VENDOR ASSESSMENT PROFORMA

PROCUREMENT &
SERVICES

Pick & Drop Transportation Services

COMPANYS NAME

ADDRESS

CONTACT PERSON DESIGNATION

TEL. NO. CELL NO.

FAX

E MAIL WEBSITE

NOTE:
The following factors have been considered as the basis of evaluation:
Section A: Mandatory Requirement
Section B: Category Based Requirements
1. Experience, Office Setup, Clientele & Financials
2. Fleet and Drivers Details.
You have any reservation in submitting any information, please let us have it in
writing with proper justification.
Submission of incomplete/false information in response to this query or late
submission of information shall result in automatic disqualification.
All parties who will be pre-qualified have to participate in tendering. Otherwise, PSO
reserves the right not to consider their organization in future tendering and pre-
qualification processes

INSTRUCTIONS:
1. Tick mark on the correct option. Use the Details field to elaborate or give comments.
2. Sign and stamp each page of all the documents being submitted.
3. Attach copies of all relevant Certificates/Documents wherein required. Attachments must
have corresponding section number clearly written on top.
4. Submission of incomplete/false information shall result in automatic disqualification
5. For photographic evidence (if any), please mention (on the back of the picture) the question
number to which the picture corresponds to.
6. Each section should be answered according to the directions given and there should be no
deviations from the given format. Any section left blank shall be rated as nil.
7. Further queries (if any) shall be communicated to you accordingly.
8. This is without any commitment on our part at this stage

Stamp & Signature of Applicant

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 VENDOR ASSESSMENT PROFORMA
PROCUREMENT &
SERVICES

Pick & Drop Transportation Services

SECTION A

Mandatory Requirement

S.NO Parameters Yes No

Has your firm been involved in any

1 litigation with PSO or another entity? If
yes, please provide details.

2 NTN Certificate
(Please provide copy of NTN Certificate)

3 GST Certificate
(Please provide copy of GST Certificate)

Availability of First Aid Box

4
(Please provide photograph in Vehicle as evidence)

If the answer to point#1 is yes, please provide details:

* For #1 Please provide undertaking on Rs.50/- stamp paper that your firm is currently
not black listed by any firm.

Stamp & Signature of Applicant

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 VENDOR ASSESSMENT PROFORMA
PROCUREMENT &
SERVICES

Pick & Drop Transportation Services

1.0 Firms Status, Experience, Financials & Clientele

Sr. DESCRIPTION DETAILS

Status of Firm
Public / Private Limited
1.1 Partnership
Proprietorship
(Please attach the certificate from relevant Authority)
Number of Years the Firm is Established
More than or Equal to 08 Years
More than or Equal to 05 Years
1.2
From 02 to 05 Years
Less than 02 Years
(Please provide evidence of incorporation)
Average Annual Turnover in last 3 years
More than or Equal to 30 Million
1.3 Between 10 to 29.99 Million
Less than 10 Million
(Please provide copy of income tax return)
Maximum Amount of Work Order / Project Awarded and Completed
in Subject Field in Last Three Years
Equal to 7 to 10 million
Equal to 4 to 7 Million
1.4 Equal to 1 to 4 Million
Equal to 0.5 to 1 Million
From 0.1 to 0.5 million
Less than 01 million
(Please provide copies of work order)
1.5 Clientele:
Oil & Gas Sector
Others

Stamp & Signature of Applicant

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 VENDOR ASSESSMENT PROFORMA
PROCUREMENT &
SERVICES

Pick & Drop Transportation Services

(Please provide list of clients with complete contact information and at least one
letter of reference from any of them)

Office Setup with Telephone, Fax & E-mail

Yes
1.6
No
(Please provide copy of current letterhead)

2. FLEET & DRIVER DETAILS

Sr. DESCRIPTION DETAILS

2.1 Vehicle Model:
2005 to 2010 (whole fleet)
2002 to 2004 (75% fleet and 25% of above)
2000 to 2003 (50% fleet and 50% of any above)
1995-2000(25% fleet and 75% of any model)
(Please provide vehicles registration books)
2.2 Fleet Ownership
More than 90% owned
50- 89% owned
Less than 50% owned
(Please provide lease/ownership agreement)
2.3 Satellite Tracking System:
100%
70%
Less than 70%
(Please attach satellite tracking reports)
2.4 Trained drivers with valid driving licenses
Yes
No
(Please attach copy of licenses)

Stamp & Signature of Applicant

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 VENDOR ASSESSMENT PROFORMA
PROCUREMENT &
SERVICES

Pick & Drop Transportation Services

2.5 Driving Experience of Drivers
12 years or more
8-11 years
3-7 years
Less than 3 years
(Please attach copy of licenses)
2.6 HSE Compliance (Please tick appropriate ones)
Seatbelts
Fire Extinguishers
Central Locking
(Please attach photographs as evidence)

Stamp & Signature of Applicant

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