FRM-01

SUBCONTRACTOR'S PRE-QUALIFICATION FORMDoc No: SUBCO/FRM-01Rev: 00Date: Aug 18, 2014Page:

General Pre-Qualification QuestionnaireCategory Applied For as per SUBCO-FRM-02

A) Subcontractors Name____________________________

____________________________

B) Business Address (Head Office):

C) Telephone No. (with area code):

D) Cell No.:E) Fax No.:

F) E-Mail:G) Web Address:

H) NTNI) STN

Note: Any change in mailing address and contact numbers will be intimated within 3 days to Descon Engineering Limited, in writing.

J) Names and Contact Numbers of Proprietors / Directors:

12

34

K) Person(s) to be contacted (mention Cell Number as well):

12

L) Type of Concern (Please tick box):a.Sole proprietorc. Partnershipe. LLCb.Privated. Public Ltd f. WLL

M) Date of Company Registration/Commercial License No:

N) Factory Address and Telephone Nos. (If applicable):

For Descon Use OnlyPrequalification No.____________________________

Date of Prequalification ____________________________

Date of Renewal:____________________________

1Nature of the Business (Please tick box)

1.1CIVIL

1.1.01General Civil Works1.1.10Bridges1.1.02Investigation Works1.1.11Slip Forming1.1.03Earthwork1.1.12Water Proofing1.1.04Concrete Work1.1.13Surface Protection/Fire Proofing1.1.05Pre-stressed, Post-tensioned Concrete1.1.14False Ceiling1.1.06Dewatering1.1.15Boring / Drilling1.1.07Piling Works1.1.16Termite Proofing1.1.08Water Supply and SanitationAny Other - Civil- Please specify1.1.09Roads1.2ELECTRICAL & INSTRUMENTATION

1.2.01Cable Laying & Termination1.2.07Fiber Optic Cable Termination/Splicing 1.2.02Electrical Equipment Installation1.2.08Dehydration of Transformer Oil 1.2.03Field Test Calibration1.2.09Switchgear Testing/Transformer Testing1.2.04Instrument Calibration & Testing 1.2.10Cathodic Protection 1.2.05Earthing & Lighting Protection System1.2.11Fire Alarm System 1.2.06Building Electrification WorkAny Other - E&I- Please specify

1.3ENGINEERING SERVICES

1.3.01Basic Engineering1.3.04Architectural Services1.3.02Detailed EngineeringAny Other - ES - Please specify1.3.03Consultancy Services1.4MECHANICAL

a) Fabrication and Manufacturing Work

1.4a.01Boiler1.4a.06Tank & Vessels Fabrication1.4a.02Heat Exchangers1.4a.07Metal Forming1.4a.03Fired Heater /Furnaces1.4a.08Metal Forging1.4a.04Duct/Stack FabricationAny Other - Manufacturing-Please specify1.4a.05Steel Structure/Grating Fabricationb) Erection & Installation Works

1.4b.01Boiler Erection1.4b.11HVAC Work1.4b.02Equipment Installation (Stationary)1.4b.12Pickling & Passivation1.4b.03Equipment Installation (Rotary)1.4b.13Insulation Work1.4b.04Heat Exchanger Re-tubing1.4b.14Refractory Work1.4b.05Duct/Stack Erection1.4b.15Dismantling Work1.4b.06Steel Structure/Grating Erection1.4b.16Rigging/Heavy Lifting1.4b.07Scaffolding Work1.4b.17Fire Fighting Systems1.4b.08Tank & Vessel Erection1.4b.18Catalyst Handling1.4b.09Valve RefurbishmentAny Other - Erection- Please specify1.4b.10Hydrojettingc) Inspection Service

1.4c.01NDT/NDE ServicesAny Other - Inspection- Please specify1.4c.02IMTE Calibration & Testingd) Piping (Fabrication & Erection)

1.4d.01Piping Fabrication Work1.4d.05Pipe support Erection1.4d.02Piping Erection Work1.4d.06RTRP/GRP Jointing1.4d.03Piping Welding Work 1.4d.07Cross Country Pipeline Work 1.4d.04Pipe Support FabricationAny Other - Piping - Please specify1.4d.091.4d.10

e) Surface Protection1.4e.01Surface Preparation1.4e.06Chromium Plating1.4e.02Painting1.4e.07Nickel Plating1.4e.03Coating & Wrapping1.4e.08FBE Coating1.4e.04Internal LiningAny Other -Surface Protection-Please specify1.4e.05Galvanizingf) Stress Relieving Services1.4f.01Post Weld Heat Treatment (PWHT) Any Other - Stress Relieving -Please specify1.4f.02Annealing1.5RENTAL EQUIPMENT

1.5.01Handling Equipment1.5.04Vehicles1.5.02Earth Moving Equipment1.5.05Welding Equipment1.5.03Power Generator Any Other - Rental Equipment-Please Specify

1.6REPAIR AND MAINTENANCE1.6.01Vehicles1.6.03Workshop Machinery1.6.02Construction MachineryAny Other - Maintenance- Please Specify1.7MANPOWER SUPPLY

1.7.01Supervisory Staff1.7.04Janitorial Staff 1.7.02Skilled / Semi Skilled StaffAny Other - Manpower- Please Specify1.7.031.7.03Security Staff 1.8FORWARDING, LOADING / UNLOADING, TRANSPORTATION, etc

1.8.01Custom Clearance1.8.04Heavy Transportation1.8.02Freight ForwarderAny Other - Logistics- Please Specify1.8.03Light Transportation1.9OTHERS

1.9.01Insurance Services1.9.07Networking Services/Telecommunication1.9.02Camp and Catering Services1.9.08Horticulture Services1.9.03Photo copying Services1.9.09Fumigation Services1.9.04Courier Services 1.9.10Training and Certification1.9.05Disposal Services1.9.11Software License1.9.121.9.06Land/Building Leasing1.9.12Advertisement / ExhibitionAny Other - Please Specify2.Manpower Qualification (Optional):

GraduatesSkilledEngineersSemi-Skilled

Diploma Holders3.Number of staff employed:OfficeFactory

4.Detail of Works / Jobs In Hand (Filled "Annexure-C" to be provided as per below details)

Sr. No.Work/Job DescriptionLocationClientContract ValueContract DurationDate of Commencement

5.Litigation history against any Customer if any? Details and reasons of litigation

6.Status of Companys Certification in:ISO 9001ISO 14001OHSAS 18001Note: Companies not possessing above certification shall follow Descons QHSE Policy and Procedures.

7.Company's Health, Safety & Environment (HSE) and QA/QC Systems details:aHSE Organization Chart. bList of HSE experienced key personnel.cDo you have written procedure for emergency handling? dPlease give the injuries frequency rates of last three years.eQuality Control Procedure8.Please submit the following along with this PQ Form:aList of Major EquipmentbList / CV of Key Personnel with Past Experience (SUBCO-FRM-02)cList of Works already completed (SUBCO-FRM-03)dList of Clients / Companies with which your company is already prequalified /registered.eRenewed Registration with Pakistan Engineering Council / Registration Certificate from appropriate AuthorityYESNOfValid Commercial License attached for:PakistanAbu DhabiKSAQatar9.Please provide a copy of your company profile (Optional):EnclosedNot Enclosed10Bank Details:Account Title:Bank A/C No.:Bank Name:Branch Name:Branch Address:d. Branch Code/Swift Code:Bank Code/IBAN No.:BIC/Swift Code:

DECLARATION

I, ___________________________ of ________________________ (company) hereby solemnly affirm that the information mentioned above is true to the best of my knowledge and if any information is found incorrect or incomplete our prequalification form will be liable for disqualification.

Name of Person completing this form:

Signature Signature Date

FOR DESCON USE ONLY

Recommended by: I/C QA/QC BA Recommended by: Subcontracting Engineer / Specialist BA Signature: Signature: Name: Name: Date: Date:

Reviewed by: I/C Subcontracting BA Approved by: I/C Subcontracting Corporate Signature: Signature: Name: Name: Date: Date:

&P of &N

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