Subcontractor Name*
Nature of business
Address
Category: *
Specimen Signature of authorized signatory
Web Url
Company Telephone:
Fax
Please attach company organizational chart
Please attach notarised power of attorney
Company Profile
Company Insurance
Please provide Primary Contact detail.
Contact Name
Email*
Mobile No: *
Position
Please provide Secondary Contacts details.
Email
Mobile No:
Number of employess (administration)
Number of employess (labour)
Total Area of production facility (m2)
Number of years in operation
List major equipment and capacity
Total asset value
Financial health (balance sheet) asset, liability and capital
Capability of works to be carried out:
< Dhs, 1,000,0000
> Dhs, 1,000,0000
> Dhs, 10,000,0000
Please provide
In-Country Value (ICV) certificate number
Expiry Date
In-Country Value (ICV) Score
In-Country Value (ICV) Certificate
Chamber of commerce registrtion number
VAT regisration
VAT Registration Certificate
Muncipality Trade License Number
Muncipality Trade License Certificate
Please attach copies of other certificates
Please link regisrations with prominent clients:
Organization
License/Registration No
Please list major clients, the nature of work performed and it's value (Copy of consultant approval has to be attach)
Attach copy of consultant approval
Ongoing project, the nature of work & contract value
Bank Name
IBAN
Account No.
Bank Details *
Bank Details
Credit Facility
L/C Facility
Other
Are you able to provide performance bank guarantee?
Are you able to provide 90 days credit facility?
Supplier
Sub-Contractor
Taxable
Non-Taxable
Does your company employee a documented Quality Assurance Program?
Is it certified by a recongized 3rd party agency?
Please attach a copy of the certified and an uncontrolled copy of your QA manual
Does your company employee a documented HES program?
Does your company have a Health, Safety & Environment (HES) policy?
Please attach the copy of policy
Do you record accidents and incidents, and do you have historical statistics and reports?
Please attach the copy of report (incident/accident records)
Do you have Health, Safety & Environment plan (HSE Plan) applied in workplace (risk assessments, incident investigation procedure, safe systems of work, monitoring system etc.?)
Please attach a copy of the HSE plan, risk assessments, incident investigation procedure, safe system of work and monitoring system
Do you have a Liability Insurance license?
Please attach a copy of the Liability Insurance license.
Do you employ site supervision at different levels? Qualifications of HSE personnel incl. Engineers & Supervisors (i.e. CV’s)
Please attach a copy of the CV’s of HSE personnel incl. Engineers & Supervisors.
Do you employ competent and skilled (certified, accredited) workers, if required for your routine work in compliance with local HSE regulations? e.g. : certified riggers, welders, mobile equipment operators, etc.?
Please attach a copy of the relevant Employees’ Competency Certificates and Accreditations.
Do you keep Health, Safety & Environmental Training Records of your employees and especially trainings achieved in the type of works as per contract?
Please attach a copy of the HSE training records.
Have you received any Health, Safety and Environmental accreditations and awards previously? (e.g.: ISO 45001/ ISO14001).
Please attach a copy of the HSE accreditations and awards e.g. OHSAS 18001/ISO14001
Do you have enforcement agency reports (external HSE audit reports) or claims against your company, if existing?
Please attach a copy of the external HSE audit reports
Have you received recommendations from other companies regarding HSE performance?
Please attach a copy of the Letter of recommendation from other companies.
Does your company have HSE affiliation and membership in trade associations and professional bodies?
Please attach a copy of the HSE affiliation and membership in trade associations and professional bodies.
Is your company affiliated/Accredited by the following:
OSHAD
Please attach copy of certificate
AD-CWM/ TADWEER
EMIRATES GREEN BUILDING COUNSIL
Does your company have HSE statistic report included waste management data for the last 3 years?
Please attach a copy of HSE statistic report for the last 3 years
Completed By: (Name & Position)
Signature
Date
