pre- qualification questionnaire template（pre -资格问卷模板）Word格式.docx

pre- qualification questionnaire template（pre -资格问卷模板）Word格式.docx

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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

No

Capacity……………………………………………………...

Experience…………………………………………………..

Availability……………………………………………………

Quality………………………………………………………..

ProjectManagement&

Execution………………………...

ProjectControls……………………………………………..

GovernmentRelationsandPublicAffairs………………..

Subcontracting………………………………………………

InterfaceManagement……………………………………..

Procurement&

MaterialsManagement…………………..

LaborRelations……………………………………………..

ConstructionEquipment……………………………………

Engineering………………………………………………….

Construction…………………………………………………

ATTACHMENTS

ContractorGroups…………………………………………..

ProspectiveBusinessAssociates（PBA）Questionnaire..

ContractorExperienceForm--ProcessUnitAreas………

ContractorExperienceForm--Disciplines………………..

ContractorExperienceForm--Specialties………………..

ContractorExperienceForm--OnshorePipelines……….

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:

MainOfficePhysicalStreetAddress:

DateEstablished:

NumberofContractEmployees

NumberofRegularEmployees

OperatingRegions

International（All）

NorthAmerica（Canada）

MiddleEast

NorthAmerica（USA）

NorthAsia

Australia

SoutheastAsia

Africa

Europe

SouthAmerica

sContactInformation:

ContactName:

ContactAddress:

Region:

OfficePhoneNumber:

CellPhoneNumber:

FaxNumber:

sPrimaryBankInformation:

BankName:

BankAddress:

BankWebsiteAddress:

Websiteaddress:

PhysicalStreetAddress:

FullNameofParentCompany:

IstheContractorEntityownedorcontrolled

byaparentcompany?

ParentCompanyInformation:

Yes No

1.2.Provideahigh-leveldescriptionofyourcompanyandtypicalservicesprovided.

Placeresponse（description,supportinginformation,and/orcomments）here:

1.3.DescribeyourinterestinsubmittingacompetitivelybidproposaltoperformworkfortheproposedExxonMobilproject.

Placeresponse（description,supportinginformation,and