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Subcontractor Prequalification

Contractor
NEOM Contract Title: Logo
XXXXXXXXXXXXXXXXXXXXXXXXX

Subcontractor Assessment for Technical Qualification in Accordance with NEOM Requirements

Document Number Letter Number Contract Number Date

Subcontractor Details

Civil Architectural Landscape Facade Engineering Sustainability Electrical Mechanical Plumbing & Drainage Geotechnical Traffic
General MEP Fire Protection Fire & Life Safety Railway Engineering Railway Systems Signage & Way Finding Transportation Tunnel

Technical Assessment

The following are the minimum criteria to be checked and reviewed in the technical qualification document submitted for the
proposed subcontractor. EPMC has conducted all studies/reviews it considered necessary for the proper review of the proposed
subcontractor.

Scope of Work and Technical Services Provided for Works Subcontractor's QMP & Policy Compliant with Project QMS Requirements
Subcontractor’s Organization Chart Subcontractor's EHSP & Policy Compliant with Project EHSP Requirement
List of Personnel with Educational and Professional Qualifications and CVs Certifications, Lisences & Accreditations
List of Projects of Similar Nature Method Statement
List of Ongoing Projects Inspection & Test Plan
List of Manufacturing Plants and Construction Equipment Available

Requested Response by Date: Purpose for Transmittal:

Prequalification in accordance with NEOM requirements.


REMARKS:
Submittal being transmitted for Review & Approval.

To be completed by Contractor:

Prepared by: Reviewed by: Approved by:

Names:
Positions:
Signatures:
The above comments and / or approvals do not relieve the contractor from his obligation under the
NOTE: Contract to ensure conformance to the specification. Any specification deviation found subsequent to
approval shall be corrected by CONTRACTOR to the satisfaction of Consultant.
[A] Reviewed Work may proceed.
[B] Reviewed Revise and resubmit. Work may proceed subject to incorporation of comments.
[C] Reviewed Objection. Revise and resubmit. Work may not proceed.
[D] Reviewed Rejected.
[E] Reviewed Review not required. Work may proceed.
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