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THE ODISHA STATE POLICE HOUSING & WELFARE CORPORATION LTD. BHUBANESWAR - 22
FORM NO.- 11
Providing, fixing & C/S. of Rcc. work for Lintel including cost of all materials completed. ###
13 (Ground Floor)
R/A -1 do 1138/CTC 138 Sqm.
R/A -2 do 1232/CTC 29 Sqm. -
R/A -3 do 1232/CTC 103 Sqm. -
TOTAL - 229.38 -
14 FIRST FLOOR
R/A -1 do 1138/CTC 138 Sqm. ###
R/A -2 do 1232/CTC 29 Sqm.
R/A -3 do 1232/CTC 104 Sqm. -
TOTAL - 275.25 -
Providing, fixing & C/S. of Rcc. work for griders, beams & columns including cost of all ###
materials completed. (Ground Floor)
15
R/A -1 do 1138/CTC 134 Sqm.
R/A -2 do 1232/CTC 23 Sqm. -
R/A -3 do 1232/CTC 100 Sqm. -
TOTAL - 530.57 -
16 FIRST FLOOR
R/A -1 do 1138/CTC 135 Sqm.
R/A -2 do 1232/CTC 24 Sqm.
R/A -3 do 1232/CTC 100 Sqm. -
TOTAL - 636.69 -
Providing, fixing & C/S of Rcc. work for Wall & Fins including cost of all materials
17 completed. (Ground floor) ###
R/A -1 do 1138/CTC 136 Sqm.
R/A -2 do 1232/CTC 26 Sqm. -
R/A -3 do 1232/CTC 102 Sqm. -
TOTAL - 451.90 -
18 Providing, fixing & C/S of Rcc. work for Roof Slab, Staircase, chajja etc. including cost of
all materials completed. (Ground floor) ###
R/A -1 do 1138/CTC 135 Sqm.
R/A -2 do 1232/CTC 24 Sqm. -
R/A -3 do 1232/CTC 101 Sqm. -
TOTAL - 349.67 -
Page 3 MB Statement A
19 FIRST FLOOR
R/A -1 do 1138/CTC 136 Sqm.
R/A -2 do 1232/CTC 24 Sqm. -
R/A -3 do 1232/CTC 101 Sqm. -
TOTAL - 419.61 -
20 Second Floor
R/A -2 do 1232/CTC 25 Sqm.
R/A -3 do 1232/CTC 101 Sqm. -
TOTAL - 503.53 -
Supplying & filling the Sand in F/P and over area including cost of all materials completed. ###
21 ( Ground floor )
R/A -1 do 1138/CTC 130 Cum.
R/A -2 do 1232/CTC 19 Cum.
R/A -3 do 1232/CTC 97 Cum. -
TOTAL - 448.58 -
22 12 mm. CP with (1:6) over BW. Including cost of all materials completed. ( Ground ###
Floor )
R/A -2 do 1232/CTC 33 Sqm.
R/A -3 do 1232/CTC 107 Sqm. -
TOTAL - 98.92 -
23 First Floor ###
R/A -2 do 1232/CTC 34 Sqm.
R/A -3 do 1232/CTC 107 Sqm. -
TOTAL - 102.23 -
24 Second Floor ###
R/A -2 do 1232/CTC 34 Sqm.
R/A -3 do 1232/CTC 107 Sqm. -
TOTAL - 105.71 -
25 12 mm. CP. With (1:4) over Rcc. work including cost of all materials completed. ( Ground ###
Floor )
R/A -2 do 1232/CTC 36 Sqm.
R/A -3 1232/CTC 109 Sqm. -
TOTAL - 108.26 -
26 First Floor ###
R/A -2 do 1232/CTC 37 Sqm.
R/A -3 do 1232/CTC 109 Sqm. -
TOTAL - 110.59 -
27 Second Floor ###
R/A -2 do 1232/CTC 37 Sqm.
R/A -3 do 1232/CTC 109 Sqm. -
TOTAL - 112.99 -
28 16 mm. CP with (1:6) over BW. Including cost of all materials completed. ( Ground ###
Floor )
R/A-2 do 1232/CTC 35 Sqm.
R/A-3 do 1232/CTC 108 Sqm. -
TOTAL - 138.62 -
29 First Floor ###
R/A -2 do 1232/CTC 35 Sqm.
R/A -3 do 1232/CTC 108 Sqm. -
TOTAL - 141.60 -
30 Second Floor ###
R/A -2 do 1232/CTC 35 Sqm.
R/A -3 do 1232/CTC 108 Sqm. -
TOTAL - 144.67 -
31 One Coat cement washing over plaster surface including cost of all materials completed. ###
( Ground Floor )
R/A -3 1232/CTC 134 Sqm.
TOTAL - 12.64 -
32 FIRST FLOOR ###
R/A -3 do 1232/CTC 134 Sqm.
Page 4 MB Statement A
TOTAL - 12.88 -
33 Second Floor ###
R/A -3 do 1232/CTC 134 Sqm.
TOTAL - 13.13 -
34 Two coats of Cement painting including cost of all materials completed (Ground Floor ) ###
44 Supplying, providing & fixing of Floor Tiles in flooring with cement mortar (1:1) including
cost of all materials complited. (Ground Floor) ###
R/A -2 do 1232/CTC 40 Sqm. ###
R/A -3 do 1232/CTC 111 Sqm. -
TOTAL - 1,026.12 -
45 First Floor
R/A -2 do 1232/CTC 40 Sqm. ###
R/A -3 do 1232/CTC 112 Sqm. -
TOTAL - 1,038.79 -
46 Cutting, bending, binding of Steel for Rcc. work including cost of all materials completed. (
Ground Floor )
R/A -1 do 1138/CTC 131 Qntl.
R/A -2 do 1232/CTC 20 Qntl. -
R/A -3 do 1232/CTC 97 Qntl. -
TOTAL - 6,538.02 -
47 First Floor ###
R/A -1 do 1138/CTC 132 Qntl.
R/A -2 do 1232/CTC 20 Qntl.
R/A -3 do 1232/CTC 98 Qntl. -
TOTAL - 6,552.26 -
48 Second Floor ###
R/A -2 do 1232/CTC 20 Qntl.
R/A -3 do 1232/CTC 98 Qntl. -
TOTAL - 6,567.21 -
49 Providing Antitermite treatment including cost of all materials completed. ###
R/A -2 do 1232/CTC 33 Sqm.
R/A -3 do 1232/CTC 107 Sqm. -
TOTAL - 46.00 -
50 Providing & fixing of Pin headed glass including cost of all materials completed. ###
(Ground Floor)
R/A -3 do 1232/CTC 75 Sqm.
TOTAL - 368.29 -
51 First Floor
R/A -3 do 1232/CTC 75 Sqm.
TOTAL - 368.29 -
52 Drip course mould plaster (1.4) including cost of all materials completed. (Ground Floor) ###
57 Supplying, providing & fixing of FRP door with frame including cost of all materials ###
completed. (First Floor)
R/A -2 do 1232/CTC 42 Sqm.
R/A -3 do 1232/CTC 113 Sqm. -
TOTAL - 4,246.04 -
58 Supplying & fixing of WI. Clamps including cost of all materials completed. ( Ground ###
Floor )
RA -2 do 1232/CTC 32 No. ###
RA -3 do 1232/CTC 106 No. -
TOTAL - 56.19 -
59 First Floor
RA -2 do 1232/CTC 32 No. ###
RA -3 do 1232/CTC 106 No. -
TOTAL - 56.19 -
60 Second Floor
RA -2 do 1232/CTC 32 No. ###
RA -3 do 1232/CTC 32 No. -
TOTAL - 56.19 -
61 25mm thick grading concrete (1:2:2) including cost of all materials completed. (Ground ###
Floor)
TOTAL - - -
Page 8 MB Statement A
71 Providing & Fixing of Industrial Chequre tile for floooring including cost of all materials ###
completed. ( Ground Floor )
R/A -2 do 1232/CTC 39 Sqm.
R/A -3 do 1232/CTC 111 Sqm. -
TOTAL - 588.68 -
72 Providing & fixing of Paisal wood Paneled shutter including cost of all materials ###
completed. (Ground Floor)
R/A -2 do 1232/CTC 41 Sqm.
R/A -3 do 1232/CTC 113 Sqm. -
TOTAL - 5,568.44 -
73 First Floor
R/A -2 do 1232/CTC 41 Sqm.
R/A -3 do 1232/CTC 113 Sqm. -
TOTAL - 5,568.44 -
74 second Floor
R/A -2 do 1232/CTC 41 Sqm.
R/A -3 do 1232/CTC 113 Sqm. -
TOTAL - 5,568.44 -
75 Two coats of Enamel painting over Wooden & Iron works including cost of all materials
completed. (Ground Floor)
R/A -3 do 1232/CTC 137 Sqm. ###
TOTAL - 94.71 -
76 First Floor ###
R/A -3 do 1232/CTC 137 Sqm. ###
TOTAL - 96.73 -
77 Second Floor ###
R/A -3 do 1232/CTC 137 Sqm. ###
TOTAL - 98.81 -
78 One coat of primering over newly plaster surface icluding cost of all materials completed. ###
( Ground Floor )
(PH Works)
84 Supplying all materials and labour T & P fitting and joining of the following CPVC. Pipe.
125 Providing & laying of BW. with (1:6) in F/P. including cost of allmaterials completed. ###
(Ground Floor)
R/A 2 do 1232/CTC 47 Cum.
R/A 3 do 1232/CTC 118 Cum. -
TOTAL - 4,480.23 -
126 Rcc. work with M-20 grade concrete including cost of all materials completed. ( Ground ###
Floor )
R/A 2 do 1232/CTC 47 Cum.
R/A 3 do 1232/CTC 118 Cum. -
TOTAL - 5,237.67 -
127 Providing, fixing & C/S. of Rcc. work for plinth band & column footing including cost of
all materials completed.( Ground Floor ) ###
THE ODISHA STATE POLICE HOUSING & WELFARE CORPORATION LTD. BHUBANESWAR - 22
FORM NO.- 11
Providing & laying of BW. with (1:6) in F/P. Estimate done in C/C method.
4 including cost of allmaterials completed. Cum - 4,480.23 - 0.00 4480.23 - - Actual measurement taken as per
( GROUND FLOOR) drawing.
25 mm. thick DPC. With (1:2:4) over wall top Estimate done in C/C method.
5 including cost of all materials completed. Sqm - 4,480.23 - 0.00 4480.23 - - Actual measurement taken as per
( GROUND FLOOR) drawing.
Providing & laying of BW. With (1:4) in Estimate done in C/C method.
9 Super Structure including cost of all Cum - 4,915.33 - 0.00 4915.33 - - Actual measurement taken as per
materials completed. ( First Floor ) drawing.
74 FIRST FLOOR Sqm - 5,568.44 - 0.00 5568.44 - - As Per Drawing & Estimate.
75 SECOND FLOOR Sqm - 5,568.44 - 0.00 5568.44 - - As Per Drawing & Estimate.
B 79 Electrical Works - - - do
80 Concealed wiring to Angle holder points
with ISI marked 1.5 sq.mm( current carrying As per site requirement with respect
capacity min 13 Amp.s) 650/1100 volt pvc No. - 851.80 - 12.00 851.80 10,221.60 (10,221.60)
to Drawing & Design.
insulated single core (stranded ) unsheathed
copper conductor in 19 mm. dia. extra super
81 quality polythene
Concealed wiring pipeto Tubeincluding supply with
light points & (10,179.60) 10,179.60
fixing
ISI of 10Amp.modular
marked 1.5 sq.mm( current switch with face
carrying
plate mounted
capacity min 13on required
Amp.s) size modular
650/1100 volt pvc box No. - 848.30 - 12.00 848.30 10,179.60 do
on face plate
insulated singlefixed
coreinside the wall
(stranded including
) unsheathed
supply of
copper ceiling rose
conductor in 19mounted
mm. dia.onextra 3 mm. super
82 thick bakelite
quality
Concealed polythene cover
wiring toon
pipe appropriate
including
Portico size iron
lightsupply
points & (853.25) 853.25
boardISI
fixing
with duly painted
of marked 1.5orsq.mm(
10Amp.modular RJ box (ceiling
switch
current with )face
fixed
carrying
inside mounted
plate
capacity themin
wall13with
on 1.0sq.mm(
required
Amp.s) current
size modular
650/1100 volt pvc box No. - 853.25 - 1.00 853.25 853.25 do
carrying
on
insulated capacity
face plate
singlefixed min
core 11 Amp.s)
inside the wall
(stranded 650/1100
including
) unsheathed
volt pvcof
supply
copper insulated
ceiling rose
conductor single
in coredia.
19mounted
mm. (stranded
onextra
3 mm. )
super
83 unsheathed
thick
quality bakelite
Concealed copper
polythene cover
wiring toconductor
pipeon including
Calling as earth
appropriate
Bell size iron
supply
points &with (1,855.86) 1,855.86
continuity
board
fixing duly wire including
painted
of 10Amp.modular
ISI marked 1.5 sq.mm( all
or RJcurrent
box connections
(ceiling
switch with)face
carrying as
fixed
per instruction
inside
plate
capacity themin
mounted of
wall13with
on Electrical
1.0sq.mm(
required
Amp.s) Engineer-in-
size
650/1100 current
modular
volt pvc box No. - 927.93 - 2.00 927.93 1,855.86 do
charge.
on face All
carrying
insulated plate switches
capacity
singlefixed min
core & 11
inside ceiling
Amp.s) roses
the wall
(stranded are ISI
650/1100
including
) unsheathed
marked.
volt pvcof
supply
copper alongwith
insulated
ceiling rose
conductor in brand
single mentioned
core
19mounted
mm. (stranded
dia.onextra at super
3 mm. below.
)
84 [Make-
unsheathed
thick (a)Switch,
bakelite
quality polythene
Concealed copper
cover
wiring pipe ceiling
conductor
on rose,as
appropriate
including
to Ceiling angle
earth holder,
pointsiron
Fansupply size &with (16,116.48) 16,116.48
bell
fixing
ISI push
continuity
board dulyswitch,
wire
painted batten
including
of 10Amp.modular
marked 1.5 sq.mm( holder
all
or RJcurrent
box etc?
connections
(ceiling
switch with
carryingAnchor
)face as
fixed
Roma/legrand/
per
plateinstruction
inside
capacity themin
mounted Havells
of
wall13with
on required
Amp.s) Crabtree
Electrical
1.0sq.mm( size
650/1100 ,(b)
Engineer-in-
current
modular Wires
volt pvcbox- No. - 1,343.04 - 12.00 1,343.04 16,116.48 do
Finolex/RR/Polycab
charge.
on face All
carrying
insulated switches
capacity
plate
singlefixed min
core ,(stranded
& (c)
11
inside all
theother
ceiling
Amp.s) roses
wall materials
are ISI
650/1100
including
) unsheathed
ISI
volt mark]
marked.
pvc
supply of
copper alongwith
insulated
ceiling rose
conductor brand
single mentioned
core
in 19mounted (stranded
mm. dia.onextra at super
3 mm. below.
)
85 [Make-
unsheathed
thick
quality
Concealed (a)Switch,
bakelite copper
polythene cover
wiring ceiling
conductor
pipe
to on rose,
including
Security as
appropriate angle
earth
Light holder,
size
supply iron
&
points (4,139.05) 4,139.05
bell
fixing
with push
continuity
board duly
ISI switch,
wire
painted
of marked batten
including
10Amp.modular
1.5 RJholder
orsq.mm( all
box etc?
connections
(ceiling
switch
current withAnchor
)face as
fixed
carrying
Roma/legrand/
per
plateinstruction
inside
capacity themin
mounted Havells
of
wall13with
on required
Amp.s) Crabtree
Electrical
1.0sq.mm( size
650/1100 ,(b)
Engineer-in-
current
modular Wires
volt pvcbox- No. - 827.81 - 5.00 827.81 4,139.05 do
Finolex/RR/Polycab
charge.
on face All
carrying
insulated switches
capacity
plate
singlefixed min
core ,(stranded
& (c)
11
inside all
theother
ceiling
Amp.s) roses
wall materials
are ISI
650/1100
including
) unsheathed
ISI mark]
marked.
volt
supply
copperpvcof alongwith
insulated
ceiling rose
conductor in brand
single mentioned
core
19mounted
mm. (stranded
dia.onextra at super
3 mm. below.
)
86 [Make-
unsheathed
quality
Concealed (a)Switch,
thick bakelite copper
polythene cover
wiring ceiling
conductor
pipe
to on rose,
including
Bulk head asangle
appropriate earth
supply
points holder,
size iron
&
with
bell
fixingpush
continuity
board dulyswitch,
wire
painted batten
including
of 10Amp.modular
ISI marked 1.5 sq.mm( holder
all
or RJcurrent
box etc?
connections
(ceiling
switch with
carryingAnchor
)face as
fixed
Roma/legrand/
per
plateinstruction
inside
capacity themin
mounted Havells
of
wall13with
on required
Amp.s) Crabtree
Electrical
1.0sq.mm( size
650/1100 ,(b)
Engineer-in-
current
modular Wires
volt pvcbox- No. - 859.18 - 3.00 859.18 2,577.54 (2,577.54) do
Finolex/RR/Polycab
charge.
on face All
carrying
insulated switches
capacity
plate
singlefixed min
core ,(stranded
& (c)
11
inside all
theother
ceiling
Amp.s) roses
wall materials
are ISI
650/1100
including
) unsheathed
ISI
voltmark]
marked.
supply
copperpvcof alongwith
insulated
ceiling rose
conductor in brand
single mentioned
core
19mounted
mm. (stranded
dia.onextra at super
3 mm. below.
)
87 [Make-
unsheathed
thick (a)Switch,
bakelite
quality polythene
Concealed copper
cover
wiring pipe ceiling
conductor
on rose,as
appropriate
including
to exhaust angle
earth holder,
point iron
fansupplysize &
with (2,408.85) 2,408.85
bell
fixing
ISI push
continuity
board dulyswitch,
wire
painted batten
including
of 10Amp.modular
marked 1.5 sq.mm( holder
all
or RJcurrent
box etc?
connections
(ceiling
switch with
carryingAnchor
)face as
fixed
Roma/legrand/
per
plateinstruction
inside
capacity themin
mounted Havells
of
wall13with
on required
Amp.s) Crabtree
Electrical
1.0sq.mm( size
650/1100 ,(b)
Engineer-in-
current
modular Wires
volt pvcbox- No. - 802.95 - 3.00 802.95 2,408.85 do
Finolex/RR/Polycab
charge.
on face All
carrying
insulated switches
capacity
plate
singlefixed min
core ,(stranded
& (c)
11
inside all
theother
ceiling
Amp.s) roses
wall materials
are ISI
650/1100
including
) unsheathed
ISI
volt mark]
marked.
pvc
supply of
copper alongwith
insulated
ceiling rose
conductor brand
single mentioned
core
in 19mounted (stranded
mm. dia.onextra at super
3 mm. below.
)
88 [Make-
unsheathed
thick
quality
Concealed (a)Switch,
bakelite copper
polythene cover
wiring ceiling
conductor
pipe
to on rose,
10including
amp asangle
appropriate earth
supply
Modular holder,
size iron
&
Socket (8,581.80) 8,581.80
bell
board
fixing
Point push
continuity
dulyswitch,
wire batten
including
painted
of 10Amp.modular
with ISI marked or RJ holder
1.5 all
box
sq.mm etc?
connections
(ceiling
switch withAnchor
)face
( current as
fixed
Roma/legrand/
per
plateinstruction
inside
carrying thecapacity
mounted Havells
ofmin
wall with
on 13Crabtree
Electrical
1.0sq.mm(
required size
Amp.s) ,(b)
Engineer-in-
current
modular Wires
650/1100 box- No. - 572.12 - 15.00 572.12 8,581.80 As per Drawing & Design.
Finolex/RR/Polycab
charge.
pvcAll
carrying
on face
volt plate switches
capacity
fixedmin
insulated , (c)
&
single11
inside all
theother
ceiling
Amp.s)
core roses
wall materials
are )ISI
650/1100
including
(stranded
ISI mark]
marked.
volt
supplypvcofalongwith
unsheathed insulated
ceiling
copper rosebrand
single mentioned
core
mounted
conductor (stranded
inon193mm. at below.
mm. ) dia.
89 [Make-
unsheathed
thick super
extra
Supplying (a)Switch,
bakelite coverceiling
copper
&quality
fixing conductor
onone
polythene
of rose,asangle
appropriate
pipe
modular earth holder,
size
including
Box iron
with (135.74) 135.74
bell
Facepush
continuity
board
supply & switch,
duly
plate wire
painted
fixing ofbatten
including
including RJholder
or all box
10Amp.modular etc? switch
all connections
(ceiling
accessories Anchor as&
) fixed
and
Roma/legrand/
per instruction
inside
socket the
with
connections. wall Havells
faceofplate
with
Make Crabtree
Electrical
1.0sq.mm(
mounted
anchor, Roma/ ,(b)required
Engineer-in-
current
on Wires - No. - 135.74 - 1.00 135.74 135.74 do
Finolex/RR/Polycab
charge.
carrying
size All switches
capacity
modular box min
on ,
& (c)
11
face all
ceilingother
Amp.s)
plate
Legrand/Great white/HPL/Havels, Crabtree. roses materials
are
theISI
650/1100
inside wall
ISI
voltmark]
marked.
with 0.75alongwith
pvc insulated
sq.mm ( singlebrandcore
current mentioned
(stranded
carrying at below.
)
capacity
[Make-
unsheathed
min (a)Switch,
7 Amp.s) copper ceiling
conductor
650/1100 rose,
volt asangle
pvc earth holder,
insulated
bell push
coreswitch,
continuity
single wire batten
including
(stranded holder etc?copper
all connections
) unsheathed Anchor as
Roma/legrand/
per instruction
conductor Havells Crabtree
of continuity
as earth Electrical wire,(b)
Engineer-in-Wires -
including
Finolex/RR/Polycab
charge.
all All switches
connections as per , (c)
& all other
ceiling
instructionroses materials
ofare ISI
ISI mark]alongwith
marked.
Electrical brand mentioned
Engineer-in-charge. at below.
All switches
Page 18 Deviation Marine PS. Paradeep
150 a) 15 mm dia C.P Bib cock. - 742.21 - 0.00 742.21 - - - As per site requirement
No
151 b) 15 mm. dia CP. Angle stop cock. - 860.60 - 0.00 860.60 - - - do
No
152 c) 15mm dia C.P Conceal stop cock - 1,090.60 - 0.00 1090.60 - - do
No
153 Providing and fitting,fixing the following bath - - -
-
room fixture.
154 a) CP. Revolving Shower with Arm. - 669.52 - 0.00 669.52 - - - As per Estimate & Agreement
No
155 b) 125 mm soap case C.P - 213.94 - 0.00 213.94 - - - do
No
156 c) 600 X 12 mm CP. shelf with all fixture. - 554.28 - 0.00 554.28 - - - do
No
157 d) 600 X 25mm C.P Towel rail - 595.14 - 0.00 595.14 - - - do
No
158 e) 600 X 450 mm Mirror with Pvc. Frame. - 1,062.03 - 0.00 1062.03 - - - do
No
159 Supplying all materials labour T & P laying - - -
-
U-PVC 4kg/cm2 pipe.
160 a)160 mm dia class-3(0.60 mpa ) Pipe - 581.37 - 0.00 581.37 - - As per site measurement.
Rmt
161 Providing water tank (Fibre) ISI Triple layer Lit - 11.11 - 0.00 11.11 - - - As per Estimate & Agreement
162 Construction of Inspection Chamber - - -
163 (3' 0'' X 3' 0'' ) size. No - 8,742.32 - 0.00 8742.32 - - As per site requirement
164 - - - -
Construction of Septic tank with soak pit
165 a) 50 Users - 85,000.00 - 0.00 85000.00 - - - As per Estimate & Agreement
No
166 APPROACH ROAD - - - -
Providing & laying of BW. with (1:6) in F/P. Cenre line method in estimate but
169 including cost of allmaterials completed. Cum - 4,480.23 - 0.00 4480.23 - - actual quantity measurement has
( GROUND FLOOR) been entered in M.B
.
than the agreement value is accepted
Accepting Authority
Page 25 Check List A
5 (a) Amount of actual payment made to the concerned agency / contractor through different running towards executing of this
work. Till to date position of payment made to the contractor ( i.e up to submission of this Deviation statement ) to be
furnished in the ....
(b) Whether any amount is kept pending towards approval of deviation statement by the higher authorites.
16 Stipulated date of complettion of the work.- Dt. 09. 01. 2017 (Handed over dt. 05.08.2017)
17 (a) Whether the work is completed in all respect if so,
completion certificate may be attached.- Yes.
(b) Whether the building is handed over to concerned
department for their functioning if so, furnish the
copy.-
Yes.
32
Reason of Deviation. - Furnish details along with all
technical report and other supporting documents to prove
the reasons for Deviation.-
Yes.
33
Whether the case is Recommended by the Executive
Engineer concerned.-
All the columns are to be filled in properly. No column is remained blank. The same may be filled up "NOT APPLICABLE" or N.A.
Approved vide letter No. B I W/D 20/2003-31800, Dt. 23.07.2003 of Chief Engineers, Buildings, Odisha, Bhubaneswar.
Page 29 of 94
1.Name of work - MARINE POLICE STATION AT PARADEEP, DIST.- JAGATSINGHPUR.
2.Agreement No - 770, DATE. 05. 05. 2016
3.Contractors name SRI MANOJ KUMAR NAYAK, AT./PO.- NUA BAZAR, PARADEEP. DIST.- JAGATSINGHPUR
Agree Quantity as
ment Revised
Item of Work per Rate Amount Rate Amount Less Excess Reason
Sl No. Qty
Agreement
Electrical Work
79 As per site requirement with respect
13.00 851.80 11,073.40 12.00 851.80 10,221.60 851.80 -
Angle Holder Point to Drawing & Design.
80 12.00 848.30 10,179.60 12.00 848.30 10,179.60 - - do
Tube Light Point
81 1.00 853.25 853.25 1.00 853.25 853.25 - - do
portic light point
82 2.00 927.93 1,855.86 2.00 927.93 1,855.86 - - do
Calling Bell Point
83 Concealed wiring to ceiling fan Point 12.00 1,343.04 16,116.48 12.00 1,343.04 16,116.48 - - do
84 Concealed wiring to security light point 5.00 827.81 4,139.05 5.00 827.81 4,139.05 - - do
85 Concealed wiring to Bulkhead point 3.00 859.18 2,577.54 3.00 859.18 2,577.54 - - do
86 Concealed wiring to Exhaust fan point 3.00 802.95 2,408.85 3.00 802.95 2,408.85 - - do
87 Concealed wiring to 10 AMP Modular
Socket Point. 15.00 572.12 8,581.80 15.00 572.12 8,581.80 - - As per Drawing & Design.
90 Supply and fixing of 8 way BDB 3.00 4,553.69 13,661.07 3.00 4,553.69 13,661.07 - - do
91 Supply and fixing of 63 AMP ,4P MCB main
switch with 63 AMP .cut out including all 1.00 21,017.69 21,017.69 1.00 21,017.69 21,017.69 - - do
accessories and connection.
92 Supply and fixing 4' 0''*28 watt decorative As per site requirement with respect
type light fitting 28.00 1,631.30 45,676.40 27.00 1,631.30 44,045.10 1,631.30 -
to Drawing & Design.
93 Supply and fixing of 4'X28 watt T-5 fitting
with lamp. 5.00 9,667.78 48,338.90 5.00 9,667.78 48,338.90 - - do
94 Supply and fixing of bulk head fitting 3.00 1,101.70 3,305.10 3.00 1,101.70 3,305.10 - - do
95 Supply and fixing of 400 mm. wall mounted
fan. 4.00 2,387.38 9,549.52 4.00 2,387.38 9,549.52 - - As per Drawing & Design.
96 Supply and fixing of exhaust fan 3.00 1,914.51 5,743.53 3.00 1,914.51 5,743.53 - - do
97 Supply and fixing of 8*6 GI board 3.00 125.90 377.70 3.00 125.90 377.70 - - do
98 Supply and fixing of Calling Bell (ding 2.00 124.01 248.02 2.00 124.01 248.02 - - do
dong).
99 Concealed wiring to sub main two runs of ISI As per site requirement with respect
marjed 2.5 sq .mm 270.00 140.24 37,864.80 240.00 140.24 33,657.60 4,207.20 -
to Drawing & Design.
Page 30 of 94
101 Supply and fixing of earthing. 2.00 4,776.35 9,552.70 2.00 4,776.35 9,552.70 - - As per estimate & agreement.
102 Supply and fixing of sub earthing with No- 8
bare copper wire. 100.00 53.10 5,310.00 100.00 53.10 5,310.00 - - As per Drawing & Design.
105 Supply and fixing of portico light fitting . 1.00 1,775.66 1,775.66 1.00 1,775.66 1,775.66 - - As per Drawing & Design.
106 4'' x 4" GI. Board. 10.00 65.57 655.70 10.00 65.57 655.70 - - do
107 6" x 4" GI. Board. 2.00 97.04 194.08 2.00 97.04 194.08 - - do
108 8" x 10" GI. Board. 2.00 190.76 381.52 2.00 190.76 381.52 - - do
109 10" x 12" GI. Board. 2.00 289.39 578.78 2.00 289.39 578.78 - - do
110 Supply and fixing of 3.5 core 25 sq. mm AL
armoud cabel 50.00 394.10 19,705.00 50.00 394.10 19,705.00 - - do
111 Concealed wiring to Tube light point. 16.00 813.89 13,022.24 16.00 813.89 13,022.24 - - do
112 Fixing of Two modular Box with face plate. 6.00 135.74 814.44 6.00 135.74 814.44 - - do
113 Fixing of Three module Box with face plate. 5.00 178.82 894.10 5.00 178.82 894.10 - - do
114 Fixing of Four module Box with face plate. 7.00 214.06 1,498.42 7.00 214.06 1,498.42 - - do
115 Concealed wiring to 20 AMP Modular
Socket Point. 2.00 1,506.54 3,013.08 2.00 1,506.54 3,013.08 - - do
116 Fixing of Eight module Box with face plate. 2.00 378.53 757.06 2.00 378.53 757.06 - - do
117 Fixing of Twelve module Box with face 6.00 407.24 2,443.44 6.00 407.24 2,443.44 - - do
plate.
118 Fixing of Sixteen module Box with face 1.00 505.13 505.13 1.00 505.13 505.13 - - do
plate.
119 Fixing of Blank plate. 36.00 28.71 1,033.56 36.00 28.71 1,033.56 - - do
120 Concealed wiring to Telephone Point 2.00 830.32 1,660.64 2.00 830.32 1,660.64 - - do
121 Concealed wiring to Computer Point. 2.00 1,560.43 3,120.86 2.00 1,560.43 3,120.86 - - do
122 Concealed wiring to Batten holder Point. 2.00 810.00 1,620.00 2.00 810.00 1,620.00 - - do
123 Concealed wiring to Sirent Point. 1.00 1,014.17 1,014.17 1.00 1,014.17 1,014.17 - - do
124 Inverter wiring. 1.00 9,932.46 9,932.46 1.00 9,932.46 9,932.46 - - do
TOTAL 412,664.82 404,832.37 7832.45 -
228..666
0
THE ODISHA STATE POLICE HOUSING & WELFARE CORPORATION LTD. BHUBANESWAR - 22
FORM NO.- 11
3 Name of the Contractor.- Sri Sunakar Behera, At.- Chahapada, Po.- Mahanga
Itemize
SL Qnty as per
Item Unit Rate Amount
No Agreement
1 2 3 4 5 6
A 1 Agreement Item (Civil Works)
119 448.50 -
127 547.17 -
d) 110 mm dia P & S' Trap. No
128 547.17 -
e) 110 mm dia floor' Trap. No
129 239.20 -
f) 110 mm dia Plain Bend No
130 239.20 -
g) 110 Off sets. No
131 g) 110 mm Cowel. No 74.75 -
132 Providing,fitting and fixing of water -
closet.( Including WC. & EWC. Type.
)
No
141 Supplying, fitting & fixing of
Cromiun plated cock in water supply
line.
142 a) 15 mm dia C.P Bib cock. 941.85 -
No
143 b) 15 mm. dia CP. Angle stop cock. No 1,008.00 -
144 c) 15mm dia C.P Conceal stop cock 1,270.75 -
No
145 Providing and fitting,fixing the -
following bath room fixture.
Revised
Rate Amount Less Excess
Qnty
7 8 9 10 11
- - - -
4,063.55 - -
4,253.27 - -
4,286.27 - -
4,409.65 - -
4,554.31 - -
4,527.09 - -
4,650.47 - -
5,310.35 - -
5,349.81 - -
5,396.08 - -
89.61 - -
210.94 - -
253.13 - -
303.75 - -
455.28 - -
546.33 - -
655.60 - -
314.54 - -
377.45 - -
452.94 - - -
526.72 - -
85.36 - -
87.92 - -
90.63 - -
91.12 - -
92.92 - -
94.78 - -
117.27 - -
119.56 - -
121.93 - -
34.31 - -
35.41 - -
36.57 - -
70.27 - -
71.46 - -
72.72 - -
54.90 - -
55.61 - -
56.35 - -
48.36 - -
48.98 - -
49.62 - -
11.56 - - -
11.74 - -
11.93 - -
90,173.61 - - -
90,173.61 - - -
90,173.61 - -
5,183.49 - -
5,183.49 - -
5,183.49 - -
75.84 - -
77.40 - -
79.02 - -
34.47 - -
35.13 - -
35.81 - -
86.63 - -
86.63 - -
317.33 - -
317.33 - -
862.91 - - -
876.97 - -
1,057.69 - -
1,062.10 - -
6,470.52 - -
6,481.39 - -
6,492.88 - -
35.00 - -
368.29 - -
368.29 - -
5.77 - -
5.95 - -
6.14 - -
330.63 - -
330.63 - -
330.63 - -
3,800.00 - -
3,800.00 - -
43.10 - - -
43.10 - - -
43.10 - -
202.71 - -
214.05 - -
227.34 - -
1,780.84 - - -
719.59 - - -
1,750.00 - - -
-
- -
- - -
- 950.00 - - -
- 950.00 - - -
- 950.00 - - -
- 950.00 - - -
- 950.00 - - -
- 1,000.00 - - -
- 1,150.00 - - -
- 950.00 - - -
- 750.00 - - -
- 1,200.00 - - -
- 90.00 - -
- 145.00 - -
- 195.00 - -
- 285.00 - -
- 4,000.00 - - -
- 17,150.00 - - -
- 200.00 - - -
- 900.00 - - -
- 2,500.00 - - -
- 2,000.00 - - -
- 2,150.00 - - -
- 150.00 - - -
- 2,000.00 - - -
- 965.00 - - -
- 4,000.00 - - -
- 40.00 - -
- -
- - -
- -
448.50 -
261.63 - -
168.19 - -
149.50 - -
- -
391.69 - -
388.70 - -
269.10 - -
547.17 - - -
547.17 - - -
239.20 - - -
239.20 - -
74.75 - -
- -
2,093.00 - - -
2,242.50 - - -
2,803.13 - - -
6,524.18 - - -
1,972.20 - - -
- -
3,289.00 - - -
1,794.00 -
-
- -
941.85 -
-
1,008.00 - - -
1,270.75 - - -
-
- -
822.25 -
- -
441.03 -
- -
1,339.52 -
- -
299.00 - - -
702.65 - - -
-
- -
525.00 -
-
328.90 -
-
- -
8,000.00 - - -
- -
60,000.00 -
- -
14.35 - - -
-
- - -
-
-
Signature of Signature of
Accountant Joint Manager
Rs. 0.00
being 10.57% percent less than the
agreement value is accepted.
Accepting Authority
ESWAR - 22
Reasons
12
do
do
do
Field measurement has been
taken.
do
do
do
do
do
do
do
do
do
do
do
Estimate done in Centre line
method, Physically
measurement has been taken
as per Drwaing & Design.
do
do
do
do
do
do
Physically measurement has
been taken as per Drwaing &
Design.
do
do
do
do
do
do
do
MS. Sheet door has been
provided as per instruction of
user authority.
do
MS. Sheet door has been
provided as per instruction of
user authority.
do
do
do
do
do
do
do
Practically measurement has
been taken from site.
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
do
ELECT. CIVIL
As per Drawing & Design. - -
- CIVIL+PH
- Checked
Less qnty has been provided in
estimate, but as physically
reqd. work has done and
recorded
do
do
do
do
do
do
do
do
Field measurement has been
taken
do
do
do
do
do
do
do
do
As per site measurement.
PH
-
Accepting Authority
228..666
0
Special note/Check list towards sanction of Deviation pertaining to Bui
work as per OPWD code volume -1, Para-3.5.31 and 6.
Sl.
Financial Year Allotment Received Expenditure Incurred
No.
1 2 3 4 5 6
2
3
5 (a) Amount of actual payment made to the concerned agency / contractor through different runn
this work. Till to date position of payment made to the contractor ( i.e up to submission of th
to be furnished in the ....
(b) Whether any amount is kept pending towards approval of deviation statement by the higher
3
32
Reason of Deviation. - Furnish details along with all
technical report and other supporting documents to prove
the reasons for Deviation.-
Yes.
33
Whether the case is Recommended by the Executive
Engineer concerned.-
All the columns are to be filled in properly. No column is remained blank. The same may be filled up "NO
Approved vide letter No. B I W/D 20/2003-31800, Dt. 23.07.2003 of Chief Engineers, Buildings, Odisha,
pertaining to Building/Road portion of
ara-3.5.31 and 6.3.17
M-RESIDENCE OF SDPO. AT
HPUR.
Balance Amount
Remarks
Available
7 8 9
r through different running towards executing of
e up to submission of this Deviation statement )
Date of
Page No.
Measurement
7 8 9
01. 2016
( Handed over dt. 05.02.2018 )
nt (As per present
Position of Tenderer
tion Qnty.)
3 4
ame may be filled up "NOT APPLICABLE" or N.A.
neers, Buildings, Odisha, Bhubaneswar.
THE ODISHA STATE POLICE HOUSING & WELFA
BHUBANESWAR-22
FORM NO-11
1.Name of work - Const.of Internal electrification work of 30 men barrack for home guard Jagatsinghpur
FORM OF DEVIATION STATEM
2.Agreement No - 653,DT-26.
3.Contractors name Sri Smrutidhara Behera
Quantity as
Sl No. Item of Work per Rate Amount
Agreement
Electrical Work
10 Concealed wiring tosub main with 6.00 sq mm cupper 25.00 195.00 4875.00
conductor
Supply and fixing of 4 core 16 sqmm armoud cable
11 50.00 290.00 14500.00
16 Supply and fixing of 1*36 watt pll streetlight 4.00 2000.00 8000.00
17 Supply and fixing of 1200 mm sweep ac celling fan 14.00 2200.00 30800.00
18 Supply and fixing of bulk head fitting 2.00 1000.00 2000.00
Supply and fixing of exhaust fan
19 3.00 1700.00 5100.00
21 Supply and fixing of sub earthing with No- 8 bare 100.00 40.00 4000.00
copper wire.
204785.00
FORM NO-11
Jagatsinghpur
RM OF DEVIATION STATEMENT
greement No - 653,DT-26.11.2015.
197440.00 0.00
7345.00
ss)
451.85) x 100 =12.10%(Less)
Reason
228..666