CONTRACTOR PREQUALIFICATION SUMMARY

CD 009B

REFERENCE NO. 0052154

_______________

DATE PREPARED: 2013/01/29 2013/02/13

TO BE SUBMITTED ON: ____________________________________

CONTRACT NUMBER : G4000066/00

TITLE : WATER PROOF FOR SEC BUILDINGS AT SOUTHERN SECTOR

BIDDING PERIOD : 2Weeks
CONTRACT DURATION : 02 Years
CONTRACTOR’S NAME : DHAFER MAHDI CONTRACTING .CO.
Address :
Telephone No.(s). :
Fax No. : 036674572
Commercial Registration No. : 2066001724
Place of issue : DAMMAM
Date of issue : 1420/08/12
Contractor Classification :

Field of Classification Grade Validity

Contractor Number : 32511

Previously
Validity Submitted Copy Attached

1. Classification Certificate as Appendix V

2. Zakah Certificate as Appendix VI

3. Chamber of Commerce Certificate as Appendix VII

4. GOSI Certificate as Appendix VIII

I. SCOPE OF WORK ( Please see attached summary)

CR -1-
CD 009B G4000066/00

II. CONTRACTOR'S PREQUALIFICATION DOCUMENTS

Your prequalification documents shall also contain the following information:

a] Appendix I A complete list of similar work you have completed. [Please use the attached
format]. Attach a "Completion Certificate" from your client to prove that you have
completed the work/project you have listed. Any experience listed but not
accompanied with such certificate will not be considered.

b] Appendix II A complete list of all your on-going projects or contracts. (Please use the
attached format). Attach a certificate from the client to prove that you are currently
performing the work you have listed. Any project or contract listed but not
accompanied with such certificate will not be considered.

c] Appendix III A complete list of your proposed manpower to be utilized specifically for the
Work. Indicate whether or not the proposed personnel are In-Kingdom. Provide a
Resume of the proposed Key personnel. (Please use the attached format).

d] Appendix IV An Organization Chart showing your present overall organization and functional
groups. The Chart should show lines of authority and communication.

e] Appendix V A complete list of proposed equipment and tools to be utilized specifically for the
work/project. Indicate whether or not the proposed equipment/tool is owned by your
Company or to be leased. [Please use the attached format].

f] Appendix VI
Proposed Work Plan. Provide a description of how you plan to perform the
work/project. The proposed plan should mention about mobilization, accommodation
of your personnel, work schedule, etc. [Please use the attached format].

g] Appendix VII Understanding about the Scope of Work. Provide a description of your
understanding about the Scope of Work.

h] Appendix VIII Audited Financial Statement. Provide a copy of your current [______________]
audited Financial Statement [Income Statement and Balance Sheet including the
Auditor's Comments], if not yet submitted to the Saudi Electricity Company.

Important: Non-availability of audited Financial Statement during the prequalification

stage may cause outright disqualification of your Company for the particular
contract.

i] Appendix IX Additional Information. Provide any additional information that describe or

demonstrate your capabilities to undertake the work/project.

CR
CD 009B G4000066/00

III. INQUIRIES AND SUBMISSION

ÍÇÊã ÓÚÏ ÇáÇÓãÑí
All inquiries regarding this Prequalification Form should be addressed to Mr._____________,
Contract Representative, who can be reached on Telephone ___________, Fax No. __________
19882 .

The completed Prequalification Form should be submitted to the Contracting Receptionist in an envelope
clearly marked as follows:

From : DHAFER MAHDI CONTRACTING .CO.

(Contractor’s Name)

To : The Manager
Contracting Department
Saudi Electricity Company, ___________________ Area
(Address)

Saudi Arabia

Attention : ÍÇÊã ÓÚÏ ÇáÇÓãÑí

Contract Representative

Subject : Prequalification for Contract No. : G4000066/00

Title :
WATER PROOF FOR SEC BUILDINGS AT SOUTHERN SECTOR

IV. AUTHORIZED SIGNATURE

NAME :

SIGNATURE :

POSITION :

CONTRACTOR SEAL, IF ANY:

 G4000066/00
CD 009B

APPENDIX I
CONTRACTOR PREQUALIFICATION SUMMARY

CONTRACTOR'S EXPERIENCES ON SIMILAR WORK

(COMPLETED OR UNDERWAY)

Contract No.
And Date Client Description of Work Value (SR) Completion
(If available) Date

Note: Please fill out this form properly. Do not revise this form.
 G4000066/00
CD 009B

APPENDIX II
CONTRACTOR PREQUALIFICATION SUMMARY

LIST OF CONTRACTOR'S ON-GOING PROJECTS/CONTRACTS

Contract No. Accomplishment to

Completion Date
And Date Client Description of Work Value (SR) Start Date
Date
(If available) Percent Value [SR]

Note: Please fill out this form properly. Do not revise this form.
 G4000066/00
CD 009B

Experience [years] with: In- Out-of-

Position Qualification Name Nationality
Kingdom Kingdom
Your Co. Others SEC

Are all of the above listed proposed manpower employed by your company? YES NO. If NO, explain below.
 G4000066/00
CD 009B

APPENDIX III
CONTRACTOR PREQUALIFICATION SUMMARY

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

Quantity
Position Other Arabs U.S. National U.K. National Asian Others [Specify]
Saudi
In-Kingdom Out-of-k In-Kingdom Out-of-k In-Kingdom Out-of-k In-Kingdom Out-of-k In-Kingdom Out-of-k

[Use additional sheets as necessary]

Are all of the above listed proposed manpower employed by your company? YES NO. If NO, explain below.
 G4000066/00
CD 009B

APPENDIX II-A
CONTRACTOR PREQUALIFICATION SUMMARY

RESUME OF PROPOSED KEY PERSONNEL FORMAT

(Foreman level and Higher Positions)

NAME :

NATIONALITY :

DATE OF BIRTH :

EDUCATION BACKGROUND :

HIGH SCHOOL :
(Name of School) (Year Graduated)

COLLEGE :
(Name of College/University) (Year Graduated)

WORK EXPERIENCE :

NAME OF COMPANY POSITION JOB DESCRIPTION

CD 009B G4000066/00

APPENDIX V
CONTRACTOR PREQUALIFICATION SUMMARY

LIST OF CONTRACTOR'S PROPOSED EQUIPMENT AND TOOLS

TO BE UTILIZED FOR THE WORK/PROJECT

Quantity
Item
Description of Equipment/Tool Capacity To be
No. Owned
Leased

NOTE:

1. Use additional sheets as necessary

2. Do not list all equipment your company have. List only those equipment and tools that you intend to use and
are readily available for the work/project
 G4000066/00
CD 009B

APPENDIX VI
CONTRACTOR PREQUALIFICATION SUMMARY

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.

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 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]:
 G4000066/00
CD 009B

Category of Personnel to be Recruited Quantity

1.
2.
3.
4.
5.
6.
7.
8.
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.

Capacity
Camp[s] Location:
[No. of Persons]

If NO, where is/are your camp[s] located? Describe your plan below.
 G4000066/00
CD 009B

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? YES NO. If YES, provide the information below.

Material Yard Location: _________________________________________________________

Total Area: _____________ square meter. Fenced? YES NO.

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

3. Subcontracting

3.1. 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].
Name of Proposed Subcontractor: _________________________________________________
Address: _____________________________________________________________________
Commercial Registration Number: _________________________________________________
 G4000066/00
CD 009B

4. Work Schedule. Etc.

[Use additional sheets as necessary]