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STATE OF QATAR

PUBLIC WORKS AUTHORITY

ABU HAMOUR SOUTHERN OUTFALL TUNNEL TENDER PRE-QUALIFICATION DOCUMENT

BUDGET TITLE: PROJECT TITLE: CIVIL PROJECT: BUDGET REF / CODE:

DOHA AND RAYYAN SEWERAGE ABU HAMOUR SOUTHERN OUTFALL ~ TUNNEL 671R/1 1460010/11320

January 2011

Public Works Authority State of Qatar

PART 1

DEFINITION OF TERMS
Employer Firm Public Works Authority Government of the State of Qatar A single company that has the financial ability and experience to undertake the whole of the civil engineering works and mechanical and electrical works without partners. The Contract is between the Employer and the Firm. A company (either new or existing) formed by a group of companies to execute the project. Each partner of the joint venture takes joint and several liability with respect to the Contract. The Contract is between the Employer and the Joint Venture. A typical Joint Venture would comprise of a General Civil Engineering Contractor responsible for the construction of the tunnel works and a Plant & Equipment supplier responsible for the design and supply of tunnel excavation machine. Sub-Contractor A contractor employed by either a Firm or Joint Venture to execute a part of the work. The Sub-Contractor is liable to the main contractor but is not a party to the Contract.

Joint Venture

TABLE OF CONTENTS
INVITATION FOR PRE-QUALIFICATION PART 1 2 3

INSTRUCTIONS TO APPLICANTS
(1) (2) (3) (4) (5) GENERAL 3

ELIGIBILITY AND QUALIFICATION CRITERIA PREPARATION AND SUBMISSION OF APPLICATIONS PRE-QUALIFICATION AND TENDERING ACKNOWLEDGEMENT OF INTENTION TO PREQUALIFY

3 3 4 5

PART 2 PART 3 PART 4

PRE-QUALIFICATION DATA 6 LETTER OF APPLICATION 11 APPLICATION FORMS:


(1) (2) (2A) (3) (3A) (4) (5) (5A) (6) (7)

14
14 15 16 17 18 19 20

GENERAL INFORMATION GENERAL EXPERIENCE RECORD JOINT VENTURE SUMMARY PARTICULAR EXPERIENCE RECORD DETAILS OF CONTRACTS OF SIMILAR NATURE AND COMPLEXITY SUMMARY SHEET: CURRENT CONTRACT COMMITMENTS / WORKS IN PROGRESS PERSONNEL CAPABILITIES CANDIDATE SUMMARY21 FINANCIAL CAPABILITY22 LITIGATION HISTORY 24

Abu Hamour Southern Outfall

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Public Works Authority State of Qatar

PART 1

INVITATION FOR PRE-QUALIFICATION


STATE OF QATAR BUDGET TITLE PROJECT TITLE CIVIL PROJECT BUDGET REF / CODE :DOHA AND RAYYAN SEWERAGE : ABU HAMOUR SOUTHERN OUTFALL ~ TUNNEL : 671R/1 : 1460010/11320

(1) This Invitation for Pre-qualification follows the advertisement(s) published in the publications as per current Public Works Authoritys current practice. (2) The Public Works Authority, Government of the State of Qatar (the Employer) intends prequalifying firms and joint ventures to tender for the following contract: BUDGET TITLE: DOHA AND RAYYAN SEWERAGE PROJECT TITLE: ABU HAMOUR SOUTHERN OUTFALL ~ TUNNEL CIVIL PROJECT: 671R/1 BUDGET REF / CODE: 1460010/11320 (3) The Abu Hamour Southern Outfall Scheme is proposed to provide main trunk surface water drainage for the majority of the southern half of Doha covering an area of approximately 170 km 2. The scheme will incorporate the construction of a 9.5 km tunnel, 3.7m in internal, finished diameter, a coastal pumping station and sea outfall pipeline. The maximum flow in the tunnel is estimated to be 16.5 cu. m. per second. (4) This pre-qualification is for the tunnel element of the scheme only. (5) The main tunnel will run from Musaimeer St along the line of the proposed F-Ring Road to a Coastal Pumping Station located within the New Doha International Airport. The Works will also incorporate 23 No. access shafts and short adit tunnels. (6) A second tunnel will also be constructed, to collect surface water from Pumping Station SW5, this tunnel will be some 580m. long and 2.4m. in diameter. (7) The Works are to be constructed under a four (4) year Contract. Tender invitations will be expected to be issued in April 2011. (8) A complete set of pre-qualification documents can be downloaded from the internet at: www.ashghal.gov.qa (9) Sealed applications for pre-qualification must be duly completed and delivered to the address below at. ............... ....... Documents that are received late shall be summarily rejected.

Contracts Department Public Works Authority PO Box 22188, Doha, Qatar.

(10)Queries shall be addressed to: Manager of Contracts Department


Abu Hamour Southern Outfall 5 of 24 January 2011

Public Works Authority PO Box 22188, Doha, Qatar.

Fax: +(974) 44950777

INSTRUCTIONS TO APPLICANTS
1. 1.1 1.2 2. 2.1 2.2 General The Employer intends prequalifying firms and joint ventures to tender for the contract outlined in the Pre-qualification Data. The tendering schedule is outlined in Part 2 of the Pre-qualification Data. Eligibility and Qualification Criteria Pre-qualification is open to firms and joint ventures from any country or countries. Pre-qualification will be based on a pass/fail assessment of the applicant's general and particular experience, technology offered, capabilities of personnel, and financial position, specified in the Prequalification Data, as demonstrated by the applicant's responses in the forms attached to the Letter of Application and other requested documentation. Specific requirements for joint ventures are also set forth in the Pre-qualification Data. The Employer reserves the right to waive minor deviations from the criteria, if they do not materially affect the capability of an applicant to perform the contract. Applicants passing the pre-qualification requirements shall be invited to proceed to tender. No affiliate of the Employer shall be eligible to tender or participate in a tender in any capacity whatsoever. Preparation and Submission of Applications If specified in the Pre-qualification Data, a clarification meeting and/or site visit will be held at the time, date and place specified. Prospective applicants may request in writing clarification of the project requirements and the criteria for qualification at any time up to 10 days prior to the deadline set for the submission of applications. The written responses will be sent to all prospective applicants that have received the pre-qualification documents (including the query but without identifying the source). All information requested for pre-qualification shall be provided in the language specified in the Prequalification Data. Where information is provided in another language it shall be accompanied by a translation into the language of the pre-qualification documents. This translation will govern and be used for interpreting the information. Information should be submitted in the formats specified in the application forms in these pre-qualification documents. The application for pre-qualification shall consist of the stamped original and two (2) copies of the following:
6 of 24 January 2011

2.3

3. 3.1

3.2

3.3

Abu Hamour Southern Outfall

Public Works Authority State of Qatar

PART 1

(a) (b) 3.4

the Letter of Application the forms, documentation and references specified in the Pre-qualification Data.

Failure to provide information which is essential to evaluate the applicant's qualifications or to provide timely clarification or substantiation of the information supplied may result in disqualification of the applicant. Submission of applications for pre-qualification must be received in sealed envelopes, which shall be delivered either by hand or by registered mail, to the address specified in the Pre-qualification Data on the date specified in the Pre-qualification Data, and shall bear the identification specified in the Prequalification Data. The Employer reserves the right to accept or reject late applications, without assigning any reason thereof. Submission of documentation other than the above will not be considered and will count against the applicant. Submissions that are not clear or contain significant errors will also be marked down, accordingly. The name and mailing address of the applicant shall be clearly marked on the envelope. Pre-qualification and Tendering The Employer reserves the right to: (a) amend the scope and value of any contract(s) to be tendered, in which event only those prequalified applicants who meet the amended requirements will be invited to tender for the contract(s). reject or accept any application; and cancel the pre-qualification process and reject all applications.

3.5

3.6

3.7 4. 4.1

(b) (c)

The Employer shall neither be liable nor be under any obligation to inform the applicant of the grounds for such action. 4.2 Applicants will be advised in writing by facsimile, within the period specified in the Pre-qualification Data, of the result of their application and of the names of the prequalified applicants, without giving any reason for the Employer's decision. Only firms and joint ventures that have been prequalified under this procedure will be invited to tender. Firms can only apply to prequalify either individually or as members of a single joint venture. Submission or participation by a firm in more than one Pre-qualification application will result in the disqualification of the application in which the party is involved. A prequalified firm or a partner of a prequalified joint venture may participate as a tenderer in only one tender, either individually or as a partner in a joint venture, for the contract. Submission or participation by a tenderer in more than one tender for a contract (other than alternatives which have been permitted or requested) will result in the disqualification of all tenders for that contract in which the party is involved. However, this does not limit the inclusion of the same subcontractor in more than one tender.

4.3

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4.4

At the time of submitting their tenders, prequalified tenderers shall update the relevant information used for pre-qualification to confirm that they continue to comply with the qualification criteria and verify that the information previously provided is still valid and correct. A tenderer shall be disqualified if it no longer meets the qualification requirements at the time of contract award. Joint ventures must comply with the following requirements:
a)

4.5

Joint ventures that wish to pre-qualify shall provide a letter of intent from each of the partners of the joint venture confirming their intention to take part in the tender should the joint venture be invited to tender. The formation of a joint venture after pre-qualification, and any change in a pre-qualified joint venture, will be subject to the written approval of the Employer prior to the deadline for submission of tenders. Such approval may be denied if (i) partners withdraw from a joint venture and the remaining partners do not meet the qualifying requirements; (ii) the level of participation by partners or the structure of the joint venture is substantially changed; (iii) the new joint venture is not qualified; or (iv) in the opinion of the Employer, a substantial reduction in competition may result. Any tender shall be signed so as to legally bind all joint venture partners, jointly and severally, and any tender shall be submitted with a copy of the joint venture agreement providing for joint and several liability with respect to the contract.

b)

c)

4.6

The pre-qualification of a joint venture does not prequalify any of its partners individually or as a partner in any other joint venture or association. In case of dissolution of a joint venture, each of the constituent firms may prequalify if they meet all the pre-qualification requirements, subject to the written approval of the Employer prior to the deadline for submission of tenders. Prequalified tenderers will be required to provide a tender bond as outlined in the Pre-qualification Data. The successful tenderer will be required to provide a performance bond. Details of this bond will be specified in the tender documents. Acknowledgement of Intention to Pre-Qualify Firms or Joint Ventures that intend to submit a Pre-qualification Application shall confirm their intention by fax to the Manager of Contracts Department. Any subsequent information or clarification to the Pre-qualification Document will only be sent to registered firms or joint ventures. In addition the fax shall contain the following information: Contact Name for the pre-qualification submission Telephone Number Fax Number Website e-mail address

4.7

5.0
5.1

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Public Works Authority State of Qatar

PART 2

PRE-QUALIFICATION DATA
(The numbering system of the section is cross-related to the numbering system in Part 1) Instructions to Applicants: 1.1 Name of the Employer Public Works Authority, Government of the State of Qatar 1.2 Contract for Pre-qualification

BUDGET TITLE: PROJECT TITLE: CIVIL PROJECT: BUDGET REF / CODE:

DOHA AND RAYYAN SEWERAGE ABU HAMOUR SOUTHERN OUTFALL ~ TUNNEL 671R/1 1460010/11320

Project Description The southern areas of Greater Doha have expanded and developed rapidly in recent times and as a consequence there has been a requirement for increase in the capacity of the drainage system to accommodate additional surface water runoff. The Public Works Authority, Infrastructure Affairs have undertaken several studies and implemented major schemes to develop an integrated system of surface water drainage throughout Doha. The Abu Hamour Southern Outfall Scheme is proposed to provide main trunk surface water drainage for the majority of the southern half of Doha covering an area of approximately 170 km 2. The Abu Hamour Southern Outfall incorporates the construction of a tunnel that will run from Musaimeer St. , along the line of the proposed F-Ring Road at an average depth of approximately 25m, to the site of a coastal pumping station located within the New Doha International Airport. The Construction works shall include

3.7 m ID Tunnel, segment lined tunnel, 7.0 km long 18 No, Shafts variously for access/ maintenance/sewer connection. 3 No, 4.0m ID Sewer Connection shafts. 5 No, 5.0m ID Maintenance shafts. Option to extend 3.7m ID Tunnel by a further 2.5 km including 5 N o additional shafts. Connection to Musaimeer St Tunnel. Connection to the SW5 Pumping Station. 2.4m. ID tunnel, 580m. long.

1.3

Tendering Schedule The proposed tendering schedule will be expected as follows: Invitation to tender Submission of tenders Contract Award : : : As per Invitation As per Invitation To be Advised later

1.4

Type of Contract The Form of Contract shall be based on the General Conditions of Contract prepared by the Public Works Authority PO Box 22188, Doha, The State of Qatar, dated May 2007. A copy of the General Conditions of Contract will be included within the tender documents. The General Conditions will be supplemented by Conditions of Particular Application (Part 2) specific to Civil Project 671R/1.

1.5

Contract Submissions The tender will comprise a Technical Submission and a separate Financial Submission. The Technical Submission will include completed pro-forma sheets, drawings, preliminary method statements and temporary works design and a programme. Prequalifying firms or JVs must expect to undertake and submit significant preliminary method statements and drawings including major plant, materials and resourcing schedules to demonstrate that they have fully considered all aspects of the requirements of the contract and that their tender is robust. The Financial Submission will include fully priced Bills of Quantities including the requirement for the tenderer to insert specific Method Related Charges.

2.1

Qualification Criteria To be prequalified an applicant must demonstrate to the Employer that it substantially satisfies the requirements regarding experience, personnel, financial position and litigation history, specified below:

2.1.1

General Experience The applicant shall meet the following minimum criteria:
(a)

Average annual turnover as prime contractor (defined as billing for works in progress and completed) over the last five years of Qatar Riyals 1,500,000,000 equivalent. Minimum 10 years as a prime Civil Engineering Contractor in the construction of underground structures. Tunnel construction projects by Closed Face Type Shield TBM (Tunnel Boring Machine) method (Slurry or EPB), in rock., and or by pipejacking Minimum four (4) projects

(b) (c)

Public Works Authority State of Qatar

PART 2

(d)

Experience in the management of the procurement and production of precast concrete elements, this can include management of Sub-Contractors for the supply of precast units. Minimum three (3) projects. Experience of operating TBMs in varying ground conditions including inflowing groundwater. Minimum two (2) projects Shaft sinking and construction to depths exceeding 20m. - Minimum five (5) projects Underground excavation with Sprayed Concrete Lining (SCL) with shotcrete and rockbolt supporting systems. Minimum two (2) projects Experience in excavation & earthworks construction where groundwater inflow has occurred requiring dewatering Minimum four (4) projects Successful experience completing a minimum of five (5) civil engineering tunnelling projects each of minimum value Qatar Riyals 500,000,000 in the last ten years. Testimonial statements or Certificates of Satisfactory Completion must be appended for the five (5) projects referenced. Execution of at least two (2) projects over Qatar Riyals 300,000,000 or equivalent value in the Middle East region in the last five years

(e) (f) (g) (h) (j)

(k)

2.1.2

Personnel Capabilities. The applicant shall provide suitably qualified personnel to fill the following positions. For each position the applicant will supply information (in Form 5) on a first choice candidate and an alternate, each of whom should meet the experience requirements specified below:
Total Experience (years) 15 10 15 10 10 10 In Similar Works (years) 12 7 10 10 10 10 As Manager of Similar Works (years) 7 5 5 5 -

Position Project Manager Administrative Manager Chief Tunnel Engineer/TBM Manager Chief Structural Engineer Chief Geotechnical Engineer Concrete Materials Engineer

2.1.3

Financial Position. The applicant shall demonstrate by means of bank or other financial references that it has access to, or has available, liquid assets, unencumbered real assets, lines of credit, and other financial means sufficient to meet the construction cash flow for the contract for a period of five months, estimated and not less than Qatari Riyals 50,000,000 equivalent, taking into account the applicant's commitments for other contracts. There will be an advance payment of 10% of the contract value. The audited balance sheets for the last five years shall be submitted and must demonstrate the soundness of the applicant's financial position, showing long-term profitability. Where necessary, the Employer will make inquiries with the applicant's bankers.

2.1.4

Litigation History. The applicant shall provide accurate information on any current or past litigation or arbitration resulting from contracts completed or under execution by him over the last five years. A consistent history of awards against the applicant or any partner of a joint venture may result in failure of the application.

2.2

Joint Venture Requirements The table provided below summarizes the requirements for Joint Ventures and the parties within Joint Venture agreements, with reference to Clause 2.2.1. JV Requirements

Clause 2.2.1

Criteria

Criteria Applicable to Lead Partner *(see below) Requirement Joint Venture > QR 1,200m Not Applicable 4nr references 2nr references

a). b). c) d)

Average Turnover Minimum Years as Prime Contractor Experience in Closed Face Shield TBM Tunnel Construction

> QR 650m 10 years 4nr references

> QR 125m 5 years Not Required Not Required

Experience of operating TBMs in 2nr references varying ground conditions including inflowing groundwater Underground excavation by SCL 2nr references with shotcrete and rockbolt supporting systems Experience in excavation & 2nr references earthworks construction where groundwater inflow has occurred requiring dewatering Experience in use of precast 2nr references concrete elements Shaft sinking and construction to 4nr references depths exceeding 20m Execution of Works in the Middle 1nr references East
*Partners undertaking more than 40% of the Project Value

e)

Not Required

2nr references

f)

2nr references

4nr references

g) h) (l)

1nr references 1nr references 1nr references

3nr references 5nr references 2nr references

a) Joint ventures, the lead partner within joint ventures, and partners taking more than 40% of the Project value must satisfy the respective minimum qualification requirements, indicated in table above. b) The lead partner shall be an International Contractor. c) The joint venture must satisfy collectively the criteria for personnel capability and financial position stated above, for which purpose the relevant figures for each of the partners shall be added to arrive at the joint venture's total capacity.

Public Works Authority State of Qatar

PART 2

d) Individual partners must each satisfy the requirements for audited balance sheets and litigation.
3.1

Clarification Meeting or Site Visit A Clarification Meeting / Site Visit will not be held for the Tender pre-qualification. The general location start point and end point of the tunnel can be viewed on Google Earth the north east coordinates being N 25 13 33 E 51 30 36 for the start point and N 25 14 17 E 51 35 56 for the end point.

3.2

. Language Pre-qualification Application Address of Employer

All written and verbal communications throughout the course of the Contract will be in English. Stamped original plus two copies. Public Works Authority PO Box 22188, Doha, Qatar.

3.3 3.4

3.5 3.6

Deadline for Submission Identification of Application

................. The applicant shall enter the words Application to Pre-qualify for Abu Hamour Southern Outfall - Tunnel, Civil Project 671R/1 Dependent on the quality of applications and any further queries and evaluation that may be necessary it is intended that applicants will be expected to be notified of the results of the prequalification not later than 6 April 2011 .
Applicants who are admitted to the tender list will be required to submit a Tender Bond with their Tender Submissions.

3.7

Results of Pre-qualification

3.8

Tender Bond

LETTER OF APPLICATION
[ Letterhead of the Applicant, or lead partner of a joint venture, including full postal address, telephone no., and fax no.]

Date:................................

To:

Manager of Contracts Department Public Works Authority


PO Box 22188 Doha, Qatar.

Sirs,

Being duly authorised to represent and act on behalf of .................................. (hereinafter the Applicant), and having reviewed and fully understood all the pre-qualification information provided, the undersigned hereby apply to be prequalified by yourselves as a tenderer for the Abu Hamour Southern Outfall ~ Tunnel, Civil Project: 671R/1, Budget Ref / Code : 1460010.11320 2. Attached to this letter are copies of original documents defining: (a) (b) (c) the Applicant's legal status; its principal place of business; and its place of incorporation (for Applicants which are corporations); or its place of registration (for applicants which are partnerships or individually owned firms).

For applications by joint ventures, all information requested in the pre-qualification documents is to be provided for the joint venture, if it already exists, and for each party to the joint venture separately. The lead partner should be clearly identified. Each partner in the joint venture shall sign the letter.

3.

You and your authorised representatives are hereby authorised to conduct any inquiries or investigations to verify the statements, documents and information submitted in connection with this application, and to seek clarification from our bankers and clients regarding any financial and technical aspects. This Letter of Application will also serve as authorisation for any individual or authorised representative of any institution referred to in the supporting information, to provide such information deemed necessary and as requested by yourselves to verify statements and information provided in this application, such as the resources, experience, and competence of the Applicant.

Public Works Authority State of Qatar

PART 3

4.

You and your authorised representatives may contact the following persons for further information:
Telephone 1 Telephone 2 Email:

General and managerial inquiries Contact 1 Contact 2

Personnel inquiries Contact 1 Contact 2

Telephone 1 Telephone 2

Email

Technical inquiries Contact 1 Contact 2

Telephone 1 Telephone 2

Email

Financial inquiries Contact 1 Contact 2

Telephone 1 Telephone 2

Email

Applications by joint ventures should provide on a separate sheet the requested information for each party to the application.

5.

This application is made in the full understanding that: (a) (b) tenders by prequalified applicants will be subject to verification of all information submitted for pre-qualification at the time of tendering; Public Works Authority reserves the right to: amend the scope and value of any contracts tendered under this project; in such an event, tenders will only be invited from prequalified applicants who meet the revised requirements; and reject or accept any application, cancel the pre-qualification process, and reject all applications; and (c) Public Works Authority shall not be liable for any such actions and shall be under no obligation to inform the Applicant of the grounds for such actions.

Applicants who are not joint ventures should delete paragraphs 6 and 7 and initial the deletions.

6. 7.

Appended to this application we specify the financial commitment of each party in terms of the percentage of the value of the contract, and the responsibilities for execution of the contract. We confirm that in the event that we tender, that tender, as well as any resulting contract, will be: (a) (b) signed so as to legally bind all partners, jointly and severally; and submitted with a confirmed joint venture agreement substantially in accordance with the joint venture details outlined in the submission under paragraph 6 above and providing joint and several liability of all partners in the event the contract is awarded to us.

8.

The undersigned declare that the statements made and the information provided in the duly completed application are complete, true, and correct in every detail.
Signed

Signed

Name

Name

For and on behalf of (name of Applicant or lead partner of a joint venture)

For and on behalf of (name of partner)

Signed

Signed

Name

Name

For and on behalf of (name of partner)

For and on behalf of (name of partner)

Signed

Signed

Name

Name

For and on behalf of (name of partner)

For and on behalf of (name of partner)

Public Works Authority State of Qatar

PART 4

APPLICATION FORM (1)

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General Information
All individual firms and each partner of a joint venture applying for pre-qualification are requested to complete the information in this form.

1.

Name of firm

2.

Head office address

3.

Telephone

Contact

4.

Fax

Telex

5.

Place of incorporation / registration

Year of incorporation / registration

6.

Email:

Website

APPLICATION FORM (2)

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General Experience Record

Name of Applicant or partner of a joint venture

All individual firms and all partners of a joint venture are requested to complete the information in this form. The information supplied should be the annual turnover of the Applicant (or each partner of a joint venture), in terms of the amounts billed to clients for each year for work in progress or completed, converted into QRs, at the rate of exchange at the end of the period reported. Use a separate sheet for each partner of a joint venture. Applicants should not submit publicity material with their applications.

Annual turnover data (construction only) Year Turnover 1. 2. 3.

Qatar Riyal equivalent

* Based on the following exchange rates from 10 November 2010 Currency British Pound Euro US Dollar Sum 1 1 $1 Equivalent in Qatari Riyals QR 5.8 QR 5.0 QR 3.64

Public Works Authority State of Qatar

PART 4

APPLICATION FORM (2A)

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Joint Venture Summary


Names of all partners of a joint venture 1. Lead partner 2. Partner 3. Partner Discipline

Total value of annual construction turnover, in terms of work billed to clients, in Qatar Riyals equivalent, converted at the rate of exchange given on Application Form (2):

Annual turnover data (construction only; Qatar Riyals equivalent) Year 1 Year 2 Year 3 Partner . 1. Lead partner 2. 3. Partner Partner

Year 4

Year 5

Totals

APPLICATION FORM (3)

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Particular Experience Record

Name of Applicant or partner of a joint venture

To prequalify, the Applicant shall be required to pass the specified requirements set forth in this form, as set out in the Pre-qualification Data. On a separate page, using the format of Form (3A), the Applicant is requested to list all contracts which meet the criteria set out in clauses 2.2.1. The partners of a proposed joint venture should provide details of similar contracts proportionate to their share in the joint venture. The value should be based on the currencies of the contracts converted into Qatar Riyals, at the rates given on Application Form (2). The information is to be summarised, using Form (3A), for each contract completed or under execution by the Applicant or by each partner of a joint venture.

Public Works Authority State of Qatar

PART 4

APPLICATION FORM (3A)

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Details of Contracts of Similar Nature and Complexity


Name of Applicant or partner of a joint venture

Use a separate sheet for each contract. 1. Number of contract Name of contract Country 2. 3. 4.. Name of Employer Address of Employer Nature of works and special features relevant to the contract for which the Applicant wishes to prequalify. More than one box may be ticked for each project.(cross reference to section 2.1.1) a) b) c) d) 5. 6. e) f) g) h) i) j) k) l)

Contract role (check one) Sole Contractor Management Contractor Partner in a joint venture Sub Contractor (a) Total contract value (b) your subcontract value (c) your partner share in JV value (in Qatar Riyals at the rates given on Application Form (2). (a) (b) (c) For sole/prime contractors, indicate the approximate Qatar Riyal amount and nature of substantial work (more than 20 percent in contract value) undertaken by subcontract, if any.

7.

8. 9. 10

Date of award Date of completion

Contract Duration

Project Description Either insert project description here or supply a data sheet. The data sheet shall be inserted immediately after this sheet.

The Applicant should insert any specific contractual criteria required for particular operations, such as the population served, dry weather flow, effluent consent, treatment process employed..

APPLICATION FORM (4)

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Summary Sheet: Current Contract Commitments / Works in Progress


Name of Applicant or partner of a joint venture

Applicants and each partner to an application should provide information on their current commitments under all contracts that have been awarded, or for which a letter of intent or acceptance has been received, or for contracts approaching completion, but for which an unqualified, full completion certificate has yet to be issued. Name of contract Contact Value (current QR equivalent) Value of outstanding work (current QR equivalent) Contract date start Estimated completion date

1. 2. 3. 4. 5. 6.

Public Works Authority State of Qatar

PART 4

APPLICATION FORM (5)

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Personnel Capabilities
Name of Applicant

For specific positions essential to contract implementation, applicants should provide the names of at least two candidates qualified to meet the specified requirements stated for each position. The data on their experience should be supplied in separate sheets using one Form (5A) for each candidate. 1. Title of position Name of prime candidate Name of alternate candidate 2. Title of position Name of prime candidate Name of alternate candidate 3. Title of position Name of prime candidate Name of alternate candidate 4. Title of position Name of prime candidate Name of alternate candidate 5. Title of position Name of prime candidate Name of alternate candidate 6. Title of position Name of prime candidate Name of alternate candidate 7. Title of position Name of prime candidate Name of alternate candidate

APPLICATION FORM (5A)

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Candidate Summary
Name of Applicant

Position Candidate information 1. Name of candidate 3. Professional qualifications

Candidate Prime 2. Date of birth

Alternate

Present employment

4. Name of employer Address of employer

Telephone Fax Job title of candidate

Contact (manager / personnel officer) e-mail Years with present Employer

Summarise professional experience over the last 15 years, in reverse chronological order. Indicate particular technical and managerial experience relevant to the Project.

From

To

Company / Project / Position / Relevant technical and management experience

Public Works Authority State of Qatar

PART 4

APPLICATION FORM (6)

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Financial Capability
Name of Applicant or partner of a joint venture

Applicants, including each partner of a joint venture, should provide financial information to demonstrate that they meet the requirements stated in the Pre-qualification Data. Each applicant or partner of a joint venture must complete this form. If necessary, use separate sheets to provide complete banker information. A copy of the audited balance sheets should be attached. Banker Name of banker Address of banker

Telephone Fax

Contact name and title e-mail

Summarise assets and liabilities in QR equivalent (at the rates of exchange given on Application Form (2)) for the previous five years. Based upon known commitments, summarise projected assets and liabilities in QR equivalent for the next two years, unless the withholding of such information is justified by the Applicant to the satisfaction of the Employer.

Financial information in QR equivalent

Actual: previous five years 1. 2. 3. 4. 5. 6.

Projected: next two years 7. 8.

1. Total assets 2. Current assets 3. Total liabilities 4. Current liabilities 5. Profits before taxes 6. Profits after taxes

Specify proposed sources of financing to meet the cash flow demands of the Project, net of current commitments specified in the Pre-qualification Data.

Source of financing 1. 2. 3. 4.

Amount (Qatar Riyal equivalent)

Attach audited financial statements for the last five years (for the individual Applicant or each partner of a joint venture). Firms owned by individuals, and partnerships, may submit their balance sheets certified by an accountant, and supported by copies of tax returns, if audits are not required by the laws of their countries of origin.

Public Works Authority State of Qatar

PART 4

APPLICATION FORM (7)

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Litigation History

Name of Applicant or partner of a joint venture

Applicants, including each of the partners of a joint venture, should provide information on any history of litigation or arbitration resulting from contracts executed in the last five years or currently under execution (refer to Pre-qualification Data). A separate sheet should be completed for each partner of a joint venture.

Year

Award FOR or AGAINST Applicant

Name of client, cause of litigation, and matter in dispute

Disputed amount (current value, QR equivalent)

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