JUBAIL MANAGEMENT PROCEDURE

Royal Commission for Jubail and Yanbu

ATTACHMENT 020102F
Royal Commission in Jubail
29 JUNE 2014

Supplier Approval Request

CONTRACT NO: S.A. NO:

CONTRACT TITLE: CONTRACTOR:

R.C. REPRESENTATIVE: ENGR. ADAM TAYLOR DATE:

PROPOSED SUPPLIER NAME AND ADDRESS:

TYPE OF SOURCE (MARK ONLY ONE):

1. IN-KINGDOM MANUFACTURER 3. IN-KINGDOM DEALER

2. GCC MANUFACTURER 4. OUT-OF-KINGDOM PRODUCT IMPORTED INTO SAUDI ARABIA

PRODUCT MANUFACTURER’S NAME COUNTRY OF MANUFACTURE

REQUIRED DELIVERY DATE:

ATTACHMENTS:

1. SUPPLIER COMMERCIAL REGISTRATION & C.R. CERTIFICATION 4. SPECIFICATION COMPARISON

(ATTACHMENT 020102B)

2. SUPPLIER PRE-QUALIFICATION QUESTIONNAIRE 4A. SPECIFICATION COMPLIANCE STATEMENT

(ATTACHMENT 020102G) (OPTIONAL TO ATTACH 4A)

3. PURCHASE ORDER COPY (INTENT) 5. PRODUCT DATA

6. OTHER

APPROVAL REQUESTED:

ROWAD AL JAZEERA HOLDING Engr. HASAN KHALIL

CO Project Manager
CONTRACTOR NAME & STAMP CONTRACTOR AUTHORIZED REPRESENTATIVE DATE

RECOMMENDATION:

R.C. AUTHORIZED REPRESENTATIVE DATE BID / SUPPLIER EVALUATION DATE

COMMITTEE

JMP-020102 Page 1 of 2 REV-3

 JUBAIL MANAGEMENT PROCEDURE
Royal Commission for Jubail and Yanbu
ATTACHMENT 020102F
Royal Commission in Jubail
29 JUNE 2014

Supplier Approval Request

REQUEST NUMBER CONTRACT NUMBER JCPID-I-2006

FOR ROYAL COMMISSION USE ONLY

TECHNICAL EVALUATION (BY PROJECT FIELD ENGINEER):

SUPPLIER WAS TECHNICALLY EVALUATED: LESS THAN SIX (6) MONTHS MORE THAN SIX (6) MONTHS

ENGINEERING REVIEW FOR THIS DOCUMENT IS: APPROVED DISSAPPROVED

PROJECT FIELD ENGINEER: APPROVED DISSAPPROVED

PROJECTS SUPPORT MANAGER: APPROVED DISSAPPROVED

*IF THE SUPPLIER IS CURRENTLY WORKING WITH THE ROYAL COMMISSION AND HAS BEEN PREVIOUSLY APPROVED WITHIN 6 MONTHS
BY THE DIRECTOR OF CONSTRUCTION, PROJECT FIELD ENGINEER AND TECHNICAL SUPPORT MANAGER, THE SUPPLIER WILL BE
DEEMED PRE-APPROVED

STATUS OF SUPPLIER’S PREVIOUS AND CURRENT PROJECTS:

SATISFACTORY NOT SATISFACTORY

ROYAL COMMISSION APPROVAL

APPROVED DISAPPROVED

DIRECTOR OF ADMINISTERING DATE

DEPARTMENT OR DESIGNEE

JMP-020102 Page 2 of 2 REV-3