Contractor Registration Form-2

CONTRACTOR REGISTRATION FORM
SECTION 1.0 GENERAL COMPANY INFORMATION

1.1
Name and Address of Head Office

Fully Company Name
Nikkeru Plant maintenance Solution Inc.
Full Postal Address
446 Central Libjo, Batangas City

Batangas, Philippines 4200
1.2
Telephone
+6343 702-7728
Facsimile No.
_________________________________
Telex
_________________________________
E-mail
npmsolution@npmsi.com.ph
npmsolution@gmail.com
Area offices/supporting workshop

(State location, address of area/branch offices and/or workshop/fabrication facility, if
applicable)
THPAL- Taganito High Pressure Acid Leach Processing Plant
Taganito Claver, Surigao Del Norte, Philippines
1.3
1.4
Addressee for any further correspondence or enquiry

Name (printed)
_________________________________
Position
_________________________________
Indicate, by placing an `X in the box provided, Industries served by your Company.

Oil & Gas/upstream
Petroleum Refining/Petrochemical
LPG / LNG
Chemicals
Polymers and Plastics
Environmental
Power Generation
nam030722/contractor reg.form-2.doc
Rev :1
X
Page 1
General Industry
Marine/Maritime Logistic
Other (please state)
Metallurgical
1.5
Indicate, by placing an `X in the box provided, disciplines your Company would like
to be registered for :
a)
Onshore Fabrication & Construction & Support Services

Piling
Civil
Building
Structural Steel Work
Equipment Installation
Heavy lift Installation
< 50 T
> 50 T
Tank fabrication & erection
Pipe work fabrication & erection
Pipeline Installation
Electrical
Instrumentation
Painting
Insulation
Refractory
Fireproofing
Pipeline Pigging & Drying Services
Pipelines Hydrotest, commission
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Page 2
b)
Offshore Structures/Fabrication/Transportation/Marine Services

Fabrication
Installation
Offshore Modules
Hook-up / commissioning
Supply boat / transport

Offshore catering
Accommodation barge
Installation/Maintenance Barge
Others (please state)
_________________
_________________
c)
Field Services
Security
Scaffolding
NDE Services
PMI Services
Plant maintenance
Chemical Cleaning Services
Others (please state)

__________________
__________________
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Page 3
1.6
Please state in which countries and regions your company has worked over last 10
years
Worldwide
____________________________________________________________________
____________________________________________________________________
South East Asia / Malaysia
PHILIPPINES_________________________________________________________
____________________________________________________________________
1.7
Please state all Malaysian Government and Petronas Licenses your company holds :(Please enclose copies of certificates)
i)
a.
____________
b.
Petronas License No. _______________Expire Date :

Petronas Registration No. ___________ Expire Date : ____________
ii)
C.I.D.B. Registration No. _______ Categories : _______ Expire Date : _____
iii)
PKK Registration No. ________ Categories : ________ Expire Date : _____
iv)
Status (Bumiputra / No-Bumiputra)
v)
a.
Petronas License
__________________________
b.
Petronas Registration
__________________________
c.
PKK
__________________________
Other
PHILIPPINE REGULATORY
SECURITY AND EXCHANGE COMMISION
DEPARTMENT OF LABOR AND EMPLOYMENT
DEPARTMENT OF TRADE AND INDUSTRY
Rev :1
Page 4
SECTION 2.0 FINANCIAL AND COMMERCIAL

2.1
Type of company (tick appropriate boxes)

Sole Proprietor
Partnership
Public Ltd (Berhad)
Subsidiary
Other
Corporation
Sdn Bhd
Year company established: 2013
Year commenced operations: 2013
If applicable provide name and address of holding / parent company:
NA__________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
2.2
Give details of any change in ownership in the last 5 years. If none please state
`NONE.
NONE_______________________________________________________________
2.3
Any pending legal litigation cases

Yes
2.4
2.6
No
Shareholding
Malaysian
2.5
Bumiputra
: ___________________________________
Non-bumiputra : ___________________________________
Foreign
: ___________________________________
Authorised Paid-up Capital
: Php 10,000,000.00
Present Paid-up Capital
: Php 10,000,000.00
Minimum value prepared to tender
: ___________________________________
Maximum value prepared to tender
: ___________________________________
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Page 5
Maximum value of bank performance

guarantee available
2.7
: ___________________________________
Complete the following for the last 3 years for your company (not Group, Parent or
Holdings companies).
Grass
Turnover
Year
Net Profit
Before Tax
Profit
Turnover
%
Current
Assets
2013 18,081,576.45
1,337,459.04
7.40%
4,652,894.04
2014 96,498,675.00
7,591,838.42
7.90%
11,168,177.30
6,917,669.08
2015 194,532,813.97
17,104,476.37
8.80%
27,658,408.00
6,434,766.50
2016 223,674,001.91
21,611,014.68
9.70%
Please provide a copy of your latest company audited accounts.

2.8
2.9
Current Liabilities
Name of key / Executive Board of Directors /Manager

1.
Name
Ronaldo C. Guico
President
Position
2.
Manolo R. Buri
Vice-President
3.
Maria Cecilia D. Guico
Secretary
4.
Pedro D. De Chavez
Treasurer
5.
Ronald Eldrick D. Guico
Board Member
Person authorized to act on behalf of company

Ronaldo C. Guico
Rev :1
Page 6
716,672.71
SECTION 3.0 EXPERIENCE AND REFERENCES

3.1
Dialog E & C Sdn Bhd reserves the right to approach those name to seek a
performance reference and relies on you having obtained the necessary consents.
Please list related projects undertaken during the past 5 years indicating the project
size, type location, etc as listed below.
REFERENCES
Project Title :
MAINTENANCE SERVICES
AGREEMENT - THPAL
Project Location :
TAGANITO CLAVER, SURIGAO
DEL NORTE, PHILIPPINES
Description of your
Work/workscope :
ENGINEERING AND
MAINTENANCE
Client Name :
TAGANITO HPAL MINING
CORPORATION
Client Reference/
Telephone contact :
Approximate Value :
PHP 200 MILLION/ANNUM
Project Duration :
Y2013 - Y2018
Year Completed :
Peak labour Force :
320 + AFP 130 + HO13 + CBNC13
Total : 476
Project manhours :
1,366,088.67
Rev :1
Page 7
3.2
Provide details of current projects : (use separate sheet if necessary)

Project Title &
Location
Description of Work
Date of
Commencement
Approximate Value
(Php)
Forecast
Completion Date
2013
532,787,067.33
2018
MAINTENANCE
THPAL
CLAVER,
SURIGAO,
PHILIPPINES
CBNC
PALAWAN,
PHILIPPINES
MAINTENANCE
2015
11,128,157.62
2016
PILIPINAS SHELL
PETROLEUM
CORPORATION
BATANGAS CITY,
PHILIPPINES
HEAT
EXCHANGER
FULL RETUBING
2016
7,045,426.00
2017
THPALADDITIONAL
SCRUBBER
SURIGAO,
PHILIPPINES
CONSTRUCTION
2016
128,924,522.00
2017
THPAL-CHROMITE
RECOVERY PLANT
SURIGAO,
PHILIPPINES
CONSTRUCTION
2016
182,097,915.18
2017
VESSEL RUBBER
LINING
2016
517,063.92
2016
PIPING
FABRICATION/
INSTALLATION
2016
2,100,095.00
2016
EQUIPMENT /
ENGINE
OVERHAULING
2016
376,336.00
2016
PILIPINAS SHELL
PETROLEUM
CORPORATION
BATANGAS CITY,
PHILIPPINES
GUL OIL
PHILIPPINES INC.
MANILA,
PHILIPPINES
CHEMOIL
PHILIPPINES
Rev :1
Page 8
SECTION 4.0 CAPACITY OF PERFORM

4.1
Please indicate, in the table below, the number of Head Office staff of each category
employed. Attach a company organogram, highlighting responsibility for Health and
Safety Management and that of Quality Assurance.
Rev :1
Page 9
TECHNICAL STAFF
Name & IC
Age
Academic
/Professional
Qualification
Year
Graduated
Work experience
(Year)
Year Joined
this Co.
Current Position
1. RUEL CONTRERAS
45 YR. OLD
MECHANICAL ENGINEER
1993
23
2013
PROJECT MANAGER
2. FREDDIE LUZ GALANG
49 YR. OLD
MECHANICAL ENGINEER
1989
27
2013
SITE MANAGER
3. JEPHUNEH ABDON
40 YR. OLD
MECHANICAL ENGINEER
1999
17
2013
SUPERINTENDENT
4. JEFFREY MARASIGAN
33 YR. OLD
MECHANICAL ENGINEER
2005
2014
PROJECT ENGINEER
5. KEN BACANI
33 YR. OLD
ELECTRICAL ENGINEER
2005
2013
PLANNER
6. NESTOR ANDER
51 YR. OLD
CIVIL ENGINEER
1986
25
2013
CONSTRUCTION
MANAGER
Please enclosed copies of academic/professional membership certificates.
Rev :1
Page 10
Past experience
(Post held, project
details, duration of
employment)
4.3
Please describe briefly project management computer systems used in the following
disciplines:
DESCRIPTION
FACILITIES
(Inc. Computer Based Systems)
SAP/MSP/PRIMAVERA
Planning
Cost Control
MS OFFICE
Estimating
MS
Engineering Design
AUTOCAD
Word Processing
MS OFFICE
Communication (eg) (LANS/WANS)
E-MAIL
Others (please specify)

4.4
Fabrication
Fabrication Shop Manpower over the last 12 months
Supervisors including non-working foremen
Operatives
Total overall capacity of productivity manhours
Productive manhours per month
Steel production Tonnes/month (ave)
Min
18
Max
33
Site Manpower over the last 12 months

Supervisors including non-working foremen
Operatives by category :____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
Total overall capacity of productive manhours
Min
222
Max
476
4.5
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Page 11
4.6
Fabrication Capacity
(If you have more fabrication facility, reprint his page and complete for each location)
Location (Town)
____________________________________
Total average (acres)
____________________________________
Covered fabrication area

With shop (m2)
____________________________________
Covered Blast/Paint shop(m2)
____________________________________
Overhead crane
Lifting capacity (t)
____________________________________
Storage area (m2) open
____________________________________
Covered
____________________________________
ASME Certification `U Stamp

`S Stamp
4.7
a)
Describe your arrangement for selection of sub-contractors.

REFER TO QUALITY PROCEDURE MANUAL
b)
How do you ensure competence for the work are to carry out? How do you
ensure that adequate resources will be provided particularly with regard to
health and safety and quality matters?.
______________________________________________________________
REFER TO SAFETY AND QUALITY MANUAL OF NPMSI
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
Rev :1
Page 12
SECTION 5.0 RESOURCES MANAGEMENT

5.1
State the major Sites on which you have worked over the last 5 years and any Labour
Relations problems you have experienced.
None
5.2
What is your Companys usual source of labour?

Current Employees
: NPMSI Manpower Pool/List
Former Employees know to the Company
: ____________________________
New recruits
: ____________________________
Agency Hire personnel
: None
Self-employed personnel
: None
Other (please state)
: ____________________________
Catchment Areas
: ____________________________
Foreign workers employed
5.3
:
Indonesian
NA
Bangladesh
NA
Pakistan
NA
Burmese
NA
List the major Bankers
Total Facility available (RM)
1.
PHILIPPINE BANK OF COMMUNICATION
_____________________________
2.
RCBC
_____________________________
3.
BPI
_____________________________
Total ________________________
Rev :1
Page 13
LIST OF PLANT & EQUIPMENT OWNED

No.
Details (Type, model,

make & capacity/size)
Ownership Status (e.g.

owned, rented etc)
See Attached
Rev :1
Page 14
Number
Current Value
(Php)
Age
Storage or operating
location
Notes
SECTION 6.0 HEALTH, SAFETY AND ENVIRONMENT

6.1
Attach a copy of your Companys written health, Safety and Environment Policy.
6.2
Provide the following statistics for the last 3 years, where

Accident Frequency Rate (AFR) = No Reportable Injuries per year x 100,000
No Manhours Worked
Accident Incidence Rate (AIR) = No Reportable Injuries per year 1,000
No of Employees
Year
AFR
AIR
No Minor Injuries
No Reportable Injuries
No Fatalities
No Dangerous
Occurrences
2013
2014
2015
2016
Do you have the following staff in your employ :HSE/Safety Manager
Ruel V. Contreras
Safety officers
James Basul
Safety supervisors
Michael Serrano
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Page 15
SECTION 7.0 QUALITY ASSURANCE

7.1
Certification
Are you approved to ISO 9000 or equivalent standard ?
YES
NO
YES
NO
If `Yes submit a copy of your certificate with this Document.

If `No are you working towards gaining approval?
If `Yes when do you plan to gain approval?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
7.2
Organization
Identify the following personnel and show their reporting functions within your
Organization Chart and attach the chart to this Document.
QA Manager
QA Engineers
QC Inspectors
7.3
QA Documentation
7.3.1
Do you have a documented QA Manual ?
YES
NO
7.3.2
Do you have a documented Company Procedures ?
YES
NO
7.3.3
If the answer to both question is `No, the briefly describe how

your QA activities are organised
____________________________________________________________________
____________________________________________________________________
7.4
Document Control
Do you operate a formal system for controlling the
Issue of essential documents, e.g. Drawings, specifications,
data, etc ?
Rev :1
Page 16
YES
NO
7.5
Quality Control Plans

Do you use formal Quality Control Plans to identify and
List the relevant inspections and test procedure relevant to a
specific project ?
YES
NO
If `Yes please submit a copy of a typical Plant with this document

If `No briefly describe the methods you use to ensure these requirements are met.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
7.6
Other Information
Indicate below any other information related to QA which you wish to be considered.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Rev :1
Page 17
SECTION 8.0 ADDITIONAL INFORAMTION

8.1
List below any points you wish to bring to Dialog E&C Sdn Bhd attention regarding
your organisation/capability/experience. Any brochures, literature or additional
information would be welcomed in a separate document to this.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
8.2
Please provide any other relevant information concerning your company and its
parent or subsidiaries.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Rev :1
Page 18

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CONTRACTOR REGISTRATION FORM

SECTION 1.0 GENERAL COMPANY INFORMATION

Name and Address of Head Office

Nikkeru Plant maintenance Solution Inc.

Full Postal Address

446 Central Libjo, Batangas City

Area offices/supporting workshop

Addressee for any further correspondence or enquiry

Indicate, by placing an `X in the box provided, Industries served by your Company.

Polymers and Plastics