You are on page 1of 49

CONTRACTOR ASSESSMENT

QUESTIONNAIRE

FOR

Iraq West Qurna 1

ExxonMobil Iraq Limited


Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

TABLE OF CONTENTS
COVER LETTER AND INSTRUCTIONS....................................................................................................................1
1. RECEIPT CONFIRMATION.............................................................................................................................1
2. INTRODUCTION..............................................................................................................................................1
3. IRAQI CONTENT..............................................................................................................................................1
4. INSTRUCTIONS................................................................................................................................................2
5. MISCELLANEOUS...........................................................................................................................................3
6. CHECKLIST.......................................................................................................................................................4
CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE.............................................................................5
1. CORPORATE INFORMATION........................................................................................................................5
2. FINANCIAL AND LEGAL...............................................................................................................................8
3. SAFETY, SECURITY, HEALTH AND ENVIRONMENT (SSH&E)...........................................................10
4. CAPACITY.......................................................................................................................................................12
5. EXPERIENCE..................................................................................................................................................15
6. AVAILABILITY..............................................................................................................................................16
7. QUALITY.........................................................................................................................................................17
8. PROJECT MANAGEMENT AND EXECUTION..........................................................................................19
9. PROJECT CONTROLS....................................................................................................................................20
10. GOVERNMENT RELATIONS AND PUBLIC AFFAIRS.........................................................................21
11. SUBCONTRACTING..................................................................................................................................22
12. INTERFACE MANAGEMENT...................................................................................................................22
13. PROCUREMENT & MATERIALS MANAGEMENT...............................................................................23
14. LABOR RELATIONS..................................................................................................................................24
15. CONSTRUCTION EQUIPMENT................................................................................................................25
16. ENGINEERING...........................................................................................................................................28
17. CONSTRUCTION........................................................................................................................................29
A1. CONTRACTOR GROUPS................................................................................................................................31
A2. PROSPECTIVE BUSINESS ASSOCIATES (PBA) QUESTIONNAIRE.......................................................32
A3.A CONTRACTOR EXPERIENCE FORM – PROCESS UNIT AREAS..........................................................36
A3.B CONTRACTOR EXPERIENCE FORM – DISCIPLINES.............................................................................37
A3.C CONTRACTOR EXPERIENCE FORM – SPECIALTIES............................................................................44
A3.d CONTRACTOR EXPERIENCE FORM – ONSHORE PIPELINES.............................................................46
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

INSTRUCTIONS

1. INSTRUCTIONS
1. Due to the extensive volume and nature of information included in this Contractor
Assessment Questionnaire and the Invitation to Tender (“ITT”) documents, respondent is
advised that EMIL currently plans to only issue an English language version of the
Contractor Assessment Questionnaire and ITT documents.
2. Failure to complete this questionnaire in full may limit the scope of work a respondent
will be considered qualified to perform. Please complete the survey within this document
by inserting responses in the designated fields. The request to 'describe' an item in
regards to a specific question is intended to obtain a brief, concise statement.
Questions that do not apply to respondent shall be clearly marked as “Not Applicable”.
3. Where additional information is required in order to complete a response to the
questionnaire, please answer each question or item on a separate sheet. For example,
Section 1.3 of the questionnaire requires respondent to attach copies of required
certificates/registrations/permits to work legally in Iraq. The response should restate the
specific question or item at the top of the page, including the number of such question or
item, followed by the response. Responses should be in sequential order, consistent
with the questionnaire format.
4. Please only submit supporting documents that are required as specified within this
document. Extra attachments not requested within the questionnaire will not be
reviewed.
5. Upon completion, please submit two (2) electronic versions (CD-ROM or flash drive) of
your entire response to the mailing address listed below. Do not email your response.
This questionnaire shall be returned as a “native file” (e.g. this Microsoft Excel format).
All supporting documents (as requested / specified within this questionnaire) shall also
be sent electronically (e.g. in Microsoft Word, PowerPoint, Excel, or PDF format).
Please do not send any hard copies of this questionnaire file or supporting documents.
Mailing Address:

wassitgroup@yahoo.com
wassitgroup@wassitgroup.com
jamalrr57@yahoo.com

1
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

2. MISCELLANEOUS
1. EMIL considers information in this questionnaire provided to respondent to be
proprietary and should be treated as confidential by respondent. The respondent may
release information related to the proposed ExxonMobil project to third parties whom the
respondent intends to include in the performance of any work related to this project
provided that the respondent conveys such confidentiality obligations to said third parties
prior to disclosure.
2. All Contractor Entities submitting responses to this questionnaire do so with the
understanding that EMIL accepts no obligation of confidentiality with respect to any
information disclosed to EMIL in respondent's submittal, unless specifically covered by a
separate written confidentiality agreement. By submitting responses, all respondents
agree that they will place no restrictive notices on any document (including drawings)
provided as part of this questionnaire. The respondents further agree that if they do
place such notices on documents, EMIL is authorized to remove and/or disregard any
such restrictive clauses and shall be free to use and disclose to third parties any or all
information contained therein without accounting to the respondent.
3. The respondents' submittals and any participation therein, including any statements
whether oral or written between EMIL and any respondent shall not create or be deemed
or construed in any way so as to create any binding legal relationship or contract
between either or both jointly of EMIL and any respondent. Furthermore, submittals will
not guarantee placement on a bid list or the award of any contract or work. THIS
CONTRACTOR ASSESSMENT IS FOR EMIL INFORMATIONAL PURPOSES ONLY.
4. EMIL reserves the right to reject any and all submittals at its sole discretion.
5. All costs and expenses incurred by respondent, or any other party participating in this
assessment with respondent, shall not be reimbursed by EMIL and are solely for the
respondent's / party's account.
6. EMIL reserves the right to contact all references proved by respondent, visit any
respondent work locations and interview any respondent personnel in the performance
of this assessment.

2
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

3. CHECKLIST
You may wish to utilize the checklist below to insure that you have completed each tab before
returning your response to EMIL. Click on the entry listed in the checklist to easily direct you its
corresponding section within this document. You may also click on the entries listed in the Table
of Contents while holding the Control button to navigate through the questionnaire.

Section Completed
1 Corporate Information ……………………………………… Yes No

2 Financial & Legal …………………………………………… Yes No

3 SSH&E ………………………………………………………. Yes No

4 Capacity ……………………………………………………... Yes No

5 Experience ………………………………………………….. Yes No

6 Availability …………………………………………………… Yes No

7 Quality ……………………………………………………….. Yes No

8 Project Management & Execution ………………………... Yes No

9 Project Controls …………………………………………….. Yes No

10 Government Relations and Public Affairs ……………….. Yes No

11 Subcontracting ……………………………………………… Yes No

12 Interface Management …………………………………….. Yes No

13 Procurement & Materials Management ………………….. Yes No

14 Labor Relations …………………………………………….. Yes No

15 Construction Equipment …………………………………… Yes No

16 Engineering …………………………………………………. Yes No

17 Construction ………………………………………………… Yes No


ATTACHMENTS
A1 Contractor Groups ………………………………………….. Yes No

A2 Prospective Business Associates (PBA) Questionnaire .. Yes No

A3.A Contractor Experience Form--Process Unit Areas ……… Yes No

A3.B Contractor Experience Form--Disciplines ……………….. Yes No

A3.C Contractor Experience Form--Specialties ……………….. Yes No

A3.D Contractor Experience Form--Onshore Pipelines ………. Yes No

3
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE

1. CORPORATE INFORMATION

1.1. Provide the following information about the Contractor Entity and/or parent company that would
submit a proposal for the work contemplated for the proposed ExxonMobil project.

Respondent's Information:
Contractor Entity Name:
Established as: Corporation Affiliate
(please select one from list) Partnership / Joint
National Company
Venture
Individual Contractor Group

Primary Services Consulting General Engineering


Communications Logistics

Drilling / Reservoir Security

Environmental Supplier (Equipment)

EPCM / EPC Transport and Installation


Fabrication Conceptual / Pre-FEED /
FEED
General Contracting / Construction

Other
If applicable, list your “other” primary services below:

Specialty Services Camps / Buildings Offshore Pipelay

Civil / Structural Offshore Facilities


Electrical / Instrumentation Onshore Pipelay
ERW / UXO Removal Onshore Facilities
ERW / UXO Consulting Pipeline Design
Infrastructure Process Design
Inspections and Testing Subsea
Mechanical / Piping Other
If applicable, list your “other” specialty services below:

4
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Operating Regions International (All) North America (Canada)

Middle East North America (USA)

North Asia Australia

Southeast Asia Africa

Europe South America

Number of Regular Employees


Number of Contract Employees
Date Established:
Main Office Physical Street Address:
City:
State or Province:
Postal Code:
Country:
Phone Number:
Fax Number
Web site address:
Email Address:
Main Office Mailing Address:
City:
State or Province:
Postal Code:
Country:

Respondent's Contact Information:


Contact Name:
Contact Address:
City:
State or Province:
Postal Code:
Country:
Region:
Office Phone Number:
Cell Phone Number:
Fax Number:

5
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Email Address:

Respondent's Primary Bank Information:


Bank Name:
Bank Address:
City:
State or Province:
Postal Code:
Country:
Bank Website Address:
Email Address:

Parent Company Information:


Is the Contractor Entity owned or controlled
Yes No
by a parent company?
Full Name of Parent Company:
Physical Street Address:
City:
State or Province:
Postal Code:
Country:
Region:
Phone Number:
Fax Number:
Website address:
Email Address:

1.2. Provide a high-level description of your company and typical services provided.

Place response (description, supporting information, and / or comments) here:

1.3. Describe your interest in submitting a competitively bid proposal to perform work for the proposed
ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

1.4. Do you hold the required certificates/registrations/permits to work legally in Iraq?


Yes No
If yes, please attach copies.
If no, describe plans to obtain the required certificates/ registrations/permits.

Place response (description, supporting information, and / or comments) here:

6
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

1.5. Describe the corporate structure of respondent, including the relationships between respondent
and parent/associate organizations and any consortia, joint ventures, partnerships or alliances in
which you are a participant including any projects currently or being considered in the vicinity of the
proposed ExxonMobil project. Describe the authoritative and fiscal relationship between
respondent, the parent company and affiliated companies.

Place response (description, supporting information, and / or comments) here:

1.6. Provide organizational charts that indicate all corporate divisions, companies, and subsidiaries, as
well as the organizational relationship between the parent company and the respondent.

Place response (description, supporting information, and / or comments) here:

1.7. Have you had any type of reorganization in the past 3 years? (merger, acquisitions, change of
ownership)?
Yes No
If yes, provide background, rationale and current state of the reorganization.

Place response (description, supporting information, and / or comments) here:

1.8. Briefly describe respondent's history, size, core field of activity or business expertise.

Place response (description, supporting information, and / or comments) here:

1.9. List the primary spoken and written languages used to conduct business by respondent.

Place response (description, supporting information, and / or comments) here:

2. FINANCIAL AND LEGAL

2.1 Provide the credit rating for the respondent or parent company as issued by S&P, Moody's, Dun &
Bradstreet and/or equivalent rating agencies.

Place response (description, supporting information, and / or comments) here:

2.2 Provide audited financial statements (including balance sheet, income statement and cash flow
statements) for the current as well as the past 3 years for both the bidding subsidiary and the
parent company. If respondent does not have standalone financial statements, a detailed
breakdown of the parent company's financial statements for each the major operating divisions,
including the respondent are required.

Place response (description, supporting information, and / or comments) here:

2.3 If the respondent is assessed to be financially inadequate in relation to the size of the proposed
ExxonMobil project, would the parent company be prepared to provide a corporate guarantee on

7
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

behalf of the respondent?


Yes No

Place response (description, supporting information, and / or comments) here:

2.4 If the respondent is assessed to be financially inadequate in relation to the size of the proposed
ExxonMobil project, would the respondent or parent company be prepared to provide a bank
guarantee at its own costs with terms acceptable to EMIL?
Yes No
Provide name and registered location of the bank(s) that would issue the guarantee by the
respondent or the parent company.

Place response (description, supporting information, and / or comments) here:

2.5 If unable to provide a guarantee from a bank acceptable to EMIL, would the respondent or its
parent company be prepared to secure at its own costs confirmation of the bank guarantee from an
acceptable bank?
Yes No

Place response (description, supporting information, and / or comments) here:

2.6 If respondent is currently operating under any form of bankruptcy protection, describe the
background and explain the current situation.

Place response (description, supporting information, and / or comments) here:

2.7 In all of EMIL's contracting forms, a provision is included that essentially holds both Contractor and
EMIL fully responsible for losses caused by such party's gross negligence or willful misconduct
which is attributable to that party's managerial or senior supervisory personnel. The provision
relates to hazard loss and supersedes all other indemnifications/releases provided for in the
distribution of risk, release and indemnity section of the agreement. Does respondent agree with
this concept?
Yes No

Place response (description, supporting information, and / or comments) here:

2.8 Does respondent have a policy to address information brokering?


Yes No
If yes, please attach policy.

Place response (description, supporting information, and / or comments) here:

2.9 Has anyone associated with respondent ever been convicted of illegal information brokering?
Yes No

8
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

If yes, please describe, giving background and explaining actions taken.

Place response (description, supporting information, and / or comments) here:

2.10 Describe the Comprehensive General Liability, Workers Compensation and Employers Liability,
Automobile Liability (Owned/Non-owned) for your company.

Place response (description, supporting information, and / or comments) here:

2.11 List any work (recent, ongoing, future/anticipated) that may require further consideration for conflict
of interest. If applicable, provide examples or explain the type of conflict of interest indicated.

Place response (description, supporting information, and / or comments) here:

2.12 List any current litigation that the respondent is involved in with EMIL or EMIL's Affiliates.

Place response (description, supporting information, and / or comments) here:

2.13 Describe any litigation pending against your company that may impact this project.

Place response (description, supporting information, and / or comments) here:

2.14 Complete Attachment 2.

Place response (description, supporting information, and / or comments) here:

3. SAFETY, SECURITY, HEALTH AND ENVIRONMENT (SSH&E)

3.1 Describe or provide a copy of your corporate Safety, Health, Environmental and Security (SHES)
Policy.

Place response (description, supporting information, and / or comments) here:

3.2 Provide of summary, including a list of major components (i.e.: Table of Contents), of your SHES
Management Systems/Program.

Place response (description, supporting information, and / or comments) here:

3.3 Provide a list of SHES work practices including policies, rules, and safe work practices. Describe
how this is made available to the workers.

Place response (description, supporting information, and / or comments) here:

3.4 Provide a summary and include examples of established SHES performance goals that are
supported by senior management.
9
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Place response (description, supporting information, and / or comments) here:

3.5 Describe any established programs to increase worker SHES awareness and motivate workers to
be actively involved in SHES activities, such as safety training and orientation programs. Provide a
listing of available training modules and indicate the frequency and duration of each session.
Include examples of completed training records for workers.

Place response (description, supporting information, and / or comments) here:

3.6 Describe any established hazard assessment programs, which recognizes, evaluates, and controls
SHES-related hazards associated with your operations such as formal and informal risk
assessments, pre-task safety planning, or Permit to Work. Describe any periodic SHES-focused
inspections and walkthroughs of your work sites. Summarize these efforts and include at least one
example of a completed hazard assessment and one example of a completed inspection or
walkthrough.

Place response (description, supporting information, and / or comments) here:

3.7 Describe any established Fitness for Duty program, which addresses medical screening, physical
condition, and substance abuse considerations? Provide a program summary. If your organization
does not have such a program, would you consider implementing such a program?
Yes No

Place response (description, supporting information, and / or comments) here:

3.8 Describe the key elements of your company's Incident Management and its Emergency Response
processes. Please provide a copy of these processes.

Place response (description, supporting information, and / or comments) here:

3.9 Provide an overview of your company's processes for the selection and monitoring of
subcontractors to ensure a high performance in Safety, Health, and Environmental (SHE).

Place response (description, supporting information, and / or comments) here:

3.10 Provide an example of a SHE Final Report from a major project completed by your company within
the last two years.

Place response (description, supporting information, and / or comments) here:

3.11 Provide the following safety performance information for your company for the past 5 years using
the following format. These statistics should include your employees and on-site contractors.

10
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Work
Year Fatalities LTI* TRI** NMI***
Hours
2006          
2007          
2008          
2009          
2010          

Provide an explanation of each fatality.

Place response (description, supporting information, and / or comments) here:

*Lost time Injuries (LTI) - If a person's condition resulting from an occupational injury or illness prevents him or her from
performing their normal job description during their next scheduled work shift, the case is considered a lost time injury.

**Total Recordable Incidents (TRI) - A work-site accident that results in specific medical treatment, loss of consciousness,
restriction of work or motion, or transfer to another job. Specific medical treatment includes treatment of infection, second or
third degree burns or a fracture, application of sutures or other wound closing device, follow-up medication or treatment after
an initial treatment for a minor injury, and admission to a hospital or an equivalent medical facility for treatment.

***Near Miss Incidents (NMI) - An undesirable or unexpected work-site event that could have resulted in an injury, operation
incident, or property damage under slightly different conditions of timing, space, position, or sequence of events.

3.12 Provide information regarding any safety violations respondent has faced during the last 5 years:

2006 2007 2008 2009 2010


Number of safety
violations / fines
respondent has received          
each year from
regulatory agencies

Provide an explanation of each violation.

Place response (description, supporting information, and / or comments) here:

4. CAPACITY

4.1 Describe what elements of the FEED (front end engineering design), project management,
engineering management, detailed engineering, procurement, construction management,
fabrication and construction work that respondent would consider performing for the proposed
ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

4.2 Describe respondent’s strategy to maximize local content.

Place response (description, supporting information, and / or comments) here:

11
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

4.3 Describe the project management personnel currently employed or under contract by respondent.
Include Project Managers, Project Engineers, Discipline Leads, Process / Design Engineers, Site
Managers, Quality Managers, Safety Managers, Construction / Site Managers, Quality Inspectors,
Construction Engineers, Cost Engineers, Schedulers, Contract Management, Procurement and
Materials Management Personnel, etc. For each position, indicate the number employed, the
average years of experience in that position, and if employee or contract.

Place response (description, supporting information, and / or comments) here:

4.4 Describe the project management / supervision currently employed or under contract by respondent
who may be assigned to the proposed ExxonMobil project. Include Discipline Leads, Construction
Superintendents and General Foreman. For each position, indicate the number employed, the
average years of experience in that position, and if employee or contract.

Place response (description, supporting information, and / or comments) here:

4.5 Describe the sources typically used to source contracted project management personnel and
construction management personnel.

Place response (description, supporting information, and / or comments) here:

4.6 Describe the direct engineering / design personnel currently employed or under contract by
respondent. Include civil, structural, piping, mechanical, instrument, electrical, instrumentation,
control systems, and HVAC. For each discipline, indicate number currently employed by discipline
level, average years’ experience in that discipline, and, if employee, agent hired or subcontract.

Place response (description, supporting information, and / or comments) here:

4.7 Describe the direct craft labor personnel currently employed or under contract by respondent.
Include civil, structural, piping, mechanical, instrument, electrical, equipment operators, painters,
insulators, HVAC, non-destructive examination, post-weld heat treat, fiber optics, distributed control
systems, hydrotesting. For each direct craft labor type, indicate number currently employed by craft
level, average years’ experience in that craft, and, if employee, agent hired or subcontract.

Place response (description, supporting information, and / or comments) here:

4.8 Show man-hour plot of direct engineering / design force employed over the past 5-10 years. Show
forecast of labor required for projects currently under consideration by your company including
labor for the proposed ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

4.9 Show man-hour plot of direct craft labor force employed over the past 5 years. Show forecast of
engineers / designers required for projects currently under consideration by your company including
labor for the proposed ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

12
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

4.10 If available, describe direct craft labor productivity (relative to the US Gulf Coast) achieved for each
craft in the same region or location as the proposed ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

4.11 Describe the typical sources (locations) for engineers / designers and if direct hire, agent hired or
subcontract.

Place response (description, supporting information, and / or comments) here:

4.12 Describe the typical sources (locations) for craft labor personnel and if direct hire, agent hired or
subcontract.

Place response (description, supporting information, and / or comments) here:

4.13 Describe respondent's strategy to mobilize an experienced workforce (all areas) for the proposed
ExxonMobil project. Include the source, location, and experience of the labor.

Place response (description, supporting information, and / or comments) here:

4.14 Indicate the typical average number of direct craft labor personnel assigned to each craft foreman
and the typical average number of craft foreman assigned to a general foreman.

Place response (description, supporting information, and / or comments) here:

4.15 Describe respondent's programs to supply, manage, repair and maintain small tools to support the
craft labor crews.

Place response (description, supporting information, and / or comments) here:

4.16 Describe respondent's typical sources for leased construction equipment and strategy for providing
construction equipment for the proposed ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

4.17 Describe respondent's equipment maintenance strategy, organization, and program.

Place response (description, supporting information, and / or comments) here:

4.18 List the temporary construction facilities, such as camps, offices, warehouses, maintenance
facilities, field fabrication shops, temporary power generation and distribution, scaffolding,
communications, used by respondent. Indicate the number employed, size, capacity and type for
each piece of equipment. Indicate for each piece or type if owned or leased.

Place response (description, supporting information, and / or comments) here:


13
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

4.19 Describe respondent's sources for leased temporary construction facilities and strategy for
providing and managing temporary construction facilities for the proposed ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

5. EXPERIENCE

5.1 Provide a general description of the types of goods & services (Equipment, Materials, Front End
Engineering Design, Detailed Engineering, Procurement, Construction, Infrastructure, etc.) that
respondent typically provides / performs (directly, not subcontracted). Indicate for each if this is a
primary or secondary business for respondent. List your quality certifications and awards to local,
national, or international standards for quality and identify recognized authority.

Place response (description, supporting information, and / or comments) here:

5.2 Describe respondent's recent experience with working in climates similar to Iraq. Provide examples
of techniques employed to overcome challenges associated with this environment.

Place response (description, supporting information, and / or comments) here:

5.3 Describe respondent's recent experience with working in terrain similar to Iraq. Provide examples of
techniques employed to overcome challenges associated with this environment.

Place response (description, supporting information, and / or comments) here:

5.4 Using the following table, describe each project in the oil & gas industry that respondent has
contracted in a key role over the past 5-10 years including current work in progress. Attach a
separate table (you may copy and paste the table below) for each project and include the following
information:

Name of Project:
Contract Award Date:
Name of Client/Owner:
Client Contact Point:
Name:
Client Information: Title:
Telephone No.:
Facsimile No.:
Email Address:
Contract Type:
(FEED, EPC, Construction,
Construction Management)
Compensation Method:
(Lump Sum, Target Price,
14
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Reimbursable Cost, Unit Price, etc)


Contracted Scope of Work:
(provide details of actual work
performed, man-hours, etc.)
Brief description of project facilities:
(technical description, location, grass
roots or greenfield etc.)
Type of Construction:
(stick build, pre-assembly,
modularization, skid mounted, etc)
_________________ USD
Estimated Value of Project:

Estimated Contract Value of Your


_________________ USD
Scope of Work
Schedule (Start/Finish):
(If in progress, provide expected
/
mechanical completion date and
start-up date)
Average and Peak direct labor for
project, Peak Engineers, and Total
Man-hours for project:
Average and Peak direct labor for
Your Scope of Work, and Your Total
Man-hours for project:
Camp size (number of camps,
number of beds)

5.5 Complete Attachments 3a - 3d regarding respondent's detailed work experience.

Place response (description, supporting information, and / or comments) here:

6. AVAILABILITY

6.1 Using the following table, list ongoing and anticipated projects that the proposed ExxonMobil project
will be competing for resources with. Attach a separate table (you may copy and paste the table
below) for each project. If any information below is considered confidential, please omit the details
and indicate "Confidential" in the appropriate field).

Name of Project:  
Location:  
Contract Award Date:  
Client Name:  
Brief description of project facilities:
(technical description, location, grass roots or  
greenfield etc.)
Contracted Scope of Work:
(provide details of actual work performed, man-  
hours, etc.)
Contract Type:  
15
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

(Engineering / Procurement Services, EPC,


Construction, Construction Management)
Compensation Method:
(Lump Sum, Target Price, Reimbursable Cost,  
Unit Price, etc)
_________________ USD
Estimated Value of Project:
Estimated Contract Value of Your Scope of _________________ USD
Work:
Estimated construction completion date:  
Estimated average and peak home office hours:  
Estimated average and peak construction
 
management (field) hours:
Estimated average and peak direct labor hours:  
Estimated total man-hours:  

Also, describe any relevant projects (i.e. major oil & gas projects) and/or projects in Iraq that
respondent is currently seeking a contract award for.

Place response (description, supporting information, and / or comments) here:

6.2 Considering the projects described in question 6.1, above, describe the availability of personnel for
the proposed ExxonMobil project and any plans to adjust existing / anticipated project groups to
support the project.

Place response (description, supporting information, and / or comments) here:

7. QUALITY

7.1 List respondent's quality certifications and awards to local, national, or international standards for
quality and identify recognized authority. Provide copies of certifications.

Place response (description, supporting information, and / or comments) here:

7.2 Provide an organization chart for respondent which shows where the quality group fits into the
respondent's overall organizational structure.

Place response (description, supporting information, and / or comments) here:

7.3 Provide a copy of respondent's Quality Assurance Manual and an audit schedule of the quality
assurance system.

Place response (description, supporting information, and / or comments) here:

7.4 Describe how the principle of continuous improvement is incorporated into respondent's quality
assurance system.

Place response (description, supporting information, and / or comments) here:


16
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

7.5 Provide an example of a typical Inspection & Test Plan (ITP) respondent has used.

Place response (description, supporting information, and / or comments) here:

7.6 Provide a full list of respondent's work instructions / procedures.

Place response (description, supporting information, and / or comments) here:

7.7 Provide a copy of respondent's mechanical completion and commissioning program.

Place response (description, supporting information, and / or comments) here:

7.8 Provide copy of respondent's traceability and final documentation turnover procedures.

Place response (description, supporting information, and / or comments) here:

7.9 Describe fabrication yard management system.

Place response (description, supporting information, and / or comments) here:

7.10 Describe the frequency of audits of the quality assurance program in a fabrication yard. Who
performs the audits? Provide a copy of the most recent audit report and status of non-conformance
corrective actions.

Place response (description, supporting information, and / or comments) here:

7.11 Describe how respondent ensures appropriate dimensional controls when performing work.

Place response (description, supporting information, and / or comments) here:

7.12 Describe respondent's nondestructive testing (NDT) program, including methods used in various
phases of construction, qualification of NDT operators, and control and resolution of defective
welding.

Place response (description, supporting information, and / or comments) here:

7.13 Provide a diagram indicating the reporting relationships and interrelationships of respondent's
overall quality organization and project quality organizations including remote engineering site(s)
(a.k.a. Low Cost / High Value Engineering Centers), if applicable.

Place response (description, supporting information, and / or comments) here:

17
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

7.14 List all available welding procedures (SMAW, FCAW, SAW, etc.), type of qualification (AWS,
ASME, etc.), and applicability to what metallurgy.

Place response (description, supporting information, and / or comments) here:

7.15 Provide your quality statistics in the table below.


Carbon Steel
Structural Welding Reject
Pipe Welding Reject Rate
Year Rate
(welds per welds NDE'd)
(cm per cm NDT'd)
2006
2007
2008
2009
2010

8. PROJECT MANAGEMENT AND EXECUTION

8.1 How many projects does respondent's Project Manager routinely handle at any one time?

Place response (description, supporting information, and / or comments) here:

8.2 Describe your project management systems and procedures for planning and executing work.
Include a copy of the procedure for further clarification.

Place response (description, supporting information, and / or comments) here:

8.3 Attach a typical project execution plan.

Place response (description, supporting information, and / or comments) here:

8.4 Describe your typical project management organization. Provide a typical project organization chart
including all key personnel down to discipline lead / general foreman level.

Place response (description, supporting information, and / or comments) here:

8.5 Provide a brief description of the roles and responsibilities for each member of the typical project
management organization.

Place response (description, supporting information, and / or comments) here:

8.6 Provide an organization chart of key company personnel including president, vice president(s) and
department managers.

Place response (description, supporting information, and / or comments) here:

18
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

8.7 Provide the following information on the key personnel named on the organization chart in question
8.6, above.

Name of Key Years with Years in


Job Title Industry
Personnel Respondent
     
     
     
     
     
     
     
     
     
     
     
     
     

9. PROJECT CONTROLS

9.1 Describe your cost estimating techniques and software utilized. Discuss any differences between
home office, fabrication yard and field. Provide an example of how these tools have been used in a
relevant project.

Place response (description, supporting information, and / or comments) here:

9.2 Describe your cost reporting and forecasting techniques and software utilized. Discuss any
differences between home office, fabrication yard and field. Provide an example of how these tools
have been used in a relevant project.

Place response (description, supporting information, and / or comments) here:

9.3 Describe your scheduling techniques and software utilized. Discuss any differences between home
office, fabrication yard and field. Provide an example of how these tools have been used in a
relevant project.

Place response (description, supporting information, and / or comments) here:

9.4 Explain how progress and productivity are measured, weighted, and reported including physical
progress. Explain how progress and productivity are used to update project schedules. Discuss
any differences between home office, fabrication yard and field. Provide an example of how
progress and productivity measurement have been used in a relevant project.

Place response (description, supporting information, and / or comments) here:

19
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

9.5 Describe your system of change management and reporting. Describe how contract change orders
are identified, estimated, logged, and tracked. Include a copy of the procedure, including forms
used, for further clarification. Discuss any differences between home office, fabrication yard and
field.

Place response (description, supporting information, and / or comments) here:

9.6 Provide an example copy of a monthly client report for a current project

Place response (description, supporting information, and / or comments) here:

9.7 Describe any other methods, tools or software respondent employs to assure completion of a
successful project--in particular, any formalized practices (e.g. lessons learned).

Place response (description, supporting information, and / or comments) here:

9.8 This project will require appropriate handling and controlled distribution of confidential information
within a defined project team to protect intellectual property. Please describe the methodologies
respondent would utilize to ensure security for hard copy, electronic, and verbal confidential
information.

Place response (description, supporting information, and / or comments) here:

10. GOVERNMENT RELATIONS AND PUBLIC AFFAIRS

10.1 Describe your community relations program(s) in any local community(ies), and provide a copy if
respondent has a formal plan.

Place response (description, supporting information, and / or comments) here:

10.2 Describe your public affairs and human resources representation in any local community(ies),
including any past incidents.

Place response (description, supporting information, and / or comments) here:

10.3 Describe any recent experience with community relations and public affairs in Iraq.

Place response (description, supporting information, and / or comments) here:

10.4 Is respondent able to immigrate your workers through block visas or otherwise?
Yes No
If yes, please explain how.

Place response (description, supporting information, and / or comments) here:

20
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

10.5 Describe the history of any substantial work you have performed within Iraq or local / similar to the
site for the proposed ExxonMobil project.

Place response (description, supporting information, and / or comments) here:

10.6 Describe any recent experience interacting with the Iraqi government or jurisdictions local / similar
to the site for the proposed ExxonMobil project, including any regulatory and permitting authorities.

Place response (description, supporting information, and / or comments) here:

10.7 Describe any foreseeable challenges in interacting with any of the entities mentioned in question
10.6, above.

Place response (description, supporting information, and / or comments) here:

11. SUBCONTRACTING

11.1 Describe the types of work typically subcontracted by respondent and list the companies you have
recently used for these activities.

Place response (description, supporting information, and / or comments) here:

11.2 Describe the process you use to pre-qualify and select subcontractors, including the criteria used
and how it is applied. If necessary, include a flowchart of the steps to go through to a final
subcontract award.

Place response (description, supporting information, and / or comments) here:

11.3 Describe how applicable SSH&E guidelines are used when screening, selecting and monitoring
subcontractors.

Place response (description, supporting information, and / or comments) here:

11.4 Describe your approach / controls used to manage multiple subcontractors to achieve project
objectives.

Place response (description, supporting information, and / or comments) here:

12. INTERFACE MANAGEMENT

12.1 Describe your interface management processes.

Place response (description, supporting information, and / or comments) here:

21
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

12.2 Describe your proposed strategy for interfacing between engineering, procurement and
construction contractors to facilitate timely receipt of deliverables to support.

Place response (description, supporting information, and / or comments) here:

12.3 Describe your proposed strategy for managing multiple interfaces within your organization
(including subcontractors) and with external parties such as the EMIL project management team,
security contractors and the government. Describe (examples) where you have used this strategy
on previous projects.

Place response (description, supporting information, and / or comments) here:

13. PROCUREMENT & MATERIALS MANAGEMENT

13.1 Describe your overall procurement process for equipment and materials, including tools used.

Place response (description, supporting information, and / or comments) here:

13.2 Describe equipment and materials that you typically have procurement responsibility for on a
project.

Place response (description, supporting information, and / or comments) here:

13.3 Describe how your approved vendor list is maintained and updated. What is the process to add a
vendor? Please attach a current copy.

Place response (description, supporting information, and / or comments) here:

13.4 The U.S. and other governments control the “export” of equipment, materials, software, information,
and technology to certain countries. Such exports include physical materials, electronic
information, and deemed export of information via certain foreign nationals.
Does respondent have an export controls policy?
Yes No
Do you have specific export controls guidelines, procedures and/or software?
Yes No

Place response (description, supporting information, and / or comments) here:

13.5 Describe your overall materials management system, including tools used (e.g., materials handling
plan).

Place response (description, supporting information, and / or comments) here:

22
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

13.6 Describe how material identification and traceability is maintained through ordering, fabrication,
transportation, warehousing, and construction. Indicate how the materials are received,
maintained, protected, stored and secured.

Place response (description, supporting information, and / or comments) here:

13.7 What is the customs clearance process that you use?

Place response (description, supporting information, and / or comments) here:

13.8 Have you interacted with Iraq's Southern Oil Company personnel to help import oilfield-related
materials?
Yes No

Place response (description, supporting information, and / or comments) here:

13.9 Have you transported materials inside Iraq?


Yes No
If so, how? Indicate if you have your own transport group or if you subcontract or have a joint
venture arrangement.

Place response (description, supporting information, and / or comments) here:

13.10 How do you manage security for your movements of equipment and materials?

Place response (description, supporting information, and / or comments) here:

13.11 How are materials and equipment at fabrication yard or in the field?

Place response (description, supporting information, and / or comments) here:

13.12 Describe how nonconforming equipment and materials are handled.

Place response (description, supporting information, and / or comments) here:

13.13 Describe facilities and material handling procedures for owner furnished equipment and materials
(OFE).

Place response (description, supporting information, and / or comments) here:

14. LABOR RELATIONS

14.1 How does respondent prequalify workforce candidates before hiring?

23
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Place response (description, supporting information, and / or comments) here:

14.2 Describe any labor affiliations (e.g., union) and/or agreements you are a party to that are applicable
to work in Iraq. Provide details and the expiration date of such agreements.

Place response (description, supporting information, and / or comments) here:

14.3 Relative to any past or current work in Iraq, list any labor strikes or other work stoppages involving
respondent or a project respondent was associated with during the last five years. If stoppages
have occurred during the past two years, identify what action has been taken to avoid similar
stoppages in the future.

Place response (description, supporting information, and / or comments) here:

14.4 Relative to working in Iraq, describe how labor relations are managed by respondent. If no relevant
experience, describe proposed strategy for managing labor relations.

Place response (description, supporting information, and / or comments) here:

14.5 What are your standard weekdays worked (days per week, shifts per day, and hours per shift) and
not worked, and what is the approximate allocation of craft labor on each work shift?

Place response (description, supporting information, and / or comments) here:

15. CONSTRUCTION EQUIPMENT

15.1 Using the following table, describe major construction equipment currently in your inventory.
Specify if the equipment is owned or leased. Specify if the equipment is currently available.

Quantit
Equipment Type Describe Capability/Capacity
y
Cranes / Lifting Equipment
(fork lifts, steel    
transporters, etc.)
   
   
   
   
   
   
   
   
Earthworks    
Bulldozers    
   
   

24
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Scrappers    
   
   
   
Shovels    
   
   
   
Breakers/Picks    
   
   
   
Loaders    
   
   
   
Graders    
   
   
   
Compactors    
   
   
Water Tankers    
   
   
   
   
   
Other    
     
     
Plate Cutting & Pipe
   
Profiling
     
     
     
     
     
Welding/General    
     
     
     
     
     
Welding/Automatic    
     
     
     
Power Generators    
     
25
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

     
Lighting Pods    
     
     
     
Air Tools / Equipment    
     
     
     
     
     
Electrical Tools /
   
Equipment
     
     
     
     
     
Hydrostatic Test
   
Equipment
     
     
     
     
     
     
Pipe Fitting / Cutting
   
Equipment
     
     
     
     
     
Stress Relieving    
     
     
     
     
     
Mobility    
Trucks    
Concrete    
Water    
Fuel    
Service    
Pick-ups    
Flat-beds    
Stake    
Tractors    
Trailers    
Trailers    

26
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Girder Frame    
Gravel Haulers    
Dump    
Articulating Dump    
Lo-Boy    
Flat-beds    
Enclosed    
Pipe stake    
SPT's - 4 axle    
SPT's - 6 axle    
SPMT's - 4 axle    
SPMT's - 6 axle    
Communication    
     
     
     
     
Other    
List any additional equipment
owned / leased not described    
above
     
     
     

15.2 Please attach a copy of your equipment maintenance/service program.

Place response (description, supporting information, and / or comments) here:

16. ENGINEERING

16.1 Provide a description of respondent's capabilities and how you would use the following tools on a
typical project:

Databases including integration with other


 
design tools
Data sheet development (instrument,
 
mechanical, other)
CAD capabilities (e.g. 2D/3D, isometrics,
 
number of workstations and licenses
Hazard and operability studies and risk
 
assessments
Weight estimating  
Technical computing (pipe stress analysis,
structural analysis, process simulation,
electrical design, line sizing, layouts, blast
 
analysis, dispersion analysis, radiation
analysis, dynamic riser analysis, finite
element analysis, etc.)

27
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

16.2 Describe the process for incorporating engineering design concepts from previous experience, as
well as from subcontractors, into the overall design.

Place response (description, supporting information, and / or comments) here:

16.3 Does respondent use remote engineering service site(s) (a.k.a. high value engineering centers) for
execution of engineering and technical work?
Yes No
If yes, describe the relationship (internal Division/subsidiary or subcontractor).
If yes, provide descriptions of how they have been utilized.

Place response (description, supporting information, and / or comments) here:

16.4 Describe quality control and verification procedures used for engineering designs.

Place response (description, supporting information, and / or comments) here:

16.5 Describe respondent's document control system for the home office, fabrication yard and jobsite.
Include a copy of the system for further clarification.

Place response (description, supporting information, and / or comments) here:

16.6 Describe your fabrication yard and jobsite engineering capabilities (include the use of computer-
aided design and manufacturing (CAD/CAM)). Be specific regarding how software and CAD/CAM
are used. Briefly describe your information technology (IT) support capabilities at fabrication yards
and jobsites.

Place response (description, supporting information, and / or comments) here:

16.7 Describe your ability to generate shop drawings at fabrication yards or jobsites.

Place response (description, supporting information, and / or comments) here:

17. CONSTRUCTION

17.1 Describe your constructability program. How are constructability issues incorporated into front-end
engineering design and detailed engineering?

Place response (description, supporting information, and / or comments) here:

17.2 Describe your typical planning prior to start of fabrication and/or construction including a list of
major activities and relevant timing.

Place response (description, supporting information, and / or comments) here:

28
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

17.3 Provide a copy of a typical relevant project (oil & gas industry) mechanical completion plan.

Place response (description, supporting information, and / or comments) here:

17.4 What type of systems completion database (SCD) do you use? (MS Excel, MS Access, WINpcs,
Variant or other?)

Place response (description, supporting information, and / or comments) here:

17.5 With respect to your SCD, how many items can be tracked and what are your typical project
requirements?

Place response (description, supporting information, and / or comments) here:

17.6 Does your SCD facilitate a consolidated punchlist?


Yes No

Place response (description, supporting information, and / or comments) here:

29
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

A1. CONTRACTOR GROUPS


Contractor Entity is advised that the acceptability of any Contractor Group will require, in part, joint and several liability on the part of
each member of the Contractor Group and parent company guarantees from each Contractor Group member in a form acceptable
to EMIL.

1. Provide the name of the companies that will form/have formed the Contractor Group and the
ownership percentage of each party in the Contractor Group. Include addresses and contact
information for each party.

2. State the type of Contractor Group structure for this proposed work, i.e. unincorporated
Contractor Group, special purpose Contractor Group, other.

3. Has the Contractor Group already been formed?


Yes No
If so, provide date of formation.

4. Have the members of the Contractor Group worked with each other as a Contractor Group on
previous or current projects?
Yes No
If so, please attach details of such other projects. Include brief scope, role played by each
Contractor Group member, date performed, client, value, etc.

5. If already formed, has the Contractor Group been registered to perform engineering work in Iraq?
Yes No
If yes, provide details of registration.
If yes, has the Contractor Group met applicable statutory requirements to perform engineering
work outside Iraq?
Yes No
If no, provide details and status in meeting such requirements.

6. If the Contractor Group has not already been formed, what is the proposed date of formation?

7. If not yet formed, what is the proposed Iraqi registration plan?

8. If not yet formed, what international registrations will the Contractor Group seek?

9. If not indicated in response to question 1, above, what member will serve as the managing entity
of the Contractor Group?

10. If applicable, provide the name of the parent company of each Contractor Group member.
Include address and contact information.

30
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

A2. PROSPECTIVE BUSINESS ASSOCIATES (PBA) QUESTIONNAIRE


1 Identifying Information
1. Please provide the following:
1
Name of business, company or individual
Business Address (principal place of
business and address for purposes of
communication with EMIL, if different from
the principal place of business)
Telephone
Fax
Telex
E-Mail

2 Company Background
2. What is your business type (i.e. corporation,
1 partnership, etc.)?

2. Date and place of formation (please attach


2 copies of formation documents)

2. Principal lines of business of company or


3 individual, (please attach any recent reports
filed with the regulator of a public stock
exchange) and length of time in each line of
business

2. Other locations of business activities


4

2. Have you, or your company, or any officer or


5 director of your company, or any of the
individuals who may perform work under a
contract with EMIL or any affiliate of Yes No
ExxonMobil ever been charged with or
investigated for a criminal offense, including
money laundering, tax evasion, or bribery?
If yes, provide details.

2. If company, have any of your shareholders


6 (provided your company shares are not
traded on a public stock exchange) ever
Yes No
been charged with or investigated for a
criminal offense, including money laundering,
tax evasion, or bribery?
If Yes, provide details.

3 Ownership and Management


3. If company, are your shares publicly traded
1 on a stock exchange? Yes No

If yes, what percent?


If yes, please attach a copy of your most
31
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

recent public filing showing the company’s


shareholders, partners, or owners; if this filing
does not list major (>5%) shareholders,
please identify any major shareholders, to the
best of knowledge of your company.

3. If you are not publicly held, please give the


2 names, nationalities and countries of
residence of all of your shareholders,
partners, and beneficial owners. Please
indicate the exact ownership interest of each
person or company listed. (If one or more of
your owners is a company, list the ultimate
beneficial owner(s) and any intermediate
entities or persons owning an interest in that
company. Please note that this
questionnaire will be returned as incomplete
unless all of the ownership information is
included.).

3. Give the names, nationalities and countries


3 of residence of all officers, directors,
managers, or other employees with executive
or management authority, and the "key
employees": who may perform services on
behalf of the company under any contract.
Please provide this information as well for
any company that is the ultimate beneficial
owner of your company, and of all employees
who will be managing the performance of
services under the proposed contract.

3. Do any of the persons listed anywhere in the


4 responses to the questions in this Section 3
hold director, officer or other management Yes No
positions with other companies, businesses,
or entities?
If yes, give the name of each company and
the title of the relevant position.

3. Please list the names and addresses of any


5 other individual, company or entity that will
receive any portion of the payment as a
result of participating in any type of
partnership, joint venture, subcontract, or
alliance with your company in performing the
work covered by the proposed contract.

4 Relationships with Governments and Public International Organizations(Please refer to the


definition of "Official"2)

4. Are any of the persons listed anywhere in the

32
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

1 responses to the questions in Section 3


above or any persons with direct or indirect
ownership interest in the company or
business:
Officials?
Yes No
Close relatives of Officials?
Yes No
Prior Officials?
Yes No
Involved in any business relationship,
including acting as an agent or consultant
for, or holding common ownership of any
Yes No
business enterprise or partnership with,
any Official or close family member of an
Official?

4. If the answer to any part of question 4.1,


2 above, is yes, provide details for each such
person, including:
Full name of Official  
Official responsibilities  
Dates of service (current or past)  
For relatives, the relationship  
For common business interest, the type of  
business relationship, including the name
of any enterprise or partnership, and the
nature of any agency agreement

5 References
5. Please list two references for the work for
1 which you are being considered by EMIL.
Reference 1:
Name of Contact  
Company Name  
Telephone  
Email  
Fax  

Reference 2:
Name of Contact  
Company Name  
Telephone  
Email  
Fax  

6 Important Notice
PERSONAL INFORMATION:
- ExxonMobil collects personal information directly from you through the above questionnaire.
- ExxonMobil also collects personal information about you and about your employees, owners and/or
business associates. By completing this questionnaire you consent to the information you have provided
33
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

being used by ExxonMobil for the purposes described below. You should also obtain the written consent
of anyone whose information you have included in this questionnaire for its use and transfer as
appropriate.

PURPOSES & DISCLOSURES:


- This information is used by ExxonMobil for legitimate business purposes and in connection with a
potential business relationship with your company. In particular, it is used to evaluate potential risks
which ExxonMobil may be exposed to under the U.S. Foreign Corrupt Practices Act and other anti-
bribery laws as a result of entering into a commercial relationship with your company or associated third
parties. For this purpose, ExxonMobil shares your information with other ExxonMobil Affiliates if
necessary.
- Any ExxonMobil Affiliate receiving and processing this information is expected to do so consistently with
the purposes and disclosures description set out in this notice and they will protect such data consistent
with applicable policies and laws.
- This processing may occur in another country that may not have been deemed by your country to
provide adequate data privacy protection.

YOUR CHOICES:
- Your participation is voluntary.
- By signing at the bottom of this document, you declare that you have the proper authority to disclose the
relevant information and that you consent to the processing as described above accepting that such
collection, storing or other processing may be conducted by a third party or may occur in another country.

I understand how the personal information content in this questionnaire will be used and I consent to the
use, transfer and disclosure of the information for the purposes and disclosures described above.

       
   
  Signed: ___________________________________________ Dated:
___________________________
   
   
  Printed Name and Title:
________________________________________________________________
       

1
"ExxonMobil" and/or "ExxonMobil Affiliates" mean (a) Exxon Mobil Corporation or any parent of Exxon
Mobil Corporation, (b) any company or partnership in which Exxon Mobil Corporation or any parent of
Exxon Mobil Corporation now or hereafter, directly or indirectly (1) owns or (2) controls, more than fifty
percent (50%) of the ownership interest having the right to vote or appoint its directors or functional
equivalents ("Affiliated Company"), and (c) any joint venture in which Exxon Mobil Corporation, any
parent of Exxon Mobil Corporation, or an Affiliated Company has day to day operational control.

2
"Official" means any agent, officer, or employee (elected, appointed, or career) of (1) a government or
any department or agency of a government at the federal, regional or local level; (2) a political party or
candidate for political office; (3) any company in which a government holds a substantial ownership
interest, including a national oil company; or (4) a public international organization such as the World
Bank, the United Nations or the International Monetary Fund.

34
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

A3.A CONTRACTOR EXPERIENCE FORM – PROCESS UNIT AREAS

Legend Greatest
SP - Self Perform as Your Typical Involvement Single
Primary Project $ or
appropriate Please enter SP or SC as appropriate or Capacity
SC - Sub Contract as Secondary or Quantities
appropriate Business Units in last
Construction Construction Target
P - Procure as Engineering Procurement Fabrication 5 yrs.
Management / Installation (p or s)
appropriate
 
               
PROCESS UNITS / AREAS              
Acid Gas Treatment Unit              
Amine Recovery Unit (ARU)              
Butamer / Mericat / Thiolex
Unit (BMT)              
Cryogenics              
Helium Plant              
Hydrogen Plant              
Liquids / Gas Separation              
Oil/Tar Sands Extraction              
Regeneration              
Shale Oil Processing              
Sour Water Stripper (SWS)              
Sulfur Prilling, Storage &
Loading              
SRU over 50 LTPD              
SRU under 50 LTPD              
Tail Gas Treating Unit
(TGTU)              
Wet Gas Scrubber (WGS)              
               
POWER GENERATION              
Boilers, Steam Generators              
Boilers, Steam Generators -
Modifications and Repairs              
Gas Turbine - Combined
Cycle (HRSG)              
Gas Turbine - Combined
Cycle (WHRU)              
Gas Turbine - Single Cycle              
Gas Turbine - Modifications
and Repairs              
Diesel Driven Package
Generators              
Turbine Driven Package
Generators (Solar, etc.)              
               
STACKS AND FLARES              
Flare Installation              
Flare Demolition              
Guy Wire Tensioning              
Lattice Structure Flares              
               
WATER TREATMENT              
Boiler Polished Water
Treatment              
Desalination              
Potable Water Purification              
Oily Water Separation              
Waste Water Treatment              
               
GASES              
Instrument Air              
Utility Air              
Inert Gas              

35
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

               

36
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

A3.B CONTRACTOR EXPERIENCE FORM – DISCIPLINES

Legend Your Typical Involvement Greatest


SP - Self Perform as appropriate Please enter SP or SC as appropriate Single
Primary
Project $
SC - Sub Contract as appropriate or
or
P - Procure as appropriate Secondary
Capacity
Construction Construction Business or
EngineeringProcurementFabrication
Management / Installation Target Quantities
(p or s)
Units in
  last 5 yrs.
Civil              
               
SITE CLEARING AND DEMOLITION              
Demolition - Concrete Recycling              
Demolition - General Facilities              
Demolition - Plant Dismantling              
Hauling - Dirt, Debris etc.              
Site Clearing & Grubbing              
               
EARTHWORK, SITE IMPROVEMENTS              
Soil Remediation              
Soil Stabilization              
Soil Stabilization - Lime Injection              
Soil Stabilization - Dynamic Compaction              
Earth Moving, Excavation, Backfill, Grading  
Earth Hauling and Dumping              
Erosion Control              
Pond Liners              
Dewatering              
Hydrotrenching              
Road Boring              
Directional Drilling              
Asphalt Paving              
Railroad Construction              
Wharves & Piers              
Water Wells              
Fencing, Permanent              
Seeding, Hydromulch              
Bridges              
               
PILING              
Drilled Piers              
Augercast Piles              
Driven Piles - Timber, Sheet, Pipe, H-Pile              
Driven Piles – Pre-stressed Concrete Piles              
Driven Piles - Steel Casing / Hel-Cor Type
Piles              
DeWaal Piles              
Caissons              
               
Concrete              
               
CONCRETE              
Concrete Construction – Super Structures
(above grade structures)              
Concrete Paving              
Concrete – Floor Slabs              
Concrete – Super Flat Floor Slabs              
Concrete Pumping              
Concrete Cutting & Core Drilling              
Precast Concrete – Design and Manufacture              
Precast Concrete – Field Installation              
Pre & Post Tensioning Concrete              
Pressure Grouting              
               
MASONRY, REFRACTORY              
37
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Masonry Work              
Acid Brick              
Refractory              
               
Structural Steel              
               
STRUCTURAL STEEL              
Structural Steel Erection <600mm depth              
Structural Steel Erection >600mm depth              
Structural Steel Fabrication <600mm depth              
Structural Steel Fabrication >600mm depth              
Bolt Tensioning              
               
Buildings              
               
BUILDING TYPES              
Low Rise - Less than 6 stories              
Mid Rise - Less than 12 stories              
High Rise - Greater than 12 stories              
Pre-Engineered Buildings              
Masonry Buildings              
Panelized Precast Buildings              
Cast-in-Place Concrete Buildings (Blast-proof)              
Tilt-Wall Construction              
Industrial Explosion Proof (i.e. Control Room
Buildings)              
               
BUILDING SPECIALTIES              
Architectural Interior Build-out              
Reflective / Suspended Ceilings              
Blast-Proof Doors              
Furniture              
Case Work              
Laboratory Built Ins & Hoods, etc.              
               
STRUCTURAL SYSTEMS              
Concrete              
Steel A-36              
Steel High Strength              
Combined              
Other              
               
BUILDING ENVELOPE (Exterior Wall
Systems)              
Masonry - Load Bearing              
Masonry - Veneer              
Thin Stone - Panels              
Precast Concrete              
Tilt Up Walls              
Glass Curtain Wall              
Metallic Clad              
Panelized - Other Materials              
Corrugated Siding & Decking              
               
BUILDING ROOF SYSTEMS              
Built Up              
Upside Down              
Membrane              
Metal Roofing & Siding              
Other              
               
FLOOR SYSTEMS              
Cast In-Situ - (various form systems)              
Stay-in-place foam forms              
Concrete on steel deck (compound or single)              
Concrete on steel joists              
Concrete on fiber glass joists              

38
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Composite Slab              
Precast hollow-core plank              
Autoclaved aerated concrete              
Radiant Heating              
Ceramic Tile              
Computer Access Floor Systems              
               
VERTICAL TRANSPORTATION SYSTEMS              
Elevators - Personnel and Freight w/TopHat              
Escalators              
               
PLUMBING SYSTEMS              
Potable Water              
DHW - Calorifier Based Hot Water Systems              
DHW - Solar Heater Systems              
DHW - Tankless Hot Water Systems              
Domestic Waste Water Collection Systems              
Domestic Waste Water Treatment Systems              
               
BUILDING AUTOMATION & OPERATIONS
SYSTEMS              
Integrated              
Separate              
               
LIFE SAFETY SYSTEMS              
Fire Sprinkler Systems              
Deluge Systems              
Fire Stand Pipe System              
Smoke Detection              
Building Evacuation              
Building Security Systems              
Fireman's Command Center & Control
Stations              
               
ELECTRICAL SYSTEMS              
Power Distribution              
Power Generation - Primary              
Power Generation - Back-up              
Surge Protection              
Emergency Lighting              
UPS Circuits              
Lighting Fixtures              
               
LIGHTNING PROTECTION SYSTEM              
Franklin System              
               
HVAC SYSTEMS              
Chiller VAV Duct Based Systems              
Chiller Fan Coil Systems              
DX / Split Systems              
Radiant Floor Heating Systems              
Architectural / Commercial Grade Ductwork
Systems              
               
SOLID WASTE HANDLING SYSTEMS              
Chutes              
Compactors              
Incinerators              
               
PROJECT DEVELOPMENT              
Residential campus              
Resort              
               
SPECIALTIES              
Access control devices              
A/V facilities              
CCTV Systems              

39
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Digital Cable TV Distribution Systems              


I/T (Cat. 6 or newer) Systems              
Satellite Network Links              
Telephone Voice/Data Systems              
Millwork              
Raised flooring              
Security Systems              
               
Mechanical Equipment              
               
COLUMNS (PROCESS TOWERS &
INTERNALS)              
Columns              
Tray Installation              
Field Modifications              
Weld Overlay              
               
CONVEYORS              
Belt Drive Conveyors              
Screw Drive Conveyors              
               
EXCHANGERS              
Shell and Tube              
Plate Fin              
Air Coolers              
Cooling Towers              
Exchanger Field Repair Services              
               
FIELD ERECTED/INSTALLED PRESSURE
VESSELS              
ASME Sphere Tanks              
Drums              
               
FIRED HEATERS AND INTERNALS              
Furnace & Heater              
               
HOISTS, CRANES & ELEVATORS              
Bridge Crane              
Freight Elevator              
Personnel Elevator              
Hoists              
               
REACTORS AND INTERNALS              
Reactor              
Reactor Modifications & Repairs              
               
REFRIGERATION UNITS, WATER
CHILLERS              
Process Refrigeration              
               
RECIPROCATING EQUIPMENT              
Pump Installation              
Compressor Installation (new)              
Compressor Repair (field)              
Millwright Work              
               
ROTATING EQUIPMENT              
Pump Installation              
Compressor Installation (new)              
Compressor Repair (field)              
Millwright Work              
               
SCREW EQUIPMENT              
Pump Installation              
Compressor Installation (new)              
Compressor Repair (field)              
Millwright Work              

40
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

               
CRYOGENIC PUMPS              
Non-submersed Motor and Single or Multi-
stage pump              
Submersed Motor and Single or Multi-stage
pump              
               
SCALES              
Truck Scales – Design and Fabrication              
Truck Scales – Field Installation              
Railroad Scales – Design and Fabrication              
Railroad Scales – Field Installation              
               
STORAGE BINS, HOPPERS AND SILOS              
Design and Fabricate Bins, Hoppers and Silos              
Field Erected Bins, Hoppers and Silos              
               
TANKS & ATMOSPHERIC VESSELS              
Field Erected Steel Tanks              
Field Erected FRP Tanks              
Tank Repair and Maintenance              
Tank Cleaning Services              
Tile Chest              
LNG Tanks - single containment              
LNG Tanks - double containment              
LNG Tanks - full containment              
LNG Tanks - membrane type              
               
DUCTWORK              
Industrial Grade Ductwork Systems– Paper
Mill, Industrial Ventilation/Compression Inlet              
               
CATALYST              
Installation              
Removal              
Pyrophorics              
               
Piping              
               
Piping – Industrial Process, Utility and other
ASME Piping - Carbon Steel Small Bore              
Piping – Industrial Process, Utility and other
ASME Piping - Low Temp CS Small Bore              
Piping – Industrial Process, Utility and other
ASME Piping - Stainless Steel Small Bore              
Piping – Industrial Process, Utility and other
ASME Piping - Alloy Small Bore              
Piping – Industrial Process, Utility and other
ASME Piping - Carbon Steel Large Bore              
Piping – Industrial Process, Utility and other
ASME Piping - Low Temp CS Large Bore              
Piping – Industrial Process, Utility and other
ASME Piping - Stainless Steel Large Bore              
Piping – Industrial Process, Utility and other
ASME Piping - Alloy Large Bore              
Piping Hangers & Supports              
Piping - Underground Storm Sewer              
Piping - Underground FRP              
Piping - Underground PVC              
High Purity Piping (Orbital welding Only)              
Electro-polished Pipe              
HDPE - High Density Polyethylene Pipe              
Underground Mechanical Pipe              
Induction Bending              
               
Electrical              
               

41
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Electrical Grounding              
Underground Electrical Ductbanks              
High Voltage Electrical Substation / Switch
Yard              
High Voltage Testing              
Cathodic Protection              
Cable Tray              
Electrical Heat Tracing              
Pole Line Installation              
Fiber Optic Cable Installation              
Lightening Protection              
Electric Tracing              
               
Instrumentation              
               
Instrument Installation              
Instrument Loop Checks              
Field Bus              
Instrument Cabling              
Cable Tray              
Steam Tracing              
DCS System              
Analyzer House Installation              
               
Coatings              
               
FIREPROOFING              
Fireproofing – Pre-applied              
Fireproofing – Industrial Cast-In-Place
Concrete (Field Applied)              
Fireproofing – Industrial Lightweight (Field
Applied)              
Fireproofing – Architectural              
Fireproofing - Intumescant Coatings              
               
INSULATION              
Insulation – Industrial Piping and Equipment              
Insulation – Acoustical              
Insulation - Cryo Tanks              
Insulation - Perlite              
Asbestos Abatement              
               
PAINTING & PROTECTIVE COATINGS              
Industrial Painting              
Sandblasting              
Sponge Blasting              
Lead Abatement              
Tank Linings              
Acid Proofing              
Concrete Coatings and Toppings – including
acid proofing              
Epoxy Flooring              
               
Temporary Facilities              
               
TEMPORARY FACILITIES              
Site Surveying - BenchMarks              
Site Securing Demarcation Fence Installation              
Temporary Construction Fencing              
Temporary Construction Facilities (Job Site)              
Temporary Construction Facilities (Man-
Camps)              
Temporary Utilities Systems - Power              
Temporary Utilities Systems - Potable Water              
Temporary Utilities Systems - Waste Water              
Temporary Camp Maintenance & Operations              
Temporary Camp Catering              

42
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Temporary Communications              
Temporary Lighting              
Temporary CCTV              
Construction Phase Medical Services              
               
Logistics, Heavy Haul & Lifting              
               
LOGISTICS              
Site Access - air (rotary or fixed wing)              
Site Access - land (roads & bridges)              
Site Access - marine (MOF)              
               
HEAVY HAUL & LIFT              
Heavy Equipment Hauling - Prime Movers &
Trailers              
Heavy Equipment Hauling - SPMT              
Heavy Equipment Hauling - SPT              
Heavy Equipment Hauling - Transporter
Girder Frame              
Heavy Rigging/Lifts - Gantry              
Heavy Rigging/Lifts - Gin Poles              
Heavy Rigging/Lifts - Jack up              
Heavy Rigging/Lifts - Skids              
Heavy Rigging/Lifts - Strand Jack              
Heavy Rigging/Lifts - Tower gantry              
Heavy Rigging/Lifts - Tower cranes              
Heavy Rigging/Crane Lifts - 100 - 500 Tons              
Heavy Rigging/Crane Lifts - 500 - 2000 Tons              
Heavy Rigging/Crane Lifts - Above 2000 Tons              
Specialty Lifting Machine Lifts              

43
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

A3.C CONTRACTOR EXPERIENCE FORM – SPECIALTIES

Legend Greatest
SP - Self Perform as Your Typical Involvement Single
Primary Project $ or
appropriate Please enter SP or SC as appropriate or Capacity
SC - Sub Contract as Secondary or Quantities
appropriate Business Units in last
Construction Construction Target
P - Procure as Engineering Procurement Fabrication 5 yrs.
Management / Installation (p or s)
appropriate
 
               
SPECIALTIES              
Bolt Torquing              
Chemical Cleaning              
Cleaning Services              
Crane Supply              
Field Machining              
Cold Cutting              
Fire Protection Systems -
Detection              
Fire Suppression Systems              
Guard Service              
Heat Treatment Services              
Hot Taps & Stopple Plugging              
Hydro-Blasting              
Hydro-Cutting              
Hydro-Jacking              
Leak Detection Services              
Lube Oil Flushing              
Optical Alignment              
Pile Line Pigging – Cleaning              
Pipe Line Pigging – Smart              
Pipe Line Pigging – Video              
Scaffolding              
Shot Peening              
Steam Blowing              
Steam Tracing              
Un-eXploded Ordinance      
Identification & Disposal        
Vacuum Truck              
Valve Repair – CVs              
Valve Repair – MOVs              
Valve Repair - PSVs (Relief      
Valves)        
Wire Saw Cutting              
Automatic Welding              
               
CONSULTING SERVICES              
General Inspection Services              
Non Destructive Testing              
Dye Penetrate              
Magnetic Particle              
Radiography              
SCAR (Small Containment      
Area Radiography)        
Ultrasonic Thickness      
Testing        
Video Inspection – General              
Surveying, Mapping and      
Scanning        
Topographic Surveying &      
Mapping        
Surveying & Layout              
Photogrammetry              
Photography              
Laser Imaging              
44
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

Infrared Scanning              
Ground Radar Services              
Geotechnical Services (Soils      
Investigation)        
Concrete Testing              
Soil Testing              
Asbestos Testing      
Laboratories        
Air Quality Monitoring              
Mold Testing & Removal              
Antiquities & Fauna      
Relocation        
Acoustic Emission              
Vibration Detection Analysis              

45
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

A3.D CONTRACTOR EXPERIENCE FORM – ONSHORE PIPELINES

Onshore Pipelines
Legend Greatest
SP - Self Perform as Your Typical Involvement Single
Primary
appropriate Please enter SP or SC as appropriate Project $
or
or
SC - Sub Contract as Secondar
Capacity
appropriate Constructio Constructio y
or
Engineerin Procureme Fabricatio n n Business
P - Procure as appropriate Quantitie
g nt n Manageme / Target
s Units
nt Installation (p or s)
in last 5
  yrs.
ONSHORE PIPELINES              
Pig/Slug Catchers              
Waterway Crossings              
Compression Stations              
Pump Stations              
Meter Stations              
Storage Tanks              
Construction Line Camps              
               
PIPELINE (ROW)              
ROW Survey & Staking              
ROW Clearing              
ROW Property Services (Land
Agents)              
Engineering Services (Permits,
As-builts, etc.)              
Geotechnical Data Collection              
Environmental Compliance
Services              
Explosive Excavation              
Line Pipe Stringing              
Welding Equipment &
Technicians              
NDE Equipment & Technicians              
Radiography & Ultrasonic
Inspection              
Weld Field Joint Coating Equip.
& Techs              
Cathodic Protection              
Horizontal Directional Drilling
(HDD)              
Road Boring              
Micro-Tunneling              
Telecommunication (FOC,
Microwave Towers)              
Security Services              
Medical Services              
Catering Services              
Pipeline Cleaning & Testing              
Filling, Hydrotesting,
Cleaning, Dewatering              
Pipeline Drying & Purging              
Vacuum, Air and/or Nitrogen              
Pipeline Pigging              
Caliper Pig and/or Intelligent
Pig              
               
PUMP/COMPRESSOR/
MAINLINE VALVE STATIONS              
Property Survey & Lay-out              
Clearing              
Engineering Services (Permits,              

46
Iraq WQ1 Project ExxonMobil Iraq Limited
Pre-Qualification Questionnaire Proprietary

As-builts, etc.)
Geotechnical Data Collection              
Environmental Compliance
Services              
Civil Construction              
Grading, Concrete, Piles,
Paving, Fencing              
Buildings, Process
Equipment & Piping              
Mechanical Construction              
I&E Construction              
Meter Installation, UPS /
Emergency Power              
Storage Tank Erection              
Piping Insulation/Heat Tracing              
Cathodic Protection
Construction              
Telecommunication
Construction              
FOC & Microwave Towers              
Security Services              
Medical Services              
Catering Services              
Piping Cleaning, Testing &
Drying/Purging              

47

You might also like