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) basisANNEX-IVDetails <str<strong>on</strong>g>of</str<strong>on</strong>g> Eligible Projects(Refer to Clauses 2.2.2(A), 3.2 and 3.3 <str<strong>on</strong>g>of</str<strong>on</strong>g> the RFQ)Project Code:Item(1)Title & nature <str<strong>on</strong>g>of</str<strong>on</strong>g> the projectCategory 5Year-wise (a) payments 6received/ made <str<strong>on</strong>g>for</str<strong>on</strong>g>c<strong>on</strong>structi<strong>on</strong>, (b) paymentsmade <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> PPPprojects and/ or (c) revenuesEntity <str<strong>on</strong>g>for</str<strong>on</strong>g> which the project 7was c<strong>on</strong>structed/ developedLocati<strong>on</strong>Project cost 8Date <str<strong>on</strong>g>of</str<strong>on</strong>g> commencement <str<strong>on</strong>g>of</str<strong>on</strong>g>project/ c<strong>on</strong>tractDate <str<strong>on</strong>g>of</str<strong>on</strong>g> completi<strong>on</strong>/9commissi<strong>on</strong>ingEquity shareholding10(with period du<str<strong>on</strong>g>ring</str<strong>on</strong>g> whichequity was held)Whether credit is being taken <str<strong>on</strong>g>for</str<strong>on</strong>g> 16the Eligible Experience <str<strong>on</strong>g>of</str<strong>on</strong>g> anAssociate (Yes/ No)Member Code:ReferInstructi<strong>on</strong> (2)Particulars <str<strong>on</strong>g>of</str<strong>on</strong>g> theProject(Instructi<strong>on</strong>s:1. Applicants are expected to provide in<str<strong>on</strong>g>for</str<strong>on</strong>g>mati<strong>on</strong> in respect <str<strong>on</strong>g>of</str<strong>on</strong>g> eachEligible Projects in this Annex. The projects cited must comply withthe eligibility criteria specified in Clause 3.2.3 and 3.2.4 <str<strong>on</strong>g>of</str<strong>on</strong>g> the RFQ,as the case may be. In<str<strong>on</strong>g>for</str<strong>on</strong>g>mati<strong>on</strong> provided in this secti<strong>on</strong> is intended toserve as a back up <str<strong>on</strong>g>for</str<strong>on</strong>g> in<str<strong>on</strong>g>for</str<strong>on</strong>g>mati<strong>on</strong> provided in the Applicati<strong>on</strong>.Applicants should also refer to the Instructi<strong>on</strong>s below.-------------------------------------------------------------------------------------------------------------------------NIT No. MPRDC/BOT (T+A)/PQ/2012/ 7783 Bhopal, dated 27.09.2012 - 54 -
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) basis2. For a single entity Applicant, the Project Codes would be a, b, c, d etc.In case the Applicant is a C<strong>on</strong>sortium then <str<strong>on</strong>g>for</str<strong>on</strong>g> Member 1, the ProjectCodes would be 1a, 1b, 1c, 1d etc., <str<strong>on</strong>g>for</str<strong>on</strong>g> Member 2 the Project Codesshall be 2a, 2b, 2c, 2d etc., and so <strong>on</strong>.3. A separate sheet should be filled <str<strong>on</strong>g>for</str<strong>on</strong>g> each Eligible Project.4. Member Code shall indicate NA <str<strong>on</strong>g>for</str<strong>on</strong>g> Not Applicable in case <str<strong>on</strong>g>of</str<strong>on</strong>g> a singleentity Applicant. For other Members, the following abbreviati<strong>on</strong>s aresuggested viz. LM means Lead Member, TM means Technical Member,FM means Financial Member, OMM means Operati<strong>on</strong> & MaintenanceMember; and OM means Other Member. In case the Eligible Projectrelates to an Associate <str<strong>on</strong>g>of</str<strong>on</strong>g> the Applicant or its Member, write“Associate” al<strong>on</strong>g with Member Code.5. Refer to Clause 3.2.1 <str<strong>on</strong>g>of</str<strong>on</strong>g> the RFQ <str<strong>on</strong>g>for</str<strong>on</strong>g> category number.6. The total payments received/ made and/or revenues appropriated <str<strong>on</strong>g>for</str<strong>on</strong>g>each Eligible Project are to be stated in Annex-II <str<strong>on</strong>g>of</str<strong>on</strong>g> this Appendix-I. Thefigures to be provided here should indicate the break-up <str<strong>on</strong>g>for</str<strong>on</strong>g> the past 5(five) financial years. Year 1 refers to the financial yearimmediately preceding the Applicati<strong>on</strong> Due Date; Year 2 refers to theyear be<str<strong>on</strong>g>for</str<strong>on</strong>g>e Year 1, Year 3 refers to the year be<str<strong>on</strong>g>for</str<strong>on</strong>g>e Year 2, and so <strong>on</strong>(Refer Clause 2.2.12). For Categories 1 and 2, expenditure <strong>on</strong><str<strong>on</strong>g>development</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> the project and/or revenues appropriated, as the casemay be, should be provided, but <strong>on</strong>ly in respect <str<strong>on</strong>g>of</str<strong>on</strong>g> projects having anestimated capital cost exceeding the amount specified in Clause3.2.3(c). In case <str<strong>on</strong>g>of</str<strong>on</strong>g> Categories 3 and 4, payments made/ received<strong>on</strong>ly in respect <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>structi<strong>on</strong> should be provided, but <strong>on</strong>ly if theamount paid/received exceeds the minimum specified in Clause 3.2.4.Payment <str<strong>on</strong>g>for</str<strong>on</strong>g> c<strong>on</strong>structi<strong>on</strong> works should <strong>on</strong>ly include capitalexpenditure, and should not include expenditure <strong>on</strong> repairs andmaintenance.7. In case <str<strong>on</strong>g>of</str<strong>on</strong>g> projects in Categories 1and 2, particulars such as name,address and c<strong>on</strong>tact details <str<strong>on</strong>g>of</str<strong>on</strong>g> owner/ Authority/ Agency (i.e. c<strong>on</strong>cessi<strong>on</strong>grantor, counter party to PPA, etc.) may be provided. In case <str<strong>on</strong>g>of</str<strong>on</strong>g> projectsin Categories 3 and 4, similar particulars <str<strong>on</strong>g>of</str<strong>on</strong>g> the client need to beprovided.8. Provide the estimated capital cost <str<strong>on</strong>g>of</str<strong>on</strong>g> Eligible Project. Refer to Clauses3.2.3 and 3.2.49. For Categories 1 and 2, the date <str<strong>on</strong>g>of</str<strong>on</strong>g> commissi<strong>on</strong>ing <str<strong>on</strong>g>of</str<strong>on</strong>g> the project,up<strong>on</strong> completi<strong>on</strong>, should be indicated. In case <str<strong>on</strong>g>of</str<strong>on</strong>g> Categories 3 and4, date <str<strong>on</strong>g>of</str<strong>on</strong>g> completi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> c<strong>on</strong>structi<strong>on</strong> should be indicated. In the case<str<strong>on</strong>g>of</str<strong>on</strong>g> projects under c<strong>on</strong>structi<strong>on</strong>, the likely date <str<strong>on</strong>g>of</str<strong>on</strong>g> completi<strong>on</strong> orcommissi<strong>on</strong>ing, as the case may be, shall be indicated.-------------------------------------------------------------------------------------------------------------------------NIT No. MPRDC/BOT (T+A)/PQ/2012/ 7783 Bhopal, dated 27.09.2012 - 55 -