets if any shall be
numbered in sequence.
b. The scanned copies of the work orders for each work along with completion certificate shall be uploaded.
c. Certified that the above list of works is complete and no work has been left-out and the information given is correct to my knowledge and belief.

Name of authorized signatory

Tender No. CEG/IGC/1543/2019

FORM 'D' : PROJECTS UNDER EXECUTION OR AWARDED

Sl. Name of work /project Owner or Cost of Date of Stipulated Up to date Slow Name and address / Remarks
No. and location sponsoring work commencement date percentage progress if telephone number of
organisation Rupees as per contract of progress of any and officer to whom
(in Lakhs) completion work reasons reference may be
thereof made

Name of authorized signatory

Tender No. CEG/IGC/1543/2019

FORM 'F' : STRUCTURE & ORGANISATION

1 Name & Postal Address of the applicant:

2 Telephone No./Telex No./Fax No.

3 Legal status of the applicant (Please tick and attach attested copies of original document
defining the legal status)
(a) An individual; (b) A proprietary firm; (c) A firm in partnership
(d) A limited company or Corporation

4 Particulars of registration with various Government bodies (attach attested photocopy)

Dept./Organisation & Place of registration Registration No.

5 Names and Titles of Director & Officers with designation proposed to be concerned with this
work

6 Designation of individuals authorised to act for the organisation

7 Was the applicant ever required to suspend construction for a period of more than six months
continuously after you commenced the construction? If so, give the name of the project and
reasons of suspension of work.

8 Has the applicant or any constituent partner in case of partnership firm, ever abandoned the
awarded work before its completion? If so, give name of the project and reasons for
abandonment.
Tender No. CEG/IGC/1543/2019

9 Has the applicant, or any constituent partner in case of partnership firm, ever been debarred /
black listed for tendering in any organisation at any time? If so give details.

10 Has the applicant, or any constituent partner in case of partnership firm , ever been convicted
by a court of law? If so, give details.

11 In which fields of Engineering construction the applicant has specialisation and interest?

12 Any other information considered necessary but not included above.

Name and address of the authorized signatory

Tender No. CEG/IGC/1543/2019

FORM 'G' : DETAILS OF TECHNICAL & ADMINISTRATIVE PERSONNEL TO BE EMPLOYED FOR THIS
WORK

Sl. Name Designation Qualifications Professional How these Remarks

No. experience and would be
details of work involved in
carried out this work

Name and address of authorized

signatory
Tender No. CEG/IGC/1543/2019

FORM'H' - DETAILS OF CONSTRUCTION PLANT AND EQUIPMENT LIKELY TO BE USED IN CARRYING OUT THIS WORK
Sl. Name of Equipment/ Plant Nos Capacity or Age Condition Ownership status Current Remarks
No. Type & Presently Leased To be Proposed Location
make owned purchased to be hired
I Earth moving equipment
1. Excavators(various sizes)
2. Dumpers
2
1. Concrete batching plant
2.Concrete pump
a) with Placer Boom
2.Concrete pump
b) with Stationary
3.Concrete transit mixer
4.Concrete mixer (diesel)
5.Concrete mixer (electrical)
6.Needlevibrator(electrical)
7.Needle vibrator(petrol)
8.Concrete pump
9. Curing pumps (various
capacities)
3 Equipment for building
work
1. Bar bending machine
2. Bar cutting machine
3. Drilling machine
4. Welding generators
5. Welding transformers
6. M.S.pipes
7. Steel shuttering
8. Steel scaffolding
Tender No. CEG/IGC/1543/2019

FORM'H' - DETAILS OF CONSTRUCTION PLANT AND EQUIPMENT LIKELY TO BE USED IN CARRYING OUT THIS WORK
Sl. Name of Equipment/ Plant Nos Capacity or Age Condition Ownership status Current Remarks
No. Type & Presently Leased To be Proposed Location
make owned purchased to be hired
4 Testing Equipments for
1. Cube Testing
2. Sieve analysis
3. Ultrasonic test
4. Silt test
5. Micron gauger
6. Moisture Metre
7. Any other

5 Equipment for road work

1.Road rollers
2.Bitumen paver finishers
3.Hot mix plant / Wet mix Plant
4.Spreaders
5. Grader
6. Dozer
7. Earth rammers
8. Vibratory road rollers
6 Equipment for transportation
1. Tippers
2. Trucks
3. Water tankers
7 Pneumatic equipment
1.Air compressors (diesel)
Tender No. CEG/IGC/1543/2019

FORM'H' - DETAILS OF CONSTRUCTION PLANT AND EQUIPMENT LIKELY TO BE USED IN CARRYING OUT THIS WORK
Sl. Name of Equipment/ Plant Nos Capacity or Age Condition Ownership status Current Remarks
No. Type & Presently Leased To be Proposed Location
make owned purchased to be hired
2. Air Compressors ( Elect)
8 Dewatering equipment
1. Pump (diesel)
2. Pump (electric)
9 Power equipment
1.Diesel generators

10 Any other plants/equipments

Like Tower crane, etc.

Name and address of

authorized signatory