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ASutaMaryofKvmIHMmmiCat^oralMPRE-QUALIFICATIONFORCATEGORY61CementingandAssociatedServices
1Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesTABLEOFCONTENTSA.INVITATIONTOPREQUALIFY1.Introduction2.PurposeoftheDocument3.GuidelinesforPre-Qualification4.Pre-qualificationDocumentandQuestionnaireLayout5.QuestionnaireResponses(TheSubmission)6・ModalitiesoftheSubmission7.EligibilitytoApply8.EvaluationProcess9.General10.DisclaimerLetterofSubmittalB.PRE-QUALIFICATIONQUESTIONNAIRESECTION1-MandatoryQuestionsSECTION2-Applicant'sExperience(PreviousandCurrent)SECTION3-Applicant*sResourcesSECTION4■Applicant*sHSE&QA/QCPractices(TechnicalPart)SECTION5-Applicant*sCompany*sOrganisationandStructureSECTION6■Applicant,sFinancialStatusSECTION7-Applicant'sHealth,Safety,Environment&ManagementSystem
2Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesA.INVITATIONTOPRE-QUALIFYLIntroduction1.1TheKuwaitOilCompany(K.S.C.)(theCompany)isaStateownedcompany,engagedinexploration,developmentandproductioncrudeoilandnaturalgasresourcesfromKuwait'soilfieldsincludingtheexportofcrudeoilthroughitsmarineterminals.1.2TheCompanyisseekingqualifiedContractorsforprovisionofCementingandAssociatedServicesfordevelopmentdrillingandworkoverofoil&gaswellsandherebyinvitessubmissionsforpre-qualificationfromservicecompanies(hereinreferredtoas“Applicants“asdescribedinthefollowinginstructionno.7;representingalocalKuwaitiCompanyseekingprequalificationeitherbasedonitsowncredentialsorhasjointventurewithareputedinternationalserviceproviderhavingadequateMemorandumofUnderstanding(MOU)tosupporttheApplicantinordertofulfilobligationsincaseofAwardofContractforthefollowingservices:•PrimaryCementingofCasingStrings/CasingLinersforO.D.30”,24”,185/8”,14”,1313・3/8”,103/4”,95/8”,73/4”，75/8”,T\5%",5"and4%“atvariousdepthsinsingleormulti-stagehandlingwater/oilbasemudsystems;•Secondary/RemedialCementationincludingcementsqueeze/settingcementplugs;•Surfaceanddown-holepressuretestsuchasblow-outpreventerpressuretest,casingpressuretest,formationintegritytest,injectivitytestandthelike;•Wellkillandanyotherpumpingoperationasneeded;•DownholeToolsServicesandFiltrationservices;•Conductingaboveoperationsshallinclude:oDesignandlabtestcementandspacerslurriestomeettheobjectivesofthejob;oPlanning,followupandevaluationofcementingprogramsandoperationsaidedbyadequateJob-simulationandjobmonitoringsoftware;oSupplyofnecessaryadditives,materialsandequipmentforcementingandpumpingoperation;oOperationandmaintenanceofthecementandassociatedserviceequipment.1.3Accordingly,theCompanyinvitesinterestedApplicantstosubmitfulldetailsoftheirexperienceinaccordancewiththeattachedquestionnaireandthepre-qualificationdocuments.1.4TheobjectiveofthisexerciseistoidentifyandenlistsuitablyqualifiedlocalContractorsfortheaforementionedservices,whichwillbeinvitedforthetenderfortheseservices.1.5TheCompanyisneithercommittednorobliged,impliedorotherwise,toincludeanybidderonthetenderlistorawardanyformofcontracttoanycontractorand/orassociatedcompanies,subcontractororagents.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServices
3A.INVITATIONTOPRE-QUALIFY1.Introduction(Cont'd)1.6Participationinthepre-qualificationexercisedoesnotconstrueorimplyanycommitmenttoanypartyorentitleanypartytoanyindemnityoranyformofpaymentfromtheCompany.1.7Applicantsareadvisedtonotethat:•Thisisnotaninvitationtotenderfbraboveservices.•CompletionofthisapplicationdoesnotmeanthattheCompanyhasacceptedtheirbusinessentityasaContractorfbrprovidingtheaforementionedservices.•TheCompanyreservestherighttopre-qualifyanyApplicantfbraforementionedservicesaswellasrejectanypre-qualificationsubmissionatitssolediscretion.•TheCompanywilltreatalltheinformationasstrictlyconfidential.•TheCompanyreservestherighttorequestadditionalinformationordocumentsregardingapplicant'sanswersinthisapplication.Further,ifneeded,theCompanyreservestherighttoverifyfromthethirdpartyorcompanyquotedin"thesubmission^^abouttheworkrelatedexperienceandanyotherrelevantinformation.•TheCompanyreservestherighttoperformanaudittoconfirmordetermineauthenticityoftheinformationfurnishedthroughpre-qualification.Itshallincludesitevisittoapplicant'sfacilities,ifsofelt.2.PurposeoftheDocuments2.6AllApplicantswillberequiredtosubmitadetailedandcomprehensivepre-qualificationsubmission("theSubmission^^),forreviewbytheCompany.ThisSubmissionshallbepreparedinaccordancewiththeguidelinesandinstructionssetoutinthispre qualificationdocumentandshallsetforthinaclearandprecisemannertheircompetenceandsuitabilityfbrcarryingouttheServices.2.7Pre-qualificationofApplicantsforfutureparticipationintheCompany'sTenderforsimilarServicesshallbemadesolelyonthebasisoftheinformationsuppliedintheApplicant'sSubmissionsincludingsafety/technicalauditoffacilities/equipmenttoconfirmsuitabilityofServices.AllApplicantsareadvisedthattheCompany,atitsownoption,maychoosetovisittheApplicant'spremises.TheApplicantsshallallow/givesuchaccesstheCompanytosatisfyitselfmorefullyabouttheApplicant'sSubmission,oranypartthereof.3.GuidelinesforPre-Qualification3.6Onlythoseapplicants,abletodemonstrateanddocumentprovenrelevantexperience,availableresources,andreadinesstoundertaketheservices,willbeconsidered.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesA.INVITATIONTOPRE-QUALIFY3.GuidelinesforPre-Qualification(Cont'd)
43.2ApplicantoritsjointventureCompanyonwhosebehalfApplicanthasappliedhasprovenrecordsofcompletingsimilarServicesasdescribedabove,astheprime“contractor“withfullresponsibility.3.3Applicantneedstohaverecentandrelevantexperience,whichshowsthattheApplicantisnowactiveinthesamefieldoftherequiredServicesandthatthisworkloadisconsistentwithitscurrentresources,manpowerandfinancialstanding.3.4ApplicantsmustprovideallrequestedinformationinitsSubmission.4.Pre-QualificationDocumentandQuestionnaireLayoutSection1A:GeneralInstructionstotheApplicantSection8B:PrequalificationQuestionnaireTheprequalificationquestionnaireisdividedintoseven(7)sectionsasfollows:Section9-MandatoryQuestionsSection10-Applicant'sExperienceSection11-Applicant'sResourcesSection12-Applicant'sHSE&QA/QCPractices(TechnicalPart)Section13-ApplicantCompany'sOrganisationandStructureSection14-Applicant'sFinancialStatusSection15-Applicant'sHealth,Safety,Environment&ManagementSystem(HSEMS)5.QuestionnaireResponses(TheSubmission)5.2TheApplicantmustrespondtoallpartsofthequestionnaireandallthequestionslistedthereinandprovidetheinformationinEnglish.Itismandatorythatthequestionsareansweredexactlyinaccordancewiththeinstructionsgiveninthepre-qualificationquestionnairesegregatedandarrangedinorderbysections.5.3Theincompleteformswillnotbeprocessed.Answerstoquestionsandinformationprovidedmustbeaccurateandunambiguous.5.4ApplicantsmustnotethattheapplicationshallnotbeprocessedandwouldliabletoberejectedincaseofeitheroffollowinginrespectofSection1(MandatoryQuestions):(a)AnswertoanyofthequestionsofSection1isnotaffirmative.(b)Relevantsupportingdocumentsasmentionedunderthissectionarenotprovided.(c)Supportingdocumentsdonotcorrespondtoaffirmativeresponse.(d)AnyquestionofthisSectionisnotanswered.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesA.INVITATIONTOPRE-QUALIFY5.QuestionnaireResponses(TheSubmission)(Cont'd)
55.4Onlyinformationprovidedasadirectresponsetothequestionnairewillbeevaluated.Applicant'sinformationanddetailwhichareofadvertising/promotional/marketingnaturewillnotformpartoftheevaluationprocessandhenceshouldnotbeincluded.5.5Supplementarydocumentationmustbeattachedtothequestionnairewhereapplicanthasbeendirectedtodoso.Suchinformationmustbeclearlymarkedwiththenameoftheorganisationandthequestiontowhichitrelates.5.6ApplicantshouldnotethattheCompanymayrequireclarificationoftheanswersprovidedoraskforadditionalinfonnation.5.7Shouldtheresponsebefoundtobeerroneousorinotherwayincorrectoroftheform"tobesubmittedlater”,theCompanyshallreservetherighttorejecttheapplicationforpre qualification.6.ModalitiesoftheSubmission6.4TheApplicantssubmittalmustbeinduplicate,one(1)setinHardcopyandone(1)setinCDcopy.Thesubmittalmustbemarkedasfollows:-To:TeamLeaderSupplierRelationshipManagementKuwaitOilCompany(K.S.C.)BuildingB-l,KOCOfficeComplex,AHMADI,Kuwait.Subject:Category61PREOUALIFICATIONFORCEMENTINGANDASSOCIATEDSERVICES6.5TheApplicantmustdeliveritssubmittaltotheSupplierRelationshipManagementTeamonorbefore2:30p.m,ofCompany'snormalworkingdays(SundaythruThursday),alongwithanon-refundablefeeof100KWDor350USD.TheabovefeesshallbepaidasadepositedintheCompany9sAccountNo.(1(X)1058663)oftheNationalBankofKuwait-AhmadiBranch,Kuwait,SwiftCode(NBOKKWKW)-IBANNO.KW77NBOK0000000000001001058663.Formalreceiptshowingtheabovepaymentshallbeenclosed/scannedwiththesubmittedApplication.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesA.INVITATIONTOPRE-QUALIFY6.ModalitiesoftheSubmission(Cont'd)6.3Themodalitiesofsubmissionofone(1)setinHardcopyareasfollows:
6-Envelope1shallcontainalloriginalsof:-Folder1:Section1,2,3and4-Folder2:Section5-Folder3:Section6-Folder4:Section7-Inadditiontotheabove,theApplicantisrequiredtoprovideaLetterofSubmittalintheformatspecifiedonpage9to10of47ontheApplicant'sletterheadandsignedbytheApplicantsauthorisedsignatory.6.EligibilitytoApply6.1Onlyestablishedcompaniesthataresinglecorporatebodiescanbepre-qualified.6.2"Applicant“meansalocalKuwaitiCompanyseekingprequalificationeitherbasedonitsowncapabilities,experienceandresourcesorhasjointventurewithareputedinternationalserviceproviderhavingcapabilities,experienceandresourcestosupporttheApplicantinordertofulfilobligationsincaseofAwardofContract.6.3IftheApplicantisapplyingonitsbehalf,theinformationprovidedinthequestionnairemustbetrueandpertaintotheApplicantitselfinordertoassessapplicant'scapability.Informationwhichincorporatesdetailsregardingparent,associate,orsubsidiarycompanies,orsubcontractors,orcompaniestowhomtheApplicantwassubcontracted,shallbeignored/rejectedforthepurposeofevaluation.6.4IftheapplicantisapplyingbasedonajointventurewithareputedinternationalcompanyforprovisionofsubjectServices,thentheinformationmustbeforthecompanywhoshallactuallyperformanyworkawardedonbehalfoftheApplicant,theapplicantshallberequiredtosubmitfollowingwiththeprequalificationsubmission:6.4.1CopyofJointVenture/TechnicalServiceAgreementindicatingfulltechnicalsupportbythejointventurecompany;6.4.2TheguaranteefromitsJointVentureCompanyensuringthetechnicalsupportincludingfullresponsibilitytofulfilallobligationsatalltimesduringthecontract'slifewiththeCompanyintheeventofawardofContract.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesA.INVITATIONTOPRE-QUALIFY7.EligibilitytoApply(Cont'd)7.4(Confd)1.1.3Failingtosubmiteitheroftherequirementsstatedin7.1and7.2aboveshallleadtorejectionoftheApplication.7.3IftheApplicantisawhollyownedsubsidiarycompanyorpartofagroupofcompanies,thenthe
7applicationandtheinformationmustbefromtheApplicant,scompanythatshallactuallycontrolandperformthework,ifsoawarded.7.3Itistheapplicantthatcompletestheentirequestionnaire.However,theCompanyreservestherighttorequestfurtherinformationinrespectofapplicant'sparent,associate,orsubsidiarycompaniesshoulditbedeemednecessaryforevaluationpurposes.7.4Pre-qualificationshallbegrantedtotheApplicant'scompanyonlyandshallnotincludepre-qualificationofanyparentorsisterorsubsidiarycompanies.7.5Ifqualified,andasandwhenCompanydecidestoinvitetender,theInvitationtotenderwillbeissuedtotheApplicantandnottoitsparent,associate,orsubsidiarycompanies.Anycontract,ifawarded,willbeenteredintowiththeApplicantonly.1.1EVALUATIONPROCESS1.2ThePQApplicationshallbeevaluatedasfollows:CommercialEvaluationTechnicalEvaluationFinancialEvaluationHSEEvaluation1.3TheApplicantshallbeapprovedunderallaboveareasinordertobeconsideredasapproved/qualifiedfortherelatedPQservices;anyrejectionunderoneoftheaboveareasshallleadtorejectionoftheApplicant.1.4Duringevaluation,clarificationprocessmaybeconducted,inordertoclarify/requestingforanymissingdocumentsorinformation,theApplicantisrequestedtoresponseonanyclarificationwithintheperiodspecifiedthroughtheclarificationfacsimile/e-mail,failureofresponseshallleadtorejectionofthePQApplication.1.5ApplicantshallallowKOCtovisitApplicantsofficesandfacilitieswherevertheymaybelocated(ifrequired).9.GeneralPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesA.INVITATIONTOPRE-QUALIFY9.1TheCompanywillretainalldocumentssubmittedbytheApplicantforitsrecords.9.2Bysubmittalofanapplication,theApplicantpermitstheCompanyto:-a)TakeanystepswhichtheCompanyconsidersnecessarytoauditorverifytheinformationcontainedinitsapplication,and;b)VisittheApplicant'sand/oritsJointVentureCompany'sfacilities/equipmentwherevertheymaybelocatedbutsubjecttoapriornotification.
89.1Subjectto9.2above,allresponses/correspondencewillbetreatedinthestrictestconfidencebytheCompany.9.2Companyisnotobligedtoincludeanypreviouslypre-qualifiedcompanyonthelistofapprovedtenderersforanyotherprojectorcontract.However,ContractorscurrentlyengagedinprovidingCementing,Stimulation&AssociatedServicestotheCompanyneednotapplyandwillbeconsideredaspre-qualifiedforthesubjectservices.9.3Applicantshouldnotethattheword“Attachment”meanstheinformationprovidedinaccordancewiththeformatprovidedinthePre-Qualificationdocumentandtheword’Appendix'meanstheinformationisprovidedinApplicantsownformat.9.DISCLAIMERTHEAPPLICANTISAWAREANDAGREESTHATDOCUMENTS(BEINGINSOFTORHARDCOPY)SUBMITTEDFORTHESUBJECTPQFORTHECOMPANY'SCONSIDERATIONSHALLBECOMETHESOLEPROPERTYOFTHECOMPANYANDSHALLBERETAINEDINTHECOMPANY'SCUSTODY.ANYPROTESTORRESERVATIONONTHEFINALRESULTSSHALLBEWITHINAMAXIMUMOFSIX(6)MONTHSFROMTHEDATETHERESULTSBEENANNOUNCED.FAILURETOCOMPLYTHEREWITH,THEAPPLICANTTHEREAFTERSHALLHAVENORIGHTTOSERVEANYRESERVATIONORPROTESTTOTHECOMPANYANDTHECOMPANYSHALLHAVEABSOLUTERIGHTTODISPOSEANDGETRIDOFSUCHDOCUMENTS.LETTEROFSUBMITTALTO:TEAMLEADERCONTRACTSSERVICESKUWAITOILCOMPANY(K.S.C.)Ahmadi,KuwaitDearSirs,Subject:PRE-QUALIFICATIONFORCATEGORY61CEMENTINGANDASSOCIATEDSERVICES1.We,isacompanyincorporatedinduringtheyearofundertheLawofwouldliketoparticipateintheSubjectPre-qualificationExerciseandsubmitourcompletedpre-qualificationquestionnairealongwiththeadditionalinformationrequiredthereinandrequesttobeincludedintheCompany'slistofbiddersforthesubjectproject.2.WeacknowledgethattheCompanyhasabsolutediscretionintheselectionofbiddersandthattheCompanyisnotrequiredtoprovideanyreasonshouldtheCompanydecidenottoincludeourcompanyontheabovereferredlist.3.WeconsenttoCompany'srepresentativesvisitingouroffices,facilitiesandworksinprogressas
9theCompanyconsidersnecessarytosatisfactorilyevaluateourapplication.Intheeventofsuchvisitstakingplace,weshallprovidewhateverassistancenecessarytotheCompany'srepresentativestoassistthemintheevaluationofourapplication.1.Wehereby,authorizeKuwaitOilCompanyrepresentativestoseekopinionandinquireaboutusfrompreviousandcurrentclients(statedasreferencesherein)forthepurposesofprequalification.Bythis,weauthorizereferencedclientstodivulgerequiredinformationtoKuwaitOilCompany.2.We,theApplicantunderstandthat,onlyestablishedcompaniesthataresinglecorporatebodiescanbepre-qualified.3.Ourcompan/sheadofficeislocatedin4.Weunderstandthat,KuwaitOilCompanydoesnotacceptasubmittalbya(noneincorporated/unregistered)businessunitnoranapplicationfilledbyanagentonbehalfofourcompany.Theinformationprovidedinthequestionnaireistrueandpertaintoourselvesinordertoassessourcompany/scapability.Informationwhichincorporatesdetailsregardingparent,associate,orsubsidiarycompanies,orsubcontractors,orcompaniestowhomtheApplicantwassubcontracted,shallbeignored/rejectedforthepurposeofevaluation.LETTEROFSUBMITTAL5.WeunderstandthatztheapplicationshallbefilledbytheApplicantwhowishtoprequalifyandifapprovedbyKuwaitOilCompany,thenameoftheApplicantscompanyshallbeincludedintheapprovedlistofcontractorswhomtobeinvitedforfuturetendersandconsequentlyenterintoacontractwithKuwaitOilCompanyiftherelevanttenderawardedtotheApplicant.6.Weunderstandthatapprovaltoourcompanyshouldnotbeconsideredasanapprovaltoanyparent,sisterorsubsidiarycompanywithinourgroupofcompanies.7.WeareattachingherewiththefollowingdocumentswhicharecomplementarytoourapplicationandessentialforKuwaitOilCompanytoacceptevaluatingourapplication:-a.AnOrganizationchartindicatingparent,sisterorsubsidiarycompanieswithinourgroupofcompaniesindicatingnationalityofeachentity,(asapplicable)b.AcopyoftheMemorandum/ArticlesofAssociationofourcompanywithacertifiedextractfromtheregisteroffirmsfromourCountrywheretheContractorsareregistered(suchas"/MinistryofCommerce"/"ChamberofCommerce”,etc.).Name:Signature:
10TitleofAuthorizedSignatory:TelephoneNo.:FaxNumber:E-mailandWebsite:ApplicantsCompanyName
11Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION1-MandatoryOuestionTheApplicantmustrespondtoallquestionsinthisquestionnaireusingthefollowingformat.TheresponsetoeachquestionmustreferspecificallytotheApplicant'sownoperationalofficeforwhichqualificationisbeingsought.Anyunanswered/negativereplytothequestionsofthissectionwilldisqualifytheapplication.SR.NO.DESCRIPTIONPleaseTickOneYesNo1-1Theinformationprovidedinthequestionnaireconformtoinstructionsstipulatedinclause7(EligibilitytoApply)ofInvitationtoPrequalify.1-2DoestheApplicantconfirmthatithascapability,competenceandresourcestoprovideCementingandAssociatedServicestoOil&GasWellscorrespondingtothedescriptioninclause1.2ofInvitationtoPrequalify?1-3DoestheApplicantconfirmthatithasadequateresourcesforprovidingCementingandAssociatedServicessimultaneouslytominimumtwo(2)drillingrigsintheeventofawardofContract?1-4CantheApplicantoperateabaseinKuwait,dulyequippedwithnecessaryequipmentandthemaintenancefacilitytoprovidecementingandassociatedServicesaslistedinQuestion1-3aboveatshortnoticebyKOC,intheeventthattheContractisawardedtotheApplicant?1-5DoestheApplicantconfirmcapabilitytosupplyofadequatepersonnelsuitablyqualifiedandexperiencedforprovisionofServicesmeetingtherequirementofQuestion1-3above?PleaseprovidedetailsofsuchpersonnelintheformatattachedhenceforthasAttachment1toSection3.1-6DoestheApplicantconfirmitsfinancialstrengthtoprovideCementingandAssociatedServicesofmagnitudeinexcessofKD3millionperyearforacontractperiodoffive(5)yearsaggregatingthevalueinexcessofKD15million?
12Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION1-MandatoryOuestionSR.NO.DESCRIPTIONPleaseTickOneYesNo1-7HastheApplicantprovidedcompleteauditedfinancialstatementsinaccordancewithSection6ofPre-QualificationQuestionnaire-“Applicant'sFinancialStatus”?1.8DoestheApplicantconfirmthecompliancetorelevantgovernmentalHealth,SafetyandEnvironmentalRegulations?1.9IstheApplicantpreparedtooperatetheContractincompliancewithKOCHSEPolicy&Regulationsrevisedtimetotime?1-10HastheApplicantgotcementtestingfacilityinaccordancewithrelevantAPIstandardsandisequippedwiththefollowingminimumconfiguration?ApplicantisrequiredtomarkYes/Noasapplicableinthetablebelow:TestEquipmentQuantityYesNoaElectronicweighingbalance;readingtwodecimalsofgm.3bAPIBlender;1Litrecap.Withslow/highspeed timerdisplay3cAPIFluidlossCell,Normal1dSteeringFLCell;morethan212°FBHCT1eAPIFan-Viscometer;6Speed2fWaterBath;NormalPr.-212°FBHCT2gAtmosphericConsistometer;NormalPr.-212°FBHCT2hCuringchamberUCAtype;5,000PSIdifferential/300°F,withcomputer,monitor&software.SingleorDualmodel1iHalliburtontrueweightdensitymud-balance1jAcidfiimecup-board1kCentrifuge,suitablespecs.11Accessories/Glassware/PPEetc.LabSupervisor;10YearsofindependentjobexperienceEnough1mnLabtechnician;5Yearsofindependentjobexperience1Pre-Qualification
13-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION1-MandatoryOuestionName:Signature:NameandTitleofAuthorisedSignatory:Applicant^CompanyName:Applicant'sCompanyStamp:
14Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION2-Applicant'sExperience(PreviousandCurrent)Provideinformationandsupportingdocumentationdemonstratingapplicant'spreviousandcurrentworkloadinprovidingcementingandassociatedservicesinthefollowingformatseparatelyforeachcontract/project(ExperienceinGCC(GulfCooperationCouncil)OilCompaniestobehighlighted).DescriptionContract/Project(1)Contract/Project(2)InsertColumn(s)forAdditionalContract/Projecta)*NameofClientb)*Client,sLocation/CountryandContactDetailsc)DateofcontractCommencementd)DateofcontractCompletione)ContractPrice(approximate)f)BriefDescriptionofServicesperformed/providedincluding-Average&MaximumWellDepths(TVDinfeet)-MaximumandminimumBHCT&BHmudweightforproductionlinerorcasing.-Maximumandminimumweightofcementslurryprovided.-Averagenumberofjobsperformedannually.SeparatesheetmaybeattachedforServiceDescriptionforeachContract/Projectg)Numberofwellswheresourconditionswereencountered.h)Number/typeandHPratingofrigsforwhichCementing&AssociatedServiceswereprovidedi)TotalnumberofPrimarycasingcementationandtotalnumberofsecondarycementationjobscarriedout.j)Theaverageprimarycementsuccessindexforproductionjobs.
15Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION2-Applicant'sExperience(PreviousandCurrent)•TheApplicantshallproviderelevantandverifiablereferencelistofclientswithname,addressandcontactdetails.•Providetotalnumberofyearsofexperience,theapplicanthasbeenconductingsimilartypeofworksalongwithbriefhistoryoftheCompany.NameSignatureNameandTitleofAuthorisedSignatoryApplicant'sCompanyNameApplicant'sCompanyStampPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION3-Applicant'sResources3.1PERSONNELRESOURCES3.1.1ThepresentnumberofemployeesonApplicant'spayrollthatisresponsiblefortheperformanceofcementingandassociatedservicesis.Provideabreakdownofthestatednumbersasfollows.(Pleasedonotlistthesameindividualinmorethanonecategory):-
16CategoryofPersonnel*No.ofPersonnelasApplicantsOwnEmployeesLessthan5Years5-10YearsMorethan10YearsBusinessDevelopmentManager*OperationsManager"ServiceManager*ServiceQualityCoordinator"ServiceEngineer/Coordinator*EquipmentOperatorHSE&QAQCCoordinator/Specialist*YardForeman"BulkSupervisor*CementLabSupervisorCementLabTechnician*Engineering/MaintenanceSupervisor"Mechanic*ElectricianHelperMechanic/ElectricianHeavyDutyDriverCraneOperator*WelderPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION3-Applicant'sResourcesCategoryofPersonnel*No.ofPersonnelasApplicant'sOwnEmployeesLessthan5Years5-10YearsMorethan10Years*StoreKeeper/Ware-housemanFinancialControllerAccountants
17PublicRelationOfficerLegalpersonnel*Computer(IT)SpecialistsAuditPersonnelSecretarialPersonnelOthersTotalGRANDTOTAL=Nos.Note:■ApplicantmaymodifytheJobCategoryintheabovetableaccordingtoitsset-up.■JobCategoriesmarkedas(*)intheabovetableareconsideredasKeyPersonnel.3.1.2ApplicantshallprovidethedetailsofitsKeyPersonnelaspertheenclosedattachment"Attachment1toSectionV\3.1.3Attach(asAppendix1toSection3)describingApplicant'strainingprogrammesbeingpracticedforitsstaffinordertodevelopandimprovetheemployee'smanagementandspecializedtechnicalskillsintherelevantfield.DescriptionshallincludebutnotbelimitedtoTrainingAgency,CourseTitle,Durationandfrequency.ApplicantshallalsoincluderecentcompletedtrainingrecordinrespectofitsKeypersonnel.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION3-Applicant'sResources3.2EQUIPMENTANDFACILITIES3.2.1Providelistofequipment(asAttachment2toSection3)withTechnicalSpecificationthatareavailablewiththeApplicantandareappropriatetotheCementingandAssociatedServicesforoil&gaswells.Thedetailsshallincludeconformancetofullyfunctionalandcertifiedequipmentforperformanceofthework.Detailsprovided:pleasecheckone[]Yes/[]No3.2.2Provide,asAppendix2toSection3,followingdetailsinrespectofCement,AdditivesandChemicals:a)SourceofCementAdditives/TechnicalTieUps/CertificatesorCopyofAgreementb)ListofCementAdditivesunderusewithapplicabletemperaturerangealongwiththe
18genericdescriptionandpropertiesa)CaseStudiesinrespectofapplicationofChemicals/representativefieldsamplerecipes(applicationinGCCCountrymaybehighlighted)Detailsprovided:pleasecheckone[1Yes/[]No3.2.1Provide,asAppendix3toSection3,followingdetailsinrespectofCementTestingFacility/EngineeringApplication:a)Cementslurrytestlabdetailswithfewsamplesslurry-testreports/UCAchartsb)Hydraulicsimulationsoftwareapplication-details(pleaseclarifyifthisisproprietaryortheapplicantislicensee)Detailsprovided:pleasecheckone[]Yes/[]No3.2.2ProvideacopyofApplicant'sOperationManual/standardwork-processes/QAQCManualdetailingalloperationalaspectsinrespectofCementing&AssociatedServices.Detailsprovided:pleasecheckone[]Yes/[]NoName:SignatureNameandTitleofAuthorisedSignatoryApplicant'sCompanyNameApplicant'sCompanyStamp
19Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT1TOSECTION3(APPLICANTSRESOURCES)DETAILSOFKEYPERSONNELThisAttachmentshallcontaindetailsoftheApplicant'sKeypersonnelonitspayroll,whoareresponsibletoexecutetherelevantservicesonbehalfoftheApplicant'sOrganisationinconfirmationtoaffirmativeanswertoQuestion1.5ofSection1andfurtherrequirementofQuestion3.1.2ofSection3.SNoNameTotalYearsofRelevantExperienceDetailsofExperiencePositioninApplicantsCompanyLanguageCapabilityTechnical/ProfessionalQualification/CertificationRemarksNote:Applicantshallalsoattachresumeofabovelistedpersonsincludingdetailsofemployerswiththeduration,copiesofcertificatesobtained,copiesoftrainingsobtainedandasummariseddescriptionofexperienceintheindustry.Additionalrowsmaybeaddedasnecessary.*KeyPersonnelareasidentifiedinquestion3.1.1ofSection-3(Applicant'sResources)Name:Applicant'sCompanyName:Signature:Applicant'sCompanyStamp:
20Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENTProvidedetailsofEquipmentinthecolumndescribedas“Applicant'sEquipmentSpecifications^^inbelowtable.TwinPumpCementingUnitwithAutomaticDensityControl(ADC)SystemDescriptionApplicanfsSpecificationsEquipmentAvailabilityinNo.Make&Modele.g.Steward&Stevenson,2005Typee.g.TrailerMountedTwinCementingUnitChassise.g.KenworthK-100E,6x4Engine/Primemovere.g.DetroitDiesel8V92TA(2nos.)Transmissione.g.AllisonHT-750-DRDTransmission(2nos.)TriplexPumpe.g.600BHP3%Plunger(1no.)600BHP4%"Plunger(1no.)MaximumPressuree.g.15000PSIMaximumFlowratecapabilitye.g.20BPMPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRE
21ATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)TwinPumpCementinqUnitwithAutomaticDensityControl(ADC)SystemDescriptionApplicant'sSpecificationsEquipmentAvailabilityinNo.MixPump-CentrifugalType(3nos.)e.g.-RecirculationPump-MissionMagnum5Mx4nx10”-SuperchargePump-MissionMagnum5"x4"x10”-MixWaterPump-MissionMagnum4"x3"x13”DisplacementTanke.g.,Twin/10bbl'seachH.PDischargeIronontheunite.g.,Integraltyperatedfor15,000psi/150ft.lengthpertruckADCRecirculationSysteme.g.,-6-8bblmixingtubcapacity-FurnishedwithContinuousAutomaticMixing(CAM)/AutomaticControlmode(ACM),aComputeroperatedCementDensityControlSystemwithmixabledensityrangeof8.3to22ppg.-AutomaticDensityControlwithin(0.083-0.167ppg)-Pre-JobSystemCheck-RealTimedatastorageofdensity,pumprate,totalvolumeandpumpingpressure-CompatibilitywithanintegratedDataAcquisitionsoftwareandnotebookComputer
22Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)SlurryBatchMixersDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.Typee.g.,TrailerMountedDesignVolumetricCapacitye.g.,Singletub50BBLusablecapacityEngine/Primemovere.g.,DetroitDieselGM4inline71SeriesorequivalentdrivingCentrifugalPumpMixPump-CentrifugalType(1no.)e.g.,Harrisburg4x3x13(Impeller)-Workingpressureratingequalorabove100PSIBatchmixingSysteme.g.,BlendingTankwithAgitator:Paddletype-MixingDensityRange(8.33-22.6ppg)slurries/spacers-Non-NuclearDensometermountedontherecalculatinglines-Deadvolumenotmorethan02BBL-Graduatedscaletoshowfluidlevelupto1BBL-Hydrauliccircuitry/adequateisolationbyB/FvalvesNote:ApplicantshallfurnishthesimilardetailsasaboveforTwinTub100bblusablecapacityBatchMixersubjecttoavailability.
23Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)BulkHandlina&Blendin。PlantatApplicant'sYardDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.Air-CompressorMake&Model-e.g.,COMPARE-C110-9,2006Type-e.g.,RotaryScrew;OilCooledDeliverySystemEngine-e.g.,Perkins1006-6FlowrateCapacity一e.g.,400CFMMaximumWorkPressure-e.g.,125PSIWeigh-BatchBlenderType-e.g.,BaseMountedCapacity-e.g.,500Cu.Ft.MaximumPressure一e.g.,60PSILoadCell-e.g.,(0-10OOOIbs)MartinDeckerMixingtank-e.g.,120Cu.Ft(1no.)&70Cu.Ft(1no.)
24Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)BulkHandlina&Blendin。PlantatApplicant'sYardDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.BulkStorageSilosType-BaseMountedTotalYardCapacity(..…)Cu.FtforCement+()CuFtforBentonite.ApplicanttospecifystoragecapacityforbothCement&BentoniteWorkingPressure-40PSIEquipmentforMobileBulkHandlingDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.FieldBulkStorageSilos(P-Tanks)Type-e.g.,SkidMountedCapacity-e.g.,1000Cu.Ft/1500Cu.Ft.MaximumWorkPressure-e.g.,60PSI
25Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)EquipmentforMobileBulkHandlingDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.TrailerMountedBananaTanksMake-e.g.,ATLASEngine-e.g.,SuitableDetroitDieselAirCompressor-e.g.,Betico/SB-D/160CFMPressure-e.g.,30PSIWorking/40MaximumPSITwinPodBulkCarrierType-e.g.,TwinpodTrailerMountedCapacity-e.g.,330Cu.Ftperpod/660totalPressure-e.g.,30PSIWorking/40MaximumPSIEngine-e.g.,GM3inLine-53series
26Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)EquipmentforMobileBulkHandlingDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.TripodBulkCarrierType-e.g.,Tri-podTrailerMountedCapacity-e.g.,300Cu.Ftperpod/900totalCompressor/Pressure-e.g.,CGS165/40PSIMaxEngine-e.g.,SuitableDetroitDieselorequivalentWaterTankerType&Model-e.g.,TrailerMountedwithtransferpumpCapacity-e.g.,5000gal(120BBL)Make-e.g.,AtlaswithAxle:2x12BPWBogieEngine-e.g.,SuitableDetroitDieselorequivalent
27Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)EquipmentforMobileBulkHandlingDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.MobileFracTankMake-e.g.,FishBurnServicesorequivalentCapacity-e.g.,500BBL/Onetankintwosectionofequalcapacityeachsideor280BBL&220BBLdistributionDimensions:e.g.,42,5*x8.5/RearAxleCap22,500lbs.FlatBedTrailerMake-e.g.,Kenworth/MAC/ALAMSteel(Opacity-e.g.,40M.TonsDimensions:e.g.,closeto43'x85/Axle-2x16MT.
28Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)OperationSupport&TransportEquipment-MiscellaneousDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.SmallPortableDigitalRecorderType-e.g.,thiscanbehookeduptoanyPumpingUnittorecordthefollowingParameters:Flow:0-20BPM;〜Pressure:0-15000PSI;andDensity:8.0-22.0PPGCentrifugalPumpSkidCentrifugalpump-e.g.,Missionmagnum4x4x13WorkingPressure-e.g.,100psiMobileAir-CompressorSkidMake-e.g.,COMPARE-C110-9Type-e.g.,RotaryScrew;OilCooledDeliverySystemEngine-e.g.,Perkins1006-6orequivalentFlowrate(Opacity-e.g.,400CFMMaximumWorkPressure-e.g.,125PSI
29Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)OperationSupport&TransportEquipment-MiscellaneousDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.MiscellaneousEquipmentTractorse.g.,-Kenworth6X6C-500Borequivalent-M/BenzType-17358Vorequivalent-KenworthTractorWinch6X6C-500BWinchModelBradenM530,Capacity:27Ton-M/BenzTractorWinchorequivalentLightTruckwithCrane:Capacity-tonForklift:Capacity-TonHalfLorry:Capacity-Ton4X4PickUp:Capacity一TonDieselTruck:Capacity-Ton
30Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION3(APPLICANT'SRESOURCES)DETAILSOFEQUIPMENT(Continued)FiltrationUnitDescriptionApplicant'sSpecificationsEquipmentavailabilityinNo.Typee.g.,-DualPodCapacityeach7CartridgesFiltrationDegreee.g.,-1,2,5,10,15,25,50MicronOperatingPressuree.g.,-100psiChangeoutDifferentialPressuree.g.,-35psiVessele.g.,-Connection-4”-56"x84wx86”(noprefilter)-56"x84“x120”(withpre-Filter)Cartridges/Flowratee.g.,-PleatedAbsoluteMAGNUMFilters/flow8-10bpm.AND/OR-PleatedAbsoluteFilters/flowupto1.5BPM.Featurese.g.,FiltrationUnitcanadditionallybeequippedwithTwinPre FilterStrainerwhichcarriesFilterBagseitherof10,25OR50MicroncapacityName:Signature:Applicant'sCompanyName:Applicant^CompanyStamp:
31Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION4-ApplicantsHSE&OAOCPractices1.HSE:Pleaseprovidethefollowing:i)AcopyoftheApplicant'sHSE(Health,Safety&Environment)ManualandpracticesandotherrelevantdocumentstounderstandfollowinginrespectoftheApplicant'sorganisation,asAppendix1t。Section4.TheApplicantshallmentionhereunderreferencingdetailssuchasarticleno.andpageno.ofitsHSEmanualcoveringtherespectivetopicsagainsteachofundermentioneditems(a)to(i).a)MechanismtocommunicateandensureimplementationoftheApplicant'sHSEpolicy.b)HSEworkingpracticesrelatingtoworkactivitiesincludingthesystemfollowedbytheApplicanttopromoteandencourageitsemployeestoadoptsafeworkingpractices.c)HSEaudits,reviewsandupdates.d)ThesystemtocommunicatethefindingsofsupervisionandmonitoringofHSEworkactivitiestotheworkingstaffatsite.e)Applicant'sroadsafetystrategyorproceduresintermsofvehicles,equipment/devicesinstalledanddrivingcontrol.f)Applicant'sstrategytodealwithemergenciesatworksiteintermsofresources,evacuationandcontrol.g)Applicant'spolicyonPersonalProtectiveEquipment(PPE)includingtherelevantrequirementcriterionforquality,quantity,andspecifications.h)Applicant'spolicytodealwithriskmanagement,lossprevention,accidentinvestigationandhazardidentification.i)Applicant'spolicyonwastedisposalofeffluent.ii)Applicant'sSafetyStatisticsReportsforlasttwo(2)yearsaspertheenclosedAttachment1toSection4.
32Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION4-ApplicantsHSE&OAOCPractices1.HSE(Confd)iii)Applicant'sAccidentStatisticsSummaryforthelasttwo(2)yearsaspertheenclosedAttachment2toSection4.iv)HSETraining:Provide,asAppendix2t。Section4,detailsofHSEtrainingsofferedtothepersonnelincludingCourseDescription,JobTitle,FrequencyandtheTrainingAgency.vi)TheApplicant'spolicyforthenewemployeesregardingintroductiontoitsHSEpolicies/practices.ProvideacopyoftheApplicant'sHSEstaffingorganogramdetailingthejobdescriptions.2.QUALITYASSURANCEANDCONTROL(QA/QC)PRACTICESPleaseprovidethefollowing:1)AcopyoftheApplicant'sQA/QCManualandPracticesandotherrelevantdocumentstounderstandfollowinginrespectoftherelevantpracticesfollowedbytheApplicant'sCompany,asAppendix3toSection4.a)Applicant'sproceduresonpreventivemaintenanceandinspectionofequipment.b)Applicant'spolicyonreportingtheloss,damageorfailureofthetool/equipment.c)Applicant'sprocedurestoensurethattherelevantcomplicationsareresolvedatanappropriatelevel.Pleasedemonstratefeedbackfromyourcustomeronservicequality,ifavailable,asevidenceofsuchfeedbackinconfirmingsatisfactoryperformanceorinidentifyingimprovementsthatcouldhavehelpedinbetterperformance.d)Applicant'sprocedurestoensurethattherequiredtools/equipmentareadequatelymaintained,calibrated,inspectedandremainfitforintendedpurposeatthetimeofperformanceofservice.
33Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION4-ApplicantsHSE&OAOCPractices2.QUALITYASSURANCEANDCONTROL(QA/QC)PRACTICES(Confd)i)(Confd)e)Describetheprimecontrols/activitiesperformedtoensurethattheserviceisadequatelyplanned.Considerationshouldbegiventounderstandingthejobrequirement,identificationofsuitabletools/equipment,schedulingofworkandcommunicatetheinstructionstopersonnelprovidingtheservices.NameSignatureNameandTitleofAuthorisedSignatoryApplicant'sCompanyNameApplicant'sCompanyStampPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION4-ApplicantsHSE&OAOCPracticesApplicant'sHSEManual&PracticesandotherrelevantdocumentsinrespectoftheApplicant'sorganisationareattachedherewith.
34NameSignatureNameandTitleofAuthorisedSignatoryApplicant'sCompanyNameApplicant'sCompanyStamp
35Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT1TOSECTION生SAFETYSTATISTICSREPORTYEAR:TotalMan HoursTotalMTOsTotalRWCsTotalLTIsTotalFTLsLTIincd.rateLTIFreq.RateRecordIncd.RateReedFreq.RateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
36TOTALFORTHEYEAR
37Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT1TOSECTIONSSAFETYSTATISTICSREPORT(Continued)MTO=MedicalTreatmentOnlyINCD-IncidentRate(200,000man-hours)LTIINCDRate=(LTIs+FTLs)x200,000/TotalMan-hoursRWC=RestrictedWorkCaseRCRDINCDRate=(MTOs+RWCs+LTIs+FTLs)x200,000/TotalMan-hoursLTI=LostTimeIncidentFREQ=FrequencyRate(1,000,000man-hours)LTIFREQ.Rate=(LTIs+FTLs)x1,000,000/TotalMan-hoursFTL=FatalitiesRCRDFREQRate=(MTOs+RWCs+LTIs+FTLs)x1,000,000/TotalMan-hoursRCRD=TotalRecordablesName:ApplicanfsCompanyName:Signature:Applicant'sCompanyStamp:
38Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION4:ACCIDENTSTATISTICSREPORTProvidethestatisticsforlasttwo(2)yearsintheformatasbelow(thenumberedcolumnsrepresentthefollowingcategories):1NumberofLostWorkCaseAccidents(LWC/LTA)2Numberofdaysworked.3Man-hoursworkedduringthemonth4Cumulativemanhoursworkedthisyear.5LWCFrequencyRate=LWCX1,000,000/YearlyCum.HoursWorked
39Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2TOSECTION4:ACCIDENTSTATISTICSREPORT(Continued)YEARLWC(1)WorkDays(2)Man-hours(3)Cum.Man-hours(4)LWCFreq.Rate(5)JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberTOTALFORTHEYEARName:Signature:ApplicanfsCompanyName:Applicant'sCompanyStamp:
40Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION4•Applicant'sHSE&OAOCPracticesAPPENDIX2TOSECTION4APPLICANTSHSETRAININGAHTAILSF()AITSEEPReferencetoclausel(iv)ofSection4,Applicant'sHSETrainingdetailsareasunder:(Attachadditionalsheetsasrequired)NameSignatureNameandTitleofAuthorisedSignatoryApplicant'sCompanyNameApplicant'sCompanyStampPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRE
41SECTION4-ApplicantsHSE&OAOCPracticesAPPENDIX3TOSECTION4APPLICANT'SOA/OCMANUALReferencetoclause2ofSection4,Applicant'sQA/QCManualandPracticesandotherrelevantdocumentsinrespectoftheApplicant'sorganisation.(Attachedherewith)NameSignatureNameandTitleofAuthorisedSignatoryApplicant'sCompanyNameApplicant'sCompanyStampPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServices8.PRE-QUALIFICATIONQUESTIONNAIRESECTK)、-5AppLKANT3ENmY()RGANIZVI1()、STRICTURE:
42Applicantmustcompleteallportionsofthefollowingtoclearlyindicateitsorganisationandstructure.(Repeatifnecessary&write“NotApplicable^or“NIL”asapplicable).•ContactDetails1.a)Full(legal/official)NameofApplicant'scompany“asperthememorandumandarticleofassociation^^:b)Acronym:c)Typeofcompany(Privatelimitedliability,publiclimitedliability,etc.)d)RegistrationNumbermentionedinthecertificateofregistrationissuedbytheconcernedbodyofcompaniesinyourcountry(MinistryofCommerce,MinistryofJustice,ChampersofCommerceandthelike)2.CountryofIncorporationanddateofestablishment:3.Addressoftheregisteredoffice:4.Addressofheadofficeifdifferentthan3above:5.ContactAddresstobeconsideredunderthisPQApplication:f.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServices
43B.PRE-QUALIFICATIONQUESTIONNAIREa.NameandtitleofApplicantCompany*spersonnelauthorizedtoenterintocorrespondenceregardingthispre-qualificationapplication.(Pleaseattachanauthorizationoftheindividualdesignatedtoexecutecontractbindingthecorporation).b.Telephonenumber(includinginternationalcode)c.Facsimilenumber(includinginternationalcode)d.E-mailaddress/Website6.ThenameofthehigherrankedpersonnelintheApplicant'sentity(thePresident,CEO,GM...etc.)7.StatethenatureoftheApplicant'scorebusinessasindicatedbyitsarticlesofincorporationandasshownbyApplicanfscontractinghistorydetailedinSectionthree(3)ofthisquestionnaire.8.MainShareholders(owners)Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServices
448.PRE-QUALIFICATIONQUESTIONNAIRENamePercentageofEquity9.StockExchange(s)whereApplicantislisted(ifany).10.AuthorizedCapital(statecurrency)11.IssuedandpaidupCapital.(Statecurrency)12.ThepresenttotalnumberofpermanentemployeesonApplicant'spayrollis:13.ProvidethefollowingdetailsoftheLocalAgent(ifany)NameofthelocalAgentinKuwait:TypeofBusiness:Address:Telephone:Fax
45Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRE8.Asattachmenttothissection,toprovidetheorganizationstructurediagramoftheApplicant'sentitykeypersonnel/positions.9.AsAttachmenttothissection,toprovidethestructurediagramshowingtherelationshipbetweentheApplicant'sentityanditsparent/subsidiaries&sistersentities(ifApplicable).SignedNameInthecapacityofDateApplicant'sCompanyStampPre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRE-TheApplicantisrequiredtoprovidethefollowingrequirementsinordertoconductthenecessaryfinancialevaluation.
46(Pleasenotethat,theserequirementsconsideredasaMandatoryRequirements^ifforanyreasonstheApplicantareunabletoprovidepartofthesesMandatoryRequirements,thisshallleadtorejectthewholeapplication.)A-FinancialSubmittalsbasedonthefinancialinformationfortheAnDlicantitself:A1.TheAuditFinancialStatementfortherecent3years.A1.1TheApplicantshallprovidecopiesoftherecentthree⑶yearsauditedfinancialstatements,whichshallbeissuedandaudited(signed&sealed)byanIndependentAuditor,takingintoconsiderationthatfinancialinformationwhichareissuedforspecificpurposessuchastaxdeclaration,financialanalysis..etc.arenutaccepted.A1.2Therecentthree(3)yearsauditedfinancialstatements,shallpertaintotheApplicantitself,andtheentitynamementionedintheauditedreportsshallbeinaccordancewiththenamestatedinPQLetterofSubmittalandsectiontwo-companyorganizationstructure.IntheeventthenameoftheApplicantischangedrecently(duetoorganizationchanges,acquisition/mergingprocessandthelike),accordinglyadocumentedevidenceshallbesubmittedstatingsuchchanges.A1.3Therecentthree⑶yearsauditedfinancialstatementsshallincludethefollowingasminimuminordertobeconsideredforevaluation:IndependentAuditor'sReportAuditedBalanceSheetStatementAuditedProfitandLossAccountAuditedCashFlowsStatementNotestotheAccounts
47Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREPleasenotethatalltheaboveareMandatorytobeincludedunderthefinancialstatementforeachfiscalyear,ifforanyreasons,anyoftheaboveismissed,thisshallleadtoRejectthewholeP。application.A1.4Therecentthree(3)yearsauditedfinancialstatementsincludingalltheaboveitemsunderA1.3shallbesubmittedinEnglishorArabicLanguage.Note:IftheauditedfinancialstatementsaretranslatedfromotherlanguagetoEnglishlanguage,consequentlythetranslatedversionoftheauditedfinancialstatementsshallbesignedandsealedbytheindependentauditor.A1.5Therecentthree(3)yearsauditedfinancialstatementsshallbeprovidedalsoinelectronicformat(PDFfilesonly)alongwiththeoriginalsubmittal.A2.TheApplicantisrequiredtosubmittheFinancialExcelsheet/template,whichisavailablealongwithPQdocumentsintheCompany'swebsite,thisExcelsheetshallbefilledwiththerequiredfinancialinformation,reflectingtherecentthreeyearsauditedfinancialstatements.ThefinancialExcelsheet/templateshallbesubmittedasasoftcopyusingExcelformattingfile(submittingthesoftcopyotherthanExcelformattingfileisnotaccepted)A2.1TheApplicanttoassurefillingalltheinformationrequiredunderFinancialExcelsheet/templatesuchasTheApplicant'sname,Applicant'sindustrycode..etc.A3.TheApplicantisrequiredtosubmitTheCertificationofAuthenticityofFinancialStatementinaccordancewithspecimenavailableunderattachment2tothissection.
48B-FinancialSubmittalsbasedonthefinancialinformationforADplicant'sParentCompany:Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB,PRE-QUALIFICATIONQUESTIONNAIREIntheeventtheApplicantiswishestorelyontheirParentCompanyfinancialcredential,consequentlytheApplicantshallsubmitthefollowing:B1.TheApplicanttodefinethereasonsforsuchreliance.B2.TheevidenceofownershipbetweentheParentCompanyandtheApplicant,suchevidenceshallbeissuedbytheconcernedbodyfromthecountrywheretheApplicantisregistered(suchasMinistryofJustice/Commerceoranyotherequivalent)statingclearlythepercentageofsharefortheownersoftheApplicant.B3.Inordertoconsiderthesubmittalfromaparentcompany,theparentcompanyshallownapercentageofmorethan50%oftheApplicantsshares,ifsuchconditionisnotsatisfied,thentherelianceontheParentCompanyfinancialsubmittals/credentialsshallnotbeaccepted.B4.TheParentCompanyshallsubmittheirFinancialSubmittalsinaccordancewithitemsAl,A2&A3,howeverallsubmittalsarerequiredtobeundertheParentCompany'sname.B5.TheParentCompanytoprovidetheParentCompanyGuarantee(PCG)inaccordancewithspecimenavailableunderAttachment3tothissection.PleasenotethatthePCGasperthereferredspecimen(withoutanychanges),isamandatorytoaccepttherelianceontheParentCompanyfinancialsubmittals/credentials,ifforanyreasons,thePCGisnotsubmitted,thenthefinancialevaluationshallnotbeconductedfortheParentCompanyfinancialsubmittal.B5.1ThenamesoftheentitiesreflectedinthePCGshallbeinaccordancewiththenamementionedintheParentCompany'sauditedfinancialstatementsandtheApplicant'sentitynameinaccordancewithPQLetterofSubmittalandSection2-Company'sorganizationStructure,wherebythebothshallsign&sealthePCG,deferenceinnamesshallleadtorejectthePCGC,FinancialSubmittalChecklist:C1.TheApplicantisrequiredtofilltheFinancialSubmittalchecklistunderattachment1tothissection.
49Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT1FINANCIALSUBMITTALCHECKLIST
50Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREFINANCIALSUBMITTALCHECKLIST1-Thefinancialsubmittalsarepertaining(pleasetick):TheApplicantitselfPleasedefinethenameoftheApplicant:(Fullname,nottheAcronym)||TheParentCompanyPleasedefinethenameoftheParentCompany:(Fullname,nottheAcronym)No.DescriptionSubmittedYesNo1.Therecentthree⑶yearsauditedfinancialstatements,issuedandaudited(signed&sealed)byanIndependentAuditorLIIndependentAuditor'sReport1.2AuditedBalanceSheetStatement1.3AuditedProfitandLossAccount1.4AuditedCashFlowsStatementL5NotestotheAccounts1.6Allthethreeyearsfinancialstatementsareaudited.2.Softcopyoftherecentthree(3)yearsauditedfinancialstatementscoversalltheaboveitems(PDFfilesonly)3.TheFinancialExcelsheet/templateasasoftcopyusingExcelfileformatting(submittingthesoftcopyotherthanExcelfileformattingisnotaccepted)
51Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRE4.TheCertificationofAuthenticityofFinancialStatementinaccordancewithspecimenavailableunderattachment2tothissection.5.ThereasonsforrelianceonaParentcompanyFinancialCredentials.(OnlyiftheApplicantisrelyingonaParentCompanyFinancialCredentials)6.TheevidenceofownershipbetweentheParentCompanyandtheApplicantstatingthepercentageofshareofownership.(OnlyiftheApplicantisrelyingonaParentCompanyFinancialCredentials)7.TheParentCompanyGuarantee(PCG)inaccordancewithspecimenavailableunderAttachment3tothissection.(OnlyiftheApplicantisrelyingonaParentCompanyFinancialCredentials)Pre-Qualification
52-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT2CERTIFICATIONOFAUTHENTICITYOFFlSiX^JCIALSTATEMENT
53Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRECertificationofauthenticityoffinancialstatementtemplateAuthenticityoffinancialstatementtemplatePlease,tobecompletedandprintedonacompanyletterheadPersonal/Confidential
54Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIREATTACHMENT3PARENTCOMPANYGUARANTEE(PCG)
55Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRENote:ThisGuaranteetobeexecutedinParentCompanyLetterhead.M/sKuwaitOilCompany(K.S.C.)Ahmadi,KuwaitSubject:CATEGORYOFWORK:(DefinethecategoryofworkorPQnumber)PRE-QUALIFICATIONFOR(Definethetitleoftheexercise)PARENTCOMPANYGUARANTEETHISGUARANTEEismadeon(Definethedate)We,(pleasetvpetheParentCompany'sname)acompanyincorporatedin(definethecountryofincorporation)havingitsregisteredofficeat(definetheaddress)(Hereinaftercalledthe"Guarantor"andmayalsobereferredas"ParentCompany")and(pleasetvpetheApplicantenWsname)acompanyincorporatedin(definethecountryofincorporation)havingitsregisteredofficeat(definetheaddress)(Hereinaftercalledthe"Contractor"andmaybealsoreferredasthe"Subsidiary")WHEREASA.TheKuwaitOilCompany("Company")mayenterintoacontractfortheexecutionof(InsertTitleoftheWorks/Serviceshere).InthisconnectiontheCompanyhasconductedapre-qualificationexerciseandinvitedinternationalcontractorswiththerequiredexperiencetoparticipateinapre-qualificationexerciseforpossibleinclusionintheCompany'sapprovedlistofcontractorstobeinvitedforbiddingfortheabovesaidWorks/Services.(selectasappropriate)B.TheContractorbeingacontractorspecializedintherequiredWorks/Services(selectasappropriate)hasappliedtobepre-qualifiedandlistedontheCompany'sapprovedlistofcontractorsfortheWorks/Services.(selectasappropriate)C.TheGuarantorbeingtheParentCompanyoftheContractor,hasagreedthatitshalltotheextenthereinaftersetforthunconditionallyandirrevocablyguaranteethedueperformancebytheContractorofallitsobligationsunderthecontractwiththeCompanytoprovidetheWorks/Services(selectasappropriate)ifenteredintobetweentheContractorandtheCompany.NOWTHEREFOREitisherebyagreed:-£.
56Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRE1.TheGuarantorunconditionallyandirrevocablyguaranteesthedueandproperperformanceandobservancebytheContractorofalloftheContractor'sobligationsunderthecontractthatmaybeenteredintowiththeCompanytoperformtherequiredWorks/Services.2.TheGuarantorshallindemnifytheCompanyagainstalllosses,damage,costsandexpenseswhichCompanymayincurbyreasonofsuchbreachbytheContractorexceptthatinnoeventshalltheGuarantorhaveagreaterliabilityinrelationtosuchbreachthantheContractor.3.ThatonbeingdirectedtodosobytheCompanybynoticeinwritingtheGuarantorshallperformortakewhateverstepsmaybenecessarytoprocure/providetheperformanceoftheobligationsoftheContractorunderthecontractfortheWorks/Services(selectasappropriate)andshallfromthedateofsuchnoticeassumejointlyandseverallywiththeContractoralltherightsandobligationsunderthecontractineverywayasiftheGuarantorwereapartytotheContract.4.TheGuarantorshallnotbedischargedorreleasedfromhisGuaranteebyanyarrangementmadebetweentheContractorandtheCompanyunderanycontractorbyanyforbearancesuchaspayment,extensionoftimeforanyamendmenttothecontract,performance,orotherwiseeventhoughsucharrangement,alterationorforbearancemaybewithouttheassentoftheGuarantor.5.ThisGuaranteeshallbeconstruedandgovernedinaccordancewiththelawsofStateofKuwait.6.ThisGuaranteehasnotimeperiod,itshallcontinueuntilalloftheobligationsoftheContractorunderthecontractenteredintobetweentheCompanyandtheContractorhasbeencompletelyperformedtothesatisfactionoftheCompany,andtheGuarantorshallnotbereleasedofanyobligationorliabilityuntilanyoutstandingclaimbytheCompanyagainsttheContractorundertherelatedcontracthasbeensettledinfull.7.ThisGuaranteeshallbeconstruedinaccordancewiththenormalusageofEnglishLanguage.SIGNEDby"Name":Capacity:forandonbehalfof:Note:ParentcompanyStampisrequired"Guarantor11Note:ApplicantStampisrequiredSIGNEDby“Name”Capacityforandonbehalfof"Contractor"SECTION7-Health,Safety,Environment&ManagementSystem(HSEMS)Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServices8.PRE-QUALIFICATIONQUESTIONNAIRE
57TheapplicantshallprovidethefollowingdocumentaryevidencetosubstantiatetherespectiveelementsoftheHSEManagementSystem.Eachdocumentsupportingtherespectivesectionistobeclearlysegregatedyorganizedwithaproperindexandsubmitted.1.LEADERSHIP,COMMITMENTANDACCOUNTABILITY1.1Provideacopyofyourorganization'sHSEpolicy.1.2ProvideevidenceonhowyourseniormanagementisinvolvedinHSEperformancemonitoring.1.3ProvidethemethodologyofensuringcommitmentatalllevelswithinyourorganizationtoberesponsibleandcomplywiththepertinentHSErequirements.1.4Providethesystemtoensurethatyourorganization'sHSEManagementSystemaccordswiththeclient'scontractualHSErequirements.2.ORGANIZATION,ROLESANDRESPONSIBILITIES2.1ProvideacopyofyourHSEorganizationstructureshowingitsrelationtoseniormanagement.2.2ProvideyoursystemofidentifyingresourcestomeettheHSErequirements.2.3ProvidetheHSErolesandresponsibilitiesidentifiedforalllevelsofjobfunctionsfortheimplementationoftheHSEmanagementsystemandaddressingHSEissues.2.4ProvidethemethodologyinplacetointeractandcommunicatetheHSEpolicy,guidelinesandrequirements,includingchanges,toalltheemployees.3.HSEPROCEDURESANDSAFETYWORKPRACTICES3.1ProvideyourprocedurefordevelopingwelldocumentedHSEplans.3.2Providealistofallsafeworkprocedures/practicesthatareestablishedforallcriticalactivities/tasks.3.3Showhowyourproceduresandstandardsareregularlyrevised,updatedanddocumentcontrolensured.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION7-Health,Safety,Environment&ManagementSystem(HSEMS)
583.HSEPROCEDURESANDSAFETYWORKPRACTICES(CONT'D)3.4ProvideyourprocedureformanagingandmaintainingHSErecords.4.COMPETENCYASSURANCE4.1ProvideyoursystemforselectionandplacementofcompetentandqualifiedpersonneltomanageHSErequirements.4.2Provideyourtrainingprograminplaceforensuringappropriateleveloftraining,genericHSEaswellasjobspecific,isgivenforalltheemployeesalongwithsampletrainingrecords.4.3Showhowthetrainingneedsassessmentsarecarriedouttoverifytheeffectivenessofthetrainingprovidedaswellastoensureknowledgeupdate.5.HAZARD/RISKMANAGEMENT5.1Provideyourestablishedprocedureforhazard/riskrecognitionandassessment.5.2Provideyoursystemforidentifyingandapplyingappropriateriskcontrolmeasures.5.3Provideyoursysteminplacefordevelopingemergencyresponseandpersonnelevacuationplans.5.4Provideyourprocedureformanagingchanges.6.OCCUPATIONALHEALTHMANAGEMENT6.1Provideyourorganization'soccupationalhealthprograminplacetoinform/adviseallemployeesandmonitorthepossiblehealthhazards/risksthatmaybeencounteredduringtheworks/services.7.ENVIRONMENTMANAGEMENT7.1Providethesysteminplaceforevaluatingandmonitoringtheenvironmentalimpactduetoyourworkactivitiesandthestepstakentominimizethenegativeimpactsoastoprotecttheenvironment.7.2Provideyoursysteminplacetoidentify,segregateandeffectivelymanagealltypesofwastesgeneratedduringtheworks/servicesinanenvironment-friendlymanner.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServices8.PRE-QUALIFICATIONQUESTIONNAIRESECTION7-Health,Safety,Environment&ManagementSystem(HSEMS)8.EQUIPMENTSANDROADSAFETY8.1Provideyourproceduretoensurethattheequipmentsutilizedfortheworks/servicesareappropriatelycertified,controlledandmaintainedinsafeworkingcondition.8.2Showthearrangementsareinplacefortheprovisionandmaintenanceofprotectiveequipmentandclothing.
598.1Provideyoursystemforensuringsafetyofyourpersonnelwhiledriving.8.2Provideyoursystemtoensureyourvehiclesareroadworthyandmaintainedingoodcondition.9.INCIDENTREPORTINGANDINVESTIGATION9.1Provideyourorganization^establishedprocedureforaccident/injuryreportingandinvestigation.9.2Submitsamplerecordsofyouraccidentsinvestigationsandrecommendationsmanagement.9.3Showthearrangementsinplacetoensurelessonslearnt,includingnear-misses,arecapturedandeffectivelyutilized.10.SUB-CONTRACTORMANAGEMENT10.1ProvideyourHSEcriteriafortheselectionofsubcontractors.10.2Providetheestablishedpracticeinplacetoverifysubcontractor'scompliancetoyourOrganization^andtheClient'sHSErequirements.10.3Showhowyoumonitorandassesstheperformanceofyoursub-contractors.11.CONTINUOUSIMPROVEMENT11.1Provideyourprocedurefortheselfassessments,auditsandmeasurementprocessforcontinuousHSEimprovement.11.2ShowtheprocessinplaceforreviewingandevaluatingyourHSEperformance,and,verifyingtheeffectivenessofyourHSEManagementSystem.11.3Providethesysteminplaceformonitoringnon-complianceandeffectingtimelyimplementationofthepreventiveandcorrectiveactions.Pre-Qualification-FOR-CATEGORY61:CementingandAssociatedServicesB.PRE-QUALIFICATIONQUESTIONNAIRESECTION7-Health,Safety,Environment&ManagementSystem(HSEMS)12.HSEPERFORMANCEDATAProvidedetailsofyourHSEperformanceforthelastthreeyearswithrespecttothefollowing(FrequencyratesshallbeasperOSHAguidelines):-12.1Fatalities(Number).12.2Losttimeinjuries(Infrequencyrate).12.3Losttimeinjuries(Inseverityrate).
6012.1Motorvehicleaccidents(Number).12.2Environmentalincidents(Number).12.3HSEawards/clientsHSEachievementcertificates.12.4Internationalcertifications.12.5.Statutory/prohibitorywarningsornotices.TOBEPROVIDEDBYTHEAPPLICANT111.AttachmentNo.7-1：Leadership,CommitmentandAccountability2.AttachmentNo.7-2：Organization,RolesandResponsibilities3.AttachmentNo.7-3:HSEProceduresandSafetyWorkPractices4.AttachmentNo.7-4：CompetencyAssurance5.AttachmentNo.7-5:Hazard/RiskManagement6.AttachmentNo.7-6：OccupationalHealthManagement7.AttachmentNo.7-7:EnvironmentManagement8.AttachmentNo.7-8:EquipmentsandRoadSafety9.AttachmentNo.7-9：IncidentReportingandInvestigation10.AttachmentNo.7-10:Sub-contractorManagement11.AttachmentNo.7-11：ContinuousImprovement12.AttachmentNo.7-12:HSEPerformanceData
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