CONTRACTOR PREQUALIFICATION SUMMARY

DATE PREPARED: 22/01/2015

TO BE SUBMITTED ON: 16/02/2015

Contract Number
Contract Title

:
:

Bidding Period

Contract Duration

Contractors Name

Address
Telephone No.(s).
Fax No.
E-Mail Address
Website Address
Commercial Registration No.
Place of issue
Date of issue
Contractor Classification

:
:
:
:
:
:
:
:
:

4000052594
CONSTRUCTION OF NATIONAL GRID
SERVICES CENTER AT SKAKKAH

**
**

Field of Classification
:

Minimum grade Required for this Contract - Not Applicable

Grade :

Validity/Expiry Date :

Is your Company already registered with Saudi Electricity Company?

If YES, indicate your Contractor Number here

YES

NO

and then provide the following information :

If NO, please visit our website www.se.com.sa for registration, and submit along with (2014) Audited Financial
Statement including Balance Sheet, Income Statement and Auditors Comments.
Previously
Validity /Expiry Date
Copy Attached
Submitted
1. Classification Certificate

Appendix V
2. Zakah Certificate

Appendix VI

3. Chamber of Commerce Certificate

Appendix VII

4. Social Insurance Certificate

Appendix VIII

5. Valid Certificate from Labor Office

attesting to adherence of Contractor
to official Saudization percentage.

Appendix VIX

1
April 2009

Replaces: June 2007

CD 009B (CR)

* Denotes Change

I.

SCOPE OF WORK

II.

CONTRACTOR'S PREQUALIFICATION DOCUMENTS

** Denotes Addition

SUMMARY ( Please see attached)

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.
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).

e] Appendix V

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.
Audited Financial Statement. Provide a copy of your current (2014) audited
Financial Statement (Income Statement and Balance Sheet including the auditors
comments), if no yet submitted to the Saudi Electricity Company.
Non-availability of audited Financial Statement during the prequalification stage
may cause disqualification of your Company for the particular contract.

h] Appendix VIII

Important:

i] Appendix IX

Additional Information. Provide any additional information that describe or

demonstrate your capabilities to undertake the work/project.

Submit all your prequalification documents in an appropriate folder/binder in the same sequence as
listed above. Failure to submit any of the required information may cause the Saudi Electricity
Company not to invite your Company to submit a proposal or bid for the particular contract.

2
June 2007

Replaces: July 2003

CD 009B (CR)

* Denotes Change

** Denotes Addition

III. QUESTIONNAIRE (ADDITIONAL INFORMATION)

1) Do you own or share in the ownership of another establishment that intends to participate in this
bid? If the answer is (yes) that is considered as a conflict of interest, which is not permitted under
Company regulations. Therefore, please take this into account when submitting the bid and limit
participation to one establishment only.

IV. INQUIRIES AND SUBMISSION

All inquiries and questions regarding this Contractor Prequalification Summary form shall be addressed
only to Contracting Department, Attention, Mr. FERAS A. AL-SHAIKH HUSSAIN, Contract
Representative who could be contacted at telephone number 013 8586249 , Fax Number 013 8586249 and
E-Mail 91939@SE.COM.SA.
The completed Contractor Prequalification Summary form shall be submitted to the Contracting
Department Receptionist, Saudi Electricity Company, Eastern Operating Area in a sealed envelope clearly
marked as follows:
From :

(Name of Company)

To :

The Manager
Contracting Department - Eastern Operating Area Operating Area
Saudi Electricity Company
Attention :

Subject :

FERAS A. AL-SHAIKH HUSSAIN

Contract Representative

Prequalification for Contract No. :

Title :

4000052594

CONSTRUCTION OF NATIONAL GRID

SERVICES CENTER AT SKAKKAH

V. AUTHORIZED SIGNATURE
We certify that all the information provided in Attachments/Sections listed above are true and correct and
we fully understand that any information found to be incorrect or incomplete could result in the
disqualification of our company in participating in this contractor.

Contractor Name
Authorized Signature

CONTRACTOR SEAL

Name

Position

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX I

RFX NO. 4000052594

CONTRACTOR'S EXPERIENCES ON SIMILAR WORK

Contract No.
And Date
(If applicable)

Name of Client

Brief Description of Work

Value (SR)

Completion Date

* Please fill out this form properly.

* Use additional sheets as necessary.

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX II
June 2007
CD 009B (CR)

Contract No.
and Date
[If Applicable]

RFX NO.4000052594

4
Replaces: September 1987
* Denotes Change

** Denotes Addition

LIST OF CONTRACTOR'S ON-GOING PROJECTS/CONTRACTS

Brief Description of
Work

Name of
Client

Start
Date

Completion
Date

Estimated
Value [SR]

Accomplishment to Date
Percent

Value [SR]

* Please fill out this form properly.

* Use additional sheets as necessary.

5
June 2007

Replaces: September 1987

CD 009B (CR)

* Denotes Change

** Denotes Addition

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX III - A

RFX NO. 4000052594

LIST OF CONTRACTOR'S PROPOSED KEY PERSONNEL TO BE UTILIZED SPECIFICALLY FOR THE WORK
Position
A- Management [By Category]

Qualification

Name

Experience [years] with:

Your Co.
Others
SEC

Are all of the above listed proposed manpower employed by your company? Yes

No

Nationality

InKingdom

Out-ofKingdom

. If (NO) Explain Below:

* Please fill out this form properly.

* Use additional sheets as necessary.

une 2007

Replaces: July 2003

D 009B (CR)

* Denotes Change

** Denotes Addition

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX III - A

RFX NO. 4000052594

LIST OF CONTRACTOR'S PROPOSED KEY PERSONNEL TO BE UTILIZED SPECIFICALLY FOR THE WORK
Quantity
Position
B- Craftsment [By Category]

Saud
i

Other Arabs
In

Out-of
Kingdom

U.S. National
In

Out-of
Kingdom

U.K. National
In

Out-of
Kingdom

Asian
In

Out-of
Kingdom

Others
[Specify]
In

Out-of
Kingdom

Are all of the above listed proposed manpower employed by your company? Yes

No

. If (NO) Explain Below:

* Please fill out this form properly.

* Use additional sheets as necessary.

une 2007

Replaces: July 2003

D 009B (CR)

* Denotes Change

** Denotes Addition

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX III - B

RFX NO. 4000052594

RESUME OF CONTRACTOR'S MANAGEMENT AND SUPERVISORY PERSONNEL

Name
Date of
Birth
Nationalit
y
Position

Educational Qualifications
Name of School/College/
University/Institution

Year Attended
From
To

Qualification
Certificate/Diploma/Degree

Work Experiences (Start from current)

1. Name of Company

Position

From

To

Position

From

To

Brief Job Description :

2. Name of Company

Brief Job Description :

C R
O
N
T
R

* Please fill out this form properly.

* Use additional sheets as necessary.

8
June 2007
CD 009B (CR)

Replaces: July 2003

* Denotes Change

** Denotes Addition

ACTOR PREQUALIFICATION SUMMARY

APPENDIX V
LIST OF CONTRACTOR'S PROPOSED EQUIPMENT AND TOOLS
TO BE UTILIZED FOR THE WORK/PROJECT
Ite
m
No.

Desciption of Equipment/Tool

Capacity

Quantity
To be
Owned
Leased

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.

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX VI

RFX NO. 4000052594

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 :
Days.

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]:

Category of Personnel to be Recruited

1.
2.
3.
4.
5.

Quantity

* Please fill out this form properly.

* Use additional sheets as necessary.

10
June 2007

Replaces: September 1987

CD 009B (CR)

* Denotes Change

** Denotes Addition

CONTRACTOR PREQUALIFICATION SUMMARY

APPENDIX VI
2.

RFX NO. 4000052594

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

If NO, where is/are your camp[s] located? Describe your plan below.

2.
2
2.
3

Do you transport your personnel to the Work Site daily from your camp?
Do you have a material yard near the Work Site?
Material Yard Location:
Total Area: square meter. Fenced?

YES

YES

YES

NO.

NO. If YES, provide the information below.

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].
1- Name of Proposed Subcontractor:
2- Address:
3- Commercial Registration Number:
4- Portion of the Work to be Subcontracted:

4.

Work Schedule.

* Please fill out this form properly.

* Use additional sheets as necessary.

11
June 2007
CD 009B (CR)

Replaces: September 1987

* Denotes Change

** Denotes Addition