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List Items Application Form 19052017
List Items Application Form 19052017
11) After 5 Years, vendor shall have to initiate for Re-shop Survey as per
norms & repeat the procedure as mentioned above.
12) Vendors receiving less than 76% as per vendor categorization (i.e.
Marksheet) will be considered as dis-qualified vendor for approval. Dis-
qualified vendor will be eligible for re-apply after 6 (six) months from the
date of intimation of dis-qualification.
Page 6
Part-B Vendor's capacity
14.0 Annual Capacity In terms of quantity/Numbers.
14.1 Licensed
14.2 Installed
14.3 Actual achieved in last 3 Years.
14.4 Manufacturing Capacity Per Month.
14.5 Committed Capacity to GWSSB per month (tentative)
15.0 Submit Balance Sheet of last 3 years.
15.1 Annual turnover in terms of Rupees based on Balance
Sheet for the last 3 years for the particular item.
Page 7
20.2 Details of Covered shop and no. of sheds , area etc.
Page 8
Part-D- Performance reliability
24.0 Performance reliability
24.1 Satisfactory execution of similar supply orders with
contents and order value details.
Note: Separate sheet of paper may be used where required for addition information.
Signature of applicant
Name of applicant
designation
Name of Firm with seal & stamp
Date
place.
Page 9
List of Enclosures with Vendor Registration Application. (This is an Indicative list)
Sr Particular Enclosures Page
no. no. No.
1 Company Profile /Covering Latter
2 Details of Demand draft of Vendor Registration Application fee
3 Financial Soundness / Credit Worthiness / Credit limit with letter
from Banker.
4 List of Top management personnel with Designations.
5 Copy of registration as Micro, Small, Medium or Large enterprises.
6 Copy of Memorandum & Articles of association ROC, partnership
deed etc.
7 Copy of Certificate of VAT & CST Registration No.
8 Copy of Central Exise Registration Certificate
9 Copy of ISO License.
10 Copy of Income Tax Permanent Account No.( PAN CARD )
11 Copy of BIS Licenses for products.
12 Copy of Import & Export license, if any.
13 Copy of certificate of Quality awards, National Award for Research
& Development, Outstanding Entrepreneurship, if any.
14 Details of R & D Facilities, if any.
15 Proof of Technical Collaboration, if any.
16 Copy of Purchase Deed for land for factory.
17 Shop (Factory) Layout Approved by government.
2
18 Details of land available in factory. Open land…….. Meter and built
2
up area…..Meter , no. of sheds.
19 Layout of Railway siding, if any.
20 Copy of audited Balance sheet with turnover Details ( Govt./
Private Sector ) ( last 3 years)
21 Certified copy of Sanctioned load (KVA) . i. e. copy of latest energy
bill HT & LT.
22 Proof of Captive (emergency) Power Generation Capacity (KVA),
if any.
23 List of product's manufacturing range, Capacity, type, class, size
viz.
24 Attach Product Catalogues, Brochure of items ,range, sizes ,
classes with their capacities etc.
25 List of Design staff like Engineers, Specialists/ Technologists,
Draftsman, Supervisors. , academic qualification, age, & Year of
experience
Page 10
26 List of Production staff like Engineers Supervisors. Skilled workers.
Other workers Name , academic qualification, age, &Year of
experience
27 List of Quality control staff like Engineers Supervisors. Skilled
workers. Other workers Name , academic qualification, age, &Year
of experience
28 List of Machinery, facility with complete Details, make, year of
purchase.
29 List of machinery & equipments for Material Handling
30 List of tests carried out on raw material and product.
31 Details in-House testing facilities, testing equipments available as
per relevant IS.
32 copy of QC manual, Written Procedures, quality Assurance Plan
etc.
33 List of Available gauges, measuring device, testing equipment,
meters, inspection aids, Instrument with makes & its NABL
Approved Lab Calibration report.
34 Copies of Approval by statutory and/or any other reputed
inspection agency.
35 List of regular customer / client for same products.(Last 3 Years)
36 List of regular customer / client for export order for same products
(last 3 years).
37 Copy of Rate Contracts for supply to government or reputed non
government organization, if any.
38 Copies of supply order from GWSSB. (Last 3 Years)
39 Copies of supply order other than GWSSB. (Last 3 Years)
40 Copies of Performance reports from GWSSB. (Last 3 Years)
41 Copies of Performance reports from clients other than GWSSB.
(Last 3 Years)
42 Details of After sales service arrangements. Network of service
after sales in Gujarat with Address, Contact No, Name of
Representative.
Structure of Shop Survey Team for selection of Vendors for
purchase of different materials
a. GIRDA
For uPVC & HDPE Pipe
b. CIPET
a. CEIL
Other than uPVC & HDPE Pipe
b. RITES
2 RECOMANDATION-
1 Signature
Name of Surveyor:
Designation:
Seal of surveyor:
2 Signature
Name of Dept.Officer:
Designation
Name of office
3 Signature
Name of Technical expert:
Designation
Name of institution
VENDOR EVALUATION REPORT
G.W.S.&S.Board:
VENDOR'S NAME :
LOCATION /ADDRESS:
PRODUCT NAMES:
REPORT NO: …….. Date of Shop survey
POINTS SURVEYOR'S
Sr.
TITLE ALLOTED RATING
No
Maximum
1 Overall facilities 25
Registration as Micro, Small, Medium or Large
1.1 2
Enterprise within India.
1.2 VAT & CST registration. 1
1.3 Central Exise Registration. 2
ISO 9001:2008 certificate.Quality management
1.4 1
system
ISO:14001:2004 certificate.enviroment
1.5 1
Management system
OHSAS 18001:2007 certificate. Occupational
1.6 1
Helath and Sefety Management system
1.7 CE marking Conformité Européenne 1
1.8 Income tax permenent account no. 1
BIS licenses of products for which vendor
1.9 2
approval is applying .
1.10 Import & Export licence. 2
National level quality awards, research &
1.11 development award or outstanding 2
enterpreneurship award from government.
1.12 R & D facilities. 2
Technical collaboration with international reputed
1.13 1
firm.
1.14 Railway siding within factory premises. 2
1.15 Sanctioned load more than 200 kw. 2
Captive (emergency) power generation capacity
1.16 2
more than 200KVA
2 Manufacturing facilities 25
Open space within factory premises with respect
2.1 2
to manufacturing items.
Buildup space within factory premises with
2.2 2
respect to manufacturing items.
Shop layout and defined areas/sheds for separate
2.3 production activities with respect to Manufacturing 2
items.
2.4 Storage area / shed for raw material 1
2.5 Storage area / shed for finished product. 1
2.6 Production planning/application 2
2.7 Raw material/component procurement 2
Production staff like engineers, supervisors,
2.8 3
skilled workers, other workers.
Plant & machinery nessesary for production of
2.9 4
the listed items.
2.10 Machinary & equipments for material handling 2
2.11 Automation and process controls. 2
2.12 Packing, marking, dispaching facilities. 2
3 Testing facility 10
3.1 Tests carried out on raw material. 1
In-house testing facilities, testing equipments
3.2 2
available as per relevant BIS code.
Available gauges, measuring device, testing
equipment, meters, inspection aids, instrument of
3.3 2
standard makes with NABL accredited laboratary
calibration report.
3.4 Inprocess checks. 1
3.5 Laboratory facilities. 2
3.6 Finished product tests/checks. 1
3.7 Special/type test 1
4 Quality control & quality assurance plan 9
Qc manual, written procedures, quality assurance
4.1 2
plan etc.
Quality control staff like engineers,
4.2 2
supervisors,skilled workers.
4.3 Documentation/procedures 1
4.4 Traceability 1
4.5 Calibration records 2
4.6 Extent of supervision 1
5 Design facility 3
Design staff like engineers , specialists,
5.1 1
technologists, draftmans.
5.2 Designing facility available. 1
5.3 Availability of codes/ specification/r&d 1
Experience for perticular 6
6
item,equipment,machinary,product etc.
6.1 3 to 5 2
6.2 5 to 7 years 3
6.3 7 to 10 years 4
6.4 Above 10 years 6
7 Turn over 3
7.1 1 to 3 crore 1
7.2 3 to 10 crore 2
7.3 Above 10 crore 3
8 After sales services 9
Satisfactory execution of similar supply orders to
8.1 2
government department including GWSSB.
Satisfactory execution of similar supply orders to
8.2 1
reputed non Governmental organization .
District level network of service after sales in
8.3 2
Gujarat.
State level network of service after sales in
8.4 2
Gujarat.
8.5 Customer complaints, resolution, promptness. 2
Financial soundness/credit worthiness credit limit 6
9
with letter from bank
9.1 1 to 2 crore 2
9.2 2 to 3 crore 4
9.3 3 to 4 crore 6
10 Social Responsibility & Legal Compliance. 4
Significant work done related to social
10.1 1
responsibility within last three years.
Whether following any Green Manufacturing
10.2 1
Practice,safty majures.
Court Cases related to Organization OR
10.3 1
Interested Party within last three Years.
10.4 Factory Strike within Last Three Years. 1
Total 100
1. The minimum rating required for Manufacturing
Note:
falicity is 19 out of 25.
2. The minimum rating required for testing falicity is 5
(7) out of 7(10).
A B C
Conclusion:
A Group 91---100
B Group 76---90
C Group - Less Than 76
Signature Remarks
Name of Surveyor:
1
Designation:
Seal of surveyor:
Signature
Name of Dept.Officer:
2
Designation
Name of office
Signature
Name of Technical expert:
3
Designation
Name of institution