Bharat Electronics Limited

Machilipatnam, Andhra Pradesh 521 001

Annexure - 1
Name of Work: Transportation, Spreading and Consolidation of Red Earth at BEL New site Nimmaluru, Pamarru
Mandal, Krishna District, Andhra Pradesh.
Proforma for the Application
Sl. No
Description
Remarks
1.0

Name and Address details of the firm

1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8

Name
Postal Address
Contact Person
Mobile Nos.
Telephone Nos.
Fax No.
E-mail Address (Mandatory)
Whether the firm is

2.0

Whether the Applicant firm is having a running office in and

around Machilipatnam / Vijayawada / in the state of Andhra
Pradesh .

2.1

If No, Whether willing to Open an office in and around

Nimmaluru / Machilipatnam / Viajawada.

3.0

Registration with MSME/PWD / CPWD / MES / Govt / Public

sector undertakings or any other reputed organisations with
type and class of registration.

4.0

Details of technical personnel available with qualification and

experience.

5.0

List of equipments, Machinery, tools and plants etc., available

with the contractor for executing the work.

6.0

Details of civil suit / litigation / arbitration arisen, in the contract

execution during the last 3 years including the order regarding
exclusions/expulsions or black listing, if any

6.1

If Yes, furnish The details

7.0

Any other relevan tinformation / details of the agency may like

to furnish.

8.0

The following Prequalification Requirements are mandatory and shall be filled by the Agency. Details furnished
as"Separate Sheet Enclosed" will not be accepted. (Columns left blank, if any, will be treated as Nil and the application
will be processed accordingly).

8.1

Latest banker's Solvency certificate for a value not less than

Rs. 168 Lakhs from Nationalised / Scheduled banks issued
not earlier than 12 months from the final date of submission of
prequalification application. (photo copy of the Banker's
Certificate clearly indicating name and address of the bank,
name of firm, financial capability of firm to be enclosed).

8.1.1
8.1.2
8.1.3
8.2
8.2.1
8.2.2
8.2.3

Value
Name of Bank
Date of issue

Proprietary / Partnership / Limited Company

Yes / No

Rs.

Financial Turnover details for last 3 years(Average annual

Financial Turnover shall not be less than Rs. 201 Lakhs)
2013-14
2014-15
2015-16
(Photo copy of the audited balance sheet along with Profit and
Loss account statement to be enclosed as proof of Turnover)

Rs.
Rs.
Rs.

8.3

The Agency / Contractor should have successfully similar

works (within India) during the last 7 years, ending last day of
month previous to the one in which applications are received,
as indicated below

8.3.1

Details of Three completed similar works each costing not

less than Rs. 268 Lakhs
Sl. No.
i
ii
iii

8.3.2

8.3.3

Name of Work

OR
Details of Two similar completed works each costing not less
than Rs. 335 Lakhs
Sl. No.
Name of Work
i
ii
OR
Details of One similar completed works each costing not less
than Rs. 536 Lakhs
Sl. No.
Name of Work
i
OR
Note:-1. The present value of similar work completed shall be
derived by adding an inflation of 7 % every year to arrive at
realistic value of work. (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 the last date of submission of bid).
2. This shall be accompanied with the copies of the work
orders or purchase orders and completion certificates
indicating the value of work completed issued by respective
clients. If the similar work furnished is from other than
Government Department, the same shall be supported with
TDS / CST from pertaining to the similar works certified by
sales tax authorities /VAT remittance pertaining to the similar
works certifies by the sales tax aythourities/ Bankers
Statement / Certificate from charted Accountant, submitted for
a value not less than the stipulated / pre inflated value of
similar work under which agency is being prequalified

Value of work

Value of work

Value of work

8.4

Service Tax Registration

(Photo copy of the supporting documents to be enclosed)

8.5

PF Code
(Photo copy of the supporting documents to be enclosed)

No. _______________________________

8.6

ESI Code
(Photo coopy of the supporting documents to be enclosed)

No. _______________________________

8.7

Permanent Account No. (PAN)

(Photo coopy of the supporting documents to be enclosed)

No. _______________________________

9.0

Sales Tax Registration Number

(Photo coopy of the supporting documents to be enclosed)

No. _______________________________

10.0

VAT (if any)

(Photo coopy of the supporting documents be enclosed)

No. _______________________________

11

No. _______________________________

List of works on hand indicating the name of work, value of

work, stipulated date of completion etc.,
[ This
shall be accompanied with the copies of the work orders
issued by respective clients. These works will also be
considered appropriately in addition to completed works
for prequalification of agencies.]

Note:
1. The details should be filled in prescribed proforma only.
2. Relevant Certificate and Supporting documents shall be enclosed wherever specified.

3. All columns / (Sl.Nos) shall be filled by the agency. Columns / (Sl.Nos.)if left blank will be treated as NIL and the
application will be processed accordingly.
I confirm that the details furnished above are true to the best of my knowledge.
DATE:
PLACE

SIGNATURE AND NAME OF THE AGENCY

Bharat Electronics Limited

Machilipatnam, Andhra Pradesh - 521001
Annexure:1A
Name of Work: Transportation, Spreading and Consolidation of Red Earth at BEL New site Nimmaluru, Pamarru Mandal, Krishna District, Andhra Pradesh.
Ref: Prequalification requirements (4.3 of Annexure -1)

Sl. No.

Sl. No.

Name of Work

Name of Work

1. Details of similar completed works - To be considered for prequalification

Reference of
Value of work
Date of completion
Name of the Client
Work Orders
Awarded
Actual on Completion
Stipulated date
Actual completion date

Remarks

2. Details of other similar works completed if any during last 7 years

Reference of
Value of work
Date of completion
Name of the Client
Work Orders
Awarded
Actual on Completion
Stipulated date
Actual completion date

Remarks

Note: Copy of the Work Orders / Purchase Orders and Completion Certificate indicating the value for each work shall be enclosed. If any completion certificate is from Private
Organization, the same shall be supported with TDS certificate for having received the payment from their clients).

Signature and Name of Agency

Bharat Electronics Limited

Machilipatnam, Andhra Pradesh - 521 001
Annexure: 1B
Name of Work: Transportation, Spreading and Consolidation of Red Earth at BEL New site Nimmaluru, Pamarru Mandal, Krishna District, Andhra Pradesh.
Ref: Prequalification Requirements (Para no: 10.0 of Annexure 1)
Details of Works on Hand

Sl. No.

Name of The Work

Name of the Client

Reference of Work
Orders

Value of work
Awarded

Actual date of
Stipulated date of
Present progress of
commencement of
completion of
work
Executed as on Date
work
work

Remarks

Note: This shall be accompanied with the copies of the Work Orders or Purchase Orders issued by respective clients

Signature and Name of the Agency