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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

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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.