pre- qualification questionnaire template(pre -资格问卷模板).docx
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CONTRACTORASSESSMENTQUESTIONNAIRE
FOR
IraqWestQurna1
ExxonMobilIraqLimited
IraqWQ1Project
Pre-QualificationQuestionnaire
ExxonMobilIraqLimited
Proprietary
TABLEOFCONTENTS
COVERLETTERANDINSTRUCTIONS 1
1.RECEIPTCONFIRMATION 1
2.INTRODUCTION 1
3.IRAQICONTENT 1
4.INSTRUCTIONS 2
5.MISCELLANEOUS 3
6.CHECKLIST 4
CONTRACTORPRE-QUALIFICATIONQUESTIONNAIRE 5
1.CORPORATEINFORMATION 5
2.FINANCIALANDLEGAL 8
3.SAFETY,SECURITY,HEALTHANDENVIRONMENT(SSH&E) 10
4.CAPACITY 12
5.EXPERIENCE 15
6.AVAILABILITY 16
7.QUALITY 17
8.PROJECTMANAGEMENTANDEXECUTION 19
9.PROJECTCONTROLS 20
10.GOVERNMENTRELATIONSANDPUBLICAFFAIRS 21
11.SUBCONTRACTING 22
12.INTERFACEMANAGEMENT 22
13.PROCUREMENT&MATERIALSMANAGEMENT 23
14.LABORRELATIONS 24
15.CONSTRUCTIONEQUIPMENT 25
16.ENGINEERING 28
17.CONSTRUCTION 29
A1.CONTRACTORGROUPS 31
A2.PROSPECTIVEBUSINESSASSOCIATES(PBA)QUESTIONNAIRE 32
A3.ACONTRACTOREXPERIENCEFORM–PROCESSUNITAREAS 36
A3.BCONTRACTOREXPERIENCEFORM–DISCIPLINES 37
A3.CCONTRACTOREXPERIENCEFORM–SPECIALTIES 44
A3.DCONTRACTOREXPERIENCEFORM–ONSHOREPIPELINES 46
INSTRUCTIONS
1.INSTRUCTIONS
1.DuetotheextensivevolumeandnatureofinformationincludedinthisContractorAssessmentQuestionnaireandtheInvitationtoTender(“ITT”)documents,respondentisadvisedthatEMILcurrentlyplanstoonlyissueanEnglishlanguageversionoftheContractorAssessmentQuestionnaireandITTdocuments.
2.Failuretocompletethisquestionnaireinfullmaylimitthescopeofworkarespondentwillbeconsideredqualifiedtoperform.Pleasecompletethesurveywithinthisdocumentbyinsertingresponsesinthedesignatedfields.Therequestto'describe'aniteminregardstoaspecificquestionisintendedtoobtainabrief,concisestatement.Questionsthatdonotapplytorespondentshallbeclearlymarkedas“NotApplicable”.
3.Whereadditionalinformationisrequiredinordertocompletearesponsetothequestionnaire,pleaseanswereachquestionoritemonaseparatesheet.Forexample,Section1.3ofthequestionnairerequiresrespondenttoattachcopiesofrequiredcertificates/registrations/permitstoworklegallyinIraq.Theresponseshouldrestatethespecificquestionoritematthetopofthepage,includingthenumberofsuchquestionoritem,followedbytheresponse.Responsesshouldbeinsequentialorder,consistentwiththequestionnaireformat.
4.Pleaseonlysubmitsupportingdocumentsthatarerequiredasspecifiedwithinthisdocument.Extraattachmentsnotrequestedwithinthequestionnairewillnotbereviewed.
5.Uponcompletion,pleasesubmittwo
(2)electronicversions(CD-ROMorflashdrive)ofyourentireresponsetothemailingaddresslistedbelow.Donotemailyourresponse.Thisquestionnaireshallbereturnedasa“nativefile”(e.g.thisMicrosoftExcelformat).Allsupportingdocuments(asrequested/specifiedwithinthisquestionnaire)shallalsobesentelectronically(e.g.inMicrosoftWord,PowerPoint,Excel,orPDFformat).Pleasedonotsendanyhardcopiesofthisquestionnairefileorsupportingdocuments.
MailingAddress:
wassitgroup@wassitgroup@jamalrr57@
19
2.MISCELLANEOUS
1.EMILconsidersinformationinthisquestionnaireprovidedtorespondenttobeproprietaryandshouldbetreatedasconfidentialbyrespondent.TherespondentmayreleaseinformationrelatedtotheproposedExxonMobilprojecttothirdpartieswhomtherespondentintendstoincludeintheperformanceofanyworkrelatedtothisprojectprovidedthattherespondentconveyssuchconfidentialityobligationstosaidthirdpartiespriortodisclosure.
2.AllContractorEntitiessubmittingresponsestothisquestionnairedosowiththeunderstandingthatEMILacceptsnoobligationofconfidentialitywithrespecttoanyinformationdisclosedtoEMILinrespondent'ssubmittal,unlessspecificallycoveredbyaseparatewrittenconfidentialityagreement.Bysubmittingresponses,allrespondentsagreethattheywillplacenorestrictivenoticesonanydocument(includingdrawings)providedaspartofthisquestionnaire.Therespondentsfurtheragreethatiftheydoplacesuchnoticesondocuments,EMILisauthorizedtoremoveand/ordisregardanysuchrestrictiveclausesandshallbefreetouseanddisclosetothirdpartiesanyorallinformationcontainedthereinwithoutaccountingtotherespondent.
3.Therespondents'submittalsandanyparticipationtherein,includinganystatementswhetheroralorwrittenbetweenEMILandanyrespondentshallnotcreateorbedeemedorconstruedinanywaysoastocreateanybindinglegalrelationshiporcontractbetweeneitherorbothjointlyofEMILandanyrespondent.Furthermore,submittalswillnotguaranteeplacementonabidlistortheawardofanycontractorwork.THISCONTRACTORASSESSMENTISFOREMILINFORMATIONALPURPOSESONLY.
4.EMILreservestherighttorejectanyandallsubmittalsatitssolediscretion.
5.Allcostsandexpensesincurredbyrespondent,oranyotherpartyparticipatinginthisassessmentwithrespondent,shallnotbereimbursedbyEMILandaresolelyfortherespondent's/party'saccount.
6.EMILreservestherighttocontactallreferencesprovedbyrespondent,visitanyrespondentworklocationsandinterviewanyrespondentpersonnelintheperformanceofthisassessment.
3.CHECKLIST
YoumaywishtoutilizethechecklistbelowtoinsurethatyouhavecompletedeachtabbeforereturningyourresponsetoEMIL.Clickontheentrylistedinthechecklisttoeasilydirectyouitscorrespondingsectionwithinthisdocument.YoumayalsoclickontheentrieslistedintheTableofContentswhileholdingtheControlbuttontonavigatethroughthequestionnaire.
Section Completed
Financial&Legal……………………………………………
SSH&E……………………………………………………….
Yes
Yes
No
No
Capacity……………………………………………………...
Yes
No
Experience…………………………………………………..
Yes
No
Availability……………………………………………………
Yes
No
Quality………………………………………………………..
Yes
No
ProjectManagement&Execution………………………...
Yes
No
ProjectControls……………………………………………..
Yes
No
GovernmentRelationsandPublicAffairs………………..
Yes
No
Subcontracting………………………………………………
Yes
No
InterfaceManagement……………………………………..
Yes
No
Procurement&MaterialsManagement…………………..
Yes
No
LaborRelations……………………………………………..
Yes
No
ConstructionEquipment……………………………………
Yes
No
Engineering………………………………………………….
Yes
No
Construction…………………………………………………
Yes
No
ATTACHMENTS
ContractorGroups…………………………………………..
Yes
No
ProspectiveBusinessAssociates(PBA)Questionnaire..
Yes
No
ContractorExperienceForm--ProcessUnitAreas………
Yes
No
ContractorExperienceForm--Disciplines………………..
Yes
No
ContractorExperienceForm--Specialties………………..
Yes
No
ContractorExperienceForm--OnshorePipelines……….
Yes
No
1 CorporateInformation……………………………………… Yes No
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
A1A2A3.AA3.BA3.CA3.D
CONTRACTORPRE-QUALIFICATIONQUESTIONNAIRE
1.CORPORATEINFORMATION
1.1.ProvidethefollowinginformationabouttheContractorEntityand/orparentcompanythatwouldsubmitaproposalfortheworkcontemplatedfortheproposedExxonMobilproject.
Respondent'sInformation:
ContractorEntityName:
Establishedas:
(pleaseselectonefromlist)
Corporation Affiliate
Partnership/JointVenture NationalCompanyIndividual ContractorGroup
PrimaryServices Consulting GeneralEngineering
Communications LogisticsDrilling/Reservoir Security
Environmental Supplier(Equipment)
EPCM/EPC TransportandInstallation
Fabrication Conceptual/Pre-FEED/FEEDGeneralContracting/Construction
Other
Ifapplicable,listyour“other”primaryservicesbelow:
SpecialtyServices Camps/Buildings OffshorePipelay
Civil/Structural OffshoreFacilitiesElectrical/Instrumentation OnshorePipelayERW/UXORemoval OnshoreFacilities
ERW/UXOConsulting PipelineDesign
Infrastructure ProcessDesign
InspectionsandTesting Subsea
Mechanical/Piping Other
Ifapplicable,listyour“other”specialtyservicesbelow:
Country:
PostalCode:
StateorProvince:
City:
MainOfficeMailingAddress:
EmailAddress:
Websiteaddress:
FaxNumber
PhoneNumber:
Country:
PostalCode:
StateorProvince:
City:
MainOfficePhysicalStreetAddress:
DateEstablished:
NumberofContractEmployees
NumberofRegularEmployees
OperatingRegions
International(All)
NorthAmerica(Canada)
MiddleEast
NorthAmerica(USA)
NorthAsia
Australia
SoutheastAsia
Africa
Europe
SouthAmerica
Respondent'sContactInformation:
ContactName:
ContactAddress:
City:
StateorProvince:
PostalCode:
Country:
Region:
OfficePhoneNumber:
CellPhoneNumber:
FaxNumber:
EmailAddress:
Respondent'sPrimaryBankInformation:
BankName:
BankAddress:
City:
StateorProvince:
PostalCode:
Country:
BankWebsiteAddress:
EmailAddress:
EmailAddress:
Websiteaddress:
FaxNumber:
PhoneNumber:
Region:
Country:
PostalCode:
StateorProvince:
City:
PhysicalStreetAddress:
FullNameofParentCompany:
IstheContractorEntityownedorcontrolled
byaparentcompany?
ParentCompanyInformation:
Yes No
1.2.Provideahigh-leveldescriptionofyourcompanyandtypicalservicesprovided.
Placeresponse(description,supportinginformation,and/orcomments)here:
1.3.DescribeyourinterestinsubmittingacompetitivelybidproposaltoperformworkfortheproposedExxonMobilproject.
Placeresponse(description,supportinginformation,and