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9.QualityAssuranceQP/02/09………………………………………40
10.TechnicalServicesQP/02/10……………………………………….41
11.AdditionalInformationQP/02/11………………………………….42
TheApplicationFormtogetherwithFormsQP/02/02toQP/02/11areattachedonthefollowingpagesandareprovidedondigitalformtogetherwiththisdocument.Theformswithallattachmentsandrelevantinformationshallbecarefullycompleted,signed,stampedandreturnedbyallcompanies,asstatedintheInstructionstoApplicants.
（ApplicantNametobestatedinfooteronallpages）
ApplicationsubmissionsheetforPrequalificationtoTender,
SheikhjaberalahmedalsabahCauseway-DohaLink-QP/02/01,
Applicant
Name:
LegalnameofContractor...............................................................................................................................................
Contactaddress:
.......................................................................................................................................
ContactPerson:
（TitleandName）
………………………………………………………………………….
Telephone:
..................................Telefax:
..................................Email:
.............................
WetheundersignedapplicantsherebyapplyforprequalificationtotenderfortheaboveContractbasedontheinformationgiveninthisapplicationandtheattachedForms.WeunderstandandacceptthattheEmployershallhavenoobligationstowardstheApplicantthattheEmployermayrejectanyorallapplicationswithoutgivinganyreason,andthathewillnotenterintoanycorrespondenceconcerningrejectedapplications.WeunderstandandacceptthattheEmployerwillnotberesponsiblefor,norreimburseanyexpensesorlosseswhichmaybeincurredinthepreparationandsubmissionoftheapplication.
WeconfirmthatifagovernmententityisinvolveditmeetstherequirementsofClause4.6.
AnymemberorsubcontractorhasnotbeendeclaredineligiblebyMinistryofPublicWorks,AuditBureauandCentralTenderingCommittee.InadditionnoneoftheabovepartieshaveanyconflictofInterestasClause4.3.
WealsoconfirmthatallmembersandsuppliesareprovidedinaccordancewithClause4.2EligibleCountries
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）,orcopyofequivalentlegaldocumentasrequiredperthelawsofthecountrywherethecompanyisestablished.
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,thentheApplicantshouldattachrelevantinformationtoidentifythesubcontractorandtoillustratetheexperienceandcapabilitiesofsuchsubcontractors.
EndofForm3
FormQP/02/04
LegalInformation
Form4.ApplicantCompany’slegalinformation
Nameofcompany:
Thecompanyshallbyitssignaturebelowcertifythatnoneofthefollowingconditionsapplytoit:
a）Thecompanyisbankruptorisbeingwoundup,itsaffairsarebeingadministeredbythecourt,andithasenteredintoanarrangementwithcreditors,hassuspendedbusinessactivitiesorisinanyanalogoussituationarisingfromasimilarprocedureundernationallawsorregulations.
b）Thecompanyisthesubjectofproceedingsforadeclarationofbankruptcy,foranorderforcompulsorywindinguporadministrationbythecourtorforanarrangementwithcreditorsorofanyothersimilarproceedingsundernationallawsorregulations.
c）Thecompanyoranyofhismanagerialstaff,asarepresentativeoftheapplicant,hasbeenconvictedofanoffenceconcerningprofessionalconductoftheapplicantbyajudgement,whichhastheforceofresjudicata.
d）ThecompanyhasnotfulfilledobligationsrelatingtothepaymentofsocialsecuritycontributionsinaccordancewiththelegalprovisionsofthecountryinwhichheisestablishedorwiththoseofKuwait.
e）TheapplicanthasnotfulfilledobligationsrelatingtothepaymentoftaxesinaccordancewiththelegalprovisionsofthecountryinwhichheisestablishedorwiththoseofKuwait
…………………………………….Signature:
…………………………….
Position:
………………………………Place:
…………..Date:
…………….
1.Anextractfromthe"
judicialrecord"
oranequivalentdocumentissuedbyarecognisedjudicialoradministrativeauthorityinthecountryconcernedasproofthatnoneoftheconditionsmentionedunderitemsa）throughc）applytothecompany.
2.Certificateissuedbytherecognisedauthorityintherelevantcountriesasproofthatnoneoftheconditionsmentionedunderitemsd）ande）applytothecompany.
3.Ifacountrydoesnotissuethedocumentorcertificatementionedabove,adeclarationonoathshallbeprovided.Incasesuchisnotobtainablethenasolemndeclarationmadebythepersonconcernedbeforeajudicialoradministrativeauthority,anotaryorarecognisedprofessionalortradebodyshallbeprovided.
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.
2.company'
scharteredaccountants.
3.Statementfromthecompany'
sbankersaboutthedurationoftheirbusinessrelationshipwiththecompany,natureandvolumeofsuchbusiness,financialperformanceandpositionofthecompanyintheviewofthebankers.Thisisrequiredforthecompanyandfortheparentcompany,ifany.
4.Copyofthelatest3annualreportsincludingbalancesheets,incomesheets,incomestatements,notes,accountingprinciplesandaudi
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