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184x Filetype XLS File size 0.04 MB Source: www.ipds.gov.in
Disbursement Claim format under IPDS for GoI Grant release in case of Turnkey Execution
Name of Utility :- _________________
Name of Project /Circle: __________________________
Approved project cost: Rs_______ Crs
Award Cost : Rs_______ Crs
GOI Grant sanctioned (60% /(85% in case of Sp Cat States) : Rs.______Crs GoI Grant No & date:______
Counterpart loan sanctioned (30% /(10% in case of Sp Cat StatRs.______Crs FI Loan No & date: ________ Name of FI/Bank: ______________
Utility's Contribution (10% /(5% in case of Sp Cat States) : Rs.______Crs Order No & date: ________
All amount in Rupees Crs
Claim details Payment details
Contract or Name & Address Physical &
Sl. Purchase Order No. of Agency (s) Award Value Financial Invoices /Bill Amount Amount Amount Cheque Taxes &
No. & Date Progress Invoice Nos. & Date Amount certified/ claimed from paid to the Number /ECS Duties
(Paid /Payable) Passed PFC Party Details and date paid
of payment
1 2 3 4 5 6 7 8=9+11 9 10 11
1 1
2
3
4
5
As per Annexure- Total
2 B 1
2
3
4
5
Total
Grand Total
It is hereby certified that:
i The information given as above is correct as per sanctioned DPR/Contract/Purchase Order and other records maintained for the purpose.
ii Payment shown under column 9 actually paid to and accepted by supplier/contractor/agency.
iii Claims against project expenditure is limited to eligible project-areas and are as per approved DPRs/work awarded.
iv Project implementation is satisfactory and deliverables by the suppliers /contractors are of the required quality, quantity, standards, specifications and satisfactory as per IPDS Guidelines.
v The performance bank guarantee from the supplier / agency for supplies / works as per the contract (if applicable) has been obtained and kept on record.
vi Amount claimed for BoQ items has not been claimed in any other scheme of GoI /any other funding agencies.
vii TDS/GST and other statutory deduction in respect of the above payments have been made and deposited/arrangements have been made to deposit with the concerned authorities.
1
1) High value items have been procured as per the technical specifications finalised by Committee-A constituted by MoP.
2) Distribution Transformers under IPDS scheme have been procured as per Standard ratings, meeting the loss levels of Energy Efficiency Level-2 specified in IS 1180(Part-1):2014 as modified from
viii time to time.
3) All the distribution transformers procured under IPDS after 01.08.2016 have Standard Mark of the Bureau of Indian Standards, after obtaining license for BIS certification.
ix All claims of expenditure are as per the terms and conditions of sanctions i.e. All claims for expenditure incurred are from the date of sanction of projects by IPDS Monitoring Committee/ date allowed
as per sanction.
x All payments to Contractors /Agencies have been made through PFMS.
xi UC for GoI Grant in the prescribed GFR format is enclosed.
xii Utility's Contribution as per guidelines have been Utilized.
xiii Financial sanction of lenders (FI/Banks) for 30% of approved project cost (10% in case of Special Category States) have been received and utilized.
xiv Recommendations of PMA supported by a report on expenditure, progress and constraints (if any) for timely completion of project has been received and is enclosed.
xv As per IPDS guideline Para 8.1 (Chapter IV), Audit report and certificate (if due) from Independent Chartered Accountant has already been submitted /is enclosed.
xvi Projects have been implemented as per IPDS guidelines.
xvii Claims are based on RA Bills / MB and the same is being properly maintained by the utility.
xviii The assets created out of the grant have been accounted for as per applicable Accounting Standard.
Materials/Equipment/Civil/Erection works, for which above claim has been made are as per guidelines. Further, the word "IPDS" have been embossed on all the material erected under IPDS scheme.
xix
TPCEA has carried out the inspection of the works implemented in aforesaid circles on sample basis and accordingly has inspected the quality of material/equipment supplied at site and execution of
xx works under the project. It is certified that the observations indicated in TPCEA reports have been complied
xxi Any deviation from specification mentioned in SBD has been duly approved by State DRC and its commercial/financial implication, if any, has been settled before submitting the claim for disbursement
to Nodal Agency.
xxii Insurance cover has been obtained/renewed as per Utility’s policy for the material supplied and paid for and the same is valid as on date.
xxiiI 100% feeder metering has been achieved in project area.
Authorised Signatory of Utility
Date: Name:
Designation:
Note:
1 The amount may be mentioned in Rupees Crs rounded off to two decimal places
2 For departmental/partial turnkey execution, claim to be submitted in Form-II
Verified by PMA:
Name of PMA
(Signature)
Authorised Signatory of PMA
Name:
Designation
Date:
2
Form-I
Disbursement Claim format under IPDS for GoI Grant release in case of Turnkey Execution
Name of FI/Bank: ______________
All amount in Rupees Crs
Payment details
Tax payment
challan no.
and date
12
It is hereby certified that:
The information given as above is correct as per sanctioned DPR/Contract/Purchase Order and other records maintained for the purpose.
actually paid to and accepted by supplier/contractor/agency.
Claims against project expenditure is limited to eligible project-areas and are as per approved DPRs/work awarded.
Project implementation is satisfactory and deliverables by the suppliers /contractors are of the required quality, quantity, standards, specifications and satisfactory as per IPDS Guidelines.
The performance bank guarantee from the supplier / agency for supplies / works as per the contract (if applicable) has been obtained and kept on record.
Amount claimed for BoQ items has not been claimed in any other scheme of GoI /any other funding agencies.
TDS/GST and other statutory deduction in respect of the above payments have been made and deposited/arrangements have been made to deposit with the concerned authorities.
3
1) High value items have been procured as per the technical specifications finalised by Committee-A constituted by MoP.
2) Distribution Transformers under IPDS scheme have been procured as per Standard ratings, meeting the loss levels of Energy Efficiency Level-2 specified in IS 1180(Part-1):2014 as modified from
3) All the distribution transformers procured under IPDS after 01.08.2016 have Standard Mark of the Bureau of Indian Standards, after obtaining license for BIS certification.
All claims of expenditure are as per the terms and conditions of sanctions i.e. All claims for expenditure incurred are from the date of sanction of projects by IPDS Monitoring Committee/ date allowed
All payments to Contractors /Agencies have been made through PFMS.
UC for GoI Grant in the prescribed GFR format is enclosed.
Utility's Contribution as per guidelines have been Utilized.
Financial sanction of lenders (FI/Banks) for 30% of approved project cost (10% in case of Special Category States) have been received and utilized.
Recommendations of PMA supported by a report on expenditure, progress and constraints (if any) for timely completion of project has been received and is enclosed.
As per IPDS guideline Para 8.1 (Chapter IV), Audit report and certificate (if due) from Independent Chartered Accountant has already been submitted /is enclosed.
Projects have been implemented as per IPDS guidelines.
Claims are based on RA Bills / MB and the same is being properly maintained by the utility.
The assets created out of the grant have been accounted for as per applicable Accounting Standard.
Materials/Equipment/Civil/Erection works, for which above claim has been made are as per guidelines. Further, the word "IPDS" have been embossed on all the material erected under IPDS scheme.
TPCEA has carried out the inspection of the works implemented in aforesaid circles on sample basis and accordingly has inspected the quality of material/equipment supplied at site and execution of
works under the project. It is certified that the observations indicated in TPCEA reports have been complied
Any deviation from specification mentioned in SBD has been duly approved by State DRC and its commercial/financial implication, if any, has been settled before submitting the claim for disbursement
Insurance cover has been obtained/renewed as per Utility’s policy for the material supplied and paid for and the same is valid as on date.
100% feeder metering has been achieved in project area.
Authorised Signatory of Utility
4
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