Company Profile and Project Status

Reporting Form
For
Consultant: Design

April 2020
 Contents
1 Profile of the Consultant...........................................................................................................................1
1.1 Legal Information.............................................................................................................................1
1.2 Technical capability..........................................................................................................................1
1.2.1 Experience of the Consultant....................................................................................................1
1.2.2 Professional Capacity of the Consultant...................................................................................2
1.2.3 Resource Capacity of the Consultant........................................................................................3
1.2.4 Financial Performance..............................................................................................................4
1.2.5 Ongoing Projects......................................................................................................................5
2 Project Status Report................................................................................................................................6
2.1 Executive Summary..........................................................................................................................6
2.2 Project Information...........................................................................................................................6
2.2.1 Manpower assigned for this project by the consultant..............................................................8
2.2.2 List of equipment assigned for this project...............................................................................9
2.2.3 Key Issues.................................................................................................................................9
1 Profile of the Consultant
Consultant’s Legal Name: _____________________________________________________
Nationality: _______________________________________________________________
Address
City:
Street:
Website:
Email:
Fax:
P.O. Box:
Tel No.:

1.1 Legal Information

TIN No:
VAT Reg. No:
Tread License Reg. No:
Consultancy License Reg. No:

1.2 Technical capability

1.2.1 Experience of the Consultant
State all projects you have been performing for the past 5 years starting from latest to oldest and
fill all required information in the Table 1 -1 below.
Table 1-1

Name of Percentage Prime Consultant

Value of Period of Client and
project/kind of Works (P) or Sub Final acceptance issued?
Works Contract Place
of works Completed Consultant (S)

A. In Home Country
Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

1
 Name of Percentage Prime Consultant
Value of Period of Client and
project/kind of Works (P) or Sub Final acceptance issued?
Works Contract Place
of works Completed Consultant (S)

B. Abroad
Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

Yes: Not Yet No:

1.2.2 Professional Capacity of the Consultant

State all permanent technical staff of your company in the Table 1 -2 below.
Table 1-2: Manpower list in the company

Positio Nam profession / General Similar PLN or Gross Employme

No n e filed of Experience Experience DLN monthl nt
. specializati for y Agreement
on operato Salary
rs

1                

2                

3                

4                

5                

6                

7                

8                

9                

NB

1) All technical staff in the company have to be recorded

2) If the above table not sufficient; provide copies or inserting row and provided the information you have
3) PLN (professional license number)
4) DLN (Driver License number)

2
1.2.3 Resource Capacity of the Consultant
Table 1-3 List of Office Equipment

No Equipment type Identification. No Production date Capacity

(Name)

 1        
 2        
 3        
 4        
 5        
 6        
 7        
 8        
 9        

Table 1-4 List of Field Equipment and Vehicles

No Equipment type Identification. No Production date Capacity

 1        
 2        
 3        
 4        
 5        
No Vehicle type Plate No. Production date Capacity

 1        
 2        
 3        
 4        
 5        

NB

1) If the above table not sufficient; provide copies or inserting row and provided the information you do not
want to left

1.2.4 Financial Performance

3
Table 1-5: Consultant’s financial information

Year Start 1st 2nd 3rd 4th Year 5thYear (last Total
Year Year Year year)

Money in (1)              
Money out (2)              
Cost of goods              
(3)
Overhead cost              
(4)
Total money out (5)              
3&4
Cash flow              
positive/negative
(6= (1)-(5))
Beginning checking              
Account Balance (7)
Ending Checking              
Account Balance
(8= (7) +(6))

Table 1-6 Consultant compliance

(Birr)
Financial Information
Year 1 Year 2 Year 3 Total Average
Statement of financial position (information from balance sheet)
Total assets (TA)
Total financial liabilities
Total equity/Net worth (NW)
Current assets
Current liabilities
Working capital (WC)
Current Asses/Current
Liabilities
Information from income statement
Total revenue
Earnings before interest,
taxes, depreciation, and
amortization (EBITDA)
Earnings before taxes (EBT)
Cash flow information
Cash flow from operating
activities

1.2.5 Ongoing Projects

List out all ongoing projects being carried out by your company

4
 No Name of the project Client Supervisor

5
2 Project Status Report
2.1 Executive Summary
Summarise the progress of each design project under undertaken by your company separately in not more
than 2 pages. Include a summary of the site visit, study, EIA, public coordination, and progress against the
plan. Highlight major issues and their resolution.
2.2 Project Information
Table 2-7: Project Information

Reporting Period
Project Type: From:
To:

Project Name:
Project Description:
Name of person completing this report: (incl. title
and e-mail address)

Design Contract Data

Table 2-8: Contract Data

Contract Data

Funding

Client

Consultant

Type of Service

Notification of Award

Contract Signing Date

Commencement Date

Original Completion Date

Original Contract Period

Revised Completion Date

Financial Data Local Currency (ETB)

Contract Amount

6
Advance Payments

Payments to date (incl. advance)

Guarantees

Advance Guarantee

Date Received

Expiry Date

Amount (Foreign Currency)

Amount (Local Currency)

7
 2.2.1 Manpower assigned for this project by the consultant

Table 2-9: List of Manpower

No Position Name Field of specialization General Similar Input Gross Employment

Experience Experience month monthly Agreement
Salary
1                
 2                
 3                
 5                
 6

8
2.2.2 List of equipment assigned for this project

Table 2-10: List of equipment

No Equipment type Identification. Production Capacity Average Recorded

No date Productivity while
performing
 1          
 2          
 3          
 4          
 5          
 6          

2.2.3 Key Issues

Identify and summarise key issues that may effect the period of performance or cost of the works contract.
Propose solutions where appropriate. Indicate revised schedule in the following table considering the issues
discussed.

9
Table 2-11: Revised Project Schedule

Project Start Planned End Date:

Date:
Plan Actual %
Major Milestones Status Revised
Date Date Complete

10