PREQUALIFICATION QUESTIONNAIRE FOR EPIC Contractor

This pre-qualification questionnaire, comprising six (6) Sections, is aimed to collect technical, commercial and organizational data on the Integrated services and/or products for the purpose of a proper evaluation of the EPIC Contractor to be included in the pre-qualified EPIC Contractor’ List of Mellitah Oil & Gas BV
The questionnaire, duly completed, shall be returned together with the prequalification documents to Mellitah Oil & Gas BV.
All information provided will be treated as confidential and will not be disclosed to third parties, unless authorized in advance.

Instructions for the data / information entry:
1.	Detailed information on Partners, affiliates, etc. shall be specified with appropriate attachments.
2.	Sections not applicable should be annotated “N/A”.
3.	Duplicate if necessary and attach any additional information, data sheets, catalogues, brochures, etc., as appropriate.
“Company” means your Company or Company Group; “Unit” means any Subsidiary, Branch, Division, Department , Section of your Company.
4.	For any clarifications please contact:
JPT Pre-Qualification Committee Mellitah Oil & Gas B.V.
Dat El Emad Complex, Tower 1, Floor 9, P.O. Box 91651, Tripoli, LIBYA Tel:  +218.21.3350746-7-8	Fax: +218.21.3350628
JPT.PRQ@MellitahOG.LY

PERSON(S) INVOLVED IN THIS QUESTIONNAIRE COMPILATION:

COMPILER OF THE QUESTIONNAIRE AND AUTHORIZED CONTACT FOR FOLLOW-UP:

NAME:   .....................................................   UNIT/DEPARTMENT:...................................	POSITION:  :...................................
TELEPHONE N0:   .................................................     TELEFAX N0:.   ............................................ ..............	Email :    ...................... .............. ..................

PREQUALIFICATION QUESTIONNAIRE FOR EPIC Contractor

TABLE OF CONTENTS

1.1	Structure of the Company  - General Information	3
 	1.2       References……………………………………………………………………………………………………… 4
          1.3       Installation / construction fleet ………………………………………………………………………………….4
1.4	Technical References	4
1.5	Financial Data and Assets Liabilities	5
1.6	Overall Operational Capacities  - Services, work performed -	6
1.7	Overall Operational Capacities  - Goods/products manufactured -	6
1.8	Overall Operational Capacities  - Goods/products resold -	6
1.9	Safety and Environmental Policy	7
2.	CORPORATE QUALITY SYSTEM	7
2.1	Structure of the Unit - QA Manual	7
3.              CONTRACT MANAGEMENT	8
3.1	Activities Planning System  and Time/Cost Management	8
4.	PROCUREMENT UNIT	8
4.1	Structure of the Unit - Resources Assigned	8
5.	INSPECTION AND TESTS	8
5.1	Testing Equipment/Facilities/Instruments	8
6.	LOGISTICS & facilities	9

PROFILE OF THE COMPANY

1.1	Structure of the Company - General Information

COMPANY NAME		LEGAL STATUS		
PRIVATE OR STATE-OWNED		FISCAL CODE		
REGISTERED ADDRESS				
TOWN		COUNTRY		

HEAD OFFICE	
REGISTERED ADDRESS		
TOWN		COUNTRY		
TELEPHONE NO.				
TELEFAX NO.		TELEX NO.		
WORKSHOP	
REGISTERED ADDRESS		
TOWN		COUNTRY		
TELEPHONE NO.				
TELEFAX NO.		TELEX NO.		
REGISTRATION, AUTHORIZATIONS	
Fully Libyan Company	yes	no	
Foreign Company Officially Registered in Libya	yes	no	
If YES, indicate No. of Certificate and Date of Registration			
Company certification with Libya NOC (national oil cooperation)			
If YES, indicate No. of certificate and date of Registration			
Previous Experience with Eni Gas	yes	no	
Previous Experience in Libya	yes	no	
Permanent Organization in Libya	yes	no	

Attach the organization chart of the Company.
If the Company is part of a group of Companies, provide an organization chart indicating the relevant position.
Group of Companies

Company name: ......................................................	status within the group	1	Holding	
.........................................................		2	Associated Co.	
.........................................................		3	Controlled Co.	
.........................................................		4	Subsidiary Co.	

Shareholder	s:	Names of Shareholders	................................................   shares	%	
		................................................   shares	%	
		................................................   shares	%	
		................................................   shares	%	
Notes:	....	..............................................................................................................................................................	

PREQUALIFICATION QUESTIONNAIRE FOR EPIC Contractor

1.2	References
Please provide details and scope of work of similar projects carried out by Contractor in the last 5 years. This shall include the following as a minimum:
•	Name of Company / project together with contact person details;
•	Scope of the work;
•	Contract Value;
•	Similarities to the scope of this project.

1.3	Installation / construction fleet
Please provide details of the installation and construction vessels, spread and equipment which you intend to deploy for this project. This should cover all stages from Survey to Pre-commissioning. S and/or Reel lay capabilities shall also be outlined. 

1.4	Technical References

List the main technical references of the Company (documentary evidence, if any, should be attached to the questionnaire), as follows.
Give detail of any services provided for Mellitah Oil &Gas BV within the last 3 years. Provide statements of satisfactory performance, obtained from the clients mentioned.
Client		Client		

PREQUALIFICAT	ION QUESTIONNAIRE FOR SUPPLIERS OF SERVICES AND/OR GOODS	
				
Scope of the contract		Scope of the contract		
Estimated Value of the contract		Estimated Value of the contract		
Year of delivery or Commence. Date		Year of delivery or Commence. Date		
Contract per. / validity		Contract per. / validity		
Description of activities carried out directly		Description of activities carried out directly		
Works sub-contracted		Works sub-contracted		
Client		Client		
Scope of the contract		Scope of the contract		
Estimated Value of the contract		Estimated Value of the contract		
Year of delivery or Commence. Date		Year of delivery or Commence. Date		
Contract per. / validity		Contract per. / validity		
Description of activities carried out directly		Description of activities carried out directly		
Works sub-contracted		Works sub-contracted		
1.5	Financial Data and Assets Liabilities

Company’s capital	.............................................................	
Turnover of the company:  year	2020	............................................	
	2019	............................................	
	2018	............................................	
	2017	............................................	
Turnover of the group:	year	2020	............................................	
	2019	............................................	
	2018	............................................	
	2017	............................................	

BANK REFERENCES	Bank	Head office	Phone No.	Fax No.	Contact	

						

Please attach:	1. copy of the last 2 (two) deposited balance sheets .

PREQUALIFICATION QUESTIONNAIRE FOR SUPPLIERS OF SERVICES AND/OR GOODS

2.	written authorization to contact the bank indicated, for verification of references.
3.	declaration that no arbitration and/or litigation with client or supplier(s) exist.
1.6	Overall Operational Capacities – Services (Engineering, Procurement, Construction, to Installation and commissioning), work performed -

Operational capacity / year (hours)	

............	Years of experience (no.)	

...	Workload undertaken (hours)	

.......	Workload expected (hours)	

.......	Man-days lost because of strike (no.)	

......	
Description of activities carried out directly by your Company:
..............................................................................................................................................................................................
............................................................................................................................................................................................
1.7	Overall Operational Capacities - Goods/products manufactured -

Operational capacity / year (hours)	

............	Years of experience (no.)	

...	Workload undertaken (hours)	

.......	Workload expected (hours)	

.......	Man-days lost because of strike (no.)	

......	
Goods manufactured directly by the Company:

1		5		9		
2		6		10		
3		7		11		
4		8		12		
        
      1.8 Overall Operational Capacities  
If the Company neither manufactures goods/products nor provides services directly, list the following data, as per table below:

Goods/products/services resold/represented:				
Manufacturer’s Company name				
Type	of	business	relation	with	the Manufacturer.:	Associated	Represented	
Activity carried out by the Company	Company capable of handling the commercial aspects of the supply only.	Company capable of handling a part of the technical aspects (certificates, tests, ...)	Company capable of providing other related services, such as: delivery, technical assistance)	
Goods/products/services resold/represented:				
				
Manufacturer’s Company name				
Type	of	business	relation	with	the Manufacturer.:	Associated	Represented	
Activity carried out by the Company	Company capable of
 handling the commercial aspects of the supply only.	Company capable of handling a part of the technical aspects (certificates, tests, etc.)	Company capable of providing other related services, such as: delivery, technical assistance)	

In addition, please provide the following details of information in respect to:

PREQUALIFICATION QUESTIONNAIRE FOR SUPPLIERS OF SERVICES AND/OR GOODS

-	Location, surface, personnel employed at the points of sale
-	Management, inspection and monitoring resources
-	Means of transportation
-	Products/materials storage, identification and traceability systems Notes:
..................................................................................................................................................................

..............................................................................................................................................................................

..................................................................................................................................................................

..............................................................................................................................................................................

..............................................................................................................................................................................

1.9	Safety and Environmental Policy
Describe the Safety Management System implemented by the Company:

1	Company HSE Management Plan	yes	no	
2	Subsea Safety Management System	yes	no	
3	If ‘’yes’’, specify if there is an implementation program for ensuring compliance	yes	no	
4	Specific Company’s training programme in respect of safety	yes	no	
5	Formal method of accident reporting	yes	no	
6	If ‘’yes’’ submit safety statistics of accidents during last three years	yes	no	
7	Safety supervisor	yes	no	
Please attach any relevant documentation (manual, procedures, etc.)

Notes:
..................................................................................................................................................................

..............................................................................................................................................................................

.............................................................................................................................................................

2.	CORPORATE QUALITY SYSTEM
2.1	Structure of the Unit - QA Manual
Please attach the organization chart of the Unit

1	Quality System in place	yes	no	
2	System described in a proper manual	yes	no	
3	Manual conformity to the family ISO 9000 standard	yes	no	
4	Procedure in place in respect of possible accidents	yes	no	
5	System certified by third party certification body	yes	no	
Please attach:

PREQUALIFICATION QUESTIONNAIRE FOR SUPPLIERS OF SERVICES AND/OR GOODS

-	one copy of available certificate
-	one copy of the Quality Manual. Notes:
................................................................................................................................................................
..............................................................................................................................................................................

3.	CONTRACT MANAGEMENT PLAN

3.1	Activities Planning System and Time/Cost Management
Provide description of the available project management system, with respect to:
-	time management and cost control
-	construction/production management
-	productivity control
-	material management
Attach a typical Project Execution Plan with description of the following activities: Engineering, Procurement, Construction, Quality Assurance, Project Control.
Notes:
..................................................................................................................................................................
..............................................................................................................................................................................

4.	PROCUREMENT UNIT
Submit  detailed  information  on  the  capacities,  the  structure  and  human  resources  assigned  to  the procurement activities.
4.1	Structure of the Unit - Resources Assigned
Submit organization chart of the Unit, with evidence of human resources assigned
List the specific experience/references related to procurement activities within your Company
..................................................................................................................................................................
.....................................................................................................................................................................

5.	QC, INSPECTION AND TESTS
Detailed information on the capacities, structure, equipment and facilities, human resources employed in the quality control activities.
5.1	Testing   Equipment/Facilities/Instruments
State whether the periodical calibration of the instruments is effected; in the affirmative, specify the Unit concerned and whether such Unit is within or outside the company

	Description of the instrument	Characteristics	Quantity	
1				
2				
3				
4				
5				

PREQUALIFICATION QUESTIONNAIRE FOR SUPPLIERS OF SERVICES AND/OR GOODS

Notes:
.......................................................................................................................................................................
.................................................................................................................................................................

6.	LOGISTICS & FACILITIES
Detailed information on the structure and management of the logistics and facilities within your company.

NOTE: TO BE PREPARED ON APPLICANT’S LETTERHEAD

“FORM A - Declaration Template”

To: 	Chairman, JPT-Pre-Qualification Committee  
 Dear Sir, 
We have examined the Prequalification questionnaire and replied to all its enquiries/questions accurately and truthfully and our representative's signature here below testifies to this effect. 
We wish to be considered for inclusion in the list of bidders for the subject tender as Contractor and assure of our competence and resources to execute fully the works to the highest ethical and professional standards and as per requirements of Mellitah Oil and Gas B.V Company. 
We acknowledge and accept that to satisfactorily evaluate our submittal, Mellitah Oil and Gas B.V Company shall have the right at its own option, to visit our offices, project sites and works in progress, with a view to audit and verify our financial, technical and other resources. We assure to make available to Mellitah Oil and Gas B.V Company representatives all facilities required for this purpose. 
Further, we acknowledge and accept that Mellitah Oil and Gas B.V Company shall have the right at its own option, to communicate with our client(s) directly where similar Contract(s) have been completed and/or are being executed as well as to communicate with our banker(s) and auditor(s). 
We confirm that all charges related to the preparation of Pre-qualification document shall be borne by us. 
Information submitted by us in response to the requirements of this Prequalification Document is true and correct in every detail and we take full responsibility to its authenticity. 

We acknowledge fully that Mellitah Oil and Gas B.V Company has absolute discretion in the selection of Bidders for their various works and that Mellitah Oil and Gas B.V Company shall not be obligated nor required in any manner whatsoever to assign a reason for refusing the issue of Bid Documents to us or to enter into any correspondence concerning the selection of Bidders. 
 
Signed: __________________________ 
 
Name:____________________________  Title: __________________________ 
 
In the capacity of __________________________________________________ 
Authorized Signature for and on behalf __________________________

 
Date ______________ 	 	 	 	 Applicant's Company Seal

INSTRUCTIONS TO APPLICANT
1.	Before attending the application: 

1.1.	Only applicants that had successfully executed EPIC Contracts on a turnkey basis and/or commissioned grass-root projects over the past ten (10) years shall be considered.  
1.1.	Applicant should be capable and prepared to undertake Engineering, Procurement and Construction (EPC) projects for oil and gas facilities, from Front End Engineering Design stage to successful completion including commissioning and performance testing of these facilities. 
1.2.	It is solely up to the Company’s to determine whether the prequalification information submitted by the applicant is acceptable or not and therefore whether the applicant is approved or not. It is totally up to the Company to pursue or not unclear application submission. 
1.3.	If Applicant performs work on regional basis (thru affiliate(s)/subsidiary(s)), experience of the regional office where work will be administered and managed shall be proven. Financial, administrative, supportive ties shall be proven established as well between the parent and the subsidiary. 
1.4.	Applicant agrees -without reservation- upon the submission of the application, that the Company has the full right to contact any of the references provided in the application. 
1.5.	Applicant shall understand that the described duties (or scope od Work) is for prequalification purposes only, and that this application is not an Invitation to Bid. 
1.6.	Applications –and if any further replies- shall be treated as strictly confidential. Submitted application forms will be retained in the Company’s records. 
1.7.	Application is designed to allow most of the answers to be filled in directly on the Questionnaire form. It is recommended to read the instructions and questions carefully and to be brief and complete with the answers. 
1.8.	General leaflets that give an impression of the activities and organizational structure of the applicant are welcomed.

2.	Important Requirements for evaluation: 

2.1.	A Record of completed projects for the Applicant as described in this document, as a main contractor fully responsible for the entire project. The record must show at least three projects in accordance with the Prequalification Document. 
2.2.	Current workload to prove the Applicant is coincidentally active in in EPIC activities. Present workload has to be consistent with applicant’s resources, manpower and financial standing. Any work awarded by the company would not burden the Applicant’s current capability dealing with current workload. 
2.3.	Applicant is employing adequate resources of manpower and expertise to cope with current workload, and has an access to additional resources if required in the event of award of Works by the company. 
2.4.	Applicants should clearly type the answers to all questions in English language. 
2.5.	Applicant should provide proof to its statements as necessary with regard to its financial stability, engineering capabilities, organizational structure, experienced personnel, equipment, expertise in relevant types of oil and gas facility construction and familiarity with Libyan laws and environmental regulations. 
2.6.	The Applicant shall attest that all information which has been submitted are accurate and in that effect shall fill, sign and stamp document "Declaration For Prequalification". 
2.7.	It is important that all requested information be provided (without blanks/emptiness) and presented clearly and in an orderly manner using the formats attached to this application document. Failing to do so may render the application void. 
2.8.	Ensure application includes relevant attachments listed in the different Sections. 
2.9.	Additional pages if needed should be inserted where applicable for replying to the questions. Any additional information that the applicant want to offer should be clearly separated from specific required responses of the application. 

3.	Post qualification: 
Invitation to bid process is subject to the laws of the state of Libya particularly public tendering law 
3.1	The selected (qualified applicant) contractor shall be responsible for the performance of the Works carried by itself and/or the associated Engineering Contractor/Sub -Contractor, if any and the Guarantees thereof. Sub-contracting of project management is not acceptable. 

3.2	Foreign Applicant, through its Libyan Local Agent, accepts full responsibility to act as a sponsor for its employees according to relevant Libyan laws, all that in case it is first qualified and later on awarded a contract for executing -for the Company- a scope of work relevant to the works applied for. 
 
3.3	All qualified companies are susceptible to removal from Approved List if one or more of the following conditions occurs: 
•	No response to invitation to bid on three consecutive occasions without adequate explanation. 
•	Pre-Qualification data is 5 years old. 
•	Low performance to Company’s requirements in undertaking   a service contract. 
•	Major violation to Company HSE policies and regulations. 
•	Failure to submit updated details/information as and when requested by Company.