1.

Name of Contractor / Firm and full Address

  2.

Class of Registration & Number
Date of Registration Certificate

  3.

Date of Expiry of Registration

  4.

Particulars of work
    i) Name of work
    ii) Estimated Cost & tendered Amount.
    iii) Date of starting and Completion.

(if Number of works are more, separate list should be enclosed)

  5.

Performance factor
    a) Does he start work promptly after
        the issue of work order
    b) Does he maintain the progress of
        work as per agreement / as per programme mutually
        agreed?
    c) Does he pay proper attention to
        maintain the quality of work and material
    d) Does he work in co-operation with
        departmental staff & does he carry
        out instructions of site officers promptly and properly?
    e) Does he have the technical staff and
        equipment considered necessary?
    f) Does he use materials issued in
        Schedule "A" properly?
    g) Is he submitting annual returns
        regularly?

    (Note : If answer to any of above from (a) to (g) is
        egative, supporting details should be given)

  6.

    a) Does he show any tendency to
        create extra items and claims which are
        unrealistic or unreasonable
    b) Has he tendency to quote unbalanced
        or unworkable rates in the tender?
        (That is very high rates for some items
        and low rates for others )
    c) Is there strong justification for believing
        that he or his employee or representative
        has been guilty of malpractices such as
        bribery, corruption, fraud, substitution /
        tempering of tender documents etc?

        (Note : If answer to any of above from (I) to (ii)
        is affirmative supporting details should be given )

  7.

General Assesment of his capacity / General organisation of work and resources.
Remarks by Superintending Engineer
(For Appropriate Class)

Signature of Ex. Engineer
Division--------------------------------------------------------

  8.

Quality / performance of Contractor (Speed & progress )

  9.

Quality of workmanship

  10.

Tendencies of Contractors in adopting Fraudulent practices or cheating in their dealings with the Department
Remarks by Chief Engineer
(For Appropriate Class )

Signature of Superintending Engineer
Circle ------------------------------------------------------------

  11.

a) Does he agree with above?
b) Further remarks if any