EMPLOYER

ENGINEER

CONTRACTOR

Ministry of Transport & Communications

Directorate General of Roads & Land
Transport
P.O.Box27, P.C.114
Sultanate of Oman

COWI & Partners LLC

P.O.Box2115, P.C.112
Sultanate of Oman

Khalid Bin Ahmed & Sons LLC CORSAN

CORVIAM JV
Al Azaiba
P.O. Box723, P.C.130
Sultanate of Oman

Contract No.: 95/2012

BS2P2 - Dualization of Bibbid-Sur Road, Section 2, Part 2

SUPPLIER APPROVAL REQUEST

Submittal No.: KAS-CC JV/BS2P2/SAR/QA-XXX

Approval Requested for:

Rev.00
Date:
Description of Work to be Subcontracted:

Dear Sir,
Please find enclosed herewith supporting documents pertaining to proposed subcontractor which includes the
following:
REMARKS

1.

Name and classification

Details of recent installation / performances, Attach list of projects of
2.
similar size with location, value, client etc.
Type , Number and Current location of plants to be deployed on this
3.
project
4.
Full list of Names, Qualifications and Experience of staff.
5.
Project Organization Chart with CVs of personnel involved
6.
Outline method statement of performance
Written confirmation that he will Act and Comply in full conformity
7.
with the contract and the main contractor 's construction
programme
8.
Certificates / Licences from relevant authorities
Written confirmation that he will supply materials/carry out works that
9.
fully comply with specifications
QA/QC Procedures, Manufacturer Tests Certificates (MTC), Third Party Test
10. Certificates (TPTC), Manufacturer Certificates of Compliance (CMC),
Calibration Certificates (CC)
11. Copy of bona fide Agency Agreement with manufacturer
12. Manufacturer certification of technical personnel
13. Proof for availability of local technical support centre, as specified
14. Manufacturers undertaking for full time presence for commissioning
15. Manufacturers undertaking for after sales support & maintenance
16. Other documents, if any as per relevant specifications
Verified by Material Engineer:
Reviewed for Submission by QA/QC Manager:
Signature:
Signature:
Date:
Date:
Submitted by Project Director:
Received by:
Signature:
Signature:
Date:
Date:

Engineer Comments:

Note: The Engineer Rep. signature does not in any way absolve the contractors responsibility of fulfilling the contractual obligation
Response:

A: Approved

AN:
noted

Approved

as

RR: Not Approved.

Revise and Resubmit

R: Rejected

Name:

Designation:

Signature & Date:

Name:

Designation:

Signature & Date:

Engineer:
Signature :
Date
:
Form No.: KAS-CC JV/BS2P2/OP/QA/02.12 Rev.0

Contractor:
Received :
Signature& Date

:
PAGE 1 OF 2

EMPLOYER

ENGINEER

CONTRACTOR

Ministry of Transport & Communications

Directorate General of Roads & Land
Transport
P.O.Box27, P.C.114
Sultanate of Oman

COWI & Partners LLC

P.O.Box2115, P.C.112
Sultanate of Oman

Khalid Bin Ahmed & Sons LLC CORSAN

CORVIAM JV
Al Azaiba
P.O. Box723, P.C.130
Sultanate of Oman

Contract No.: 95/2012

CC:

BS2P2 - Dualization of Bibbid-Sur Road, Section 2, Part 2

SUPPLIER APPROVAL REQUEST

MOTC Project Engineer

Form No.: KAS-CC JV/BS2P2/OP/QA/02.12 Rev.0

Filing

Others

PAGE 2 OF 2