AL FALAH INFRASTRUCTURE WORKS- INFRASTRUCTURE AND Project/ Contract No: STREETSCAPE TO 158 VILLA PLOTS : رقم العقد/ المشروع Contractor : NATIONAL PROJECTS AN DCONSTRUCTION :المقاول Consultant : KHATIB & ALAMI :االستشاري Groups / Team : : الفريق/ مجموعة الفرق Civil Materials MEP Materials Irrigation & Landscape Materials ) ألخ.... االسم التجاري،تفاصيل المادة المقدمة (شامالً الموديل المرجع بالمواصفات المرجع بجداول الكميات )Material Description One/ make, model etc( BOQ Ref Spec. Ref. Material Description (incl. make, model etc)
ADQCC Specification – 360 degO Electrical Jib Crane 1.6 Ton
Div.15 Bill No: 2 'Subsidery Bill No.6A Span 5 m Sec.15000
Intended Usage: For Storm Water pump station Station :الغرض من االستخدام Manufacturer/ Source: Verlinde lifting equipment, France :الجهة المصنعة Supplier/Applicator: Universal lifting solutions, UAE :الجهة الموردة Submitted Attachments Checklist: :المرفقات المطلوب تقديمها مع الطلب P 1 - Material Source Declaration Form (MSDF) P 6 - Department of Economic Development (Registration). P 2 - Copies of Relevant Parts of BoQ & Drawings P 7 - Manufacturer / Supplier's Guarantee (as per Contract) P 3 - Technical Comparison Table P 8 - Previous Approvals P 4 - Manufacturer's Technical Data / Original Catalogues P 9 - Applicator's Method Statement 5 - Recent Test Reports/Certificates 10 - Others (Supplier's Profile & Photos) Contractor's Signature, Stamp and Submission Date: : توقيع وختم المقاول وتاريخ تقديم الطلب
Consultant’s Remarks and Recommendations: : مالحظات وتوصيات االستشاري
Consultant’s Technical Evaluation, Included : Yes No Consultant’s Signature, Stamp and Date : : توقيع وختم االستشاري والتاريخ
MQS Ref. No.
MQT Comments: : مالحظات فريق جودة المواد
: االسم : االسم : االسم : االسم
: التوقيع :التوقيع :التوقيع :التوقيع ADM-MIA-3.2-F-03 Issued: 8/11/2018 version: 01 Department Of Urban Planning and Municipalities دائـــرة التخطيط العمراني والبلديات Abu Dhabi City Municipality بلـديــــة مـديـنــــة ابوظبي Municipal Infrastructure & Assets Sector قطاع البنية التحتية وأصول البلدية
Web Site: www.verlinde.com www.uniliftsolution.com :الموقع االلكتروني
Reference is made to the following Abu Dhabi Executive Council Circulars: Circular No.2/1979, dated 25 Feb. 1979 regarding Resolution No. 30, Session 7/79 for import of Companies for Goods and Materials required for them from abroad Circular No. 02/99, dated 12 July 1999, regarding Resolution No. 20/A, Session 8/99, for support and encouragement of local products, Item No. 2. Since the proposed material is from outside the Emirate of Abu Dhabi, we make the following declaration (check box as applicable):
a) To the best of our Knowledge, the subject material is not manufactured locally in the Emirate of Abu Dhabi. b) Such material manufactured locally in the Emirate of Abu Dhabi do not fully comply with the requirements of the Contract Documents (see note below)*
c) Local manufacturer of the subject material cannot supply the project on time and/or in the quantities required (see note below)*
d) Such material manufactured locally in the Emirate of Abu Dhabi do not competitively priced. (see note below)* * Note: Contractors must provide all supporting documents. Project Contact Numbers for QC Issues
