Material Submittal

RSG-CN-TMP-0007

Material Submittal
Program: Turtle Bay Canteens Construction
Project: Permanent Canteens
Project Code: R03-C10C01 & L05-O05C01
Package: P3
Material Submittal for High Density Extruded Polystyrene
Material Boards for the void former area - Forma Industry

Document Number

Revision C0

Revision Date 2-2-2025

Discipline Civil
Submitting Contractor Al-Masar Al-Hadeeth

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Revision History
Details of
Rev. Date Prepared By Reviewed By Approved By
Revision

CO 2-2-2025 2-2-2025 Richard Corpuz Oshin Taiwo Saber Abdelfatah

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TABLE OF CONTENTS
1 Product Information ................................................................................................................................ 5
2 Statement of Compliance ....................................................................................................................... 6
3 Scope of Works ......................................................................................................................................... 8
4 Specification Compliance Check List ................................................................................................... 10
5 Technical Data Sheet ............................................................................................................................. 12
6 Sample (List / Photos) ............................................................................................................................ 14
7 Test Reports............................................................................................................................................ 16
8 LEED Compliance & Certificates ........................................................................................................... 19
9 Country of Origin – Confirmation Letter ............................................................................................. 21
10 Product Authority Approval ................................................................................................................. 23
11 Draft Warranty ....................................................................................................................................... 31
12 Manufacturer Recommended Spare Parts .......................................................................................... 33
13 Previous Project Approvals ................................................................................................................... 34
14 Trade License.......................................................................................................................................... 74
15 Manufacturer Confirmation of the local Agent .................................................................................. 77
16 Project Reference List ........................................................................................................................... 78
17 Company Profile ..................................................................................................................................... 83

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Compliance
Sl
Description Not Not Remarks
No Provided
Provided Applicable

1 Statement of Compliance ☒ ☐ ☐
2 Scope of Works ☒ ☐ ☐
Specification Compliance
3
Check List ☐ ☒ ☐
4 Technical Data Sheet ☒ ☐ ☐
5 Test Reports ☒ ☐ ☐
6 LEED Compliance ☐ ☒ ☐
7 Country of Origin ☒ ☐ ☐
8 Authority Approvals ☒ ☐ ☐
9 Draft Warranty ☒ ☐ ☐
10 Recommended Spare Parts ☐ ☐ ☒
11 Trade Licence ☒ ☐ ☐
12 Project References ☒ ☐ ☐
Previous revision comment
13
tracker
☒ ☐ ☐
The above checklist is the minimum requirement, subject to review by the Employer and or Assistants.

Prepared By Reviwed By Approved By

Name Richard Corpuz Oshin Taiwo Saber Abdelfatah

Production
Designation
manager QAQC Manager Project Manager

Sign

Date 30/01/2025 2-2-2025 2-2-2025

Stamp

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PREVIOUS REVISION COMMENTS AND CONTRACTOR

RESPONSE

Program: XX
Project: XXXX
Package:
Material
Document Number
Revision
Revision Date
Discipline
Submitting
Contractor
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1 Product Information
[ Following table to be populated as minimum}
Sl
Description Value Remarks
No
01 Material Description Extruded Polystyrene

Specification Drawing BOQ

02 Reference

Name: Forma Industry

04 Manufacturer
Address: Scoop Industrial Area, Dammam
Name: Forma Industry
05 Supplier
Address: Scoop Industrial Area, Dammam

06 Country of Origin Saudi Arabia

TRSDC vendor List

07 Yes or No
Compliance
Project location to be
08
used

09 Required Date on Site

Manufacturing duration
10
(Ex- Factory)
Shipment duration
11
(Ex-factory to Site)

12 Expected Arrival on Site

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2 Statement of Compliance

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Statement of Compliance

Date:29/01/2025

Program: Turtle Bay Canteen Busilings

Project: Permanent Canteens

Package: Supply of Extruded Polystyrene

Subject: Statement of Compliance for Material Extruded Polystyrene

I, as the Authorized representative from the Supplier/ Manufacturer, acknowledge and certify the material submission
covered under this document Extruded Polystyrene is produced in accordance with following.

☒ Compliance with Contract Specifications

☒ Compliance with Contract Drawings

☐ Compliance with Contractual Requirements

☐ Compliance with Authority Requirements

☐ Compliance with LEED requirements

Name: Wajih Idriss Title:

Managing Partner

Signature:

Stamp:

Forma Industry
CR# 2050180696
Scoop Industrial City, Block 3, S20-25,
Dammam,SaudiArabia
www.formainsulation.com

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3 Scope of Works

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Date: January 30, 2025

Ref.: FI-0002-25

Subject: Scope of work

To whom it may concern

This letter confirms that Forma Industry will supply only Extruded Polystyrene for the Permanent Canteens project.

Name: Wajih Idriss

Title: Managing Partner

Signature:

Stamp:

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4 Specification Compliance Check List

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Date: 01/02/2025
Client: Al-Masar Al-Hadeeth
Project Name: Permanen Canteens
Product Name: Extruded Polystyrene

COMPLIANCE STATEMENT

Specification Section/ Sub- Proposed Material Compliant

SN Project Specification Comment
section/ Clause reference Forma Industry Specification (Yes/ No)

Extruded Polystyrene Extruded Polystyrene

Density 35 kg/m3 Density 32-35 kg/m3
Thickness: Refer to drawings Thickness: As per the drawing provided
1 ASTM C578 Yes
Compressive Strength 10% Deformation: 300 kPa Compressive Strength 10% Deformation: 299.89 kPa
Thermal Conductivity:0.030W/m.K Thermal Conductivity:0.0300W/m.K
Flexural Strength: 44 kn/m2; 60 Psi Flexural Strength:517 kPa

Date 01/02/2025 Name: Younes Alnadi Signature

Forma Industry
CR# 2050180696
Scoop Industrial City, Block 3, S20-25,
Dammam, Saudi Arabia
www.formainsulation.com
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PART 2 - PRODUCTS

2.1 THERMAL AND ACOUSTIC INSULATION

A. Foam Plastic Board Insulation for Thermal Roofs

1. Extruded-Polystyrene Rigid Foam (XPS): ASTM C 578, Type VI, rigid extruded, closed cell structure
of type and minimum compressive strength indicated below:

a. Thickness: Refer to drawings, conform with ASTM D 1622 - Comply

b. Compressive Strength: 300 KPa (ASTM D 1621); 44 Psi (DIN 5341) - Comply
c. Thermal Conductivity: 0.030 W/m.K (ASTM C 518) - Comply
d. Nominal Density: 35 kg/m³, ASTM D 1622. - Comply
e. Reaction to Fire: Class B1, DIN 4102-1 - Comply
f. Flexural Strength: 44 Kn/m²; 60 Psi (ASTM C 203-05a) - Comply
g. U-Value: 0.301 W/ (m2.k), ASTM C 1199 - Comply

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5 Technical Data Sheet

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6 Sample (List / Photos)

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EXTRUDED POLYSTYRENE

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7 Test Reports

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8 LEED Compliance & Certificates

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9 Country of Origin – Confirmation Letter

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10 Product Authority Approval

[ Following certificates / approval evidence to be provide as applicable

1. GOSI (General Organization for Social Insurance) Certificate

2. Saudization Certificate

3. ZAKAT & Tax Certificate

4. VAT Registration Certificate

5. Saudi Contractors Authority (SCA) Membership

6. SAGIA (Saudi Arabian General Investment Authorities) Certificate

7. Civil Defense Approval, *if required

8. Electricity & Water Authority Approval, *if required

9. Telecom Network provider Approval, *if required

10. Proof of Certification/Listings, as specified (eg. UL, FM , CE etc.)

11. SASO certification}

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11 Draft Warranty

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12 Manufacturer Recommended Spare Parts

N/A

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13 Previous Project Approvals

a) Red Sea Projects

b) Other Projects

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14 Trade License

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15 Manufacturer Confirmation of The Local Agent

N/A

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16 Project Reference List

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17 Company Profile

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COMPANY DATA

Company Name: Forma Industry

Product Line Extruded/Expanded Polystyrene

Wajih Idriss
Company Owner
Athony Tarazi

Company Type Limited Liability

Year Established 2014

Commercial Registration NO. 2050180696

Company Industrial License 45229226

Factory Location Scoop Industrial Area, Block 3, S21-25

Email [email protected]

Webiste www.formainsulation.com

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