VOLUME – 3
THIS DOCUMENT DULY FILLED-IN AND SIGNED ALONG WITH REQUIRED DOCUMENTS MUST REACH ASRTU OFFICE LATEST BY4TH FEBRUARY, 2013
WORKS INSPECTION PROFORMA
APPLICATION FOR FACTORY INSPECTION BY MEMBER STUs /ASRTU
FOR USE IN
ASSOCIATION OF STATE ROAD TRANSPORT UNDERTAKINGS, NEW DELHI
TENDER NOTICE NO. 2/2012-234th SC(S&C) USER_ID (to be filled by tenderer):
PROCUREMENT GROUP DESCRIPTION: ------
A.
1.Full Name & Address of the Company:
Telephone:
Fax:
2.Factory Address:
Telephone:
Fax:
3.Whether Public Sector/Private Sector or:
Joint Sector Undertaking.
4.Whether Proprietorship/Partnership/:
Private Limited/Public Limited Co.
In case of Partnership firms enclose
a copy of Partnership deed.
5.Whether Large Scale/Medium Scale/Small Scale.:
6.Registration Number, if any with SSI.:
7.When was the Factory Started/Commissioned?:
8.Your Bankers:
9.Items offered by the Firm:
Sub-Group wise in the
Tender (Please attach
separate sheet, if necessary)
10.Name of the Near by:
State Road Transport
Undertaking (STU)
11.Weekly off of the Factory:
11(a)Contact Person name/s regarding:
Works Inspection/Sample collection:
Contact Phone Number: (O)
: (R)
12.Give the following details (Value in nearest hundred Rupees) for the immediate past three year.
LatestImmediatePrevious
Financial Yearpast YearYear
(a)Sales made to S.T. Undertakings
(b)Sales made to Original Equipment
Manufacturers
(c)Others
(d)Total
(e)Total Fixed Assets
(f)Total Current Assets
(g)Total Secured Loan
(h)Total Unsecured Loan
(i)Total Inventory Carried
(j)Total Raw Materials consumed
(k)Goods in process
(l)Finished Goods
Enclose Audited Balance Sheet AnnualEnclosed vide Annexure......
Report Trading Profit & Loss A/c.for the years...... and
13.Enclose Income Tax Clearance CertificateEnclosed vide Annexure......
duly signed by the Income Tax Officer......
concerned for the last three assessment ......
B
1.Total Area occupied in sq.ft. Orsq.mt.
(Please mention whether the premises mentioned below are owned, rented or leased. Please enclose the documentary evidence in respect thereof.)
Factory......
Office......
Stores......
Laboratory......
Drawing office......
2.Total connected load in HP
3.Do you have your own generator?
if so capacity.
4.Details of Machinery/Equipment installed andEnclosed vide Annexure......
Working (Please attach separate sheets
as per enclosed Annexure- I)
5.Details of Machinery, Equipment proposed toEnclosed vide Annexure......
be installed in the next two years for which firm
orders have already been released
(Please attach Separate Sheets)
6.Description of the items with manufacturingEnclosed vide Annexure......
Process (Please attach Separate Sheets)
7.Total production capacity in quantity,Enclosed vide Annexure......
Product-wise
(Please attach separate sheets)
8.Do you have prescribed specification for theEnclosed vide Annexure......
products manufactured? If so give details.
(Please attach Separate Sheets)
9.Source of Raw material (Please attachEnclosed vide Annexure......
Separate Sheets)
10.Are Sub-Assemblies/Items bought out
11.List of Bought out itemsEnclosed vide Annexure......
12.How many Shifts are worked:
13.Foreign collaboration, if any give details regarding
(i)Name of collaborating firm:
(ii)Details of items manufactured in the:
country under such Collaboration:
14.Are you supplying your product to leadingEnclosed vide Annexure......
vehicle manufacturers, O.E. Manufacturers
i.e. M/s. Ashok Leyland Ltd. & M/s. Telco
Ltd.? If yes, please enclose documentary
evidence showing purchase orders and invoice
copies of latest shipment
C
1.Please give details of inspection facilities available in your firm to ensure quality regarding the following in separate sheets if space is not sufficient:-
(a)Raw materials:Vide Annexure......
(b)Line production:Vide Annexure......
(c)Processing:Vide Annexure......
(d)Finished Goods:Vide Annexure......
(e)Visual Inspection:Vide Annexure......
(f)Dimensional accuracy:Vide Annexure......
(g)Destructive tests carried out:Vide Annexure......
(h)Non-destructive tests carried out:Vide Annexure......
2.List of Testing Equipments should be furnished in the enclosed Annexure - II
3.What specifications and standards are maintained
on bought-out items
4.Are such suppliers subsidiaries of your company?
5.Organisation of Inspection Department
6.Training Facilities available in the firm
7.Proposed Expansion of the firm in the next two years, if any
8.Do you have Research & Development Wing?
D
1.Organisation ChartEnclosed vide Annexure ......
2.Number of Persons on Roll:
3.Number of qualified hands category-wise in:
i)Non - ITI qualified:
ii)ITI qualified:
iii)Graduatesa) Science:
b) Engineering:
4.Training facilities available in the firm:
5.Proposed Expansion of the firm in the next:
two years, if any
6.How are rejection and wastes disposed off:
7.Do you have a separate Packing Department:
8.Do you have Contract with Public Carriers:
9.Are you an approved supplier with DGS&D
if so, give reference No. and attach proof
thereto.
10.Are you registered under Factories Act, if so :
give ref. No. & attach Registration Certificate
11.Are you registered with Companies act.:
1956, if so, give reference No. & Attach
registration certificate
12.Are you a supplier of Defence Department:
(Please enclose documentary evidence)
13.Are you registered with Bureau of Indian:
Standard, if so, give registration No. and
License No. to use ISI mark
- Are you registered under ISO 9000/QS 9000/TS 16949
If so,give details
Certified that the information furnished above is correct and true to the best of our knowledge.
Authorised SignatoryChartered Accountant
(On behalf of the Company)(with Membership No.)
Name:
Designation:
15.The works have been inspected by STU/ASRTU officers on ______
Authorised Signatory
(On behalf of the Company)
Name:
Designation:
To be signed by the authorised signatory of the firm at the time of inspection.
Annexure - I
ITEM NAME:
List of Manufacturing/Production Equipment available with the firm to manufacture the items offered in the tender :
Sr.Name of theModel/MakeNumberRemarks
No.Equipmentif any
LIST OF DOCUMENTS TO BE ENCLOSED ALONG WITH WORKS INSPECTION PROFORMA
1Photocopy of Registration Certificate with SSI / NSIC, if any.
2Photocopy of Registration Certificate under Factories Act.
3Photocopy of Registration Certificate under Companies Act 1956.
4Photocopy of Registration Certificate with DGS & D.
5Audited Balance Sheet for immediate past three years.
6Environmental Clearance Certificate will have to be submitted if the firm is involved in manufacturing of Plastic, Poly Propylene, PVC, Oil, Synthetic Rubber, Asbestos & Asbestos Products, Production of Iron & Steel, Aluminium, Copper, Zinc, Lead and Ferro Alloys, Paint, Resins, Storage Batteries-Lead.
7Partnership Deed, if any.
8Documents regarding Ownership / Rental / Leased premises where the Works is situated.
9Last three months Electricity Bills.
10Details of Production Machinery installed and working in the enclosed Annexure – I.
11Details of Testing Equipments in the enclosed Annexure – II.
12Description of Items with Manufacturing Process.
13Sources of Raw Materials, please enclosed the photocopies of purchase invoices for important Raw Materials.
14List of bought out Items. Please enclose Sample Invoices in support thereof.
15Evidence for OE Supplies, if any please enclose photocopies of Purchase Orders & relevant Invoices of latest Supplies in support thereof. Please also enclose list of Items offered by you under ASRTU Contract and being supplied to OEMs.
16Evidence of supplies to STUs. Please enclose Purchase Orders and relevant Invoices of latest supplies in support thereof.
17Copy of the Organisation Chart.
Photocopy of Registration with Bureau of Indian Standard BIS / ISO9000