SUBCONTRACTOR / SUPPLIER APPROVAL REQUEST FORM

VENDOR INFORMATION

Company Name: Factory Of Building Technique Company For Precast Concrete

Legal Address: Qassim – Buraydah – Iskan Neighborhood

Contact Name & Position: Issam Saleh & PM - 0559917176
Email:info@rawafgroup.com ,
Telephone: 0163811888 Fax:
eng.issam94@gmail.com
Related material, product or service:
Precast concrete units and hollowcores
Address (PO Box, Postal Code, City):
27064,52386,Buraydah

N° Documents provided by the Vendor YES NO N/A

1 Standard Supplier Qualification (SS) ☐ ☐ ☐

2 Company Information / Profile ☐ ☐ ☐

a. Valid Chamber of Commerce Certificate ☐ ☐ ☐

b. Valid Zakat Certificate ☐ ☐ ☐
c. Valid Commercial Registration ☐ ☐ ☐
d. Liability Insurance ☐ ☐ ☐
e. ISO Certificate ☐ ☐ ☐

3 Financial Information for the last 5 Years (must be on company letterhead) ☐ ☐ ☐

4 Equipment and Teams (Equipment List, Organization chart, number of empl.) ☐ ☐ ☐

5 Market (Previous or ongoing Projects Approvals and Appreciation Letters) ☐ ☐ ☐

6 General References (Executed or on-going Project Last 5 Years) ☐ ☐ ☐

7 Quality Records/ Documents ☐ ☐ ☐

8 Health, Safety & Environment (HSE) Policy, Documents etc ☐ ☐ ☐

Comments (if any):

 Security Forces - Medical Center Project Riyadh – Jeddah

1.Standard Supplier Qualification (SS)

VENDOR QUESTIONNAIRE
NAME OF COMPANY

1. COMPANY INFORMATION
a. Which year was your company founded (e.g)?
b. Describe our ownership structure (type of company, % owned by?)
c. Describe your overall company strategy and business plan?
d. What other companies are connected to your company (e.g, partly
owned, joint-venture, and distributor)?
e. How many employees do you have in your group of companies?
f. How many of the employees work in your company?
g. Provide management structure
h. State which industry association you are linked with/member of

2. FINANCIAL INFORMATION

a. What was the total turnover (stated in million Riyals) for your
company for the Last Fiscal year (LFY)?
b. List you different product areas with the share (%) of turnover
generated by each of them
c. List your main customers, with the share (%) of turnover generated
by each of them
d. Do you have any current legal court case outstanding?
3. EQUIPMENT & TEAMS
a. Do you have your own Plant equipment? Provide details
b. Provide details of man power and mobilization periods required?
4. MARKET
a. is your company certified for Government work?
b. Do you have certification of work with others?
c. Do you have a LEED co-coordinator? If not, do you understand
LEED certification requirements?
d. Which companies do you consider as your main customers?
e. Describe your competitive advantage vs. your main competitors, i.e,
what is, in your opinion, the main reason for a customer to choose
as a supplier before your competitors?
5. REFERENCES: GENERAL
a. Provide details of years of experience
b. List your reference projects
6. QUALITY
a. Does your company have a Documented Quality Management
System in Accordance with ISO 9001:2008?
b. If yes to above, are you registered / Accredited with recognized
QMS Organization
c. if yes, provide copy of certificate
d. If No to above, provide details of documents available and your
responsible quality management organization chart.
7. HEALTH, SAFETY & ENVIRONMENT
a. Do you have a documented Environmental policy?
b. Do you have a documented Health & Safety policy? If yes, provide
a copy
c. Does your H & S system follow any International Standard such as
OHSAS? Provide details.
d. Have you had any reportable incidents in the last years? If yes,
provide details.
e. Provide copy of HSE Statistic for the last 3 years
f. Provide details of HSE Organization & Competency
 2.Company Information / Profile
a. Valid Chamber of Commerce Certificate Expiry Date:

b. Valid Zakat Certificate Expiry Date:

c. Valid Commercial Registration Expiry Date:

d. Liability Insurance (GOSI) Expiry Date:

Expiry Date:
e. ISO Certificate

Note:

If any certificate expiry is within 3 months period from the submission date,
please undertake on the company letterhead that you will submit the updated
document as soon as it is renewed. Please follow the below attached letter
format.
 SUPPLIER COMPANY LETTER HEAD

DATE:

TO: ABV ROCK GROUP LTD. Riyadh, KSA

ATTN : PROCUREMENT / Mr. Mohammed Al Rashidi

SUBJECT: Undertaking for the Validity of _____________Certificate

PROJECT: M.O.I – Security Forces Medical Center Project in Riyadh / Jeddah

PACKAGE NAME: __________________________

Dear Mr. Mohammed Al Rashidi,

Please be informed that our ___________ certificate will be expired on dated _______ or already expired. We
hereby confirm that we will renew this certificate and will submit the updated document as soon as it is renewed.

Best regards

Name & Position: ____________________

Signature: ____________________

Mobile #: ____________________
3.Financial Information for the last 5 Years
(must be on company letterhead)
 SUPPLIER COMPANY LETTER HEAD

DATE:

TO: ABV ROCK GROUP LTD. Riyadh, KSA

ATTN : PROCUREMENT / Mr. Ahmad Sharif Saleh

SUBJECT: Annual Turn-Over (Financial Information)

PROJECT: M.O.I – Security Forces Medical Center Project in Riyadh / Jeddah

PACKAGE NAME: __________________________

Dear Mr. Mohammed Al Rashidi,

We here by inform you that our Annual Turn-Over for the past Five (5) years is as follows:

Year 2015 Year 2016 Year 2017 Year 2018 Year 2019

SAR. 00.0 Millions SAR. 00.0 Millions SAR. 00.0 Millions SAR. 00.0 Millions SAR. 00.0 Millions

Looking forward to hearing from you.

Best regards

Name & Position: ____________________

Signature: ____________________

Mobile #: ____________________
4.Equipment and Teams (Equipment List,
Organization chart, number of employee)
5.Market (Previous or ongoing Projects
Approvals and Appreciation Letters)
 6.General References (Executed or ongoing
Project Last 5 Years)

LIST OF PROJECTS

Item Name of Project Client Scope of Work Date Amount

No. Completed
7.Quality Records/Documents
8.Health, Safety & Environment (HSE)
Policy, Documents etc.