SRC Application Form-CT40005671

NAME OF APPLICANT:
SPECIALLY REGISTERED CONTRACTOR (SRC)

APPLICATION FORM
AN APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR
FOR
THE PROVISION OF 6.6KV MOTOR CURRENT & VIBRATION ANALYSIS AT TUAS

POWER STATION FOR A PERIOD OF THREE (3) YEARS
(CT NO. 40005671)
SRC Application Closing Date & Time: 6 February 2015 (Friday) at 11.00 am.
SRC Application
CT NO. 40005671
Page 1 of 13
SRC APPLICATION FORM

TENDER FOR THE PROVISION OF 6.6KV MOTOR CURRENT & VIBRATION
ANALYSIS AT TUAS POWER STATION FOR A PERIOD OF THREE (3) YEARS
(CT NO. 40005671)
CONDITIONS FOR APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR

1.
For application to be a Specially Registered Contractor (SRC), please complete two (2)
sets of application forms in the attached format and return both sets by hand to Tuas
Power Station, 60 Tuas South Avenue 9, Singapore 637607 by 6 February 2015
(Friday) not later than 11.00am.
2.
Application forms received by post, by facsimile, or after stipulated date & time or
submitted elsewhere will not be considered.
3.
The applicants are required to submit sufficiently detailed information to convince Tuas
Power Generation Pte. Ltd. (hereinafter referred to as "the Company") that the firms
applying for special registration have similar experience in undertaking the technical,
administrative and financial aspects of projects, assignments and/or contracts of a
similar nature and size.
4.
All instructions contained herein shall be strictly followed. Application form which is not
duly completed may affect the firm's application to be a Specially Registered
Contractor.
5.
No claim for any expenses incurred in this application will be entertained by the
Company.
6.
All successful applicants will be notified in writing of the outcome of this exercise and
will be invited to purchase the Tender Documents after the site-showround, if any.
7.
No appeal by the unsuccessful applicants will be entertained.
8.
For further query/clarification pertaining to the Specially Registered Contractor (SRC)

application, please contact Mr. Muhamad Bin Kasman, Executive Engineer (Elect Dept)
at Tel No. (65) 6868 6132 or Fax No. (65) 6868 6193.
SRC Application
CT NO. 40005671
Page 2 of 13
Date:
To:
TUAS POWER GENERATION PTE. LTD.

60 Tuas South Avenue 9,
Singapore 637607
Attention: Mr. Muhamad Bin Kasman, Executive Engineer

Dear Sir/Madam,
APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR WITH TUAS POWER
GENERATION PTE. LTD.
TENDER FOR
DATE OF TENDER
INVITATION
THE PROVISION OF 6.6KV MOTOR CURRENT &

VIBRATION ANALYSIS AT TUAS POWER STATION FOR
A PERIOD OF THREE (3) YEARS (CT NO. 40005671)
:
30 January 2015
THE PARTICULARS OF MY/OUR COMPANY/FIRM ARE AS FOLLOWS:

A.
BUSINESS DETAILS OF THE APPLICANT

(List out hereunder and if necessary continue on a separate sheet of paper to be
marked as Appendix A.)
1.
FULL BUSINESS NAME
2.
FULL REGISTERED
ADDRESS OF BUSINESS
3.
TELEPHONE NO.
4.
FAX NO.
5.
E-MAIL ADDRESS
6.
PERSON TO
CONTACT/DESIGNATION
BCAS WORK HEAD /
FINANCIAL GRADE
and/or
7.
GOVERNMENT SUPPLIER
REGISTRATION (EPPUS
HEAD REFERENCE /
FINANCIAL LIMIT)
SRC Application
CT NO. 40005671
Page 3 of 13
A.
BUSINESS DETAILS OF THE APPLICANT (CONTD)

8.
AUTHORISED CAPITAL
9.
ISSUED CAPITAL
PAID UP CAPITAL
NAME OF DIRECTORS/PARTNERS
NAME & ADDRESS
NRIC/PASSPORT NO.
DESIGNATION
NAME OF SHAREHOLDER
10.
(owning directly or indirectly at least 50% of total number of shares)
NAME & ADDRESS
SRC Application
CT NO. 40005671
NRIC/PASSORT NO./
BUSSINESS/COMPANY
REGISTRATION NO.
Page 4 of 13
NUMBER, % &
CLASS OF SHARES
HELD
A.
BUSINESS DETAILS OF THE APPLICANT (CONTD)

Please attach the following documents:(a) a certified true copy of Certificate of Registration or a Certificate of Incorporation
(marked as Appendix A-1).
(b) original or certified true copy of Business/Company lnstant Information Search
results from Registry of Companies Businesses (marked as Appendix A-2).
B.
NAMES & ADDRESSES OF THE APPLICANT'S CURRENT BANKERS

marked as Appendix B.)
BANK & ADDRESS
C.
CREDIT FACILITIES
FINANCIAL STATEMENTS
The following documents for the last three (3) years must be attached and marked as
Appendix C.
1.
2.
3.
Balance Sheet
Profit and Loss Statement
Annual Turnover
Note: No statement will be considered unless they are certified as being audited by an
independent public accounting firm.
SRC Application
CT NO. 40005671
Page 5 of 13
D.
DESCRIPTION OF WORKS/GOODS SUPPLIED

marked as Appendix D.)
NAME/ADDRESS OF
CLIENT
E.
WORK OF SIMILAR
NATURE
COMPLETED/GOODS
SUPPLIED
VALUE OF
WORK/GOODS
SUPPLIED
DATE OF
COMPLETION
ASSETS OF ENGINEERING EQUIPMENT (IF APPLICABLE)

marked as Appendix E.)
DETAILS OF PLANTS, VEHICLES AND EQUIPMENT OWNED BY COMPANY/FIRM
DESCRIPTION & CAPACITY
SRC Application
CT NO. 40005671
MAKE
MODEL
YEARS OF
SERVICE
Page 6 of 13
QUANTITY
PRESENT
WORTH
F.
PERFORMANCE RECORDS
List out herewith particulars of three (3) latest projects, assignments and/or contracts of
similar nature completed by the Applicant and attach copies of certificates of successful
completion issued by the owner of the projects, assignments and/or contracts
(hereinafter referred as the Owner).
Please use separate sheet of paper for each project, assignment and/or contract to be
marked as Appendix F.
1.
Name and Address of the Owner.
2.
Location and Name of the Project/Contract.
3.
Outline of the Supplies Delivered/ Services/Works Executed by the Applicant.
4.
Value of the Supplies Delivered/Services/Works Executed by the Applicant.
SRC Application
CT NO. 40005671
Page 7 of 13
F.
PERFORMANCE RECORDS (CONTD)

5.
In what capacity
Eg. Main Contractor, Joint Venture or Sub-Contractor. If other than Main
Contractor, please state the names of other parties.
6.
Date of Commencement and Contractual Completion.
7.
Date of Actual Completion

(If different from date of contractual completion, describe details of, and reasons,
for the delay.)
8.
Reliability Record of Similar Installation (If Applicable).

(The Applicant to state number of failure, type of failure, cause of failure, repair
time and subsequent improvement and modifications made to enhance the
reliability of equipment.)
SRC Application
CT NO. 40005671
Page 8 of 13
G.
DESCRIPTION OF OTHER PROJECTS/ CONTRACTS COMPLETED

(List out hereunder and if necessary, please continue on separate sheets of paper to be
marked as Appendix G.)
1.
Project/Contract Description.
2.
Name/Address of the Owner.
3.
Value of the Supplies Delivered/ Services/Works Executed by the Applicant and

Date of Commencement and Completion.
SRC Application
CT NO. 40005671
Page 9 of 13
H.
MANUFACTURING FACILITIES
List out the plant and equipment available for the Supplies/ Services/Work. If subcontractors works are to be utilized, please provide the details.
I.
QUALIFICATION AND EXPERIENCE OF PERSONNEL

Name four (4) key personnel (including their CVs) in the areas of ordering, production,
supply, delivery, quality assurance, customer services, analysis, testing and other
related work who will be committed to this contract from the award till its completion if
awarded.
SRC Application
CT NO. 40005671
Page 10 of 13
J.
ORGANISATION FOR THIS PROJECT/TENDER

1.
Your Intended Project/Tender Organization?
2.
In what capacity?
Eg. Main Contractor, Joint Venture or Sub-Contractor. If other than Main
Contractor, please state the names of other parties.
3.
If Joint Venture, please state whether it is registered with the Registrar of

Companies and Businesses in Republic of Singapore.
4.
What would your plans be for interface and cabling works? (If Applicable)
Explain and give details.
SRC Application
CT NO. 40005671
Page 11 of 13
K.
OTHER INFORMATION
1.
Is your Company/Firm currently registered with the Building and Construction

Authority (BCA) in the Republic of Singapore? If yes, please provide details and
financial registration grade.
2.
Is your Company/Firm currently holding a valid Quality Assurance Certificate that

meets the International Standard of Quality Management and Quality Systems?
(For example, ISO 9000/EN 29000 or other equivalent national standards). If
yes, please provide details.
3.
Any additional information considered relevant to the evaluation of the Applicant

for qualifying as a Specially Registered Contractor shall also be submitted
together with this application.
SRC Application
CT NO. 40005671
Page 12 of 13
L.
DECLARATION AND AUTHORIZATION

I/We solemnly and sincerely declare that the facts contained in the submission are true
in substance and fact to the best of my/our knowledge, information and belief.
I/We hereby authorise Tuas Power Generation Pte. Ltd. to make any investigation,
which may be deemed necessary in connection with my/our application.
SIGNATURE OF
THE APPLICANT
NAME OF
SIGNATORY IN
BLOCK LETTERS
DESIGNATION
NAME OF THE
COMPANY/FIRM
COMPANY STAMP
DATE
SRC Application
CT NO. 40005671
Page 13 of 13

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NAME OF APPLICANT:

SPECIALLY REGISTERED CONTRACTOR (SRC)

AN APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR

THE PROVISION OF 6.6KV MOTOR CURRENT & VIBRATION ANALYSIS AT TUAS

SRC APPLICATION FORM

CONDITIONS FOR APPLICATION TO BE A SPECIALLY REGISTERED CONTRACTOR

No appeal by the unsuccessful applicants will be entertained.

For further query/clarification pertaining to the Specially Registered Contractor (SRC)

TUAS POWER GENERATION PTE. LTD.

Attention: Mr. Muhamad Bin Kasman, Executive Engineer

THE PROVISION OF 6.6KV MOTOR CURRENT &

THE PARTICULARS OF MY/OUR COMPANY/FIRM ARE AS FOLLOWS:

BUSINESS DETAILS OF THE APPLICANT

FULL BUSINESS NAME

BUSINESS DETAILS OF THE APPLICANT (CONTD)

(owning directly or indirectly at least 50% of total number of shares)

NAME & ADDRESS

BUSINESS DETAILS OF THE APPLICANT (CONTD)

NAMES & ADDRESSES OF THE APPLICANT'S CURRENT BANKERS

BANK & ADDRESS

DESCRIPTION OF WORKS/GOODS SUPPLIED

ASSETS OF ENGINEERING EQUIPMENT (IF APPLICABLE)

DETAILS OF PLANTS, VEHICLES AND EQUIPMENT OWNED BY COMPANY/FIRM

DESCRIPTION & CAPACITY

Name and Address of the Owner.

Location and Name of the Project/Contract.

Outline of the Supplies Delivered/ Services/Works Executed by the Applicant.

Value of the Supplies Delivered/Services/Works Executed by the Applicant.

PERFORMANCE RECORDS (CONTD)

Date of Commencement and Contractual Completion.

Date of Actual Completion

Reliability Record of Similar Installation (If Applicable).

DESCRIPTION OF OTHER PROJECTS/ CONTRACTS COMPLETED

Name/Address of the Owner.

Value of the Supplies Delivered/ Services/Works Executed by the Applicant and

QUALIFICATION AND EXPERIENCE OF PERSONNEL

ORGANISATION FOR THIS PROJECT/TENDER

Your Intended Project/Tender Organization?

If Joint Venture, please state whether it is registered with the Registrar of

Is your Company/Firm currently registered with the Building and Construction

Is your Company/Firm currently holding a valid Quality Assurance Certificate that

Any additional information considered relevant to the evaluation of the Applicant

DECLARATION AND AUTHORIZATION

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