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(rfq) document for development of four laning of rewa ring road on ...

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RFQ <str<strong>on</strong>g>document</str<strong>on</strong>g> <str<strong>on</strong>g>for</str<strong>on</strong>g> <str<strong>on</strong>g>development</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> Four Laning <str<strong>on</strong>g>of</str<strong>on</strong>g> Rewa Ring Road <strong>on</strong> BOT (Toll + Annuity) basisDetails <str<strong>on</strong>g>of</str<strong>on</strong>g> ApplicantANNEX-I1. (a) Name:(b)(c)(d)Country <str<strong>on</strong>g>of</str<strong>on</strong>g> incorporati<strong>on</strong>:Address <str<strong>on</strong>g>of</str<strong>on</strong>g> the corporate headquarters and its branch <str<strong>on</strong>g>of</str<strong>on</strong>g>fice(s), ifany, in India:Date <str<strong>on</strong>g>of</str<strong>on</strong>g> incorporati<strong>on</strong> and/ or commencement <str<strong>on</strong>g>of</str<strong>on</strong>g> business:2. Brief descripti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the Company including details <str<strong>on</strong>g>of</str<strong>on</strong>g> its mainlines <str<strong>on</strong>g>of</str<strong>on</strong>g> business and proposed role and resp<strong>on</strong>sibilities in this Project:3. Details <str<strong>on</strong>g>of</str<strong>on</strong>g> individual(s) who will serve as the point <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>tact/communicati<strong>on</strong> <str<strong>on</strong>g>for</str<strong>on</strong>g> the Authority:(a)(b)(c)(d)(e)(f)(g)Name:Designati<strong>on</strong>:Company:Address:Teleph<strong>on</strong>e Number:E-Mail Address:Fax Number:4. Particulars <str<strong>on</strong>g>of</str<strong>on</strong>g> the Authorised Signatory <str<strong>on</strong>g>of</str<strong>on</strong>g> the Applicant:(a)Name:(b) Designati<strong>on</strong>:(c)(d)(e)Address:Ph<strong>on</strong>e Number:Fax Number:5. In case <str<strong>on</strong>g>of</str<strong>on</strong>g> a C<strong>on</strong>sortium:(a)(b)(c)The in<str<strong>on</strong>g>for</str<strong>on</strong>g>mati<strong>on</strong> above (1-4) should be provided <str<strong>on</strong>g>for</str<strong>on</strong>g> all theMembers <str<strong>on</strong>g>of</str<strong>on</strong>g> the C<strong>on</strong>sortium.A copy <str<strong>on</strong>g>of</str<strong>on</strong>g> the Joint Bidding Agreement, as envisaged in Clause2.2.6(g) should be attached to the Applicati<strong>on</strong>.In<str<strong>on</strong>g>for</str<strong>on</strong>g>mati<strong>on</strong> regarding the role <str<strong>on</strong>g>of</str<strong>on</strong>g> each Member should beNIT No. MPRDC/BOT (T+A)/PQ/2012/ 7783 Bhopal, dated 27.09.2012 - 47 -

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