ATTACHMENT 1 TO FORM 1

QUALIFICATION ASSESSMENT QUESTIONNAIRE

BIDDER shall fill in the table below. It is required to give as much details as possible. In case it is required
to provide any document and/or BIDDER makes a reference to any document in its answer, such
document shall be attached hereto.

BIDDER shall include references to specific page in the bid where relevant documents or info are
provided.

# Minimum Criterion Question Bidder’s answer

qualification
criteria
1 Export of products / Are your products / services typically subject N/A
services. to export restrictions?
2 Presence of the products / Are your products / services in petroleum
services in petroleum industry approved vendor list?
industry approved vendor
list.
3 Availability of e- Do you have e-commerce/web
commerce/web capabilities/computerized management
capabilities/computerized system?
management system.
4 Availability of in-house Do you have in-house research and N/A
research and development. development?

5 How many years have you When was your company incorporated?
operated in Iraq?
Please provide the Registration Certificate and
Articles of Incorporation.

6 Non-objection Letter Do you have a valid letter from the General

Commission for Taxes of the Ministry of
Finance clearly stating that your company has
V the right to participate in tenders?

Please provide a copy.

7 ISO 9001 certification Do you have ISO 9001 certification or

equivalent for your management and HSE
system?

Provide scan copies of the relevant

documentation

8 Experience in provision of What is your experience in provision of civil

civil construction construction equipment in Iraq? (see
equipment description in Article 2.1 of Schedule A to the
draft Contract)

V Provide a table with a brief description of the

contracts for provision of civil construction
equipment you had/have, specifying the year,
the client, scope of work and a rough total
value. Provide copies of contracts for provision
of civil construction equipment that you include
in this table.

9 Experience in construction What is your experience in construction and/or

and/or repair of roads in repair of roads in Iraq (see description in Article
Iraq 2.3 of Schedule A to the draft Contract)?

Please provide a table with a brief description

of the contracts for road construction/repair you
had/have, specifying the year, the client, scope
of work and a rough total value. Provide copies
of contracts for such jobs that you include in
this table.

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10 Experience of working for Do you have experience of working for the
the similar scope projects similar scope projects with International clients
(companies operating in more than 1 country
except for Iraq, but excluding the US Military) in
the past 3 years (2018 and 2020)?

If yes, provide the details of such contracts with

international clients, including contract copies,
delivery/acceptance papers, reference letters
etc.

11 Similar scope projects Do you have experience of working for the

specifically with similar scope projects specifically with
International Oil International Oil Companies in Iraq in the past
Companies 3 years (2018 and 2020)?

If yes, provide the details of such contracts with

international oil companies, including contract
copies, delivery/acceptance papers, reference
letters etc.

12 Vehicles and equipment Do you have the required construction and

lifting equipment, as well as other vehicles, to
commence the Services? Which of it is owned,
and which is subcontracted?

(Provide the complete list of your own or

V subcontracted vehicles, equipment and
machinery available. For each item specify the
manufacturer, model, year, specifications,
provide photos, vehicle registration documents,
certificates for lifting equipment from the Iraqi
Society of Occupational Health and Safety,
calibration certificates for fuel trucks).

13 Positive references Do you have positive references for the similar

scope projects from Clients in Iraq (except the
US military) with regards to your performance
during the last 3 years (2018 and 2020)?

If yes, provide the scan copies of such

reference letters, or the contact details of the
client representatives.

14 Compliance with the SOW Do you confirm your capability to perform the
scope of services under the contract for each
part of the Scope of Work (Personnel
V
Transportation, Fuel Transportation, Provision
of other specialized vehicles, Supply of
construction materials)?

15 Mobilization How many days will you need to fully mobilize

your camp, equipment and personnel on Site in
full compliance with the contract (including
installation of all facilities for the camp, such as
diesel generators, fuel storage tanks,
workshops, canteen, etc.)?
V
Provide a proper mobilization plan in MS
Project or similar software. Define stages for
procurement, delivery, construction of any
facilities if needed. Specify installation of large
utilities such as diesel generators, installation
of accommodation blocks, canteen, etc. Define
the timeline for hire of personnel.

16 Availability of machinery Provide the list of your drivers/operators for

operators and drivers for two 50-ton cranes, one 25-ton crane, one 10-
the project ton self-loader, two 15m3 vacuum trucks, one
15m3 water truck, one 15m3 garbage truck,
one soil compactor, one 20m3 dump truck, one
mid-sized front loader, 5 pick-up trucks and 2
mini-buses. Specify their name, date of birth,
education, years of experience, driving
licenses and additional certificates available

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 etc. As the minimum, you have to provide
copies of valid driving licenses, certificates from
the Iraqi Society of Occupational Health and
Safety for operators of lifting equipment and
permits for slingers.

17 Qualification of the Site Provide resume for your Site/Project Manager

Manager in compliance with the Contract requirements.
We need to know his education, previous
experience, see copies of his diplomas and
certificates, references from employers etc.

18 Acceptance of the Draft Do you unconditionally accept the conditions of

Contract the Draft Contract proposed by the Company,
including conditions for payment?

If yes, complete ATTACHMENT #1 TO

CHAPTER IV of ITB - CONTRACT
ACCEPTANCE FORM.

V If not, specify the provisions of the contract you

cannot accept, explain why, and propose the
changes/modifications to these provisions (see
ATTACHMENT #2 TO CHAPTER IV –
COMMENTS TO DRAFT CONTRACT).

Please note that full acceptance of the draft

Contract provisions will be a serious
advantage.

I, the undersigned, hereby confirm the accuracy and completeness of the above mentioned data.

Authorized representative of ____________________________________

(BIDDER’s name)

(Position) (Signature) (Full name)

Seal here ____________________

(Date)

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