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The objective of this Subcontractor Questionnaire is to ascertain your interest in and to prequalify you for the execution ofconstruction work.

c 






You are requested to complete the following sections and provide the information requested therein. this may be supplemented with company procedures and other
relevant data.

c 




All information requested applies to your company only.

c 





Any information given by participants will only be used for the purpose mentioned above and will be treated as strictly confidential.






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Registration No. :

 


 
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Facsimile :

E-mail:

Website:

Bankers :

 
#


List names and title.

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List name and title.

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If applicable, list names, addresses and main business.

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)


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If applicable, list names, addresses and main business.

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,




If applicable, attach matrix chart or brochure with relevant information.

 -
.

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If applicable, list names of current joint venture partner companies.


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0


Supply date of establishment and brief write-up of the history of your company.

 
1
2


Supply organization chart of your company.

 
3



Provide a statement of the financial situation, i.e. latest three annual reports certified by authorized auditors.

 
41

1

5
1

Describe the organization and how it functions.

 $
 

Describe the organization (including subcontracting if applicable) and how it functions.

 %

1

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1

3.6.1 Describe the organization and how it functions.

3.6.2 Provide typical network planning and resourcing procedures.

3.6.3 How do you monitor progress of works?

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3.7.1 Describe the organization and how it functions.

3.7.2 Provide cost control and reporting procedures.

 +
6



 

3.8.1. Describe the organization and how it functions.

3.8.2 ISO certification.

3.9 Safety/Loss Prevention

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1
2


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3.9.2 Safety statistics last five years.

3.9.3 VCA certification

3.9.4 PBNA Safety Certification of employees.

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1
2


Supply a typical functional organization chart.

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Supply a list of names and addresses of references.


48
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9

48
 

Delete industries that are not applicable. Show countries of construction execution for each applicable industry:

· Petroleum :

· Chemical :

· Gas :

· Food :

· Pharmaceutical :

· Environmental :

· Biotechnology :

· Power Industry :

 
:11

List languages in which the staff are fully conversant.

 





Describe the capabilities of your company. Indicate which part(s) you usually execute yourself and which part(s) you usually subcontract.

 



 

Type of Plant Scope of Work

Client Contract Field Manpower Execution
and and
Location Location Value Price Basis M/Hrs. Average Peak Start Finish

NOTE: Price Basis: indicate LS for Lump Sum; UR for Unit Rate; DW forDayWork

 $

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Complete table, indicating past five and future years, indicating currency.

Year Turnover No. of Permanent Employees

.... x 1,000

Home Office Field

20..
20..
20..
20..
Expected
20..
20..
20..

 %
0
 

If applicable, list names (with locations) of clients with which a ³house contractor´ arrangement is in existence.

$
 

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Indicate permanent staff for Engineering/Design, Procurement, Estimating/Cost/Planning, Construction and the number of permanently employed personnel foreach
craft.

$ 
4


Attach list of equipment owned.

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Attach list indicating number, size, location and capacity ofprefabrication shops, yards, etc.

$ 
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=>

Standard : hours

Actual : hours

Is there any limit to the amount of overtime?

$ $
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Indicate average percentage.

Column L (local) applies to the execution of jobs in your country, columnA applies to jobs abroad.

Description Labor Supervision Equipment Remarks

L A L A L A
Own Resources % % % % % %
Subcontractors % % % % % %
Local Hire % % % % % %
Brokers/Agencies % % % % % %
100% 100% 100% 100% 100% 100%

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"




Name:

Title:

Place:

Date:

Signature: