总承包商资格预审表中英文版(模板 ).docx

Eagle Ottawa China all aspect Projects GC Supplier prequalification form xxx Supplier name 项目总承包商资格预审表Pre-qualification FormFor Project Suppliers项目承包商资格预审表Name of the employer:业主名称： Eagle Ottawa China Co. Ltd.鹰革沃特华汽车皮革（中国）有限公司Title and location of the project:项目名称及地址： 鹰革沃特华汽车皮革中国有限公司上海二厂(机电为主)上海市闵行区华宁路2999号Date:日期： 2014.Mar.04Name of supplier company:Note to applicants申请人须知：1 This pre-qualification process will form part of the Employers decision to invite a number of suppliers to tender for the works described in the attached letter.本资格预审是业主决定邀请承包商对附函中项目进行投标的组成部分。2 Please answer all questions in the pre-qualification form.请回答资审表中所有问题。3 Supplementary pages may be photocopied or copied and inserted if required.如要求，可以影印，复印或插入补充页数。4 Please number each page.请对每页编号。5 Two complete copies of your completed pre-qualification form shall be submitted to the Employer. Please retain a copy of your complete submission for your own records.应向业主提交两套完整的资审表,请保留一套完整的提交资料便于自己备案。6 Please note that no part of this document or process places any legal, contractual or any other obligation on either party.请注意，本文件或资审对任何一方不构成法定，合同性或任何其他义务。7 The Employer has the sole right and discretion on the final decision of who will be included in the tender.业主对投标人资格具有独有决定权。Corporates Structure and Organization公司组织结构Name of company:公司名称：Address:地址：Telephone number:电话：Fax number:传真：Registered office address:登记办公地址：Corporations main business specialty certificate: 公司主要营业专业资质:Description of company (for example, General Civil Engineering Contractor):公司简介（例如：土建工程总承包商）：Number of years experience as a general contractor& specialty contractor总承包商或者专业承包商资格年限Names and addresses of associated companies to be involved in the project and whether parent/subsidiary/other. Please also specifically provide the address of the nearest (if any) branch offices to the site location, which it is anticipated will be involved in the project.参与项目的联营公司名称地址 是否是母公司/分公司/或其他。同时，请说明预计参与项目分公司（如有）离现场最近的地址。If the company is a subsidiary, what involvement, if any, will the parent company have in the project? 如果公司是分公司，母公司以何种程度参与（如有）项目？Please indicate here or attach an organization chart showing the company structure including the positions of directors and key personnel, if relevant.请在此说明或附加公司组织结构图，包括相关的董事和主要人员。Please attach copies of relevant licenses, including Business License, General Construction license, M&E license, Design license etc. Please also note and include any relevant licenses you currently hold in the local area of the project site.请附加相关许可证附件，包括营业执照，总承包，机电安装和设计许可证明等。同时说明并加入目前在项目现场当地所拥有的任何相关许可证明。Financial statement财务报表Capital:资金：Authorized:批准：Issued:签发：Annual value of construction work undertaken for each of the last 2 years and projected for current year:过去2年每年承担的工程量，以及预计今年的工程量。Approximate Contract value of work in hand:估计在手合同工程量：Please attach copies of the companys previous three years audited accounts (profit/loss, assets/liabilities) and other financial data which you consider to be useful.附加公司过去三年经审计的账目复印件（损/益，资产/债务）以及认为有用的其他财务资料。List all attachments below:在下面列举所有附件：Name and address of bankers from whom references can be obtained:可获取证明的银行名称及地址：Resource: Personnel资源：人力Number of staff:员工数量：Technical:技术人员：Administrative:行政管理人员：Please list present executive directors:请列举目前的执行董事： Name姓名Present position目前职位Years of experience with the company/in construction加入公司年限/施工经验年限List information about other relevant key personnel below(Main MEP relevant ):在下面列举其他主要人员信息(机电专业为主)：Name:姓名：Present position:目前职位：Years of experience:工作年限：- with the company:- 加入公司年限：- in construction:- 工程施工年限：Major works for which responsible (type and value):负责的主要工程（类型与工程量）：Linguistic ability relevant to project:与项目相关的语言能力：Name:姓名： Present position:目前职位：Years of experience工作年限- with the company:- 加入公司年限：- in construction:- 工程施工年限： Major works for which responsible (type and value):负责的主要工程项目（类型与工程量）：Linguistic ability relevant to project:与项目相关的语言能力：Name:姓名： Present position:目前职位：Years of experience工作年限- with the company:- 加入公司年限： - in construction:- 工程施工年限：Major works for which responsible (type and value):负责的主要工程项目（类型与工程量）：Linguistic ability relevant to project与项目相关的语言能力： Resources: Other资源： 其他On the basis of the information provided in the prequalification documents please indicate the equipment and facilities considered by the company to be necessary for undertaking the project and whether this is already in the companys ownership or will be purchase or hired:请根据资审文件中提供的信息资料说明公司认为项目必须的设备和设施，是否公司自有，或将购买或租赁：State the name of your Design/General contracting partner and provide copies of their relevant licenses.说明设计/总承包合作伙伴的名称，提供相关的资质证明。State the policy of the company towards Subcontracting and indicate the types of work typically Subcontracted and its proportion of your project values. Provide basic company details of Subcontract organizations already committed to this project.说明公司对于分包的政策，以及一般分包工程的类型和占工程量的比例。提供已经承诺项目分包的组织基本详情。 Additional information其他信息资料Please describe providing copies of certificates where appropriate:请描述 如合适提供证书复印件：Companys Health and Safety Policy;公司健康安全政策; Please list attachments names here and attach separately at the back of this document.请在此列举附件名称，在本文件背面单独附加附件。Companys quality assurance system:公司质保体系：Please list attachments names here and attach separately at the back of this document.请在此列举附件名称，在本文件背面单独附加附件。Companys environmental policy:公司环保政策： Please list attachments names here and attach separately at the back of this document.请在此列举附件名称，在本文件背面单独附加附件。Companys Professional Indemnity Insurance:公司职业理赔保险：Please list attachments names here and attach separately at the back of this document.请在此列举附件名称，在本文件背面单独附加附件。Companys history of litigation or arbitration from contracts executed in the last six years or currently under execution. Please indicate for each case year, name of employer, cause of litigation, matter in dispute, disputed amount and whether the award was for against company.公司过去六年或目前项目合同方面的诉讼或仲裁情况。请在每年案件中说明业主名称，诉讼原因，争议事项和金额，以及裁决对公司输赢情况。Please add any further information which you consider to be relevant to the evaluation of your application for prequalification. If you wish to attach other documents please list below.请增加您认为与资审申请评估有关的任何其他信息资料。如希望附加其他资料，请在下面列举。What experience does your company have with the use of Local Conditions of Contract?贵公司在运用国内合同条款方面的经验如何？ What experience does your company have with the use of FIDIC Conditions of Contract?贵公司在运用菲迪克合同条款方面的经验如何？ GC -45be1b50819ad6a74342c53cf76e0876.pdfPage 13 of 13Project Experience项目经验Please fill in information about the relevant projects (Main MEP relevant ) (XXX note - changes this on project specific basis - industrial or logistics.Etc. 20,000 m2 building) completed over the past 2 years in the table below.请在下表中填写过去2年中完成相关项目的信息资料（工业项目或物流项目或其他的机电专业为较大份额）20，000m2建筑物）。Name of the employer业主名称 Location, size and type of project项目地址，规模及类型 Name of engineer responsible for supervision监理工程师姓名 Scope of works for which your company were responsible for公司负责的工程范围 Contract price 合同价Conditions of Contract合同条款Was contract satisfactorily completed including time provision合同包括工期的完成是否令人满意？Completion Date竣工日期Additional lines may be inserted as necessary.Current Workload目前工程量Give information about all projects in progress, including those where the company has received a letter of intent, but a formal contract has not been awarded.给出所有在建项目信息资料，包括已收到意向书但还未正式授予合同的项目。Name of employer业主名称 Location, size and type of project项目地址，规模及类型Name of engineer responsible for supervision Name of Jianli company监理工程师姓名监理公司名称Scope of works for which your company were responsible for 公司负责的工程范围 Contract price 合同价 Conditions of Contract合同条款Scheduled date of completion of work计划竣工日期 Additional lines may be inserted as necessary.Contact Details of Referees:证明人详情：Please provide the contact details of referees from previous, or current, projects with whom we can speak directly with concerning your performance on their project. 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