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CONTRACTOR PREQUALIFICATION SUMMARY

DATE PREPARED: 22/01/2015 TO BE SUBMITTED ON: 16/02/2015

Contract Number : 4000052594

Contract Title : CONSTRUCTION OF NATIONAL GRID

SERVICES CENTER AT SKAKKAH

Bidding Period :

Contract Duration :

Contractor’s Name :

Address :

Telephone No.(s). :

Fax No. :

E-Mail Address :

Website Address :

Commercial Registration No. :

Place of issue :

Date of issue :

Contractor Classification : Minimum grade Required for this Contract - Not Applicable

Field of Classification :

Grade : Validity/Expiry Date :

Is your Company already registered with Saudi Electricity Company? YES NO

If YES, indicate your Contractor Number here

and then provide the following information :

If NO, please visit our website www.se.com.sa for registration, and submit along with (2014) Audited Financial Statement including Balance Sheet, Income Statement and Auditor’s Comments.

Validity /Expiry DatePreviouslySubmitted

Copy Attached

1. Classification Certificate Appendix V

2. Zakah Certificate Appendix VI

3. Chamber of Commerce Certificate Appendix VII

4. Social Insurance Certificate Appendix VIII

5. Valid Certificate from Labor Office attesting to adherence of Contractor to official Saudization percentage.

Appendix VIX

- 1 -Replaces: June 2007April 2009

** Denotes Addition* Denotes ChangeCD 009B (CR)

**

**

*

http://www.se.com.sa/

I. SCOPE OF WORK SUMMARY ( Please see attached)

II. CONTRACTOR'S PREQUALIFICATION DOCUMENTS

Your prequalification documents shall also contain the following information:

a) Appendix I. A complete list of similar work you have completed. (Please use the attached format). Attach a "Completion Certificate" from your client to prove that you have completed the work/project you have listed. Any experience listed but not accompanied with such certificate will not be considered.

b] Appendix II A complete list of all your on-going projects or contracts. (Please use the attached format). Attach a certificate from the client to prove that you are currently performing the work you have listed. Any project or contract listed but not accompanied with such certificate will not be considered.

c] Appendix III A complete list of your proposed manpower to be utilized specifically for the Work. Indicate whether or not the proposed personnel are In-Kingdom. Provide a Resume of the proposed Key personnel. (Please use the attached format).

d] Appendix IV An Organization Chart showing your present overall organization and functional groups. The Chart should show lines of authority and communication.

e] Appendix V A complete list of proposed equipment and tools to be utilized specifically for the work/project. Indicate whether or not the proposed equipment/tool is owned by your Company or to be leased. (Please use the attached format).

f] Appendix VI Proposed Work Plan. Provide a description of how you plan to perform the work/project. The proposed plan should mention about mobilization, accommodation of your personnel, work schedule, etc. (Please use the attached format).

g] Appendix VII Understanding about the Scope of Work. Provide a description of your understanding about the Scope of Work.

h] Appendix VIII Audited Financial Statement. Provide a copy of your current (2014 ) audited Financial Statement (Income Statement and Balance Sheet including the auditors comments), if no yet submitted to the Saudi Electricity Company.

Important: Non-availability of audited Financial Statement during the prequalification stage may cause disqualification of your Company for the particular contract.

i] Appendix IX Additional Information. Provide any additional information that describe or demonstrate your capabilities to undertake the work/project.

Submit all your prequalification documents in an appropriate folder/binder in the same sequence as listed above. Failure to submit any of the required information may cause the Saudi Electricity Company not to invite your Company to submit a proposal or bid for the particular contract.

- 2 -Replaces: July 2003June 2007


III. QUESTIONNAIRE (ADDITIONAL INFORMATION)

*

*

1) Do you own or share in the ownership of another establishment that intends to participate in this bid? If the answer is (yes) that is considered as a conflict of interest, which is not permitted under Company regulations. Therefore, please take this into account when submitting the bid and limit participation to one establishment only.

IV. INQUIRIES AND SUBMISSION

All inquiries and questions regarding this Contractor Prequalification Summary form shall be addressed only to Contracting Department, Attention, Mr. FERAS A. AL-SHAIKH HUSSAIN , Contract Representative who could be contacted at telephone number 013 8586249 , Fax Number 013 8586249 and E-Mail [email protected] .

The completed Contractor Prequalification Summary form shall be submitted to the Contracting Department Receptionist, Saudi Electricity Company, Eastern Operating Area in a sealed envelope clearly marked as follows:

From :

(Name of Company)

To : The Manager Contracting Department - Eastern Operating Area Operating Area Saudi Electricity Company Attention : FERAS A. AL-SHAIKH HUSSAIN

Contract Representative

Subject : Prequalification for Contract No. : 4000052594

Title : CONSTRUCTION OF NATIONAL GRID

SERVICES CENTER AT SKAKKAH

V. AUTHORIZED SIGNATURE

We certify that all the information provided in Attachments/Sections listed above are true and correct and we fully understand that any information found to be incorrect or incomplete could result in the disqualification of our company in participating in this contractor.

Contractor Name : CONTRACTOR SEAL

Authorized Signature

Name :

Position :

- 3 -Replaces: June 2007July 2009


CONTRACTOR PREQUALIFICATION SUMMARY RFX NO. 4000052594 APPENDIX I

CONTRACTOR'S EXPERIENCES ON SIMILAR WORK

Contract No.And Date

(If applicable)Name of Client Brief Description of

WorkValue (SR) Completion Date

* Please fill out this form properly. * Use additional sheets as necessary.

- 4 -Replaces: September 1987June 2007


CONTRACTOR PREQUALIFICATION SUMMARY RFX NO.4000052594APPENDIX II

LIST OF CONTRACTOR'S ON-GOING PROJECTS/CONTRACTS

Contract No. and Date Brief Description

of WorkName of

ClientStart Date

Completion Date

Estimated Value [SR]

Accomplishment to Date

[If Applicable] Percent Value [SR]




CONTRACTOR PREQUALIFICATION SUMMARY RFX NO. 4000052594

APPENDIX III - A

LIST OF CONTRACTOR'S PROPOSED KEY PERSONNEL TO BE UTILIZED SPECIFICALLY FOR THE WORK

PositionQualification Name

Experience [years] with:Nationality

In-

Kingdom

Out-of-

KingdomA- Management [By Category] Your Co. Others SEC

Are all of the above listed proposed manpower employed by your company? Yes No . If (NO) Explain Below:




CONTRACTOR PREQUALIFICATION SUMMARY RFX NO. 4000052594 APPENDIX III - A

LIST OF CONTRACTOR'S PROPOSED KEY PERSONNEL TO BE UTILIZED SPECIFICALLY FOR THE WORK

PositionQ u a n t i t y

Saudi

Other Arabs U.S. National U.K. National AsianOthers

[Specify]

B- Craftsment [By Category]In Out-of In Out-of In Out-of In Out-of In Out-of

Kingdom Kingdom Kingdom Kingdom Kingdom

Are all of the above listed proposed manpower employed by your company? Yes No . If (NO) Explain Below:




CONTRACTOR PREQUALIFICATION SUMMARY RFX NO. 4000052594 APPENDIX III - B

RESUME OF CONTRACTOR'S MANAGEMENT AND SUPERVISORY PERSONNEL

Name Date of

Birth Nationalit

y

Position

Educational Qualifications

Name of School/College/ Year Attended Qualification

University/Institution From To Certificate/Diploma/Degree

Work Experiences (Start from current)

1. Name of Company Position From To

Brief Job Description :

2. Name of Company Position From To

Brief Job Description :




CONTRACTOR PREQUALIFICATION SUMMARY RFX NO. 4000052594 APPENDIX V

LIST OF CONTRACTOR'S PROPOSED EQUIPMENT AND TOOLSTO BE UTILIZED FOR THE WORK/PROJECT

Item No.

Desciption of Equipment/Tool CapacityQuantity

OwnedTo be

Leased

Do not list all equipment your company have. List only those equipment and tools that you intend to use and are readily available for the work/project.




CONTRACTOR PREQUALIFICATION SUMMARY RFX NO. 4000052594

*

APPENDIX VI

CONTRACTOR'S PROPOSED WORK PLAN1. Mobilization

1.1 Proposed period of complete mobilization from the effective date of the contract and ready to start the work : Days.

1.2 Proposed number of manpower to be mobilized :

1.3 Can you mobilize all your proposed equipment and tools on time to start the work? YES NO. If, NO, describe your equipment mobilization plan below.

1.4 Do you plan to request assistance from the Saudi Electricity Company for Visas of any of your proposed manpower? YES NO. If YES, indicate below your reason[s] and list down the category and number of personnel you intend to recruit.

Reason[s]:

Category of Personnel to be Recruited Quantity

1.

2.

3.

4.

5.




CONTRACTOR PREQUALIFICATION SUMMARY RFX NO. 4000052594 APPENDIX VI

2. Transportation and Accommodation

2.1 Do you have camp(s) facilities near the Work Site to accommodate your proposed manpower? YES NO. If, YES, provide the information below.

Camp[s] Location: Capacity[No. of Persons]

If NO, where is/are your camp[s] located? Describe your plan below.

2.2 Do you transport your personnel to the Work Site daily from your camp? YES NO.2.3 Do you have a material yard near the Work Site? YES NO. If YES, provide the information below.

Material Yard Location: Total Area: square meter. Fenced? YES NO.

If you have no Material Yard near the Work Site, describe your plan below.

3. Subcontracting

3.1 Do you plan to subcontract any portion of the Work if you become the successful bidder? YES NO. If, YES, provide the information below [for each proposed subcontractor].

1- Name of Proposed Subcontractor: 2- Address: 3- Commercial Registration Number:

4- Portion of the Work to be Subcontracted:

4. Work Schedule.




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Documents

attached format

valid certificate

completion certificate

g appendix viiunderstanding

b appendix iia complete

proposed personnel

proposed plan

c appendix iiia complete