PROXIM/PMF/16

QUESTIONNAIRE FOR SELECTION OF CONTRACTORS

Date & time : City :

Project : Package :
name
Name of : Attended By :
Contractor

A. GENERAL

Registered office (Name, address

& Tel no)

Type of Organization Partnership

Sole Proprietorship
Private Ltd
Public Ltd
Un registered Individual business
Other
Name & Address of Directors 1.

2.

3.

Contact Person (Name , Address &

Tel no)

Market Experience

Range of Services

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B. TECHNICAL

Number of projects

Size of projects (cost wise)

Organization Structure

List of employees (technical)

Bio Data of Key personnels

List of Licensed software available

with the firm

Past Experience with client

Manpower Resources

Material resources

Corporate Quality Plan

Name of foreign collaborators (if

any)

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C. FINANCIAL STATUS

Certified copy of balance sheet

(showing turnover ) for last 2
years by a Chartered Accountant

Income tax clearance certificate

for last two years

Solvency certificate from Bankers,

Bankers details , PAN number

ESI registered.

Any Legal case against the firm

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D. SAFETY

Safety personnel

Awareness - Personnel Protective

Equipments safety shoes,
helmets, belts etc.

Safety Training for employees

Checklist / formats for safety

Corporate safety plan

Waste management plan

Accident rate

E. LIST OF PROJECTS

Project Executed

List of Projects

Questionnaire filled by: Place:

Sign: Date:

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