SRC Application Form-CT40005671

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SRC Application Page 1 of 13 CT NO. 40005671 NAME OF APPLICANT: SPECIALLY REGISTERED CONTRACTOR (SRC) APPLICATION FORM AN APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR FOR THE PROVISION OF 6.6KV MOTOR CURRENT & VIBRATION ANALYSIS AT TUAS POWER STATION FOR A PERIOD OF THREE (3) YEARS (CT NO. 40005671) SRC Application Closing Date & Time: 6 February 2015 (Friday) at 11.00 am.

Transcript of SRC Application Form-CT40005671

SRC Application Page 1 of 13 CT NO. 40005671

NAME OF APPLICANT:

SPECIALLY REGISTERED CONTRACTOR (SRC) APPLICATION FORM

AN APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR

FOR

THE PROVISION OF 6.6KV MOTOR CURRENT & VIBRATION ANALYSIS AT TUAS POWER STATION FOR A PERIOD OF THREE (3) YEARS

(CT NO. 40005671)

SRC Application Closing Date & Time: 6 February 2015 (Friday) at 11.00 am.

SRC Application Page 2 of 13 CT NO. 40005671

SRC APPLICATION FORM

TENDER FOR THE PROVISION OF 6.6KV MOTOR CURRENT & VIBRATION ANALYSIS AT TUAS POWER STATION FOR A PERIOD OF THREE (3) YEARS

(CT NO. 40005671)

CONDITIONS FOR APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR

1. For application to be a Specially Registered Contractor (SRC), please complete two (2)

sets of application forms in the attached format and return both sets by hand to Tuas Power Station, 60 Tuas South Avenue 9, Singapore 637607 by 6 February 2015

(Friday) not later than 11.00am. 2. Application forms received by post, by facsimile, or after stipulated date & time or

submitted elsewhere will not be considered. 3. The applicants are required to submit sufficiently detailed information to convince Tuas

Power Generation Pte. Ltd. (hereinafter referred to as "the Company") that the firms applying for special registration have similar experience in undertaking the technical, administrative and financial aspects of projects, assignments and/or contracts of a similar nature and size.

4. All instructions contained herein shall be strictly followed. Application form which is not

duly completed may affect the firm's application to be a Specially Registered Contractor.

5. No claim for any expenses incurred in this application will be entertained by the

Company. 6. All successful applicants will be notified in writing of the outcome of this exercise and

will be invited to purchase the Tender Documents after the site-showround, if any. 7. No appeal by the unsuccessful applicants will be entertained. 8. For further query/clarification pertaining to the Specially Registered Contractor (SRC)

application, please contact Mr. Muhamad Bin Kasman, Executive Engineer (Elect Dept) at Tel No. (65) 6868 6132 or Fax No. (65) 6868 6193.

SRC Application Page 3 of 13 CT NO. 40005671

Date: To: TUAS POWER GENERATION PTE. LTD.

60 Tuas South Avenue 9, Singapore 637607 Attention: Mr. Muhamad Bin Kasman, Executive Engineer Dear Sir/Madam, APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR WITH TUAS POWER GENERATION PTE. LTD.

TENDER FOR : THE PROVISION OF 6.6KV MOTOR CURRENT &

VIBRATION ANALYSIS AT TUAS POWER STATION FOR A PERIOD OF THREE (3) YEARS (CT NO. 40005671)

DATE OF TENDER INVITATION

: 30 January 2015

THE PARTICULARS OF MY/OUR COMPANY/FIRM ARE AS FOLLOWS: A. BUSINESS DETAILS OF THE APPLICANT

(List out hereunder and if necessary continue on a separate sheet of paper to be marked as Appendix A.)

1. FULL BUSINESS NAME

2. FULL REGISTERED ADDRESS OF BUSINESS

3. TELEPHONE NO.

4. FAX NO.

5. E-MAIL ADDRESS

6. PERSON TO CONTACT/DESIGNATION

7.

BCA’S WORK HEAD / FINANCIAL GRADE and/or GOVERNMENT SUPPLIER REGISTRATION (EPPU’S HEAD REFERENCE / FINANCIAL LIMIT)

SRC Application Page 4 of 13 CT NO. 40005671

A. BUSINESS DETAILS OF THE APPLICANT (CONT’D)

8. AUTHORISED CAPITAL ISSUED CAPITAL PAID UP CAPITAL

9. NAME OF DIRECTORS/PARTNERS

NAME & ADDRESS NRIC/PASSPORT NO. DESIGNATION

10.

NAME OF SHAREHOLDER (owning directly or indirectly at least 50% of total number of shares)

NAME & ADDRESS

NRIC/PASSORT NO./

BUSSINESS/COMPANY REGISTRATION NO.

NUMBER, % &

CLASS OF SHARES HELD

SRC Application Page 5 of 13 CT NO. 40005671

A. BUSINESS DETAILS OF THE APPLICANT (CONT’D)

Please attach the following documents:-

(a) a certified true copy of Certificate of Registration or a Certificate of Incorporation (marked as Appendix A-1).

(b) original or certified true copy of Business/Company lnstant Information Search

results from Registry of Companies Businesses (marked as Appendix A-2). B. NAMES & ADDRESSES OF THE APPLICANT'S CURRENT BANKERS

(List out hereunder and if necessary continue on a separate sheet of paper to be marked as Appendix B.)

BANK & ADDRESS

CREDIT FACILITIES

C. FINANCIAL STATEMENTS

The following documents for the last three (3) years must be attached and marked as Appendix C. 1. Balance Sheet 2. Profit and Loss Statement 3. Annual Turnover Note: No statement will be considered unless they are certified as being audited by an

independent public accounting firm.

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D. DESCRIPTION OF WORKS/GOODS SUPPLIED (List out hereunder and if necessary continue on a separate sheet of paper to be marked as Appendix D.)

NAME/ADDRESS OF CLIENT

WORK OF SIMILAR

NATURE COMPLETED/GOODS

SUPPLIED

VALUE OF WORK/GOODS

SUPPLIED

DATE OF COMPLETION

E. ASSETS OF ENGINEERING EQUIPMENT (IF APPLICABLE)

(List out hereunder and if necessary continue on a separate sheet of paper to be marked as Appendix E.)

DETAILS OF PLANTS, VEHICLES AND EQUIPMENT OWNED BY COMPANY/FIRM

DESCRIPTION & CAPACITY

MAKE MODEL

YEARS OF SERVICE

QUANTITY

PRESENT WORTH

SRC Application Page 7 of 13 CT NO. 40005671

F. PERFORMANCE RECORDS List out herewith particulars of three (3) latest projects, assignments and/or contracts of similar nature completed by the Applicant and attach copies of certificates of successful completion issued by the owner of the projects, assignments and/or contracts (hereinafter referred as “the Owner”). Please use separate sheet of paper for each project, assignment and/or contract to be marked as Appendix F.

1. Name and Address of the Owner.

2. Location and Name of the Project/Contract.

3. Outline of the Supplies Delivered/ Services/Works Executed by the Applicant.

4. Value of the Supplies Delivered/Services/Works Executed by the Applicant.

SRC Application Page 8 of 13 CT NO. 40005671

F. PERFORMANCE RECORDS (CONT’D)

5. In what capacity

Eg. Main Contractor, Joint Venture or Sub-Contractor. If other than Main Contractor, please state the names of other parties.

6. Date of Commencement and Contractual Completion.

7. Date of Actual Completion (If different from date of contractual completion, describe details of, and reasons, for the delay.)

8. Reliability Record of Similar Installation (If Applicable). (The Applicant to state number of failure, type of failure, cause of failure, repair time and subsequent improvement and modifications made to enhance the reliability of equipment.)

SRC Application Page 9 of 13 CT NO. 40005671

G. DESCRIPTION OF OTHER PROJECTS/ CONTRACTS COMPLETED (List out hereunder and if necessary, please continue on separate sheets of paper to be marked as Appendix G.)

1. Project/Contract Description.

2. Name/Address of the Owner.

3. Value of the Supplies Delivered/ Services/Works Executed by the Applicant and Date of Commencement and Completion.

SRC Application Page 10 of 13 CT NO. 40005671

H. MANUFACTURING FACILITIES List out the plant and equipment available for the Supplies/ Services/Work. If sub-contractors works are to be utilized, please provide the details.

I. QUALIFICATION AND EXPERIENCE OF PERSONNEL Name four (4) key personnel (including their CV’s) in the areas of ordering, production, supply, delivery, quality assurance, customer services, analysis, testing and other related work who will be committed to this contract from the award till its completion if awarded.

SRC Application Page 11 of 13 CT NO. 40005671

J. ORGANISATION FOR THIS PROJECT/TENDER

1. Your Intended Project/Tender Organization?

2. In what capacity?

Eg. Main Contractor, Joint Venture or Sub-Contractor. If other than Main Contractor, please state the names of other parties.

3. If Joint Venture, please state whether it is registered with the Registrar of Companies and Businesses in Republic of Singapore.

4. What would your plans be for interface and cabling works? (If Applicable) Explain and give details.

SRC Application Page 12 of 13 CT NO. 40005671

K. OTHER INFORMATION

1. Is your Company/Firm currently registered with the Building and Construction Authority (BCA) in the Republic of Singapore? If yes, please provide details and financial registration grade.

2. Is your Company/Firm currently holding a valid Quality Assurance Certificate that meets the International Standard of Quality Management and Quality Systems? (For example, ISO 9000/EN 29000 or other equivalent national standards). If yes, please provide details.

3. Any additional information considered relevant to the evaluation of the Applicant for qualifying as a Specially Registered Contractor shall also be submitted together with this application.

SRC Application Page 13 of 13 CT NO. 40005671

L. DECLARATION AND AUTHORIZATION

I/We solemnly and sincerely declare that the facts contained in the submission are true in substance and fact to the best of my/our knowledge, information and belief.

I/We hereby authorise Tuas Power Generation Pte. Ltd. to make any investigation, which may be deemed necessary in connection with my/our application.

SIGNATURE OF THE APPLICANT

:

NAME OF SIGNATORY IN BLOCK LETTERS

:

DESIGNATION

:

NAME OF THE COMPANY/FIRM

:

COMPANY STAMP

:

DATE

: