Common use of Contract Reference No Clause in Contracts

Contract Reference No. Date of Award A4 Name and Address of the Employer/Utility by whom the Contract was awarded e-mail ID Telephone No. Fax No. Dakshin Haryana Bijli Vitran Xxxxx Xxxxxx Sadan, Vidyut Nagar, Hisar xxxxxxxxxx@xxxxx.xxx 01662-223187 01662-223181 1 Depending on the state practice to use 66 KV or 33 KV as sub-transmission voltage gradient A5(i) (ii) (iii) (iv) (v) Name of electrical works of sub-station of 33/11 KV or 66/11 KV class and its associated 33 KV/66KV lines successfully erected, tested and commissioned Transformer capacity successfully erected, tested and commissioned for s/s of 33/11 KV or 66/11 KV (in KVA) % of Transformer capacity executed w.r.t. transformer capacity proposed in bid (in %) Length of 33 KV/66KV line successfully erected, tested and commissioned (in cKms) % of 33 KV/66KV line executed w.r.t. 33 KV/66KV line proposed in bid (in %) A6(i) (ii) Date of successful execution of the Contract/Date of commissioning No. of years the above referredelectrical works is in successful operation as on the date of bid opening years A7. Capacity in which the Contract was undertaken (Check One) Prime Contractor Partner of JV Subcontractor (Tick whichever is applicable) A8. Details/documentary evidence submitted in support of stated experience/Contract (Documentary evidence, such as copies of utility certificates etc., in support of its experience shall be attached with the filled-up format for each experience/Contract)

Contract Reference No. Date of Award A4 Name and Address of the Employer/Utility by whom the Contract was awarded e-mail ID Telephone No. Fax No. Dakshin Haryana Bijli Vitran Xxxxx Xxxxxx Sadan, Vidyut Nagar, Hisar xxxxxxxxxx@xxxxx.xxx 01662-223187 01662-223181 1 Depending on the state practice to use 66 KV or 33 KV as sub-transmission voltage gradient A5(i) (ii) (iii) (iv) (v) Name of electrical works of sub-station of 33/11 KV or 66/11 KV class and its associated 33 KV/66KV lines successfully erected, tested and commissioned Transformer capacity successfully erected, tested and commissioned for s/s of 33/11 KV or 66/11 KV (in KVA) % of Transformer capacity executed w.r.t. transformer capacity proposed in bid (in %) Length of 33 KV/66KV line successfully erected, tested and commissioned (in cKms) % of 33 KV/66KV line executed w.r.t. 33 KV/66KV line proposed in bid (in %) A6(i) (ii) Date of successful execution of the Contract/Date of commissioning No. of years the above referredelectrical works is in successful operation as on the date of bid opening years A7. Capacity in which the Contract was undertaken (Check One) Prime me Contractor Partner rtner of JV Subcontractor bcontractor (Tick whichever is applicable) A8. Details/documentary evidence submitted in support of stated experience/Contract Pri Pa Su (Documentary evidence, such as copies of utility certificates etc., in support of its experience shall be attached with the filled-up format for each experience/Contract)

Contract Reference No. Date of Award A4 Name and Address of the Employer/Employer/ Utility by whom the Contract was awarded e-mail ID Telephone No. Fax No. Dakshin Haryana Bijli Vitran Xxxxx Xxxxx, Xxxxxx SadanXxxxx, Vidyut NagarXxxxxx Xxxxx, Hisar xxxxxxxxxx@xxxxx.xxx 01662-223187 01662-223181 1 Depending on the state practice to use 66 KV or 33 KV as sub-transmission voltage gradient A5(iA5( i) (( ii) (iii) (iv) (v) Name of electrical works of sub-station of 33/11 33/ 11 KV or 66/11 66/ 11 KV class and its associated 33 KV/66KV KV/ 66KV lines successfully erected, tested and commissioned Transformer capacity successfully erected, tested and commissioned _ _ _ _ ( iii) ( iv) ( v) for s/s/ s of 33/11 33/ 11 KV or 66/11 66/ 11 KV (( in KVA) % of Transformer capacity executed w.r.t. transformer capacity proposed in bid (in %) Length of 33 KV/66KV KV/ 66KV line successfully erected, tested and commissioned (( in cKms) % of 33 KV/66KV KV/ 66KV line executed w.r.t. 33 KV/66KV KV/ 66KV line proposed in bid (( in %) A6(i) (ii_ _ _ _ _ A6( i) Date of successful execution of the Contract/Contract/ Date of commissioning _ _ ( ii) No. of years the above referredelectrical referred electrical works is in successful operation as on the date of bid opening _ _ years A7. Capacity in which the Contract was undertaken (( Check One) Prime Contractor Partner of JV Subcontractor (( Tick whichever is applicable) A8. Details/documentary evidence submitted in support of stated experience/Contract (Documentary evidence, such as copies of utility certificates etc., in support of its experience shall be attached with the filled-up format for each experience/Contract)