Corporate Procurement

Request for Information (RFI) Questionnaire

Date: dd / month / year To be completed by suppliers

Company name

text

Short description of the company main activities:

text

Core competencies:

text

Companies values, vision and mission:

text

Companies past Experience with Holcim if any:

text

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 Corporate Procurement

Request for Information (RFI) Questionnaire

1. Company Data
Address of person responsible for answering the questionnaire
Company Phone No.

Street Fax No.

ZIP code, E-mail

Place

Contact

First Name Phone No.

Last Name Fax No.

Position e-mail

Address of Headquarter
Company Phone No.

Street Fax No.

ZIP code, E-mail

Place
Country DUNS no.

Contact

First Name Phone No.

Last Name Fax No.

Position e-mail

Comments:

text

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 Corporate Procurement

Request for Information (RFI) Questionnaire

2. Company Profile
Legal Form Year of Foundation

Shareholder / Owner

Subsidiaries Please attach list of all subsidiaries

No. of Employees

Industrial sector:

Comments:

text

3. Company Data
Business year Current year (est.) Year -1 Year -2

Sales mio LKR

Cash Flow from operating activities mio LKR

Net profit mio LKR

text:

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 Corporate Procurement

Request for Information (RFI) Questionnaire

4. Description of Engineering services and projects executed

Past Five Years Projects Completed Year Client Contract Value LKR Attachments if any

5. Summery of Work Force and Work Facilities

Category( Engineers/Supervisors/Skilled/UnSkilled Qualifications Permanent/Contrac No of Heads available Remarks
t/Hired

Comments:

text

6. Summery of Work facilities

Engineering Workshops Machineries Available Other Engineering Strengths

Comments:

text

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 Corporate Procurement

Request for Information (RFI) Questionnaire

7. Quality
Quality Management certifications
Certificate Issued Planned Date of Certification Certifying Institute

ISO9002

ISO9001

QS9000

ISO14001

other

other
Customer Audits
Name of customer

Comments:

text

8. Corporate Responsibility
What are the activities that your company is undertaking in the field of sustainable developement.

OH&S

Social
Responsibility
Environmental
standards

others
Comments:

text

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 Corporate Procurement

Request for Information (RFI) Questionnaire

9. Main Clients
Client Nature of Project % of Sales Other

10. References/Experience
In heavy industry

In cement industry

Projects

Experience in project methodes

Design-Bid -Build Design-Build Package contract Turnkey Semi-Turnkey

*Please attache detail list of past experience.

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 Corporate Procurement

Request for Information (RFI) Questionnaire

11. Available documents (please attach)

Annual Report

Company Brochure

Organization Chart

Standard terms and conditions

List of major sub-contractors

List of References
List of engineering offices
Including the following information
-Number of employees in the offices
-Number of resources of engineers for services/applications/projects
-Engineering facilities (LS, LT, LD)

Holcim internal usage only

Name Function Date
Requested by:
First name, Last name Title / Position

Received:

Verified by:
(content)

Approved by:

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