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INDEX

CONDITIONS PRECEDENT OF AUTHORITY12 LA 23 FOREST CLEARANCE4 ENVIRONMENT CLEARANCE5 WILDLIFE CLEARANCE6 ROB-RUB7 RIGHT OF WAY- ARTICLE 10 OF MCA8 CONDITION PRECEDENT OF CONCESSIONAIRE9 APPLICABLE PERMITS AS PER CONDITIONS PRECEDENT OF CONCESSIONAIRE10

PROPRIETARY RIGHTS, LICENSES, AGREEMENTS AND PERMISSIONSREPRESENTATION AND WARRANTIESLEGAL OPINION BY CONCESSIONAIRE

111213

EMPLOYMENT OF FOREIGN NATIONALS BY CONCESSIONAIREPROJECT AGREEMENTS

14 CHANGE OF SCOPE151617181920

COMMERCIAL OPENING DATEFORCE MAJEURE AND TERMINATION

21MISCELLANEOUS

WORK FLOW TAG

LA 1

UTILITY SHIFTING

APPOINTMENT OF IEMONITORING OF CONSTRUCTIONAPPOINTMENT OF SAFETY CONSULTANT

PERFORMANCE SECURITYESCROW ACCOUNTCHANGE IN OWNERSHIPPAY DAMAGES TO AUTHORITYSUBST. AGREEMENTSFINANCIAL CLOSURE

O & M

Workflow TAG/LEGEND(s)

A B CInitiator Concessionaire Initiator Concessionaire Initiator ConcessionaireReviewer IE Reviewer PD Reviewer IEApprover 1 PD Approver RO Approver PDApprover 2 RO

D E FInitiator Concessionaire Initiator Concessionaire Initiator PIUReviewer GM(Tech) Reviewer GM(Finance) Reviewer ROApprover CGM (Tech) Approver CGM (Finance) Approver CGM(LA)

G H IInitiator Manager/DGM (Tech) Initiator Design Consultant Initiator GM(Tech)Reviewer GM(Tech) Reviewer PD Reviewer GM(Tech)Approver CGM (Tech) Approver RO Approver CGM (Tech)

J K LInitiator PD Initiator GM(Tech) Initiator GM(Tech)Reviewer RO Reviewer CGM (Tech) Reviewer CGM (Tech)Approver RO Approver CGM (Tech) Approver NHAI Executive Committee

M NInitiator GM(Finance) Initiator Safety ConsultantReviewer CGM (Finance) Reviewer PD in Consultation with IEApprover CGM (Finance) Approver RO

Conditions Precedent of Authority

Conditions Precedent of Concessionaire

1. Provided to the Concessionaire the Right of Way to the Sitea. Post completion of PPPAC Approval process for Land Acquisition

b. Land Acquisition

2. Issued the Fee Notification

3. Provided for the Concessionaire the Right of Way to ****

4. Procured approval of Railway Authorities to construct road over bridges / under bridges at level crossings

a. ROB/RUB Clearance, alongside approval for GADs for them

5. Procured all Applicable Permits relating to environmental protection and conservation of the site

a. Applicable Permits

b. Forest clearance

c. Environment clearance

d. Wildlife clearance

1. Provided Performance Security to the Authority

2. Executed and procured execution of the Escrow Agreement;

3. Executed and procured execution of the Substitution Agreement;

4. Procured all the Applicable Permits specified in Schedule-E unconditionally or if subject to conditions, then all such conditions shall have been satisfied in full and such Applicable Permits are in full force and effect;

a. Conditions Precedent Obligations of Concessionaire

5. Executed the Financing Agreements and delivered to the Authority 3 (three) true copies thereof, duly attested by a Director of the Concessionaire;

7. Delivered to the Authority 3 (three) true copies of the Financial Package and the Financial Model, duly attested by a Director of the Concessionaire, along with 3 (three) soft copies of the Financial Model in MS Excel version or any substitute there

8. Delivered to the Authority from {the Consortium Members, their respective} confirmation, in original, of the correctness of their representations and warranties setforth in Sub clauses (k), (l) and (m) of clause 7.1 of this Agreement; and

9. Delivered to the Authority a legal opinion from the legal counsel of the Concessionaire with respect to the authority of the Concessionaire to enter into this Agreement and the enforceability of the provisions thereof

PPPAC Approval: Compliance to Condition PrecedentSl. No. Clause of Concession Agreement Description Before issue of RFP Before issue of LOA Before giving Appointed Date

1 4.1.2 (a) Availability of land

Input Form LA 1Requirement Status Date Action taken and Action by Remarks/Issues

Completed

Existing ROW + 3D of 80% land to be acquired Completed 11.11.2011 - Do -

Completed 22.11.2013 - Do -

Before submission of proposal to PPPAC

Existing ROW + 3D of 60% land to be acquired+ 3A of 90% land to be acquired

Existing ROW + 3D of 80% land to be acquired


Existing ROW + 3D of 90% land to be acquired and at least 80% front of 30 Mtr for two lane paved shoulders, 45 Mtr for four laning and 60Mtr for six laning projects should be available


11.11.201105.03.2013

CA (LA)/ Project Director NHAI-PIU-Sikar

3D of 60% land (i.e. 64.1525 Ha) on 11.11.2011 (Total 92.652 Ha on 11.11.2013)3A of 90% land (i.e. 96.288 Ha), up to 05.03.2013-95.277 Hac & up to 08.07.2011- again 11.6439 Ha completed on 05.03.2013)

3D of 80% land (i.e. 85.5367 Ha), Total 92.652 Ha achieved on 11.11.2013

Existing ROW + 3D of 90% land to be acquired and at least 80% front of 30 Mtr for two lane paved shoulders, 45 Mtr for four laning and 60Mtr for six laning projects made available

*3D on 90% land (i.e. 96.288 Ha), completed up to 22.11.2013 (Total 95.277 Ha up to 06.07.2012 & Balance 11.643 Ha on 22.11.2013)*on 03.05.2012-80 % of 45m ROW was available for 4-laning after Forest clearance on 03.05.12

FORM FOR LAND ACQUISITION PPPAC Approval: Compliance to Condition Precedent

Sl. No. Description Before issue of RFP Before issue of LOA

1 4.1.2 (a) Availability of land

Sl. No. Project PIU No. NH No. Stretch Length (in km) Chainage (in Kms.)

From To1 2 3 4 5 6 7 8F F F F F F F F

1 Sikar 11 Reengus-Sikar 43.887 298.075 341.962

NHDP Phase Land already in Possession 3A (Hec) 3D (Hec)

9 10 11 12 13 14 15 16F F F F F F F FIII 276 Hec. 24 169 Hec. 106.9209 Hec. 39.532 km 106.9209 106.9209

Cumulative progress up to 25.01.2014 Pending LA works (in Hec)3G (Hec) Possession (Hec) 3A (Hec) 3D (Hec) 3G (Hec) Possession (Hec)

17 18 19 20 21 22 22A 22BF F F F F F F F

95.45 69.49 - - 11.47 37.43 - -

23 24 25 26 27 28 28A 28BF F F F F F F F

100 100 100 65 86.41 39.532 39.532 39.532

3A ParticularsPrivate Land (in Hact.) Govt. Land (in Hact.) Stretch covered (chainage)

29 30 31 32 33 34 35 36

F F F F F F F F98.58 8.34 298+075 - 341+962 - -

Clause of Concession Agreement

Before submission of proposal to PPPAC

Before giving Appointed Date




Existing ROW + 3D of 90% land to be acquired and at least 80% front of 30 Mtr for two lane paved shoulders, 45 Mtr for four laning and 60Mtr for six laning projects should be available

Four Laning of Reengus to Sikar Section Km. 298.075 Near Madhopura Junction to Km. 341.047 (After Sikar Town) Of NH-11 (Proposed Chainage Km. 298.075 to

Km. 341.962) (Design Length 43.887 Km.) In The State of Rajasthan on BOT

(Annuity) Project on DBFOT Pattern Under NHDP Phase

– III

Cumulative progress up to 17.02.2014Total Land required (in Hec) No. of villages in the entire

stretch of Land to be acquired

Total additional land to be acquired (Hec)

Length available for road development up to

17.02.2014

Total length of critical stretches, if any, as per

clause of 4.1.2 of MCA (km)

Length of critical stretch available for construction (km) as against column no

22A

% 3A completed (current 3A notified/total additional

land to be acquired)

% 3D completed (current 3D notified/total additional

land to be acquired)

% of total land vested with NHAI (already in possession

+ 3D notified)/Total land required

% of additional land in possession (current

possession made/total additional land to be

acquired)

% of total Land in Possession (Land already in

possession + current possession made)/Total

land required

Length where minimum required width

(30m/45m/60m as applicable for 2-laning/4-laning/6-laning) of ROW is available for construction

(km)

Length available for road development upto end of

previous month, (year)

Length where entire width of ROW is available for

Construction(km)

Date of submission of 3A proposal by DPR consultant

Date of submission of 3A proposal to Authority's HQ

Name(s) of villages covered in the 3A

proposal

3A Gazette Notification No. vide which the land

mentioned was acquired

Date of 3A Gazette Notification No.

Reengus, Jetushar, Bhopatpura, Bawadi,

Malkpur, Thikaria, Shahpura, Samota Ka Bas,

Mandha (Madni), Goverdhanpura, Badhala

Ki Dhani, Vijay Nagar, Palsana, Akhaipura, Sisiu,

Ranauali, Trilokpura, Sujabas, Rebasha, Bhoja Ki Dhani, Goriya, Kaharon Ki

Dhani, Bajor, Malkeda, Gokulpura and Ramu Ka

Bas

95.277 Hac, SO 2921(E) dated 09.12.2010 &

SO 1602(E) dated 08.07.2011

11.6439 Hac, SO 506(E) dated 05.03.2013

09.12.2010 08.07.201105.03.2013

3D ParticularsPrivate Land (in Hact.) Govt. Land (in Hact.) Stretch covered (chainage) Type of land

37 38 39 40 41 42 43 44F F F F F F F F

98.58 8.34 298+075 - 341+962 -Nil

3D Particulars

45 46 47 48 49 50 51F F F F F F F

Not Applicable

Encumbrance Tehsil/Village/District Wise Mutation DetailsStretch covered (chainage)

52 53 54 55 56 57 58 59F F F F F F F F

0.15 Ch. 298.075 to Ch. 337.600 95.41 Ha

Tehsil/Village/District Wise Mutation Details Compensation Status for Land Acquisition Remarks on mutation TPC as per DPR

60 61 62 63 64 65 66 67F F F F F F F F

33 Ha Required to be speeded up. 366.50 Crore 24 Crore 29.99 Crore

Compensation Status for Land AcquisitionDate of Approval by RO/HO

68 69 70 71F F F F

4.45 Cr - 05.11.2012 16.11.2012 19.51 Crore

16.14 Cr. - 26.03.2013 18.04.20135.49 Cr - 26.03.2013 18.04.20133.79 Cr - 20.06.2013 08.08.2013

Total 29.87 Cr

Date of submission of related 3D proposal at

Authority's HQ

3D Notification No. vide which the land mentioned

was acquired

Date of publication of 3D notification No.

Area of Land with Central Govt. (3D Notified) but not

utilized (in ha)

92.652 Hac, SO 2536(E) 2.625 Hac, SO 1511(E)

11.6439 Hac, SO 3472(E)

11.11.201106.07.201222.11.2013

Agricultural, Non-Agricultural - Commercial

and Abadi

Status of valuation of structures

Date of award under section 3G for related 3D

notification

Summary of issues impeding land acquisition

for the project

Date pending since (of issues)

Pending with whom (Concerned officer the State / Central Govt.)Reason why 3D notified

land has not been utilized (change in

alignment/excess land acquired/ mistake in

acquisition, etc., (please specify)

Date of actual possession of land for area notified

under 3D

3D published for 106.92 Ha up to 22.11.2013, 3G

Award declared for 95.41 Ha up to 10.02.2014.

However actual possession till date is available for 69.49 Ha. Possesion of balance land is under

process.

Completed except one structure at the end of

project, this is delayed due to protest of owner.

35.7604 Ha dt. 17.07.201226.49 Ha dt. 03.01.2013

11.952 Ha dt. 23.01.20135.381 Ha dt. 15.05.20132.353 Ha dt. 30.12.20131.874 Ha dt. 27.01.201411.64 Ha dt. 10.02.2014

Total 95.45 Ha

Delay in declaration of balance Award /

Disbursement of award amount / subsequently

providing actual possession.

Award of 11.47 Ha is pending since Dec. 2011

ADM (CA/LA) Sikar, Officer of State Govt. of Rajasthan

Stretch of Highway (chainage) where

encumbrance free land is not available

Area of unavailable land (in ha.) in encumbrance

Reasons in brief for unavailability of

encumbrance free land in the stretch

Concerned officer who may resolve the issue

No. of days by which handing over is delayed w.r.t. appointed date

Name of Tehsil/Village/District

Area of land acquired by NHAI (Ha)

303+530 to 303+580 RHS303+970 to 304+020 LHS334+570 to 334+620 RHS334+680 to 334+720 LHS

Non-Removal of structures due to dispute of land

demarcation & not been resolved so far by revenue authorities, matter is under

process of resolution of dispute.


624 days since appointed date 05.03.2012

Dist. - SikarTehsil - Srimadhopur,

Dantaramgarah & Sikar

Villages - Reengus, Bhopatpura, Bawadi,

Malikpur, Thikaria, Shahpura, Mandha

(Madni) Goverdhanpura, Badhala Ki Dhani,

Vijaynagar, Palsana, Akhaipur, Sisiu, Ranoli

(Part), Trilokpura, Sujabas, Rebasha, Kaharon Ki Dhani,

Bajor

Area of land mutated in the name of NHAI (Ha)

Area of land remaining to be mutated in favour of

NHAI (Ha)

Designated State Authority responsible for mutation

Reason for not mutating the area of land and action

taken by NHAI

Estimate for LA as per DPR (in Rs.)

Value of Award approved by RO/HO

Dist. - SikarTehsil - DantaramgarahVillages - Palsana, Vijay Nagar, Badhala Ki Dhani


NHAI is continuously pursuading state authorities

for mutation, the same is under process.

Date of Deposition of Award Amount with CALA

Amount disbursed by CALA (in Rs.)

Actual Land acquisition cost per ha.

0.68 Cr / Ha including cost of structrue

Forest Clearance - Clause 4.1.2 (e) of Model Concession Agreement (MCA)Fixed Fields

Project name / ID NH No. Length Stretch State PIU

1 2 3 4 5 6 7 8 9 10 11 12 13F F F F F F F F F F F F F

11 43.887 Reengus-Sikar Rajasthan Sikar 05.03.2012 31.08.2014 No _ _ No

Total length

14 15 16 17 18 19 20 21 22 23 24 25F F F F F F F F F F F F

43.887 84.13 36.287 Sikar 84.13 Sikar 31.01.2011 07.07.2011 07.07.2011 09.08.2011 17.08.2011 Sikar

26 27 28 29 30 31 32 33 34 35 36 37F F F F F F F F F F F F

Scheduled Start date

Scheduled End date

Whether requirement of additional land is more than 40m on

existing alignment and 60m on new

alignments / bypass ?

Whether Environmental

Clearance required ? [Not required if length is less than 100km, or answer to column 9 is

No]

If environmental clearance

required, fill details in

relevant format

Whether Forest Clearance

required ? [If yes, fill details in the relevant

format]

Whether Wildlife

clearance required ? [If

yes, fill details in the relevant

format]

Four Laning of Reengus to Sikar Section Km.

298.075 Near Madhopura Junction to

Km. 341.047 (After Sikar Town) Of NH-11

(Proposed Chainage Km. 298.075 to Km.

341.962) (Design Length 43.887 Km.) In The State of Rajasthan

on BOT (Annuity) Project on DBFOT

Pattern Under NHDP Phase – III

MoEF clearance obtained as per

existing circular at that time

Total Forest area to be

diverted (in ha )

Total Length affected

Forest Division and forest Circle

involved

Forest area to be diverted (in ha ) in the

Division

Length affected in the Division

Date of finalization of

proposal by the DPR Consultant

Date of registration with

the Nodal Officer

Date of submission of Diversion proposal to

DFO

Date of receipt of observations from

DFO

Date of sending replies / modified

proposal to DFO

Name of the Forest Circle

involved

Date of forwarding the proposal to CF/CCF

(officer in charge of the circle)

Date of receipt of observations from the Circle

office


proposal to Circle office

Date of forwarding the

proposal to PCCF

Date of receipt of observations

from PCCF


proposal to PCCF

Date of forwarding the

proposal to Nodal Officer


from Nodal Officer

Date of sending replies / modified proposal to Nodal

Officer

Date of forwarding the proposal to State

Government


from State Government


proposal to State

government

06.01.2012 10.01.2012 28.02.2012 28.02.2012 05.03.2012 - 04.05.2012 - - - - -

NPV

38 39 40 41 42 43 44 45 46 47 48 49 50F F F F F F F F F F F F F- - - - - - - - - - 07.06.2012 07.06.2012

Status of tree cutting In Diverted Area Status of tree cutting In Non-forest area RemarksStatus of Enumeration Status of Enumeration Status of tree cutting In Diverted Area

No. of trees to be cut Trees cut Trees cut

51 52 53 54 55 56 57 58 59 60 61 62F F F F F F F F F F F F

9374 9374 36.287 8191 36.287 - - - - - -

Date of forwarding the proposal to MoEF


from MoEF


proposal to MoEF

Date of consideration of

proposal by MoEF

Status of in principle approval

Compliance of conditions laid

down in Stage- I

Amount to be deposited as per clearance conditions

Date of Depositing the amount in CAMPA fund

Date of Forwarding of compliance by the

State Govt. to MoEF

Status of Grant of Stage-II

clearance by MoEF

Order of State Govt.

Date of handing over of diverted

forest landCA and other

amount

Granted on 03.05.2012

Expenditure on tree cuttingStatus of tree cutting In Diverted

AreaTrees

enumeratedLength on which

enumeration done

Length cleared in relation to

affected length

No. of trees to be cut

Trees enumerated

Length on which enumeration

done

Length cleared in relation to affected

length

Environment Clearance - Clause 4.1.2 (e) of Model Concession Agreement (MCA)Fixed Fields

Project name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date1 2 3 4 5 6 7 8F F F F F F F F

11 43.887 Reengus-Sikar Rajasthan Sikar 05.03.2012 31.08.2014

Fixed Fields

9 10 11 12 13F F F F F

NO Yes Yes No

Date of pubic hearing Date of approval of CZMA

14 15 16 17 18 19 20 21F F F F F F F F_ _ _ _ _ No _ _

Remarks

22 23 24 25 26 27 28

Four Laning of Reengus to Sikar Section Km.

298.075 Near Madhopura Junction to

Km. 341.047 (After Sikar Town) Of NH-11

(Proposed Chainage Km. 298.075 to Km. 341.962) (Design Length 43.887 Km.) In The State of Rajasthan on BOT

(Annuity) Project on DBFOT Pattern Under

NHDP Phase – III

Whether requirement of additional land is more than 40m on existing

alignment and 60m on new alignments /

bypass

Whether Environmental Clearance required ?

[Not required if length is less than 100km, or answer to column 9 is

No]

If environmental clearance required, fill

details in relevant format

Whether Forest Clearance required ? [If

yes, fill details in the relevant format]

Whether Wildlife clearance required ? [If yes, fill details in the

relevant format]

MoEF clearance obtained as per existing circular at that

time on 19.09.2011

Date of submission of draft TOR by Consultant

If yes, Submission of TOR to MoEF

Date of approval of TOR by MoEF

Submission of draft EIA to SPCB for conducting public

hearing

Whether CRZ clearance required ?

If yes, Date of submission of proposal to CZMA

Date of submission of all documents required for

clearance by the consultant

Date of submission of EIA to MoEF

Date of consideration of Project by MoEF

Date and number of MoEF approval latter

Date of submission of application for NOC of PCB

by consultant

Date and number of NOC by PCB

F F F F F F F_ _ _ _ NA _No. 10-59/2009-IAIII

dated 19.09.2011

Wildlife Clearance - Clause 4.1.2 (e) of Model Concession Agreement (MCA)Fixed Fields

Project name / ID NH No. Length Stretch State PIU Scheduled End date

1 2 3 4 5 6 7 8 9 10 11 12 13F F F F F F F F F F F F F

Total length Date of forwarding the proposal toState Govt. MOEF

14 15 16 17 18 19 20 21 22 23 24 25 26F F F F F F F F F F F F F

27 28 29 30 31 32 33 34 35 36 37 38 39F F F F F F F F F F F F F

NPV

40 41 42 43 44 45 46 47 48 49 50 51 52F F F F F F F F F F F F F

Order of State Govt. Status of tree cutting In Diverted AreaStatus of Enumeration Status of tree cutting In Diverted Area

Trees enumerated Trees cut

53 54 55 56 57 58 59 60 61 62F F F F F F F F F F

Status of tree cutting In Non-forest areaStatus of Enumeration Status of tree cutting In Diverted Area Remarks

Trees enumerated Trees cut

63 64 65 66 67 68 69F F F F F F F

Not Applicable


Whether requirement of

additional land is more than 40m on existing alignment and 60m on new

alignments / bypass

Whether Environmental

Clearance required ? [Not

required if length is less than 100km, or answer to column 9

is No]

If environmental clearance required,

fill details in relevant format

Whether Forest Clearance

required ? [If yes, fill details in the relevant format]

Whether Wildlife clearance required ? [If yes, fill details in the relevant format]

Total Wildlife area to be diverted (in

ha)

Total Length Affected

Name of Wild Life Area and Division

Wildlife area to be diverted (in ha) in

the Division /

Length Affected in the Division / wildlife area

Date of submission of proposal to DFO / Wildlife


proposal by SBWL


proposal by NBWL

Date of conveyance of decision of MoEF

to State Govt

Date of filing Application to

Hon’ble Supreme

Date of Order of Hon’ble Supreme

Court.

Date of registration with the Nodal

Officer

Date of submission of Diversion

proposal to DFO


DFO

Date of sending replies / modified proposal to DFO

Name of the Forest Circle involved

Date of forwarding the proposal to

CF/CCF (officer in charge of the circle)


the Circle office

Date of sending replies / modified proposal to Circle

office


PCCF


PCCF

Date of sending replies / modified proposal to PCCF


Nodal Officer


Nodal Officer

Date of sending replies / modified proposal to Nodal

Officer


State Government

Date of receipt of observations from State Government

Date of sending replies / modified proposal to State

government


MoEF


MoEF

Date of sending replies / modified proposal to MoEF


proposal by MoEF

Status of in principle approval

Compliance of conditions laid

down in Stage- I

Amount to be deposited as per clearance conditionsCA and other

amount

Date of Depositing the amount in CAMPA fund

Date of Forwarding of compliance by the State Govt. to

MoEF

Status of Grant of Stage-II clearance

by MoEF

Date of handing over of diverted

forest land No. of trees to be cut

Length on which enumeration done

Length cleared in relation to affected

length

Expenditure on tree cuttingNo. of trees to be

cutLength on which

enumeration doneLength cleared in

relation to affected length

RAILWAY OVER BRIDGE / RAILWAY UNDER BRIDGES. No. Name of Project PIU NH. No NH Section Chainge NH km ROB/RUB ID No. NHDP Phase State of Project Year of Sanction

From To

1 2 3 4 5 6 7 8 9 10 11 12 13H H H H H H H H H H H H H

Zonal Railways RLY Div. RLY KM LC NO. RLY Block Deposition of codal charges to Railway(P&E, D&G, Maintenance and other)

14 15 16 17 18 19 20 21 22 23 24H H H H H H H H H H H

Status of approval at RailwaysGAD Design and Drawing

Reply by NHAI Reply by NHAI

25 26 27 28 29 30 31 32 33 34 35 36 37H H H H H H H A A A A A A

Status of approval at RailwaysTAD CRS Traffic Block


38 39 40 41 42 43 44 45 46 47 48 49A A A A A A A A A A A A

Status of approval at RailwaysLevel Crossing Utility shifting


50 51 52 53 54 55 56 57 58 59 60 61A A A A A A A A A A A A

Progress % Remarks

Not Applicable62 63 64A A A

Description of ROB/RUB

Project Status (Awarded/ Progress)

Date of application on

charges deposition with feasibilty/profil

e sketch

Date of Joint Inspection

Observations of Railway, if any

Reply to Railway on observation

Approval for Deposition

Date of Deposition by

NHAI

At RFP whether GAD approved

(Yes/No)GAD prepared by Consultant

Yes/ No

Date of Submission to

Railway

Observation raised by Railway

Date of approval by

Railway

Due Date of approval of GAD as per Concession Agreement

Whether Railway

approved GAD within 90 days

from submission

D&D prepared by

Concessionaire Yes/ No


Railway


Date of approval by

Railway

TAD prepared by



Railway


Date of approval by

Railway

Date of application

Date of approval by

Railway

Date of Traffic Plan prepared

by Concessionaire


Railway


Date of approval by

Railway

Level crossing shifting plan prepared by


Date of Submision to

Railway


Date of approval by

Railway

Date of Utility shifting plan prepared by

Concessionaire

Date of Submision to

Railway


Estimate prepared by

Railway

Deposition of amount for

Utility shifting by NHAI

Status of Utility shifting

Likely date of completion

Input Fields Format for Right of Way - Article 10 of MCATotal land required for the project Unencumbered Land at the time of Appointed Date Land not free from encumberance at the time of Appointed Date

S. No. Chainage (in Km) Area S. No. Chainage (in Km) Area S. No. Chainage (in Km) AreaFrom To From To From To

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19F F F F F F F F F F F F F F F F F F F

05.03.2012 _ 1 298.075 341.962 276 60 Mtr. 1 298.075 341.962 45 M 1 298.075 341.962 84.13 45 M

Land handed over to concessionnaire after AD (cumulative) Additional Land Required for 6 laningS. No. Chainage (in Km) Scheduled Date of 6 laning:

From To Details of required land Detalis of handing over

20 21 22 23 24 25 26 27 S. No. Chainage S. No. ChainageFrom To

28 29 30 31 32 33 34 35 36F F F F F F F F F F F F F F F F F1 298+075 341+962 238.46 60 M 84.13 Ha 03.05.12 N.A.

Major Bridges Railway Over Bridges Grade SeparatorsS. No. Chainage (in Km) S. No. Chainage (in Km) S. No. Chainage (in Km)

From To From To From To

37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57F F F F F F F F F F F F F F F F F F F F F1 330.352 330.457 RCC Slab 8.3 M Yes NA - NIL NIL

Minor Bridges Total No. of Structures on the SiteS. No. Chainage (in Km)

From To

58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74F F F F F F F F F F F F F F F F F1 309+617 309+637

RCC Slab8.3 Yes NA 1 - - 3 - - 1 10 - -

Appointed Date

Date of joint

inspection (chainage

wise)

Total ROW (in m)

Total ROW (in m)

Total ROW (in m)

Reason for encumber

ance

Is the encumber

ance critical ?

84.87 Hac (excluding

area of protected

forest diverted later

on dated 03.05.2012)

Forest clearance for

protected forest of

83.14 Ha & Encroachmen

ts in EROW

Yes, protected forest area (83.14 Ha)

Any encumberance reported by Area

HaTotal ROW

(in m)Extent of

critical stretch handed

over

Date of reporting

Chainaage-wise brief of report

Additional ROW

required

Additional area

required

Date of handing

over

Area handed

over

Full stretch except Palsana Bypass from

315+450 to

323+050

Type of Structure

Width (in m)

Whether handed

over on AD

If not, date of handing

over

Type of Structure

Width (in m)

Whether handed

over on AD


over

Type of Structure

Width (in m)

Whether handed

over on AD


over

Type of Structure

Width (in m)

Whether handed

over on AD


over

No. of major

bridges

No. of ROBs

No. of Grade

Separators

No. of Minor

Bridges

No. of Vehicular and Non Vehicular

No. of Box Culverts

No. of Pipe Culverts

No. of Slab Culverts

Structures not free

from encumber

Cumulative no. of

structures handed

2 335+699 335+719 RCC Slab 8.3 Yes NA3 338+214 338+234 8.3 Yes NA

Bus Bays and Truck Lay Byes Remarks

F F F F F F F F F75 76 77 78 79 80 81 82 83- - - - - - - - -

No. of bus bays on LHS

No. of bus bays on

RHS

bus bays not free

from encumber

ance

cumulative no. of bus

bays handed

over after AD

No. of Truck lay-byes on

LHS

No. of Truck lay-byes on

RHS

Whether handed

over on AD


over

Post Award Monitoring of PPP ProjectsCondition Precedent of Concessionaire before Appointed Date

S.No. Name of the Project Project Stretch NH No. State Date of Award (b) Submission of executed Escrow Agreement

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19D D D D D D D D D D D D D E E E E E E1

Reengus-Sikar 11 Rajasthan 31.03.2011 26.04.2011 25.10.2011 26.04.2011

(c) Submission of executed Substitution Agreement (e) Submission of executed Financing Agreements (f) Submission of Financial Package & Model

20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37E E E E E E E E E E E E E E E E E E

(h) Submission of legal opinion from the legal counsel

38 39 40 41 42 43 44 45E E E E E E E E

Name of Concessionai

re

Date of Signing of CA

Due Date for Fulfillment of

Condition Precedent

(a) Performance Security(Cl. 4.1.3 (a) & Cl 9.1)

Date of submission

Date of Comments from NHAI

Date of Compliance

by Concessionai

re/ Bnk

Date of acceptance

by NHAI

Date of submission

of draft Escrow

Agreement

Date of Comments

by NHAI

Date of Compliance

by Concessionai

re

Date of acceptance

by NHAI

Date of submission of Executed Agreement

Date of signing of

Agreement

Four Laning of Reengus to Sikar Section Km. 298.075 Near Madhopura Junction to Km. 341.047 (After Sikar Town) Of NH-11 (Proposed Chainage Km. 298.075 to Km. 341.962) (Design Length 43.887 Km.) In The State of Rajasthan on BOT (Annuity) Project on DBFOT Pattern Under NHDP Phase – III

Reengus Sikar

Expressway Ltd

Date of submission

of draft Substitution Agreement

Date of Comments by NHAI

Date of Compliance by Concessionaire

Date of acceptance

Date of submission of Executed Agreement

Date of signing of

Agreement

Date of submission of

draft Financing Agreement

Date of Comments by

NHAI


Date of acceptance

by NHAI

Date of issue of sanction

letter by lender/

Bank.

Date of approval by

NHAI

Date of Submission of executed

Financing Agreement

Date of submission

of draft Financial

Package & model

Date of Comments

by NHAI

Date of Compliance

by Concessionai

re

Date of acceptance

Date of submission of Financial Package &

model

(g) Submission from Consort. Members for correctness of representations and warranties.

Date of submission

Date of Comments by NHAI


Date of acceptance

Date of submission

Date of Comments

by NHAI


Date of acceptance

Applicable Permits (clause 4.1.3 (d) and Schedule E

Permission for extraction of boulders License for use of explosives License for setting up Batching Plant

46 47 48 49 50 51 52 53 54 55 56 57 58 59 60B B B B B B B B B B B B B B B

08.11.2011 20.12.2011 No 20.12.2011 No 01.08.2011 20.12.2011 No NA NA No 21.07.2011 20.12.2011 No

Applicable Permits (clause 4.1.3 (d) and Schedule E Remarks

Clearance of PCB for setting up Batching Plant

61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79B B B B B B B B B B B B B B B B B B B

19.08.2011 20.12.2011 No 20.12.2011 No 20.12.2011 No 07.06.2012 07.06.2012 No 20.12.2011 No - No 05.03.2112 -

Permission of Village Panchayat & PCB for installation of crushers

Permission for drawing water from river/reservoir

Date of permission granted by

the concerned authority

Date of intimation to NHAI by the Concessionaire

If waived(yes/no)

Date of permission

granted by the concerned authority

Date of intimation to NHAI by the Concessionai

re

If waived(yes/no)

Date of permission


Date of intimation to NHAI by the

Concessionaire

If waived(yes/no)




re

If waived(yes/no)




re

If waived(yes/no)

Panchayat 05.07.2011

Polution Control Boaed

03.10.2011

Date of request of

concessionaire for grant of

waiver

Waiver request

granted by Authority (Yes/No)

Appointed Date

Clearance of Village Panchayats and PCB for Asphalt Plant

Permission of Village Panchayat and State Govt. for borrow earth

Permission of State Govt. for cutting of trees

Any other permits or clearances required under Applicable Laws



Date of intimation to NHAI by the Concessionaire

If waived(yes/no)

Date of permission



re

If waived(yes/no)

Date of permission


Date of intimation to NHAI by the

Concessionaire

If waived(yes/no)




re

If waived(yes/no)




re

If waived(yes/no)

Panchyat 08.06.2011

Polution Control Board

07.12.2011

20.08.2011

Labour Licence

19.08.2011BOCA Licence - 05.07.2011CAR Policy 14.09.2011Workmen

Compensation Policy

15.07.2011

APPLICABLE PERMITS AS PER CONDITIONS PRECEDENT OF CONCESSIONAIRE - Clause 4.1.3 (e) and Schedule E of Model Concession Agreement (MCA)Fixed Fields

Project name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date Name of Concessionaire Date of agreement

1 2 3 4 5 6 7 8 9 10

NH No. 11 43.887 Reengus - Sikar Rajasthan Sikar 05.03.2012 31.08.2014 26.04.2011

Applicable Permits

Sl. No. Approval Required for Approval Type Date Status/ Remarks

A State Government Permits/ Quarrying Permits:

1 STP 08.11.2011 Obtained

2 Obtained

3 License for explosives from the office of Explosive controller - - -

4 Explosive license for storing diesel Obtained

B Electricity:

1 NA NA NA

2 Permission for electrical connection, if power source is available Obtained

C Water:

1 NA NA -

D Batching Plant:1 License from inspection of factories NA NA


Reengus Sikar Expressway Ltd.

Permits for extraction of boulder from quarry from Additional District Magistrate (ADM) Mines

Permit for installation of crusher from village Panchayat and State/Central Pollution Control Board

Panchayat

Polution Contol Board

05.07.2011

03.10.2011

Petroleum & Explosives

Departement

01.08.2011

Permission required from State Electricity Board (SEB) for installation of Diesel Generator (DG)

Camp 1Camp 2

16.11.201130.12.2011

If water has to be taken from river/ reservoir, permission to be obtained from State Irrigation Department

2 Obtained

E Asphalt Plant:

1 Obtained

F Borrow Earth:

1 Permission from irrigation department if land taken from irrigation land NA NA NA

2 07.06.2012 Obtained

3 Permission from Local Municipalities and Development Authorities NA NA NA

G Cutting of trees and other environment clearances:

1 Permission from Forest Department and other applicable agencies 07.06.2012 Obtained

H Sewage Lines and Water Mains:

1 Permission from Local Municipalities and Development Authorities NA NA -

NOC consent/Clearance required from village panchayat & State/Central Pollution Control Board/Dept.

21.07.201119.08.2011

Clearance required from village panchayat & State/Central Pollution Control Board

Panchayat

Polution Control Board

08.06.2011

07.12.2011

Permission required from village panchayat and ADM mines for Government & private land

UTILITY SHIFTINGFixed Fields

Project name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date Date of agreement

1 2 3 4 5 6 7 8 9 10

11 43.887 RAJASTHAN SIKAR 05.03.2012 31.08.2014 RSEL 26.04.2011

I) Status of shifting of Electric Lines (Nos.)Item type & Description Position (LHS/RHS) Chainage from Chainage To Shifted so far Date shifted Balance to be shifted Cumulative Present Status

1 2 3 4 5 6 7 8 9 10 11

U/G Lattice Structures 42' long 1073 Nos LHS/RHS 298.075 342.000 820 Nos 31.12.13 253 Nos_

XLPE Cable 11 KV 3 Core 185 sqmm 22.58 Km LHS/RHS 298.075 342.000 21.58 Km 31.12.13 1 Km._

XLPE Cable 33 KV 3 Core 300 sqmm 3.05 Km LHS/RHS 298.075 342.000 2.97 Km 31.12.13 0.08 Km_

XLPE LT Cable 3.5 Core 185 sqmm 14.2 Km LHS/RHS 298.075 342.000 14.2 Km 31.12.13 0 _ _ Work Complete

ACSR Rabbit Conductor 72.0 Km LHS/RHS 298.075 342.000 65.56 Km 31.12.13 6.44 Km_

Name of Concessionaire


REENGUS - SIKAR

Total No. to be shifted

Expected shifting date

On availability of ROW

Work held up for ROW







II) Status of shifting of Water Supply Pipelines (Kms.) Item type & Description Position (LHS/RHS) Chainage from Chainage To Shifted so far Date shifted Balance to be shifted Cumulative Present Status

1 2 3 4 5 6 7 8 9 10 115 _ _ _ 4 - 1 4

Construction of 125 mm dia single point tube well 6 _ 4 - 2 4

Construction of Hand pump 23 _ _ _ 18 - 5 18_ -

_ _ _ - -

1 _ _ _ _ - _

III) Status of shifting of Irrigation/ Structures (Nos.)Item type & Description Position (LHS/RHS) Chainage from Chainage To Shifted so far Date shifted Balance to be shifted Cumulative Present Status

1 2 3 4 5 6 7 8 9 10 11- - - - - - - - - - -

IV) Status of Shifting of Other Utilities (Kms. / Nos.)Item type & Description Position (LHS/RHS) Chainage from Chainage To Shifted so far Date shifted Balance to be shifted Cumulative Present Status

1 2 3 4 5 6 7 8 9 10 11- - - - - - - - - - -

S. No. Name of work Received from Letter no. & Date Division

12 13 14 15 16 17 18 19 20 21 22- - - - - - - - - - -

Date of Handing over work order to concessionaire Status of Work Date of Completion Remarks

From (km) To (km)

23 24 25 26 27 28 29 30 31- - - - - - - - -



Construction of 200 mm dia tube well by rotary & DTH rig.

On availability of land

P/L 7 jointing of dist/rising mains - 100mm dia DIK-7 - 150 mm dia DIK -7

17400

1700

17210

1555190145

17210

1555

Road crossing by trench less technology for pipes crossing the road - trench less length - Ducting length

210

840

210 840

210

840

Construction of RCC GLR of 100KL capacity including commissioning





Division Wise Particulars of Utility Shifting Estimates (Electrical / Water supply) – (Within 3 months of signing Concessionaire Agreement)Amount of Estimate I/c S.C./ S. Tax as received from Dept. (lacs)

Approved Amount of estimate by NHAI I/c S.C./S. Tax

(lacs)

Supervision Charges / S.Tax (Rs.)

Approved vide letter no. & date by

HO/RO

Date of Deposition of S.C./ S. Tax

Date of work order from concerned

Dept.

Date of Start of Work

Date of Commencement

Length affected due to the utility to be

shifted

Status of availability of encumbrance free

land

Obligations (Concessionaire) - Article 5.1.4 (b) of Model Concession AgreementForm for Proprietary Rights, Licenses, Agreements and Permissions

Fixed FieldsProject name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date Date of agreement

1 2 3 4 5 6 7 8 9 10NA NA NA NA NA NA NA NA NA NA

Proprietary Rights, Licenses, Agreements and Permissions related transactional fieldsProprietary rights Agreements

Current Status Agreements required Current Status


Proprietary Rights, Licenses, Agreements and Permissions related transactional fieldsLicenses Permissions

Licenses required Current Status Permissions required Current Status



Proprietary rights required

Date of submission of application(s) for rights

Date of acquiring Proprietary rights

Concerned Govt. Dept. / official involved

Date of submission of application(s) for Agreements

Date of acquiring Agreements


Date of submission of application(s) for licenses

Date of acquiring Licenses


Date of submission of application(s) for Permissions

Date of acquiring Permits


REPRESENTATION AND WARRANTIES AS PER MCA CLAUSE 4.1.3 (e) Fixed Fields

Project name / ID NH No. Length Stretch State PIU

1 2 3 4 5 6 7 8 9 10

Clause Sub clause Key Action Point Action Responsibility Date of Submission

7.1 1 The concessionaire represents and warrants to Authority that Concessionairea Concessionaire

b Concessionaire

c Concessionaire

d Concessionaire

e Concessionaire

f Concessionaire

g Concessionaire

h Concessionaire

i Concessionaire

j Concessionaire

k Concessionaire

l Concessionaire

m Concessionaire

n Concessionaire

o Concessionaire

p Concessionaire

q Concessionaire


Scheduled End date


Date of agreement

Date of Acceptance by NHAI

It is duly organized and validly existing under the laws of India and has full power and authority to execute and perform its obligations

It has taken all necessary corporate and other actions under applicable laws to authorize the execution and delivery of this agreement.

It has financial standing and the capacity to undertake the project in accordance with the terms of this agreement

Its obligation under this agreement will be legally valid and, binding and enforceable obligations against it in accordance with terms thereofIt is subject to laws of India and irrevocably waives any immunity in any jurisdiction in respect of this agreement.The information furnished in the bid and as updated on or before date the date of this agreement is true.The execution, delivery and performance of this agreement will not conflict with, result in breach of, constitute a default under or accelerate performance required by any of the terms of its Memorandum and Articles of association or any other applicable laws

There are no actions, suits, proceeding, or investigations pending or to its knowledge, threatened against it at law or equity before any court.It has no knowledge of any violation or default w.r.t any order, writ, injunction or decree of any court or any legally binding order of any Gov. instrumentality.

It has complied with applicable laws in all material respects and has not been subject to any fines, penalties, or any other civil or criminal liabilities.

It shall at no time undertake or permit any change in ownership except in accordance with the provision of Clause 5.3The selected bidder and its associates have financial standing and resource to fund the required equity and raise the debt necessary for undertaking and implementing the project.

The selected bidder is duly organized and validly existing under the laws of the jurisdiction of its incorporation All its rights and interests in project highway shall pass to and vest in the Authority on the transfer date free and clear of all liens, claims and encumbrances.

No representation or warranty by it contained herein or in any other document furnished by it to the authority or to any government instrumentality in relation to applicable permits contains or will any untrue or misleading statement of material fact.

No sums in cash or kind have been paid or will be paid by it or on its behalf to any person by way of fees, commissions or otherwise for securing the concession.

All information provided by selected bidder in response to the Request for Qualification and Request for proposal true and accurate in all material respects.

Clause Sub clause Key Action Point Action Responsibility Date of Submission

7.2 1 Represent and Warrant to Concessionaire NHAIa NHAI

b NHAI

c It has financial standing and capacity to perform its obligations NHAId NHAI

e NHAI

f It has complied with applicable laws in all material aspects. NHAIg NHAI

h NHAI

Clause Sub clause Key Action Point Action Responsibility Date of Disclosure

7.3 1 NHAI/Concessionaire

Date of Acceptance by Concessionaire

It has full power and authority to execute, deliver and perform its obligation under this agreement and carry out the transactions contemplated herein.

It has taken all necessary actions under the applicable laws to authorise the execution, delivery and performance of this agreement.

This agreement constitutes a legal, valid, and binding obligation enforceable against it in accordance with terms thereof.It has no knowledge of any violation or default w.r.t any order, writ, injunction or any decree of any court of any legally binding order of any government instrumentality.

It has right, power, and authority to manage and operate the project highway upto the appointed dateIt has good and valid right to the site and has power and authority to grant a license in respect there to the concessionaire.

Action by Authority / Concessionaire

Disclose to other party if any representations or warranties are untrue or incorrect

Legal Opinion by Concessionaire - Conditions Precedent Clause 4.1.3 (h)Fixed Fields

NH No. Length Stretch State PIU

1 2 3 4 5 6 7 8 9 10

11 43.887 Reengus - Sikar Rajasthan Sikar 05.03.2012 31.08.2014 16.04.2011

Date of receipt of Legal Opinion by Authority

Name of Concessionaire's Legal Counsel

Project name / ID


Scheduled End date

Four Laning of Reengus to

Sikar Section Km. 298.075

Near Madhopura

Junction to Km. 341.047 (After Sikar Town) Of

NH-11 (Proposed

Chainage Km. 298.075 to Km.

341.962) (Design Length 43.887 Km.) In

The State of Rajasthan on BOT (Annuity)

Project on DBFOT Pattern Under NHDP Phase – III

Mr. Harsh Metha

(Advocate) Udaipur Raj.

Appointment of Independent Engineer by Authority - Article 23 of Model Concession AgreementFixed Fields

S.No. NH No. State Stretch Length PIU

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 11 Rajasthan 333.53cr 43.887 Sikar 17 2.5 14.11.2011 04.11.2011 31.10.2011 -

Appointment of IE

16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

G G G G G G G G G G G G G G G

26.07.2011 NA 27.05.2011 30.09.2011 31.10.2011 04.11.2011 31.10.2011 36 Months 14.11.2011

Appointment of IEIE Contract amount Remarks

31 32 33 34 35

G G G G G- 90,938,760.00 - - -

Total Project Cost (Rs. In Cr.)

Concession period (in years)

Construction period (in years)


Scheduled End date


Date of agreement

Date of Appointment

Date of financial close

Reengus - Sikar

36 Month from commencemen

t

Reengus - Sikar Expressway

Ltd.

Due date of Appointment of

IE (within 90 days from date of Concession Agreement)

Name and date of Appointment of

Government Entity as IE, if applicable

Date of invitation RFP

for IE

Date of receipt of PFP for IE

Date of opening of

tech. proposal

Date of Issue of letter to

Concessionaire for their Consent

Date of receipt of reply from

Concessionaire (within 15 days)

Date of opening of financial

proposal

Date of Issue of LOA

Date of submission of Performance

security

Date of Agreement of IE

Services

Date of issue of letter for

commencement of services

Duration of IE Services

Name of selected IE/Firm

Date of commencement

of Services

URS Scottwilson

India Pvt. Ltd.

Date of completion of

Services

Date of Extension

granted for IE services, if any

Date of invitation of RFP for fresh panel

for Appointment of IE

Monitoring of Construction Article 13 as per MCA

Main Format

Fixed FieldsProject name / ID NH No. Length Stretch (From and To) State PIU TPC (in Crore)

1 2 3 4 5 6 7

11 43.887 Reengus - Sikar Rajasthan Sikar 333.51 Cr

As per clause 12.1 & Schedule-GMilestone-I Milestone-II Milestone-III

Achieved (Date) Achieved (Date) Achieved (Date)

8 9 10 11 12 13 14 15 16 17 18 19 20

A A A A A A A A A A A A A

Annuity 27.06.2012 01.08.201205.03.2012 31.08.2014

31.08.2012 31.07.2012 08.04.2013 23.01.2013 14.12.2013 23.07.2013 NA

Physical Progress (%) Photo & Video Recording - Clause 13.6

Target Achieved

Stretch covered in Video RecordingFrom To

21 22 23 24 25 26 27 28 29A A A A A A A A A- 91.31 17.01.2014 43.887 298.075 341.962 NA

Expenditure (in Rs. Crores) Pre Construction Expenditure Post Construction Expenditure

Utilities Shifting

Four Laning of Reengus to Sikar Section Km. 298.075 Near

Madhopura Junction to Km. 341.047 (After Sikar Town) Of

NH-11 (Proposed Chainage Km. 298.075 to Km. 341.962) (Design Length 43.887 Km.) In The State of Rajasthan on BOT (Annuity)

Project on DBFOT Pattern Under NHDP Phase – III

Grant/Premium/

Annuity Payment(cpy)

Name of EPC Contractor


Work Programme by Concessionaire

Date of approval Work Programmed by

Authority

Scheduled Start date (as per

Contract)

Scheduled Completion date (as per Contract)

Remarks on Milestones not

achieved (If "No" for any of the Milestones I

to III, then reasons thereof)

Scheduled (Date)

Scheduled (Date)

Scheduled (Date)

G. R. Infraprojects

Ltd.

Completed Length during month (DBM: Km / BC : Km)

Cummu. Completed

Length (DBM: Km /BC : Km )

Date of Submission of Video Recording by Concessionaire

Length covered in Video

Recording

Number of sites covered in photos

39.532/ 39.532

100 (As per

Concessionaire's programme)

Up to previous FY

Expenditure during Month

Cumm. Expenditure(CP

Y) Cumm.

ExpenditureLand

AcquisitionCompensatory

aforesaid forestation

Restructure & rehabilitation

Up to previous FY

Expenditure upto previous

Month Expenditure

during MonthCumm.

Expenditure(CPY)

Cumm. Expenditure

30 31 32 33 34 35 36 37 38 39 40 41 42A A A A A A A A A A A A A

133.49 0.6 72.4 205.891 29.87 Cr 8.25 Cr NIL - - - - -

Sub Format (i) - Maintenance of Roads

43 44 45 46 47A A A A A

Good / NA Poor / Available Inferior Better Maintenance carried out

Sub Format (ii) - Safety, QA and Accident ReportingAccident Reporting Inspection - Clause 13.2 Tests for Quality Assurance - Clause 13.3

Casualties if any

48 49 50 51 52 53 54 55A A A A A A A A

weekly 53 20.01.2014 29.01.2014 NIL NIL NIL NIL

Construction Delay - Clause 13.4Construction Delay Status (Y/N) Reason for delay

56 57 58 59 60 61A A A A A A

NIL

Work Suspension - Clause 13.5 Construction Works Extension - Clause 13.5.4

62 63 64 65 66 67 68 69 70 71A A A A A A A A A A

NIL

Elec- 17.29 CrPHED- 3.91 Cr

HT Line-1.66 CrGT-22.86 Cr

Status of road construction 7 days prior to

bid date including video recording/phot

ograph

Condition of the road at time of appointed date including video

recording/photograph

Comparision statement as

per the present road condition vis -a-vis 7 days prior to bid due

date

Road condition during the monthly construction within 7

days prior to the bid due date by concessionare

If any deficiency then action taken by the concessionare to

restore the same within the time limit as per schedule k to bring

7 days prior to bid due date

Frequency of Accidents

Date of Inspection by

Engineer


Inspection Report

Date of Test for Quality

Assurance

Sample Size taken for Test

Date of Test Report

submission

Cost incurred on Test

Date of submission of report for delay by Concessionaire

Action to be taken by

Date of Corrective

Action

Date of Issue of Notice for delay to Concessionaire

Work Suspension Status (Y/N)

Work suspension due

to Authority (Y/N)

Work suspension due

to Concessionaire

(Y/N)

Date of Issue of notice for

suspension of work by

Authority to concessionaire

Date of Issue of notice by

Concessionaire for remedial actions taken

Cost incurred by

Concessionaire during work suspension

Cost incurred by Authority during work suspension

Construction Works

Extension Status

Date of Issue of Extension for Construction

Works

Term of Extension for Construction

Works

Appointment of Safety Consultant by Authority - Article 18.1.2 of Model Concession AgreementFixed Fields

Project name / ID State PIU NH No. Length Date of agreement Name of I/E

1 2 3 4 5 6 7 8 9 10 11 12

Rajasthan Sikar 11 43.887 26.04.2011 333.51 05.03.2012 31.08.2014 30.06.2014

Appointment of Safety ConsultantDevelopment Stage

Inception Report Draft Safety Audit Report Final Comprehensive Audit Report

13 14 15 16 17 18 19 20 21 22 23 24

N N N N N N N N N N N N

BITS, Pilani Pilani Rajasthan Pro. A. K. Sarkar 20.07.2013 3 Years 1811379.00 - Oct. 2013 - - - -

Construction Stage - Schedule L


Total Project of Cost in Crore

Schedule Commentement

dateSchedule

Completion dateAnticipated

Completion date

Four Laning of Reengus to Sikar Section Km. 298.075 Near Madhopura Junction

to Km. 341.047 (After Sikar Town) Of NH-11

(Proposed Chainage Km. 298.075 to Km. 341.962) (Design Length 43.887 Km.) In The State of Rajasthan on BOT

(Annuity) Project on DBFOT Pattern Under

NHDP Phase – III

Reengus-sikar Expressway

Limited

URS Scott Wilson India

P. Ltd.

Name of selected Safety Consultant

Address of Safety Consultant

Contact person / PM

Schedule Commentement

dade

Schedule Completion date

Safety Consultant's

Contract amount in Lakh

Date of Submission as per

Agreement

Actual Date of Submission


Agreement



Agreement


One Day Work Shop No. of Remedial Measures suggested Remarks

Short Term Long Term Short Term Long Term

25 26 27 28 29 30 31 32 33 34 35N N N N N N N N N N N

Date of submission of Monthly Progress Report

Quarterly Work Zone Safety Audit Report

Corrective measures taken on no. of Remedial Measures

Date of Final Comprehensive Audit Report


Agreement


Schedule date of Workshop

Actual date of workshop

Employment of Foreign Nationals by Concessionaire - Article 5.4 of Model Concession AgreementFixed Fields


1 2 3 4 5 6 7 8 9 10

NIL

Employment of Foreign NationalName of Personnel Work permit granted ? VISA No. VISA valid till date Remarks

11 12 13 14 15 16 17 18 19 20NIL


Date of start of Employment

Authority's Regulatory approval

Citizenship country of Personnel

Passport No. of Personnel

Employment valid till date

Obligations (Concessionaire) related to Project Agreements - Article 5.2 of Model Concession AgreementInput Form for Project Agreements Submission by Concessionnaire

Fixed FieldsProject name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date Name of Concessionaire Date of agreement

1 2 3 4 5 6 7 8 9 10


Project AgreementsStatus Status

11 12 13 14 15 16 17 18


Reengus - Sikar Expressway Ltd.

Date of submission of Draft Project Agreements

Name of Person submitting Draft Project Agreements

Date of submission of True copy of Project Agreements

Name of Person submitting True copy of Project Agreements

True copy of Project Agreements attested by Director of Concessionaire

Right of substitution allowed to Authority in True copy of Agreements

Fixed FieldsProject name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date Date of agreement

1 2 3 4 5 6 7 8 9 10


Change in Scope (for Concessionaire) Clause 16.1.1

11 12 13 14 15 16 17 18 19- - - - - - - - -

Change in Scope (for Concessionaire)Remarks (if any) Status

20 21 22 23 24- - - - -

Change in Scope Notice (to/by Concessionaire) - Article 16 - ( Clause 16.1 )of Model Concession Agreement




Date of submission Change in scope

notice

Name of Authority submitting Change in

scope notice

Impact and effects of Change in scope as per Concessionaire

Date of submission of impact and effects due to Change in

scope to Authority

Change in Scope cost as per Concessionaire

Change in Scope cost as per IE - clause

16.3.1

Date of Acceptance to Change in Scope

Date of issuance of Change in scope

Order by Authority - clause 16.2.3

Party paying for Change in scope cost

Failure to complete Construction Works

under Change of scope

Advance payment amount received by Concessionaire for

Change in scope clause-16.4.2

Damages amount paid to Authority for failure to complete Construction Works

under Change of scope

Performance SecurityFixed Fields

Project name / ID NH No. Length Stretch State PIU TPC

1 2 3 4 5 6 7 8 9

11 43.887 Reengus - Sikar Rajasthan Sikar 05.03.2012 31.08.2014

(a) Performance Security (Cl. 4.1.3 (a) & Cl 9.1)Date of submission PBG No. Date of PBG Validity of BG, till date

10 11 12 13 14 15 1614.10.2011 Not Available 1097311BG0001804 13.10.2011 12.04.2013

Name of Concessionaire Amount of PBG Issuing Bank Status

17 18 19 20 21 22 2326.04.2011 Rs. 16.68 Crores SBBJ Udaipur NIL

Performance Security transactionsAction Date Status Remarks/Issues

Provided 14.10.2011 Rs. 16.68 Crores NIL

Invoked NA NA NA NAEncashed NA NA NA NATerminated NA NA NA NAReleased NA NA NA NAAppropriated (partial) NA NA NA NAReplenished NA NA NA NAReturned NA NA NA NAI


Scheduled End date


Rs. 227.51 Crores

Date of seeking confirmation of issue of PBG from Bank By NHAI

Date of Confirmation by issuing Bank

Date of acceptance by NHAI

Date of Concession Agreement

Branch and address of Bank

Remarks (if any)

Reengus Sikar Expressway Ltd.

SBBJ, 1st floor Chetak Circle Udaipur Rajasthan

Expired and not requird to be extended as project progress has already expended 20% of TPC (as per Para 8 of Schedule F of CA).

Amount (where applicable)

Expired and not requird to be extended as project progress has already expended 20% of TPC (as per Para 8 of Schedule F of CA).

Form for EscrowFixed Fields

Project name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date

1 2 3 4 5 6 7 8


Name of Concessionaire Escrow Bank Name

9 10 11 12 13 14 15 16 17 18I I I I I I I I I IReengus - Sikar Expressway Limited 13.10.2011 Current Account 13.10.2011 13.10.2011 61131132897 Vinod Agarwal

(Drop down) List

Mandatory

At Financial Closer Mandatory SBBJAt Substitution On need basisAt COD On need basisAt Refinancing On need basisAny other reason On need basis

Status Remarks

19 20 21 22 23I I I I I- - - - -

Escrow Account OperationAction Date Amount (if applicable) Action by Status Remarks/Issues

23.12.2011

Retention of reservesDeposits & ReceiptsPayments from accountAppropriation after terminationI I I I I I


Escrow Account creation due date

Type of Escrow Account

Date of Escrow Agreement

Actual Escrow Account creation date

Escrow Bank Account No.

Branch and address of Bank

List of signatories to the Escrow Account

Names of Lenders

SBBJ, - Hiran Magari, Sector - 11, Udaipur

SBBJ, - Hiran Magari, Sector - 11, Udaipur

SBBJ & Vijaya Bank

At the time of signing Concessionaire Agreement

Name of Lender(s) - Non Mandatory

Extended Escrow Account creation date

Monthly Escrow Account Statement Report submitted to Authority by Financial Consultant ?

Monthly Escrow Account Statement Report in order ?

Procure execution of Escrow Agreement

Obligations (Concessionaire) Notify Change in Ownership - Article 5.3 of Model Concession AgreementFixed Fields

Project Name/ID NH NO. Length Stretch State PIU Scheduled End date

1 2 3 4 5 6 7 8 8 9 10


Original Shareholding Pattern Revised Shareholding Pattern Proposed Revised Shareholding Pattern Approved% of Shares held % of Shares held % of Shares held

11 12 13 14 15 16 17 18 19 20 21 22 23 24I I I I I I I I I I I I I I

Name %

4999400 99.99

100 0.002

100 0.002

Mahendra Agarwal 100 0.002

Ajendra Agarwal 100 0.002Purshottam Agarwal 100 0.002

D. Dilly Babu 100 0.002

Name of the Selected Bidder

Name of the Concessionaire


Date of agreement


G R Infraprojects Limited

Reengus Sikar Expressway Limited


Name of the Shareholders in SPV (I)

Date of Submission of Request letter of Change in Ownership

Date of Approval of

Lender(s)(if required)

Date of Approval of

revised Shareholding

pattern by

Status / Remarks (if

any)Shareholders' names

Face value of the shares held

Proposed Shareholders' names


Approved Shareholders' names


Face Value of Shares

G R Infraprojects LimitedDevki Nandan AgarwalVinod Kumar Agarwal

Payment of Damages to Authority - Various Articles of Model Concession AgreementFixed Fields


1 2 3 4 5 6 7 8 9 10


Failure to Achieve Milestone(MILESTONES ACHIEVED) AS SCHEDULED)Date of payment

11 12 13 14 15 16 17J J J J J J J

MILE Stone ACHIEVED AS SCHEDULED

(NO DELAY) Delay in COD AS NO DATEReasons for delay in COD Date of payment Actual date of COD

18 19 20 21 22 23 24 25 26 27J J J J J J J J J J

NO DELAY, AS ON DATE




Name of milestone failure with contract provision

Reasons for failure to achieve milestone (works)

Amount paid to Authority

Pending amount to be paid to Authority

Date of demand sent for debit to Escrow Account

Interest on damages due to delay in payment (if any)

No. of days delayed with contract provisions




Expected Date of Project Completion

Expected Date of Project Completion


Failure to Achieve Financial Close (FINANACIAL CLOSE ACHIEVED) AS SCHEDULEDActual date of Financial Close Date of payment

28 29 30 31 32 33 34 35K K K K K K K J

ACHIEVED AS SCHEDULED

Non-Completion of Punch ListActual date of Completion Punch List items

36 37 38 39 40 41 42 43 44 45J J J J J J J J J J31.08.2014 NA

Non-Completion of Punch ListDate of payment Date of COD

46 47 48 49 50 51J J J J J J

- - - - - -

Failure to Rectify DefectRectification demand date Cure Period Amount paid to Authority Date of payment

52 53 54 55 56 57 58 59J J J J J J J J

- - - - - - - -

Material DefaultAmount paid to Authority Date of payment

60 61 62 63 64 65

Scheduled date of Financial Close

Number of days delayed

Reasons for failure to achieve Financial Close




Scheduled date of Completion of COD

Number of days delayed

Value of Punch List items

After 120 days extension, Punch List items not completed

Reasons for not completing Punch List items

Value of Punch List items not completed after 120 days

Penalty applied for not completing Punch List items




Project Completion Date


Reasons for failure to rectify any defect or deficiency




Reasons for failure material default




J J J J J J

- - - - - -

Conditions Precedent of Substitution Agreement (Concessionaire) - Article 4.1.3 (c) of Model Concession AgreementInput Form for Substitution Agreement

Fixed FieldsProject name / ID NH No. Length Stretch State PIU Scheduled End date

1 2 3 4 5 6 7 8 9 10

11 43.887 Reengus - Sikar Rajasthan Sikar 26.04.2011

Substitution Agreement Related FieldsDate of Execution Status Remarks

11 12 13 14 15 16 17L L L L L L L



Date of Concession agreement


The Concession Agreement was signed on 26.04.2011 and the as per scheduled Start Date was 22.10.2011. But the project was actually started i.e. appointed date is

05.03.2012. The delay in notifying the

appointed date is due to delay in

Environmental Clearance

910 days from the date of

appointment i.e. 31.08.2014


Names of Sr. Lenders

Name of Lenders' Representative

Branch and address of Lenders

Signatories to the Substitution Agreement

Format for Financial Close

Fixed FieldsProject Name/ID NH No. Length Stretch State PIU

1 2 3 4 5 6 7 8 9 10 11


Scheduled COD

12 13 14 15 16 17 18 19

M M M M M M M M

14.10.2011 16.06.2011 22.10.2011 19.10.2011 05.03.2012 31.08.2014 22.10.2011



Date of Formation of Company (SPV) by Concessionaire

Date of signing of the CA

Date of opening of Escrow Account




Date of Submission of Draft Financing Agreements (received by NHAI)

Date of submission of Banks' Sanction letter

Scheduled date of Financial Close (Normal)

Date of Financial Close with Extension

Date of Financial Close with Cost

Scheduled Appointed Date

Scheduled date prior to which Performance Security to be submitted

19.10.2011Rs. 227.51 Crores

Current Status) Remarks

20 21 23 24 25 26 27 28 29 30

M M M M M M M M M M

List of Documents

S. No. Date of Review given by FC

1

2

3

4

5 Deed of Hypothecation

6 Indenture of Mortgage

7 Mortgage Deed

8

9

10

11

12 Accession Deed

13 Financial Package

14 EPC Agreement

List of Documents submitted, along with Declaration that these constitute the complete set of Project Documents including Financing Documents by Concessionaire

Date of final Legal scrutiny of draft documents and comments by Authority

Date of acceptance of comments by Concessionaire

Signing of the Loan / Project Documents including Financing Documents by the Concessionaire

Date of submission by the Concessionaire of three sets of Project Documents including Financing Documents duly executed, along with soft copy of Financial Model (if applicable)

Either an item by item verification by NHAI of satisfaction of all Pre-Sanction Conditions and Pre-Disbursement Conditions of Lenders,ORCertification from Lenders to be obtained by Concessionaire confirming that only Post-Disbursement conditions are required to be completed,

Date of execution of Substitution Agreement

Date of declaration of Financial Close

Name of the Agreement

Date of submission

Date of forwarding to Financial Consultant (FC)

Date of forwarding FC's Comments to Concessionaire

Remarks / Current Status

Senior Common Loan AgreementSubordinate Common Loan Agreement

Security Trustee AgreementLenders' Agent Agreement

Supplementary Escrow AgreementInter Creditor AgreementShare Pledge AgreementSponsors' Support Agreement

15 Any other document

M M M M M M M

RefinancingFinancing Plan

31 32 33 34 35 36 37 38

M M M M M M M M

Type of Instrument Amount % age

Debt 171 Cr 75.16

Equity 56.51 Cr 24.84

Grant

Sub Debt

Zero Interest Loan

Semi Anuity 18.77 Cr

Total 100%

Date of submission of refinancing documents (if any)

Date of final Legal scrutiny of draft documents and comments by Authority

Date of acceptance of comments by Concessionaire

Signing of the Loan / Project Documents including Financing Documents by the Concessionaire

Date of submission by the Concessionaire of three sets of Re-Financing Documents duly executed, along with soft copy of Financial Model (if applicable)

Date of execution of revised Escrow Account

Date of execution / submission of revised Substitution Agreements

Form for Commercial Opening Date – Article 15.1 of Model Concession AgreementFixed Fields

Project name / ID NH No. Length Stretch State PIU Scheduled Start date Scheduled End date Date of agreement1 2 3 4 5 6 7 8 9 10


COD (Concessionaire)Appointed Date Status

11 12 13 14 15 16 17 18 19

05.03.2012 YES 39.532 Not yet issued NA Not yet achieved Not Applicable

Appointed DateFixed Fields

Project Name/ID NH NO. Length Stretch State PIU

1 2 3 4 5 6 7 8 9 10




Conditions Precedent achieved ?

Total completed length of the Project

Date of issuance of Provisional Certificate

Date of issuance of Completion Certificate

COD extended to Date (if applicable)

Date of achievement of COD

Amount of Damages paid to Authority (if any)

Not yet issued. Under process

Work in 39.532 Km. completed in

available work front. Work in progress in remaining length to

the extent land is made available.




Schedule Appointed Date

Appointed DateConcessionaire's Obligation

11 12 13 14 15 16 17

14.10.2011 14.10.2011 26.11.2011 14.10.2011 22.10.2011 19.10.2011

Total Project Cost (TPC) Details [As per MCA]Fixed Fields

Project Name/ID NH NO. Length Stretch State PIU Scheduled date of FC

1 2 3 4 5 6 7 8 9 10


Lenders' TPC at the time of Financial CloseEquity Debt Grant

11 12 13 14 15 16 17Semi Anuuity - 18.77 Cr Rs. 171.00 Crores Rs. 56.51 Crore Rs. 331.51 Crores Rs. 56.51 Crores Rs. 171.00 Crores NA

Lenders' TPC at the time of Novation TPC at the time of Project CompletionEquity Debt Grant Equity Debt18 19 20 21 22Rs. 56.51 Crores Rs. 171.00 Crores Semi Anuuity - 18.77 Cr - -

Date of Submission of PS

Date of Submission of Executed of Executed & Substitution Agreement

Date of procurement of Applicable permits

Date of submission of Financial Package

Scheduled Date of Submission of Financial Close

Actual Date of Submission of Financial Close

Current Status / Remarks

All requirements are complied in line with CA







NHAI' Grant (if there is any)

Debt portion in TPC as per CA

Equity portion in TPC as per CA

Authority's TPC at the time of RFP/Bid (in Crores)

Events of Project related to Force Majeure and Termination (PART V)Fixed Fields


1 2 3 4 5 6 7 8 9 10


Appointed Date COD Concession Period

11 12 13 14 15 16 17 18 19 2005.03.2012 Not yet Issued 17 Years

Date of Termination

21 22 23 24 25 26 27




Date of notice for Force Majeure

Date of occurrence of Force Majeure

Effect of Force Majeure on the concession e.g. change in AD, COD, CP

Date of Breach or default by Concessionaire/Authority

Date of Notice for Suspension

Date of Suspension of Concessionaire

Date of substitution of Concessionaire by lender if any

Date of Revocation of Suspension

Date of Notice by Concessionaire for revoking Suspension and issuing termination Notice

Date of Notice for Termination

Date of Cure after termination

Date of Transfer of project

Last date of defect libaility after termination

Operations & Maintenance (O&M) - Articles 17, 19 of Model Concession Agreement (MCA)Fixed Fields


1 2 3 4 5 6 7 8 9 10


Breach / Blockade Damages17.2, Schedule-K (a)(i) Damages to be paid by Concessionaire Remarks (if any)

Status / Remarks Amount Paid Unpaid

11 12 13 14 15 16 17 18 19A A A A A A A A A

Roughness Damages17.2, Schedule-K (a) (ii) Damages to be paid by Concessionaire Remarks (if any)


20 21 22 23 24 25 26 27 28A A A A A A A A A

Pot Holes Damages17.2, Schedule-K (a)(iii) Damages to be paid by Concessionaire Remarks (if any)


29 30 31 32 33 34 35 36 37A A A A A A A A A

Cracking in more than 5% of road surface in a stretch of 1 km Damages17.2, Schedule-K (a)(iv) Damages to be paid by Concessionaire Remarks (if any)





Date & Time of recording/reporting

Exact Location (LHS/RHS) with

Chainage

Time Allowed for rectification

Date & Time of completion of

repair / rectification

Date of recording/reporting


Chainage






Chainage






Chainage




Not Applicable

O&M Stage yet to

start

38 39 40 41 42 43 44 45 46A A A A A A A A A

Rutting exceeding 10 mm in more than 2% of road surface in a stretch of 1 km Damages17.2, Schedule-K (a)(v) Damages to be paid by Concessionaire Remarks (if any)


47 48 49 50 51 52 53 54 55A A A A A A A A A

Bleeding/skidding Damages17.2, Schedule-K (a)(vi) Damages to be paid by Concessionaire Remarks (if any)


56 57 58 59 60 61 62 63 64A A A A A A A A A

Ravelling/Stripping of bitumen surface exceeding 10 sq m Damages

17.2, Schedule-K (a)(vii) Damages to be paid by Concessionaire Remarks (if any)


65 66 67 68 69 70 71 72 73A A A A A A A A A

Damage to pavement edges exceeding 10 cm Damages

17.2, Schedule-K (a)(viii) Damages to be paid by Concessionaire Remarks (if any)


74 75 76 77 78 79 80 81 82A A A A A A A A A

Removal of debris/dust 17.2, Schedule-K (a)(ix) Damages Remarks (if any)

Status / Remarks Damages to be paid by Concessionaire

Amount Paid Unpaid

83 84 85 86 87 88 89 90 91A A A A A A A A A



Chainage






Chainage






Chainage






Chainage






Chainage




O&M Stage yet to

Start

Hard/earth shoulders, side slopes, drains and culverts 17.2, Schedule-K (b)

Variation by more than 2% in the prescribed slope of camber/cross fall Damages

17.2, Schedule-K (b)(i) Damages to be paid by Concessionaire Remarks (if any)


91 92 93 94 95 96 97 98 99A A A A A A A A A

Edge drop at shoulders exceeding 40 mm Damages17.2, Schedule-K (b)(ii) Damages to be paid by Concessionaire Remarks (if any)


100 101 102 103 104 105 106 107 108A A A A A A A A A

Variation by more than 15% in the prescribed side (embankment) slopes Damages17.2, Schedule-K (b)(iii) Damages to be paid by Concessionaire Remarks (if any)


109 110 111 112 113 114 115 116 117A A A A A A A A A

Rain cuts/gullies in slope Damages17.2, Schedule-K (b)(iv) Damages to be paid by Concessionaire Remarks (if any)


118 119 120 121 122 123 124 125 126A A A A A A A A A


Exact Location (LHS/RHS) with Chainage



















O&M Stage yet to

Start

Damage to or silting of culverts and side drains during and immediately preceding the rainy season Damages

17.2, Schedule-K (b)(v) Damages to be paid by Concessionaire Remarks (if any)


127 128 129 130 131 132 133 134 135A A A A A A A A A

Desilting of drains in urban/semi-urban areas Damages

17.2, Schedule-K (b)(vi) Damages to be paid by Concessionaire Remarks (if any)


136 137 138 139 140 141 142 143 144A A A A A A A A A

Damages

Damage to shape or position; poor visibility or loss of retro-reflectivity Damages to be paid by Concessionaire Remarks (if any)


145 146 147 148 149 150 151 152 153A A A A A A A A A

Street lighting and telecom (ATMS) Damages

Damages to be paid by Concessionaire Remarks (if any)


154 155 156 157 158 159 160 161 162A A A A A A A A A











Road side furniture including road signs and pavement marking 17.2, Schedule-K (c)(i)






Any major failure of the system17.2, Schedule-K (d)(i)






O&M Stage yet to

Start

Street lighting and telecom (ATMS) Damages



163 164 165 166 167 168 169 170 171A A A A A A A A A

Trees and plantation 17.2, Schedule-K (e)(i) Damages

Obstruction in a minimum head-room of 5 m above carriageway or obstruction in visibility of road signs Damages to be paid by Concessionaire Remarks (if any)


172 173 174 175 176 177 178 179 180A A A A A A A A A

Trees and plantation 17.2, Schedule-K (e)(ii) Damages

Deterioration in health of trees and bushes Damages to be paid by Concessionaire Remarks (if any)


181 182 183 184 185 186 187 188 189A A A A A A A A A

Trees and plantation 17.2, Schedule-K (e)(iii) DamagesReplacement of trees and bushes Damages to be paid by Concessionaire Remarks (if any)


190 191 192 193 194 195 196 197 198A A A A A A A A A

Faults and minor failures17.2, Schedule-K (d)(ii)





















O&M Stage yet to

Start

Trees and plantation 17.2, Schedule-K (e)(iv) DamagesRemoval of vegetation affecting sight line and road structures/Cleaning of median Damages to be paid by Concessionaire Remarks (if any)


199 200 201 202 203 204 205 206 207A A A A A A A A A

Rest areas 17.2, Schedule-K (f)(i) DamagesCleaning of toilets Damages to be paid by Concessionaire Remarks (if any)


208 209 210 211 212 213 214 215 216A A A A A A A A A

Rest areas 17.2, Schedule-K (f)(ii) DamagesDefects in electrical, water and sanitary installations Damages to be paid by Concessionaire Remarks (if any)


217 218 219 220 221 222 223 224 225A A A A A A A A A

Toll plaza[s] 17.2, Schedule-K (g)(i) DamagesFailure of toll collection equipment or lighting Damages to be paid by Concessionaire Remarks (if any)


226 227 228 229 230 231 232 233 234A A A A A A A A A

















Location/Chainage of Plaza




O&M Stage yet to

Start

Toll plaza[s] 17.2, Schedule-K (g)(ii) DamagesDamage to toll plaza Damages to be paid by Concessionaire Remarks (if any)


235 236 237 238 239 240 241 242 243A A A A A A A A A

Damages



244 245 246 247 248 249 250 251 252A A A A A A A A A

DamagesCracks - Temporary measures Damages to be paid by Concessionaire Remarks (if any)


253 254 255 256 257 258 259 260 261A A A A A A A A A

Damages

Cracks - Permanent measures Damages to be paid by Concessionaire Remarks (if any)


262 263 264 265 266 267 268 269 270A A A A A A A A A


Location/Chainage of Plaza




Other Project Facilities and Approach roads17.2, Schedule-K (h)(i)

Damage or deterioration in Approach Roads, pedestrian facilities, truck lay-bays, bus-bays, bus- shelters, cattle crossings, Traffic Aid Posts, Medical Aid Posts and other works






Superstructure of bridges17.2, Schedule-K, Bridges - (a)(i)






Superstructure of bridges17.2, Schedule-K, Bridges - (a)(i)






O&M Stage yet to

Start

Damages

Spalling/scaling Damages to be paid by Concessionaire Remarks (if any)


271 272 273 274 275 276 277 278 279A A A A A A A A A

Damages

Scouring and/or cavitation Damages to be paid by Concessionaire Remarks (if any)


280 281 282 283 284 285 286 287 288A A A A A A A A A

Damages

Cracks and damages including settlement and tilting Damages to be paid by Concessionaire Remarks (if any)


289 290 291 292 293 294 295 296 297A A A A A A A A A

Damages

Deformation Damages to be paid by Concessionaire Remarks (if any)


298 299 300 301 302 303 304 305 306A A A A A A A A A

Superstructure of bridges17.2, Schedule-K, Bridges - (a)(ii)






Foundations of bridges17.2, Schedule-K, Bridges - (b)(i)


Exact Location/Chainage




Piers, abutments, return walls and wing walls of bridges 17.2, Schedule-K, Bridges - (c)(i)






Bearings (metallic) of bridges17.2, Schedule-K, Bridges - (d)(i)






O&M Stage yet to

Start

DamagesLoosening and malfunctioning of joints Damages to be paid by Concessionaire Remarks (if any)


307 308 309 310 311 312 313 314 315A A A A A A A A A

Damages

Deforming of pads in elastomeric bearings Damages to be paid by Concessionaire Remarks (if any)


316 317 318 319 320 321 322 323 324A A A A A A A A A

Damages

Gathering of dirt in bearings and joints; or clogging of spouts, weep holes and vent-holes Damages to be paid by Concessionaire Remarks (if any)


325 326 327 328 329 330 331 332 333A A A A A A A A A

Damages

Damage or deterioration in parapets and handrails Damages to be paid by Concessionaire Remarks (if any)


334 335 336 337 338 339 340 341 342A A A A A A A A A

Joints in bridges17.2, Schedule-K, Bridges - (e)(i)






Other items relating to bridges17.2, Schedule-K, Bridges - (f)(i)






Other items relating to bridges17.2, Schedule-K, Bridges - (f)(ii)






Other items relating to bridges17.2, Schedule-K, Bridges - (f)(iii)






O&M Stage yet to

Start

Damages

Rain-cuts or erosion of banks of the side slopes of approaches Damages to be paid by Concessionaire Remarks (if any)


343 344 345 346 347 348 349 350 351A A A A A A A A A

Damages

Damage to wearing coat Damages to be paid by Concessionaire Remarks (if any)


352 353 354 355 356 357 358 359 360A A A A A A A A A

Damages

Damage or deterioration in approach slabs, pitching, apron, toes, floor or guide bunds Damages to be paid by Concessionaire Remarks (if any)


361 362 363 364 365 366 367 368 369A A A A A A A A A

Damages

Growth of vegetation affecting the structure or obstructing the waterway Damages to be paid by Concessionaire Remarks (if any)


370 371 372 373 374 375 376 377 378A A A A A A A A A

Other items relating to bridges17.2, Schedule-K, Bridges - (f)(iv)




Date & Time of completion of repair / rectification

Other items relating to bridges17.2, Schedule-K, Bridges - (f)(v)





Other items relating to bridges17.2, Schedule-K, Bridges - (f)(vi)





Other items relating to bridges17.2, Schedule-K, Bridges - (f)(vii)





O&M Stage yet to

Start

Maintenance Manual DamagesClause 17.3 Damages to be paid by Concessionaire Remarks (if any)

Status/Remarks Amount Paid Unpaid

379 380 381 382 383 384 385 386 387 388 389A A A A A A A A A A A- - - - 13.11.2013 YES Under review of IE - - - -

Maintenance Programme DamagesClause 17.4 Damages to be paid by Concessionaire Remarks (if any)

Review By IE Suggestion Status / Remarks Amount Paid Unpaid

390 391 392 393 394 395 396 397 398 399 400A A A A A A A A A A A- - - - - - - - - - -

Maintenance Programme shall include DamagesClause 17.4.1 Damages to be paid by Concessionaire Remarks (if any)

Amount Paid Unpaid

401 402 403 404 405 406 407 408 409 410 411A A A A A A A A A A A- - - - - - - - - - -

Date of submission of 5 copies of Maintenance Manual to Authority

Whether IE Consulted ?

Y/N

If Yes,Date of observation of IE


Date of submission of 2 copies of Maintenance Manual to IE

Compliance with Specifications and Standards, Maintenance Requirements, Safety Requirements and Good Industry Practices

Date of submission of Maintenance Programme to IE


Date of submission of Maintenance Programme to Authority

Date of Revision after 3 Years

Includes preventive maintenance schedule?

[Y/N]

Includes arrangements and procedures for carrying out urgent repairs?

[Y/N]

Includes criteria to be adopted for deciding maintenance needs?

[Y/N]

Includes intervals and procedures for carrying out inspection of all elements of the Project Highway?

[Y/N]

Includes intervals at which the Concessionaire shall carry out periodic maintenance?

[Y/N]

Includes arrangements and procedures for carrying out safety related measures?

[Y/N]

Includes intervals for major maintenance works and the scope thereof?

[Y/N]

Safety, vehicle breakdowns and accidents

Clause 17.5Detailed Reason

412 413 414 415 416 417 418 419 420 421 422A A A A A A A A A A A

DamagesDamages to be paid by Concessionaire Remarks (if any)

Amount Paid Unpaid423 424 425 426A A A A

Advertising on the Site Clause 17.15 Damages

Date of Removal Damages to be paid by Concessionaire Remarks (if any)

Amount Paid Unpaid

427 428 429 430 431 432 433 434 435 436A A A A A A A A A A

Monitoring O&MArticle 19

for (Month)

437 438 439 440 441 442A A A A A A

O&M Inspection Report and Remedial measuresClause 19.2, 19.3, 19.4

Cost of Such Items Status / Remarks Date Date of Rectification If yes, Then Status




Date & Time of remedial action

Date & Time of restoration

Status (dropdown)1. Rectification Done2. Rectification Partially Done3. Rectification Not Done

Any Other Information

Does it follow the relevant operating procedures including the setting up of temporary traffic cones and lights, and removal of obstruction and debris without delay?

Is maintaining and operating a round-the-clock vehicle rescue post with one mobile crane having the capacity to lift a truck with a Gross Vehicle Weight of 30,000 KG

Is maintaining and operating requisite number of such vehicle rescue posts, with one crane each, and such posts are located at each of the Toll Plaza(s)

Safety, vehicle breakdowns and accidentsClause 17.5

No. of advertisements Non compliant to norms


Date of Notice to Concessionaire for Removal

Nature of advertisement


Date of submission of Monthly Status Report by Concessionaire

Date of Inspection by IE

Date of Submission of Inspection report by IE

Conducted tests as per IE and MCA ?

Carried out remedial measures as per Maintenance Requirements/Manual / Programme ?

Items identified for Risk & Cost

Defect identified in O&M Inspection Report

If not Completed within 15 Days

Status of Rectification

Whether further tests proposed by IE

NIL

443 444 445 446 447 448 449 450 451 452A A A A A A A A A A

Monthly Fee Statement Reports of unusual occurrence

Clause 19.5 Clause 19.6Month Reported

453 454 455 456A A A A

Force Majeure

Date of occurrence

Status

Financial Impact Party Impacted

457 458 459 460 461A A A A A

462 463 464A A A

New revised fee

465 466 467 468 469 470 471 472 473 474A A A A A A A A A A

475 476A A

Date of furnishing Monthly Fee Statement

Date of submission of Reports of unusual occurrences

Brief description of unusual occurrences reported

Type of Force Majeure

Nature of hindrance due to Force Majeure

Fee Collection and its Rules

Date of approval of Fee Notification by Authority

Collection of Fee as per MCA ?

Date of Issue of Fee Notification

Appropriation of Fee as per MCA ?

Date of revision of fee

Fee exemption for local traffic ?

Free use of service lane ?

Re-appropriation of excess fee as per MCA ?

Name of fee collector and user fee list should be displayed at the collection point ?

Sufficient change / coins should be available with the toll collector ?

Addition fee for overloaded vehicles ?

Overloading allowed to pass through the toll after paying the over charged fee ?

Date of submission of Traffic Census

Bi-annual or annual traffic survey conducted by the Field Authority ?

NIL

MiscellaneousAuthority

Setting up of Safety Fund (Cl. 18.2) Date of Safety Fund set up

1 2

Disbursing Grant (Cls. 25.2 and 25.3) Recommended by IE ? Equity met ?

1 2 3 4 5 6

1 2

1 2 3

1 2 3 4

Compensation paid (INR) Status (if any)

1 2 3 4 5

1 2 3 4

1 2 3

Status (if any)

1 2 3 4 5 6 7

Termination for failure to complete four-laning within the specified period (Cl. 12.4.3)

Safety Fund set up as per Concessionaire Agreement ?

Date of Grant request from Concessionaire

Financing plan approved by Authority ?

Date of Financing plan approval by Authority

As per Concessionaire Agreement

Issuing notice for a Force Majeure Event (Cls. 34.5.1 and 34.5.2)

Need to issue notice for a Force Majeure Event

Date of issuing notice for a Force Majeure Event

Taking action for Force Majeure after Appointed Date (Cl. 34.6.2)

Allocation of costs arising out of Force Majeure (Cl. 34.7)

Date of issue notice for a Force Majeure Event

Allocation of Cost done as per Concessionaire Agreement?

Costs arising out of Force Majeure (INR)

Informing Concessionaire regarding intention to terminate (Cl. 34.8)

Has termination been approved by Authority ?

Informed Concessionaire regarding intention to terminate ?

Date of informing Concessionaire regarding intention to terminate

Approved / Expected date of termination

Termination Payment for Force Majeure(Cl. 34.9)

Compensating for Additional Tollway/ Competing Road (Cl. 35.4)

Compensation as per Concessionaire Agreement ?

Compensation recommended by IE ?

Escrow A/C utilized for payments ?

Informing Concessionaire of intent to terminate (Cl. 34.8)

Informing Lenders of the intent to Terminate (Cl. 37.1.3)

Has termination been approved by Authority ?

Informed Lenders regarding intention to terminate ?

Date of informing Lenders regarding intention to terminate

Approved / Expected date of termination

Termination Payment for Authority Default (Cls. 37.3.2 and 37.3.3)

Issuing a Divestment Certificate (Cl. 38.3)

Divestment Certificate approved by IE

Divestment Certificate approved by Authority

Date of issue of Divestment Certificate

Adjusting the costs arising out of Change in Law (Cl. 41.1)

Change in Law as per Concessionaire Agreement ?

Demand for costs arising out of Change in Law raised by Concessionaire ?

Date of demand from Concessionaire

Cost adjustment recommended by IE ?

Costs to be adjusted (INR)


1

Complying with General Indemnity requirements (Cl. 42.1)

Indemnification as per Concessionaire Agreement ?

List of such disputes Status of each dispute

1 2 3 4

Status / Remarks (if any)

1 2 3 4

Remarks (if any)

1 2

Remarks (if any)

1 2

ConcessionaireAmount credited (INR) Date of credit

1 2 3 4 5

Maintaining books of accounts (Cl. 33.1)

1 2

Tenure for Statutory Auditors

1 2 3

Amicably resolving disputes (Cl. 44.1 and 44.2)

Any pending disputes not amicably resolved ?

Contact Person in Authority for dispute

Any other observation, complaint or suggestion

Observation, complaint or suggestion received

Date of observation, complaint or suggestion

Action / Response on the observation, complaint or suggestion

Suspension upon occurrence of Concessionaire Default (Cl. 36.1)

Termination Payment for a Concessionaire Default (Cl. 37.3.1)

Termination Payment for Authority Default (Cls. 37.3.2 and 37.3.3)

Exercising rights and obligations upon Termination (Cl. 37.4)

Have rights and obligations been exercised by Authority upon Termination ?

Is the complaint redressal mechanism working satisfactorily (Cl. 46.2)

Is complaint redressal mechanism working ?

Crediting the balance to the Safety Fund (Cl. 16.3.2)

Credit due to excess of Traffic related revenue collections or differential from change in Scope of work payments

Credited the balance to the Safety Fund ?


Effecting and maintaining insurance cover (Cls. 32.1 and 32.2)

Depositing and using the proceeds from insurance claims (Cl. 32.7)

Have book of Accounts been maintained as per Auditor's Report ?

Date of receipt by NHAI of Auditor's Report ?

Appointing Statutory Auditors (Cl. 33.2.1)

Date of Appointment of Statutory Auditors

Name of Firm/Persons as Statutory Auditors

1

1 2 3

Costs to be adjusted (INR) Status (if any)

1 2 3 4 5

1

1

List of such disputes Status of each dispute

1 2 3 4

Remarks (if any)

1 2 3

1

Resolution status of Complaints

1 2 3


1 2 3 4

Issuing notice for Force Majeure Event (Cls. 34.5.1and 34.5.2)

Informing the Authority regarding intent to Terminate (Cl. 34.8)

Complying with the Divestment Requirements (Cl. 38.1)

Do Divestment requirements comply as per Concessionaire Agreement ?

Paying all costs incidental to divestment (Cl. 38.5)

Costs incidental to divestmentapproved by IE ?

Date of payment for all costs incidental to divestment

Amount paid to Authority for costs incidental to divestment

Paying to the Authority the benefits arising out of Change in Law (Cl. 41.2)

Change in Law as per Concessionaire Agreement ?

Cost adjustment recommended by IE ?


Complying with General Indemnity requirements (Cls. 42.1 and 42.2)

Do Indemnity requirements comply as per Concessionaire Agreement ?

Allowing free access to the Site at all times to the Authority (Cl. 43.2)

Is free access allowed to the Site at all times to the Authority ?

Amicably resolving disputes (Cl. 44.1and 44.2)

Any pending disputes not amicably resolved ?

Contact Person in Authority for dispute

Availability of Specified Documents and documents for inspection (Cls. 45.1 and 45.2)

Is there availability of Specified Documents and documents for inspection ?

List of unavailable Specified Documents and documents for inspection

Maintaining public relations office and Complaints Register (Cl. 46.1)

Have public relations office and Complaints Register been maintained as per Concessionaire Agreement

Inspecting Complaints Register every day and taking prompt and reasonable action (Cl. 46.2)

Has Complaints Register been inspected every day ?

Have prompt and reasonable action been taken ?

Any other observation, complaint or suggestion

Observation, complaint or suggestion received

Date of observation, complaint or suggestion

Action / Response on the observation, complaint or suggestion