Penang preQ doc for tunnel

PSUKPP/UPEN/PRE-Q/1/2011
                                                                 
PENANG STATE GOVERNMENT
PRE-QUALIFICATION EXERCISE FOR MAJOR ROAD AND
TUNNEL PROJECTS IN PENANG
PENANG STATE ECONOMIC PLANNING UNIT  
(UPEN)
LEVEL 26, KOMTAR,
10503 PENANG
MALAYSIA
1TABLE OF CONTENTS
1. INTRODUCTION 3
2. BACKGROUND INFORMATION TO THE PRE-QUALIFICATION
APPLICANTS
3
2.1 Purpose of Submission  3
2.2 General Scope Of Work 4
2.3 Proposed Road/Tunnel Constructions Projects Site 4
2.4 Project Implementation  6
3. FUNDING AND PAYMENT 7
4. INSTRUCTION TO APPLICANTS 8
5. PRE-REQUISITES FOR THE PRE-QUALIFICATION 12
6. PRE-Q EVALUATION PROCESS AND CRITERIA 13
7. SUBMISSION  17
8. TERMS AND CONDITIONS 20
9. APPENDICES
Appendix A : Secretariat
Appendix B : Financial Funding Information
Appendix C : Declaration
Appendix D : Integrity Pact Declaration Form
10. FORMS
Form A : Letter of Application
Form B : Particulars of Organisation
Form C : Particulars of Finance
Form D : Particulars of Experiences
Form E : Key Personnel
Form F : Plant and Equipment
21. INTRODUCTION
1.1 Penang is located on the north west coast of Peninsular Malaysia by the
Straits of Malacca. It comprises of two (2) main territories i.e. Penang
Island and Seberang Perai on the mainland. Penang Island covers an
area of approximately 300 square kilometers whereas Seberang Perai is
about 750 square kilometers. The population of Penang is about 1.52
million which is the highest population density in Malaysia.
1.2 Highly industrialised and considerably urbanised Penang contributes
significantly to the Malaysia's economic wealth apart from being a thriving
tourist destination. Being the third largest economy among the states in
Malaysia presently, Penang has experienced continued growth for
decades.
1.3 It is vital for Penang to enhance its infrastructure to sustain economically
well into the present century. To improve connectivity and meet the travel
demands, the State Government of Penang has outlined a series of road/
tunnel construction projects. Some of these projects are included in this
pre-qualification exercise.
2. BACKGROUND INFORMATION TO THE PRE-QUALIFICATION APPLICANTS
2.1 Purpose of Submission
2.1.1 This pre-qualification exercise is to select experienced, reliable and
committed companies with sound financial standing to undertake
these road and tunnel building and improvement projects from the
stage of feasibility study to execution.
32.1.2 The selected contractors from this pre-qualification exercise will be
subsequently allowed to participate in a Request for Proposal
(RFP) for the study, designing and implementation of the projects.
The projects may be divided into several parcels.
2.1.3 Several details have been specifically omitted in this prequalification exercise and will be included in the RFP document.
This pre-qualification exercise is only to shortlist companies for the
RFP.
2.2 General Scope Of Work
2.2.1 These projects will be divided into two (2) parts consisting of
Feasibilities Study and Preliminary Design as Part 1; and Detailed
Design and Construction as Part 2.
2.2.2 Part 1 entails project appraisal including traffic studies and site
investigations to draw up a preliminary design. Part 2 includes
Detailed Environment Impact Assessment (DEIA) and Approval of
Planning Permission; and construction.
2.3 Proposed Road/Tunnel Constructions Projects Site
2.3.1 Based on the present travel pattern and demand including the
increasing number of tourists arrivals, The State Government
foresees that the existing road network and capacity may not be
able to accommodate the generated traffic in the near future. It is
anticipated that traffic congestion will worsen at several critical
intersection and adjoining roads if steps are not taken from now to
improve traffic flow.
42.3.2 To relieve traffic congestion, the State Government proposes
alternative routes, inter-connecting roads, by-passes and
interchanges including tunnels within the island and to the
mainland. The identified proposals within the scope of this prequalification exercise which may be elevated roads, tunnels, at
grade roads or double decked roads are:-
i. A third link from Persiaran Gurney to Seberang Perai North
District.
ii. A by-pass to connect the northern fringes of George Town to
the eastern corridor of the island circumventing the Central
Business District. The probable alignment is from Persiaran
Gurney through Jalan Pangkor, Jalan Perak and Jalan
Sungai Pinang to Lebuhraya Tun Dr. Lim Chong Eu.
iii. A by-pass from Bandar Baru Air Hitam (Farlim) connected to
Lebuhraya Tun Dr. Lim Chong Eu close to the Penang
Bridge. This by-pass is proposed with several interchanges
i.e. at Bandar Baru Air Hitam, Jalan Yeap Chor Ee, Jalan
Sultan Azlan Shah and Lebuhraya Tun Dr. Lim Chong Eu.
iv. Paired road to the existing coastal road from Tanjung Bunga
to Teluk Bahang. Alignment of this road has been identified
and can be obtained from the State Government. Some
stretches of this road have been constructed.
2.3.3 Contractors are reminded that hill cutting and removal of trees
should be minimized or avoided. Usage of green technology and
environment friendly features will be an added advantage.
52.3.4 It is the State Government's plan to introduce transit corridors
including Light Rail Transit along the proposed alignment. The
contractors are expected to take into account of this need and give
due consideration for the provision of transit facilities.
2.3.5 The State Government reserves the right to discontinue or make
changes to the proposed projects during the Request for Proposal
or the tender stage.
2.3.6 Further information on the projects that are proposed to be
implemented will be provided in the RFP document.
2.4 Project Implementation
The following is the proposed schedule for the implementation of the
project:
i. Issue Pre-Qualification Exercise - 15
th
November 2011
ii. Submission of Pre-Qualification
Exercise
- 14
th
January 2012
iii. Pre-Qualification Evaluation - January 2012– February 2012
iv. Issue Request For Proposal - March 2012
v. Submission of Proposal - June 2012
vi. Technical Evaluation - June – July 2012
vii. Tabling to Tender Board and
Committee
- August 2012
viii. Letter of Award - September 2012
ix. Signing of Preliminary Agreement - October 2012
x. Feasibility Studies and Preliminary
Design
- October 2012 – September 2013
6xi. Feasibility studies and Preliminary
Design review by Technical
Committee
- September 2013 – November 2013
xii. Feasibility Studies and Preliminary
Design Tabled to State Executive
Council
- December 2013
xiii. Preparation of Detail Design - January 2014 – December 2014
xiv. Preparation of Detail Environmental
Impact Assessment (DEIA)
- September 2014 – February 2015
xv. Submission of Planning Permission/
Building Plans/Engineering Plans
- March 2015
xvi. Finalizing The Terms of Agreement
Based on Approval
- April 2015
xvii. State Executive Council Approval
for Agreement and signing of
Agreement
May 2015
xviii. Commencement of work - 2 months after approval of Building
Plans/Engineering Plans
 
3. FUNDING AND PAYMENT
3.1 No form of monetary payment or funding including pre-payments or
advance payments shall be provided by State Government of Penang for
the implementation of the projects. Costs incurred may be recovered
through toll, land swop or any other form which has to be indicated by the
Applicant. For this purpose, the Applicant shall provide a preliminary
financial proposal including financing structure and the costs incurred
(capital and operating expenditure); and proposals to recover costs.
3.2 Based on the present scope of works the Applicant shall provide prove
that funding can be obtained. Details of the source of funding and the
quantum involved shall be provided.
73.3 Details for the funding of these projects will be announced during the RFP
stage after considering the proposals made by the contractors.
3.4 As a general guide to the Applicant, the four (4) projects are estimated to
cost about RM5 to RM8 billion. A more conclusive cost can only be
determined after the feasibility study; and finalized after the DEIA.
Contractors shall provide the relevant information on the financial
proposal in Appendix B attached.
4. INSTRUCTION TO APPLICANTS
4.1 This Pre-Qualification exercise and the relevant Pre-Qualification
Documents shall not form part of any contract which may be proposed by
the State Government consequently.
4.2 Pre-Qualification exercise is open to the experienced and qualified
Malaysian contractors, foreign owned locally incorporated company,
foreign owned company and foreign contractors. Under the PreQualification exercise, the local contractors must be registered with the
Pusat Khidmat Kontraktor (PKK) as a Class A contractor (Head 1; Sub
Head 1 and 2 ) and/ or Construction Industry Development Board (CIDB)
Grade 7 (CE01 and CE02). Foreign owned company whether locally
incorporated or locally registered must be registered as CIDB contractor
Grade 7 (CE01 and CE02). Company(ies) must show prove that they have
experience in tunneling works.
4.3 For International Applicants who wish to participate in this PreQualification exercise, they shall possess experience in completing similar
nature of works and produce Certified True Copy of Company's
Incorporation Certificate that is certified by the relevant authority in country
8of origin. International Applicants who wish to participate in the subsequent
Request for Proposal NEED to obtain provisional registration with CIDB
Malaysia Grade 7 (CE01 and CE02). Foreign companies participating in
the Pre-Qualification are required to submit a letter from the respective
Embassy endorsing it is a Bona Fide company.
4.4 Applicants are allowed to form a Consortium or Joint venture with local
companies or foreign company locally incorporated or registered or
international company, PROVIDED THAT at least one member must be
registered as a contractor of PKK Class A (Head 1; Sub Head 1 and 2)
and / or CIDB Grade 7 (CE01 and CE02), The locally incorporated and
registered foreign owned company must comply with the requirements of
the Companies Commission of Malaysia (CCM) and CIDB.
4.5 Certified True Copies of the following documents as given below must be
submitted, failing which the contractor will not be considered for short
listing i.e.:-
i. PKK Class A (Head 1; Sub Head 1 and 2) and or CIDB Grade 7
(CE01 and CE02) registration for:-
a) local contractor
b) foreign owned company locally incorporated
c) foreign company locally registered
(Note: Foreign international companies that are selected under this PreQualification exercise need to obtain provisional registration with CIDB
Malaysia)
9ii. Memorandum and Articles of Association.
iii. The following Forms under the Companies Act.
a) Form 9  -  Certification of Incorporation
b) Form 13  -  Certification of Incorporation on change of
Name of Company
c) Form 20  -  Certification of Incorporation on conversion to
Public Company
d) Form 24  -  Return of Allotment of Share
e) From 44  -  Notice of Situation of Register Office and Office
            Hours and Particular of Change;
f) Form 49  -  Return Giving Particulars in Register of
Directors, Manager and Secretary and Change
of Particulars;
g) Form of Annual Return
h) Company's audited accounts for the past five (5) years
For a foreign company, the contractor must submit equivalent Forms of its
country of origin.
10 4.6 Companies that are interested in participating in this pre-qualification    
exercise must attend a briefing on the following date, time and venue :-
Date : 29 November 2011 (Tuesday)
Time : 10.00 am
Venue : Mutiara Room
Level 52, KOMTAR
Penang Road
Penang, Malaysia
Company representatives attending the briefing must produce a
copy of certified registration/ qualification document as stated in
Paragraph 4.1 – 4.4 above. Companies that do not attend this
briefing will not be considered.
4.7 Applications for Pre-Qualification must be submitted on or before 12.00
noon on 14
th
January 2012 (hereinafter referred to as "Closing Date") to
State Economic Planning Unit's Office, Penang State Secretariat,
Level 26, KOMTAR, 10503 Penang, Malaysia. Any documents which are
received after the Closing Date will be considered late and the company
shall be rejected and disqualified.
4.8 The State Government reserves the right to reject or accept any
application, to annul the Pre-Qualification process and reject all
applications; and shall not be held liable by any parties participating in
the exercise.
114.9 All forms must be completed and signed on every page by the
participants. For a Joint Venture submission, all forms must be completed
and signed on every page by every partner companies.
4.10 All costs and / or expenses incurred by any participants in the preparation
and / or submission for this Pre-Qualification shall be borne by the
participants themselves.
5. PRE REQUISITES FOR THE PRE-QUALIFICATION
5.1  The Applicants must comply with the following pre requisites :-
i. Local Contractor; the participants must be registered with PKK
Class A (Head 1; Sub Head 1 and 2) and / or CIDB Grade 7 (CE01,
and CE02) .
ii. Foreign Owned Company Locally Incorporated; the participants
must be registered with CIDB Grade 7 (CE01 and CE02) .
iii. Foreign Owned Company Locally Registered; the participants must
be registered with CIDB Grade 7 (CE01 and CE02) .
iv. International Company; to provide the Company's Incorporation
Certificate which is certified in the country of origin. If selected
under this Pre-Qualification exercise the company needs to obtain
its provisional registration with CIDB of Malaysia.
5.2 All relevant documents under item (i) to (iv) above shall be certified true
copies (by the Company Secretary) as in Paragraph 4.5.
126. PRE-Q EVALUATION PROCESS AND CRITERIA
6.1 The State Government reserves the right to waive minor deviations in the
applications if they do not substantially affect the capability of the
Applicants to meet the conditions set forth.
6.2  Stage 1 – Preliminary Screening
6.2.1 Adequacy and completeness of submitted Pre-Qualification
Documents will be checked item by item. If the Applicant fails to
submit the following documents and items specified in the previous
paragraphs, the application may not be considered for evaluation.
i. Form A - Letter of Application
ii. Form B - Particulars of Organisation
iii. Form C - Particulars of Finance
iv. Form D - Particulars of Experiences
v. Form E - Key Personnel
vi. Form F - Plant and Equipment
6.3  Stage 2 – Assessment of Mandatory Criteria
6.3.1 Pre-Qualification applications will be examined based on pass / fail
method for the Mandatory criteria as follows.
13i.  Financial Requirements
Individual Participant or Lead Partners are also required to
furnish proof that its:-
a)  Paid up Capital or Shareholders' Fund* (based on
latest financial year) must not be less than 6% of
the value of project undertaken (provided that the
Shareholders' Fund is the higher of the two). The
sum shall not be less than RM300 million.
b)  Average Net Profit / Turnover Ratio the last five (5)
years must also be positive.
Please refer to Form C (Particular of Finance) for
detailed requirements as specified.
Note (*) The Shareholders' Fund is defined as Paid
Up Capital plus Retained Earnings.
ii. Track Record
The Applicant must be able to demonstrate that:-
a) At least two (2) large scale (Design & Build) projects
of at least RM500 million each in contract value which
are being undertaken or have been successfully
completed in the last 10 years. Experience in
underwater tunneling projects will be an added
advantage.
14b) At least one (1) highway construction project of at
least RM500 million in contract value which is being
carried out or has been successfully completed in the
last 10 years.
c) At least one (1) tunneling project which is being
constructed or has been successfully completed in
the last ten years using Tunnel Boring Machine (TBM)
or any other suitable method and meeting the
following:-
• At least RM500 million in contract value; and
• Larger than six (6) meter internal diameter
tunnel for a length of at least three (3)
kilometres.
Please refer to Form D (Particular of Experience) for
detailed requirements as specified.
iii.  Experience of Existing Key Personnel
Within its organization, an Individual Participant or Lead
Partner must possess qualified personnel who have
experience in highways and tunneling projects for the
following key positions:-
a) Three (3) Project Managers for highway works;
• at least 20 years experience in highway
projects; and
15• at least 10 years experience as Project
Manager in highway projects including
elevated highway projects.
b) One (1) Project Manager for tunneling works;
• at least 10 years experience in tunneling
projects; and
• at least five (5) years experience as Project
Manager in tunneling projects using TBM or
any other suitable method. Experience in
underwater tunneling projects will be an added
advantage.
c) One (1) Tunnel Manager;
• at least 10 years experience in tunneling
projects;
• at least five (5) years experience as Tunnel
Manager in tunneling projects using TBM or
any other suitable method. Experience in
underwater tunneling projects will be an added
advantage.
Please refer to following Form E – for detailed
requirements as specified:-
16• Form E – Existing Key Personnel (to
comply with  paragraph 6.3.1 (iii) ); and
• Form E – Existing Key Personnel C.V.
(to comply with paragraph 6.3.1 (iii) ).
Each and every key personnel as identified in
Paragraph 6.3.1 (iii), (a) to (c) above are
required to be proficient in English Language.
7. SUBMISSION
7.1 The Application Form and Questionnaire Pro-forma shall be completed
and returned in a sealed envelope clearly marked at the top-right-handcorner of the parcel as:-
PSUKPP/UPEN/PRE-Q/1/2011
PRIVATE AND CONFIDENTIAL
PRE-QUALIFICATION EXERCISE FOR
MAJOR ROAD AND TUNNEL PROJECTS IN PENANG
To :-  
State Economic Planning Unit's Office
Penang State Secretariat
17At:-
Level 26, KOMTAR
10503 Penang
Malaysia
Applicants are requested to insert the sealed envelope into the PreQualification Document Box: PSUKPP/UPEN/PRE-Q/1/2011 at the
State Economic Planning Unit's Office, Penang State Secretariat,
Level 26, KOMTAR, 10503 Penang, Malaysia not later than the time
and date stipulated in the Notice of Pre-Qualification to Tender.
7.2 All answer in the returned form must be substantiated by documentary
evidence in each case.
7.3 The State Government will not enter into correspondence with any
applicant relating to pre-qualification except to seek any clarification where
necessary.
7.4 This pre-qualification registration does not guarantee that the contractors
will be invited to tender and no reasons will be given for the rejection of
any applicant.
7.5 The State Government shall not be liable for the reimbursement of any
expenses or loss incurred in this pre-qualification registration exercise.
7.6 Firms that have been successfully pre-qualified to tender for the works will
be notified.
187.7 All applicants must complete the attached appendices and forms
accordingly. Company(ies) must show prove that they have experience in
tunneling works.
7.8 Answers shall be given lucidly to all questions in the Questionnaire.
Should space be insufficient in the forms, applicants are requested to
provide supplementary sheets. Each additional sheet shall be duly signed
by the applicant or such person or persons duly authorised to sign on
behalf of the applicant. Such authorisation shall be indicated by a written
power-of-attorney accompanying the applicants.
7.9 Please do not leave any item BLANK. If items do not apply, state "Not
Applicable" or "Nil". If insufficient space is provided for your answer, attach
an Appendix to the Questionnaire. Please ensure that all Appendices
attached are properly cross-referenced.
7.10 All applicants may submit any other exhibits they wish as further
Appendices to the Questionnaire.
7.11 All items submitted with the Questionnaire are non-returnable.
7.12 All monetary values inserted in the Questionnaire should be in Ringgit
Malaysia.
7.13 All questions in the Questionnaire must be answered in the manner
described. Answers such as "Refer to Appendix "I" of which is in the
applicant's own format or "Refer to Catalogue/Company Brochure
attached" are not acceptable.
7.14 When two or more applicants intend to tender as a Joint Venture or in
Consortium, the application shall be accompanied by a Joint Venture or
19Consortium Agreement or a letter of agreement stating their intention to
participate as a Joint Venture or Consortium. Each applicant of the
proposed Joint Venture/Consortium shall be required to furnish the details
of their company respectively in separate Questionnaire Pro-forma.
7.15 There shall be a term in the Joint Venture or Consortium Agreement which
states that all partners and members to the Joint Venture or in Consortium
shall be jointly and severally liable. However, applicant is to indicate the
apportionment of liabilities of each Joint Venture or Consortium partners or
members. If partners or members to the Joint Venture or in Consortium
include subsidiaries or associated companies, please provide parental
guarantees from the Holdings/Principal/Parent Company.
7.16 Failure to comply with any of the above instructions shall render the
application liable to rejection.
7.17 Upon qualifying the pre-qualification process, the successful contractors
will be required to prepare and submit a conceptual proposal on the above
project, within the dateline determined by the state government.
8. TERMS AND CONDITIONS
8.1 Applicants are invited to submit their pre-qualification according to the
requirements contained in this document.  Any failure to provide all the
information / documents specified may result in rejection of the prequalification or giving it a lower rating. Company(ies) must show prove that
they have experience in tunneling works.
208.2 Applicants shall bear all costs associated with the preparation and
submission of its Pre-Qualification Documents which must be delivered on
or before 12.00 noon on 14
th
January 2012.
8.3 Applicants are required to submit RM1,000.00 (Ringgit Malaysia One
Thousand Only) by way of bankers cheque / postal order as processing
fee to the Bendahari Negeri Pulau Pinang when submitting the PreQualification. Personal cheque and company cheque is not acceptable.
This amount is not refundable unless UPEN decides to cancel the project.
8.4 Pre-Qualification documents received after the closing date and time will
not be entertained.
8.5 The Pre-Qualification must be signed by an official who is authorised to
act on behalf of the organisation that is submitting the Pre-Qualification.
8.6 Applicants are required to sign the Integrity Pact Declaration Form as per
Appendix D1 and D2.
8.7 Companies participating in this exercise may either submit PreQualification on their own or in collaboration with others. However, the role
and responsibility of each company must be clearly stated.
8.8 No amendments shall be made to the Pre-Qualification after its
submission.  
8.9 UPEN has the absolute discretion to accept or reject the submitted PreQualification and is not obligated in any way to award the project to the
person(s) and or company (ies) submitting the pre-qualification. UPEN is
not required to provide any reason whatsoever.
218.10 All submission shall be valid for six (6) months from the closing date of this
invitation but UPEN reserves the right to extend the validity period by
another three (3) months by giving notice to the respondents.
8.11 Only shortlisted and/or successful company (ies) responding to this PreQualification will be notified of their status and will be invited to participate
in Request for Proposal (RFP). There will be no notification of status of the
award to unsuccessful company(ies).
8.12 UPEN is not obliged to inform or provide details of the selection process to
either successful or unsuccessful participants.
8.13 Whilst care is taken to ensure that the facts and information contained in
this Pre-Qualification are correct at the time it is presented, UPEN hereby
makes no representation as to the accuracy and adequacy of such facts
and information contained in the Pre-Qualification. UPEN shall not be
liable for any inaccuracy or inadequacy of such facts and information.
(The remainder of this page is intentionally left blank)
22Appendix A
SECRETARIAT
Secretariat for this projects will be a joint secretariat between Penang State Economic
Planning Unit, Public Works Department and Penang Municipal Council.
PENANG STATE ECONOMIC PLANNING UNIT (UPEN)
1.    Name :  Mr. Haji Zaini Bin Husain
Designation :  Director, Economic Planning Unit
Tel :  04-262 9317 / 04-650 5151
Fax :  04-261 1897
Email :  zainihusain@penang.gov.my
2.    Name :  Ms. Salmah Bee Binti Abdul Majid
Designation : Deputy Director, Economic Planning Unit (Sectoral)
Tel :  04-263 4970 / 04-650 5547
Fax :  04-261 1897
Email :  Salmahbee@penang.gov.my
3.   Name :  Mr. Shahril Zamani Bin Md. Zain
    Designation :  Assistant Director, Economic Planning Unit (Infrastructure)
Tel :  04-650 5174
     Fax  :  04-261 1897
Email :  shahrilzamani@penang.gov.my
PUBLIC WORKS DEPARTMENT (JKR)
1.    Name :  Mr. Haji Ir. Ahmad Latiff Bin Haji Abdul Hamid
Designation :  Director, Penang Public Works Department
Tel :  04-261 6263 / 04-650 5290
Fax :  04-261 4707
Email :  ahmadlatif@penang.gov.my
2. Name :  Mr. Haji Mohd Hassan Bin  Harun
Designation : Chief Assistant Director (Roads)                          
Tel :  04-650 5295
Fax :  04-261 4707
Email :  hassanH@penang.gov.myAppendix A
PENANG MUNICIPAL COUNCIL (MPPP)
1.    Name :  Mr. Ir. Rajendran Anthony
Designation :  Senior Engineer (Traffic)
Tel :  04-259 2220
Fax :  04-262 6260
Email :  rajendra@mppp.gov.my
2.    Name :  Mr. Lim Siew Hai
Designation :  Engineer (Public Transport and Traffic)
Tel :  04-259 2227
Fax :  04-262 6260
Email :  shlim@mppp.gov.myAppendix B
FINANCIAL FUNDING INFORMATION
Methods of Funding  : ….................................................................................
Interest Rate : ….................................................................................
Tenure : ….................................................................................
Origins Of Funds  : ….................................................................................
Process time  : ….................................................................................
Note :-
i. If third party is involved in the funding, please attached a letter from the
funder.
ii. The State Government will not be engage into any agreement with the
funder (bank/financial institution)
iii. The contractor will be engage themselves with their owned financial
whenever a third party financial is involved.Appendix C
DECLARATION
To the best of my knowledge I declare that the information given in the
proposal is correct.
Signature : ________________________________
Name : ________________________________
Designation  : ________________________________
Date  : ________________________________
Company Stamp : ________________________________
Signature of Witness : ________________________________
Name : ________________________________
Designation  : ________________________________
Date : ________________________________Appendix D1
INTERGRITY PACT DECLARATION FORM
APPLICANT DECLARATION FORM
FOR
PRE-QUALIFICATION FOR MAJOR ROAD AND TUNNEL PROJECTS IN PENANG,
MALAYSIA
I, …………………………………………………………(Company Representative Name)
I.C. Number ……………………… representing ………………………………....
(Company Name) Registration Number ……………….……………………….
(MOF/PKK/CIDB/ROS/ROC/ROB) hereby declare that I or any other individual who
represent this company will not offer or bribe any individual(s) in Penang State
Economic Planning Unit (UPEN) or any other individuals as to be selected in the PreQualification as mentioned above. Together with this as conformity to the declaration, I
hereby enclose a Letter of Delegated Power to me to represent on behalf of the
company as mentioned above.
2. If I or any other party who represent the company has been found guilty
negotiating or offering bribe to any individual in UPEN or any other individuals as a bribe
to be selected in the Pre-Qualification mentioned above, I as the representative of the
company mutually agreed that the following action would be taken:
2.1 Withdrawal of entitlement to participate in the RFP for above; or
2.2 Termination of contract for the RFP above if awarded; and
2.3 Any other disciplinary action in accordance to the Government
Procurement Rules.
3. If any individual intend to bribe me or any other relevant individual from the
company as a bribe to be selected in the Pre-Qualification mentioned above, I hereby
promise to take immediate action to lodge such an act to the Malaysian Anti-Corruption
Commission (MACC) office or to the nearest police station.
Your faithfully,
…………………………… (Signature)
(Name and IC Number)
Company Stamp:Appendix D2
INTERGRITY PACT DECLARATION FORM
SUCCESSFUL APPLICANT DECLARATION FORM
FOR
PRE-QUALIFICATION FOR MAJOR ROAD AND TUNNEL PROJECTS IN PENANG,
MALAYSIA.
I, ……………………………………………………….... (Company Representative Name)
I.C. Number ……………………… representing ………………………………....
(Company Name) Registration Number ……………….……………………….
(MOF/PKK/CIDB/ROS/ROC/ROB) hereby declare that I or any other individual who
represent this company will not offer or reward any individual(s) in Penang State
Economic Planning Unit (UPEN) or any other individuals to be selected in the PreQualification as mentioned above. Together with this as conformity to the declaration, I
hereby enclose a Letter of Delegated Power to me to represent on behalf of the
company as mentioned above.
2. If I or any other party who represent the company has been found guilty
negotiating or offering bribe to any individual in UPEN or any other individuals as a
reward to the Pre-Qualification mentioned above, I as the representative of the
company mutually agreed that the following action would be taken:
2.1 Withdrawal entitlement to participate in the RFP for above; or
2.2 Termination of contract for the RFP above if awarded; and
2.3 Any other disciplinary action accordance to the Government Procurement
Rules.
3. If any individual intend to bribe me or any other relevant individual from the
company as a reward to be selected in the Pre-Qualification mentioned above, I hereby
promise to take immediate action to lodge such an act to the Malaysian Anti-Corruption
Commission (MACC) office or to the nearest police station.
Your faithfully,
…………………………… (Signature)
(Name and IC Number)
Company Stamp: FORM A - LETTER OF APPLICATIONFORM A - LETTER OF APPLICATION
To:
Sirs,
PROPOSED MAJOR ROADS AND TUNNEL PROJECT IN PENANG.
I/We* ………………………………………………………………………………………………
hereby apply to be qualified as a bidder for the above project.
I/We* understand that a submission of this registration form will not automatically entitle
me/us* to submit a tender and I/we* agree that the right to select anyone to submit a tender rests solely
on yourself.
I/We* hereby declare that the statement made and information provided in the duly completed
application are true and correct in every detail and authorize the Employer or his representatives and
Consultants to carry out any investigation to prove the truthfulness of the statements and documents
submitted and to obtain clarification and information on the management, technical and financial aspects
revealed under application.
In consideration of being permitted to present my/our* qualifications for review as a prospective
tenderer, I/We* waive any claim whatsoever against the Employer and the Professional Consultants which
Document. I/We* understand that your decision regarding selection or rejection of any prospective tenderer
will be accepted by me/us* as final and not subject to any appeal.
Notes
* Delete if not applicable
State name(s) of applicant(s) and whether or not in "Joint Venture" or "Consortium".
Penang State Government
may arise from the submission, use of decisions relating to the information contained in this Pre-QualificationThe names of the persons who may be contacted for further information/clarification if required are:-
Name :
Position :
Tel/Fax :
I/We* hereby enclosed documented evidence to show a firm commitment of my/our* joint venture or
consortium and I/we* agree that any subsequent change of members and terms of the joint venture
or consortium agreement may result in my/our* joint venture or consortium being disqualified.
Signature :
Name of Person Signing :
( IN BLOCK LETTERS)
Designation :
Registered Business Address :
Date :
Notes
* Delete if not applicable
Name of Organisation :FORM B - PARTICULARS OF ORGANISATIONFORM B - PARTICULARS OF ORGANISATION
B.1.01 GENERALLY
(a) Name of Firm / Company:
(b) Registered Business
Address:
(c) Correspondence
Address:
(d) Telephone No.:
(e) Cable/Telex No.:
(f) Fax No.:
(g) Name and Position of
Person who may be
contacted for further
information if required
(i) Management:
Tel. No:
Fax. No:
(ii) Technical:
Tel. No:
Fax. No:
(iii) Financial:
Tel. No:
Fax. No:
B.2.01 STRUCTURE
(a)
(State whether
proprietor/partnership/
company)
(b) Date and place Firm/Company
was incorporated:
(c) State whether Company
was incorporated under
limited or unlimited:
(i)
(ii) Paid-up Capital:
All applicants and each member of the Joint Venture or Consortium Partnership shall submit certified
true copies of documents to show proof of their nationality, individual shareholders and equity participation (including Board of
Directors, Management and Employees of the Company)
Type of Organisation:
Authorised Capital:B.2.01
(d) Name and Address of Shareholders
(Applicants  are to submit certified copies of registration with the Registrar of Company/
Business showing paid-up capital)
Name Address Capacity
(i) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(ii) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(iii) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(iv) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(v) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
*Applicable only to Malaysians
FORM B - PARTICULARS OF ORGANISATION (Cont'd)
STRUCTURE (Cont'd)
% of
Shares
Held
Status
(Bumiputera*/
Non-Bumiputera*)
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..
…………………………….............. ……….…….......... ……………. ……………………………..B.2.01
(e) Name and Address of Directors
(State capacity whether Chairman, Managing Director, Director, etc.)
Name Address Capacity
(i) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(ii) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(iii) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(iv) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(v) ………………………………………………
………………………………………………
………………………………………………
………………………………………………
(f) How many years has your
firm/company been in business
as a Contractor under its present
business name?
Years
*Applicable only to Malaysians
FORM B - PARTICULARS OF ORGANISATION (Cont'd)
STRUCTURE (Cont'd)
Status
(Bumiputera*/
Non-Bumiputera*)
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..
…………………………….............. ……….……………………............... ……………………………..B.3.01 REGISTRATION
(a) Registration with Government, Statutory Bodies, Professional Association etc.
(Applicants are to attach to this Form, certified copies of certificates of registration)
Registration Class Head Sub-Head Date of Registration
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
………………………………
FORM B - PARTICULARS OF ORGANISATION (Cont'd)
Expiry Date of
Registration
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..
…….……… ……………. ……………. …………………………….. ……………………………..B.4.01 MISCELLANEOUS
(a) Name and Address of Subsidiaries and/or Associates (if any)
(b) Has your company, subsidiaries or associates been involved in any litigation?
If yes, state nature and status of litigation.
FORM B - PARTICULARS OF ORGANISATION (Cont'd)FORM C - PARTICULARS OF FINANCEFORM C - PARTICULARS OF FINANCE
(All applicants and each member of the joint-venture or consortium partnership shall provide all relevant documentary details to support the data submitted)
C.1.01 Capital
(a)
(b) Paid-up Capital
(Submit certified copies of registration with Registrar of Companies/Business showing paid-up capital)
C.1.02 Nett Worth and Working Capital for the last three (3) financial years
Item Description
Year
2008 2009 2010
(a) Total Assets
(b) Current Assets
( c) Total Liabilities
(d) Current Liabilities
(e) Nett Worth [(a)-( c)]
(f)
(Submit the Audited financial account by certified Accountant for the last five (5) years)
Authorised Capital RM …………………………………………………………..
RM …………………………………………………………..
Average for last
Three (3) years
Working capital
[(b)-(d)]C.2.01 Cash in Hand
Bank/Branch Account Number
(i) …………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
…………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
(ii) …………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
…………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
(iii) …………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
…………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
(iv) …………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
…………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
(v) …………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
…………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
(vi) …………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
…………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
(vii) …………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
…………………………….…………………...... ……………………………........ ……………………………........ ……………………………........
(Submit copy of Monthly Bank Statement for the last three (3) months before closing date of the pre-qualification)
FORM C - PARTICULARS OF FINANCE (Cont'd)
Last Bank Balance
Month and Year
Average for last
three (3) monthsC.3.01 Credit Resources and Bonding Capacity
Please provide a recently signed statement from a bank financial institution certifying the funds,
overdraft limits and bonding capacities enjoyed by your organisation. (Please obtain and submit
the confidential report from the Bank/Financial Institution using the format in Form CA)
Credit Facilities
Bank/Branch
Credit Facilities
Total (RM)
Type Balance (RM) Additional (RM)
(i) …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
(ii) ……………………………………………………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(iii) ………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(vi) ………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(v) ……………………………………………………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(vi) ………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
FORM C - PARTICULARS OF FINANCE (Cont'd)C.3.01 Credit Resources and Bonding Capacity
Please provide a recently signed statement from a bank financial institution certifying the funds,
overdraft limits and bonding capacities enjoyed by your organisation. (Please obtain and submit
the confidential report from the Bank/Financial Institution using the format in Form CA)
Bonding Capacity
Bank/Branch
Credit Facilities
Total (RM)
Type Balance (RM) Additional (RM)
(i) …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
(ii) ……………………………………………………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(iii) ………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(vi) ………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(v) ……………………………………………………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
………………………..........
(vi) ………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
    …………………………………………….………………………. ……………………………… ……………………………… ……………………………… ………………………..........
FORM C - PARTICULARS OF FINANCE (Cont'd)C.4.01 Annual Turnover and Net Profit
Annual Turnover and Net Pofit of organisation over the last five years.
(Up to last Financial Year)
TURNOVER NET PROFIT
2006
2007
2008
2009
2010
Total for last 5 years
Average
FORM C - PARTICULARS OF FINANCE (Cont'd)
RM …………………………………………….. RM ……………………………………………..
RM …………………………………………….. RM ……………………………………………..
RM …………………………………………….. RM ……………………………………………..
RM …………………………………………….. RM ……………………………………………..
RM …………………………………………….. RM ……………………………………………..
RM RM
RM RMCONFIDENTIAL
FORM CA - LETTER FROM THE BANK / FINANCIAL INSTITUTION ON
FINANCIAL / BONDING CAPACITY OF THE APPLICANT
(This form shall be completed by the Bank / Financial Institution and handed over to the applicant in a
sealed envelope to be submitted by the applicant together with pre-qualification document)
To:
State Economic Planning Unit
Penang State Government
Level 26, KOMTAR
Jalan Penang
10503 Penang
MALAYSIA
Name of Applicant:
Pre-qualification of Contractors for:
(A) We, the undersigned at the request of the applicant, undertake and guarantee to the Employer
the following upon the award of the above mentioned project to
(Applicant's Name & Address)
(B) Credit / Bond facilities which can be used for execution of the Project:
Credit / Bond facilities which was approved and minimum additional credit / bond which to be
obtained by the applicant are as follows:
Total (RM)
(i)
(ii)
Total:
Credit / Bond Facilities
Form
Balance From Credit /
Bond To be
Approved* (RM)
Minimum Additional Credit /
Bond to be Approved* (RM)CONFIDENTIAL
FORM CA - LETTER FROM THE BANK / FINANCIAL INSTITUTION ON
FINANCIAL / BONDING CAPACITY OF THE APPLICANT
Signed for and on behalf of the
Bank / Financial Institution :
Bank / Financial Institution :
Name of the Officer :
Designation :
Banker's / Financial Institution's
Seal :
Date :FORM D - PARTICULARS OF EXPERIENCESFORM D - PARTICULARS OF EXPERIENCE
D.1.01 Completed Underwater or Hill or Underground Tunnel or Elevated Highway or Similar Project
(Attach as an Appendix, the details of the project completed in the prescribed Form D1)
A.
Year Total Value (RM) No. of Projects
2001 RM
2002 RM
2003 RM
2004 RM
2005 RM
2006 RM
2007 RM
2008 RM
2009 RM
2010 RM
Total: RM
State here below the total value of Underwater Tunnel or similar Project to the
Proposed Development completed in:FORM D - PARTICULARS OF EXPERIENCE
D.1.01 Completed Underwater or Hill or Underground Tunnel or Elevated Highway or Similar Project
(Attach as an Appendix, the details of the project completed in the prescribed Form D1)
B.
Year Total Value (RM) No. of Projects
2001 RM
2002 RM
2003 RM
2004 RM
2005 RM
2006 RM
2007 RM
2008 RM
2009 RM
2010 RM
Total: RM
State here below the total value of Hill Tunnel or similar Project to the
Proposed Development completed in:FORM D - PARTICULARS OF EXPERIENCE
D.1.01 Completed Underwater or Hill or Underground Tunnel or Elevated Highway or Similar Project
(Attach as an Appendix, the details of the project completed in the prescribed Form D1)
C. State here below the total value of Underground Tunnel or similar Project to the
Year Total Value (RM) No. of Projects
2001 RM
2002 RM
2003 RM
2004 RM
2005 RM
2006 RM
2007 RM
2008 RM
2009 RM
2010 RM
Total: RM
Proposed Development completed in:FORM D - PARTICULARS OF EXPERIENCE
D.1.01 Completed Underwater or Hill or Underground Tunnel or Elevated Highway or Similar Project
(Attach as an Appendix, the details of the project completed in the prescribed Form D1)
D.
Year Total Value (RM) No. of Projects
2001 RM
2002 RM
2003 RM
2004 RM
2005 RM
2006 RM
2007 RM
2008 RM
2009 RM
2010 RM
Total: RM
State here below the total value of Elevated Highway or similar Project to the
Proposed Development completed in:FORM D - PARTICULARS OF EXPERIENCE
D.2.01 Present Workload And Commitments (For Underwater or Hill or Underground Tunnel or Elevated
Highway or Similar Project Only)
(Attach as an Appendix, the details of project the applicant is currently engaged where works
is in progress in the prescribed Form D2)
( a ) Total Value of Contracts currently in hand: RM:
( b ) Number of projects this value represents:
( c ) Highest value of any contract currently in
hand: RM:
(Name of Project:
( d ) Estimated Total Value of outstanding works
of project in hand: RM:FORM D - PARTICULARS OF EXPERIENCE
D.3.01 Brief Method Statement
(a) Work Execution
( i )
( ii )
( iii )
( iv )
( v )
(If spaces provides above are insufficient, please attach the description as Appendix
to this page)
Describe and outline how you intend to undertake the various phases of the work based
on the information provided to you in this document. Include a will be assigned to subcontractors, availability and usage of description of the activities that  construction plant
and equipment and the manpower resources. The emphasis should be on the
construction procedures of the key elements to indicate your expertise and experience.
Give your estimated construction time.FORM D1 - EXPERIENCE RECORD
(List All Underwater Tunnel and Similar Projects)
No.
Date of Completion
Contract Actual
* Only to be filled if the Contractor executed the works as a joint venture
** Contract Period shall include the approved extension of time
Project/Contract &
Location
Length
(KM)
Contract
Values (RM)
Value for Which The
Contractor Was
Responsible *
Contract
Period **
Date of
Commencement
Name & Address of
S.O / Consultants
Name & Address
Client / EmployerFORM D1 - EXPERIENCE RECORD
(List All Hill Tunnel and Similar Projects)
No.
Date of Completion
Contract Actual
* Only to be filled if the Contractor executed the works as a joint venture
** Contract Period shall include the approved extension of time
Project/Contract &
Location
Length
(KM)
Contract
Values (RM)
Value for Which The
Contractor Was
Responsible *
Contract
Period **
Date of
Commencement
Name & Address of
S.O / Consultants
Name & Address
Client / EmployerFORM D1 - EXPERIENCE RECORD
(List All Underground Tunnel and Similar Projects)
No.
Date of Completion
Contract Actual
* Only to be filled if the Contractor executed the works as a joint venture
** Contract Period shall include the approved extension of time
Project/Contract &
Location
Length
(KM)
Contract
Values (RM)
Value for Which The
Contractor Was
Responsible *
Contract
Period **
Date of
Commencement
Name & Address of
S.O / Consultants
Name & Address
Client / EmployerFORM D1 - EXPERIENCE RECORD
(List All Elevated Highway and Similar Projects)
No.
Date of Completion
Contract Actual
* Only to be filled if the Contractor executed the works as a joint venture
** Contract Period shall include the approved extension of time
Project/Contract &
Location
Length
(KM)
Contract
Values (RM)
Value for Which The
Contractor Was
Responsible *
Contract
Period **
Date of
Commencement
Name & Address of
S.O / Consultants
Name & Address
Client / EmployerFORM D2 - PROJECT DATA
(List All On Going Contracts Including Newly Awarded Contracts For Underwater or Hill or Underground Tunnel or Elevated Highway or Similar Projects)
No.
Progress of Work
Actual   (%)
* Only to be filled if the Contractor executed the works as a joint venture
** Contract Period shall include the approved extension of time
Project/Contract &
Location
Contract
Values
(RM)
Value of
Remaining
Work to be
Completed
(RM)
Value for Which The
Contractor Was
Responsible *
Contract
Period **
Date of
Commencement
Name & Address of
S.O / Consultants
Name & Address
Client / Employer
Scheduled
(%)FORM E - KEY PERSONNELFORM E - KEY PERSONNEL
E.1.01 Total Personnel In The Organisation
(Attach as an Appendix, the details of the total personnel in Various categories Employed currently in your Organisation)
State here below:
Category Number Employed
( a ) Project Director
( b ) Project Manager
( c ) Engineers
( d ) Architects
( e) Quantity Surveyors
( f ) Supervisors / Technical Assistants
( g ) Administration
( h ) Full Times General Labourers
( i ) OtherFORM E - KEY PERSONNEL
E.2.01 Personnel to be Employed for the Project
State the key personnel (professional and supervisory) you intend to employ on the project if you are the successful contractor (separate sheets for
the curriculum vitae and certified copy of certificates of qualifications are to be attached as Appendix to this Questionnaire).
Name
Application to indicate submission of:
curriculum vitae *
a. Project Directors
1. …………………………………………………………….............……
b. Project Managers (Highway)
1. …………………………………………………………….............……
2.  …………………………………………………………….............……
3.  …………………………………………………………….............……
c. Project Manager (Tunneling Works)
1. …………………………………………………………….............……
d. Tunnel Managers
1. …………………………………………………………….............……
e. Engineers
1. …………………………………………………………….............……
2.  …………………………………………………………….............……
3.  …………………………………………………………….............……
4.   …………………………………………………………….............……
5.   …………………………………………………………….............……
6.  …………………………………………………………….............……
7.  …………………………………………………………….............……
8.  …………………………………………………………….............……
f. Quantity Surveyors
1. …………………………………………………………….............……
2.  …………………………………………………………….............……
3.  …………………………………………………………….............……
* Points will only be awarded if the necessary documents are submitted.
(If spaces provides above are insufficient, please attach additional sheets as Appendix to this page)
No. of Years of
Experience
certified copies of certificates of
qualifications *FORM E - KEY PERSONNEL
E.2.01 Personnel to be Employed for the Project
Name
Application to indicate submission of:
curriculum vitae *
g. Supervisors / Technical Assistant
1.  …………………………………………………………….............……
2. …………………………………………………………….............……
3. …………………………………………………………….............……
4.   …………………………………………………………….............……
5.  …………………………………………………………….............……
6.   …………………………………………………………….............……
h. Administrative Personnel
1.   …………………………………………………………….............……
2.  …………………………………………………………….............……
i. Safety Officer
1.  …………………………………………………………….............……
2.   …………………………………………………………….............……
3.  …………………………………………………………….............……
j. Others
1.  …………………………………………………………….............……
3. …………………………………………………………….............……
4.   …………………………………………………………….............……
5.  …………………………………………………………….............……
6.   …………………………………………………………….............……
7.   …………………………………………………………….............……
8.  …………………………………………………………….............……
9.   …………………………………………………………….............……
10.   ……………………………………………………………................
* Points will only be awarded if the necessary documents are submitted.
(If spaces provides above are insufficient, please attach additional sheets as Appendix to this page)
No. of Years of
Experience
certified copy of certificates of
qualifications *FORM E - KEY PERSONNEL
Proposed Organisation Chart
State the organisation structure you intend to set up for the execution of this Project.
( a ) Attach as an Appendix to this Questionnaire an organisation chart of your proposed site organisation structure.
( b ) responsibilities of personnel to be clearly identified.FORM F - PLANT AND EQUIPMENTFORM F - PLANT AND EQUIPMENT
(List of Plant and Equipment Owned or Leased Suitable for use in the project)
No.  Description (Type, Model, Year of Manufacturer & Size) No. of Unit Current Value (RM)
 Major Plant & Equipment:
1 ……………………………………………............……............................
2 ……………………………………………............……............................
3 ……………………………………………............……............................
4 ……………………………………………............……............................
5 ……………………………………………............……............................
6 ……………………………………………............……............................
7 ……………………………………………............……............................
8 ……………………………………………............……............................
9 ……………………………………………............……............................
10 ……………………………………………............……............................
11 ……………………………………………............……............................
12 ……………………………………………............……............................
13 ……………………………………………............……............................
(If spaces provided above are insufficient, please attach additional sheets as Appendix to this page)
Owned or
Leased
Age (from initial
purchase or
registration)
Existing Store
Yard
Applicant to
indicate
submission of
certified copy of
registration card
or other
documents