分包商问卷表.docx

1、分包商问卷表Contractor Fact Sheet承包商情况问卷表Contractor Name: 承包商名称： Notes:注意:(a) All forms must be fully completed (additional sheets may be used, if necessary). 所有表格应完全填写(若需要请增加表页)(b) The Purchaser should be notified in writing of any subsequent changes in the particulars submitted.若有任何变更应以书面形式通知我方并以详细提交资料.

2、(c) Where associated firms are to be engaged in joint ventures or where Contractor are proposed to be employed for any portion of the works, similar particulars as listed shall be provided in respect of each firm. 若为合资公司或在任何工作中要雇佣的承包商需分别提交每个公司的类似情况. (d) All pages are to be endorsed by the signature

3、of the Contractor and to be accompanied by the company stamp. 承包商需在每一页上签字并盖章. You are required to return the completed and duly signed Contractor Fact Sheet within the requested time frame to allow us to process your application as our approved Sub-Contractor.贵公司应在规定的日期内返回完整的两份签字过的”承包商情况问卷表”, 以便我们审核

4、作为分包商的申请.1.Company Name:公司名称龙元建设集团股份有限公司2.Address地址总部：上海上海办公室：逸仙路768号3.Postal Code:邮编2004344.Telephone:电话8621 586499235.Telefax:传真8621 586499236.E-Mail:电子信箱wangyongzhang7.Telex:电报8.Date:日期2007-03-179.Business Contact Person:联系人王永章9.Paid Up Capital / Capital Set Aside / Supplementary Information注册资金/

5、闲置资本/补充信息For this purpose, the Contractor shall complete the accompanying Financial Data table (on the next page).为此目的, 承包商应完成随附的财务数据表(下一页).In addition, copies of the following shall be submitted:作为补充, 需提交下列资料的复印件:(a)Brief particulars of the company from the Registry of Companies and Businesses (RCB

6、) Instant Information Services. 可以立即查询的公司注册简要资料. 可查询: (b)Certificate of Incorporation of Private Company. YES or NO(是/否) 私人公司的法人证明. (c)Audited Financial Reports for the last three years. This report should include the Directors Report, Balance Sheet, Profit and Loss Account, Trading Account, Sources

7、 and application of Funds and Notes to Accounts. (Refer to the attachment).近三年的已审计的财务报告.此报告包括董事报告, 资产负债表, 损益表, 资金往来, 资金来源和申请, 应收应付帐. (参见附件)(d)Copy of Insolvency report and a description of any litigation in which the company is currently involved.破产报告复印件和任何公司正在被起诉的叙述内容.(e)Copy of ISO certification (

8、if available). 质量认证体系证书(ISO)的复印件(如果有). (f)Copy of Quality Assurance / Control Program质量保证/控制程序的复印件.(g)Copy of Safety Management System 安全管理系统的复印件. 10.Financial Data财务数据 单位：万元 （Unit: 10K RMB)Year年200420052006(a)Paid up capital and unappropriated profit/loss.注册资金和未分配利润/亏损.(b)Long term assets comprisin

9、g fixed assets and other long term investment.由固定资产和其他长期投资组成的长期资产.(c)Long term liabilities comprising equity capital, long term loan, etc.由股本权益, 长期贷款等组成的长期债务.(d)Stocks, work-in-progress and finished goods stock.股票, 半成品, 和成品库存.(e)Gross Sales/Turnover.销售总额/营业额.(f)Gross Profit.总利润(g)Net Profit after ta

10、x.税后净利润.(h)Current assets流动资产(i)Current liabilities流动负债 (j)Current Ratio流动比率(k)Net worth of the company公司资产净值11a.Financial Reference财务信用(a)Name of Companys Bankers and Addresses:公司业务往来银行的名称和地址(i) (ii) (iii) (b)Credit Facilities:信用透资The undersigned *will/will not be able to submit a bank credit lette

11、r wherein his Bankers will Undertake to place at the disposal of the undersigned credit facilities in the maximum amount of 签名人能/否在其往来银行中保证提供银行贷款函,最大信用透资金额为:RMB25,000,000RMB20,000,000RMB15,000,000RMB10,000,000for use if needed for this project in the event of the undersigned awarded this Contract.在签

12、名人中标时为项目所需之用.(c)Performance Guarantee:履约保函:The undersigned *will/will not be able to provide a Performance Guarantee in the form of a bankers guarantee up to a maximum of RMB XXX (equal to USD XXX Million) in the event of the undersigned being awarded the Contract.签名人在其中标时,能/否提供银行担保的履约保函,其金额为(人民币)(e

13、qual to USD 8 M) (d)Bonding Reference: .担保人：(e)Bond interest rate: .担保利息： 11b.Licence执照或许可证Does your service(s) require any specific licence(s)? 贵公司是否需要任何执照或许可证? If yes, please provide the licence(s) available and attach a copy of your licence(s).如果已取得请附上执照或许可证的复印件Type of Licence执照或许可证种类Licence No.执

14、照或许可证编号Licence Expiry Date有效日期Business Licence营业执照）Construction Licence施工许可证 资质证书Others, please specify:其他,请例举:工程设计证书12.Person empowered to act for Company被授权的公司执行代理人Name名字Position职位NRIC No./Passport No.身份证/护照编号Specimen Signature预留签字样本13. Registration注册 (State Register of Companies/Business Names/Re

15、gistration Number) (公司注册/注册编号) 14a Type of company公司类型(Public, Private, Partnership, Joint Ventures or Sole Proprietorship) (公营, 私营, 合作, 合资或独资) 14b Date company was founded:公司成立日期14c Under present management since:何时开始目前经营方式(内容)15. Major Shareholders and Percentages owned主要股东和其持股比率 16a. Applications

16、, Subsidiaries & Joint Ventures, 有分支机构和合资企业的承包商(In case of a proposed joint ventures, one firm shall be named as Managing Partner and particulars of the proposed participation of each firm shall be stated)(如有合资企业, 需分别叙述每个做为任事股东的公司.)16b Location of fabrication shop and total fabrication capacity制作车间和

17、总的制作能力 16c Current shop work capacity: . % utilized现有车间工作能力的使用率_17.Additional Information required (for Overseas Applicants only)补充资料(海外企业)(a)Name and address of Local Representative.本地代表机构的名称和地址.(b)Indicate whether you intend to establish a local office of your own in China.表明你是否有在中国建立本地办公室的意向.(c)S

18、tate name and address of Local Banker.本地银行的名称和地址.18. Business Description业务叙述Give brief description of your company business and operations (provide evidence such as technical & engineering capability and if your company can undertake sub-system package including engineering design and supply of equ

19、ipment):简要叙述贵公司的业务和经营(如果贵公司能承担包括工程设计和提供设备的分系统工程包,提供技术和工程能力的证据.)集团拥有房屋建筑工程总承包特级资质、市政公用工程总承包一级资质、机电安装工程总承包一级资质、地基与基础工程专业承包一级资质、建筑装修装饰工程专业承包一级资质和园林古建筑工程专业承包一级资质，是一家拥有国家特级资质和五个一级资质的大型企业。公司注册资本:388,800,000元，资产总额超过40亿元。能独立承担工业、民用、市政、交通、水利及大体量、高标准、精装饰等各类复杂的建筑施工任务。19.List resources of plant and equipment ow

20、ned by the company likely to be available for the work列出公司为承担工作而拥有的工厂和设备清单塔吊，挖土机，推土机，20aList balance of plant and equipment to be hired for the work列出为承担工作而租用的工厂和设备清单20bHas your company ever failed to complete any project/work ?贵公司是否有未按合同规定完成的工程项目？无20c Does your company utilize any Project Controls

21、Software? If Yes: which one?贵工地是否使用任何项目控制软件?如有,是哪一种?20d Does your company utilize AutoCad? If yes: which Version?贵公司是否使用辅助三维设计? 如有: 是哪一种版本?20f Does your company utilize MS Office? If yes: which Version?贵公司是否使用办公管理系统?如有: 哪一种版本?20g Does your company utilize Primavera? If yes: which Version?贵公司是否使用PRIM

22、AVERA软件?如有: 哪一种版本?20h Does your company utilize Suretrack? If yes: which Version?贵公司是否使用SURETRACK软件?如有: 哪一种版本?21.List Man-Hour Charges列出人工工资清单Based on 6 working days per week and 10 working hours per day.RMB / Man-Hour人民币/小时工资Based on 6 working days per week and 10 working hours per day.RMB / Man-Ho

23、ur人民币/小时工资(a) Project Manager项目经理(e) Foreman 领班(b) Senior Engineer 高级工程师(f) Semi-skilled Worker 熟练工(c) Engineer 工程师(g) General Worker 普通工(d) Supervisor 管理人员(h) *Others: High-skilled welder 其他*Please specifiy:请详细说明:*For special welding * Same rates above used for overtime working and regular holidays

24、 working, only except for Chinese New Year holidays, which needs regular rate x 3.* The above rates for labor service only.22.List regular approved Sub-Contractors列出常用的合格分包商Name of Sub-Contractor分包商名字Scope of work工作范围六化建管道、设备安装上海美建钢结构有限公司外墙板及钢结构安装上海森林特种门有限公司门窗工程23aDetails of Managerial and Technical

25、 Personnel employed by the company公司雇佣的管理和技术人员详细情况Name名字Qualification资质Experience经历24. Safety Evaluation Checklist安全评估检查表 Refer to the attachment.(a)Does your company have a Safety Policy? Please provide a copy.贵公司是否有安全操作? 请提供一份复印件.Yes是No否(b)Does your company set Safety Management System (SMS) targe

26、ts and objectives?贵公司是否制定有安全管理系统(SMS)目标.If yes, please describe the process and provide extracts from current targets.如果有, 请叙述其程序和提供现有目标中的重要部分.Yes是No否(c)Are personal SMS objectives and targets set?If yes, describe the process and provide examples of current targets.是否有个人安全管理系统目标?如有, 请叙述其重要的部分.Yes是No

27、否(d)Does your organizational structure provide clear lines of accountability for SMS matters?贵公司的组织机构是否有安全管理系统事务相关的责任图.Please provide a copy of an organization chart which demonstrates this.请提供一份示范责任图的组织机构图复印件.Yes是No否(e)Who has overall and final responsibility for SMS in your company?Please provide

28、name, title and management experience.谁是贵公司安全管理系统的总负责人?请提供名字,职位和管理经历.Yes是No否(f)Are the SMS responsibilities of employees down to and including supervisors defined?是否安全管理系统雇员细分到包括具体明确的管理人员.Please state where these are defined and provide an example from each organizational level down to supervisor.请叙述每个管理层面的具体明确的安全管理人员.Yes是No否(g)Does your company employ full-time and/or part-time Safety Officer / Safety Supervisors?贵公司是雇佣全职且/或兼