Non-GBS Specialized Scaffolding Prequal Questionnaire1

Qualification Questionnaire

“Non-GBS “Non-GBS Specialized Scaffolding Contractors”

Contractors are cautioned to read each question carefully. Some of the questions questions may contain several several parts and therefore, require several responses. The questions must be answered in the same order as asked, using the enclosed forms where applicable. Failure to provide any of the requested information, information, or providing the information in a format other than directed, may result in your Qualification Questionnaire not being evaluated. Please be advised that all information provided herein is is subject to verification. Also, contractors are advised to ensure that all information information submitted is accurate and does not include any misrepresentation of contractor qualifications. Such situation can have a serious negative impact on contractor’s chances of being considered considered for future SAUDI ARAMCO work in general.

Qualification Questionnaire For “ Non-GBS Specialized Specialized Scaffolding Contractors” Contractors” Note: Per GI 8.001, 8.001 , para. 3.3, only “Specialized Scaffolding Contractors” are permitted to design and erect “special scaffolds” and and scaffolds over 12.2 meters (40 ft.) tall. “Specialized Scaffolding Contractors” may be on the SAUDI ARAMCO General Bid Slate (GBS) for Scaffolding Services if they offer scaffolding services to others (“ ( “GBS Specialized Scaffolding Contractors” Contractors”), or not on on the GBS if they do not offer offer scaffolding services to others (“ (“ Non-GBS Specialized Specialized Scaffolding Contractors” Contractors”). This questionnaire must be completed by those SAUDI ARAMCO contractors who: (1) are seeking seeking to qualify as a “ Non-GBS Specialized Specialized Scaffolding Contractor” for Contractor” for the purposes of GI 8.001, (2) do not want to offer scaffolding services to others, and (3) have a separate scaffolding division/unit. Qualified “ NonGBS Specialized Scaffolding Contractors” (not on the General Bid Slate) are permitted to design and erect “special scaffolds” and scaffolds over 12.2 meters (40 ft.) tall for their own use only, using their own personnel and materials. Date Submitted:

_____________________________________________________ _________________________ _____________________________ _

Contractor's Name:

_____________________________________________________ _________________________ _____________________________ _

Nasser S. Al-Hajri Corporation

_____________________________________________________ _________________________ _____________________________ _ Contractor's Address:

495 P.O. Box _____________________________________________________ _________________________ _____________________________ _ Dhahran Airport 31932 ____________________________________________________ ________________________ ______________________________ __ Saudi Arabia

_____________________________________________________ _________________________ _____________________________ _

_____________________________________________________ _________________________ _____________________________ _ Name of Representative: Title of Representative: Representative's Phone Number: Representative's Fax Number: Representative's Email Address: SAUDI ARAMCO Contractor #: * Commercial Registration #:

Mr. Unni Krishnan Business Director _____________________________________________________ _________________________ +966 53 67 4444 ______________________________ _____________________________________________________ _________________________ +966 38 14 4441 ______________________________ [email protected] _____________________________________________________ _________________________ _____________________________ _ 19882 _____________________________________________________ _________________________ _____________________________ _ CR # 2060006231 _____________________________________________________ _________________________ _____________________________ _

Qualification Questionnaire 1.0 1.1

“ Non-GBS Specialized Scaffolding Contractor”

WORK EXPERIENCE (EXHIBIT “A1”) (EXHIBIT “A2”) SCAFFOLD PLAN REVIEW & EVALUATION

(EXHIBIT “A1”)

On Exhibit Form “A1”, provide at least TWO (2) scaffold plans, including drawings and structural calculations, for EACH of the following 5 types of scaffolds (submit at least 10 scaffold plans): 1. Birdcage Scaffolds over 12.2 meters (40 feet) tall 2. Independent Run Scaffolds over 12.2 meters (40 feet) tall 2

2

3. Underhung Scaffolds over 30 m (320 ft ) total platform area 4. Scaffolds over 38 meters (125 feet) tall for a slender vessel or stack 5. Other Types of Special Scaffolds (see GI 8.001 for definition of Special Scaffold). All 10 scaffold plans must be either actual scaffold plans from your past contracts with an oil/gas, chemical, or other industrial company (within Saudi Arabia), or your own unique sample scaffold plans that have been locally prepared specifically for this evaluation. All (actual or sample) scaffold plans shall demonstrate your company’s current design and engineering capabilities (have been prepared by currently available in-house and/or contracted personnel that your company will use for future jobs) and shall have been completed within the past 12 months. All drawings and structural calculations shall be prepared (or reviewed and approved/signed) by structural engineer(s) employed by a Saudi Aramco approved General Engineering Services (GES) consultant. Scaffold plans shall be complete ( submit signed SA Form 9613 “Scaffold Plan Completeness Checklist” with each plan ) and include structural calculations and drawings (on at least size “C” paper - 14 x 20 inches). Submit two (2) paper hardcopies of each scaffold plan (drawings and calculations) and all other required documentation (Exhibits). Each scaffold plan and Exhibit shall also be submitted as a “PDF” file on a CD-ROM. All scaffold plans and Exhibits shall be clearly organized and labeled. Scaffold plans shall be in full accordance with the requirements of the latest revision of the SAUDI ARAMCO Scaffold Safety Handbook (SSH), including the latest version of Addendum #2. 1.2

PREVIOUS APPLICABLE SCAFFOLDING WORK EXPERIENCE

(EXHIBIT “A2”)

On Exhibit Form “A2”, provide contractual information for your company’s last four (4) completed contracts that included “Applicable Contract Work,” within the past 5 years, preferably with an oil/gas, chemical, or other industrial company. “Applicable Contract Work” is defined as design, erection, inspection, and dismantling of Special Scaffolds (as defined in GI 8.001) and/or scaffolds over 12.2 meters (40 feet) tall.

The “Applicable Contract Work” must be described in detail, including scope and monetary value of “Applicable Contract Work ,” contract date, size and type of scaffolds erected, design criteria, quantity and type of materials used, inspection and tagging requirements, etc. These contracts, awarded to your company as a primary contractor or subcontractor, shall include “Applicable Contract Work” as part of the work scope. December 6, 2010

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The following types of previous contracts may be submitted, in decreasing order of preference: 1. Contracts with SAUDI ARAMCO. 2. Contracts inside the Kingdom of Saudi Arabia, but for oil/gas, chemical or other industrial companies other than SAUDI ARAMCO. 3. Contracts for oil/gas, chemical or other industrial companies outside the Kingdom of Saudi Arabia. 4. Other types of contracts. Contractors shall complete all the applicable information requested under Exhibit Form "A2". Use a separate sheet for each contract (4 min.).

2.0

2.1

HUMAN RESOURCES (EXHIBIT "B1") / (EXHIBIT "B2") / (EXHIBIT "B3")

COMPANY ORGANIZATION / MANAGEMENT (EXHIBIT "B1") On Exhibit Form "B1", provide an Organization Chart (in hierarchical management format) that as a minimum: (a) identifies the various functional departments within your company, (b) provides the names of personnel currently holding positions from department through executive management, (c) designates key scaffolding personnel, and (d) delineates reporting lines of authority and their responsibilities. The Organization Chart must designate a single division/unit that is responsible for all of your company’s scaffolding work , show a direct line of authority from that division/unit head (provide his name) to senior management, and show the interaction between this individual and the key personnel identified Paragraph 2.2 b elow.

2.2

KEY PERSONNEL (EXHIBIT "B2") Under Exhibit Form "B2", provide the required number of resumes for each key position listed below: 

Contract Manager (at least 1 each)



Structural Engineers (at least 2 each)



SAUDI ARAMCO Certified Scaffold Inspectors (at least 4 each)



SAUDI ARAMCO Certified Scaffold Supervisors I (at least 8 each)

Each of these key personnel must be available for work on SAUDI ARAMCO contracts. Resumes must show educational background, as well as the number of years of work experience (preferably more than 5 years) and locations for all scaffold-related positions held to -date. A total of at least fifteen (15) resumes shall be provided as required. Resumes for positions not requested by this Pre-qualification Questionnaire will not be given consideration. Please note that some of the key personnel identified above may be referred to by several different titles within the business community. In order to receive credit, be sure that your resumes clearly identify the candidates by the positions requested under this Pre-qualification Questionnaire. Provide evidence that your Organization currently and directly employs an adequate number of Scaffold Supervisors I and Inspectors that are certified by SAUDI ARAMCO in accordance with GI 8.001 (see minimum numbers stated above). Submit photocopies of the front and back of their SAUDI ARAMCO Scaffold Supervisor I or Inspector certification ID cards. December 6, 2010

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In addition to submittal of resumes, the PET may interview each of your Organization’s Structural Engineers (2 min.) who are available for work on SAUDI ARAMCO contracts, to verify whether they have sufficient knowledge and experience for the design of Special Scaffolds (as defined in GI 8.001). Please ensure current telephone numbers are provided so interviews can be arranged. 2.3

MANPOWER RESOURCES (EXHIBIT "B3") On Exhibit Form “B3”, provide the total number of personnel from your scaffolding division/unit in each skill level classification that are or can be made available for work on SAUDI ARAMCO contracts. Of this total, indicate how many are currently in-Kingdom (Saudi Arabia) and how many of these are currently working full-time on other contracts. Also, provide estimated number of personnel available (per year) for the next 4 years. The Contractor shall presently employ, or demonstrate the capacity to employ, a large enough scaffolding workforce with the required experience and capability to perform the work as required by SAUDI ARAMCO.

3.0

EQUIPMENT AND MATERIALS (Exhibit Form "C")

Complete Exhibit Form “C.” While not preferred, photographs or other documentation may be submitted (preferably on CD-ROM), in lieu of actual samples of your scaffolding materials, whenever requested. Also, provide written proof of the quantities and material specifications of all scaffold materials available for use within SAUDI ARAMCO that are currently in your company’s inventory (i.e., copies of actual Purchase Orders, Invoices, Bill of Lading, etc). 3.1

Submit at least five (5) recent (within the last 2 years) scaffold tubing test reports (that include yield strength, tensile strength, wall thickness, etc.) from BOTH the pipe manufacturer and an independent mechanical testing laboratory for tube and coupler scaffold tubing and for each type of system scaffold tubing to be used within SAUDI ARAMCO. Refer to SAUDI ARAMCO Scaffold Safety Handbook (paragraph 9.7.2) for material and testing requirements.

3.2

Submit at least two (2) 1-foot long samples of “embossed” scaffold tubing from the inventory of scaffold materials to be used. Refer to SAUDI ARAMCO Scaffold Safety Handbook (paragraph 9.7.2) for embossing requirements.

3.3

Submit at least two (2) sample right-angle (load bearing) scaffold couplers and at least two (2) recent coupler test reports from an independent mechanical testing party showing the coupler’s Safe Working Load (SWL) and that it meets coupler specifications and materials. Refer to SAUDI ARAMCO Scaffold Safety Handbook (esp. paragraph 9.7.2) for coupler requirements including the specified markings on each coupler.

3.4

Submit one (1) sample of each type of miscellaneous scaffold accessories, such as ladder & toeboard clamps, screwjacks, etc., to be used within S AUDI ARAMCO.

3.5

Submit one (1) sample of each system scaffolding component (standard, ledger, transom, intermediate transom, etc.) to be used within SAUDI ARAMCO.

3.6

Submit at least two (2) copies of manufacturer’s technical data, test reports, and one (1) 1-foot long sample of each type of scaffold platform unit (solid sawn wood plank, laminated veneer lumber plank, fabricated plank, etc.) to be used within SAUDI ARAMCO. Refer to SAUDI ARAMCO Scaffold Safety Handbook (esp. Paragraph 9.7.3) for platform unit requirements including the specified visible markings on planks. December 6, 2010 Page 4 of 13

Qualification Questionnaire 3.7

4.0


Submit at least two (2) copies of manufacturer’s technical data and one (1) product sample of each of the personal fall arrest system (PFAS) components (full-body harness, shock-absorbing lanyard, self-retracting lifeline, etc.) to be used within SAUDI ARAMCO. Refer to SAUDI ARAMCO Scaffold Safety Handbook and Construction Safety Manual for PFAS requirements (including being labeled as meeting ANSI Z359.1 or equivalent standards).

SAFETY RECORDS AND PROGRAM (Exhibit Form “D”)

Note: Exhibit Form “D” has been deleted from this technical evaluation since a separate pass/fail safety evaluation is now performed as per the Saudi Aramco Safety Management Guide for Contractor Pre-Qualification Safety Evaluation.

5.0

QUALITY ASSURANCE / QUALITY CONTROL (Exhibit Form “E”)

5.1

Submit evidence and documentation of your organization’s established scaffold training program for scaffold supervisors, inspectors, and craftsmen (“scaffolders”), including numbers of personnel who have recently completed this training. This training program can include use of recognized outside training agencies.

5.2

Submit evidence (photocopies of scaffold tags, tagging procedure, etc.) that your organization has past experiences using a Scaffold Tagging System (preferably SAUDI ARAMCO’s).

5.3

Submit at least one (1) actual Hazard Identification Plan (HIP) for scaffold erection, alteration, and dismantling (including PPE and hand tools to be used).

5.4

Submit written guidelines for documenting and communicating to SAUDI ARAMCO representative any temporary manpower, transportation, or material shortages that could delay the work.

5.5

Submit written plans for rectifying any temporary manpower, transportation, or material shortages that are highlighted by SAUDI ARAMCO representative.

5.6

Submit evidence (i.e., copies of historical records of quality checks) that your organization regularly conducts Internal Quality Assessment (QA) of scaffolding materials and has actually repaired or removed deficient materials from service.

December 6, 2010

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“ Non-GBS Specialized Scaffolding Contractor” EXHIBIT FORM "A1"

SCAFFOLD PLANS AND DRAWINGS INCLUDING CALCULATIONS

(drawings on at least size “C” paper)

Birdcage Scaffolds over 12.2 meters (40 feet) tall (Note: indicate check mark [√] below, if the complete scaffold plan and calculations are attached) Plan 1

Calculations 1

Plan 2

Calculations 2

Additional Information

Independent Run (Façade) Scaffolds over 12.2 meters (40 feet) tall (Note: indicate check mark [√] below, if the complete scaffold plan and calculations are attached) Plan 1

Calculations 1

Plan 2

Calculations 2


Underhung Scaffolds over 30 m 2 (320 ft2) total platform area (Note: indicate check mark [√] below, if the complete scaffold plan and calculations are attached) Plan 1

Calculations 1

Plan 2

Calculations 2


Scaffolds over 38 meters (125 feet) tall for a slender vessel or stack (Note: indicate check mark [√] b elow, if the complete scaffold plan and calculations are attached) Plan 1

Calculations 1

Plan 2

Calculations 2


Other Types of Special Scaffolds (see GI 8.001 for definition of Special Scaffold) (Note: indicate check mark [√] below, if the complete scaffold plan and calculations are attached) Plan 1

December 6, 2010

Calculations 1

Plan 2

Calculations 2


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“ Non-GBS Specialized Scaffolding Contractor” EXHIBIT FORM "A2"

CONTRACTOR “APPLICABLE CONTRACT WORK” CONTRACTS (Copy this form as necessary and use a separate sheet for each contract.)

Client's Company Name:

Client's Company Address:

Name of Client's Representative:

Client’s Representative's Phone No.: Client’s Representative's Fax No.: Client’s Representative's Email Address: Contract No.:

Contract Title:

Were you the Prime Contractor or a Subcontractor? Date Awarded:

Scheduled Completion Date:

If currently in progress, estimated: Completion Date:

Date Completed:

___________

Current % Complete: ___

%

Describe the contract's “Applicable Contract Work :” Description must include scope of work, size and type of scaffolds erected, design criteria, quantity and type of materials used, inspection and tagging requirements, etc. for Special Scaffolds (per GI 8.001) and/or scaffolds over 12.2 m (40 ft) tall.

December 6, 2010

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“ Non-GBS Specialized Scaffolding Contractor” EXHIBIT FORM "B1"

COMPANY ORGANIZATION / MANAGEMENT ORGANIZATION CHART (in hierarchical management format)

December 6, 2010

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“ Non-GBS Specialized Scaffolding Contractor” EXHIBIT FORM "B2" RESUMES OF KEY PERSONNEL PERSONAL DATA

Name:

Nationality:

Job Title:

Years with the company:

Current Location:

Contact Phone #: EDUCATION

Name & Location of School

Type & Date of Degree / Certification

Technical School: Undergraduate College:

___________________

Graduate College: WORK EXPERIENCE (BEGIN WITH MOST R ECENT)

Company:

From:

To:

From:

To:

From:

To:

Location: Position Held: Brief Description of Responsibilities:

Company: Location: Position Held: Brief Description of Responsibilities:

Company: Location: Position Held: Brief Description of Responsibilities:

December 6, 2010

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EXHIBIT FORM "B3"

NUMBER OF PERSONNEL AVAILABLE FOR EACH SKILL LEVEL

Skill Level "Engineers"

Number Employed

Currently In-Kingdom (IK)

Currently Assigned To IK Projects and Contracts

Estimated # (per year) Available for Years 2004 thru 2007

Currently In-Kingdom (IK)

Currently Assigned To IK Projects and Contracts

Estimated # (per year) Available for Years 2004 thru 2007

Contract Manager Structural Design Engineers QA/QC and Safety Engineers

Skill Level "Craftsmen"

Number Employed

Certified Scaffold Supervisors I* Non-Certified Scaffold Supervisors Certified Scaffold Inspectors * Non-Certified Scaffold Inspectors Scaffold Craftsmen * Must be Certified by SAUDI ARAMCO. Attach copies of all SAUDI ARAMCO certificates.

The contractor shall presently employ, or demonstrate the capacity to employ, a workforce with the required capabilities to perform the “Applicable Contract W ork” as required by SAUDI ARAMCO.

December 6, 2010

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“ Non-GBS Specialized Scaffolding Contractor” EXHIBIT FORM "C"

SCAFFOLDING MATERIALS QUESTIONNAIRE

For the following questions, answer the question by checking (√) either “Yes” or “No”. Then, indicate with a check mark (√) i f the requested information or samples are attached. Do not leave any question unanswered. #

REQUIREMENT

Yes

No

Mark [√]

Do your Company’s scaffold tubing specifications and materials meet the 1

2

requirements of SAUDI ARAMCO Scaffold Safety Handbook ? Submit at least five (5) recent scaffold tubing test reports (that include yield strength, tensile strength, wall thickness, etc) from BOTH the pipe manufacturer and independent mechanical testing for tube & coupler scaffold tubing and for each type of system scaffold tubing your Company uses. Provide proof of total quantity of acceptable tube & coupler scaffold tubing available for use within SAUDI ARAMCO. Does your Company use “embossed” scaffold tubing meeting the requirements of SAUDI ARAMCO Scaffold Safety Handbook ? Submit at least two (2) 1-foot long samples of your embossed scaffold tubing. Provide proof of total quantity of embossed tube & coupler scaffold tubing available for use within SAUDI ARAMCO.

Do your Company’s scaffold coupler specifications and materials meet SAUDI 3

4

ARAMCO Scaffold Safety Handbook requirements, including the specified markings on every coupler? Submit at least two (2) right-angle (load bearing) couplers and at least two (2) recent coupler test reports showing Safe Working Loads (SWL), other test findings, etc. (Two separate independent Test Labs to be used). Provide proof of total quantity of acceptable scaffold couplers available for use within SAUDI ARAMCO.

Do your Company’s miscellaneous scaffold accessories (ladder & toeboard clamps, screwjacks, etc.) meet SAUDI ARAMCO Scaffold Safety Handbook requirements? Submit at least one (1) sample of each scaffold accessory.

Do your Company’s system scaffolding (e.g., cup-locking, captive wedge, rosette) 5

components (standards, ledgers, transoms, intermediate t ransoms, etc.) conform to the requirements of SAUDI ARAMCO’s Scaffold Safety Handbook (including markings)? Submit at least one (1) sample of each system scaffold component. Provide proof of type(s) and quantities of system scaffolding available for use within SAUDI ARAMCO.

Do your Company’s scaffold individual platform units (solid sawn wood planks, 6

laminated veneer lumber planks, fabricated metal planks, etc.) conform to the requirements of SAUDI ARAMCO ’s Scaffold Safety Handbook , including markings?

Submit at least two (2) copies of manufacturer’s technical data, test reports, and one (1) 1-foot long sample of each type of scaffold platform unit used by your Company. Provide proof of total quantity of acceptable scaffold platform units available for use within SAUDI ARAMCO (SA).

Do your Company’s personal fall arrest system ( PFAS) components (full-body 7

harnesses, shock-absorbing lanyards, self-retracting lifelines, etc.) meet the requirements of SAUDI ARAMCO Scaffold Safety Handbook and Construction Safety Manual (CSM), including being labeled as meeting ANSI Z359.1 or equivalent standards (5,000 lb. capacity)? Submit at least two (2) copies of manufacturer’s technical data and one (1) product sample of each of the personal fall arrest system (PFAS) components. Provide proof of total quantity of acceptable PFAS components available for use within SA.

December 6, 2010

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“ Non-GBS Specialized Scaffolding Contractor” EXHIBIT FORM "D" SAFETY

DELETED

December 6, 2010

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“ Non-GBS Specialized Scaffolding Contractor” EXHIBIT FORM "E"

QUALITY ASSURANCE / QUALITY CONTROL QUESTIONNAIRE

Answer the question by checking (√) either “Yes” or “No”. Then, indicate with a check mark (√) if the requested information is attached. Do not leave any question unanswered. No. 1

2

3

REQUIREMENTS

No

Mark [√]

Does your organization have an established Scaffold Training Program for your scaffold supervisors, inspectors, and craftsmen? Submit documentation. Does your organization have experience with a Scaffold Tagging System (preferably SAUDI ARAMCO ’s)? Submit evidence that a scaffold tagging system was used. Does your organization use a Hazard Identification Plan (HIP) for scaffold erection, alteration, and dismantling (including PPE and hand tools to be used)? Submit evidence or photocopies of past HIPs.

4

Does your organization have written guidelines to document and communicate to SAUDI ARAMCO representative any temporary manpower, transportation, or material shortages that could delay the work? Submit copy of written guidelines.

5

Does your organization have written plans for rectifying any temporary manpower, transportation, or material shortages, which are highlighted by SAUDI ARAMCO representative? Submit copy of written plans.

6

Yes

Does your organization conduct Regular Internal Quality Assessment (QA) of scaffolding materials and components and remove deficient materials and components from service? Submit records that continuous quality checks of materials are done and substandard materials and components have actually been repaired or discarded.

December 6, 2010

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Non-GBS Specialized Scaffolding Prequal Questionnaire1

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