Rules for Enlistment of Contractors in CPWD, 2026
Annexure - Ill
(Refer to Rule 6.0)
Work experience certificate of Completed Work(s)
LS Ce Date: .............
Location of work (mention city and state)
Name of contractor (same as mentioned in Award)
letter)
Esti
(
stimated Cost
6. | Agreement/work order amount (Rs.)
Gross value of completed work (Rs.)
8. *| Amount of Gross value of final last paid bill, (if final
bill not paid).
| 9. | Stipulated date of start (DD-MM-YYYY)
: Date of completion:
, (DD-MMV-
10.
(a) Stipulated date of completion (DD-MM-YYYY)
(b) Actual date of completion (DD-MM-YYYY)
(c) Justified extended date of completion, if decided
(DD-MM-YYYY)
11.*| Details of work
(a) Nature of work (Building/Infrastructure/Road/
Horticulture)
(b) Type of structure (RCC framed / load bearing /
composite or any other)
(c) (i) Type of Technology used e.g. Cast-in-Situ
Structural Systems, Monolithic — concrete
construction system, Precast RCC Systems,
Steel Structure, Pre-stressed concrete system
etc.
(ii) Technology used of his/her own or through
Associated Agency.
(a)Type of Building / Infrastructure (Office / College/
Hospital /School / Hostel /Quarters / Flyover /
Bridge / Road / Culvert etc.).
47 171 years of Engineering Excellence | CPWD |
Rules Rules for Enlistment of Contractorsin CPWD, 20260 Enlistment of Contractors in
CPWD, 2026
Internal Electrical installation, | External
enced installation, Lift, Scada, EPBAX,
(b) Frafighing Fire Alarm, HVAC
Electrical Substation, DG set, STP/ETP Plant
Solar Photo Voltaic Power Generation/ Solar
Water Heating, Access Control, Baggage
Scanner System, Conveyor Belt
Gas/Oxygen Supply Line, OT Room
Any other Specialized Services
reer plinth area of the aoe
7 Horticulture Work(s), — oe by = or
through associated agency
(a) Whether extension of time for delayed completion has
been decided or not? Owner department officers are
requested to only mention either “Yes or No”
against this option.
(Option of writing “Not applicable” is only acceptable
where work is completed before stipulated date of
completion).
If extension of time for delayed completion has been
decided, then amount of compensation levied, if
any?
) In case of Road work, whether bituminous / CC
or both.
Other information
(a) If completed work is building construction, then
number of storey(s) constructed excluding
basement.
c) If completed work is a construction, then
Details of extension of time for delayed completion.
Executed
associated
lagency
| CPWD | 171 years of Engineering Excellence
48
Rules for Enlistment of Contractors in CPWD, 2026
Is there any Conciliation / Mediation / Arbitration /
Court Case(s) (from start of work till issue of this
certificate), Owner / department officers are requested
to only mention either “Yes or No”.
Status of owner / department
Owner / department officers are requested to only
mention (Central/State Government /PSU/ Private)
(a) Name of Project Manager or Executive Engineer
or Equivalent
(b) Address
(c) Phone
(d) e-mail
Remarks, if any
The above work has been / was completed/in progress satisfactorily.
Signature with seal and designation
(Project Manager or Executive Engineer or
Equivalent Officer of owner department)
Certificate: This is to certify that no adverse action has been taken by the department
concerned against me/us. I/We understand that if any information is found incorrect, our
enlistment is liable to be cancelled.
(Self-attestation by Applicant)
Signature with seal
Notes:-
1. Scanned copy of original documents to be uploaded in the portal
2. This proforma shall be filled up separately for all four (maximum) eligible works
proposed submitted as for work experience for enlistment.
3. Annexure-lll without valid signature of owner department is invalid. Owner means
department who owns the project/work executed by the applicant (Contractor).
4.* Serial numbers 7, 8, 11, 15, 16 and 17 in Annexure-lll are editable in CEMS / ERP
portal and all other information in Annexure-lll are non-editable.
5. —Annexure-Ill shall not be more than 6 (six) months old from the date of application of
enlistment.
49 171 years of Engineering Excellence | CPWD |
