E - ##### ####009 # - (#### ##### #######-#### ####### - ####### (## #######

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 [email protected].
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

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.

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]

5
June 2007
CD 009B (CR)
* Denotes Change
** Denotes Addition

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:

une 2007
Replaces: July 2003
D 009B (CR)
* Denotes Change
** Denotes Addition

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:

une 2007
Replaces: July 2003
D 009B (CR)
* Denotes Change
** Denotes Addition

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

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.

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

10
June 2007
CD 009B (CR)
* Denotes Change
** Denotes Addition

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.

11
June 2007
CD 009B (CR)

* Denotes Change
** Denotes Addition

E - ##### ####009 # - (#### ##### #######-#### ####### - ####### (## #######

Uploaded by

Copyright:

Available Formats

E - ##### ####009 # - (#### ##### #######-#### ####### - ####### (## #######

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

E - ##### ####009 # - (#### ##### #######-#### ####### - ####### (## #######

Uploaded by

Copyright:

Available Formats

CONTRACTOR PREQUALIFICATION SUMMARY

DATE PREPARED: 22/01/2015

TO BE SUBMITTED ON: 16/02/2015

Minimum grade Required for this Contract - Not Applicable

Is your Company already registered with Saudi Electricity Company?

and then provide the following information :

3. Chamber of Commerce Certificate

4. Social Insurance Certificate

5. Valid Certificate from Labor Office

Replaces: June 2007

CONTRACTOR'S PREQUALIFICATION DOCUMENTS

SUMMARY ( Please see attached)

Your prequalification documents shall also contain the following information:

An Organization Chart showing your present overall organization and functional

Understanding about the Scope of Work. Provide a description of your

Additional Information. Provide any additional information that describe or

Replaces: July 2003

III. QUESTIONNAIRE (ADDITIONAL INFORMATION)

IV. INQUIRIES AND SUBMISSION

FERAS A. AL-SHAIKH HUSSAIN

Prequalification for Contract No. :

CONSTRUCTION OF NATIONAL GRID

CONTRACTOR PREQUALIFICATION SUMMARY

RFX NO. 4000052594

CONTRACTOR'S EXPERIENCES ON SIMILAR WORK

Brief Description of Work

* Please fill out this form properly.

CONTRACTOR PREQUALIFICATION SUMMARY

LIST OF CONTRACTOR'S ON-GOING PROJECTS/CONTRACTS

* Please fill out this form properly.

Replaces: September 1987

CONTRACTOR PREQUALIFICATION SUMMARY

RFX NO. 4000052594

Experience [years] with:

. If (NO) Explain Below:

* Please fill out this form properly.

Replaces: July 2003

CONTRACTOR PREQUALIFICATION SUMMARY

RFX NO. 4000052594

. If (NO) Explain Below:

* Please fill out this form properly.

Replaces: July 2003

CONTRACTOR PREQUALIFICATION SUMMARY

RFX NO. 4000052594

RESUME OF CONTRACTOR'S MANAGEMENT AND SUPERVISORY PERSONNEL

Work Experiences (Start from current)

Brief Job Description :

Brief Job Description :

* Please fill out this form properly.

Replaces: July 2003

ACTOR PREQUALIFICATION SUMMARY

CONTRACTOR PREQUALIFICATION SUMMARY

RFX NO. 4000052594

CONTRACTOR'S PROPOSED WORK PLAN

Proposed number of manpower to be mobilized :

Category of Personnel to be Recruited

* Please fill out this form properly.

Replaces: September 1987