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7/26/2019 Annex 26
1/2
Sample Pre-qualification Evaluation Form
[Name of Building]
Provision of [Type of Service]
Pre-qualification / Preliminary Assessment of Tenderers
Assessment Criteria1 Name of Tenderers
A B C D E F G
(a) Limited company Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
(b) Years of providing similar
service
(c) Management structure
(d) No. of professional staff2
(e) No. of staff
(f) Financial capital
(g) Number of similar projects
undertaken
(h) Quality Assurance
Certification
(e.g.: ISO 9001)
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
(i) Reference documents3:
- Third party risks
insuranceYes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
- Experience and clientsreference
Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
- Business Registration
CertificateYes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
- Audited account Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
(j) Company code of conduct Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
(k) Litigations involved Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No Yes / No
7/26/2019 Annex 26
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Recommendation
The following contractors are recommended for inclusion in the shortlist of tenderers:
{List of Contractors}
Signature:
Name and Post of Assessment Panel Members :
Date:
Notes:
1. The evaluation criteria should correspond to the required information as indicated in the invitation for expression of interest (i.e. pre-qualification ofcontractors).
2. For pre-qualifying tenderers for bidding the contract for Manager service.
3. Assessment Panel Members should give justifications for accepting proposals that do not include information to support the claims.
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