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37SAMPLE FORMDy.Ex.Engr.DECLARATION TO BE FILLED IN BY THE CONTRACTOR / FIRM(This document should be on Original Stamp Paper of Rs. 100/- not on Xeroxcopy )( To be submitted in ENVELOPE NO.1 ) if applicable.Name of work :1. I /We , shall erect the Modern Drum Mix Plant confirming to Clause No.504.3.4. of M.O.S.T. Specifications, within 40 Kms. and also within one hourmotorable distance from the site of this work own/hire with the following conditions.2. I/We, shall abide by all these conditions stipulated. I /We, am/are fully awarethat ,i) The suitable land required for the establishment of Drum Mix Plant is to beobtained by me /us at my/our cost.ii) No rental charges are refundable to me/us and I/We shall not claim for anyrental charges for stacking of material on the land acquired by me /us as referred tosub-para (1) of condition (2).3. I/We , have the required machinery i.e. modern drum mix type hot mix plant,paver finisher and tippers etc. owned by me/us which can be spare for this workimmediately after awarding the work within a reasonable time. The documentaryevidence i.e. (i) copies of purchase bill and delivery challan in respect of hot mix plantand paver finisher in Envelope No.1ORI/We, intend to hire the required machinery modern drum mix plant, paver finisher andtipper etc. from _________________________________________________________________________________________________who has promised tospare the said machinery for this work immediately after awarding the work, within areasonable time and legal agreement or hire deed duly executed in front ofmagistrate / any other registration authority by Government of Maharashtra is given inEnvelope No.1.4. Any dispute arising with the owner of the land shall be amicably settled by me/us and it should not have any encumbrance on the work.5. I/We shall observe the local authorities rules as would be applicable to allactivities pertaining to the work.6. I/We shall be fully responsible to construct and maintain necessary approachroad upto the plant from the road and shall not claim any compensation whatsoeverfor this purpose.Signature of Contractor No. of Corrections Executive Engineer