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Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Prequalification Form
(Contractors)
Legal Name : …………………………………………
Category :
A- Electric Contractors for General Electric Works
B- Electric Contractors for Electric Power Works
C- Electric Contractors for Light Current Works
D- Mechanical Contractors for General Mechanical Works
E- -Mechanical Contractors for HVAC Works
F- Mechanical Contractors for Firefighting & Plumbing
works / “Fire Alarm works “.
For CIB use only :
Ref.: …………………………………………
Category: …………………………………………
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Table of Contents
1. Introduction
2.Instructions to Applicants
3. General Requirements
3.1 General information
3.2 Registration in (EFCBC)
4. Managerial Requirements
4.1 Company Organization Chart
4.2 Human Resources
4.3 Company Profile
4.4 Financial
4.5 Quality , Health & Safety Management system
5. Technical Requirements
5.1 Experience With CIB Projects in the past 5 years
5.2 Experience With other Banks Projects in the past 5 years
5.3 Experience With other Fit-Out Projects in the past 5 years
5.4 Experience With Administrative / Commercial Projects in the
past 5 years
6. Declaration
7. Consultant’s Statement
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
1. Introduction
COMMERCIAL INTERNATIONAL BANK , EGYPT (CIB) aim to establish a new Electro
– Mechanical Consultants / Contractors registry for the years 2015 & 2016 for the
banks’ construction & renovation projects and repair works.
CIB is seeking well known and efficient Contractors whom are able and qualified to
produce a high quality construction services that meet CIB expectations.
Hereby, CIB is inviting local Electro-Mechanical Contractors to submit their profiles and
fill in this qualification form to include their experience in execution of all the following l
Electro-Mechanical tasks which include construction fields :
1- Electric Power works which includes Cabling , Lighting , sockets ,
transformers , generators , earthing works.
2- Light Current systems which includes CCTV , Access control , sound
system , Data system , fire alarm system , T.V systems & Telephone
systems.
3- HVAC Works.
4- Firefighting & Plumbing .
5- Applying of Quality Control systems .
6- Applying of Health & Safety procedures.
The selected contractor will be responsible for the coordination and synchronization of
the works of the Sub- Contractors for the Electro-Mechanical works.
It is expected that the Pre-Qualifications forms will be complete and sufficient. However
, CIB reserves the right to obtain subsequent clarifying statements of information from
the participating Contractors
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
2. Instructions to Applicants
1. The invited Contractors should completely fill all the requested information
included in the Prequalification form .
2. The data Provided by the Contractors should be listed in the same order as
requested in the prequalification form.
3. The Prequalification form should be stamped and signed by a legally
authorized representative of the Contracting Firm.
4. Contractors should ensure that all the information provided is correct ,
readable with full clarification (if needed).
5. Attachments could be added to any page where more space is required .
6. Invited Contractors should support their provided information by copies of
the relevant documents and references e.g. letter of awards , certificates
…etc.
7. Applicants should deliver a sealed envelope marked “CIB Electro –
Mechanical CONTRACTORS Prequalification form no later than ………….
2014 to the following address :
Commercial International Bank (CIB)
Tender & Contracting Department
17 Tiba St. , Behind El-Seid Club , Mohandseen , Cairo.
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
3. General Requirements
3.1 General Information :
Please fill in the following Table:
Company Information
SR. ITEM Remarks
1. Company Name
2. Address
3. Tel.
4. Fax
5. E-mail
6. Web Site
7. Chairman/ Managing Director
Name
Mobile
8. Contact Person
Name
Title
Mobile
9. Trade License no.
10. Tax Card No. no.
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
3.2 Registration in the Egyptian Federation in the Construction &
Building Contractors :
Please fill in the following Table:
Registration in the:
Egyptian Federation in the Construction & Building Contractors (EFCBC)
1. No.
2. Rating in the Electro-
Mechanical works
Please provide the certificate within the envelope “
Appendix A”
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
4. Managerial Requirements
4.1 Company Organization Chart
Please provide the Company Organization Chart “ Appendix B”
4.2 Human Resources
4.2.1 Please fill in the following Table:
1 Company Type Corporation
Partnership
Proprietorship
Joint Venture
Others
2 Number of Staff Technical
Administrative
Total
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
4.2.2 Please list the details for Engineers with Bank Fitting – Out Experience
(3 Projects at least) in the following table:
Project Name Client Contractor Year Scope of Services Value of
Project
(EGP) Design Construction
Supervision
Construction
Management
Engineer Name :
Engineer Name :
Engineer Name :
Please provide the CVs for all listed names “Appendix C ”
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
4.3 Company Profile
Please provide the Company corporate profile “Appendix D ”
4.4 Financial
4.4.1 Please Provide the total annual value in the last 3 years for Banks
projects in the following table:
Year Value / EGP
2014 /2013
2013 /2012
2012 /2011
4.4.2 Please Provide the total annual value in the last 3 years for Fit-Out
Projects in the following table:
Year Value / EGP
2014 /2013
2013 /2012
2012 /2011
4.5 Quality , Health & Safety Management system
1. Please provide a copy of your quality policy statement and/or Quality
Manual & procedures . “Appendix E”
2. Please provide a copy of your Health & safety plan / Manual &
procedures . “Appendix F”
3. Please provide a copy of any of the management system meeting the
requirements of the ISO 9000 series of standards. “Appendix G”
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
5. Technical Requirements
5.1 Experience with CIB Projects in the past 5 years
It is mandatory to attach the relevant documents to each project
e.g. letters of award , certificates …etc. (Appendix H)
Project Name Consultants
Value of
Work /
EGP
Scope of services
Start
Date
Finish
Date Remarks
Total value of works = (EGP)
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
5.2 Experience with other Banks Projects in the past 5 years
It is mandatory to attach the relevant documents to each project
e.g. letters of award , certificates …etc. (Appendix I)
Project Name Client /
Consultant
Value of
Work /
EGP
Scope of services Start
Date
Finish
Date Remarks
Total value of works = (EGP)
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
5.3 Experience with other Fit-Out Projects in the past 5 years
It is mandatory to attach the relevant documents to each project
e.g. letters of award , certificates …etc. (Appendix J)
Project Name Client /
Consultant
Value of
Work /
EGP
Scope of services Start
Date
Finish
Date Remarks
Design CS CM
Total value of works = (EGP)
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
5.4 Experience with Administrative / Commercial Projects in the
past 5 years
It is mandatory to attach the relevant documents to each project
e.g. letters of award , certificates …etc. (Appendix K)
Ser./ Project Name Client /
Consultant
Value of
Work /
EGP
Scope of services Start
Date
Finish
Date Remarks
Design CS CM
Total value of works = (EGP)
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
6. Declaration
We hereby confirm that the above information is correct and that we
have no objection to any of our previous employers / suppliers being
contacted in connection with our trade standing or credit worthiness.
Name :
Signature :
Position :
Date :
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
7. Contractor’s Statement “ to be written on Consultant' s
letter head “
It is understood and agreed upon that the information submitted is to be used by Commercial International Bank (CIB) in determining, -according to their sole judgment and discretion- the qualifications of prospective Contractors to perform works as described above. In consideration of being permitted to submit his qualifications as a prospective contractor for review, the undersigned waives any claim against CIB that might arise with respect to decision as to prospective contractor's qualifications. It is understood that the decision of the CIB with respect to the qualifications of any prospective contractor is final and not subject to appeal of any kind.
A prospective Contractor will not be considered qualified by the CIB unless he possesses high reputation, ability, experience, and Project funding guarantees sufficient in the judgment by the CIB to render it probable that he can satisfactorily execute the works, should it be awarded to him, and meet his obligations therein incurred.
The signing by the undersigned of his attached form in duplicate guarantees as evidenced by the sworn affidavit required herein, the truth and accuracy of all statements and of all answers to the interrogatories hereinafter made.
The undersigned hereby authorize(s) and request(s) any public official engineer, architect, surety company, bank, depository, material or equipment manufacturer or distributor or any other person, firm or corporation to furnish any pertinent information, requested by the CIB deemed necessary to verify the information and assurances provided by the undersigned herein, or regarding his competence and general reputation.
The undersigned understood and agrees that further qualifying information may be requested, and agrees to furnish, any such information at the request of the CIB. Failure to complete this form adequately may result in disqualification.
Dated at……………………………………..this day of
(NAME OF ORGANIZATION)
Signed by: ……………………………………..
Title: …………………………………………..
Stamp: …………………
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix A “Registration certificate in the Egyptian
Federation for Construction & Building Constructions
(EFCBC) “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix B “ Company Organization Chart “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix C “ Engineers CVs “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix D “ Company Corporate Profile “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix E “ Company quality policy statement and/or
Quality Manual & procedures “
.
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix F “ Company Health & safety plan / Manual &
procedures “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix G “ Company management system meeting the
requirements of the ISO 9000 series of standards “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix H “ Relevant documents to Previous CIB
projects e.g. letters of award , certificates …etc. “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix I “ Relevant documents to Previous other
banks projects e.g. letters of award , certificates …etc. “
Prequalification Form (Contractors)
CIB Electro‐Mechanical 2015/2016 Registry
Appendix J “ Relevant documents to Previous Fit-Out
projects e.g. letters of award , certificates …etc. “