Annexure 1
Covering letter format
(On the Letterhead of the Bidder)
To,
__________________________
__________________________
__________________________
Subject: Expression of Interest for
in the jurisdiction of UMC Area in the state of Madhya Pradesh.
Having examined all the details given in EOI document and Pro-forma for the above Consultancy &
Architectural works, I/we hereby submit the relevant information.
1. I / We hereby certify that all the statements made and information furnished in the
enclosures and accompanying statements are true and correct.
2. I / We have furnished all information and details necessary for EOI and have no further
pertinent information to supply.
3. I / We also agree that the City Engineer (UMC, Ujjain) or their authorized representatives can
approach individuals, employers and firms to verify our competence and general reputation.
4. I / We submit certificates in support of our suitability, technical knowhow and capability for
having successfully completed the projects, in prescribed format.
5. I / We agree that the discretion and decision of the UMC, Ujjain in respect of the
Empanelment of the Consultants and Architects is final and binding.
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 2
Application Form for Empanelment
(On the Letterhead of the Bidder)
Information to be furnished by the Applicant
S. No. Particulars Details
1. Name of Organization
2. Address
3. Contact Person
4. Telephone No.
5. Mobile No.
6. Fax No.
7. E-mail ID
8. Organization Details To be filled as per Annexure 3
Curriculum Vitae (CV) of proposed Professional
9. To be filled as per Annexure 4
Personnel
10. Details of Proprietor / Partners / Directors To be filled as per Annexure 5
11. List of Consultancy Assignments completed To be filled as per Annexure 6
12. List of Consultancy Assignments in progress To be filled as per Annexure 7
13. Financial Status To be filled as per Annexure 8
List of available with the
14. To be filled as per Annexure 9
firm/company
15. Litigation / Arbitration To be filled as per Annexure 10
16. Affidavit To be filled as per Annexure 11
Checklist of Group and Tye of Projects / Works
17. To be filled as per Annexure 12
applied by the Bidder
18. Affidavit for Letter of Experience To be filled as per Annexure 13
19. Bidding Checklist To be filled as per Annexure 14
Note:
1. Attach Power of Attorney of the person signing / submitting the application, if required.
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 3
Organizational Details
(On the Letterhead of the Bidder)
S. No. Parameter Details
Organizational Set-up:
Place of Incorporation
Year of Establishment / Incorporation / Registration
Status of Firm (Proprietorship/Partnership/Limited/Any other)
1. Name of Proprietors / Partners / Directors
PAN No.
GST Registration No.
Empanelment with Govt. Organizations
(Mention names along with copies of Certificates)
2. Details of Office:
3. Employee Strength:
S. No. Name of Proposed Qualification Brief Profile Relationship
Professional Position with Applicant
(Employee /
Consultant /
Retainership)
1
2
3
4
5
Note: Depending upon the Group and Category / Type of Work applied for, the applicant shall
enclose the CVs of Principal Architect, Junior Architect, Urban Planner, Urban Designer, Civil
Engineer, MEP Engineer, Infrastructure Engineering Specialist, Landscape Architect, Conservation
Architect, HVAC Engineer, Mapping & AutoCAD, GIS specialist etc.
Note:
1. Attach copy of PAN and GST registration certificate.
2. Attach mandatory CVs as per Clause 7 and other CV of Professionals as stated above
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 4
Curriculum Vitae (CV) of proposed Professional Personnel
(On the Letterhead of the Bidder)
1. Name of Applicant:
2. Name of Personnel:
3. Proposed Position:
4. Date of Birth:
5. Nationality:
6. Educational Qualifications:
7. Employment Record:
(Starting from present position, list in reverse order every employment held):
8. List of projects on which the Personnel has worked
Name of Project Description of responsibilities
Notes:
1. Use separate form for each Professional Personnel.
Date: (Signature, name and designation of the authorized signatory)
(Name and seal of the Bidder)
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Annexure 5
Details of Proprietor / Partners / Directors
(On the Letterhead of the Bidder)
S. No. Name of Firm / Name of Proprietor / Academic Designation Address / Phone /
Company Partners / Directors Qualifications Fax / E-mail
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 6
List of Consultancy Assignments Completed
(as per Technical Capacity for each category stated in Clause 6.2)
(On the Letterhead of the Bidder)
Group applied for: ________________________________________________________________________
Category applied for: ________________________________________________________________________
S. Name of Short Name, Date of Start Date of Completion Value Any other
No. Work / description address and of Work / Project of Work / Project of relevant
Project with of contact Work / information
address assignment details of Project
Owner
/ Client
Stipulated Actual Stipulated Actual
Note:
1.
2. The list of Works/Projects mentioned above should be substantiated with documentary evidence such
as Work Orders / Contract Agreements and Completion Certificates.
3. Applications received without necessary documentary evidence are liable to be rejected.
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 7
List of Major Consultancy Assignments in Progress
(as per Technical Capacity for each category stated in Clause 6.2)
(On the Letterhead of the Bidder)
Group applied for: ________________________________________________________________________
Category applied for: ________________________________________________________________________
S. Name of Short Name, address Date of Start Date of Value Any other
No. Work / description and contact of Work / Project Completion of of relevant
Project with of details of Work / Project Work / information
address assignment Owner Project
/ Client
Stipulated Actual Expected
Note:
1.
2. The list of Works/Projects mentioned above should be substantiated with documentary evidence such
as Work Orders / Contract Agreements and Completion Certificates.
3. Applications received without necessary documentary evidence are liable to be rejected.
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 8
Financial Status
(Certificate of CA)
Turnover
S. No. Financial Year
(Consultancy Fee) (Rs.)
1 2021-2022
2 2022-2023
3 2023-2024
Note:
1. Annual turnover shall be consultancy fee received from consultancy services provided by the
bidder and it should be demonstrated by submitting certificates issued by Chartered
Accountant with valid UDIN No.
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 9
available with the Firm / Company
(On the Letterhead of the Bidder)
S. No. Name of Equipment Type Nos.
1. Computers
2. Printers
3. Plotters
4. Licensed
5. Others
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 10
Litigation / Arbitration
(On the Letterhead of the Bidder)
Year Contract Identification and Matter in Dispute Value of Pending Claim in INR
or any other currency
Contract Name:
Name of Employer:
Address of Employer:
Matter in Dispute:
Total value of the Contract:
Contract Name:
Name of Employer:
Address of Employer:
Matter in Dispute:
Total value of the Contract:
Contract Name:
Name of Employer:
Address of Employer:
Matter in Dispute:
Total value of the Contract:
Date: (Signature, name and designation of the authorised
signatory)
(Name and seal of the Applicant)
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Annexure 11
AFFIDAVIT
(TO BE SUBMITTED ON NON-JUDICIAL STAMP PAPER OF MINIMUM Rs. 100/- DULY CERTIFIED BY
NOTARY)
Affidavit of Mr. / Ms. S/o
I, the deponent above named do hereby solemnly affirm and declare as under:
1. That, I am the Proprietor / Partner / Authorized signatory of M/s ________________________
having its Head Office / Regd. Office at _____________________.
2. That the information / documents / Experience certificate(s) submitted by M/s
____________________ Expression of Interest for Empanelment of Consultants
and Architects / firms to UMC, Ujjain are genuine and true and nothing has been concealed.
3. I shall have no objection in case UMC, Ujjain verifies them from issuing authority(s). I shall also
have no objection in producing the original copy of the document(s), in case UMC, Ujjain demand
so for verification.
4. I hereby confirm that in case, any document, information & /or certificate submitted by me/us is
found to be incorrect / false / fabricated, UMC, Ujjain at its discretion may disqualify / reject my /
our application out rightly and also debars me/us i.e. M/s __________________ from
participating in any future tenders / EOIs.
5. We undertake that we never got black listed in any department.
6. No close relative of the undersigned and our firm/company is working in the department.
OR
Following close relatives are working in the department:
Name _______________ Post ____________ Present Posting________
Deponent
I, ___________________, the Proprietor / Partner / Authorized signatory of M/s
_________________, do herby confirm that the contents of the above Affidavit 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 _________.
Deponent
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Annexure 12
Checklist of Group and Tye of Projects / Works applied by the Bidder
(On the Letterhead of the Bidder)
S. Tick ( ) on Group applied
Categories
No Group A Group B Group C Group D Group E
Planning of roads including all related
and existing utility surveys, footpaths
and junction development with
underground and overhead
electrification, culverts, foot over
1 bridge, Transportation and Mobility
Studies, Traffic Management and
diversion Plan with Traffic Surveys,
Strategic Parking location
identification and development
plan etc.
Development of Buildings
[Residential, Commercial, Industrial,
Govt. Offices, Health & Education
Facilities, Auditoriums, Sports
Complex, Clubs and Recreational
2 Complex, Transport Facilities (bus
stations, terminals, logistic hubs,
including site development, all
related electrical, plumbing and
sanitation works related to building
development etc.
Development of Landscaping,
horticulture (Type, Grith and Height
details of Trees etc.) and placemaking
3 work including external
electrification, water supply and
other necessary works for place
making.
Heritage Conservation and
4 Restoration works of structures of
historical importance etc.
City Beautification Related Works:
Planning of Decorative Entry Gates,
Murals, Thematic Painting, Signages,
Thematic-Spot Development,
5
Beautification Rotary and Dividers,
Planning of all these on theme as
desired by UMC (Such as Heritage,
Mythological, Modern etc).
Development and rejuvenation of
6 water bodies (Lakes, Ponds, Step-
well, Dug-well etc), River front
development including surrounding
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developments etc.
Development of Urban Water Supply
Network, OHT, WTP and related
infrastructure, Storm Water Drains,
Sewerage network and STPs / ETPs,
7 Rain Water Harvesting, Nala
development and related works,
Procurement of Pumps, Design of
temporary and permanent Toilets
etc.
Waste Management: - Solid Waste
management, Waste processing,
Collection and Transportation of
8 Waste, Integrated Waste
Management, Strategic planning of
Transfer Stations to minimize
transportation time etc.
Workshop Procurement: - Planning
of required number of Vehicles for
different Tasks, their Specifications,
life of vehicle, Modification in
9 Vehicle, Tender Document for
Procurement of Vehicles, Vehicle
Audit, assisting for various legal
processes and Claims related to
Vehicles and related similar work.
Fire planning: Procurement of Fire
Fighters tender document,
specification of vehicles, related
products and planning of fire related
10
services for various Temporary
arrangements/ functions, Buildings,
reviewing fire plans of buildings and
assisting for all related works.
Electrical Related Works: For Planning
of Street lightening in Town,
Functions, Melas and other Similar
arrangements, end to end planning
and documentation related to
11
specifications, reviewing QAP,
including Circuit Diagrams, Solar
Power projects, Planning for
reduction in power consumption of
existing Infrastructure, etc.
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 13
Affidavit for the Letter of Approval of DPR
(On the Letterhead of the Bidder)
Affidavit of Mr. / Ms. S/o
I, the deponent above named do hereby solemnly affirm and declare as under:
1. That, I am the Proprietor / Partner / Authorized signatory of M/s
________________________ having its Head Office / Regd. Office at
_____________________.
2. I am hereby applying for the ____________________ (Mention Category as per this RFP for
Empanellment of Consultants).
3. I have enclosed the below mentioned work orders as proof of experience related to category
as mentioned in above stated point:
1. (Work Order Details in chronological order)
2.
3.
4. So, on
4. Currently I do not have the Letter of Approval of DPR form the concerned Department for
above mentioned work orders and hereby assure you that will provide the same within 15
days of opening of bid related to this RFP. The Letter shall be comprising of the Name of
project, Cost of Project excluding GST and Cost wise Major Components in DPR.
5. I understand that failing to provide the above-mentioned letter for approval of DPR the bid
application will be summarily rejected.
6. In case I fail to provide the aforesaid Letter of Approval of DPR for the mentioned Work
Orders, I will not produce any claim for the bid getting rejected.
Date: (Signature, name and designation of the authorized
signatory)
(Name and seal of the Applicant)
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Annexure 14
Checklist For Bidding
(On Letter Head)
S.No Particular Documents to be Enclosed Yes / No
1. EMD and Tender Screenshot or Receipt of EMD and
Document Fees Tender Document Fees to be
uploaded.
2. Registration of Firm Proof of incorporation /
registration must be enclosed with
technical proposal
3. GST Registration and PAN Copy of GST Registration and PAN
4. Proof of Office Any Document showing the
Establishment of Office and
operational
5. Proof of Technical Capacity Work Orders and Experience in
the form of Letter of Approval of
DPR
Different work orders for each
category to be attached
In case of absence of Approval
letter of DPR attach Affidavit as
Annexure 13.
1. Proof of working on BIM
6. For
modeling project (Group E) Water
1.Water Supply, Supply,
2.Automobile related 2. Proof of experience of
works automobile procurement,
management and maintenance of
vehicles along with tendering
through GEM and E-Tendering
portal
7. Financial Capacity CA certified Turnover mentioning
turnover from consultancy fees
(Annexure 8)
8. Annexure 01
Letter Head
9. Annexure 02
Head
10. Annexure 03
Letter Head
11. Annexure 04 CVs of the personnel to be
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deployed
Provide Educational qualification
details with marksheets of the
personnel
Provide Experience Certificates of
the Personnels
12. Annexure 05 Details of the Partners of the Firm
on
13. Annexure 06
work order and DPR approval
letter or Affidavit in chronological
order.
14. Annexure 07 Details of Ongoing Assignments of
the Firm on Letter Head
15. Annexure 08 CA Certificate for Financial
Capacity
16. Annexure 09
the Firm / Company on Letter
Head
17. Annexure 10 Litigation / Arbitration details on
Letter Head
18. Annexure 11 Affidavit non-blacklisting
19. Annexure 12 Checklist of Group and Type of
Projects / Works applied by the
Bidder (Tick the appropriate boxes
the applicant wishes to apply for)
20. Annexure 13 Affidavit for Letter of Approval of
DPR (for respective work orders
attached in case the applicant
does not have Letter of Approval
of DPR)
21. Annexure 14 Bidding Checklist (to Ensure all the
required documents are attached
in Technical Proposal)
NOTE: The above-mentioned checklist is for the purpose of support in participating and is
indicative the applicants are requested to go through the RFP/EOI and attach all the documents
requested in the EOI for their technical qualification.
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