Format Variation Statement

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PROJECT : COWRKS INTERIOR FIT OUT WORKS.

Date : 22-Oct-18

LOCATION: MUMBAI-WORLDMARK-1 AEROCITY -DELHI

CAMPUS : WORLDMARK-1 AEROCITY-GF &1st FLOOR

TYPE OF PAYMENT : 100% PAYMENT RA-BILL#-01.

Plant Code I.2003

Paying Company ( Code) COWRKS INDIA PVT LTD.

Vendor Code 50000468

Vendor Name M/s Actis Technologies Pvt. Ltd

SUPPLY OF AUDIO VIDEO EQUIPMENTS


Work Category as per DP : Office Interiros Work Description :
(GRN).

Purchase Order/ Work Order No PO#: 4100001522 Dt18.8.18


Base Value SGST CGST IGST Others
Purchase Order Value in Rs 3,910,354
3,220,512 344,921 344,921

Bank Gurantee No ……………………………. for 10% Mobilisation Advance of Rs…………………….. N.A


Bank Gurantee No. …( If any submitted for Retention Amount, etc) N.A
CAR Polocy No Contract Price : - ----------Premium Value : ------ N.A
Is Payment proof / Status of ESI & EPF Challans submitted by Contractor ( Yes / Not Applicable )
Inv No/Contractor's Ref No # 363, #373,#409
Cummulative Value of bill raised by contractor on date (15,13,799+9,41,459+38,581) Rs 24,93,840/-

GRN# 5000052597, 5000052598,


Service Entry Sheet No ( SES Document Number )
5000052599
PO#: 4100001522
Purchase Order / Work order Item Number
Dt18.8.18
Base Value SGST CGST IGST Others Amount in (Rs)
"A" Cummulative Amount
2,030,373 231,734 231,734 - - 2,493,840
Certified by Site - ( B+ C)
"B" Total Amount Certified by Site in
-
SAP till Previous Bill
"C" Current Bill SES Value /
2,030,373 231,734 231,734 2,493,840
(Tax invoice Value) -
Recovered This Bill Balance to be
Advance Recovery Total Paid Others
till last bill Recovery Recovered

a) Less Adhoc payment - - -


b) Less Mobilisation advance
- - -
(Down Payment)
Total
Dedcutions Upto Last Bill Present Bill
upto date
c) Less Retention @ 5% on "D" 124,692 124,692 124,692
d) Hold Amounts towards 498,768 498,768 498,768
Total Hold/ Retention 623,460 - 623,460
e) Other Deductions Towards - -
f) Less Debit Charges Towards - -
Total deductions/ Debits - - -
Select TDS Category Type Taxable Value for TDS
g) Less TDS @ Source 2.00% -
Material Only - -

Net Amount Payable D = (C-a-b-c-d-e-f-g) 1,870,380

IN WORDS- RUPEES: Eighteen Lakh Seventy Thousand Three Hundred Eighty Only.
Prepared By Checked By Checked By Approved By Approved By

Project Executive Project Incharge Contract Executive Project Head Contract Head
Date : Date : Date : Date : Date :

Version :- Revision 2 dt 10.10.17


`
#REF!
100% PAYMENT RA-BILL#-01. SUPPLY OF AUDIO VIDEO EQUIPMENTS.
BOQ Amount Previous Present Cumulative
SL .No Article Description UOM Qty
Rate Amt GST Amt GST Qty GST Amt Amt Qty GST Amt Amt Qty GST Amt Amt
1 Full HD LED TV 55'' No 7 55,000 385,000 107,800 28% 7 107,800 385,000 7.00 107,800 385,000
2 Full HD LED TV 65'' No 1 115,000 115,000 32,200 28% 1 32,200 115,000 1.00 32,200 115,000
3 Full HD LED TV 75'' No 2 212,000 424,000 118,720 28% 2 118,720 424,000 2.00 118,720 424,000
4 RealPresence 500-720p EagleEye12x camera No 1 253,111 253,111 45,560 18% - - - - - -
5 Full HD LED TV 43'' No 2 28,000 56,000 15,680 28% 2 15,680 56,000 2.00 15,680 56,000
6 Projector No 1 92,000 92,000 25,760 28% - - - - - -
7 Customised Mount Kit No 2 3,000 6,000 1,080 18% 2 1,080 6,000 2.00 1,080 6,000
8 Motorised Projector screen No 1 29,500 29,500 8,260 28% 1 5,310 29,500 1.00 5,310 29,500
9 Customised Mount Kit No 2 3,000 6,000 1,080 18% - - - - - -

10 Adjustable Coverage Line Array Column No 4 122,000 488,000 87,840 18% - - - - - -

11 Analog Audio mixer No 1 16,484 16,484 2,967 18% - - - - - -


12 Power Amplifier No 2 146,100 292,200 52,596 18% - - - - - -
13 Active DI Box No 1 7,844 7,844 1,412 18% - - - - - -
14 Equipment Rack No 1 13,000 13,000 2,340 0.18 1 2,340 13,000 1.00 2,340 13,000
15 AV Media Interface No 13 1,130 14,690 2,644 18% 13 2,644 14,690 13.00 2,644 14,690
16 HDMI Cable - 15 mtrs No 7 3,539 24,773 4,459 18% 7 4,459 24,773 7.00 4,459 24,773
17 HDMI Cable - 10 mtrs No 7 2,711 18,977 3,416 18% 7 3,416 18,977 7.00 3,416 18,977
18 HDMI Cable - 05 mtrs No 2 1,188 2,376 428 18% 2 428 2,376 2.00 428 2,376
19 HDMI Cable - 02 mtrs No 21 820 17,220 3,100 18% 21 3,100 17,220 21.00 3,100 17,220
20 VGA with Audio Cable - 15 mtrs No 6 3,477 20,862 3,755 18% 6 3,755 20,862 6.00 3,755 20,862
21 VGA with Audio Cable - 10 mtrs No 5 2,251 11,255 2,026 18% 5 2,026 11,255 5.00 2,026 11,255
22 VGA with Audio Cable - 05mtrs No 2 1,608 3,216 579 18% 2 579 3,216 2.00 579 3,216
23 VGA with Audio Cable - 02 mtrs No 13 912 11,856 2,134 18% 13 2,134 11,856 13.00 2,134 11,856
24 Wireless Presentation Gateway No 5 75,515 377,575 67,964 18% 5 67,964 377,575 5.00 67,964 377,575
25 Connectors & Accessories SET 1 500 500 90 18% - - - - - -
26 Wireless Presentation System No 1 70,311 70,311 12,656 18% 1 12,656 70,311 1.00 12,656 70,311
27 Mercury Tabletop Conference System No 4 94,318 377,272 67,909 18% 4 67,909 377,272 4.00 67,909 377,272
28 4X1 HDMI Presentation Auto Switcher No 2 7,245 14,490 2,608 18% 2 2,608 14,490 2.00 2,608 14,490
29 Audio / Speaker Cable Rmt 200 65 13,000 2,340 18% 200 2,340 13,000 200.00 2,340 13,000
30 DTH Cabling Rmt 400 70 28,000 5,040 18% - - - - - -
31 Rotatable Wall Mount Bracket 55" No 3 8,000 24,000 4,320 18% 3 4,320 24,000 3.00 4,320 24,000
32 Connectors & Accessories SET 2 3,000 6,000 1,080 18% - - - - - -

Total 3,220,512 - 2,030,373 2,030,373


Tax - GST @18% 689,842 - 463,467 463,467
Total Including Taxes 3,910,354 - 2,493,840 2,493,840

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100% PAYMENT RA-BILL#-02. SUPPLY OF AUDIO VIDEO EQUIPMENTS.
As per PO Variation Cumulative
SL .No Article Description UOM Qty
Rate Amt GST Amt GST Qty Amt Qty GST Amt Amt
1 Full HD LED TV 55'' No - - 28% 1.00 - 1.00 - -
2 Full HD LED TV 65'' No - - 28% - - - -
3 Full HD LED TV 75'' No - - 28% - - - -
4 RealPresence 500-720p EagleEye12x camera No - - 18% - - - -
5 Full HD LED TV 43'' No - - 28% - - - -
6 Projector No - - 28% - - - -
7 Customised Mount Kit No - - 18% - - - -
8 Motorised Projector screen No - - 28% - - - -
9 Customised Mount Kit No - - 18% - - - -

10 Adjustable Coverage Line Array Column No - - 18% - - - -

11 Analog Audio mixer No - - 18% - - - -


12 Power Amplifier No - - 18% - - - -
13 Active DI Box No - - 18% - - - -
14 Equipment Rack No - - 18% - - - -
15 AV Media Interface No - - 18% - - - -
16 HDMI Cable - 15 mtrs No - - 18% - - - -
17 HDMI Cable - 10 mtrs No - - 18% - - - -
18 HDMI Cable - 05 mtrs No - - 18% - - - -
19 HDMI Cable - 02 mtrs No - - 18% - - - -
20 VGA with Audio Cable - 15 mtrs No - - 18% - - - -
21 VGA with Audio Cable - 10 mtrs No - - 18% - - - -
22 VGA with Audio Cable - 05mtrs No - - 18% - - - -
23 VGA with Audio Cable - 02 mtrs No - - 18% - - - -
24 Wireless Presentation Gateway No - - 18% - - - -
25 Connectors & Accessories SET - - 18% - - - -
26 Wireless Presentation System No - - 18% - - - -
27 Mercury Tabletop Conference System No - - 18% -4.00 - (4.00) - -
28 4X1 HDMI Presentation Auto Switcher No - - 18% - - - -
29 Audio / Speaker Cable Rmt - - 18% - - - -
30 DTH Cabling Rmt - - 18% - - - -

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100% PAYMENT RA-BILL#-02. SUPPLY OF AUDIO VIDEO EQUIPMENTS.
As per PO Variation Cumulative
SL .No Article Description UOM Qty
Rate Amt GST Amt GST Qty Amt Qty GST Amt Amt
31 Rotatable Wall Mount Bracket 55" No - - 18% 1.00 - 1.00 - -
32 Connectors & Accessories SET - - 18% - - - -
NT - ITEMS

Polycom Group Series & Centro Multipoint License. 6-


NT-1 way on Group 500. Either supports 4-way HD Nos. 0 72000 0 - 18% 1 72,000 1.00 12,960 72,000
continuous presence.

NT-2 Mercury Tabletop Conference System Video Package Nos. 0 148000 18% 4 592,000 4.00 106,560 592,000
with universal Power Pack CCS-UC-1AV W/PS KIT

Total - 664,000 664,000


Tax - GST @18% - 119,520
Total Including Taxes - 783,520

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100% PAYMENT RA-BILL#-02. SUPPLY OF B.G.M EQUIPMENTS.
As Per PO Variation Cumulative
SL .No Article Description UOM Qty
Rate Amt GST Amt GST Qty Amt Qty GST Amt Amt

1 Ceiling speakers with Back can included No - - 18% 0.00 - - - -


2 Wall Mount Speaker JBL No - - 18% 0.00 - - - -
3 Audio Face Plate Make Custom No - - 18% 0.00 - - - -
4 ETHERNET REMOTE CONTROL W/8 TOUCH ZONE No - - 18% 0.00 - - - -
5 Audio Amplifier Crown -DCi4x300 No - - 18% 0.00 - - - -
6 Wireless Handheld Mic No - - 18% 0.00 - - - -
7 Wireless Lapel Mic No - - 18% 0.00 - - - -
8 ANTENNA POWER SPLITTER AKG -APS4 EU No - - 18% 0.00 - - - -
9 ACTIVE DIRECTIONAL WIDE-BAND UHF ANTENNA No - - 18% 0.00 - - - -
10 Break In Box No - - 18% 0.00 - - - -
11 Break Out Box No - - 18% 0.00 - - - -
12 Speaker Cable - 14 AWG Make-Astronics Rmt - - 18% 0.00 - - - -
13 Audio cable Astronics Rmt - - 18% 0.00 - - - -
14 Coaxial Antenna Cable MX -1972 Rmt - - 18% 0.00 - - - -
15 Connectors & Accessories Ls - - 18% 0.00 - - - -
16 Wireless Access Point TP-Link TL-WA801ND No - - 18% 0.00 - - - -
17 8 Port Network Switch POE D-Link No - - 18% 0.00 - - - -

18 Equipment Rack No - - 18% 0.00 - - - -

19 Digital Signal Processor BSS-Blu100 No - - 18% 0.00 - - - -


NT - ITEMS

NT-1 Nos. 0 - - 18% - - - -

Total - - -
Tax - GST @18% - -
Total Including Taxes - -

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VENDOR NAME
RATE ANALYSIS
Project: At : Delhi Tender item / Extra item :
Prepared By : Suryakant Checked By :
Rate analysis per : Nos.
Vendor claim

Tender
item Description Qty. Unit

Supply & Instllation of following items


A Items b
r item / Extra item :
Checked By :

Vendor claim COWKRS RECOMMEN

Rate Amount
(Rs) (Rs) Sl Description
.N
o
Supply & Instllation of following items
Items
- 1

- 2

- 3
COWKRS RECOMMENDATION

Rate Amount
Qty. Unit (Rs) (Rs) Remarks

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