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CENTRAL GOVERNMENT EMPLOYEES WELFARE HOUSING ORGANISATION JANPATH BHAWAN, `A WING, 6 TH FLOOR, NEW DELHI 110 001. Revised EOI Document Subject : Proforma for submission of details for selection of Civil Works Contractor for CGEWHO housing project in Sector -79, SAS Nagar, Mohali (Punjab) CGEWHO invites eligible civil work contractors to indicate their Expression of Interest for building works contract which include civil works items such as RCC/ brick work or stone work/wood work or PVC work for door frames and shutters/ steel or aluminium work/ plaster work/ flooring work/ water supply and sanitary installation/ drainage/ water proofing work/ lifts/ boundary wall etc. for its SAS Nagar, Mohali housing scheme. The details of EOI are as under: i) The contractors should meet the minimum Pre-qualifying (PQ) Criteria as mentioned in the advertisement. The detailed PQ document can be downloaded from website i.e. www.cgewho.in. ii) Applicants should give details in the order specified. If required additional details may be annexed with reference to the question, proper referencing should be done. iii) Application completed in all respects should reach The CEO, CGEWHO, `A Wing, 6 th Floor, Janpath Bhawan, Janpath, New Delhi 110 001 alongwith DD of Rs.2,000/- in favour of CEO, CGEWHO, as non-refundable EOI document cost. iv) No joint venture or consortium of firms shall be allowed and the contractors should meet the minimum pre-qualification criteria by themselves. v) Intending bidders should apply on the prescribed format as per the PQ document alongwith documentary evidence for the following : a) Certificate of Incorporation in India. b) Articles/ Memorandum of Association/ Partnership Deed etc. c) Certificate of Registration from Registrar of Co. d) EPF/ESI/ Registration No. alongwith copy of challan for the month of june 2016. e) PAN No. f) Manpower details g) Plant & Machinery holding h) Details of pending litigation etc., if any. i) Name and address of Bankers etc. j) Audited Balance Sheet for the last five years. k) Sales Tax/ VAT & CST No. alongwith valid Clearance Certificate. l) Service Tax Registration Number. m) Certificate of Investments n) Bank Solvency Certificate issued not before Jan 2016. vi) Last date of receipt of pre-qualification application is by 5 pm on 19 th August 2016 Applications received late shall not be considered. vii) Corrigendum/ addendums, if any, to this EOI shall only be posted on CGEWHO website i.e.www.cgewho.in. (Pre-qualification of construction agency) Page 1/11

Structure of Organisation FORM `A - I a. Name of the Firm : b. Year it was formed : c. Address i) Head Office : ii) Branch Office/s : d. Telephone (s) (Office) i) Head Office : ii) Branch Office : e. Contact person(s) i) Head Office : ii) Branch Office : f. Status of firm i) Limited/ Private Limited : ii) Partnership : iii) Proprietory : g. Class, year and details of enlistment with CPWD, MES or any other Central/ State body h. Professional membership like Membership of Builders Association etc. i. Area of Specialisation (Development, housing, commercial, industrial etc.) j. Experience of firm in i) Civil Works ii) Sanitary (Internal & External) iii) Internal electrical works (Pre-qualification of construction agency) Page 2/11

FORM A - II Documents to be enclosed i) EPF/ESI/Registration no. alongwith copy of Challan of previous month ii) Sales Tax/VAT & CST No with valid clearance certificate iii) PAN No. iv) Service Tax Registration No. v) Articles/ Memorandum of Association/ Partnership Deed etc. vi) Certificate of Registration from Registrar of Cooperative Societies. vii) Certificate of Enlistment viii) Bio-data of sub-contractors regularly employed (Pre-qualification of construction agency) Page 3/11

FORM `B In the following questions please include projects undertaken by the firm only (not just by the individual partner/ employees/ Group Construction). Agreements/ work orders for housing projects to be attached. Details of similar works completed (a)total No. of group housing projects/ completed with minimum 190 DUs & Rs. 66.5 cr. Please specify No. of projects Nos. (b)provide following information on your completed Group Housing Projects (with minimum 190 DUs & Rs.66.5 cr project): S. No Project Title Configuration (No of Stories) Total Plinth Area (Sq Mt) Details Accommodation of Type Area No. of Units Project Value (Cr Rs) Date of Start Completion Clients address, Tel No. & e-mail address (Pre-qualification of construction agency) Page 4/11

FORM `C Details of Similar works in hand (a) (b) Total No. of in-hand group housing projects with minimum 190 DUs & Rs.66.5 Crs : please specify No. of projects.nos. Provide following information on all your in-hand projects (minimum 190 DUs & Rs.66.5 Cr project) S.No Project Title Configuration (No of Stories) Total Plinth Area (Sq Mt) Details Accommodation of Type Area No. of Units Project Value (Cr Rs) Date of Start Stage of construction Clients address, Tel /Mobile No. & e-mail address (Pre-qualification of construction agency) Page 5/11

FORM `D ADMINISTRATIVE INFORMATION 1. Information about your full-time permanent staff in regular appointment for the last three years (Do not include any part-time or contract staff). No. Description Total No. 1. Graduate/ Post Graduate/ Other Professionals a) Designation 2. Civil Engineers (Graduate/ Post Graduate) a) Designation 3. Diploma Civil Engineers 4. Electrical/ Mechanical Engineers 5. Administrative Office Staff 6. Others (Please specify) a. b. c. Total Manpower (Please include the resume of your key staff) 2. Any arbitration/ Litigation in any of the projects till date if yes provide complete details. (Pre-qualification of construction agency) Page 6/11

FORM - E DETAILS OF PLANTS & MACHINERIES AVAILABLE WITH THE FIRM i) List of tools, plants and other construction machinery available with the firm. ii) Details of workshop/ fabrication/ manufacturing facility available. (Pre-qualification of construction agency) Page 7/11

FORM F PERFORMANCE REPORT 1. Name of Work/ Project & Location 2. Agreement Amount 3. Estimated Cost 4. Tendered amount 4(a) Completed cost of work 5. Date of start 6. Date of Completion (i) (ii) Stipulated date of completion Actual date of completion/ likely date of completion 7. Amount of compensation levied for delayed completion, if any 8. Performance Report a) Quality of Work Very Good Good Fair Poor b) Resourcefulness Very Good Good Fair Poor c) Financial Soundness Very Good Good Fair Poor d) Technical Proficiency Very Good Good Fair Poor e) General Behavior Very Good Good Fair Poor 1) The performance report preferably be submitted in the above performa. In case, different performa is used, the applicant shall ensure that the report/ certificate shall contain the above information. 2) This report should be signed by the authority of owner not less than the rank of Executive Engineer or equivalent. (Pre-qualification of construction agency) Page 8/11

FORM - G FINANCIAL INFORMATION 1. Financial Analysis: Details to be furnished duly supported by figures in Balance Sheet/ Profit & Loss Account for the last five years duly certified by the Chartered Accountant (certified copies to be attached). 2011-12 2012-13 2013-14 2014-15 2015-16 Average Annual Turnover A B C D E (A+B+C+D+E)/5 (i) (ii) (iii) (iv) Gross Annual turnover Profit/ Loss Net Worth (Paid up capital + reserves) Latest Bank Solvency - - - - - - - - - - - - 2. Financial arrangements for carrying out the works (Own arrangements & Fund based & Non-Fund based sanctioned limits). 3. The following certificates are to be enclosed : a) Name and address of bankers, auditors etc. b) Latest solvency from Bankers of applicant c) Audited Balance Sheet and Profit & Loss Account alongwith Audit Report with annexures for the last 5 years Signature of Chartered Accountant With Seal Seal & Signature of Applicant (Pre-qualification of construction agency) Page 9/11

From : LETTER OF TRANSMITTAL (ON THE LETTER HEAD OF COMPANY) To : CGEWHO 6 th Floor, `A Wing Janpath Bhawan, Janpath New Delhi 110 001. Sub : Pre-qualification of Contractors Sir, Having examined the details given in Notice for pre-qualification and pre-qualification Application documents for the above work, we hereby submit our qualification and relevant documents. i) We hereby certify that all the statements made and information supplied in the enclosed Forms `A to `F and accompanying statements are true and correct. ii) We have furnished all information and details necessary for pre-qualification and have no further pertinent information to supply. iii) We have submitted the requisite bankers certificate/ performance reports and authorize the CGEWHO or their representatives to approach individuals, employers, firms and corporations to verify our submittals, competency and general reputation. iv) We hereby confirm that we have read and understood all the stipulations given in this prequalification shall be final and binding on us. v) We have submitted the following certificates in support of our meeting the minimum qualifying criteria of completed work(s) as specified for having successfully completed the following works : NAME OF WORK CERTIFICATE FROM 1. 2. 3. Enclosures : Date of Submission (Pre-qualification of construction agency) Page 10/11

(Seal of Company) (Signature of Applicant) DECLARATION (To be submitted on non-judicial stamp paper of Rs.10/- duly certified by Notary Public) Affidavit of Sh s/o r/o. I, the Deponent with above name do hereby solemnly affirm and declare as under : 1. That I am the Proprietor/ Authorized Signatory of M/s having its head office/ Regd Office at. 2. I/we have no objection if enquiries are made about the work listed by me/ us in the accompanying sheets/ annexure. 3. I/ we agree that the decision of committee in selection will be final and binding to me/ us. 4. I/ we have read the instructions appended to the proforma and I/ we understand that if any false information is detected at a later date the committee is at liberty to act in a manner it feels deemed fit. 5. I the Proprietor/ Authorised Signatory of M/s do hereby confirm that the contents of the above affidavit alongwith the information furnished with respect to EOI document are true to my knowledge and nothing has been concealed there from and that no part of it is false. Verified at this day of 2016. DEPONENT (Pre-qualification of construction agency) Page 11/11