1. Civil / Structural Repair Renovation, Electrical, Interior & painting ...

Sr.No.LIFE INSURANCE CORPORATION OF INDIACONSTITUTION OF FIRM- SOLE PROPRIETORSHIP /PARTNERSHIP / LTD. CO. / OTHERDETAILS OF CONSTITUENTSName of solepartner orDirector/ otherHigh OfficialsANNEXURE A2Age Share Technical Experience Whetherpower ofattorneyHolderYearto yeartoAsEmployeeAsContractor(1) (2) (3) (4) (5) (6) (7) (8)Signature of contractor

ANNEXURE –BLIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF ENROLMENT WITH L.I.C. AND OTHERORGANIZATIONS.1. Enrolment with L.I.C. :Name of works for which enrolledby L.I.C. in past 1)2)3)4)Sr. Nos. for which tenders were submitted:Sr. Nos. for which work order was received:II. Enrolment with Other Organization :Sr.No.Name andaddress ofAuthority withwhom you areenrolled(1) (2)First TimeEnrolmentYearto year(3)Is copy ofletterenclosed(4)Yearto year(5)Last Renewal Or EnrolmentClass orCategory(6)Limit(Rs. inlacs)(7)Is copyof letterenclosed(8)Signature of contractor

LIFE INSURANCE CORPORATION OF INDIAPARTICULARS OF TOOLS, SCAFOLDINGS AND PLANTSANNEXURE –CSr.Quantity Estimated RemarksNo. Item SpecificationValue(1)(3) (4) (5) (6)(2)1.Signature of contractor

Sr.No.Name and Complete Postal AddressofSite ofWork &Nature ofWork(1) (2)Owner(3)ANNEXURE –ELIFE INSURANCE CORPORATION OF INDIAAuthorityunderwhomwork wascarried outLIST OF WORKS IN HANDRef. No.& DateOrderContractAmountRs.(inlacs.)IscopyenclosedDate ofcommencementof workScheduledate ofcompletion ofworkProgressmade andexpecteddate ofcompletion andreason fordelay , ifany.(4) (5) (6) (7) (8) (9) (10)Signature of contractor

CHECK LIST FOR ENROLMENTANNEXURE GLife Insurance Corporation of IndiaSr.Description of EnclosureNo.1. Partnership deed/Articles of Association/Affidavit*Annexure A-1(Appendix VII-B)Refer Item of form8(ii)2. Annexure (A-2) as supplied 8(iii) (Particulars of partners)3. Annexure E (as supplied) 9(Particulars of enrolment inL.I.C. and other Organization)4. Proof of Turn over 11(ii)5. Latest I.T.C.C. 11(iii)6. Solvency Certificate 12(ii)7. Certificate of Bank Guarantee 12(iii)8. * Annexure D (as supplied) 15(List of Major workscompleted during last 3 years)9. * Annexure E (as supplied) 16(List of works in hand)13. * Copies of work order 16(ii)14. * Annexure F (as supplied) 17 (particulars of permanenttechnical staff)15. Applicants has to ensure their signature on every page -Signature of contractor