Tendernotice 1

SECTION – B
FORM –I
PRE-QUALIFICATION APPLICATION
To
The Executive Engineer
Bidhannagar Municipal Corporation.
Ref: - Tender
For _____________________________________________________________________________________________
__________________________________________ (Name of work) ________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_______________________
N.I. T. No.:
Dear Sir,
Having examined the Statutory, Non statutory and NIT documents, I /we hereby submit all the necessary information and
relevant documents for evaluation. The application is made by me / we on behalf of_________________________
____________________________________in the capacity ___________________________________________ duly
authorized to submit the order.
The necessary evidence admissible by law in respect of authority assigned to us on behalf of the group of firms for
Application and for completion of the contract documents is attached herewith.
We are interested in bidding for the work(s) given in Enclosure to this letter. We understand that:
(a) Tender Inviting and Accepting Authority/Engineer-in-Charge can amend the scope and value of
the contract bid under this project.
(b) Tender Inviting and Accepting Authority/Engineer-in-Charge reserves the right to reject any application without
assigning any reason.
Enclose: - e-Filling:-
1. Statutory Documents
2. Non Statutory Documents
Date: - Signature of applicant including title
and capacity in which application is made.
1|Page
SECTION – B
Form – II
FINANCIAL STATEMENT
B.1 Name of Applicant:

B.2 Summary of assets and liabilities on the basis of the audited financial statement of the last five financial years.
(Attach copies of the audited financial statement of the last five financial years)
1st Year 2nd Year (Rs. 3rd Year 4th Year 5th Year
(Rs. In lakh) In lakh) (Rs. In lakh) (Rs. In lakh) (Rs. In lakh)
a) Current Assets :
(It should not include investment in any other firm)
b) Current liabilities :
(It should include bank over draft)
c) Working capital :
(a) – (b)
d) Net worth :
(Proprietors Capital or Partners Capital or Paid up
Capital + Reserve and surplus )
e) Bank loan/ Guarantee :

(As per clause G.2. with all sub clauses)
B.3 Annual value of construction works undertaken :

Work in hand i.e. Work As on As on As on As on As on As on
order issued 31.03.2014 31.03.2013 31.03.2012 31.03.2011 31.3.2010 31.03.2009
Signed by an authorized officer of the firm

____________________________________
Title of the officer

_____________________________________
Name of the Firm with Seal
Date : __________________
2|Page
AFFIDAVIT“Y”
Declaration of the Bidder
(Affidavit to be affirmed on a Non Judicial Stamp Paper of Appropriate Value and Duly Notarized)
I, ………………………………………………..…………………..…, son of ……………….………………………………...

……………………………………………..……………………….…, aged………………………..… years by occupation
…………………………………………. do hereby solemnly affirm and confirm as follow:
1. That, I am the ……………………………………………… of ………………………………………………… have

duly authorized by and competent to affirm this affidavit on behalf of the said Bidder.
2. That, I have inspected the site of work covered under NIT No……………………………………….. circulated
through Office memo and have made myself fully acquainted with the site conditions existing level/proposed
level and local conditions in and around the site of work. I have also carefully and meticulously gone through
the Bid documents. Bid of the above named Bidder is offered and submitted upon due consideration of all factors
and if the same is accepted, I on and for behalf of the aforesaid Bidder, being lawfully and duly authorized,
promise to abide by all the covenants, conditions and stipulations of the Contractual documents and to carry
out, complete the works to the satisfaction of the Bid accepting Authority of the Work and abide by all
instructions as may given by the Engineer in Charge of the work time to time. I also hereby undertake to abide by
the provisions of Law including the provisions of Contract Labour (Regulation & Abolition) Act, Apprentice
Act 1961, West Bengal Sales Tax Act, GST Registration Act, Income Tax Act to the Contractor upon entering
into formal Contract/ agreement with the Bid Inviting/Accepting authority.
3. That I declare that, no relevant information as required to be furnished by the Bidder has been suppressed in the
Bid documents.
4. That the statement above made by me is true to my knowledge.
Deponent
Solemnly affirmed by the said
…………………………………………………….
Before me.
……………………………………………………..
(1st class Judicial Magistrate / Notary Public)
3|Page
SECTION - B
FORM- III
STRUCTURE AND ORGANISATION
A.1 Name of Applicant:

A.2 Office Address:
Telephone No. and Cell Phone No. :
Fax No. : E mail ID:
A.3 Attach an organization chart showing the structure of the company with names of Key personnel and technical staff with
Bio-data. :
Note: Application covers Proprietary Firm, Partnership, Limited Company or Corporation,
Signature of applicant including title
and capacity in which application is made.
4|Page
FORM – IV
C. DEPLOYMENT OF MACHINERIES (in favour of owner / lessee):-
(Original document of own possession arranged through lease deed to be annexed)

(If engaged before Certificate from E.I.C. to be annexed in respect of anticipated dated of release of Machineries.)
Name of Machine/ Make Type Capacity Motor / Machine Possession Status Date of release
Instrument Engine No. If Engaged
No.
Idle Engaged
For each item of equipment the application should attach copies of

(i) Document showing proof of full payment, (ii) Receipt of Delivery, (iii) Road Challan from Factory to
delivery spot, is to be furnished.
Signature of applicant including title
and capacit y in which application is made.
Signature Not Verified

Digitally signed by ATANU HALDER
Date: 2024.06.13 16:32:07 IST
Location: West Bengal-WB
5|Page

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SECTION – B

Date: - Signature of applicant including title

and capacity in which application is made.

B.1 Name of Applicant:

e) Bank loan/ Guarantee :

B.3 Annual value of construction works undertaken :

Signed by an authorized officer of the firm

Title of the officer

Name of the Firm with Seal

I, ………………………………………………..…………………..…, son of ……………….………………………………...

1. That, I am the ……………………………………………… of ………………………………………………… have

4. That the statement above made by me is true to my knowledge.

A.1 Name of Applicant:

Telephone No. and Cell Phone No. :

Fax No. : E mail ID:

Note: Application covers Proprietary Firm, Partnership, Limited Company or Corporation,

Signature of applicant including title

and capacity in which application is made.

(Original document of own possession arranged through lease deed to be annexed)

For each item of equipment the application should attach copies of

Signature of applicant including title

and capacit y in which application is made.

Signature Not Verified

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