CONTRACTOR PREQUALIFICATION FORM

Rfx No: 4000040982

Date Prepared:
I.

Last Day for Submission:

TENDER INFORMATION
RFx No. : 4000040982
Contract Title : RTU REPLACEMENT OF FIVE (5) SUBSTATIONS
Contract Duration

Thirty Six (36) Gregorian Months

: from CONTRACT Signing Date

Scope of Work Summary : (Please see attached summary)

Bidding Period : Four (4) Weeks
Mr. Abdulrhman J. Al-Zahid
Contract Representative
Contact Persons : Tel. No. 013-858-5887
E-mail: AJZahed@se.com.sa.
Fax No. : 013-858-6733

II.

CONTRACTOR INFORMATION (To be filled by Contractor)

Contractor Name:
E-mail Address:
Web site address:
Telephone Number (s):
Fax Number (s):
Commercial Registration Number:
Issue Place:
Issue Date (DD/MM/YY):

Indicate your SEC Contractor Number here:

Note: If you are not registered with SEC, you must register through our web site www.se.com.sa and
get a Contractor Number before you submit the PQ documents; otherwise, it will be rejected.

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CONTRACTOR PREQUALIFICATION FORM

Rfx No: 4000040982

III. CONFLICT OF INTEREST & CONFIRMATION:

If you own or share in the ownership of another establishment/company that intends to participate
in this Tender, then this is considered as a conflict of interest, which is not permitted under
Company regulations. Therefore, please take this into account when submitting the bid and limit
participation to one establishment only.
Noted and Confirmed
IV. SUBMITTAL CHECKLIST
This Prequalification Form should also include all the following Prequalification Documents properly
filled in and shall be submitted in three (3) separate folders properly arranged by Sections as listed
below. Please checkmark the appropriate box whether the documents are attached or not. If any of the
required documents is not submitted, then explain why.

1-

Folder No. 1 (The Commercial Documents):

Section

Document Description

Attached

1) Exhibit I

Valid Commercial Registration Certificate

YES

NO

2) Exhibit II

Valid Zakah Certificate

YES

NO

3) Exhibit III

Valid Chamber of Commerce Certificate

YES

NO

4) Exhibit IV

Valid GOSI Certificate ()

YES

NO

5) Exhibit V

Valid Saudization Certificate

YES

NO

2- Folder No. 2 (The Financial Documents):

Section
1) Exhibit VI

Document Description

Attached

Audited Financial Statement for the Year 2013 including

Balance Sheet, Income Statement and Auditors Comments.
YES

3- Folder No. 3 (The Technical Documents):

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NO

CONTRACTOR PREQUALIFICATION FORM

Section
1) Appendix I

2) Appendix II

3) Appendix III

4) Appendix IV

5) Appendix V

6) Appendix VI

7) Appendix VII

V.

Rfx No: 4000040982

Document Description

Attached

A complete List of Similar Work you have completed. Attach a

Certificate from the client to prove that you have completed the
work you have listed. Any experience listed but not
accompanied with such certificate will not be considered.
Use the attached format.

YES

NO

A complete list of all your on-going projects or contracts.

Attach a certificate from the client to prove that you are
currently performing the work you have listed. Any project or
contract listed but not accompanied with such certificate will
not be considered.
Use the attached format.

YES

NO

A complete list of your proposed manpower to be utilized

specifically for the Work. Indicate whether or not the proposed
personnel are In-Kingdom. Provide a Resume of the proposed
Key personnel.
Use the attached format.

YES

NO

A complete list of proposed equipment and tools to be utilized

specifically for the work/project. Indicate whether or not the
proposed equipment/tool is owned by your Company or to be
leased.
Use the attached format.

YES

NO

Proposed Work Plan. Provide a description of how you plan to

perform the work/project. The proposed plan should mention
about mobilization, accommodation of your personnel, work
schedule, etc.
Use the attached format.

YES

NO

An Organization Chart showing your present overall

organization and functional groups. The chart should show lines
of authority and communication.
Use your own format.

YES

NO

Provide any additional information that may describe or

illustrate your capabilities to undertake the Work.
Use your own format.

YES

NO

INQUIRIES AND SUBMISSION

All inquiries and questions regarding this Contractor Prequalification Form shall be addressed only to
Contracting Departments, Attention Mr. Abdulrhman J. AlZahid , Contract Representative, who can be
reached on Phone No. 013-858-5887,Fax No. 013-858-6733 or E-mail: AJZahed@se.com.sa.

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CONTRACTOR PREQUALIFICATION FORM

Rfx No: 4000040982

Contractors are strictly prohibited from contacting any other SEC organizations or personnel
other than Contracting Department personnel. Violation of this restriction may cause outright
disqualification for participating in the Tender for the above mentioned Project(s).
The completed Contractor Prequalification form, together with the three (3) folders of Your
Prequalification Documents and all the relevant supporting documents, shall be uploaded in our SRM
system through the Bidder Portal, not later than the Last Date for Submission, and shall be clearly
marked as follows:
From :
(Name of Contractor)
To :

The Manager
Contracting Department Eastern Operating Area
Saudi Electricity Company
Room 3-106W, SEC-EOA Headquarters Building, Dammam
P. O. Box 5190, Dammam 31422, Saudi Arabia
Attention :

Subject :

Mr.

Abdulrhman J. Al-Zahid

Prequalification for Rfx No.

4000040982

Title : RTU REPLACEMENT OF FIVE (5) SUBSTATIONS

VI. AUTHORIZED SIGNATURE
We certify that all the information provided in Attachments/Sections listed above are true and correct, and
we fully understand that any information found to be incorrect or incomplete could result in the
disqualification of our company in participating in the Tender for the above mentioned Project(s).
CONTRACTOR SEAL (If any)

Contractor Name

Authorized Signature

Name

Position

Date

End of Contractor Prequalification Form

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