Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the key personnels he will employ as the Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 3 contracts
Samples: Routine Maintenance and Spot Improvement Contract, Routine Maintenance and Spot Improvement Contract, Routine Maintenance and Spot Improvement Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… s for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager NAME OF WORKS CONTRACT NAME OF CLIENT VALUE OF WORKS CONTRACT (KSHS) * MONTH & YEAR COMPLETED/ REMARKS WHEN CONTRACT WAS TO BE COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 2 contracts
Samples: Performance Based Contract, Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Site Agent / Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent Conscent to M/sMs… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTIO N OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMME NCEME NT DATE OF COMPL ETION VAL UE COMPLETI ON VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLET ED UP TO DATE % PLANN PHYSICA LLY COMPLET ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 2 contracts
Samples: Performance Based Contract, Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... ........................................................................................................................................................................ 3.......................................................................................................................................................... ........................................................................................................................................................................ 4....................................................................................................................................................... ....................................................................................................................................................................... 5.......................................................................................................................................................... ....................................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder SCHEDULE 2: FORM OF WRITTEN POWER OF ATTORNEY The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. SCHEDULE 3: CERTIFICATE OF BIDDER’S VISIT TO SITE This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the PERFORMANCE BASED CONTRACT FOR THE MAINTENANCE OF BOMAS – KISERIAN (B19) ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g SCHEDULE 4: MAJOR ITEMS OF CONSTRUCTION PLANT AND EQUIPMENT Power Rating Owned/ Leased/ Importe d Sourc e Estimate d Imported Source Estimated CIF Mombas a Mombasa Value (If to be Imported Imported) Capacit y Capacity t or m3 New or Use d Used Year of Manufactu re Manufacture No. of eac h Descriptio n each Description Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 5: KEY PERSONNEL DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Site Agent / Road Manager Site Surveyor Xxxxxxx Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer nameSCHEDULE 6: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.SCHEDULE OF ROADWORKS CARRIED OUT BY THE BIDER IN THE LAST THREE YEARS SCHEDULE 6A: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. COMPLETED WORKS DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified copies of completion certificates. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME SCHEDULE 6B: NON-COMPLETED WORKS BEYOND COMPLETION DATE DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified evidence for executed works for non-copleted projects e.g copy of recent payment certificate. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTION OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE COMPLETION VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED PHYSICALLY COMPLETED UP TO DATE % [As at 31st Decemb er, 2019]Note: 1. Bidders shall attach certified copies of letters of award (for each listed project) and any certified evidence for executed works e.g copy of recent payment certificate.
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Site Agent/Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Agent/Road Manager Signature …………………………………………. Date…of proposed Site Agent/Road Manager………………………………………….. DESCRIPTION …… SCHEDULE 6A: CONTRACTS COMPLETED WITHIN COMPLETION PERIOD NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Yes** No** Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager SCHEDULE 6A: CONTRACTS COMPLETED WITHIN COMPLETION PERIOD NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... ............................................................................................................. 2.......................................................................................................................................................... ............................................................................................................. 3.......................................................................................................................................................... .............................................................................................................. 4....................................................................................................................................................... ............................................................................................................. 5.......................................................................................................................................................... ............................................................................................................ Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. .Date Signature of Bidder ** Tick (√) to agree as necessary (Compulsory) SCHEDULE 2: FORM OF WRITTEN POWER OF ATTORNEY The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. SCHEDULE 3: CERTIFICATE OF BIDDER‟S VISIT TO SITE This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the PERFORMANCE BASED CONTRACT FOR THE MAINTENANCE OF KAKAMEGA - EKERO (B12) ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g SCHEDULE 4: MAJOR ITEMS OF CONSTRUCTION PLANT AND EQUIPMENT Power Rating Owned/ Leased/ Importe d Sourc e Estimate d Imported Source Estimated CIF Mombas a Mombasa Value (If to be Imported Imported) Capacit y Capacity t or m3 New or Use d Used Year of Manufactu re Manufacture No. of eac h Descriptio n each Description Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 5: KEY PERSONNEL DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Site Agent / Road Manager Site Surveyor Xxxxxxx Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor‟s headquarters and other staffs who will from the Contractor‟s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae CVs of the proposed Key Staff must be duly signed by the proposed individualall key staff. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer nameSCHEDULE 6: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.SCHEDULE OF ROADWORKS CARRIED OUT BY THE BIDER IN THE LAST THREE YEARS SCHEDULE 6A: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. COMPLETED WORKS DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified copies of completion certificates. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME SCHEDULE 6B: NON-COMPLETED WORKS BEYOND COMPLETION DATE DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified evidence for executed works for non-copleted projects e.g copy of recent payment certificate. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTION OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE COMPLETION VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED PHYSICALLY COMPLETED UP TO DATE % [As at 31st Decemb er, 2019]Note: 1. Bidders shall attach certified copies of letters of award (for each listed project) and any certified evidence for executed works e.g copy of recent payment certificate.
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the key personnels he will employ as the Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIP TION OF WORKS NA ME OF CLI ENT CLIE NT DATE OF COMMENC EMENT CONT RACT CONTR ACT PERIO D DATE OF COMPL ETION COMPLE TION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PLANNE D PHYSIC AL COMPL ETION COMPLE TION (%) [As at 31st Decembe rDecember , 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb erDecembe r, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager SCHEDULE 6A: CONTRACTS COMPLETED WITHIN COMPLETION PERIOD NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the – BISAN BILIQU (LAISAMIS – KOYA- KOM KWS) (B82) ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the key personnels he will employ as the Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the key personnels he will employ as the Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PLANNE D PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb erDecembe r, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONA LITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager SCHEDULE 6A: CONTRACTS COMPLETED WITHIN COMPLETION PERIOD NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Date of Arrival on Project (Days after commenc e) Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… s for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager NAME OF WORKS CONTRACT NAME OF CLIENT VALUE OF WORKS CONTRACT (KSHS) * MONTH & YEAR COMPLETED/ REMARKS WHEN CONTRACT WAS TO BE COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT CONTYRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key personnels he will employ as the staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause Office Site Agent 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTIO N OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMME NCEME NT DATE OF COMPL ETION VAL UE COMPLETI ON VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLET ED UP TO DATE % PLANN PHYSICA LLY COMPLET ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Site Agent / Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent Conscent to M/sMs… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTIO N OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMME NCEME NT DATE OF COMPL ETION VAL UE COMPLETI ON VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLET ED UP TO DATE % PLANN PHYSICA LLY COMPLET ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... ........................................................................................................................................................................ 3.......................................................................................................................................................... ........................................................................................................................................................................ 4....................................................................................................................................................... ....................................................................................................................................................................... 5.......................................................................................................................................................... ....................................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder SCHEDULE 2: FORM OF WRITTEN POWER OF ATTORNEY The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. SCHEDULE 3: CERTIFICATE OF BIDDER’S VISIT TO SITE This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the PERFORMANCE BASED CONTRACT FOR THE MAINTENANCE OF MTITO ANDEI-TSAVO RIVER (A8)ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g SCHEDULE 4: MAJOR ITEMS OF CONSTRUCTION PLANT AND EQUIPMENT Power Rating Owned/ Leased/ Importe d Sourc e Estimate d Imported Source Estimated CIF Mombas a Mombasa Value (If to be Imported Imported) Capacit y Capacity t or m3 New or Use d Used Year of Manufactu re Manufacture No. of eac h Descriptio n each Description Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 5: KEY PERSONNEL DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Site Agent / Road Manager Site Surveyor Xxxxxxx Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer nameSCHEDULE 6: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.SCHEDULE OF ROADWORKS CARRIED OUT BY THE BIDER IN THE LAST THREE YEARS SCHEDULE 6A: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. COMPLETED WORKS DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified copies of completion certificates. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME SCHEDULE 6B: NON-COMPLETED WORKS BEYOND COMPLETION DATE DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified evidence for executed works for non-copleted projects e.g copy of recent payment certificate. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTION OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE COMPLETION VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED PHYSICALLY COMPLETED UP TO DATE % [As at 31st Decemb er, 2019]Note: 1. Bidders shall attach certified copies of letters of award (for each listed project) and any certified evidence for executed works e.g copy of recent payment certificate.
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... ........................................................................................................................................................................ 3.......................................................................................................................................................... ........................................................................................................................................................................ 4....................................................................................................................................................... ....................................................................................................................................................................... 5.......................................................................................................................................................... ....................................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder SCHEDULE 2: FORM OF WRITTEN POWER OF ATTORNEY The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. SCHEDULE 3: CERTIFICATE OF BIDDER‟S VISIT TO SITE This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the PERFORMANCE BASED CONTRACT FOR THE MAINTENANCE OF SAGANA-MARUA (A2) ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g SCHEDULE 4: MAJOR ITEMS OF CONSTRUCTION PLANT AND EQUIPMENT Power Rating Owned/ Leased/ Importe d Sourc e Estimate d Imported Source Estimated CIF Mombas a Mombasa Value (If to be Imported Imported) Capacit y Capacity t or m3 New or Use d Used Year of Manufactu re Manufacture No. of eac h Descriptio n each Description Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 5: KEY PERSONNEL DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Site Agent / Road Manager Site Surveyor Xxxxxxx Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor‟s headquarters and other staffs who will from the Contractor‟s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer nameSCHEDULE 6: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.SCHEDULE OF ROADWORKS CARRIED OUT BY THE BIDER IN THE LAST THREE YEARS SCHEDULE 6A: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. COMPLETED WORKS DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified copies of completion certificates. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME SCHEDULE 6B: NON-COMPLETED WORKS BEYOND COMPLETION DATE DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS Note: Bidders shall attach certified copies of letters of award (for each listed project), certified evidence for executed works for non-copleted projects e.g copy of recent payment certificate. I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTION OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE COMPLETION VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED PHYSICALLY COMPLETED UP TO DATE % [As at 31st Decemb er, 2019]Note: 1. Bidders shall attach certified copies of letters of award (for each listed project) and any certified evidence for executed works e.g copy of recent payment certificate.
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key personnels he will employ as the staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause Office Road Manager 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager SCHEDULE 6A: CONTRACTS COMPLETED WITHIN COMPLETION PERIOD NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTIO N OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMME NCEME NT DATE OF COMPL ETION VAL UE COMPLETI ON VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLET ED UP TO DATE % PLANN PHYSICA LLY COMPLET ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the ROUTINE MAINTENANCE AND SPOT IMPROVEMENT CONTRACT FOR MAGADI EXIT GATE (WEST) – OLOIBORTO (CB NAROK) (B19) ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t Capac ity tons or m3 New or Use d Year of Manufactu re Manufac ture No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key personnels he will employ as the staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause Office Site Agent 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PLANNE D PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb erDecembe r, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Date of Arrival on Project (Days after commenc e) Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… s for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager NAME OF WORKS CONTRACT NAME OF CLIENT VALUE OF WORKS CONTRACT (KSHS) * MONTH & YEAR COMPLETED/ REMARKS WHEN CONTRACT WAS TO BE COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Date of Arrival on Project (Days after commencing ) Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Sour ce Estimate d CIF Mombas a Value (If to be Imported Importe d) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Descripti on Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager NAME OF WORKS CONTRACT NAME OF CLIENT VALUE OF WORKS CONTRACT (KSHS) * MONTH & YEAR COMPLETED/ REMARKS WHEN CONTRACT WAS TO BE COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019])
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Site Agent / Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/sMs… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTIO N OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMME NCEME NT DATE OF COMPL ETION VAL UE COMPLETI ON VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLET ED UP TO DATE % PLANN PHYSICA LLY COMPLET ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. Road Manager DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WORKS WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT COMMEN CEMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe rDecemb er, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the – KALACHA – XX XXXXXXX (KALACHA – JN MAIKONA) (B75) ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the key personnels he will employ as the Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTIO N OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMME NCEME NT DATE OF COMPL ETION VAL UE COMPLETI ON VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLET ED UP TO DATE % PLANN PHYSICA LLY COMPLET ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Site Agent/Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Agent/Road Manager Signature …………………………………………. Date…of proposed Site Agent/Road Manager………………………………………….. DESCRIPTION …… SCHEDULE 6A: CONTRACTS COMPLETED WITHIN COMPLETION PERIOD NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT CONTRAC T VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key personnels he will employ as the staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause Office Site Agent 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PLANNE D PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb erDecembe r, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the – XXXXX XXXXXXXX – MARSABIT (XXXX XXXXX – KM 72)(B81) ROAD held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the key personnels he will employ as the Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager NAME OF WORKS CONTRACT NAME OF CLIENT VALUE OF WORKS CONTRACT (KSHS) * MONTH & YEAR COMPLETED/ REMARKS WHEN CONTRACT WAS TO BE COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... ............................................................................................................. 2.......................................................................................................................................................... ............................................................................................................. 3.......................................................................................................................................................... .............................................................................................................. 4....................................................................................................................................................... ............................................................................................................. 5.......................................................................................................................................................... ............................................................................................................ Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (Signature of Biddergive designation) Qualifications General Experience (DateYrs.) Note: The Bidder shall list in this schedule the key personnels he will employ as the Specific Experience (Yrs.) Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Office Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. Agent Site Surveyor Xxxxxxx I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019].
Appears in 1 contract
Samples: Framework Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re Manufac ture No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Site Agent Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Site Agent / Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent Conscent to M/s… Ms for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIP TION OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMME NCEME NT DATE OF COMPL ETION VAL UE COMPLETI ON VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLET ED UP TO DATE % PLANN PHYSICA LLY COMPLET ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 21.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- 1(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………2010………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Note: The Bidder shall list in this schedule the key personnels he will employ as the Site agent and other staffs who will execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 15.1 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site Agent. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. Mobile………………………………………….. Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Yes** No** Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Date of Arrival on Project (Days after commenc e) Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Site Agent / Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach certified copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) The CV’s (or resumes) for the proposed key personnel are presented informant indicated belowThe proposed staff MUST give consent by appending his/her signature Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... Of EBK Registration No.: …………………... and IEK Membership No.: ………………………….. Give Consent consent to M/s… Ms for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION DESCRIPTION OF WORKS NA ME NAME OF CLI ENT CLIENT DATE OF COMMENC EMENT CONT RACT PERIO D COMMENCEMENT DATE OF COMPL ETION VAL UE COMPLETION VALUE OF WO RKS WORKS (KS HSKSHS) VALUE COMPL ETED COMPLETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED PHYSICALLY COMPLETED UP TO DATE % [As at 31st Decemb er, 2019]%
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALITY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualifications General Experience (Yrs) Specific Experience (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager SCHEDULE 6A: CONTRACTS COMPLETED WITHIN COMPLETION PERIOD NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening SCHEDULE 6B: CONTRACTS NOT COMPLETED WITHIN COMPLETION PERIOD NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. DESCRIPTION Road Manager NAME OF WORKS CONTRACT NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME OF CONTRACT NAME OF CLIENT CONTRACT VALUE (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
Appears in 1 contract
Samples: Performance Based Contract
Issued Kshs. Give details of all directors as follows: Name Nationality Citizenship Details* Shares 1.......................................................................................................................................................... 2.......................................................................................................................................................... 3.......................................................................................................................................................... 4....................................................................................................................................................... 5.......................................................................................................................................................... Part 2(d)- Interest in the Firm: Is there any person / persons in the Kenya National Highways Authority (KeNHA), who has interest in this firm? Yes** No** .............................. .............................................................. ** Tick (√) to agree as necessary (Compulsory) .Date Signature of Bidder The Bidder shall state here below the name(s) and address of his representative(s) who is/are authorized to sign the document and receive on his behalf correspondence in connection with the Bid. ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) Alternate: ………………………………………………………….. (Name of Xxxxxx's Representative in block letters) ………………………………………………………….. (Address of Bidder's Representative) ………………………………………………………….. (Signature of Bidder's Representative) *To be filled by all Bidders. *Both representative and alternate must attach copy of National Identification card or Passport. This is to certify that [Name/s]…………………………………………………………………………………… …………………………………………………………………. Being the authorized representative/Agent of [Name of bidder] ………………………………………………………………………………………………… ………………………………………………………………………………………………… participated in the organised inspection visit of the site of the works for the held on………………………..day of……………………………20………………………. Signed………………………………………………………………………………………….. ……………………………………………………………………………….………………… ……………………………………… ………………………………….. Xxxx r Ratin g Owned/ Leased/ Importe d Sourc e Estimate d CIF Mombas a Value (If to be Imported ) Capacit y t or m3 New or Use d Year of Manufactu re No. of eac h Descriptio n Type, Model, Make The Bidder shall enter in this schedule all major items of plant and equipment which he proposes to bring to site. Only reliable plant in good working order and suitable for the work required of it shall be shown on this Schedule. Summary of the same shall be entered in Section 5: Qualification Criteria, Part 7. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) DESIGNATION NAME NATIONALI TY SUMMARY OF QUALIFICATIONS AND EXPERIENCE Headquarters Partner/Director or other key staff (give designation) Qualification s General Experienc e (Yrs) Specific Experienc e (Yrs) Site Office Road Manager Note: The Bidder shall list in this schedule the key personnels personnel he will employ as from the Site agent Contractor’s headquarters and other staffs who will from the Contractor’s site office to direct and execute the work together with their qualifications, experience, position held and nationality in accordance with Clause 15.2 and 16.3 of the Conditions of Contract Part II (where required, use separate sheets to add extra data for column 4). Bidders shall attach copies of academic certificates, and CV for the Proposed Site AgentCVs of all key staff. Curriculum Vitae of the proposed Key Staff must be duly signed by the proposed individual. I certify that the above information is correct. ………………………… ……………………… (Signature of Bidder) (Date) The CV’s (or resumes) for the proposed key personnel are presented informant indicated belowThe proposed staff MUST give consent by appending his/her signature Tenderer name: Position Personnel information Name Date of birth Current Work load Summarize the current work load. Indicate particular (if any) the projects the staff is involved I……………………………………………………. ID No ………………………………………….. . Mobile………………………………………….. …… Email……………………………………….……... .. Of EBK Registration No.: …………………... .. and IEK Membership No.: ………………………….. …… Give Consent to M/s… for the proposed position of Site Agent Signature …………………………………………. Date…………………………………………….. Road Manager SCHEDULE 6A: COMPLETED WORKS DESCRIPTION OF WORKS NAME OF CLIENT VALUE OF WORKS (KSHS) * MONTH & YEAR COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) * Value in KShs using Central Bank of Kenya mean exchange rate at a reference date 7 days before date of BID opening NAME SCHEDULE 6B: NON-COMPLETED WORKS BEYOND COMPLETION DATE DESCRIPTION OF CONTRACT WORKS NAME OF CLIENT CONTRACT VALUE OF WORKS (KSHS) * MONTH & YEAR WHEN CONTRACT WAS TO BE COMPLETED MONTH & YEAR WHEN CONTRACT WAS COMPLETED COMPLETED/ REMARKS I certify that the above works were successfully carried out by this Bidder. ………………………… ……………………… (Signature of Bidder) (Date) SCHEDULE 7: SCHEDULE OF ONGOING PROJECTS DESCRI PTION OF WORKS NA ME OF CLI ENT DATE OF COMMENC EMENT CONT RACT PERIO D DATE OF COMPL ETION VAL UE OF WO RKS (KS HS) VALUE COMPL ETED UP TO DATE % PLANN ED PHYSIC AL COMPL ETION (%) [As at 31st Decembe r, 2019] ACTUA L PHYSIC ALLY COMPL ETED UP TO DATE % [As at 31st Decemb er, 2019]
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Samples: Performance Based Contract
