standard prequalification questionnaire (consultants...
TRANSCRIPT
Standard Prequalification Questionnaire (Consultants And Contractors)
Pr-qualification Questionnaire
`
Pre-Qualification Questionnaire
Consultants
This is not project specific. Invitation to complete this Questionnaire should not be construed as an order for provision of goods or services nor does it hold KCT liable to place orders in the future.
This questionnaire is required to be completed in its entirety. Supplementary pages may be added if required.
Consultant
Al Khayyat Contracting & Trading (KCT)
Pr-qualification Questionnaire
Page 1 of 18 KCT-IMS-PRO-7002E Rev 0 Dated: 04/02/2013
Note to applicants
1 Please answer all questions.
2 Supplementary pages may be inserted if required.
3 Please retain a copy of your complete submission.
4 Financial data is to be given in USD unless otherwise requested.
Standard pages
1. Title page
2. Notes
3. Structure and Organization
5. Financial statement
8. Joint Venture
9. Resource: Personnel 1
10. Resources: Personnel 2
11. Resources: Equipment and Facilities
12. Experience
14. Additional information
Please list below any additional pages attached to each standard page:
Questionnaire completed by :
Name :
Date :
Position :
Signature
Structure and Organization
1 Name of company:
Registered office Address:
Telephone number:Fax number:
Web address:
Key Contacts:Company Registration No:
P/VP/CEO/MD/GM/Director: Name :
Telephone
Mobile
Technical contact : Name :Title:
Telephone
Mobile
Marketing contact : Name :Title:
Telephone
Mobile
Procurement : Name :Title:
Telephone
Mobile
2 Please complete the attached sheets as appropriate. This information will enable us approach you to express interest in the categories and specialisms of your activities to meet Al Khayat Companies project requirements.
3 Consultants list below and attach copies of any accreditation licenses held or others
Contractors list below and attach copies of all engineering permit licenses and special work licenses held.
4 Name and address of Sister Companies and/or Branch Offices; if relevant; worldwide and
the total number of staff (technical / administrative) in each company / branch.
No.
Company
Contacts
Total No. of Staff
5 Please attach a current organization chart showing the company structure including the positions of directors and key personnel, if relevant.
6 Please attach pie chart showing the distribution of companys work experience for the last
Five (5) years by: sector / discipline (i.e. Commercial, Residential, Hospitality etc.) and by location, if relevant.
7 Please confirm that you hold license to trade in ... License No:_________________ Issued on:__________________.
In case of a foreign entity: provide details of local partnerships, if applicable.
8 Do you havededicated team looking at achieving local authority/ utility approvals?
Financial Statement
1 Capital:
Authorized:
Issued:
2 Annual value of work undertaken for each of the last five years and projected for current year:
Year
Current
QATAR
Others
3 Approximate value (in USD) of work in hand:
4 Please attach copies of the companys previous three years accounts (profit/loss, assets/liabilities) and other financial data that you consider being useful.
List all attachments below:
5 Bankers
Name
Address
6 Auditors
Name
Address
7 Insurance Details
Covered
Limit of Cover
Renewal Date
Copy Received
Employers Liability
YES / NO
Public Liability
YES / NO
Contractors All Risk
YES / NO
Professional Indemnity
YES / NO
Employers Liability Insurance
Name & Address of Insurers
Policy No
Expiry or Renewal date of Policy
Limit of Indemnity USD any one occurrence/unlimited in the period of insurance
Policy Excess USD
Does the policy cover operators of Hired in Plant and Labour Only Sub Contractors
YES / NO
Is there a General Indemnity to Principals clause
YES / NO
If Yes, is this general or named?
Please provide details of any restrictions or exclusions to cover (if none, state none)
Public & Products Liability Insurance
Name & Address of Insurers
Policy No
Expiry or Renewal date of Policy
Limit of Indemnity USD any one occurrence/unlimited in the period of insurance
Policy Excesses USD
Details of any inner or aggregate limits (if none, please state none)
Details of any restrictions or exclusions (if none, please state none)
Does the policy cover Contractual Liability:
YES / NO
Is there a General Indemnity to Principals clause?
YES / NO
If Yes, is this general or named?
Does the policy cover the acts of Hired In Plant operators and your Sub-Contractors, Agents or Other Servants
YES / NO
Does the policy cover
i
Fire & Explosion Risks
YES / NO
ii
Subsidence, Collapse, Vibration, Weakening or the Removal of Supports
YES / NO
iii
Damage or Injury to property or persons caused by any Defect in your work/materials
YES / NO
Contractors All Risks Insurance
Name & Address of Insurers
Policy No
Expiry or Renewal date of policy
Policy Excesses USD
Limit any one Loss USD
Maximum value any one contract USD
Maintenance period cover (months)
Does the policy cover the works, temporary works, plant, hired in plant, plant under your supervision and /or control, materials for use in connection therewith, site huts, temporary buildings and contents thereof owned by you for whom you are responsible?
YES / NO
Does the policy cover contractual liability?
YES / NO
Professional Indemnity Insurance
Name & Address of Insurers
Policy No
Expiry or Renewal date of policy
Limit of Indemnity USD in the aggregate or any one loss
Policy Excesses USD
Details of any restrictions or exclusions (if none, please state none)
Sub-Contractors: YES / NO
Is there a General Indemnity to Principals clause applying?
YES / NO
If yes, is it general or named?
Declaration This must be signed by the Insurance Broker &/Or Insurer
We undertake to inform KCT of any alterations, non-removal or cancellation, which may restrict the terms and conditions, declared above and to indemnify KCT for any Non-disclosure whether unintentional or not. Furthermore, we agree to produce, upon reasonable demand a copy of our Clients insurance policy documents and premium receipts when so required but understand that there is no obligation on KCT to inspect such documents. The Contractor agrees that all Incidents, which result in potential claims, must be fully reported to KCT. Failure to complete this form will result in non-payment of your account and KCT through their representatives KCT reserve the right to levy a premium or cancel their order if your insurance policies do not meet with the specified minimum stated within our order. This questionnaire forms part of the contract between the undersigned and KCT.
Signed
Print Name
For and on behalf of
Are all premiums paid to-date
YES / NO
Date
Joint Venture
Has the company entered into joint ventures for projects of a similar nature to Al Khayat Companiess products that your company has been involved in? If so, please provide the following information.
1 Names and addresses of joint venture partners:
2 Name of company leading the joint venture:
3 Name and address of bankers to the joint venture:
4 Copy of the JV Agreement:
Resource: Personnel 1
1 Number of staff:
Technical:
Administrative:
2 Please list present executive directors:
Name
Present position
Years of experience with the company
Resources: Personnel 2
List information about other key personnel below and provide their curriculum vitae.
Name:
Present position:
Years of experience- with the company:
- in the relative profession:
Major works for which responsible (type and value):
Name:
Present position:
Years of experience- with the company:
- in the relative profession:
Major works for which responsible (type and value):
Name:
Present position:
Years of experience- with the company:
- in construction:
Major works for which responsible (type and value):
Resources: Equipment and facilities
Please indicate the equipment and facilities considered by the company to be necessary for undertaking the works to meet Al Khayat Companiess requirements and whether this is already in the companys ownership or will be purchased or hired. Is there a Preventative Maintenance Plan in place for all key equipment listed?
IT Resources
1. What is the standard minimum IT feed you provide to your offices / site office
1. Have you used Document management systems e.g. CT Space, Expedition
Experience:
1 For Consultant: Number of years experience -in own country:
- internationally:
For Contractor:
(a) Number of years experience as a general contractor - in own country:
- internationally:
(b) Number of years experience as a subcontractor - in own country:
- internationally:
(c) Number of years experience as a design contractor - in own country:
- internationally:
2 Industry sectors served:
Sector
% of Turnover
3 Key customers
Customer Name
% of Turnover
4 Key markets
Market
% of Turnover
MOROCCO
QATAR
UK /Europe
USA North & South
Asia
Other
5 Previous experience on Al Khayat Companies projects
6 Al Khayyat Companies currently runs projects in The GCC and North Africa. Please confirm if you have the experience / ability to operate in these countries:
Country
Operations give size of infrastructure / resources
Experience give number of years
Bahrain
Dubai
Morocco
Oman
Qatar
Saudi Arabia
Tunisia
Other (name)
7 Summary of experience in which countries.
8 Project Experience
Details of projects involved in currently and over the previous 5 years
No
Project
Contract Type
Involvement
Value
USD
Client
Contractor
Country
Status
8 Name and address of 2 Clients from who references can be sought for projects of a similar nature to Al Khayyat Companies products that your company has been involved in (which make up more than 40% of business). We will contact the customer directly to complete the Client Satisfaction Evaluation.
No.
Project
Client
Contact
Person
Tel No.
Additional Information
1. Quality Systems
1
Do you operate a quality system?
YES / NO
2
Does your quality system comply with a recognized standard?
If YES, please state standard applicable:
YES / NO
3
Is your system registered with a third party assessor?
If YES, please enclose a copy of your registration certificate.
YES / NO
4
Please provide name, qualifications and work experience of your quality manager or person responsible for the management of quality systems:
If your response to questions 1 3 is NO, please answer questions 5 - 9
5
Do you have a procedure for inspecting and testing?
YES / NO
6
Do you keep records of test results?
YES / NO
7
Do you prepare quality plans / method statements for the work you carry out?
YES / NO
8
Do you analyze Non-conformances and take corrective actions?
YES / NO
9
Would you object to our quality manager visiting your premises / workplace?
YES / NO
Please supply any further information that you may consider relevant to the quality of your product or work.
Name of Contractor
Signed
Print Name
Position
Date
Approved (For WECSL)
Signed
Print Name
Date
Compliance Manager
Commercial Manager
Contracts Manager
2. Health & Safety
Copy Provided?
Does your company hold a CIS Card?
YES / NO
Type (i.e. 4,5,6)
Do you have a current Health & Safety Policy? (Copy to be provided)
YES / NO
Do you have the Organization / arrangements in place for implementing your Health & Safety policies? (Provide Details)
YES / NO
Provide an Outline of your Organization Structure regarding Health & Safety responsibilities (e.g. Directors through to Site Supervisors)
Does each Member of your Organization understand their Responsibilities under CDM?
YES / NO
In particular are they aware of the Principal Contractor and Contractor Interface?
YES / NO
If you carry out Design Work, are you aware of your Responsibilities under Regulation 13 for Design Risk Assessment?
YES / NO / NA
What arrangements do you have for providing information to the Principle Contractor under Regulation 19 (1b)?
What arrangements do you have for reporting accidents on site to the Principle Contractor under Regulation 19 (1e)?
Do you provide Health & Safety training?
YES / NO
Give details of any Health & Safety training carried out in the past 3 years:
Please provide the following SAFETY Information relating to the past 3 YEARS
Year 1
Year 2
Year 3
Number of Prohibition Notices:
Number of Improvement Notices:
Other HSE Enforcement Notices:
Prosecutions for Health And Safety:
Fatalities:
RIDDOR Major Injuries:
RIDDOR Over 3 Day Injuries:
RIDDOR Reportable Diseases:
RIDDOR Dangerous Occurrence:
Provide Names and Qualifications of Internal and / or External Safety Advisors:
Does your Company carry out Accident / Incident Investigation:
YES / NO
Are Investigation Report recommendations and Lessons Learnt communicated to your Workforce:
YES / NO
How is Information Disseminated e.g. Tool-Box Talks, Literature, Posters etc:
Do you Provide and Archive Accident Books:
YES / NO
Are you a Member of any Industry Accredited Organizations:
YES / NO
STATE:
How many First Aiders or HS Appointed Persons do you have in your Organization:
First Aiders:
Appointed Persons:
Do you provide appropriate First Aid Facilities and Supplies:
YES / NO
Do you Undertake and Understand the Importance of Carrying Out Risk Assessments:
YES / NO
Do you use Generic Risk Assessments:
YES / NO
Do you Provide Site Specific Method Statements, where required, prior to Commencing Work:
YES / NO
How are Risk Assessments and Method Statements Communicated to those Involved / Affected:
Have you been Issued with the WECSL Contractor Compliance Manual and are you Prepared to Comply with the Processes and Procedures:
YES / NO
Received Date:
Received By:
Do you provide PPE to your Employees Free of Charge:
YES / NO
Do you Carry Out Suitability Assessment For PPE:
YES / NO
Do you replace PPE when appropriate:
YES / NO
Do you provide suitable Storage for PPE:
YES / NO
Are you aware of the WECSL Mandatory PPE Requirements:
YES / NO
Are any of your Management Systems Accredited:
YES / NO
State :
Have you ever undertaken COSHH Assessments:
YES / NO
How are the Results Communicated to your Workforce:
Do you have Systems in place for Maintenance of Plant, Tools and Equipment:
Describe:
3. The Environment
1.
Does your company have an Environmental Policy? Please provide.
YES / NO
2.
Does your company comply to local and international environmental regulations
YES / NO
3.
How does your company reduce its global ecological/carbon footprint (at corporate and project levels)?
YES / NO
4.
How does the Company go about reducing its impact on natural resources (water, air, materials)?
YES / NO
5.
Does the Company have a Recycling Policy? How is it implemented?
YES / NO
6.
How does the Company reduce the amount of waste they send to landfill?
YES / NO
7.
How does the Company consider extreme natural conditions (floods, earthquakes, etc.) with respect to its projects?
YES / NO
8.
How does the Company consider preserving natural hab9itat and biodiversity in its projects?
YES / NO
9.
Is the Company familiar with ways to reduce pollution to land and water bodies? Do they implement strategies to reduce risk of contamination (spills, etc)?
YES / NO
10.
Does the company have experience in carrying out environmental monitoring/sampling (air, water, noise) on their project sites? Give examples.
YES / NO
11
Provide an Outline of your Organization Structure regarding Environmental responsibilities e.g. Directors through to Site Supervisors)
12
Do you provide Environmental Training
YES / NO
13
Give details of Environmental Training carried out in the past 3 years
4. Companys history of litigation or arbitration from contracts executed in the last six years or currently under execution. Please indicate for each case year, name of employer, cause of litigation, matter in dispute, disputed amount and whether the award was for or against the company.
5. If your company has been approached regarding the supply of equipment and plant; please indicate what leasing arrangements, rather than outright sale, your company can provide.
6. Please provide your long term strategy and forward business plan.
7. Please describe your company communication strategy with your customers, internal stakeholders and suppliers.
8. Please add any further information that you consider is relevant to the evaluation of your application for pre-qualification. If you wish to attach other documents please list below.
Page 2 of 18 KCT-IMS-PRO-7002E Rev 0
Copy of Categories -
Consultants -Specialisms (5).xlsx
Sheet1CategoryCommercialEnvironmental / SustainabilityHeritage DevelopmentHigh RiseHospital/Health CareHotelsIndustrialInfrastructureInstitutionalInteriorLandscaping Master PlanningtMixed UseRecreationResidentialResortsRetailSPA & Health ClubTransportationOthers - please specifyGeneralMaster Planning & Infrastructure Design Architect Consultant, Main Consultant (Engineer / Architect of Record)Environmental ConsaultantCost ConsultantInterior Design Consultant
SpecialismsAcoustic ConsultantAudio Visual & Specialist ELV SystemBuilding Technology ConsultantCladding ConsultantCommissioning SpecialistEnergy Management AnalysisEntertainment ConsultantFaade SpecialistFacilities Management Fire & Life Safety & Fire Fighting & Fire Alarm SystemFire & SafetyGeotechnical ConsultantIT/Smart HomesKitchen ConsultantLandscape ConsultantLaundry ConsultantLighting ConsultantMEP Specialist ConsultantModel MakersRobotic Car Parking Design/ BuildSecurity ConsultantSignage/ Way Finding ConsultantStructural SpecialistTopographic SurveyingTraffic AnalysisTraffic Impact ConsultantVertical Transportation StudyWaste ManagementWater Design ConsultantWind Tunnel TestingOthers - please specify
Copy of Categories -
Contractors -Specialisms (6).xlsx
Sheet1CategoryCommercialEnvironmental / SustainabilityHeritage DevelopmentHigh RiseHospital/Health CareHotelsIndustrialInfrastructureInstitutionalInteriorLandscaping Master PlanningtMixed UseRecreationResidentialResortsRetailSPA & Health ClubTransportationOthers - please specifyGeneralContractorMEP Contractor
SpecialismsDemolition ContractorDredging ContractorInterior (Fit-out) ContractorLandscape ContractorPiling / FoundationMarine ContractingGeotechnical Design & BuildTemporary WorksFaade SpecialistElectirical / Light SpecialistAudio Visual / ELV Specialis Site Security ContractorOthers - please specify