(Public Works, Port and Inland Water Transport Department)

HEAD OF ACCOUNT
DEPOSIT CONTRIBUTION (TOURISUM GRANT)

Name of Work :
SUB ESTIMATE FOR FOR SUPPLY OF BED ROOM COT, BED, PILLOW
AND WINDOW CURTAINS TO FOUR ROOMS WITH ATTACHED TOILET
FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT
KOTNICAL CAMP IN HUVINAHADAGALI TALUK BELLARY DISTRICT

ESTIMATED COST Rs.

HUVINAHADAGALI TALUK

4.00

LAKHS

BELLARY DISTRICT

GOVERNMENT OF KARNATAKA
(Public Works, Port and Inland Water Transport Department)
PWDG-62

(PARAGRAPH-13C (A) OF THE KARNATAKA WORKS DEPARTMENTAL CODE)

OM/F 62
Name of work:-

SUB ESTIMATE FOR FOR SUPPLY OF BED ROOM COT, BED, PILLOW AND WINDOW
CURTAINS TO FOUR ROOMS WITH ATTACHED TOILET FOR YATHRI NIVAS SRI
SHANAKAR LINGESHWARA TEMPLE AT KOTNICAL CAMP IN HUVINAHADAGALI
TALUK BELLARY DISTRICT

FACE SHEET
DIVISION

P.W.P & I.W.T.D. HADAGALI

SANCTIONED ESTIMATE NO

NO.

DATE.

FUND HEAD

DEPOSIT CONTRIBUTION (TOURISUM GRANT)

MAJOR HEAD

DEPOSIT CONTRIBUTION (TOURISUM GRANT)

SERVICE HEAD

DEPOSIT CONTRIBUTION (TOURISUM GRANT)

DEPARTMENTAL HEAD

DEPOSIT CONTRIBUTION (TOURISUM GRANT)

ESTIMATE FRAMED IN THE OFFICE OF THE ASSISTANT EXECUTIVE ENGINEER, P.W.D. SUBDIVISION, HADAGALI. The probable expenses that will be incurred in Hadagali
Rs.

4.00 Lakhs

ADMINISTRATIVELY APPROVED UNDER

TECHNICALLY SANCTIONED

ESTIMATE PREPARED BY

AND CHECKED BY
(CALL OR AUTHORITY)

Section Officer

NO.

DATE.

MR. MYSORE KOTRESH

ASSISTANT ENGINEER

SRI.MAHANTHESH GOUDA
ASSISTANT EXECUTIVE ENGINEER, P.W.P &
I.W.T.D. SUB-DIVISION, HUVINAHADAGALI.

Assistant Executive Engineer,

P.W.P & I.W.T.D. Sub-Division, Hadagali.

"General Report"
SUB ESTIMATE FOR FOR SUPPLY OF BED ROOM COT, BED,
PILLOW AND WINDOW CURTAINS TO FOUR ROOMS WITH
Name of Work
ATTACHED
:

TOILET

LINGESHWARA

FOR

TEMPLE

YATHRI
AT

NIVAS

SRI

KOTNICAL

SHANAKAR
CAMP

IN

HUVINAHADAGALI TALUK BELLARY DISTRICT

*-*-*-*-*-*-*
The Report accompanying the detailed estimate for SUB ESTIMATE FOR FOR SUPPLY
OF BED ROOM COT, BED, PILLOW AND WINDOW CURTAINS TO FOUR ROOMS WITH
ATTACHED TOILET FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT KOTNICAL
CAMP IN HUVINAHADAGALI TALUK BELLARY DISTRICT under Tourisum Grant Deposit
Contribuution sub estimate amounting to Rs.4.00 Lakhs.

Accordingly the following provisions for made in the estimate are as follows

1
2
3

Kurlon Mattresses (Klassic or Spring)

Imported Fancy Acrolic Mats
Cots Providing and fixing imported cots

Pillow Providing and fixing featherlite / equivalent plain sparsh

cotton regular pillow.

Blankets Supplying of best quality mink blankets

Curtains Supplying and fixing curtain

The Estimate Prepared as per Market Rate and as per less quated rate by the
agency.

Section Officer

Assistant Executive Engineer,

P.W.P & I.W.T.D. Sub-Division, Hadagali.
Huvinahadagali.

PAGE NO: 3

Name of Work SUB ESTIMATE FOR FOR SUPPLY OF BED ROOM COT, BED, PILLOW AND WINDOW
:CURTAINS TO FOUR ROOMS WITH ATTACHED TOILET FOR YATHRI NIVAS SRI
SHANAKAR LINGESHWARA TEMPLE AT KOTNICAL CAMP IN HUVINAHADAGALI
TALUK BELLARY DISTRICT

ABSTRACT ESTIMATE
Sl.
NoQuantityUnit
.

4.00

4.00

4.00

4.00

4.00

6 15.00

Description of work

Kurlon Mattresses (Klassic or Spring) model made by

80 density coir and top side 1" bonded foam bottom
Nos thermoware item and covered by imported glazing
cloth with top quiliting 78x 48 x 5"
Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As

Nos per Market Rate)

Rate

Per

Amount

###

Nos

###

###

Nos

4880.00

Nos

###

Nos

3680.00

###

Nos

20000.00

240.00

Sft

3600.00

Cots Providing and fixing imported cots made of high

density MDF of density 650 Kg/m3 and finished with
Nos highest quality laminate using a very high precision ###
factory finish. The item to have an elegant design
beadings, cornices and panels to make them very
attractive as well as strong King Cots
Pillow Providing and fixing featherlite / equivalent
Nos plain sparsh cotton regular pillow.
920.00
Blankets

Supplying

of

best

quality

Nos blankets/duvet of approved color and design.

mink

Curtains Supplying and fixing curtain for doors and

Sft windows using approved fabric

LS for Tender Premium and rounding of

Section Officer

Assistant Executive Engineer,

PWP & IWTD Sub-Division,
Huvinahadagali.

###
40.00
###

Executive Engineer,
PWP & IWTD Division,
Huvinahadagali.

PAGE NO: 4

Name of work :-

SUB ESTIMATE FOR FOR SUPPLY OF BED ROOM COT, BED, PILLOW AND
WINDOW CURTAINS TO FOUR ROOMS WITH ATTACHED TOILET FOR
YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT KOTNICAL CAMP
IN HUVINAHADAGALI TALUK BELLARY DISTRICT

DETAILED ESTIMATE
Sl.
No.

Description

Unit

No.

Quantity

Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and top side 1" bonded foam bottom
1 thermoware item and covered by imported glazing cloth with top quiliting 78x 48 x 5"
Nos

4
Total Qty

4.00
4.00

Total Qty

4.00
4.00

2 Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As per Market Rate)
Nos

Cots Providing and fixing imported cots made of high density MDF of density 650 Kg/m3 and finished with
highest quality laminate using a very high precision factory finish. The item to have an elegant design
3 beadings, cornices and panels to make them very attractive as well as strong King Cots
Nos

Total Qty
4 Pillow Providing and fixing featherlite / equivalent plain sparsh cotton regular pillow.
Nos

4.00
4.00

5 Blankets Supplying of best quality mink blankets/duvet of approved color and design.
Nos
4

4.00
4.00

4.00
4.00

Curtains Supplying and fixing curtain for doors and windows using approved fabric
Innerside wall Long

Section Officer

Sft

15

Assistant Executive Engineer,

PWP & IWTD Sub-Division,
Huvinahadagali.

15.00
15.00

Executive Engineer,
PWP & IWTD Division,
Huvinahadagali.

PAGE NO: 5

Name of Work :-

SUB ESTIMATE FOR FOR SUPPLY OF BED ROOM COT, BED, PILLOW AND
WINDOW CURTAINS TO FOUR ROOMS WITH ATTACHED TOILET FOR
YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT KOTNICAL
CAMP IN HUVINAHADAGALI TALUK BELLARY DISTRICT

RATE ANALYSIS
Sl.
No.
1

Description

Unit

Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and top side
1" bonded foam bottom thermoware item and covered by imported glazing cloth
Each
with top quiliting 78x 48 x 5"

Rate

26950.00

As per Market Rate

Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As per Market Rate)

Nos

1220.00

As per Market Rate

Cots Providing and fixing imported cots made of high density MDF of density 650
Kg/m3 and finished with highest quality laminate using a very high precision
factory finish. The item to have an elegant design beadings, cornices and panels Each
to make them very attractive as well as strong King Cots

65000.00

As per Market Rate

Pillow Providing and fixing featherlite / equivalent plain sparsh cotton regular
Nos
pillow.

920.00

As per Market Rate

Blankets Supplying of best quality mink blankets/duvet of approved color and

Nos
design.

5000.00

As per Market Rate

Curtains Supplying and fixing curtain for doors and windows using approved
fabric

Sft

240.00

As per Market Rate

.
Section Officer.

Assistant Executive Engineer,

PWP & IWTD Sub-Division,

PWP & IWTD Division,

Huvinahadagali.

Huvinahadagali.

Executive Engineer,

GOVERNMENT OF KARNATAKA
(PUBLIC WORK PORT AND INLAND WATER TRANSPORT DEPARTMENT)
No.AEEE/SUB/PWD/HADAGALI/Notification/2014-15/

Date:

Office of the,
Assistant Executive Engineer,
PWP and ITWD Sub Division,
Huvinahadagali Date:

Sealed quotations are invited from the respected firms for SUPPLY OF BED ROOM
COT, BED, PILLOW AND WINDOW CURTAINS TO FOUR ROOMS WITH ATTACHED TOILET
FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT KOTNICAL CAMP IN
HUVINAHADAGALI TALUK BELLARY DISTRICT
The Quotation should be reached on or before
quotation will be opened on after Date:
Sl.
No

time 4.30 PM the

Description

Unit

Quantity

1 bonded foam bottom thermoware item and covered by imported glazing cloth with top

Each

2 Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As per Market Rate)

Each

Cots Providing and fixing imported cots made of high density MDF of density 650 Kg/m3
and finished with highest quality laminate using a very high precision factory finish. The
3 item to have an elegant design beadings, cornices and panels to make them very attractive as
well as strong King Cots

Each

Each

Each

Each

Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and top side 1"
quiliting 78x 48 x 5"

4
5

Pillow Providing and fixing featherlite / equivalent plain sparsh cotton regular pillow.
Blankets Supplying of best quality mink blankets/duvet of approved color and design.

6 Curtains Supplying and fixing curtain for doors and windows using approved fabric

1. Rates shall be quoted clearly visible.

2. Rates are incluesive of transportation, loading and unloading etc.,
3. For all dispute Assistant Executive Engineer, PWP and IWTD Sub Division, Huvinahadagali

Assistant Executive Engineer,

PWP & IWTD Sub Division,
Huvinahadagali

Page No: 6

STATEMENT
Sub Estiamte for supply of COMPARATIVE
double cot, imported
wood teapoy, conrnet table and
single seater sofa to Sankarlinga Yatrinivas Tourisum Building Room No.1 in
Huvinahadagali Tq. Bellary Dist.
SL.
No.
1
1
2
3
4
5
6

Rate Quoted by
Rate Quoted by M/s
Sri.Shashidhar H,
Unit Qty Neel Constrution,
PWD Contractor,
Bangalore
Hadagali

Description

Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and

top side 1" bonded foam bottom thermoware item and covered by Each
imported glazing cloth with top quiliting 78x 48 x 5"
Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As per Market Rate)

Rate Quoted by
M/s HDL
Construction,
Hapasaragara

Rate
5

Amount
6

Rate
7

Amount
8

Rate
9

Amount
10

1.00

###

26950.00

###

29173.00

###

###

Each 1.00 1220.00 1220.00 1321.00 1321.00 1585.20 1585.20

Cots Providing and fixing imported cots made of high density MDF of
density 650 Kg/m3 and finished with highest quality laminate using a very
high precision factory finish. The item to have an elegant design beadings, Each
cornices and panels to make them very attractive as well as strong King
Cots
Pillow Providing and fixing featherlite / equivalent plain sparsh cotton
Each
regular pillow.
Blankets Supplying of best quality mink blankets/duvet of approved color
Each
and design.
Curtains Supplying and fixing curtain for doors and windows using
Each
approved fabric

1.00

###

65000.00

###

70363.00

1.00

920.00

920.00

996.00

996.00

###

###

1195.20 1195.20

1.00 5000.00 5000.00 5413.00 5413.00 6495.60 6495.60

1.00

240.00

240.00

260.00

260.00

312.00

312.00

###
###
###
The lowest rates quoted by M/s Neel Construction, Bangalore is the lowest and is hereby recommended for
approval
Total Amount

Assistant
Engineer,
P.W.P. &Executive
I.W.T.D. Division
Huvinahadagali

Cots Providing and fixing imported cots made of

high density MDF of density 650 Kg/m3 and finished
with highest quality laminate using a very high
precision factory finish. The item to have an elegant
design beadings, cornices and panels to make them
very attractive as well as strong King Cots
Pillow Providing and fixing featherlite / equivalent
plain sparsh cotton regular pillow.

Blankets Supplying of best quality

blankets/duvet of approved color and design.

mink

Curtains Supplying and fixing curtain for doors and

windows using approved fabric

EAigU Rj

Imported Fancy Acrolic Mats size 22"x16"x6Nos.

(As per Market Rate)

Tourisum Aidvg

CER No:143/12-2013

Sub Estiamte for

supply of double cot,
imported wood
teapoy, conrnet table
3
and single seater sofa
Rs.1.00 Lakh
to Sankarlinga
Yatrinivas Tourisum
4 Building Room No.1
in Huvinahadagali Tq.
Bellary Dist.
5

EAi
Rj
gU
P
Rjz
z
i
jit
t

Kurlon Mattresses (Klassic or Spring) model made

by 80 density coir and top side 1" bonded foam
bottom thermoware item and covered by imported
glazing cloth with top quiliting 78x 48 x 5"

1
2

d
q
E
J
m

PguU g

10

4.00

###

###

4.00

###

###

4.00

###

###

4.00

920.00

###

4.00

###

###

15.00

240.00

###

Ml

###

11

M/s Neel Constrution Banagalore

Pz g

Adgw
zg
(g
U
)

P
.
A.

CAzd
nAi C

z
C
A.
v v v
(PU AP
)

(Rsuppes Three Lakh Ninty Nine Thousand Nine Hundred and Sixty only)
PAiP EAfAig,
PAiV ES sU,
qU

TAX INVOICE
CASH /
CREDIT
INVOICE NO: A00099

To,

Assistant Executive Engineer,

PWP & IWTD Sub Division,
Huvinahadagali.

DATE :
ORDER NO:

/AEE PWD/Furnitures

DATE :

TIN NO: 29280462742

PAN NO: ADXPN1192J
Sl.
No

Specification

Qty.

Rate

Amount
Rs.
5

Ps
6###

Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and top
side 1" bonded foam bottom thermoware item and covered by imported glazing
cloth with top quiliting 78x 48 x 5"

4.00

23537

94148 00###

Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As per Market Rate)

4.00

1066

4262 00###

4.00

56769

227074 00###

Cots Providing and fixing imported cots made of high density MDF of density
650 Kg/m3 and finished with highest quality laminate using a very high
precision factory finish. The item to have an elegant design beadings, cornices
and panels to make them very attractive as well as strong King Cots

Pillow Providing and fixing featherlite / equivalent plain sparsh cotton regular
pillow.

4.00

803

3214 00###

Blankets Supplying of best quality mink blankets/duvet of approved color and

design.

4.00

4367

17467 00###

Curtains Supplying and fixing curtain for doors and windows using approved
fabric

15.00

210

3144 00###

KVAT14.5%

50650 00

GRAND TOTAL RS.

399959 00

(Rupees Three Lakh Ninty Nine Thousand Nine Hundred and Fifty Nine Only)
Terms of Sale:
* All disputes arising out of this transaction are subject to
Bangalore Jurisdiction only. The general terms and
for M/S NEEL CONSTRUCTION
conditions of our Company will be applicable.
* This is computer printed bill.
* All Supplyed goods are in good condition.
Payment Terms: ..
Received By

:
Page No: 9

Authorized Signatory

To,
Assistn
PWP &
Huvina

QUATATION
We are sending our quotation with including VAT and charage, fitting charges for SUPPLY
OF BED ROOM COT, BED, PILLOW AND WINDOW CURTAINS TO FOUR ROOMS WITH
ATTACHED TOILET FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT
KOTNICAL CAMP IN HUVINAHADAGALI TALUK BELLARY DISTRICT. As per your Office
Notification. As per your notification.
Details

Unit

Qty.

Rate

Amount

Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and top
side 1" bonded foam bottom thermoware item and covered by imported
glazing cloth with top quiliting 78x 48 x 5"

Each

26950

26950

Each

1220

1220

Each

65000

65000

Sl.no

Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As per Market Rate)
Cots Providing and fixing imported cots made of high density MDF of
density 650 Kg/m3 and finished with highest quality laminate using a very
high precision factory finish. The item to have an elegant design beadings,
cornices and panels to make them very attractive as well as strong King Cots

Pillow Providing and fixing featherlite / equivalent plain sparsh cotton

regular pillow.

Each

920

920

Blankets Supplying of best quality mink blankets/duvet of approved color

and design.

Each

5000

5000

Curtains Supplying and fixing curtain for doors and windows using approved
fabric

Each

240

240

for M/s Neel Construction

Signature

10

To,
Assistnat Executive Engineer,
PWP & IWTD Sub Division
Huvinahadagali

Quatation
We are sending our quotation with excluding VAT for SUPPLY OF BED
ROOM COT, BED, PILLOW AND WINDOW CURTAINS TO FOUR ROOMS WITH
ATTACHED TOILET FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT
KOTNICAL CAMP IN HUVINAHADAGALI TALUK BELLARY DISTRICT
Sl.no

Details

Unit Qty. Rate Amount

3

Each

29173

29173

Market Rate)

Each

1321

1321

Cots Providing and fixing imported cots made of high density

MDF of density 650 Kg/m3 and finished with highest quality
laminate using a very high precision factory finish. The item
to have an elegant design beadings, cornices and panels to
make them very attractive as well as strong King Cots

Each

70363

70363

Pillow Providing and fixing featherlite / equivalent plain sparsh

Each
cotton regular pillow.

996

996

1
2

Kurlon Mattresses (Klassic or Spring) model made by 80

density coir and top side 1" bonded foam bottom thermoware
item and covered by imported glazing cloth with top quiliting
48size
x 5"22"x16"x6Nos. (As per
Imported Fancy Acrolic78x
Mats

Blankets Supplying of best quality mink blankets/duvet of

approved color and design.

Each

5413

5413

Curtains Supplying and fixing curtain for doors and windows

using approved fabric

Each

260

260

Yours Faifthfully

(Hanni Shashidar)

11

Assist
PWD S
Hadag

Quatation
Submitting the quotation with excluding VAT and other expenses for SUPPLY
OF BED ROOM COT, BED, PILLOW AND WINDOW CURTAINS TO FOUR ROOMS
WITH ATTACHED TOILET FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA
TEMPLE AT KOTNICAL CAMP IN HUVINAHADAGALI TALUK BELLARY DISTRICT.. As
per your Office Notification. As per your notification.
Sl.no

Details

1
1
2

Unit Qty. Rate Amount

3

Kurlon Mattresses (Klassic or Spring) model made by 80

density coir and top side 1" bonded foam bottom thermoware Each
item and covered by imported glazing cloth with top quiliting
78x 48 x 5"
Imported Fancy Acrolic Mats size 22"x16"x6Nos. (As per
Each
Market Rate)
Cots Providing and fixing imported cots made of high density
MDF of density 650 Kg/m3 and finished with highest quality
laminate using a very high precision factory finish. The item
Each
to have an elegant design beadings, cornices and panels to
make them very attractive as well as strong King Cots

35008 35008

1585

84436 84436

1585

Pillow Providing and fixing featherlite / equivalent plain sparsh

Each
cotton regular pillow.

1195

1195

Blankets Supplying of best quality mink blankets/duvet of

approved color and design.

Each

6496

6496

Curtains Supplying and fixing curtain for doors and windows

using approved fabric

Each

312

312

For M/s HDL Construction,

12

Sl.no
1
Authorised Signature

Details

Unit Qty. Rate Amount

3

13

SCHEDULE-B
( MEMORANDUM SHOWING THE ITEM OF WORKS TO CARRIED OUT )QM / F 62 (a)

PUj g:- qU vQ g AgP zg

iqz.
Rates to be quted in

Approx.
Sl. Qty may
No. be more
or less.

4.00

Rate as per
Ref. to MORTH
sanctioned
specification / as Figures
estimates
per IRC etc.,
(In Rs.)
rates.

Description of work

Unit

3
Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and top side 1"
bonded foam bottom thermoware item and covered by imported glazing cloth with top
quiliting 78x 48 x 5"

Nos

26950.00

Recent
Modified
Amendment

107800.00

Recent
Modified
Amendment

#REF!

#REF!

In Words
8

Amount

#REF!

#REF!

#REF!

#REF! #REF!

#REF!

#REF!

#REF!

#REF!

Recent
Modified
Amendment

#REF!

Nos

65000.00

Recent
Modified
Amendment

260000.00

#REF!

#REF!

Recent
Modified
Amendment

#REF!

#REF!

#REF!

Recent
Modified
Amendment

#REF!

Nos

920.00

Recent
Modified
Amendment

3680.00

#REF!

#REF!

Recent
Modified
Amendment

#REF!

#REF!

#REF!

4.00

Cots Providing and fixing imported cots made of high density MDF of density 650
Kg/m3 and finished with highest quality laminate using a very high precision factory
finish. The item to have an elegant design beadings, cornices and panels to make them
very attractive as well as strong King Cots
#REF!

#REF!
#REF!

#REF!
Pillow Providing and fixing featherlite / equivalent plain sparsh cotton regular pillow.

4.00
#REF!

CONTRACTOR

#REF!

No of Corrections...................
No of Over writings.................

#REF!

Executive Engineer .
PWP-IWTD Dvn,Hadagali.

Rates to be quted in

Approx.
Sl. Qty may
No. be more
or less.

10

4.00

Description of work

Unit

3
Blankets Supplying of best quality mink blankets/duvet of approved color and design.

Rate as per
Ref. to MORTH
sanctioned
specification / as Figures
estimates
per IRC etc.,
(In Rs.)
rates.

11 #REF!

Amount

Nos

5000.00

Recent
Modified
Amendment

20000.00

#REF!

#REF!

Recent
Modified
Amendment

#REF!

#REF!

In Words

#REF!

CONTRACTOR

No of Corrections...................
No of Over writings.................

Executive Engineer .
PWP-IWTD Dvn,Hadagali.

-: Scrutiny Note :From:- AEE PWP&IWTD Sub-division Huvinahadagali

1 Name of work

2 Agency
3 New Head of account

4 Administration No.

5 Sanction No

6 Agreement No

SUB ESTIMATE FOR FOR SUPPLY

OF BED ROOM COT, BED, PILLOW
AND WINDOW CURTAINS TO
Sri.
L Krishna
Contractor,
FOUR
ROOMSNaik,
WITH
ATTACHED
Hadagali
TOILET
2059 NP FOR YATHRI NIVAS SRI
SHANAKAR
LINGESHWARA
-TEMPLE AT KOTNICAL CAMP IN
HUVINAHADAGALI
TALUK
BELLARY DISTRICT

7 PMS/ Non PMS

PMS

8 Estimate Cost

Rs 2.00 Lakhs

9 Amount of Contract

Rs.2.057 Lakhs

10 Payment Made (upto previous bill)

Nil

11 Amount of Present Bill

499,916.00

12 SBR No Date

13 Serial No of the Bill

14 Details of Q.C Results

15 Date of Commencement

16 Date of Completion

17 Actual/Probable date of Completion

18 Date of recording & MB No

CC-1st and Final Bill

Date:
43

M.B. No:

Page No: 18-

19 Date of check measurement by the AEE :

The bill along with M.B No.

426

submitted to the division officer for arranging

payments.

Sub-division Clerk

Assitant Executive Engineer,

PWP & IWTD Sub Division,
Huvinahadagali

CC BILL No: 1st & Final Bill

(P.W.D 17)

Original/Duplicate/Triplicate

Reference Paras 158 to 170

P.W.D. Amount Code.

CONTRACT CERTIFICATE
No.
(For other works)
Dated:
Division : HUVINAHADAGALI
P.W.D. Sub-Division, Hadagali.
Dated :
Received No:
Sub-Divisional Cash book Vr. No.
Dated :
Rated
Divisional
Schedule Docket No
3054 MDR MAINTENCE (NP)
Head of account :
Name of work (as SUB ESTIMATE FOR FOR SUPPLY OF BED ROOM COT, BED, PILLOW
per sectioned
AND WINDOW CURTAINS TO FOUR ROOMS WITH ATTACHED TOILET
estimate):
FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT
Name of the Contractor,
full address:
: HUVINAHADAGALI
Sri. L Krishna Naik,
Contractor,
Hadagali
KOTNICAL
CAMP IN
TALUK
BELLARY
DISTRICT
Reference to agreement :
TND :
2.00
Lakhs
/2014-15
Estimate Amount Rs :
Sanctioned estimate :
2.06
Lakhs
Tender Amount Rs :
Certificate that the measurement were taken by me on _____________ recorded on Page 22 to 30 of
Measurement Book No: 317
and that the work is satisfactorily executed.

Contractor
Office in charge of the work.
Certified that the quantities of measurements were checked by me on ...
.. and found correct. The work is satisfactorily executed.
Certified that the quantities of materials shown in column 3 of Account II have been actually brought to
site of the works and the contractor has not previously received any advance on this security. These materials are of
an imperishable nature and are all required by the contractor for immediate use on the work in connection with
items for which rates for finished work have been agreed upon. A formal agreement signed and executed by the
contractor in recorded in Division Officer.
Assistnat Executive Engineer
II Memorandum of Payment
PWD & IWTD Sub Division, Hadagali
1.Total value of work done or supplies made as per Account with in
2. Deduct Amount to be held in reserve being ___________ Percent Rate Rs.
3. ______________________ Balanced
Deduct Paymentsa) Amount of previous payments a in the divisional, Sub-Divisional Cash Book
Vr. No.
Dated
S.D.NO.
4. Payments ] Amount adjusted cash towards advance recovery of cost of stores or
now made ] other materials supplied
Recovery of amount creditable to this other work
Amount paid on this Bill cheque cash.
Total
5. Balance being unpaid value of work done held in reserve
6. Deduct cash advance made on Divisional, Sub-Divisional Cash Book Vr. No.
Dated __________________ Less adjustments _______________
7. Net amount due to from contractor,
UNADJUSTED ITEMS
8.Advance to contractor for materials brought to site (as detailed within)
9.Value of Government materials supplied
Total amount unadjusted:
_____________________________________________________________Contractors Signature
For Use in the Executive Engineers Office.
Received Rs.
in words
by cash and by adjustment of payment as per memorandum
(in final settlement of all demands)
Witnesses:
1
Dated:
2
Paid by me by Cheque No
Signature of the Contractor
for Rs .....................
Date
Date
Initials of Officer making payments

Executive Engineer
PWD & IWTD Division, Hadagali

FIRSTCOT,
AND FINAL
BILL
SUB ESTIMATE FOR FOR SUPPLY OF BED CC
ROOM
BED,
PILLOW AND WINDOW CURTAINS TO FOUR
ROOMS WITH ATTACHED TOILET FOR YATHRI NIVAS SRI SHANAKAR LINGESHWARA TEMPLE AT
Previous
Present
Up Dated
KOTNICAL
CAMP IN HUVINAHADAGALI
TALUK
BELLARY
DISTRICT
SNo
Item Name
Unit
Rate
Quantity Amount Quantity
5
5

Amount

Quantity
5

Amount

4.00

30160.00

4.00

30160.00

0.00
0.00

#REF!
#REF!

#REF!
#REF!

#REF!
#REF!

#REF!
#REF!

0.00

0.00

#REF!

#REF!

#REF!

#REF!

0.00

0.00

4.00

3292.00

4.00

3292.00

0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00

#REF!
#REF!
4.00
#REF!

#REF!
#REF!
12400.00
#REF!

#REF!
#REF!
4.00
#REF!

#REF!
#REF!
12400.00
#REF!

10

Kurlon Mattresses (Klassic or Spring) model made by 80 density coir and top side 1" bonded
foam bottom thermoware item and covered by imported glazing cloth with top quiliting 78x 48 x
5"

Nos

7540.00

0.00

0.00

#REF! 8725.00
#REF! 125.00

0.00
0.00

#REF! 2482.00

2
3

#REF!
#REF!
#REF!

5
6
7
8
9

Cots Providing and fixing imported cots made of high density MDF of density 650 Kg/m3 and
finished with highest quality laminate using a very high precision factory finish. The item to have Nos
823.00
an elegant design beadings, cornices and panels to make them very attractive as well as strong
King Cots
#REF! 227.00
#REF!
#REF! 5000.00
#REF!
Nos 3100.00
Pillow Providing and fixing featherlite / equivalent plain sparsh cotton regular pillow.
#REF! 2487.00
#REF!
Blankets Supplying of best quality mink blankets/duvet of approved color and design.

10
11 #REF!

Nos

56.00

0.00

0.00

180.00

10080.00

180.00

10080.00

#REF!

69.00

0.00

0.00

398.00

27462.00

398.00

27462.00

TOTAL
Recorded in MB No.

0.00

#REF!

Page No:
Assistnat Executive Engineer
PWP & IWTD Sub Division,
Huvinahadagali

Section Officer

Page No: 19

#REF!