CONTRACTOR QUESTIONNAIRE

Please fill in the requested information items as applicable to your organization. In cases of a high level of detail
answers may be summarized. If the information is available in a brochure or other document, please include the
referenced document and provide the page number or location of the specific information in the answer space.

A.) GENERAL

1.) General Contact Information

Date: 07-Aug-2018 New / Updated Questionnaire

Company / Branch Name: Dipon Infrastructure Services Limited

Address: (Mailing /P.O.) Rangs FC Enclave (Level 10 & 11), CWS (A), Plot: 6/A
(Street) Street 32 City Gulshan Avenue, Dhaka Country Bangladesh
Postal Code 1212.
Email shafquat@dipongroup.com
Web address www.dipon.com.bd
Telephone: +880-9606501155
Facsimile: +8809606501176

2.) Major Owners

Name Percentage Remarks
Mr. Rashed Mahmud 90%
Mrs. Shushmita Mahmud 10%

3.) This Company is a (Public corporation, Private company, Partnership, etc) :

Private Limited Company registered in the State of: Joint Stock Companies & Firms, Bangladesh.

4.) Please list the principal individuals of your company below, or if insufficient space is provided here, attach a
separate listing:
Individual’s Present Years with
Name Position Firm
Eng. Rashed Mahmud Managing Director
Shushmita Mahmud Director
Shafquat Matin Director

5.) Establishment and Structure:

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a.) Date your firm was established. 12-Aug-2010

b.) What is the capitalization of your firm?

c.) What is the authoritative and fiscal relation between your firm, its parent company and its affiliated
companies?

d.) Is your parent company willing to provide a letter of guarantee of financial responsibility for any work
given to your company?

6.) Please indicate the principal type of work or service in which your firm specializes (e.g. civil, steel structure
fabrication / erection, material supply, manpower supply, etc.)
Work Type Specialties

a.)
b.)
c.)
d.)

7.) Types of work you usually have others perform for you as subcontractors:
Work Types Subcontracted

a.)
b.)
c.)
d.)

8.) Location of major work and future targeted regions

Region Experienced / Future

a.)
b.)
c.)
d.)
e.)

9.) Types of Subcontracts Accepted:

a.) Lump Sum: Unit Price: Other:
b.) Minimum value of work accepted: $
c.) Maximum value of work accepted: $
d.) Remarks:

10.) Organization:

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Please attach a copy of your Company Organization chart and a typical Site Organization Chart.

B.) LEGAL AND FINANCIAL

1.) Bank and Credit Institution References

Bank Name Individual’s Name

Prime Bank Ltd.

2.) Financial Statement: (Attach a copy of financial statement consisting of a balance sheet and profit and loss
statement with all qualifications for past five years)

3.) Turnover your company in last five years.

Year Turnover Ratio of Airport PJ (%) Remarks

4.) Affiliations with other companies (parent, subsidiary or sister organization, etc.):

Company Affiliation Description

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 CONTRACTOR QUESTIONNAIRE

C.) HEALTH, SAFETY AND ENVIRONMENT (HSE)

1.) Please use your last five years’ Safety Statistics Logs to fill in the following table (field operations only):

Year Total MH No. of Lost Total No. of LTIR TRIR

Worked Time Incidents No. of Fatalities
Recordable See formula See formula
Incidents below below

LTIR: Lost Time Incident Frequency Rate =

TRIR: Total Recordable Incident Rate =

2.) Who has HSE authority / responsibility for project safety at your company?
Name Position / Title Remarks

3.) Do you have a written / documented;

a.) Safety/loss prevention program? Yes No

b.) HSE Policy with Management Commitment? Yes No
c.) Training program for newly hired personnel? Yes No
d.) Ongoing training & awareness program(s)? Yes No
e.) Crisis management/Business continuity plan? Yes No
f.) Other

4.) Please provide a copy of your Safety and Environment manual and HSE Policy.

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D.) PERFORMANCE

1.) Please list the work you have recently completed in your principal specialty in the last three (3) years. If more
than five items please provide a summary of the work here and attach a detailed list.
Contact Reference Type of Work Contract
Man-hours
Client (Email, telephone, etc.) Performed Amount
consumed
($)

2.) Have you ever been unable to complete any work awarded to you for any reason? (If yes, please attach
description of when, where, why, and for whom.)

Yes/No
Project : Client : Date

3.) Please provide your annual business volume completed and man-hours consumed in your principle lines for
the past three years:

Year: Volume: Man-hours:

4.) List the largest construction project completed. The summary should cover the categories below.

Project/ Type of Project Completion Jobsite Manpower

Client Work
Cost yyyy.mm Total MH Average Peak

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5.) Please list any Airport major owners the company is registered and / or has approved contractor, subcontractor
or vendor status:

6.) List the major construction project now in progress. If more than five items or space is insufficient, please
provide a summary of the projects here and attach a detailed list. The summary should cover the categories
below.

Client Project Projected Percent Jobsite Manpower

Cost Completion Complete Total MH Average Peak
yyyy.mm.dd %

7.) Major construction project maximum

a.) Maximum number of craftsmen employed on a single project:

Total Craft Man-hours: Average MH: Peak MH:

b.) Number of supervisory staff and above you had on that job

E.) PERSONNEL

1.) Source of Workers:

a.) Has your company ever had to supplement its own labor force with personnel hired from labor brokers
or other sources?

b.) If your company imports foreign labor, how will you arrange work permits?

2.) Please list union affiliations and/or employees association of which you are a member.

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3.) Exclusive of the principal individuals listed in A.4, please provide the number of permanent employees on
your payroll, by classification:

Classification Number of Employees Number of Employees

（Years with firm ~5yrs） （Years with firm 5~yrs）

Home Office
a.) Main Office Management
b.) Technical Staff
c.) Support Services
d.) Procurement
e.) HSES Staff
f.) Quality Control Staff
g.) Construction Superintendent
h.) Civil Supervisor
i.) Ironworker Supervisor
j.) Boilermaker Supervisor
k.) Rotating Equipment Supervisor
l.) Piping Supervisor
m.) Electrical Supervisor
n.) Instrument Supervisor
o.) Insulation Supervisor
p.) Painting Supervisor
q.) Office Manager
r.) Accountants
s.) Welding Inspectors
t.) Field Engineers
u.) Material Supervisor
v.) Scheduling Engineers

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4.) Number of Crafts and related Foremen

Classification Craft Labor Craft Labor Foremen Foremen

Yrs with firm Yrs with firm Yrs with firm Yrs with firm
~5yrs 5~yrs ~5yrs 5~yrs

a.) Boilermakers
b.) Carpenters
c.) Drivers
d.) Electricians
e.) Equipment Operators
f.) Erector Riggers
g.) Instrument Fitters
h.) Insulators
i.) Laborers Mech.
j.) Laborers Civil
k.) Mechanics
l.) Millwrights
m.) Pipe-fitters
n.) Reinforcing Steel Fixers
o.) Scaffolders
p.) Sheet Metal Workers
q.) Pipe-Welders

F.) TECHNICAL SUPPORT

1.) Functional Support Source:

Function Source

a.) Engineering and Drafting

b.) Planning and Scheduling
c.) Construction Equipment
d.) Rental Tools
e.) Pipe Fabrication
f.) Steel Fabrication
g.) Scaffolding

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2.) What codes (ASTM, BS, AS, Local Building Codes, etc.) does your company follow in the execution of
projects?

Codes

a.)
b.)
c.)
d.)
e.)

3.) Please provide the number of engineering department employees by classification.

Classification No. of Employees

a.)
b.)
c.)
d.)
e.)
f.)
g.)

4.) Does your engineering department prepare working drawings from plans, specifications and outline drawings?

Yes / No Remarks

5.) Resources for preparing construction work documents listed below?

Type of Document Number of Number of Remarks

Personnel Personnel
(~5yrs (5yrs~
Experience) Experience)
a.) Surveyor
b.) Rebar Bending Schedule
c.) Steel Structure Fabrication
Drawing
d.) Lifting Plan
e.) Piping Spool Drawing
f.) Piping Test Package
g.) Instrument Loop Folder

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h.) Inst & Elec Field Routing

Design
i.) Electrical Test Package
j.) Insulation/Paint Material Take-
off

G.) CONSTRUCTION EQUIPMENT

1.) Please provide an itemized list of the number of pieces of major construction equipment used, including
capacity, owned or leased / rented:
2.) Book value of fleet: (State Currency)
3.) Equipment yards:

Description Location Size

a.)
b.)
c.)

H.) FACILITIES

1. Please provide information of your other facilities and capacities.

For capacities please use the following:
 Square Meters for offices, shops, storage, etc.
And additionally:
 DI/ Month for Pipe Spool Shop
 Ton/ Month for Steel Structure Fabrication
 As appropriate shipping and other facilities

Facility Description Capacity Location

a.
b.
c.
d.
e.

I.) QUALITY ASSURANCE/QUALITY CONTROL

1.) Do you have a Quality Assurance/Quality Control (QA/QC) Program Manual for the following classes
of work?

Work Class Yes/No

a.) Civil and Concrete

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b.) Structural Steel Erection

c.) Buildings
d.) Equipment Erection / Installation
(Furnaces, Drums, Towers, Rotary equipment, Tanks, etc.)

e.) Piping
f.) Instrumentation
g.) Electrical
h.) Insulation
i.) Painting
j.) Surface protection / Fireproofing
k.) Other

J.) PLANNING AND SCHEDULING

1.) Do you use the following methods and tools for Scheduling?

Tool / Method Remarks

a.) Critical Path

b.) Bar Charts
c.) Completion Curves
d.) Others

2.) What computer programs / software (e.g. MS Project, Primavera, etc.) do you use for:

Item Software

a.) Project Management

b.) Critical Path Method
c.) Cost Control
d.) Estimating
e.) Fabrication (e.g. Xsteel, PipeSim, Spoolgen, etc.)
f.) Material Control
g.) Others

JOB EXPERIENCE WITH JAPANESE FIRMS / JGC

1. Has your company conducted any business in its principal lines with any Japanese firms (JGC or other) in the
past ten years?
Firm Project Work / Proposal / Estimation Year

a.)

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 CONTRACTOR QUESTIONNAIRE

b.)
c.)
d.)

K.) ACCREDITATION

1. Is your company currently accredited for the following?

Accreditations Yes/No

a. ISO 9001 Quality Management System

b. ISO 14001 Environmental Management System
c. OHSAS 18001 Health and Safety Management System
d. Others

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