Contractors are cautioned to read each question carefully.

Some of the questions may contain several parts

and therefore, require several responses. The questions must be answered in the same order as asked, using
the enclosed forms whenever applicable. Failure to provide any of the requested information, or providing
the information in a format other than directed, may result in your Qualification Questionnaire not being
evaluated. Please be advised that all information provided herein is subject to verification. Also, contractors
are advised to ensure that all information submitted is accurate and does not include any inadvertent
misrepresentation of contractor qualifications. Such situation can have a serious negative impact on
contractor’s chances of being considered for future SAUDI ARAMCO work in general. Contractor shall
submit the required information in electronic format as password protected (against alteration) PDF files on
a computer disk.

Pre-Qualification Questionnaire

Date Submitted: ______________________________________________________

Contractor's Name: ______________________________________________________

______________________________________________________

Contractor's Address: ______________________________________________________

Name of Representative:
Title of Representative:
Representative's Phone No.:
Representative's Fax No.:
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
1. WORK EXPERIENCE (EXHIBIT A)

On Exhibit Form “A” list all the current and previous contract experience your company have in
performing the services that are similar to the scope of work as outlined below, since January 1, 1993.
Any other contracts will be disregarded. Contractors must complete all the applicable information
requested under Exhibit Form "A". Use a separate sheet for each contract. Provide any and all
support documentation that prove and confirm your experience (i.e. copies of signed contracts that
shows parties names, periods, contracts price and payments provision, work descriptions, etc…..).

SCOPE OF WORK.

o CONTRACTOR shall perform services as required by the Company Representative. Include

the equipment and services that are available and any other constraint or consideration. The
work shall be performed within the SAUDI ARAMCO oil and gas concession areas.

o CONTRACTOR shall ensure that all equipment is in good working order for both operations
and safety.

2. COMPANY ORGANIZATION / MANAGEMENT (EXHIBIT "B")

As Exhibit "B", provide an Organization Chart (in hierarchical management format) that as a
minimum: (a) identifies the various functional departments within your company, (b) provides the
names of personnel currently holding department management through executive management
positions, (c) designates the person who will be responsible for this type of services contract with;
and (d) provides the key personnel proposed to be involved in the contract. The Chart must show the
direct line of authority starting from the key personnel.

3. MANPOWER RESOURCES (EXHIBIT "C")

3.1 Under Exhibit "C" provide resumes for each of the key positions in your company. Resumes
are to address educational background, as well as the number of years of experience in all
positions held to date.

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4. EQUIPMENT AND SERVICES (EXHIBIT "D")

Complete Exhibit “D” by indicating the equipment owned and leased by your company. The
equipment indicated in the tables must be in good operating condition and is subject to verification by
SAUDI ARAMCO site visits. Specialized or unique equipment should be noted.

If a site visit is conducted and SAUDI ARAMCO determines that the equipment is either unavailable,
or is in non-operational condition, your company will be eliminated from further consideration for
SAUDI ARAMCO future work.

5. FACILITIES (EXHIBIT "E")

In Exhibit “E” provide a layout diagrams indicating of your current headquarter building location
along with the location. Also provide layout diagrams indicating your workshop including dimension
along with the location.

6. SAFETY (EXHIBIT “F”)

Complete Exhibit “F” by providing the required information. In addition, as an attachment to Exhibit
“F” advise how many lost time and recordable accidents your company had in the last 3 years.

7. MAINTENANCE (EXHIBIT “G”)

Complete Exhibit “G” regarding your maintenance.

8. QA/QC (EXHIBIT “H”)

Complete Exhibit “H” regarding your QA/QC program.

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 Exhibit Form “A”
PRIMARY CONTRACTOR WORK EXPERIENCE

Copy this form as necessary and use a separate sheet for each contract.

Client's Company Name:

Client's Company Address:

Name of Client's Representative:

Client’s Representative's Phone No.:

Client’s Representative's Fax No.:

Contract No.: Contract Title:

Date Scheduled Value of

Awarded: Expiration Date: Contract:_________________
(Saudi Riyals or US$)

Describe the contract's scope of work:

____________________________________________________________________________________

(Make additional copies if needed)

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 EXHIBIT "B"
COMPANY ORGANIZATION / MANAGEMENT

ORGANIZATION CHART
(in hierarchical management format)

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 EXHIBIT "C"
RESUMES OF KEY PERSONNEL

PERSONAL DATA

Name: Nationality:
Job Title: Years with the company:

EDUCATION

Type of Schooling / Training Type of Degree / Certification

Graduate College:
Undergraduate College:
Technical School:

WORK EXPERIENCE

Company: From: To:

Position Held:
Brief Description of Responsibilities:

Company: From: To:

Position Held:
Brief Description of Responsibilities:

Company: From: To:

Position Held:
Brief Description of Responsibilities:

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 EXHIBIT FORM "D"
EQUIPMENT & SERVICES

(Owned Equipment): Complete this list with any additional equipment and details as deemed necessary

(Leased Equipment):

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 EXHIBIT FORM "E"
FACILITIES
(LAYOUT DIGRAM OF CONTRACTOR’S FACILITIES

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 EXHIBIT FORM "F"
SAFETY

1. SAFETY MEETINGS

Does your company hold safety meetings? No _____ Yes ______ Documented? No ____ Yes _____

If Yes, How Often? Daily ____ Weekly _____ Bi-weekly ______ Monthly ______ Less often or as needed ______

What types of information is normally presented at these meetings?

What languages are your safety meetings presented in?

Who conducts these meetings (title of person conducting meetings)?

2. ACCIDENT INVESTIGATIONS AND REPORTING

Who conducts your accident investigations (title of person conducting investigations)?

What level of supervision or management reviews the accident reports?

How is the Information derived from accident investigations used?

3. WRITTEN SAFETY PROGRAM

Does your company have a written safety program and manual? No ________ Yes __________

If the answer is “Yes”, please attach the program and manual table of contents.

“A copy of your company’s safety manual will be reviewed prior to final contractor selection.”

Does your company have a pocket safety handbook? No __________ Yes ____________

4. SAFETY ORIENTATIONS

Does your company have a safety orientation program for new hires?

No _____ Yes ______ Documented? No ____ Yes _____

5. IN-HOUSE TRAINING

Does your company provide formal in-house defensive training of its employees? No _____ Yes ______

If Yes, Please list some of the defensive training classes provided.

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 EXHIBIT FORM "F" (continued….)
SAFETY

IN-HOUSE TRAINING (continued….)

Instructors Regular How Often is Is refresher

Name of Class Job title Training Provided training required? How often?

No ____ Yes ___ Mth/Years ______

No ____ Yes ___ Mth/Years ______
No ____ Yes ___ Mth/Years ______
No ____ Yes ___ Mth/Years ______
No ____ Yes ___ Mth/Years ______

6. SAFETY LEADERSHIP EXPERIENCE

Does your company have a Safety Personnel whose responsibilities include areas outside Safety, Environmental or Industrial
Hygiene? No __________ Yes ___________

If you answered Yes, briefly explain what are the other areas of responsibility?

7. SAFETY RECORDS

Does your company keep individual safety records for each rig? No __________ Yes ___________

If Yes, provide the individual safety record for the proposed rig(s) along with the company safety record.

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 EXHIBIT FORM "G"
MAINTENANCE

1. Does your company have maintenance personnel? No _______ Yes _______.

If “yes” list the personnel (not to exceed 8) with their job titles. Provide their resumes as attachment I
to this Exhibit using the format of Exhibit “G”.

Number of Years with

Name Job Title
the Company

2. Does your company have maintenance records? No __________ Yes ___________.

If “yes” provide copies for 5 records as attachment II to this Exhibit.

3. Does your company have a preventative maintenance program?

If “yes” provide a copy as attachment III to this Exhibit.

4. Provide a sample of a performed preventative maintenance activity for rig equipment, etc. as
attachment IV to this Exhibit.

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 QA/QC (EXHIBIT “H”)

Complete Exhibit “H” regarding your QA/QC program.

1. Does your company have a QA/QC personnel? No _______ Yes _______.

If “yes” list the personnel (not to exceed 8) with their job titles. Provide their resumes as attachment I
to this Exhibit using the format of Exhibit “H”.

Number of Years with

Name Job Title
the Company

3. Does your company have QA/QC records? No __________ Yes ___________.

If “yes” provide copies for 5 records as attachment II to this Exhibit.

3. Provide any additional information regarding your QA/QC program.

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