a) ARCHITECTS PROFILE

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APPLICATION FORM TO BE FURNISHED FOR THE PURPOSE OF EMPANELMENT OF a) ARCHITECTS PROFILE CATEGORY APPLIED FOR (PLEASE TICK IN THE BOX) i) For Civil repair work Tick a) Works up to Rs 25 lakhs b) Works up to Rs 75 lakhs ii) Iii) For interior work For Structural consultant a) Works up to Rs 25 lakhs b) Works up to Rs 75 lakhs a) Works up to Rs 25 lakhs b) Works up to Rs 75 lakhs 1. Name of the firm 2. Registered Address Office Address in Mumbai 3. Telephone Nos. including Mobile No. 3. Fax No Email address 5. Constitution of the firm 6. Year of establishment Documentary Proof is at page no. 7. Name of Partners/ Associates Page 1 of 9

1. Bio data of partners / Associates details has to be given in the enclosed format at Annexure A 2. Professional qualification Registration No. with Council of Architects/ Indian Institute of Architects / Engineers Documentary Proof is at page nos. Registration with Local bodies Documentary Proof is at page no. 10. Names & values of major civil / interior / structural repair works completed during the last 5 years. Details may be given in the enclosed format, Documentary Proof is at page no. 11. Name & value of major civil / interior /structural repair works on hand. Details may be given in the enclosed format. Documentary Proof is at page no. 12. Name & value of other major works on hand. Details may be given in the enclosed format Documentary Proof is at page no. 13.List of Technical personnel employed 14.List of other personnel employed 15. List of consultants Associated with the firm (for Electrical, H.V.A.C., Fire Fighting, and Security System. Landscaping Etc.) 16. List of office equipments owned by the firm / Company 17.Banker s names & Addresses 1 2 3 Annexure B Annexure C Annexure D 18. Latest income Tax clearance / IT return certificate to be enclosed Necessary Documentary Proof is at page no. Page 2 of 9

19. List of registrations with other organizations particularly PSU & banks Documentary Proof is at page no. 20. Particulars of participation in Competitions, if any, with Details 21. If the firm is not having its office in Raipur. Please indicate the time by which it is likely to open in Raipur Documentary Proof is at page no. NOTE:- Necessary details and documentary proof, photographs if any etc. has to be enclosed as separate attachments serially numbered with cross references to the respective statements made in this Application. Any sort of negligence in this respect and also in this application is likely to result in rejection of the application. Seal & Sinature Name of Signatory : Page 3 of 9

I - PREQUALIFICATION CRITERIA FOR ARCHITECTS / STRUCTURAL CONSULTANTS 1. The Architects / Consultants who have already worked for DENA BANK and have provided their services satisfactorily as per the Bank s Opinion. 2. For Architects, who are post graduate / graduate / diploma holder in architecture / interior designing either from India or abroad and / or have done considerable extent of work as Registered (with Council of Architecture) Architect for a period of more than three years. For Structural Consultant, the persons who are graduate/post graduate in Civil Engineering (specialization in Structural Engineering will be preferred) either from India or abroad and / or have done considerable extent of work as Structural Engineer for a period of more than three years. 3. Applicant should have membership of Indian Institute of Architects / Council of Architecture / Institution of Engineers for consultancy or any other professionally recognized institutes. Registration with local bodies as Structural Engineer for at least 3 years is essential for Structural consultants. 4. Membership of other recognized professional institutes. 5. There shall not be any adverse performance / financial report about the Applicant. 6. Applicant should have adequate organizational structure with qualified architects, engineers, specialists, other technical officers and staff along with associates, if any, to plan, supervise & execute work of nature & magnitude given in the respective categories. 7. Regular presence of professional work in the state of Chhattisgarh is essential. 8. Satisfactory Completion of at least one comparable job in Chhattisgarh of value of the outer limit in each category or Three similar completed jobs in CG costing not less than the amount equal to 40% of the outer limit given in the respective categories of works during the past three years, under the same name of the Applicant. 9. Necessary details and documentary proof, photographs if any etc. has to be enclosed as separate attachments serially numbered with cross references to the respective statements made in this Application. Any sort of negligence in this respect and in this Application is likely to result in rejection of the Application. 10. Clarifications, if any required, may be obtained from Manager (General Administration Department) Dena bank Phone No. 0771-2229563/2228852 on all working days during office Hours only. 11. Applicant should have thorough knowledge of rules, regulations and procedures local appropriate authorities and should have experience in executing works. Page 4 of 9

12. The Bank may restrict the number of pre-qualified Agencies in the Panel for Administrative Reasons. II - LIKELY ALL INCLUSIVE FEES DECIDED BY THE BANK FOR ARCHITECTURAL SERVICES & FOR CIVIL REPAIR WORK Description of Work Interior work for Office / residential building (for each work) For Original work including supervision Upto Rs 25 lakhs Rs 25 lakhs to Rs 75 lakhs 3% 2.5% Civil Repair works (for each work) 3% 2.5% 1. In case of repetitive jobs, first / original Work will be paid at the rate of fees as above and the remaining repetitive jobs will be paid at 1.5 % fees only. 2. The above fees include the fees to be paid to the expert consultants to be engaged by the Architect / Structural Engineering Consultant. 3. The fees payable to the Architects / Structural Consultants at the above percentages is on actual cost of the works done including cost of extra items executed with consent of the Bank and PVA payable to the contractors. 4. However, items of direct supply / purchase by Bank like electrical fixtures, Airconditioning units, steel racks, compactors, strong room / SDV room doors, ventilators, exhaust fans, tang bars or any other works which gets independently done for which Architects do not prepare any tender documents, specifications, BOQ, drawings, etc. will be deducted from the project cost for purpose of payment of fees to the Architects / Structural Consultant.. Seal & signature Name of signatory : Page 5 of 9

ANNEXURE A BIO DATA OF THE PARTNERS / ASSOCIATES / DIRECTORS 1. Name 2. Associated with the firm since 3. Date of birth : 4. Professional qualification Date of acquiring Professional qualification : 5. Professional experience Practicing / Employed since : 6. Professional affiliation 7. Memberships in. 8. Details of published papers in magazines 9. Details of cost effective methods/ Designs adopted in the projects 3. Exposure to new materials / Techniques Seal & signature Name of signatory Page 6 of 9

Sl. No Name & Address of the Employer DENA BANK ANNEXURE B LIST OF MAJOR CIVIL / INTERIOR WORKS COMPLETED DURING THE LAST 5 YEARS Nature of work / Location Estimated value Area in Sq ft Date of start Period of completion as per the Contract Actual date of completion Final value of the project Reasons for the variation in value and or delay if any Penalty / litigation / arbitration if any (please give details) 1 2 3 4 5 6 7 8 9 10 11 Note: (i) The Work Order / credentials issued by the clients are serially attached at page nos. (ii) The work should have been executed in the state of chhattisgarh by the firm under the name in which they are submitting the application. (iii) Necessary details and documentary proof, photographs if any etc. has to be enclosed as separate attachments serially numbered with cross references to the respective statements made in this Application. Any sort of negligence in this respect and in this Application is likely to result in rejection of the Application. Seal & Signature Name of Signatory Page 7 of 9

ANNEXURE C LIST OF MAJOR CIVIL/ INTERIOR WORKS ON HAND Sl No Name of the employer & address Nature of work / location Date of work order Value Area Sq ft Present status / progress Scheduled date of completion 1 2 3 4 5 6 7 8 9 Remarks Note: (i) The Work Order / credentials issued by the clients are serially attached at page nos. (ii) The work should have been executed in the state of chhattisgarh.by the firm under the name in which they are submitting the application. Seal & Signature Name of Signatory Page 8 of 9

ANNEXURE D LIST OF OTHER MAJOR WORKS ON HAND Sl. No Name of the employer & address Nature of work / location Date of work order Value Area Sq ft Present status / progress Scheduled date of completion Remarks 1 2 3 4 5 6 7 8 9.Note: (i) The Work Order / credentials issued by the clients are serially attached at page nos. ii) The work should have been executed in the state of chhattisgarh by the firm under the name in which they are submitting the application. Seal & Signature Name of Signatory Page 9 of 9