CONTRACTOR PREQUALIFICATION FORM

APPENDIX I

Rfx No.

4000045725

CONTRACTOR'S EXPERIENCES ON SIMILAR WORK COMPLETED

Contract No.
And Date
(If applicable)

Name of Client

* Please fill out this form properly.

* Use additional sheets as necessary.

Brief Description of Work

Value (SR)

Completion Date

CONTRACTOR PREQUALIFICATION FORM

APPENDIX II

Rfx No.

4000045725

LIST OF CONTRACTOR'S ON-GOING PROJECTS/CONTRACTS

Contract No.
And Date
(If applicable)

Brief Description
of Work

Name of
Client

Start Date

Completion
Date

Estimated
Value [SR]

Accomplishment to Date
Percent

Value [SR]

* Please fill out this form properly.

* Use additional sheets as necessary.

CONTRACTOR PREQUALIFICATION FORM

APPENDIX III-A

Rfx No.

4000045725

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

Position
A- Management [By Category]

Qualification

Name

Experience [years] with:

Your Co.
Others
SEC

Are all of the above listed proposed manpower employed by your company? Yes

No

Nationality

. If (NO) Explain Below:

InKingdom

Out-ofKingdom

* Please fill out this form properly.

* Use additional sheets as necessary.

CONTRACTOR PREQUALIFICATION FORM

APPENDIX III - B

Rfx No.

4000045725

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

Position
B- Craftsmen [By Category]

Saudi

Other Arabs
In
Out-of
Kingdom

Quantity
U.S. National
U.K. National
In
Out-of
In
Out-of
Kingdom
Kingdom

Are all of the above listed proposed manpower employed by your company? Yes

No

Asian
In
Out-of
Kingdom

. If (NO) Explain Below:

Others [Specify]
In
Out-of
Kingdom

* Please fill out this form properly.

* Use additional sheets as necessary.

CONTRACTOR PREQUALIFICATION FORM

APPENDIX III - C

Rfx No.

4000045725

RESUME OF CONTRACTOR'S MANAGEMENT AND SUPERVISORY PERSONNEL

Name
Date of Birth
Nationality
Position
Educational Qualifications
Name of School/College/
University/Institution

Year Attended
From
To

Qualification
Certificate/Diploma/Degree

Work Experiences (Start from current)

1. Name of Company

Position

From

To

Position

From

To

Brief Job Description :

2. Name of Company
Brief Job Description :

* Please fill out this form properly.

* Use additional sheets as necessary.

CONTRACTOR PREQUALIFICATION FORM

APPENDIX IV

Rfx No.

4000045725

LIST OF CONTRACTOR'S PROPOSED EQUIPMENT AND TOOLS

TO BE UTILIZED FOR THE WORK/PROJECT
Item
No.

Description of Equipment/Tool

Capacity

Quantity
To be
Owned
Leased

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

* Please fill out this form properly.

* Use additional sheets as necessary.

CONTRACTOR PREQUALIFICATION FORM

APPENDIX V

Rfx No.

4000045725

CONTRACTOR'S PROPOSED WORK PLAN

1.

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/National Grid SA 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.
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.

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX V

Rfx No.

2.2

Do you transport your personnel to the Work Site daily from your camp?

2.3

Do you have a material yard near the Work Site?

Material Yard Location: ________________
Total Area: _______ square meter. Fenced?

YES
YES

YES

NO.

NO. If YES, provide the information below:

NO.

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

3.

Subcontracting:
3.1

4000045725

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:

* Please fill out this form properly.

* Use additional sheets as necessary.