Procurement of Photocopier Machine

Version 24.08.2022

THE CONTROLLER OF STORES AND PURCHASES,

K.S.R.T.C., CENTRAL OFFICES,

K.H. ROAD, BANGALORE

Sub: Procurement of Photocopier Machine

Ref: KSRTC/2026-27/IND0319 DT: 13.07.2026

1 NAME OF THE FIRM

2 Tender Processing Fee Details :- to be paid through e-payment mode only

a Mode of Payment

b Amount Rs: As charged by Eprocurement portal

c Bank Transaction No: (For NEFT / OTC )

3 EMD Details :- to be paid through e-payment mode only

a Mode of Payment

b Amount Rs: Rs: 10,000=00

c Bank Transaction No: (For NEFT / OTC )

4 Bank details of tenderer/ bidder

a Name of the Bank

b Branch Address

c Account Number

Signature of the Authorized Signatory with Company Seal

INFORMATION ABOUT THE TENDERER

THE CONTROLLER OF STORES AND PURCHASES

K.S.R.T.C., CENTRAL OFFICES

K.H. ROAD, BANGALORE-560 027

Sub: Procurement of Photocopier Machine

Ref: KSRTC/2026-27/INDO319 DT: 13.07.2026

We hereby furnish the following details as under

1 NAME AND ADDRESS OF THE TENDERER

a Name of the firm

Office Address:

Telephone and Fax Number

b Works Address:

Telephone and Fax Number

c Name of the Authorized Signatory

Phone/ Mobile Phone No.

valid E-mail Address

d Name of the Contact person

Phone/ Mobile Phone No.

2 GENERAL INFORMATION

Status of the firm (Enter any of the following options: Manufacturer/ Authorized dealers / Distributors of Manufacturers

Sl. No. Name of the firm, Address, Phone No. and name of the Contact person. Details of Purchase Order/ Supplies made

a We are the Manufacturers / Authorized dealers / Distributors of Procurement of Photocopier Machine. The itemwise Production capacity and quantity offered to supply to KSRTC per month and other details given in Additional Format is to be filled & uploaded in the e.portal. (Say "Yes or No")

b We undertake to hold the quoted price for the period of Tender and to submit Bank Guarantee as Security Deposit. (Say 'Yes' or 'No')

c We undertake to abide by all the terms and condions of the tender and to supply the entire Ordered quantity as per the Delivery Schedule furnished (Say "Yes" or "No")

d we agree for the warranty condition as per the the tender condition

e We agree to impart training to the nominee nominated by the KSRTC

4 DOCUMENTS ATTACHED ELECTRONIC MODE(SCANNED) FOR ELIGIBILTY CRITERIA

We have attached the following documents in Electronic Mode(Scanned) for following terms & conditions :(Fill 'Yes' or 'No')

a Certificate of Incorporation/ Certificate of Registration issued by the Registrar of Companies/ Industries and Commerce Dept in proof of manufacturing status (along with MOA or Annexures/ enclosures to certificate)

b Declaration-I as per the format on Govt. stamp paper of Rs. 20/- or above

c Declaration-II as per the format on Govt. stamp paper of Rs. 20/- or above (In case the manufacturers/ Principal firm will execute supplies through their Channel Partner/ Authorized Dealer/ Distributor)

d Declaration-III as per the format on Govt. stamp paper of Rs. 20/- or above

e MSME Certificate / Udyog Aadhar certificate / NSIC certificate / SSI Certificate etc.. Is a proof of manufacturer of tendered items / services.

f GST Registration Certificate & PAN certificate

g NSIC certificate (to avail exemption from the payment of Earnest Money Deposit)

h Annexure-A & Annexure-A1

i Additional Format

j Authorization letter from Manufacturer in case of Authorized dealer/ Channel Partner/ Distributor etc.

k In case of Manufacturer, they should submit the Certificate of Incorporation / SSI Certificate issued by the Registrar of Companies / Industries and Commerce Dept / MSME Udyog Aadhaar / NSIC certificate

l Any other documents in respect of Eligibility criteria and other Terms and conditions of tender.

5 We are aware of the fact that the Tender submitted by us through electronic mode is an valid offer. Any variation committed / observed compared to original documents and conditional offer regarding the payment terms submitted subsequently will lead to disqualification of our offer and also the Corporation reserves the right to Black list us apart from initiating other legal action.

Signature of the Authorized Signatory with Company Seal.

Environmental Management System

Name of the Tenderer

Sub: Procurement of Photocopier Machine

Ref: KSRTC/2026-27/INDO319 DT: 13.07.2026

Sl. No Points to be checked Status (Yes or No) Remarks Hints/Suggestions

1 Do you have processes that have significant impact on environment? List them in the remarks column 1. Heat treatment 2. Surface derangement. 3. Foundry

2 Do you use hazardous chemicals/ materials? List them in the remarks column Chemical/listed /falling under the criteria given in the hazardous chemicals Rules-1989

3 Leakage/spillage of oils and chemicals in the work environment. Good housekeeping ensures minimum impact on the environment

4 Have you obtained consent from statutory authorities? Consent under the Water& Air Acts & authorization under the hazardous wastes Rules(if applicable)from the pollution control board

5 Have you introduced air pollution control measures? List them in the remarks column Air pollution control measure(if required) like dust collector, scrubbers etc.,

6 Are Hazardous wastes generated from the process? Hazardous wastes listed in the schedules of Hazardous wastes Rules-1989

7 Do you facility for the storage/disposal of Hazardous wastes? Hazardous wastes like effluent treatment sludge, sludge from plating baths, spent oils, solvents etc.

8 Do you have any

Plans to reduce the waste generated Reduce, Recycle and Reuse

Noise level control measures Acoustic enclosures

Plans to conserve natural resources Water and energy conservation measures

Emergency preparedness and response plan Emergency preparedness in case of fire, accidents etc.,

9 Are employees regularly kept informed and trained in environmental protection issues. Awareness programmes

ADDITIONAL FORMAT

NOTE : THE BIDDERS SHOULD FILL THE DETAILS AS MENTIONED IN THE FORMAT AND THE SAME SHOULD BE UPLOADED IN THE E.PROCUREMENT PORTAL.

KARNATAKA STATE ROAD TRANSPORT CORPORATION

THE CONTROLLER OF STORES AND PURCHASES,

K.S.R.T.C., CENTRAL OFFICES,

K.H. ROAD, BANGALORE

Sub: Procurement of Photocopier Machine

Ref: KSRTC/2026-27/INDO319 DT: 13.07.2026

NAME & ADDRESS OF THE FIRM

Sl. No. NOMENCLATURE UOM Tendered Qty HSN Code ITEM WISE GST (5%/ 12%/ 18%/ 28%) BRAND NAME PRODUCTION CAPACITY PER MONTH SUPPLY CAPACITY PER MONTH TO KSRTC

1 Photo Copier Machine with Minimum 1-Year On Site Warranty (55 ppm) including stand, Cartridge and Power Cord/Adapter Nos 10

2 Photo Copier Machine with Minimum 1-Year On Site Warranty (35 ppm) including Stand, Cartridge and Power Cord/Adapter Nos 4

A Prices F O R Destination to the KSRTC Central office & Divisions.

B Validity of the offer 180 days and extended till the completion of the order

C Lead Time required

Signature of the Authorized Signatory with company seal

Mobile Number :