ANNEXURE-A2 LIFE INSURANCE CORPORATION OF INDIA ...

ANNEXURE-A2DETAILS OF CONSTITUENTSSl.No.LIFE INSURANCE CORPORATION OF INDIACONSTITUTION OF FIRM - SOLE PROPRIETORSHIP/PARTNERSHIP/LTD.CO./OTHERName of sole partner orDirector/ other High OfficialsAgeShareTechnical ExperienceYear to year As Employee As ContractorWhetherpower ofattorneyHolder(1) (2) (3) (4) (5) (6) (7) (8)SIGNATURE OF CONTRACTOR

LIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF ENROLMENT WITH LIC AND OTHER ORGANSIATIONANNEXURE-BI. ENROLMENT WITH LIC :Name of works for 1) 3)Which enrolled by 2) 4)LIC in the pastSr. Nos. for which tenders were submitted :Sr. Nos. for which work order was received:II. ENROLMENT WITH OTHER ORGANISATIONS:Sl.No.Name and address ofAuthority with whom you areenrolledYear toyearFIRST TIMEENROLMENTIs copy ofletterenclosedLAST RENEWAL OR ENROLMENTYear to year Class orCategoryLimit (Rs. inLac)Is copy ofletter enclosed(1) (2) (3) (4) (5) (6) (7) (8)SIGNATURE OF CONTRACTOR

ANNEXURE-CLIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF TOOLS AND PLANT (ELECTRICAL)Sl.No. Item Specification Quantity Estimated Value Remarks(1) (2) (3) (4) (5) (6)1 Earth tester2 Meggar3 Auto Transformer4 Load bank5 Cell tester6 Voltmeter7 Ammeter8 Multi meter9 Crimping tools (hydraulic)10 OthersSIGNATURE OF CONTRACTOR

ANNEXURE-CLIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF TOOLS AND PLANT (FIRE FIGHTING)Sl.No. Item Specification Quantity Estimated Value Remarks(1) (2) (3) (4) (5) (6)01 Welding machine02 Cutter set ( pipe cutting set )03 Chain pulley04 Drill machine05 Grinder06 Hydraulic testing machine07 Spanner08 Pipe wrench09 Volt meter (AC – DC)10 Ampere meter11 Meggar12 Line tester13 Screw drivers / Hammers14 Complete tool box / kit15 OthersSIGNATURE OF CONTRACTOR

ANNEXURE-CLIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF TOOLS AND PLANT (STRUCTURAL GLAZING)Sl.No. Item Specification Quantity Estimated Value Remarks(1) (2) (3) (4) (5) (6)01 Hammer machine ( Bosch or Dewalt)02 Dewalt mitre saw ( with auto degreecutting facility)03 Router machine04 Drill machine ( Basch or Dewalt Y- king)05 Steel props for scaffolding06 OthersSIGNATURE OF CONTRACTOR

ANNEXURE-CLIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF TOOLS AND PLANTSl.No. Item Specification Quantity Estimated Value Remarks(1) (2) (3) (4) (5) (6)SIGNATURE OF CONTRACTOR

LIFE INSURANCE CORPORATION OF INDIALIST OF MAJOR SIMILAR NATURE WORKS COMPLETED DURING LAST FOUR YEARSANNEXURE-DSl.No.Name and Complete PostalAddress ofPlace of work& Nature ofworkOwner AuthorityunderwhomworkwascarriedoutRef.No. &DateOrderContractAmount(Rs. inLac)Is copyenclosed?Value ofwork asper finalbill (Rs.in Lac)Commencementof workmonth &yearCompletionof workmonth &yearPenalty levied for delay ofcompletion, if any(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)NOTE: To enable us to process your application quickly, please ensure that complete Postal Address including Pin Codeand Telephone Numbers / Fax Numbers/e-mail Address etc. are furnished under Column No.s.2, 3 & 4 aboveSIGNATURE OF CONTRACTOR

ANNEXURE-ESl.No.Place of work &Nature of workLIFE INSURANCE CORPORATION OF INDIAOwnerAuthorityunderwhomwork wascarried outLIST OF WORKS IN HANDName and Complete Postal Address of Order Date ofcommencement ofworkScheduled date ofcompletion ofworkProgress andexpected date ofcompletion andreasons for delay,if anyRef.No. &DateAmount(Rs. inLac)Is copyenclosed?(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)NOTE: To enable us to process your application quickly, please ensure that complete Postal Address including Pin Code andTelephone Numbers/Fax Numbers/e-mail Address etc. are furnished under Column No.s.2, 3 & 4 aboveSIGNATURE OF CONTRACTOR

ANNEXURE-FSl.No.LIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF PERMANENT TECHNICAL STAFFName Designation Age AcademicQualificationService withthe firmDetails of Experience year to year(1) (2) (3) (4) (5) (6) (7)SIGNATURE OF CONTRACTOR

ANNEXURE-GLIFE INSURANCE CORPORATION OF INDIASl.No.FinancialYearTotal contractamountreceivedANNUAL TURNOVER FOR THE LAST FOUR YEARSIT CertificateenclosedYes/NoAudited Balance sheetcopy enclosed Yes/NoRemarks(1) (2) (3) (4) (5) (6)1. 2006-20072. 2007-20083. 2008-20094. 2009-2010SIGNATURE OF CONTRACTOR