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    First: General Information: Project Questionnaire Form

    Uploaded by

    Wessam Hashem
    This document is a project questionnaire form from the Ministry of Municipal & Rural Affairs in the Kingdom of Saudi Arabia. The form collects information about a construction project for contractor classification purposes. It requests details about the project owner, contractor, contract value, scope of work, completion percentage, contractor's performance ratings, breakdown of project fields, and principal's approval. The instructions state that the form must be fully and accurately completed by the project owner's principal for the contractor to submit for classification. Any modifications or scratches will invalidate the form.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    First: General Information: Project Questionnaire Form

    Uploaded by

    Wessam Hashem
    28 views2 pages
    This document is a project questionnaire form from the Ministry of Municipal & Rural Affairs in the Kingdom of Saudi Arabia. The form collects information about a construction project for contractor classification purposes. It requests details about the project owner, contractor, contract value, scope of work, completion percentage, contractor's performance ratings, breakdown of project fields, and principal's approval. The instructions state that the form must be fully and accurately completed by the project owner's principal for the contractor to submit for classification. Any modifications or scratches will invalidate the form.

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    Project Questionnaire Form

    Original Title

    Project Questionnaire Form

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    This document is a project questionnaire form from the Ministry of Municipal & Rural Affairs in the Kingdom of Saudi Arabia. The form collects information about a construction project for contractor classification purposes. It requests details about the project owner, contractor, contract value, scope of work, completion percentage, contractor's performance ratings, breakdown of project fields, and principal's approval. The instructions state that the form must be fully and accurately completed by the project owner's principal for the contractor to submit for classification. Any modifications or scratches will invalidate the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views2 pages

    First: General Information: Project Questionnaire Form

    Uploaded by

    Wessam Hashem
    This document is a project questionnaire form from the Ministry of Municipal & Rural Affairs in the Kingdom of Saudi Arabia. The form collects information about a construction project for contractor classification purposes. It requests details about the project owner, contractor, contract value, scope of work, completion percentage, contractor's performance ratings, breakdown of project fields, and principal's approval. The instructions state that the form must be fully and accurately completed by the project owner's principal for the contractor to submit for classification. Any modifications or scratches will invalidate the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    The form will not be accepted if

    any scratch or modification is


    found. It will be preferable to
    be automatically completed.

    KINGDOM OF SAUDI ARABIA


    MINISTRY OF MUNICIPAL & RURAL AFFAIRS
    DEPUTY MINISTRY FOR
    CONTRACTOR CLASSIFICATION

    PROJECT QUESTIONNAIRE FORM


    First: General Information
    1-

    The Project Owner

    2-

    The Contractor

    3-

    Project Title

    4-

    Contract No.

    5-

    Contract Value (SR):

    8-

    Project Period (in months):

    10-

    Project Start:

    12-

    Percentage of completed works:

    13-

    Brief description of the scope of work according to the contract:

    14-

    Contractors role in executing the Project:


    Main Contractor

    15-

    6-

    Value Increase
    9-

    /14

    Value Decrease

    Additional Period:
    11-

    % until

    Active Partner

    7-

    Project End:

    /14

    / /14 H

    Sub Contractor

    Names of the other contractors participating in executing the project with the contractor mentioned in (2) above.
    Contractors Name

    Role according to 14

    Scope of Work

    % of the Project

    A statement for contractors participating in the project execution may be attached when required
    Second: Contractors performance: Put (x) in the appropriate column (1 lowest, 5 highest)
    Criterion

    Mark
    1

    Project management (planning, organization and follow up).


    Work quality & compliance with the specifications
    Compliance with the time schedule
    Project staff level (competence, experience, qualifications)
    Availability of the necessary equipment & systems and extent of their efficiency
    Application of the security & safety procedures
    Job saudization and provision of the training programs

    Notes:

    Third: Scope of the Project Works


    Divide the project into the main items (with respect to the contractor referred to in (2) as indicated
    herein below in accordance with the percentages of cost, observing that the total shall be 100%.
    Construction Fields

    Operation & Maintenance Fields

    Buildings

    Maintenance Buildings

    Roads

    Maintenance Roads

    Water & Sanitation Works

    M & O of Water & Sanitation Works

    Electrical Works

    M & O of Electrical Works

    Mechanical Works

    M & O of Mechanical Works

    Electronic Works

    M & O of Electronic Works

    Industrial Works

    M & O of Industrial Works

    Marine Works

    M & O of Marine Works

    Dams

    M & O Dams

    Landscaping

    Maintenance of Landscaping

    Slaughterhouses

    M & O of Slaughterhouses

    Well Drilling

    City Cleaning & Wastes Disposal

    Maintenance Health Centres


    Catering for Medical Centres
    Catering for Individuals
    Another field (specify)

    Another field (specify)

    Principals Approval
    Position

    Name

    Signature

    Date

    Official Stamp

    Important instructions according to the Circular of H.R.H., the Minister, No.79379 dated 14/11/1429 H.
    1. Completion of the form once the contractor applies for that with respect to any project so that the
    classification procedures will not be delayed and the contractors interests will not be adversely affected.
    2. Completion of the form according to the project situation and in any of its stages after the contract signature.
    No specific stage is stipulated for its completion.
    3. The form shall be completed by the direct principal of the project owner and shall be certified & stamped.
    4. The form shall be handed over to the contractor inside an envelope and must be stamped by the owners
    confidential stamp, to be submitted by the contractor to the Deputy Ministry for Contractors Classification,
    together with the classification application documents & forms.

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