Shri S/O Shri Resident of village P.O. Tehsil Distt. H.P. Authorization for installation of Micro Irrigation system under PMKSY

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1 Annexure-II To Shri S/O Shri Resident of village P.O. Tehsil Distt. H.P. Subject: Authorization for installation of Micro Irrigation system under PMKSY Sir, Please refer to your application dated and recommendations of PIA received vide letter No. dated You are hereby authorized to undertake the followings as per specifications given in the guidelines of NMMI/PMKSY issued by the Govt. of India for installation of Micro Irrigation system in your Orchards. 1. Construction of Micro-Irrigation System( )having irrigated area ha.)with and estimated cost of Rs. (Rupees ) only through company/service provider M/S empanelled/registered for this purpose vide letter No. dated The above authorization is subject to the following terms and conditions: 1. Eligibility of assistance for components would be 80 % as per the guidelines of PMKSY.The measurements are to be recorded by the department officials. 2. The completion time is 75 days failing which this authorization will be cancelled. 3. For any deviation from the given /approved specifications with regard to constructions material and design etc. you will be able for the same and the same may lead to forfeiture of assistance available under the scheme % variation in the sanctioned command area is allowed depending upon the site for which revised sanctioned is not required. 5. Project assistance shall be allowed for approved components. 6. Before undertaking construction /installation work, you have to submit an affidavit on the prescribed form (Copy enclosed at Annexure III (iv). 7. Before assigning work to the company /service provider, you will sign an agreement with the company /service provider and will comply with the agreed terms and conditions especially with regard to remittance of payments on the agreed form annexed in the guidelines.(copy enclosed at Annexure III(vi). 8. You will also have to carry the material at your own cost from motor able /kuccha road head.

2 9. Facilitation of stay arrangements for the staff /workers of the company is expected for which you may charge nominal amount in mutual agreement.

3 Annexure III (iv) Undertaking to be given by the beneficiary in the shape of Self-Declared affidavit after receiving the sanction from the concerned Dy.Director of Horticulture. I/We S/O R/o hereby undertake the following. 1. That I have received approval for the installation of Micro-Irrigation systems ha.) and I am eligible to receive project assistance amounting to Rs. after the creation of infrastructure mentioned above. 2. That, I will utilize and maintain the infrastructure created through project assistance for a period of minimum of five years. 3. That I will use the Micro-irrigation system for raising fruit, vegetable and other suitable crops. 4. That I have not availed any assistance for the creation of same infrastructure as approved as per Sr. No.1 above. 5. That the contents of my application submitted to the Horticulture Department for sanction of project assistance under PMKSY are correct and no part of its wrong and nothing has been concealed there from. 6. That I will part with my share (20 %) for the installation of infrastructure (Micro irrigation systems) at the time of signing of agreement against sanctioned amount of these components which have been approved vide letter No. Dated by the Dy.Director of Horticulture Distt. as per terms and conditions laid down for the operationalization of the scheme. 7. That I will bear the carriage charges of construction material from the pucca or kuccha road head to the site. 8. That I will make arrangement for electricity and water etc.at the site. 9. That I will facilitate for making stay arrangements of the labour who will be involved in the installation of these structures. I further undertake that in the event of departure from the above i.e.sr. No. 1 to 9,I shall be able to refund the whole or part of the project assistance as the case be to the project sanctioning authority i.e Dy. Director of Horticulture Distt. (HP). Deponent Verification I the above named deponent do hereby solemnly admit and verify that the contents of the above affidavit and verify that the contents of the above affidavit are true and correct and no part of its false and nothing has been concealed there from: Verified at on this day of 2016 Deponent

4 Annexure III (ii) Performa for maintaining beneficiary wise record by Deputy Director of Horticulture, Himachal Pradesh under PMKSY (A separate page in register is to be allocated for each farmer/beneficiary on financial year basis) Sr. Particular of Farmers/Beneficiary No. 1. Name of the farmer with complete address and telephone number 2. Date of Receipt of application 3. Date of field verification 4. Date of Administrative approval 5. Date of issue of authorization letter 6. Date of receipt of bills 7. Date of disbursement 8. Date of submission of Project Completion Report 9. Area under Project proposal 10. Poly house model with area coverage M.I.systems Area cost Assistance 80 % a) i) Type of M.I.system and area under protected ii) Name of the company executing the component b) i) Type of M.I. System and Area under open conditions 11. Total Cost of the Scheme components 12. Total assistance to the beneficiary 13. Any other detail

5 Annexure III (iii) Format to be filled by the subject Matter Specialist/Horticulture Development officer for approval of the Project Proposal to be submitted to the Dy. Director of Horticulture District (HP) 1. Date of receipt of application 2. Date of spot inspection 3. Category of farmers(sf/mf/big from SC/ST/GEN./BPL) 4. Feasibility report Micro Irrigation A. Micro Sprinkler System Name & Contact number of firm contracted for installation of MI System. Area to be covered (Hectares) Estimated cost of MI system to be installed Amount of Assistance (Rs) GOI Share (50 %) State Share (30 %) Amount of Beneficiary Share (Rs) B. Mini Sprinkler System Micro Sprinkler System Name & Contact number of firm contracted for installation of MI System. Area to be covered (Hectares) Estimated cost of MI system to be installed Amount of Assistance (Rs) GOI Share (50 %) State Share (30%) Amount of Beneficiary Share (Rs) C. Drip irrigation System Name & contact number of firm contracted for installation of MI system Area to be covered in (Hectares ) Estimated cost of installation of MI system in an unit area as per B. Amount of Assistance (Rs) GOI share (50 %) State Share (30 %) Amount of Beneficiary Share (Rs.) 5. Recommendation for Administrative Approval

6 Total Estimated cost of Micro Irrigation (Rs) Eligible Cost (Rs) Project Share (Rs) Beneficiary Share (Rs) 6. Total Eligible Project cost of all recommended project components(rs) Project Cost M.I. system GOI Share (50 %) A) Micro - Sprink ler Total B) Mini Sprink ler C) Drip Irrigati on State Share (30 %) 7. Total recommended project assistance(rs.) M.I System GOI share (50 %) State Share (30 %) A) Micro - Sprink ler B) Mini- Sprink ler C) Drip Irrigati on Total 8. (A) Mode of payment of project assistance Directly to the company as per guidelines

7 (B) Beneficiary would contribute his share as per procedure given in the guidelines 1. Certified that above details are based on spot inspection and information furnished by the beneficiary. 2. Certified that the undertaking from beneficiary shall be obtained on affidavit as per guidelines Annexure III (iv) after the issue of administrative approval and before the issue of work order or the issuance of authorization based on above from Sr. No. 1 to 8 B. Submitted to the Dy.Director of Horticulture District (HP) for favour of perusal and further necessary action along with necessary estimates and documents. Subject matter Specialist/Horticulture Development officer, Development Block District Himachal Pradesh

8 Annexure III (i) Format of application Form to be submitted by the beneficiary for availing financial assistance under PMKSY. 1. Beneficiary Name 2. Father/Husband name 3. Category 4. Village 5. Horticulture Development Block 6. District 7. Total Area (Ha) in his name 8. Survey Number (s) of the field (s) where to install the 9. Whether he/she or any of his/her family members have availed subsidy from any GOI Scheme earlier. Y/N, if yes, details there of 10. System /Method of irrigation used 11. Area (ha) 12. Crop covered (ha) 13. Year of Installation 14. Crops cultivated 15. Type of system required 16. Name of crop for which the system is required If the systems for plantation crop 17. Intercrop taken If so, the type (s) of inter crop 18. Total area covered under irrigation 19. Source of water for irrigation 20. If wells, then open or tube well/bore well etc. 21. Depth of the water table in the well (m) 22. Depth of the tube well/bore well (m)

9 23. Water quality Analysis report of the Irrigation water (Attach analysis report) 24. Daily usage time of the well 25. If canal, then any provision made for storage 26. Any farm pond available (if yes, the dimensions of the pond(l x b x d) 27. Justification for water to be used for irrigation (water sharing agreement document) 28. Electricity availability (hours) 29. Time of electricity availability 30. Pump Capacity (HP) 31. Horse Power (HP) of the Diesel engine 32. Field /plot dimensions for which subsidy has been availed 33. Soil type whether problematic or good (Enclose Copy) 34. Water table depth (m) in the field /plot for which system has been designed. (Signature of Beneficiary)

10 Annexure-III (vi) AGREEMENT BETWEEN FARMER AND ELIGIBLE FIRM/COMPANY (SERVICE PROVIDER FOR THE SURVEY, PLANNING DESIGNING AND INSTALLATION OF MICRO-IRRIGATION SYSTEM ON FARMERS FIELDS UNDER PMKSY. This agreement made this Day of Between Shri/Smt. R/O (herein after called the farmer or the first party) and Shri S/O Sh. R/O (hereinafter called the service provider or 2 nd party. He can be a proprietor of the firm /company or authorized representative duly authorized by the firm/company to sign and enter into an agreement).it is hereby agreed between the parties as follows. The parties hereby agreed to undertake the following: 1) The farmer will provide land for installation of micro-irrigation system and shall provide water source for installation and operationalization of micro-irrigation system for irrigation system and shall for irrigating the crops to be grown in that piece of land. The land will be cleared of bushes etc. and made fit for installation of micro-irrigation systems by the first party. 2) The farmer will accept cost estimates, design of micro-irrigation systems and will fix suitable time schedule for the installation /construction of infrastructure. 3) The second party approved by the Govt. will arrange specified construction material and will execute the work to the best satisfaction of first party within 75 days from the date of signing of the agreement. 4) The first party will select the modal and design of micro-irrigation systems and will provide cheque/draft to the selected company equal to 20 %of the construction cost as beneficiary share at the time of signing this agreement. 5) The service provider /company will provide the material up to road head point Kucha or Pucca and any head load will be borne by the beneficiary. 6) Before execution, the farmer will inspect the material and ask HDO/SMS to inspect and verify the specifications of construction material. 7) The service provider will execute the construction work of micro-irrigation system to the satisfaction of the farmer /PIA. 8) In case of default /deviation from the agreed terms and conditions,the parties concerned will be liable for the following: a) Loss accrued to the first party by way of non-installation of irrigation system within 75 days, second party will be liable to refund the entire amount with 20 % interest from the date of deposit of this amount. In case there is any construction defect or non specified construction material is used, then second party would remove the defect and replace the material at his own cost. b) First party shall have to sign an agreement with the service provider of his choice within 15 days from the receipt of sanction from Dy.Director Horticulture of the District.

11 c) The execution of civil works will be decided mutually by both the parties. In Witness whereof the said and have here to respectively signed this agreement on the day year first herein above written. Signature Witness 1. (Dy.Director of horticulture or his respective) Farmer (First party) 2. (Local Person) Company (Service Provider)