Contractor Registration Application Form

APPLICATION FORM FOR REGISTRATION/UP GRADATION OF WORKS CONTRACTORS

Issued to

Issued on

CHENNAI METROPOLITAN WATER SUPPLY AND SEWERAGE BOARD

No.1 Pumping Station Road, Chintadripet, Chennai – 600002

Application No:

New

UPG

From	To The Superintending Engineer Contracts & Monitoring CMWSS Board CHENNAI – 600 002

Sir, I / We herewith submit my / our application for registering / up grading my / our name in your register of Contractors in Class-_____ for executing works in CMWSS Board.
SIGNATURE OF THE APPLICANT

Encl:
1. Challan / D.D./ P.O. for Rs.________
2. Details of Firm’s Certificates
3. Details of Machinery, etc.
4. List of works undertaken in the past

Please note :-

The cost of application form is not refundable under any circumstances
The applicant should pay application cost at the time of registration
Details of Registration Fees ( as detailed below)

Sl. No.	Class of Registration	Monetary Limit	Registration Fees	Application Cost+ST@ 8%
1.	Class-I	Above Rs. 75.00 Lakhs	Rs.15,000.00	Rs.540.00
2.	Class-II	Upto Rs.75.00 Lakhs	Rs.12,000.00	Rs.540.00
3.	Class-III	Upto Rs.30.00 Lakhs	Rs.10,000.00	Rs.540.00
4.	Class-IV	Upto Rs.15.00 Lakhs	Rs.7,000.00	Rs.540.00
5.	Class-V	Upto Rs.6.00 Lakhs	Rs.5,000.00	Rs.540.00

Registration Fees can be paid in Cash at Cash Counter of CMWSS Board or by D.D., etc., drawn in favour of CMWSS Board, payable at Chennai.

Registration Fees will be refunded if the applicant is not registered in the Board, considering the eligibility. The excess registration fees paid is refundable in case the applicant is registered in lower class

GENERAL

Name of the applicant and address (State whether the registration sought for is for)

An Individual

Joint Stock Company

Un-divided Hindu family

Partnership firm

Proprietor ship firm

(Please tick the appropriate column. If a firm, the name of the partners together with the details of financial & other business interest of the partners should be separately furnished. Attested copies of Memorandum of Articles of association in the case of companies or Registered partnership deeds in the case of firm to be enclosed. If a Joint Stock company, names of the directors should be furnished)

Name of the Registered Office of the individual or company and place of business

Permanent address to which all communications should be sent

Does the individual or company do any business other than contract works?

Challan No./Demand Draft/Pay Order and date in which the prescribed fees have been remitted

6.a.

Has the applicant applied previously for registration and if so, with what result?

In the case of up-gradation application, Details of previous registration viz. in which year and in which class he / they has/have been registered already. (Attested copies of previous registration letter should be enclosed)

Has the applicant or in the case of firm, any of the partners or in the case of company any of the Directors being removed from the list of contractors or blacklisted anywhere it any time? If so, for what reasons? (Here give full details)

Has the applicant registered himself as a contractor with the any other public department, local authorities or other Government undertakings? If so, full details such as proof of registration and it's current validity should be furnished.

Whether the applicant is a director or a partner of any firm already registered in the Board?

B. TECHNICAL

10.

The nature of work, the applicant proposes to undertake (whether civil works / pipe laying works for Water Supply / Sewerage and erection of pumping machinery, etc. Please tick the box preferred.)

Civil and Pipe laying (Water & Sewerage works)

Machinery/ Erection / Electrical works

11.

Experience of the applicant in the line (list of works executed with total value of work would be separately enclosed along with attested copies of testimonials such as work orders, performance certificates, etc., for each work) List may be furnished for the respective group listed in para 10 above (Please see Annexure-A)

12.

List of technically qualified permanent employees together with their qualifications and experience (copy of the qualification certificate along with consent letter should be furnished separately in the case of temporary employment.)

Sl.No.

Name

Qualifcn.

Experience

13.

Does the applicant maintain an office for preparing designs, drawings, estimates, tender documents, bills, etc.?

14.

Does the applicant own a work shop or structural fabrication work and if so furnish details thereof.

15.

Particulars of construction machinery, tools & plant and transport vehicles owned by the applicant

Sl.No.

Details

Nos.

Mixer Plant

Dewatering equipment

Sheet piles

Mobile Crane

Derrocl

Vehicles

Other items (furnish separately)

16.

Does the applicant own a plumbing or electrical or any other license connected with his business? If so, give details

C. FINANCIAL

17.

Name or names of the banker's) with whom the applicant maintains accounts

18.

Name of the persons holding the power of attorney in the case of partnership firm

19.

Paid up capital of the applicant

20.

Bank deposits during the last one year (Certificates of the bank to be produced)

21.

Value of property owned as on date ( A certificate to be produced from the Revenue Department)

22.

Name & Designation of the Officer of the Revenue Department (person) issuing the property certificate.

23.

Whether the applicant has enclosed attested copy of the current income tax clearance certificate? (Please see Annexure-A)

Whether the applicant has enclosed attested copy of sales tax registration/verification certificate?

25.

Annual turnover of the applicant (please see Annexure-A)

26.

Monetary limits of contracts up to which the applicant will be able to undertake works.

27.

Are any relatives of the applicant, or in the case of a partnership or limited company, any relatives of the partners or Directors, employed in CMWSS Board? If so, give details.

I / We declare that the particulars furnished are true to the best of my / our knowledge .SIGNATURE OF THE APPLICANT Place :Date :(Seal of the company in the case of firm) INSTRUCTIONS TO APPLICANTS

Complete particulars should be furnished against each item
Application received without registration fees and other document will not be considered
Incomplete application will not be considered
The applicants should enclose only attested copies of all the certificates and documentary evidences attested by Gazetted Officers. If un-attested copies are received, originals should be produced for verification.
Solvency should be 30% of the maximum value of the Registration sought for. For registration in Class-I the minimum solvency is Rs.30.00 Lakhs. for registration in class-V, solvency is not necessary. (Please see Annexure-A). The solvency should be in the name of the applicant or any of the partner and should be obtained from the Revenue Department official not below the rank of Tahsildar and issued not earlier than one year from the date of application.

ANNEXURE-A The applicant for registration as a contractor should furnish the following documents for consideration.

If a firm, the names of partners, together with details of financial and other business interests of the partners.
If a registered firm, a copy of registration documents.
If a Joint Stock Company, a copy of Memorandum and Articles of Association and the names of the directors.

NOTE:- A partner of a firm, or a director of a company which registered as a contractor in this Board will not be permitted to register himself as a contractor under his name or in any other capacity.

S.N	Details	RUPEES IN LAKHS
S.N	Details	Class-I	Class-II	Class-III	Class-IV	Class-V
(iv)	Attested copy of the Current Income Tax Clearance Certificate - Minimum Turn Over	100.00	50.00	25.00	10.00	--
(v)	Solvency	30.00	22.50	9.00	4.50	--
(vi)	Performance of Works ( in Water Supply and Sewerage Sectors alone will be considered) within the last five years. 10% weightage will be given to each year.
a.	Single work (or)	100.00	50.00	25.00	10.00	--
b.	Multiple work in a single year	225.00	90.00	45.00	20.00	--
(vii)	Attested copy of CURRENT Sales Tax Registration / Verification Certificate
	SIGNATURE OF THE APPLICANT

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