SUPPLY, INSTALLATION & COMMISSIONING OF 1 KVA UPS ON TURNKEY BASIS.

Environmental Management System

Name of the Tenderer:

Sub: Supply, Installation & Commissioning of 1KVA UPS on Turnkey Basis.

Ref: Tender No. KSRTC/2026-27/IND0311 DT: 09.06.2026.

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.

THE CONTROLLER OF STORES AND PURCHASES,

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

K.H. ROAD, BANGALORE

Sub: Supply, Installation & Commissioning of 1KVA UPS on Turnkey Basis.

Ref: Tender No. KSRTC/2026-27/IND0311 DT: 09.06.2026.

NAME & ADDRESS OF THE FIRM

Sl. No. Nomenclature Tendered Quantity (in nos.) HSN Code GST (5%/ 12%/ 18%/ 28%) OTHER TAXES IF ANY BRAND NAME & MODEL PRODUCTION CAPACITY PER MONTH SUPPLY CAPACITY PER MONTH TO KSRTC

1 1 KVA 1 phase to 1 Phase 120 mins backup UPS with Batteries. (Specification as per Annexure - C) 127

A Prices F O R Destination to all Divisions of KSRTC & its Depots/Bus Stands.

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

C Lead Time required

D Distributors Name (if any) Address, Contact Number of the Distributor

Signature of the Authorized Signatory with company seal

Mobile Number :

THE CONTROLLER OF STORES AND PURCHASES,

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

K.H. ROAD, BANGALORE

Sub: Supply, Installation & Commissioning of 1KVA UPS on Turnkey Basis.

Ref: Tender No. KSRTC/2026-27/IND0311 DT: 09.06.2026.

We hereby furnish the required details of pre-qualification 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. with valid e-mail address.

d Name of the Contact person

Phone/ Mobile Phone No. with valid e-mail address.

2 GENERAL INFORMATION

b (to be filled by the Manufacturers only) Manufacturers with Minimum average Turnover of Rs. 10 Crores from the precceeding continuous three years

Turnover Details from the sale of UPS Turnover in Rs. Crores

a We are the Manufacturers of UPS The itemwise Production capacity and quantity offered to supply to KSRTC per month is indicatedd in the Additional format

b We have local servicing facility at district level across the state.

c WE undertake provide the Manufacturer of the product (OEM) having ISO 9001:2008 or Higher.

d WE undertake provide 3 years comprehensive on site warranty for all types /capacities of UPS at respective installed locations of KSRTC.

e We undertake to supply the entire Ordered quantity as per the Delivery Schedule

f We undertake to state that, "we are not under declaration of ineligibility for corrupt or fradulaent practices or deficiencies of services or blacklisted with any of the Government Agency at the time of bidding".

g We undertake to furnish the Security Deposit of 5% value of the order in the form of Bank Demand Draft or Bankers Guarantee i specified in the standard terms and condition with in 10 days from the date of receipt of letter of intent as per the terms and conditions of the tender, in case the orders are realised on us.

h We undertake to abide by all the terms and conditions of the tender.

i we will undertake to furnish the Compliance Certificate to the specification

4 List of Clients

The following firms are our Customers to whom we have supplied different capacities of UPS.

a The Bidder should have successfully delivered and installed atleast 100 UPS at multiple locations in multiple orders in last three years.

b The Bidder should have supplied different capacities of UPS to State/ Central Government/ Undertaking/ Research & Development Organisation.

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

5 DOCUMENTS ATTACHED ELECTRONIC MODE (SCANNED) FOR PRE-QUALIFICATION

We have attached the following documents in Electronic Mode(Scanned) for Pre-qualification : (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-showing nature of Business / Service / Product rendered / manufactured.

b Audited Statement of Accounts (Profit & Loss Account and Balance Sheet) for 3 years out of following four years

-do- for the year 2022-23

-do- for the year 2023-24

-do- for the year 2024-25

-do- for the year 2025-26

c Certification of Verification issued by the Chartered Accountant in the format prescribed

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

e 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)

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

g Purchase order Copies

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

i GST Certificate

j Documentary proof in support of manufacturing status of UPS

k Annexure-A duly filled, sealed & signed

l Annexure-A1 duly filled, sealed & signed

m Additional Format duly filled, sealed & signed

n Other documents

6 We 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 submitted subsequently will leads to disqualification of my offer and also the Corporation reserves the right to Black list me apart from initiating other legal action.

Signature of the Authorized Signatory with company seal

Mobile Number :

THE CONTROLLER OF STORES AND PURCHASES,

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

K.H. ROAD, BANGALORE

Sub: Supply, Installation & Commissioning of 1KVA UPS on Turnkey Basis.

Ref: Tender No. KSRTC/2026-27/IND0311 DT: 09.06.2026.

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 e-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

Mobile Number :