waha oil company contractor pre-qualification questionnaire · pdf filewaha oil company...

Waha Oil Company Contractor Pre-Qualification Questionnaire

شركة الواحة للنفط


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Address 4.5 Km, Tripoli Int - Airport Road P.O Box: 395 Tripoli – Libya Tel: + 218 21 3337161

Fax: +218 21 3337169

Rev(0) June 2012

Pre- qualification questionnaire for contractors (please fill in the blanks)

Company name

Date -This Questionnaire was filled in (please “”)

On Waha Oil Co. Request for the updating of Waha Vendors' List

On Waha Oil Co. Request for the inclusion in Waha Oil Co. Bidders' List

Subsequent to Contractor / Supplier's Application.

This pre- qualification questionnaire is intended to collect technical, financial and organizational data on the supplier of services and / or products for the oil and gas industry, for the purpose of evaluating the supplier to be included in the pre – qualified suppliers’ list for Waha Oil Company. Instructions for the data/ information entry:

No. Instruction

1. Detailed information on partners, affiliates, etc shall be specified with appropriate attachments.

2. Sections not applicable should be annotated “N/A”

3. Duplicate if necessary and attach any additional information, data sheets, catalogues, brochures, etc as appropriate.

4. “Company” Means your Company, “Unit” means any departmental / divisional section of your Company

5. For any clarification, please contact Waha Oil Company Pre-qualification Committee on Tel No 00(218) 21-4 811852 Fax No 00(218) 21-4 811852

Persons involved in this Questionnaire compilation Compiler of the questionnaire and authorized contact for follow – up (please fill in the blanks)

Name Unit/ Department

Position

Telephone No.

fax No.

Email



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Fax: +218 21 3337169

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Contents 1. Company General Information .................................................................................................................. 3

1.1- Registration and Authorization........................................................................................................ 3

Company Primary Business Activities: ...................................................................................................... 4

2. Manpower Resources ............................................................................................................................... 4

2.1- Organization structure ....................................................................................................................... 4

2.2-Permanent Staff & Craft ................................................................................................................. 5

3. Financial information ................................................................................................................................. 6

4. Insurance .................................................................................................................................................. 6

5. Relevant Company Experience ................................................................................................................ 6

6. Workload ................................................................................................................................................... 7

Future Projects ....................................................................................................................................... 8

7. Engineering Capability .............................................................................................................................. 8

8. Procurement .............................................................................................................................................. 8

9. Quality Assurance ..................................................................................................................................... 9

10. Project Management Systems ................................................................................................................ 9

11. Health, Safety & Environmental (HSE) ................................................................................................... 9

12. Environmental Compliance ................................................................................................................... 10

13. Professional and Business Standing .................................................................................................... 11

14. Declaration ............................................................................................................................................ 12



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Fax: +218 21 3337169

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1. Company General Information

Company Name Telephone

Registered Office address Fax

Company Origin Mailing address

Legal representatives’ Name e- mail

Telephone Fax

Parent Company/Previous Business Names

Telephone: Fax:

website

Enquiries to be Sent to

Company Registration No Date of Registration

Company type Partnership Public Limited Private Limited Other

Country of registration

Under Present Ownership since:

Names of Owner(s)

Contact for insurance information

1.1- Registration and Authorization

Fully Libyan Company ( if Yes attach details ) . Yes Yes

Foreign Company Officially Registered in Libya (If yes attach details)

Yes No

During the last five years has your organization been in bankruptcy or statutory

reorganization Yes No

During the last five years has your organization been Abandoned work on any contract prior

to it’s’ completion? Yes No

During the last five years has your organization been a defendant in any court action alleging

breach of contract? Yes No

Does your company have any previous experience with Waha oil company Yes No

If Yes, please attach details. Yes No

Does your company have any previous experience in Libya Yes No

If Yes, please attach details. Yes No

If any individual or entity owns legally or beneficially more than thirty percent (30%) of your organization, give name and address of such individual entity.



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Fax: +218 21 3337169

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2. Manpower Resources

2.1- Organization structure (Please fill the following table)

No. Key Position Available Full Name

1. Chairman /CEO Yes No

2. General Manager Yes No

3. Finance Manager Yes No

4. Accounting Manager Yes No

5. Sales Manager Yes No

6. Technical Manager Yes No

7. Operation Manager Yes No

8. Procurement Manager Yes No

9. Quality Manager Yes No

10. Safety Manager Yes No

11. Other Yes No

Please attach the current organization chart of the company (if the company is part of group please provide organization chart indicating the relevant position).

Company Primary Business Activities:

Main Business Activity:

Work normally Subcontracted:

List manufacturers for whom you are a licensed distributor / supplier (please attach copy of license)

1. 2. 3.

4. 5. 6.



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Fax: +218 21 3337169

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2.2-Permanent Staff & Craft Please indicate the core staff and craft that you consider as permanent manpower and include the average years of continuous employment with your company (please add to table as required) Also please indicate which works / disciplines that you would normally subcontract .In addition to the table below, please supply a manpower histogram to reflect permanent manpower resources covering the previous 2 years.

2.3- Please answer the following (Yes / No )

Staff Number of Personnel Total Combined

years of experience Junior Senior Principal Available

Project Management

Engineering

PDDM (Document Control)

Quality

HSE

Project Controls

Procurement

Construction Management & supervisor

Training

Finance

Contracting

IT

Craft

Civil

Mechanical

Electrical

Instrumentation

Others

1

Has any of your personnel ever been employed by Waha Oil Co Company? If Yes, attach details. Yes No

2

Have any of your key personnel been involved in any firm, which has been bankrupt, liquidated or gone into receivership? If Yes, attach details.

Yes No



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Rev(0) June 2012

3. Financial information

Turnover Value

Last year Second year Third year

$ $ $

Has your company met the terms of its banking facilities and loan arrangements during

the past year? If “No” please explain why. Yes No

Has your company met all its obligations to pay creditors and staff during the past

year? If “No” please explain why. Yes No

What is the name and address of your bankers (who could provide a reference)

Bank Name----------------------------- Branch address ------------------------------------ Contact person---------------------------------------

Telephone No-------------------------------------------------- Email--------------------------------------------------------

Please attach the following:

1- Copy of the organizations audited financial statement including cash & Funds flow for the last three years.

2- Written authorization to contact the bank indicated for verification of references. 3- Declaration that no arbitration and /or litigation with client or supplier (s) exist. 4- A statement of your cash flow forecast for the current year and a bank letter outlining the current

cash and credit position.

4. Insurance Please provide details of your current insurance cover for the following :- 1

Employers Liability

Value in USD

2 Public Liability

Value in USD

3 Other (please specify)

Value in USD

5. Relevant Company Experience

Please list up to all Oil & Gas contracts still current or completed in the last three years, under the following headings (substitute your own schedules if you wish and give as much detail as is relevant to undertaking for future opportunities):

Please ensure that under the headings of “type of work” and “value” the description and amount given is that for the

actual Contract scope undertaken by your Company. "Type of work" should indicate whether your Company was performing FEED, EPC, PMC or other functions, and whether your Company was the main contractor, or a sub-

contractor.



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Fax: +218 21 3337169

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Current Contracts/ Projects.

Client/location Type of work Value in

USD Start date Customer contact telephone

Previous Contracts / projects in the last three years

Client/location type of work Value in

USD Customer contact telephone

Preferred Job Cost Range

Minimum Value

Banking References

6. Workload Present a listing that details current Projects (backlog) with information as shown below. Please supply Backlog curves to support the data (if available)

Current Projects:

The following data for projects currently in hand in contractor’s office (only projects of over USD 5 million budget):

Client

Project Type/Location Of Project

Project planned & actual Start Date

Scheduled Completion Date

Installed cost/ approx. value of work performed

Nature of services/work performed

Performed as main or sub-contractor

Management services

Name of Client Representative (may be used for obtaining references)

Telephone / contact details of Client Representative

What percentage of your current workload comprises projects of less than USD 5 million?



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Fax: +218 21 3337169

Rev(0) June 2012

Future Projects

For new projects that can be expected in the near future, please supply projected staffing / craft levels. Please complete the table below

Type of projects Number of Indirect Number of Directs Expected Man-hours

General Contracting

Civil

Mechanical / Piping

Electrical / Instrumentation

Provide an indication, preferably in graphical form, for the next three years and expressed in staff hours per month of:

o current workload

o expected workload

o total productive capacity

o total staff month capacity

7. Engineering Capability Please indicate any Engineering capability that your company has. This should include design, drafting and shop detailing services if applicable. (Please add to table as required)

Engineering Type Design Drafting Shop Detailing

Civil / Structural / Architectural

Piping

Mechanical

Electrical

Instrumentation

Others

8. Procurement

Does your company have any experience with procurement of materials?

Yes No

Does your company have an electronic materials management system?

Yes No

If not then advise what systems are in place within your company to control requisitioning, purchasing, expediting, logistics management, warehousing and material control. Please supply USD value details of procurement that your company has undertaken in the previous 3 years

Year Last year Second year Third year

Total value



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Fax: +218 21 3337169

Rev(0) June 2012

9. Quality Assurance

Is your company certified to ISO 9001? Yes No

If yes, please submit a copy of the Certificate from the certifying institute If not certified, does your company have another Quality Control System?

Yes No

If yes, please provide a short description of this system or attach the relevant documentation.

Name(s) of Company QA Representative(s) Contact details

10. Project Management Systems

Does your company use electronic Planning and Scheduling systems? If yes, state name and type of software

Yes No

Does your company use electronic Cost / Time Control systems? If

yes, state name and type of software Yes No

Does your company use CAD or other drafting systems? If yes, state

name and type of software Yes No

Does your company use electronic Purchasing and Material Control systems? If yes, state name and type of software

Yes No

Does your company use a electronic Document Control system? If

yes, state name and type of software Yes No

Dose the above mentioned systems are to be collaborated on line system base?

Yes No

11. Health, Safety & Environmental (HSE) Does your company have a HSE Mission Statement, vision or Policy document on safety?

Yes No

If yes please attach a copy of the cover and index pages

Does your company have a HSE Program or Safety Management System? If Yes, Please provide a copy of the primary document Table of

Contents

Yes No

Are there Company procedures for storing and handling hazardous substances? If yes, provide details.

Yes No

Does your company have a Safety Orientation Program for new hires?

Yes No

Does your company have a Safety Training Program for Construction Supervision?

Yes No

Does your company hold regular workplace HSE meetings for supervisors?

Yes No

Does your company hold employee ‘toolbox’ HSE meetings on site? Yes No

If yes, at what frequency? Daily

Weekly

Biweekly

Monthly

Does your company conduct HSE pre-task assignment meeting with employees?

Yes No

If yes please attach a copy of notes from a recent pre-task assignment

Does your company conduct workplace HSE inspections? Yes No

If yes, at what frequency? Daily

Weekly

Biweekly

Monthly



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Fax: +218 21 3337169

Rev(0) June 2012

Please list below the requested HSE statistics (as per OSHA definitions) for your company for the last three years in (Libya & worldwide).

Last year Second year Third year

Number of OSHA Recordable Cases

Number of Lost Workdays

Number of Restricted Workdays

Number of Fatalities

Number of Man-Hours Worked

Lost time incident rate per 200,000 man-hours worked

Total recordable incident rate per 200,000 man-hours worked

Number of Vehicle accidents

If you record data in a different format please attach detail

12. Environmental Compliance

During the last five years, has your company/firm received a violation/fine/penalty for non-compliance involving any of the following?

Improper disposal/dumping of hazardous waste or hazardous materials on land or in water.

Yes No

Discharging oil, an oil byproduct, or other hazardous substances to land, water, or air.

Yes No

Release of oil or hazardous waste during transport of hazardous materials and/or hazardous waste.

Yes No

If you answered yes to any of the questions above, please provide an explanation of the circumstances surrounding the violation.

What is your company’s normal ratio of site HSE supervisors to the workforce?

1:50

1:200

1:150

1:100

Other

Please supply of listing of other HSE related training programs that your company implements

Have any notices been served upon your company with respect to Health, Safety or Environmental incidents?

Yes No

Does your company carry out random testing for alcohol and/or drug abuse?

Yes No

Does your company have an equipment Safety Inspection procedure? Yes No

Does your company have a behavioral safety management system in place? If yes please attach a flow chart (or other) detailing this

Yes No

Do your employees / sub-contractors read, write and understand English such that they can perform their job tasks safely without an interpreter?

Yes No

Do you 'Safety Qualify' your sub-contractors? Yes No



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Fax: +218 21 3337169

Rev(0) June 2012

13. Professional and Business Standing Do any of the following apply during last 5 years to your company or to (If any) the Director(s) /Partner(s)/ Proprietor(s) :-

1 Was in a state of bankruptcy, insolvency, compulsory winding up, and receivership or subject to relevant proceedings?

Yes No

2 Has been convicted of criminal offence related to business or professional conduct?

Yes No

3 Has committed an act of grave misconduct in the course of business?

Yes No

4 Has not fulfilled obligations related to payment of taxes?

Yes No

5 Is not in possession of relevant licenses or membership of an appropriate professional body where required by law?

Yes No

6

Would your organization be prepared to offer a bid or performance Bond if required? Yes No

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Has your organization ever had a contract terminated under the terms of the contract? Yes No

8

Has your organization ever been unable to renew a contract for failure to perform to the terms of the original contract

Yes No

If yes to any of the above questions, please attach details.



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Fax: +218 21 3337169

Rev(0) June 2012

14. Declaration I declare that the answers submitted in this supplier questionnaire and any supporting documents are correct. I understand that the information will be used in the evaluation process to assess my organization’s suitability to be invited to tender for the Waha Oil Company’s requirements.

1 Form completed by :

2 Name:

3 Position/Job Title:

4 Date :

5 Telephone No:

6 Signature :

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