Vendor Pre-Qualifications Form

Request for Prequalification Questionnaire

Please provide the following information so that EDECS may evaluate your pre-qualification application with regard to your company qualifications, reputation, experience and finances to determine whether your company will be placed on EDECS’ list of Pre-qualified Vendors in relevant fields

Vendor Name*

Company Website*

Contact Mobile No*

Contact Email*

Vendor Commercial Reg No.*

Tax Card No.*

Vendor Address*

Failure to submit required information and supporting documents may result in application delays or rejection.

Inclusion of a Consultant on the EDECS Pre-qualified list of vendor do not guarantee a Vendor that a request to submit a quotation will be issued. The pre-qualified list of consultants will be used by EDECS as a guide only and RFQs will be issued by EDECS entirely at its own discretion.

Vendor shall complete the below questionnaire. Any explanation that does not fit in the space provided should be continued on a separate attachment.

A. STRUCTURE AND ORGANIZATION

01. DESCRIPTION OF FIRMS'S PRINCIPAL ACTIVITIES

Supply Building Materials

Apply Only (Workmanship)

Consulting Services

Heavy Equipment

Logistics & Transportation Services

It & Network Services

Others

Description *

02. NUMBER OF YEARS OF EXPERIENCE

Scope

Location (Market)

Years

03. Indicate here or attach an organization chart showing your firm’s structure, including all departments and other associated companies. If your firm is part of a group, indicate relationship to the group, as well as all other companies in the group or J.V., and the reporting structure of this firm with the others:

Attach File

04. Include a brief outline of the QA/QC procedures, including coordination among various disciplines, used by your firm and advise whether or not you have received any QA/QC certification

Attach File

05. INDICATE IF YOU HAVE IN-HOUSE RESOURCES/CAPABILITIES TO PERFORM THE FOLLOWING

Activity Description

Yes

shop drawings

BIM Engineering

As Built Drawings

Surveying Works

Price Breakdowns

06. Firm’s Honors and Awards:

Attach File

B. FINANCIAL INFORMATION

01. indicate currency used:

EGP

US Dollars

Both EGP and US Dollars

Others

Description

02. Indicate the type of firm:

Individual or Sole proprietorshi

Partnership

Professional Corporation/Association

Corporation

Joint Venture

Others

Description

03. Provide bank references, indicating number of years dealing with the bank

Bank Name

Account Name

Account Number

Swift Code

Number of years dealing with the bank

04. Provide evidence of your firm’s ability to submit bank guarantees

Or Attach File

05. Provide details concerning any pending law suits or claims in which you are directly involved

Or Attach File

C. Quality, Safety, Health, and Environmental
Vendor shall clarify if the following information with the QSHE Questionnaire is available. Kindly provide attachments if available:

Activity Description

Available

OSHA 300 and 300A forms for the three most recent years (U.S. based Vendors)

Available

Experience Modification Rate for the three most recent years (U.S. based Vendors)

Available

Written Environmental, Safety and Health Policy (can be one policy for Safety & Health, and another policy for Environmental)

Available

Written Environmental, Safety and Health Program (can be one plan for Safety & Health, and another plan for Environmental)

Available

(QMS) Certification

Available

1.How is your HSE Policy communicated to your staff?

Or Attach File

2.Does your company have HSE objectives? What are they?

Or Attach File

3. Do you record injury/incident frequency and severity rates? If yes, please provide it in last two years

Or Attach File

D. Experience, Planning, Scheduling, Cost Control

Client Name

Work Description

Location

value

start

stop

Schedule

Clarifications

I hereby certify that, as of the above date, the information provided in EDECS Prequalification Statement is true and sufficiently complete so as not to be misleading

Thanks for your submission! We will be in touch with you shortly.

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Vendor Prequalification

Request for Prequalification Questionnaire