Prequalification Questionnaire

Rev.0
Date 16 June 2014


Registration Questionnaire
for Contractors
Global Procurement Center
Overseas Subcontracting Team

Registration Questionnaire
Application for Samsung C&T Partners Page 1 of 8

I. COMPANY INFORMATION
1 Company Name (Full company name)
2. Preferred user ID (ID must be in5 ~ 11 letters without space.
Only letters and numbers are allowed)
3 User password (Default will be forwarded after creation)
4 Established Date (MM/DD/YYYY)
5. Name of CEO
6. Company Registration No.
(tax number)


(A copy of company registration certificate is required.)
7. Registered Address
(city & postal code)
(country)

This is the address of: Headquarters Regional Office Branch Office
8. Telp. & Fax. Number
9. Company Homepage
10. Point of Contact


Title & Division Name E-mail Telephone






11. Major Business Type Engineering / Design Services
Construction / Installation at site
Manpower supply

Registration Questionnaire
Application for Samsung C&T Partners Page 2 of 8


12.
Work Disciplines

Please check work disciplines that you provide (Multi selection is possible.)
General Contractor General Contractor
GC. (All)
GC. (Civil)
GC. (BD)
GC. (MEP)
GC. (Plant)
Temporary Works Temporary Works
Temp. facility (S)
Temp. facility (I)
Temp. hoarding
Temp. Works (Etc)
Demolition Work
Architecture
RC Structure Works
RC Structure(All)
RC Structure(Form)
RC Structure(Con'c)
RC Structure(Rebar)
Precast Concrete Precast Concrete
Structural steel work
Struc. Steel(BD)
Metal Decking
Wet Trade
Wet Trade(Bricks)
Wet Trade(Tile)
Wet Trade(Plaster)
Wet Trade(Screed)
Waterproofing Waterproofing
Stone work Stone work
Curtain wall & glazing
Curtain wall
Glazing
Al. Cladding
Window work
Skylight
Metal work Metal work
Interior Interior
Carpentry Carpentry

Registration Questionnaire
Application for Samsung C&T Partners Page 3 of 8

Ceiling/Partition work
Ceiling
Partition
Wall Covering Works Wall Covering Works
Painting(BD)
Painting(BD)
Fireproofing(BD)
Insulation(BD) Insulation(BD)
Roofing
Roofing
Steel slope roof
Landscaping Landscaping
Door & Hardware
Door
Shutter
Iron Mongery
Flooring
Flooring
Access floor
Floor Coating
Carpet
Graphics & Signage
Graphics
Signage
Specialties Specialties(BD)
Pest Control Pest Control
Cleaning Work Cleaning Work
Civil
Earthwork
Excavation & Fill
Embankments
Soil Stabilization
Shoring
Dewatering
Piling Works
Driven Piles
Bored Piles
Special Piles
Diaphragm Wall
Tunnel
Tunnel Excavation
Tunnel Support
Tunnel Con.
Shield TBM

Registration Questionnaire
Application for Samsung C&T Partners Page 4 of 8

Paving/Exterior work
Paving (Aspalt)
Paving (Concrete)
Paving (Exterior)
Marine
Concrete Block
Caissons
Dredging
Reclamation
Civil Structure
Civil Struc (RC)
Civil Struc (PC)
Civil Struc (Steel)
Civil Struc (Cable)
Railing (Track)
Equipment Equipment Equip. Erec (Etc)
Electrical/Instrument
Electrical work
Elec.Work (BD)
Elec.Work (Plant)
Elec. Work(Civil)
Communication Communication
Fire Alarm System Fire Alarm System
Lift/Elevator Lift/Elevator
Transmission Transmission
Control/Instrument Control/Instrument
Mechanical
HVAC HVAC
Fire Fighting Fire Fighting
Sanitary & Plumbing
Works
Sanitary & Plumbing
Storage Tank
Tank Fabrication
Tank Erection
Plant Equipment
Erection
TBN-G Erection
HRSG Erection
Equip. Erection(Plant)
Piping
Piping Works (All)
Piping (Spool Fab.)
Piping(Field)
Piping(GRP)

Registration Questionnaire
Application for Samsung C&T Partners Page 5 of 8

Steel Structure
Steel Struc.(All)
Steel Struc.(Fabrication)
Steel Struc.(Erection)
Insulation(Plant)
Insulation(Cold)
Insulation(Hot)
Painting(Plant)
Painting(Plant)
Fireproofing(Plant)
Test & Commissioning Test & Comm.
Post Tension Post Tension Post Tension


13.

Major Work Discipline (Select one of above selections)
Among your work disciplines list above, select one major work discipline
which has the largest portion of your companys sales income.






II. FINANCIAL CAPABILITIES
1. Copies of your company's latest financial statements (the last 3 years) are
required.
2. Annual turnover and operating profit for the last three(3) years


Year Currency
Turnover
(Revenue)
Operating Profit
(if possible)
Remarks

e.g. USD e.g. Group

e.g. USD e.g. Region

e.g. USD e.g. Region




Registration Questionnaire
Application for Samsung C&T Partners Page 6 of 8

III. RESOURCES
A. C. SELF-PERFORMANCE CAPABILITIES

1. Please indicate how your company performs its major work discipline?

a. By your own manpower Yes No

b. By your own equipment Yes No
2 Please write down the major work discipline(s) that you subcontract.


B. C. MANPOWER

1. Number of Employees (Excluding labors)
a. Total Number of Employees Persons
b. Number of Employees on Engineering Background Persons
c. Number of Employees who worked more than 5 years Persons
2. Number of Direct Labors (Labors Only)
a. Foreman Persons
b. Skilled Persons
c. Unskilled Persons
d. Others Persons
Sub total (Labors Only) Persons

C. C. CONSTRUCTION EQUIPMENT

1. How do you operate equipment? (choose one)
a. 80% owned
b. Owned is more than rental
c. Rental is more than owned
d. 80% rental
e. N/A
2. Please attach a copy of your company's equipment list. (if possible)

Registration Questionnaire
Application for Samsung C&T Partners Page 7 of 8


D. C. Facilities

1. Does your company have any facilities for fabrication?
a. At shop? Yes No
b. At assembly yard? Yes No
c. N/A Yes
2 Please describe the size and capacity of your facilities.
a. The size of the facility m2
b. The capacity of the facility



IV. QA/QC
1. Indicate Quality Standard as applied by you
ASME Certification Issued year
ISO 9001 Issued year
Others Issued year
Please attach the copy(ies) of companys most recent certifications (if possible).


V. HEALTH, SAFETY & ENVIRONMENTAL
1. Indicate HSE Certificates held by you
ISO 14001 Issued year
OHSAS 18001 Issued year
Others Issued year
Please attach the copy(ies) of companys most recent certifications (if possible).



Registration Questionnaire
Application for Samsung C&T Partners Page 8 of 8

. PROJECT REFERENCES
1. Completed projects (2 or 3 major projects)
Project Name Work Scope
Contract Amount
(incl. currency)
Completed
Year









Please attach a copy of your company's completed project lists during the
last three (3) years. (The amount of contract price should be included.)


2. Work experiences in which you had a contract with Samsung C&T.
Project Name Work Scope
Contract Amount
(incl. currency)
Completed
Year











Samsung C&T recognizes and respects the privacy of your information. When you
choose to provide us the information about your company, Samsung C&T will act in
a responsible manner. Without your express approval, we will not trade, share or
disclose your company information to other parties. It will only be available to those
employees whose job responsibilities are related. We also notify employees about
the importance of confidentiality and privacy through our companys compliance
requirements. If you have any questions about this Privacy Pledge, please contact
us.

- End