SCHEDULE-V

TECHNICAL QUALIFICATION
Engineer-in-Chief, RWS & Department, Director, Panchayati Raj Odisha Secretariat Bhubaneswar
NIT NO
RFP REFERENCE NO
SCOPE OF WORK
NAME OF PANCHAYATS UNDER THE DISTRICT
(Qualifying Requirement Data Applicable For Bidders seeking Technical Qualification Under e-RFP Documents).
To,
The Tender Issuing Authority,
Engineer-in-Chief, RWS & S Department
Dear Sir,
Inviting reference to the above, we confirm that we meet the qualifying requirement mentioned under Clause-4, Section-II of e-RFP Documents. The Details are given Below:
Name of the Bidder ELITE INDUSTRIES
Bid Proposal No & Date No. 2085 / Date: 10.03.2022
SL Technical Qualification as per Clause-4, Section-II BIDDER TO FILLED IN Documentary Evidence in support of Qualifying
No of e- RFP Documents. Requirement in (.PDF)
A. Eligible Bidder:
Sole Proprietor/ Partnership Firms/ Company having Electrical Contract
License (MV and above) or HT License. I. Sole Proprietor having Electrical Contract License (HT) MSME/Udyog Aadhar Registration Certificate, Factory License.
or License. Electrical Contractor License.pdf
OEM (LED Bulb) or any of its Authorized Dealer/ Distributor duly authorized by
the OEM to participate in the tender in Consortium with Electrical Contractor
having License (MV and above or HT License).
I (a). Whether Sole Proprietor/ Partnership Firms/ Company <Indicate> Sole Proprietor
I (b). Year of operation in India <Indicate> 2004
I (c). Whether worked as principal contractor or sub-contractor <Indicate> worked as principal contractor

I (d). Whether possesses Electrical Contract License (MV and above) or HT Electrical Contract License (MV)
1 License.<Indicate>
I (e). Electrical Contract License No. <Indicate> 104320185405052021
I (f). Validity of Electrical Contract License. <Indicate> 05/05/2021 to 04/05/2024
II (a). Whether participate as consortium <Indicate> NOT APPLICABLE
II (b). Whether the lead partner of the consortium is OEM (LED BULB) or its NOT APPLICABLE
authorized dealer of in Odisha <Indicate>
II (c). Name of the consortium partner Electrical Contractors having License NOT APPLICABLE
(MV and above or HT License)
II (d). Validity of Electrical Contract License of the consortium partner NOT APPLICABLE
<Indicate the No. & validity period>
II (e). Whether consortium partner submitted the consortium agreement NOT APPLICABLE
<Indicate>
2 B. Work Experience: a. Details of Work Experiance.pdf
i. The Bidder as a Principal Contractor or as a Sub-Contractor must have b. Work Completion Certificate.pdf
successfully completed and commissioned at least 05 (five) nos. of
Electrical Works viz; Installation of Street Lighting/Installation of DTR /
Line Erection Works/ Installation of Electrical Meters/ Electrification of an
Office Building of at least 10,000 sq. Feet during last 5 (five) Financial
Years preceding to the year of NIT as per the Work Orders and Performance
Certificate issued by the Concerned Utility.

Work Order/LOA Reference No-1

BIDDER:

Authorized Signatory ------------------------ Name: ……………………. Designation: Project Head Address ----------------------- Company Seal -----------------

Date: …………………………………..
 a. Work Order/LOA No.& Date
b. Name of the Client
c. Work Order scope of works
d. Work Completion period as per LOA/Work Order
e. Date of Completion of works
f. Work Completion Certificate Reference No.
Work Order/LOA Reference No-2
a. Work Order/LOA No.& Date
b. Name of the Client
c. Work Order scope of works
d. Work Completion period as per LOA/Work Order
e. Date of Completion of works
f. Work Completion Certificate Reference No.
Work Order/LOA Reference No-3
a. Work Order/LOA No.& Date
b. Name of the Client
c. Work Order scope of works
d. Work Completion period as per LOA/Work Order
e. Date of Completion of works
f. Work Completion Certificate Reference No.
Work Order/LOA Reference No-4
a. Work Order/LOA No.& Date
b. Name of the Client
c. Work Order scope of works
d. Work Completion period as per LOA/Work Order
e. Date of Completion of works
f. Work Completion Certificate Reference No.
Work Order/LOA Reference No-5
a. Work Order/LOA No.& Date
b. Name of the Client

c. Work Order scope of works

d. Work Completion period as per LOA/Work Order
e. Date of Completion of works
f. Work Completion Certificate Reference No.
D. Other Documents :
I. PAN Card
II. GST Registration Certificate
3.
III. Whether Submitted MAP
IV. Undertaking for not being black listed in recent past from any of the
Electricity Transmission Utility / Generation Utility / OWNER / Govt.
Of Odisha/ Central Govt.of India.

BIDDER:

Authorized Signatory ------------------------ Name: ……………………. Designation: Project Head Address ----------------------- Company Seal -----------------

Date: …………………………………..