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PQ Document for Outreach facility at NESAC Page 1 NORTH EASTERN SPACE APPLICATIONS CENTRE (NE-SAC) CONSTRUCTION & MAINTENANCE DIVISION UMIAM, SHILLONG PREQUALIFICATION DOCUMENT Name of the work: Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design and Build including Civil, PH, Electrical, AC, Lift and other allied works) PQ notice No: NESAC/DIR/CMD/ 93/ 2016 dated10.12.2016

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PQ Document for Outreach facility at NESAC Page 1

NORTH EASTERN SPACE APPLICATIONS CENTRE (NE-SAC) CONSTRUCTION & MAINTENANCE DIVISION

UMIAM, SHILLONG

PREQUALIFICATION DOCUMENT

Name of the work: Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design and Build including Civil, PH, Electrical, AC, Lift and other allied works)

PQ notice No: NESAC/DIR/CMD/ 93/ 2016 dated10.12.2016

PQ Document for Outreach facility at NESAC Page 2

NORTH EASTERN SPACE APPLICATIONS CENTRE (NE-SAC) CONSTRUCTION & MAINTENANCE DIVISION

UMIAM, SHILLONG

Name of the work: Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design and Build including Civil, PH, Electrical, AC, Lift and other allied works)

PQ notice No: NESAC/DIR/CMD/ 93/ 2016 dated10.12.2016

PQ document issued To : ----------------------------------------------------------

Address : ----------------------------------------------------------

----------------------------------------------------------

----------------------------------------------------------

Phone No. : ----------------------------------------------------------

Issued on : ---------------------------------------------------------

Issued by : ----------------------------------------------------------

This document contains ___________pages excluding cover page.

PQ Document for Outreach facility at NESAC Page 3

NORTH EASTERN SPACE APPLICATIONS CENTRE (NE-SAC) CONSTRUCTION & MAINTENANCE DIVISION

UMIAM, SHILLONG

Name of the work : Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design and Build including Civil, PH, Electrical, AC, lift and other allied works)

PQ notice No: NESAC/DIR/CMD/ 93/ 2016 dated10.12.2016

INDEX SHEET

Sl.

No. Description Pages

1 Press Notice for inviting applications for pre-qualification 04

2 Detailed Notice Inviting applications for pre-qualification 05

3 Brief Particulars of the work 09

EVALUATION FORMATS

4 Guidelines for Technical Evaluation of bidders for Pre-Qualification. 11

5 Evaluation Format 12

FORMATS AND FORMS TO BE FILLED-IN BY THE BIDDER

6 Format 1 - List of on-going works 19

7

Format 2 - List of similar composite works comprising Civil, PH,

Electrical and allied works completed in the last 07 years (incl. the

current year in which the applications is invited)

21

8 Form- A - Structure & Organisation details 23

9 Form- B - Financial Information 24

10 Form- C - Proforma for submission of details of litigation history 26

11 Drawings 29

PQ Document for Outreach facility at NESAC Page 5

NORTH EASTERN SPACE APPLICATIONS CENTRE (NE-SAC) CONSTRUCTION & MAINTENANCE DIVISION

UMIAM, SHILLONG

NOTICE FOR PRE-QUALIFICATION (PQ) OF BIDDERS

PQ notice No: NESAC/DIR/CMD/ 93/ 2016 dated10.12.2016

1. “Director, North Eastern Space Applications Centre (NESAC), Shillong invitesapplications from bidders for pre-qualification for the following composite work:

Sl. No

DESCRIPTION Details

1. Title of work Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design and Build including Civil, PH, Electrical, AC, lift and other allied works)

2. Estimated cost Rs.17.00 crore

3. Period of completion in months reckoned from the 15th day of date of issue of work order

12 Months

4. Cost of PQ document Rs.1,000/- for issue in person (plus Rs. 500.00 by post)

5. Period during which PQ document can be downloaded on websites/ obtained from the office of Group Head CMG

10.12.2016 to 23.12.2016 upto 14:30 hrs

6. Last date and time for receipt of filled up PQ documents.

26.12.2016 upto 14:30 hrs

7. समय Due date and time of opening

of PQ.

26.12.2016 at 15:00 hrs

2. Estimated cost shown above is only indicative. The figure may vary by about ± 10% atthe time of actual tendering.

PQ Document for Outreach facility at NESAC Page 6

3. Bidders who fulfil the following requirements shall be eligible to apply for pre-qualification with a copy of the self-attested documents:

Sl. No

Eligibility Criteria Documentary proof for the eligibility (Self attested copies to be submitted)

a. The bidder should have satisfactorily completed the similar composite works comprising Civil, PH, Electrical and other allied works as mentioned below during the last Seven years ending previous day of last date of submission of PQ document: i) Three similar composite works each

costing not less than ₹ 6.80 Cr i.e., 40%of the estimated cost (or)

ii) Two similar composite works eachcosting not less than ₹ 10.20 Cr i.e60% of the estimated cost (or)

iii) One similar composite work costingnot less than ₹ 13.60 Cr i.e. 80% of theestimated cost.

Note: Similar nature of composite work shall mean: “Construction of RCC framed building with G+1 configuration or building having minimum height of 6m including allied PH, Internal electrical works and other services.” In respect of detailed design including structural, plumbing and electrical, AC, lift etc.,, the bidder has to engage either one of the Department empanelled consultant or to engage any reputed agency with the prior approval from Department.

i) Certified copy of work orders andcompletion certificates for compositework issued by authority concerned toestablish work expoerience.

ii) Completion certificates for worksissued by private parties shall besupported by TDS certificates.

The bidder should clearly indicate how they are proposing to carry out the Electrical works of the contract i.e. whether directly or through sub-contractor giving full details & declaration which is binding. The agency who is going to execute electrical works (either main bidder or subcontractor) shall possess valid electrical contractor’s license of appropriate class and category issued by Central or State electricity authority.

Certfied copy of valid electrical contractor’s license (of the primary bidder or sub-contractor) shall be submitted at the time of bidding i.e. along with technical bid.

Note: The value of executed works shall be brought to current costing level by enhancing the actual value of work at simple rate of 7% per annum, calculated from the date of completion to last date of receipt of application for PQ bids.

PQ Document for Outreach facility at NESAC Page 7

4. On request in writing, with requisite fee of ₹. 1,000/- in the form of crossed DemandDraft for appropriate amount issued by a scheduled Bank in favour of the “AccountsOfficer, NESAC. ” Pre-Qualification (PQ) documents can be obtained from Office of theDirector, NESAC, Ph. No. 0364 2570774, on any working day during the periodmentioned in Para 1 above, except on Saturdays, Sundays and Public holidays.

Requisition for issue of PQ documents by post shall be accompanied by account payee Demand Draft for ₹. 1,500/- towards cost of PQ document and stationery & postage charges (non-refundable) drawn in favour of “Accounts Officer, NESAC ” payable at Umiam, Meghalaya. The documents can also be downloaded from ISRO website: http:// www.isro.gov.in (or) www.nesac.gov.in

The PQ document downloaded by the agencies from the website shall also be valid for participation in the pre-qualification process. Those making use of the PQ documents downloaded from the website shall have to pay the cost/ fee of PQ document as specified above in the form of crossed Demand draft for Rs. 1,000/- issued by a scheduled Bank in favour of the “Accounts Officer, NESAC” along with the submission of PQ bids. PQ bids received without the requisite fee shall be considered as invalid.

b. Should have had average annual financial turnover not less than ₹ 5.10 Cr i.e., 30 % of the estimated cost of the work during the last three years ending 31st March of preceding year i.e. 31-03-2016.

Certified copy from Chartered Accountant for the Annual financial turnover and balance sheet showing Profit & loss.

c. Should not have incurred any loss in more than two years during the last five years ending 31st March 2016.

d. Should have a solvency of ₹.6.80 Cr. i.e., 40% of the estimated cost of the work.

Certified copy of current solvency certificate issued in the financial year 2016-17 from any Scheduled Bank.

e. The bidding capacity of the applicant should be more than the estimated cost (₹. 17.00 crores) of the work put to Pre-qualification. The bidding capacity shall be worked out and declared by the applicant/ bidder and enclosed with the request for document based on the formula: (A x N x 2) - B where, A- Maximum value of work executed in

one year during last 5 years at current price level taking into account the work completed as well as work in progress.

B- Value of existing commitments and ongoing work to be completed during the next ‘N’years at current price level.

N- (N=1.00) Number of years prescribed for completion of the subject contract for which bids are invited.

i. Statement showing the value ofexisting commitment and ongoingworks as well as the stipulated periodof completion remaining for each ofthe works listed to be furnished.

ii. Current costing level for value of workmay be worked out as mentionedunder note (i) above.

PQ Document for Outreach facility at NESAC Page 9

NORTH EASTERN SPACE APPLICATIONS CENTRE (NE-SAC) CONSTRUCTION & MAINTENANCE DIVISION

UMIAM, SHILLONG

PQ notice No: NESAC/DIR/CMD/ 93/ 2016 dated10.12.2016

BRIEF PARTICULARS OF THE WORK

1. General:

The details of work for which pre-qualification applications are invited are as under:

Name of Work Approx. cost

Period of completion

Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design and Build including Civil, PH, Electrical, AC, lift and other allied works)

Rs. 17 Cr 12 months

Breakup of cost and plinth area of facilities planned are detailed below:

Sl. No.

Facility Plinth Area Approx cost (Rs in Cr)

1. Academic & Amenity Block 1450 Sq.m 6.00

2. Hostel Block 1600 Sq.m 6.50

3. Services 300 Sq.m 1.20

4. Others (Campus development, rainwater harvesting, solar power plants, STP, WTP etc.,)

3.30

Total (Rs in Cr) 17.00

2. About NESAC

NE-SAC, located at Umiam (near Shillong), Meghalaya, is a joint initiative of DOSand North Eastern Council to provide developmental support to the North Easternregion using space science and technology. The centre has the mandate to develophigh technology infrastructure support to enable NE states to adopt space technologyinputs for their development. At present, NE-SAC is providing developmental supportby undertaking specific application projects using remote sensing, GIS, satellitecommunication and conducting space science research.

3. About the facilities

The work site is a newly acquired 01 acres of land at Umiam, Shillong opposite toOffice complex of NESAC. The details of the facilities planned in the land are asfollows.

Sl. No Parameters Quality Max. marksMin. marks required for qualification

Marks secured by the agencies

1 Quality 30 20

2 Adherence to time 30 20

3 Work culture 20 15

4 Safety 20 15

100 75

EVALUATION FORMAT

Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design andBuild including Civil, PH, Electrical, AC and other allied works)

Note : In addition to minimum qualification marks for the individual traits (1 to 4) indicated above, thetotal minimum qualification marks (75) indicated shall also be secured for a main bidder (forcomposite work) as well as sub-contractor (for service components) to be technically qualified.

Total marks

ABSTRACT

PQ Doc for Outreach facility at NESAC Page 12

Sl.No Description Max. marks Marks secured by the agency

1.1

a. ISO Certification 2

b. Availability of identified quality wing and testing laboratories.

2

1.2 Quality Practices as evaluated at Site

a. Whether regular quality checks carried out on materials / items used in execution ?

3

b. General practices adopted at site for execution of work.

3

1.3

1.3.1 Structural work 2

a. Line, Level and plumb

b. Finish at Junctions

c. Free from visible defects (like cracks, honeycomb, bulging, insufficient cover etc .,)

d. General workmanship

1.3.2 Plastering 2

a. Surface finish

b. Finish at joints

c. Defects like cracks

d. Finishing of grooves

e. Dampness

1.3.3 Painting 2

a. Even shade

b. Preparation of surface

c. General painting workmanship

Name of agency :___________________________________

Grading of Workmanship

Total Marks: 30

General

Name of work inspected :_____________________________________

1. QUALITY

1(A) For Civil & PH works [Executed by M/s. ...............................................]

PQ Doc for Outreach facility at NESAC Page 13

Sl.No Description Max. marks Marks secured by the agency

1.3.4 Flooring, Dadoing, Skirting 2

a. Uniformity in colour and shade

b. Level

c. Joints

d. Slopes/ depressions in toilets etc.,

1.3.5 Joinery 2

a. Dimensional accuracy

b. Quality of hardware fittings

c. Glass quality

d. Fixing of glass

1.3.6 General workmanship of Special items: 2

a. False ceiling

b. Underdeck insulation

c. Acoustic treatment

d. Cladding

e. Any other items

1.3.7 General workmanship of WPC,Roof drainage, Roof Leakage/Dampness, Coving/ Gola etc.,

3

1.3.8 General workmanship of Services :

i. Public Health 5

a. Plumbing/ sanitary items

b. Plumbing fixtures

c. Any other items

Total marks 30

PQ Doc for Outreach facility at NESAC Page 14

Sl.No Description Max. marks Marks secured by the agenciy

1.1

a. ISO Certification 2

b. Availability of identified quality wing and testing laboratories.

2

1.2

a. Whether regular quality checks carried out on materials / items used in execution ?

3

b. General practices adopted at site for execution of work.

3

1.3

1.3.1 Conduiting and wiring practices for lights and fans.

2

1.3.2 Alignment of installations –lights, fans, power sockets /switches etc.

2

1.3.3 DB fixing/ dressing 2

1.3.4 Panel design, layout,installation, quality & finishing and safety features

2

1.3.5 External cable routing, layingand dressing

2

1.3.6 Earthing 2

1.3.7 Lightning protection works 2

1.3.8 Smoke detection and fire alarmsystem works

2

1.3.9 Adherence to standard code ofpractice

2

1.3.10 Overall finishing 2

Total marks 30

Name of agency :___________________________________

Name of work inspected :_____________________________________

General

Quality Practices as evaluated at Site

Grading of Workmanship

1. QUALITYTotal Marks: 30

1(B) For Electrical Works [Executed by M/s. ...............................................]

PQ Doc for Outreach facility at NESAC Page 15

2.1

If TOR =

1.00

2.00

≥ 3.00

Note:

1

2

2.2

2.3 Scientific / Effective methodology implemented forevaluation of the progress (like Primavera, MSProjects etc.,) and immediate remedial measures ifrequired.

5

Total Marks 30

Assessment of adherence to time as inferred from client / work at site

5

20

10 - 20* 0 - 10*

0 - 10* -5

* after due evaluation of reasons for delay by TEC.

The performance may be assessed from the total number of works completed by the bidder in the last03 years and average of the marks to be considered.

Marks for the values in between the stages indicated above are to be determined linearly.

Performance on works (time over-run) Assessmentof marks as per calculation sheet given below.

20

Assessment of marks for 2.1

TOR (Time Over -run= AT/ST (Actual Time / Stipulated Time)

Parameter Score

Without levy of compensation

With levy of compensation

Sl.No Description Max. marks Marks secured by the agency

Name of the agency :_______________________________________

Name of work inspected : ___________________________________

2. ADHERENCE TO TIME SCHEDULE(Common for Civil, PH and Electrical works)

Total Marks: 30

PQ Doc for Outreach facility at NESAC Page 16

3.1 Amenable for corrective measures/suggestions

2

3.2 Good co-ordination with other agencies 2

3.3 Preferring claims with supportingdocuments in time

2

3.4 Contractors / Representative available at site of work.

2

3.5 Taking timely action to complywith site instructions

2

3.6 Proper site Management. 2

3.7 General upkeep of site 2

3.8 Proper stacking /Storage of materials 2

3.9 Proper security arrangements for materials

2

3.10 Basic amenities for labours at work site 2

20

3.11 Litigate nature -2

Total marks

Name of the agency :____________________________

Name of work inspected :________________________

3. WORK CULTURE

Total Marks: 20

Sl.No Description Max. marks

Marks secured by the agency

(Common for Civil, PH and Electrical works)

PQ Doc for Outreach facility at NESAC Page 17

4.1 Availability of established safety cell and safety policy?

4

4.2 Safety officer is employed at site? 4

4.3 Safety Slogan /Signage displayed? 4

4.4 Safety drills are conducted periodically ?And Regular instructions to bring safetyawareness to the workers

4

4.5 Whether safety practices are followed at site (personnel and site specific) ?

4

20Total marks

Name of the agency:

Name of work inspected :

4. SAFETY

Total Marks: 20

Sl.No Description Max. marks Marks secured by the agency

(Common for Civil, Electrical &Air conditioning works)

PQ Doc for Outreach facility at NESAC Page 18

Work No.1 Work No.2 Work No.3 Work No. 4 Work No. 5 Work No. 6

1 :

2 :

3 :

4

(a) Civil Work :

(b) PH Work :

(c) Electrical Work :

(d) AC Work :

(e) Any other component (pl. Specify)

:

Total :

Break up details of costcomponents/ subheadsof composite work

Name of work

Nature of work

Value of compositework

INFORMATION REGARDING ELIGIBILITY

FORMAT 1 (To be filled-up by bidder/ applicant)

LIST OF ON-GOING WORKS

Sl. No.

Description

Details of works

Name of main bidder :___________________________________________________

PQ Doc for Outreach facility at NESAC Page 19

Work No.1 Work No.2 Work No.3 Work No. 4 Work No. 5 Work No. 6

Sl. No.

Description

Details of works

5

6 :

7 :

8 :

9 :

10 :

(a) Name of client

(b) Full Postal Addresswith PIN code

(c) Telephone no.

(d) FAX No.

(e) e-mail

(f) Name of contactperson

(2) If the details / number of works to be furnished by applicant are more, applicant can submit the details in the specified formats separatelyenclosing with PQ bid. However, this fact should be mentioned in the above blank format.

(Signature of the bidder with stamp)

Note: (1) The above details in format – 1 is to be furnished by the Applicant along with copy of work order issued by the client.

Date of Commencement of work

Date of Completion asper W.O.

Expected date ofcompletion

Expected commitmentduring next 12 months

Details of client & FullPostal Address contactdetails

Present status &pecentage of workcompleted

PQ Doc for Outreach facility at NESAC Page 20

Work No.1 Work No.2 Work No.3 Work No. 4 Work No. 5 Work No. 6

1 :

2 :

3 :

4 :

5

(a) Civil Work :

(b) PH Work :

(c) Electrical Work :

(d) AC Work :

(e) Any other component (pl. Specify)

:

Total :

Work Order/ agreementNumber

Break up details of costcomponents/ subheadsof composite work

FORMAT -2 (To be filled-up by bidder/applicant)

List of Similar composite works comprising Civil, PH, Electrical works completed in the last 07 years (incl. the current year in which the PQ application is invited)

Sl. No.

Description

Details of works

Name of work

Value of compositework

Name of main bidder :___________________________________________________

Nature of work

PQ Doc for Outreach facility at NESAC Page 21

Work No.1 Work No.2 Work No.3 Work No. 4 Work No. 5 Work No. 6

Sl. No.

Description

Details of works

6

7 :

8 :

9 :

:

:

10 :

(a) Name of client

(b) Full Postal Addresswith PIN code

(c) Telephone no.

(d) FAX No.

(e) e-mail

(f) Name of contactperson

Note:

(Signature of the bidder with stamp)

If yes

(b) Without levy ofcompensation

Actual date ofcompletion

(2) If the details / number of works to be furnished by applicant are more, applicant can submit the details in the specified formats separatelyenclosing with PQ bid. However, this fact should be mentioned in the above blank format.

Details of client & FullPostal Address contactdetails

(3) Bidder should furnish all the similar works completed for the the last 07 years in this format. The list of similar works mentioned under thisformat will only be considered for technical evaluation and list mentioned in any other format will not be considered.

(a) With levy ofcompensation

Date of Completion asper W.O.

Date of Commencement of work

(1) The above details in format – 2A is to be furnished by the Applicant along with copy of work order along with copy of work order andcompletion certificate issued by the client.

Whether Extension ofTime of Contract wasavailed?

PQ Doc for Outreach facility at NESAC Page 22

1 Name of the Organisation:

2 Address of the organisation:

(i) Regd Office

Phone nos:

Fax nos:

E-Mail:

(ii) Branch Office

Phone nos:

Fax nos:

E-Mail:

3 Company/ firm incorporation registration No &Date:

4 Name & Particulars of the authorised representative for the details furnished hereinafter:

5 (i) Type of the Organisation (please tick thecorrect one)

a) Public Limited Company

b) Private limited company

c) Partnership Company

d) Owned by Individual (Proprietary)

Note: Particulars of Proprietor / Partners /Directors:(Attested copy of Deeds or Memorandum ofAssociation to be enclosed)

(ii) Year of establishment of company/ firm

Note:

Name of work: Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Designand Build including Civil, PH, Electrical, AC, lift and other allied works)

Signature of the tenderer with stamp

STRUCTURE & ORGANISATION DETAILS OF APPLICANT/MAIN BIDDER

FORM -'A'

Sl No. Attributes Details to be filled by contactor

The above details shall be furnished for the main bidders and sub-contractors proposed tobe engaged by the main bidder for execution of this work.

(THIS DOES NOT FORM PART OF EVALUATION PROCESS BUT MEANT FOR READY REFERENCE

ONLY)

PQ Doc for Outreach facility at NESAC Page 23

1 Other details (For Main bidder andeach one of sub-contractors)

Registration No. of following :

1) VAT ( sales Tax TIN )

2) Central Service Tax Registration

3) P.F. Registration Certifictes (EPFO)

4) Income Tax PAN

5) Employees Insurance Scheme (ESIC)

(Note: Copies of above registration to beenclosed)

2 Solvency Certficates issued by Bank (copyof certficates to be attached)

(For Main bidder)

Certficate-1

i) Name of bank

ii) Value

iii) Issue date

iv) Valid upto

Certficate-2 (if any)

i) Name of bank

ii) Value

iii) Issue date

iv) Valid upto

3 i) Average Annual turn over for the past 3Years

(For Main bidder)Year

2013-2014

2014-2015

2015-2016

Average

Details to be filled by contactor

(THIS DOES NOT FORM PART OF EVALUATION PROCESS BUT MEANT FOR READY REFERENCE ONLY)

Amount Rs. in lakhs

FORM -'B'

FINANCIAL INFORMATION OF APPLICANT/MAIN BIDDER

Name of work: Construction of Outreach facility at new 01 acre land at Umiam, Shillong (Design andBuild including Civil, PH, Electrical, AC, lift and other allied works)

Sl No. Attributes

PQ doc for Outreach facility at NESAC Page 24

Details to be filled by contactorSl No. Attributes

ii) Avg. profit after taxes

(For Main bidder)Amount Rs. in lakhs As % of turnover

Year

2011-2012

2012-2013

2013-2014

2014-2015

2015-2016

Average

Note: Copies of Balance Sheet/Profit & LossAccount for last five years duly certified byChartered Accountant, as submitted byApplicant to Income Tax Department, TDS tobe attached.

4 Bidding capacity (The bidding capacityshall be worked out and declared by thebidder and enclosed with the request forPQ document based on the formula:(AxNx2)-B) (For Main bidder)

A - Maximum value of work executed in oneyear during last 5 years at current price leveltaking into account the work completed as wellas work in progress.

B - Value of existing commitments andongoing work to be completed during the next‘N’ years at current price level.

N - Number of years prescribed for completionof the subject contract for which bids areinvited

10 Whether your company/firm have been issuedISO certification? If yes, copy of certficate tobe enclosed.(For Main bidder and each one of sub-contractors)

Yes / No

Signature of the tenderer with stamp

PQ doc for Outreach facility at NESAC Page 25

FORM - C

PQ Document for Outreach Facility at NESAC Page 26

PROFORMA FOR SUBMISSION OF DETAILS OF LITIGATION HISTORY

(i) Name of Applicant :-

(ii) Type of business entity :- Individual / Partnership Firm / Proprietary Firm / Pvt. Ltd. Company / Public Ltd. Co. / Others (Please specify)

(iii) Full address of registered office :-

(iv) Whether the Company/Firm / Individual was known by any other name in past? Give full details

:-

(v) Give details of major changes in the partners / management of business entity during last 07 years.

(vi) Civil works / buildings / construction works executed / completed during last 07 years

Total no. of works executed or completed

* No. of works in whichLitigation was required to

settle the difference(a) Costing less than ` 10.00 Crores

(b) Costing above ` 10.00 Crores but less than ` 100 crores.

(c) Costing above ` 100 Crores but less than ` 1000 crores.

(d) Above ` 1000 Crores.

* Litigation shall mean a reference by any of the parties to contract to any internal dispute settlement mechanism of the client orto a person in authority or a third party reference or reference to an arbitrator or any other legal fora including any court of law etc.

FORM - C

PQ Document for Outreach Facility at NESAC Page 27

In respect of each litigation, please give following details:

Sr. No.

Name of the work / project and name &

address of employer / client

Nature of work

Work Order No.

& Date

Present stage of

work

Value of Contract

(Rs.)

Brief details of litigation

** 1.

2.

3.

4.

5.

6.

7.

Declaration: The above information submitted is full & complete one in letter & spirit without suppressing or holding back any important aspects. Details furnished are true to the best of our knowledge and belief.

Signature of bidder _______________________

Name of the Authorised Signatory Seal of the Company NOTE :

1. Information of Contracts involving composite works comprising civil works together with or without IPH, sewerage and water supply (Sanitary & Plumbing Works), Electrical, AC services only may be listed.

2. Specific Information may be filled-up against each column of the Format. Please do not write remark “As indicated in

Brochure” in any of columns above.

FORM - C

PQ Document for Outreach Facility at NESAC Page 28

3. Applicant shall submit brief information against each column. other relevant additional/elaborate information should begiven separately in a supplementary sheet.

In respect of each litigation please give following details :

** Details of Litigation to be given:

(a) Total number of claims / disputed items. (b) Total amount of claims as originally referred for settlement by each party. (c) Nature of claims / disputes:

(i) Pertaining to extra / substituted / deviated items of work (ii) Pertaining to measurements or quantities of work executed. (iii) Pertaining to extension of time / levy of compensation for delay in completion. (iv) Pertaining to termination / rescinding of contract or contractor’s inability to complete the work. (v) Pertaining to award of work / Issue of tender document / forfeiture of EMD / PG / SD or PQ related issues. (vi) Any other matter (furnish details)

(d) Number & amount of claims awarded to each party in first instance/ by trial court / arbitrator. Give Name & address of trial court / arbitrator

(e) Number & amount of claims awarded in appeals / appellate authority in subsequent references. Give name & address of appellate court / authority.