PQ Form Environment

Contractor Prequalification Summary
SECTION X
ADDITIONAL INFORMATIONS THAT MAY DESCRIBE OR ILLUSTRATE YOUR

CAPABILITIES TO PERFORM THE WORK.
SECTION IX
QUESTIONNAIRE
ANSWER ALL QUESTIONS LISTED BELOW
(USE ADDITIONAL SHEETS IF REQUIRED)
1) Indicate the portion of work you intend to subcontract.
Will you provide Quality Assurance/Quality Control (QA/QC) personnel dedicated for the Project? If
2) No, how do you propose to handle the QA/QC work?
Will you use computers for correspondence, reports, planning, scheduling ? If Yes, indicate the
3) software to be used.
Will you provide a full time Safety Engineer/Officer for the Project? If No, how do you propose to
4) handle the Loss Prevention Requirements?
Indicate the type of personal Protective Equipment/Gears you will provide to each of your
5) personnel at the work site and other basic Safety Equipment to be provided at the work site by
your company.
If required, will your company, itself, perform total engineering and design? If Yes, provide proof of
registration to perform engineering and design work and list of projects carried out within the last
6) five (5) years; and Resume of your engineering and design staff for all disciplines. If No, how do
you propose to get the engineering and design work done?
If required, will your company itself perform the final testing and commissioning? If Yes, indicate
the equipment for which your personnel has been certified by the manufacturers to carry out the
7) final testing and commissioning. If No, how do you propose to get the final testing and
commissioning done?
Does your organization have any environment related membership such as Institute of
8) Environmental management And Assessment (IEMA) Associated. US Envirnmental Protection
Agency (EPA) Associated, others? Please specify.
Does your organization have the appropriate approval (licensed) from the Local authority
9) (Presidency of Methodology and Environment (PMA)) to carry out environment related works in
Saudi Arabia?
Does your organization ever had a contract terminated for any reason either as a main contractor
10)
or subcontractor? Have you ever failed to complete any project? If yes, state reason.
Does your organization have the capability to outsource manpower without diffulty during the
11)
tender stage or when required additional manpower?
SECTION VIII
LIST OF CONTRACTOR'S EQUIPMENT AND TOOLS
Year of Present
Type Capacity Manufacture Quantity Location
Do not revise this Form. Use additional Sheets as necessary.

SECTION VII
CONTRACTOR'S TOTAL SKILLED AND UNSKILLED MANPOWER
Craft Name Nationality Qty. Craft Name Nationality Qty. Craft Name Nationality Qty. Total
SECTION VI
RESUME OF CONTRACTOR'S MANAGEMENT AND SUPERVISORY PERSONNEL

AND SKILLED MANPOWER
Name
Date of Birth
Nationality
Position
Educational Qualifications
Name of School/College/ Year Attended Qualification
University/Institution From To Certificate/Diploma/Degree
Work Experiences (List from current to first)

Name of Company Position From To
1
Brief Job Description :
Name of Company Position From To

2
Brief Job Description :

SECTION V
CONTRACTOR'S TOTAL MANAGEMENT AND SUPERVISORY PERSONNEL AND SKILLED MANPOWER
Highest Experience in Years

Full Name Position Nationality Educational With Your Others
Qualificaction Company Total

SECTION III *(CONTRACTOR should define specifically the Environmental Services as

indicated in the Prequalification Invitation Letter attached which he is interested
to Prequalify for.)
PROFILE OF CONTRACTOR'S ON-GOING PROJECTS
(To be filled for each on-going project listed in Section II)
Contract Number Contract Signed Date

Contract Title Completion Date
Forcasted Completion Date
Client Name Percent Completion to Date
Number of Manpower Assigned for this Project
Representative Name Management
Position Supervisory
Telephone Number Skilled
Type of Contract Unskilled
Contract Value (SR We are Main Contractor Subcontractor
Positions & Names of Management and Supervisory Personnel Assigned for this Project
Position Name Position Name
List of Major Construction Equipment & Machinery Used in this Project
List of Major Materials and Equipment
Name of Contractor Description of Work Subcontracted Value (SR)

SECTION II*(CONTRACTOR should define specifically the Environmental Services as indicated in the
Prequalification Invitation Letter attached which he is interested to Prequalify for.)
LIST OF CONTRACTOR'S ON-GOING PROJECTS
Contract Percent Completion

Contract No. & Client Name Project/Contract Title Contract Completion Value To Date
Signing Date and Brief Description of Work Start Date Date (Saudi Riyals) Percent Value
Do not revise this Form. Use additional Sheets as necessary. Attach completion certificates from the clients.
SECTION IA ( *(CONTRACTOR should define specifically the Environmental Services as

indicated in the Prequalification Invitation Letter attached which he is interested to
Prequalify for.)
LIST OF ENVIRONMENT PROJECTS

COMPLETED DURING THE LAST FIVE (5) YEARS
Client Name, Client's Contract

Contract No. & Representative Name Project/Contract Title Contract Completion Value
Signing Date and Telephone Number and Brief Description of Work Start Date Date (Saudi Riyals)
Do not revise this Form. Use additional Sheets as necessary. Attach completion certificates from the clients.

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Contractor Prequalification Summary

ADDITIONAL INFORMATIONS THAT MAY DESCRIBE OR ILLUSTRATE YOUR

ANSWER ALL QUESTIONS LISTED BELOW

(USE ADDITIONAL SHEETS IF REQUIRED)

1) Indicate the portion of work you intend to subcontract.

LIST OF CONTRACTOR'S EQUIPMENT AND TOOLS

Do not revise this Form. Use additional Sheets as necessary.

CONTRACTOR'S TOTAL SKILLED AND UNSKILLED MANPOWER

RESUME OF CONTRACTOR'S MANAGEMENT AND SUPERVISORY PERSONNEL

Work Experiences (List from current to first)

Brief Job Description :

Name of Company Position From To

Brief Job Description :

Do not revise this Form. Use additional Sheets as necessary.

CONTRACTOR'S TOTAL MANAGEMENT AND SUPERVISORY PERSONNEL AND SKILLED MANPOWER

Highest Experience in Years

Do not revise this Form. Use additional Sheets as necessary.

SECTION III *(CONTRACTOR should define specifically the Environmental Services as

Contract Number Contract Signed Date

List of Major Construction Equipment & Machinery Used in this Project

List of Major Materials and Equipment

Name of Contractor Description of Work Subcontracted Value (SR)

LIST OF CONTRACTOR'S ON-GOING PROJECTS

Contract Percent Completion

SECTION IA ( *(CONTRACTOR should define specifically the Environmental Services as

LIST OF ENVIRONMENT PROJECTS

Client Name, Client's Contract

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