Life Insurance Corporation of India. Patna Divisional Office-1. Jeevan Prakash, Mazharul Haque Path, Patna

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Technical Bid Hiring of premises Life Insurance Corporation of India. Patna Divisional Office-1. Jeevan Prakash, Mazharul Haque Path, Patna-800001 Appendix-G16 A Technical Bid for hiring of premises for Warsaliganj SO at Warsaliganj in Nawadah District. Reference No (Note: The reference numer to e filled up y the tenderers for the particular Premises offered and shall e quoted in price Bid also for easy and correct identification. Sr Detail Remarks 1 1 Name of the Lessor 2 a Address of the Lessor c d e Phone No. Fax No. E - Mail ID Permanent Account Numer (PAN) 3 a Name of the contact person duly authorized. Phone No. 4 a Constitution of vendor/ firm (Proprietary/ Partnership/ Private/ Pvt.Ltd./ Pulic Ltd/ PSU etc) PAN numers of the Directors/ Partners/ Firms. 2 Details of the property : 1 Name of the Owner 2 Address : 3 Phone No. 4 Name of the uilding 5 Details of encumrances, if any? 6 Location and address of the property 7 Usage of the property ( as approved y the Competent Authority). 8 a Residential Commercial

c Residential cum Commercial d Shopping centre 9 Whether the proposal for Office premises in a multi - storied uilding. a Numer of floor in the uilding. At which floor, the office premises are offered. 10 CTS No 11 Survey No 12 Ward NO 13 Whether the plot is free hold or lease hold? If lease hold, please mention the details of i Name of the Title Holder/ Lessor Tenure of the land i Residual lease period iv Annual lease rents and amount. c Whether the property is mortgaged? If yes mention the details. i Name of the Organization where the property is mortgaged. Address of the Organization with phone no. i Amount of loan availed. iv Tenure of mortgage v Residual mortgage period vi EMI paid. 14 Character / Type of locality a Residential Commercial c Commercial cum Residential d Industrial e Slum 15 Area of the plot 16 Size of the plot a Frontage in meters Depth in meters 17 Schedule of the plot i.e. oundaries of the plot on

a North East c South d West 18 Whether the locality is free from Special hazards like fire / flood etc. 19 Whether the locality has protection from adverse influence such as a Encroachment. Industrial nuisance, smoke, noise etc. 20 Please enclose copy of Property Card or Patta etc. 21 Please also indicate distance from the nearest i Railway (local) station Bus Stand i Bank ( Nearest) iv Airport v Hospital/ Schools/ Colleges/ Universities. 22 Year of construction. Enclose a attested copy of NOC or Occupancy certificate issued y the Municipal Authority or any other Government Bodies. 23 a Incase of old constructions, NOC from the Society may e enclosed Mention year of completion ( as given in Completion Occupancy Certificate issued y the Authority). c Indicate in whose name the conveyance deed is executed. 24 Date on which Office premises can e handed over to LIC after finalization of the deal. 25 Built up area of the premises eing offered now for office usages on lease asis. Please enclose copies of approved plans. 26 What is the carpet area (for consideration purpose). 3 Specifications 1 Type of uilding (Residential/Semi commercial)? 2 Type of structure (RCC / Steel framed/ load earing). 3 Type of wall (Brick/ Cement lock). Mention thickness of external wall and internal partition wall. 4 Details of Flooring (M.M.Tiles/ Ceramic/ Vitrified/ Marle) or any other. 5 Details of Door frames (Sal wood/ Teak Wood/ Hard wood/ Aluminum) or any other. 6 Details of Door shutters (Flush door/ Teak wood/ Aluminum / PVC) or any other.

7 Details of Window frames (Sal wood/teak Wood/ Hard wood/ Aluminum) or any other. 8 Details of window shutters (Teak wood / Aluminum / steel) or any other with security grills or without security grills. 9 i No of toilets in each floor. Details of Floors and Dado in Toilets. 4 Whether Structural staility certificate enclosed ( Certificate shall e from Licensed Structural Engineer of Municipal Corporation) 5 Service 1 If Lift facility is availale, please give details of Numer of lifts, capacity, make and the year of installation. 2 Please indicate source of water supply. 3 Is ore well provided? If so what is the yield and depth of ore well. 4 Capacity of the over head tank feeding to the office premises under consideration for leasing. 5 Please give details of sewerage system and for storm water disposal. 6 Please indicate whether the uilding is prone to flooding. 6 Electricity 1 i What is the connected load to the uilding in KW / KVA? Type of electric connection. Commercial / Residential. 2 Please indicate the type of wiring used, Aluminum or copper? 3 Whether ELCB is provided Yes / No 7 Common services 1 Car parking Reserved..nos. Open..nos. 2 Two wheeler parking Reserved..nos. Open..nos. 3 Power / Electricity supply availale. Yes / No 4 24 Hrs. water / Overhead tanks availale. Yes / No 5 Generator for emergency. If yes mention, capacity of the Generator. Yes / No 6 Anti lightening device arrangement. Yes / No 7 Security arrangements, please give details. 8 Other Information 1 Whether any ready uilt flats / Office premises have een constructed and sold y the uilder to any government and semi government institutions/financial institutions? If so please give name and addresses of such clients. 9 Details of Plan / Blue Prints / Sanctioned Plan 1 Whether the plan of the property is sanctioned y the Competent Authority.

2 If sanctioned, please enclose copy of approved Floor Plan/s, Sections, Elevations and Site Plan of the uilding. 3 Name/s and Address Phone No. of the Architect / Engineer. 4 Provision for proper arrangement of fire safety. 10 1 Are the safety measures taken? 2 If yes, give details of arrangement. 3 Is No Ojection certificate otained / Secured from fire control authorities. 4 If yes, produce copies of proof / certificates. 11 List of Enclosures Signature of vendor with seal and date. Date: Place:..