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10.TechnicalServicesQP/02/10.41
11.
.42
AdditionalInformationQP/02/11
TheApplicationFormtogetherwithFormsQP/02/02toQP/02/11areattachedonthefollowingpagesandareprovidedondigitalformtogetherwiththisdocument.Theformswithallattachmentsandrelevantinformationshallbecarefullycompleted,signed,stampedandreturnedbyallcompanies,asstatedintheInstructionstoApplicants.
APPLICATIONSUBMISSIONSHEETFORPREQUALIFICATIONTOTENDER,
SheikhjaberalahmedalsabahCauseway-DohaLink-QP/02/01,
Applicant
Name:
Legalnameof
Contractor
Contactaddress:
ContactPerson:
（TitleandName）
TelephoneTelefax:
Email:
WetheundersignedapplicantSnerebyapplyforprequalificationtotenderfortheaboveContractbasedontheinformationgiveninthisapplicationandtheattachedForms.WeunderstandandacceptthattheEmployershallhavenoobligationstowardstheApplicantthattheEmployermayrejectanyorallapplicationswithoutgivinganyreason,andthathewillnotenterintoanycorrespondenceconcerningrejectedapplications.WeunderstandandacceptthattheEmployerwillnotberesponsiblefor,norreimburseanyexpensesorlosseswhichmaybeincurredinthepreparationandsubmissionoftheapplication.
WeconfirmthatifagovernmententityisinvolveditmeetstherequirementsofClause4.6.AnymemberorsubcontractorhasnotbeendeclaredineligiblebyMinistryofPublicWorks,AuditBureauandCentralTenderingCommittee.InadditionnoneoftheabovepartieshaveanyconflictofInterestasClause4.3.
WealsoconfirmthatallmembersandsuppliesareprovidedinaccordaneewithClause4.2EligibleCountries
WeconfirmthattherequiredfeehasbeenpaidforthepurchaseofPrequalificationDocument.
PlaceandDate:
,
Signature:
Positioninapplicant'
sorganisation:
ApplicantName
FormQP/02/02
StructureandOrganisation
Form2PartA.Applicant'
scompanydetails
Registerednameofcompany:
Legalstatus:
Registeredaddress:
Mailaddress,contactname,telephone,faxande-mailaddress:
CompanyWebsite:
ParentCompany:
（Ifany.Statefulllegalname,mainbusinessarea,andaddress）
AttachmentsprovidedbytheApplicantcompanywiththisform:
1.
CopyofCertificateofRegistration（professionalortraderegister）,orcopyofequivalentlegaldocumentasrequiredperthelawsofthecountrywherethecompanyisestablish
ed.
2.
Completelistofsubsidiaries,ifany,withfulllegalname,mainbusinessarea,andaddress.
3.
Descriptionofanypastorcurrentrelationshiptocompanies,agents,representativesorsimilarinKuwait.Fullname,addressandcontactnumberstobeprovided.
4.
Currentorganisationchartforthecompanyshowingthecompletestructureincludingpositionsofdirectorsandkeypersonnelasrelevant,andidentifyingthosesectorswhichwouldbeinvolvedinthisproject.
Form2continued
FormQP/02/03
SubcontractorsforFabricationorConstruction
Form3.Applicant'
sintendeduseofsubcontractorsforfabricationorconstruction
NameofCompany:
Subcontractors:
（IfitisforeseenthatanypartofthecontractwillbesubcontractedtheApplicantshallstatethescopeandtypeofworktobeundertakenbythesubcontractor（s）and,ifknown,givethenameandaddressofthesubcontractor（s）tobeused.
IfthesubcontractisessentialintermsoftypeorvolumeofworktheninformationabouttheintendedsubcontractorshouldbegivenwithdetailsnotlessthanasperForm1,Form2PartA,Form3,Form4,Form5,Form6,andForm9.Insuchcasesfurtherinformationmayberequiredduringtheprequalificationevaluation）
AttachmentsprovidedbytheApplicantwiththisform:
1.Ifessentialfabricationorconstructionactivitiesareintendedtobesubcontracted,thentheApplicantshouldattachrelevantinformationtoidentifythesubcontractorandtoillustratetheexperieneeandcapabilitiesofsuchsubcontractors.
EndofForm3
FormQP/02/04LegalInformation
Form4.ApplicantCompany'
slegalinformation
Nameofcompany:
EndofForm4
FormQP/02/05
FinancialInformation
Form5PartA.Applicantcompany'
sfinancialdetails
Financialsummaryfromlastthreeyears'
annualreports,convertedtoKDmillions
Period（latestthreecertifiedperiods）
Totalequity
Totalassets
TotalLiability
Turnover,homecountry
Turnover,abroad
Overallturnover（Sum）
Overallturnoverfromconstruction
Overallturnoverfromcivilworks
Profitoftheyear
Currentworkinhand
N/A
Valueofworkathome,Noofcontracts
Valueofworkoverseas,Noofcontracts
1.Certificationoftheabovefinancialsummarybytheauditorcompany'
scharteredaccountant.
pany'
scharteredaccountants.
3.Statementfromthecompany'
sbankersaboutthedurationoftheirbusinessrelationshipwiththecompany,natureandvolumeofsuchbusiness,financialperformanceand
positionofthecompanyintheviewofthebankersThisisrequiredforthecompanyan（
fortheparentcompany,ifany.
4.Copyofthelatest3annualreportsincludingbalancesheets,incomesheets,incomestatements,notes,accountingprinciplesandauditor'
sopinionsThisisrequiredforthecompanyandfortheparentcompany,ifany
Statementforcurrentaccountingperiodwithrealisedandexpectedresults,andwithinformationaboutanyrealisedorexpectedsignificantchangesinrelationtothepreviousperiod,e.g.concerningaccountingprinciples.
Form5continued/
Form5PartB.Applicantcompany'
sownershipdetailsandParentCompany
Guarantee（IftheApplicantisaGroupofContractorstheneachmemberoftheGroupshallrepeatthisForm5PartBseparatelyforeachmember）
Descriptionofwhoownsthecompany,withrelevantdetailsincludingidentity（name,address）andshareofmainowners/keyparties:
Forcompaniesthataresubsidiariesofaparentcompany:
StatewhethertheparentcompanywillprovideaParentCompanyGuaranteegenerallyinaccordancewithFIDICConditionsofContractforPlantandDesign-BuildforElectricalandMechanicalWorksandforBuildingandEngineeringWorksdesignedbytheContractor-FirstEdition1999
1.Certificationoftheaboveownershipsummarybythecompany'
2.Ifrelevant:
ConfirmationfromtheparentcompanythatitwillprovidetheParentCompanyGuaranteeifrequired.
Form5PartC.Applicant'
sabilitytoprovidenecessarySecurityandBonds
NameofApplicant:
TenderBond:
ThetenderersforthiscontractmayberequestedtoprovideaTenderBond（demandguarantee）forasumof5%ofthetendersum.TheformatoftheTenderBondwillbeprovidedintheTenderDocuments.
TheApplicantshallconfirmthathewillbeabletoprovidesuchbond,andstatethedetailsoftheKuwaitBankthatwouldprovideit.
Willbeprovidedby:
（Name,typeofbusinessand
address）
PerformanceSecurity:
TheContractorforthiscontractshallberequestedtoprovideaPerformaneeSecurity（demandguarantee）for10%oftheContractPrice.TheformatoftheTenderSecuritywillbeprovidedinthetenderdocument.s.
TheApplicantshallconfirmthathewillbeabletoprovidesuchsecurity,andstatethedetailsoftheKuwaitBankthatwouldprovideit.
address）
AdvancePaymentGuarantee:
TheContractorforthiscontractshallbeentitledtoanAdvaneePaymentagainstanAdvaneePaymentGuarantee（demandguarantee）for10%oftheContractPrice,includingplantmobilisation..TheformatoftheAdvaneePaymentGuaranteewillbeprovidedinthetenderdocuments.
TheApplicantshallconfirmthathewillbeabletoprovidesuchguarantee,andstatethedetailsoftheKuwaitBankthatwouldprovideit.
（Name,typeofbusinessandaddress）
1.ConfirmationfrombankorinstitutionthatithasnotedtheaboveandwillprovidetheTenderBondiftheApplicantisprequalifiedanddecidestosubmitatenderforthiscontract.
2.ConfirmationfrombankorinstitutionthatithasnotedtheaboveandwillprovidethePerformaneeSecurityiftheApplicantisawardedthiscontract.
3.ConfirmationfrombankorinstitutionthatithasnotedtheaboveandwillprovidetheAdvaneePaymentGuaranteeiftheApplicantisawardedthiscontractanddecidestomakearequestforadvaneepayment..
EndofForm5.
FormQP/02/06
ExperienceandReferences
Form6Applicantcompany'
sexperienceandreferences
Allcountriesinwhichthecompanyhasworkedwithinthelast10years（Thetypeofprojectstobedescribed,e.g.civil,marine,bridge,Causeway,road,etcNumberofcontractsshallbestated.
Appr
升级会员 