STANDARD PROCUREMENT

DOCUMENT

Prequalification
Document
Works
(For use with a Request for Bids process)

July 2023
This document is subject to copyright.

This document may be used and reproduced for non-commercial purposes only. Any commercial
use, including without limitation reselling, charging to access, redistribute, or for derivative
works such as unofficial translations based on this document is not allowed.
 i

Revisions
July 2023
This revision includes advice in criteria 4.2 (a) of the qualifications requirements, to include as
part of specific experience, experience to manage cyber security risks to apply for contracts that
have been assessed to present potential or actual cyber security risks. Further, advice included in
criteria 4.2 (c) of the qualifications requirements, to include if applicable, specific experience in
additional sustainable procurement aspects.

January 2021
This revision incorporates provisions to reflect the Bank’s disqualification of contractors for non-
compliance with SEA/SH obligations. For contracts under Projects assessed as high risk for
Sexual Exploitation and Abuse (SEA) and/or Sexual Harassment (SH), the Bank’s
disqualification mechanism will be included in the request for bids.

February 2020
SEA (Sexual Exploitation and Assault) has been replaced with SEA (Sexual Exploitation and
Abuse) and SH (Sexual Harassment) as appropriate.

July 2019
The Environmental and Social aspects have been updated. GBV/SEA has been replaced with
SEA where appropriate.

October 2017
This revision dated October 2017 incorporates new provisions on beneficial ownership. The
environmental, social, health and safety (ESHS) aspects have also been enhanced to include
additional provisions on sexual exploitation and abuse (SEA) and gender based violence (GBV).

January 2017
This revision dated January 2017 incorporates changes to enhance environmental, social, health
and safety performance. In addition, editorial improvements have been made.

July 2016
This revision dated July 2016 incorporates a number of changes reflecting the Procurement
Regulations for IPF Borrowers, July 2016.
 ii

Foreword

This Standard Procurement Document (SPD) has been prepared by the World Bank, based on the
Master Procurement Document “Prequalification Document for Procurement of Works”, which
represents the best practices of these institutions.
The Prequalification Document (PD) shall be used by the Borrower with minimum changes as may
be necessary, and acceptable to the Bank, when a prequalification process takes place prior to the
bidding process for procurement of Works through Request for Bids (RFB) method in projects that
are financed, in whole or in part, by the World Bank.
 iii

Preface

This Standard Procurement Document (SPD) has been updated to reflect the World Bank’s
Procurement Regulations for IPF Borrowers, July, 2016 as amended from time to time. This
SPD is applicable to the prequalification process for the procurement of Works funded by IBRD
or IDA-financed projects whose Legal Agreement makes reference to the Procurement
Regulations for IPF Borrowers.

This revision includes advice in criteria 4.2 (a) of the qualifications requirements, to include as
part of specific experience, experience to manage cyber security risks to apply for contracts that
have been assessed to present potential or actual cyber security risks. Further, advice included in
criteria 4.2 (c) of the qualifications requirements, to include if applicable, specific experience in
additional sustainable procurement aspects.

This SPD includes provisions to reflect the Bank’s disqualification of contractors for non-
compliance with SEA/SH obligations. For contracts under Projects assessed as high risk for
Sexual Exploitation and Abuse (SEA) and/or Sexual Harassment (SH), the Bank’s
disqualification mechanism will be included in the request for bids.
To obtain further information on procurement under World Bank-financed projects or for
questions regarding the use of this SPD, contact:

Chief Procurement Officer

The World Bank
1818 H Street, N.W.
Washington, D.C. 20433 U.S.A.
http://www.worldbank.org/
 v

Standard Procurement Document

Summary

Specific Procurement Notice - Invitation for Prequalification

The template attached is the Invitation for Prequalification. This is the template to be used by the
Borrower.

Prequalification Document: Procurement of Works

PART 1 – PREQUALIFICATION PROCEDURES

Section I - Instructions to Applicants (ITA)

This Section provides information to help the Applicants in preparing and

submitting their Applications for Prequalification (“Applications”). Information is
also provided on opening and evaluation of Applications. Section I contains
provisions that are to be used without modification.

Section II - Prequalification Data Sheet (PDS)

This Section includes provisions that are specific to each prequalification and
supplement Section I, Instructions to Applicants.

Section III - Qualification Criteria and Requirements

This Section specifies the methods, criteria, and requirements to be used to

determine how Applicants shall be prequalified and later invited to bid.

Section IV - Application Forms

This Section includes the Application Submission Letter and other forms required to
be submitted with the Application.

Section V - Eligible Countries

This Section contains information regarding eligible countries.

Section VI - Fraud and Corruption

 vi

This Section provides the Applicants with the reference to the Bank’s policy in
regard to Fraud and Corruption applicable to the prequalification process.

PART 2 – WORKS’ REQUIREMENTS

Section VII - Scope of Works

This Section includes a summary description, delivery and completion schedules,

and Site and other Data of the Works subject of this Prequalification. The Scope of
Works may also include a summary of the environmental and social (ES)
requirements (including requirements relating to Sexual Exploitation and Abuse
(SEA) and Sexual Harassment (SH)) which are to be satisfied by the Contractor in
executing the Works.
 vii

Specific Procurement Notice

Template

Invitation for Prequalification

Country: ___________________________________________________________
Name of Project: ____________________________________________________
Contract Title: ______________________________________________________
Sector: _____________________________________________________________
Loan No./Credit No./Grant No.:_________________________________________
Prequalification Reference No.:[as per the Procurement Plan]_________________

1. The [insert name of Borrower/Beneficiary/Recipient] [has received/has applied for/intends

to apply for] financing from the World Bank toward the cost of the [insert name of project
or grant], and intends to apply part of the proceeds toward payments under the contract 1for
[insert title of contract]2.

2. The [insert name of implementing agency] intends to prequalify contractors for [insert
contract number and/or name, a brief description of the type(s) of works to be provided,
including quantities, location and other information necessary to enable potential Bidders to
decide whether or not to respond to this prequalification. This information may include the
essential items listed in the Prequalification Document and also any important or
specialized prequalification requirements]. It is expected that the Request for Bids will be
made in [insert month and year].

3. Prequalification will be conducted through the procedures as specified in the World Bank’s
Procurement Regulations for IPF Borrowers [insert date of applicable Procurement
Regulations edition as per legal agreement] (“Procurement Regulations”), and is open to all
eligible Applicants as defined in the Procurement Regulations.

4. Interested eligible Applicants may obtain further information from the [insert name of
agency] at the address below [insert address at end of document] during office hours [insert
office hours if applicable, e.g. 0900 to 1700 hours]. A complete set of prequalification
documents in [insert name of language] may be purchased by interested Applicants on the

1
If prequalification is being invited for more than one contract, describe each contract and indicate whether
Applications may be made for prequalification for one or more of the contracts
2
Insert if applicable: “This contract will be jointly financed by [insert name of cofinancing agency]. Procurement
process will be governed by the World Bank’s Procurement Regulations.”
 viii

submission of a written application to the address below and upon payment of a

nonrefundable fee of [insert amount in local currency] or [insert amount in specified
convertible currency, e.g. US$]. The method of payment will be [insert method of payment].
The document will be sent by [insert delivery procedure].3

5. Applications for prequalification should be submitted in clearly marked envelopes and

delivered to the address below by [insert time] on [insert date]. Late applications may be
rejected.

[Insert name of office]

[Insert name of officer and title]
[Insert postal address and/or street address, postal code, city and country]
[Insert telephone number, country and city codes]
[Insert facsimile number, country and city codes]
[Insert email address]
[Insert web site address]

3
The delivery procedure is usually airmail for overseas delivery and surface mail or courier for local delivery. If
urgency or security dictates, courier services may be required for overseas delivery. With the agreement of the World
Bank, documents may be distributed by e-mail, downloading from authorized web site(s) or electronic procurement
system. PQ document (in Read Only form) should to be posted on the Employer’s web page for inspection by
prospective Applicants.
 Prequalification Document
Works

Procurement of:
[insert identification of the Works]

Invitation for Prequalification No.: [insert reference from Procurement Plan]

Prequalification Document (PQD) No: [insert reference No.]
Project: [insert name of project]
Employer: [insert the name of the Employer’s agency]
Country: [insert country where Prequalification Document is issued]
Issued on: [insert date when Prequalification Document was issued to Applicants]

(This Prequalification Document is for use with a Request for Bids process)
 1

Standard Procurement Document

Table of Contents

PART 1 – Prequalification Procedures........................................................................................3

Section I - Instructions to Applicants..............................................................................................5
Section II - Prequalification Data Sheet (PDS).............................................................................23
Section III - Qualification Criteria and Requirements...................................................................29
Section IV - Application Forms.....................................................................................................37
Section V - Eligible Countries.......................................................................................................59
Section VI - Fraud and Corruption................................................................................................60
PART 2 – Works’ Requirements................................................................................................63
Section VII - Scope of Works........................................................................................................65
 3

PART 1 – Prequalification Procedures

Section I - Instructions to Applicants (ITA)

Section I - Instructions to Applicants

Contents
A. General........................................................................................................................................7
1. Scope of Application........................................................................................................7
2. Source of Funds.................................................................................................................7
3. Fraud and Corruption........................................................................................................7
4. Eligible Applicants............................................................................................................8
5. Eligibility........................................................................................................................10
B. Contents of the Prequalification Document..............................................................................11
6. Sections of Prequalification Document...........................................................................11
7. Clarification of Prequalification Document and Pre-Application Meeting......................11
8. Amendment of Prequalification Document.....................................................................12
C. Preparation of Applications......................................................................................................12
9. Cost of Applications........................................................................................................12
10. Language of Application.................................................................................................12
11. Documents Comprising the Application..........................................................................13
12. Application Submission Letter.......................................................................................13
13. Documents Establishing the Eligibility of the Applicant...............................................13
14. Documents Establishing the Qualifications of the Applicant.........................................13
15. Signing of the Application and Number of Copies........................................................14
D. Submission of Applications......................................................................................................14
16. Sealing and Marking of Applications.............................................................................14
17. Deadline for Submission of Applications.......................................................................14
18. Late Applications............................................................................................................15
19. Opening of Applications.................................................................................................15
E. Procedures for Evaluation of Applications...............................................................................15
20. Confidentiality................................................................................................................15
21. Clarification of Applications..........................................................................................15
22. Responsiveness of Applications.....................................................................................16
23. Margin of Preference......................................................................................................16
24. Subcontractors................................................................................................................16
F. Evaluation of Applications and Prequalification of Applicants................................................16
25. Evaluation of Applications.............................................................................................16
26. Employer’s Right to Accept or Reject Applications......................................................19
27. Prequalification of Applicants........................................................................................19
28. Notification of Prequalification......................................................................................20
29. Request for Bids.............................................................................................................20
30. Changes in Qualifications of Applicants........................................................................21
31. Procurement Related Complaint.....................................................................................21
Section I - Instructions to Applicants (ITA) 7

Section I - Instructions to Applicants

A. General
1. Scope of 1.1 In connection with the invitation for Prequalification indicated
Application in Section II (Prequalification Data Sheet) (PDS), the
Employer, as defined in the PDS, issues this Prequalification
Document (“Prequalification Document”) to prospective
applicants (“Applicants”) interested in submitting applications
(“Applications”) for prequalification to bid for the Works
described in Section VII (Scope of Works). In case the Works
are to be bid as individual contracts (i.e., the slice and package
procedure), these are listed in the PDS. The Request for Bids
(RFB) number corresponding to this prequalification is also
provided in the PDS.

2. Source of Funds 2.1 The Borrower or Recipient (hereinafter called “Borrower”)

indicated in the PDS has applied for or received financing
(hereinafter called “funds”) from the International Bank for
Reconstruction and Development or the International
Development Association (hereinafter called “the Bank”) in
an amount specified in the PDS, towards the cost of the
project named in the PDS. The Borrower intends to apply a
portion of the funds to eligible payments under the contract(s)
resulting from the bidding for which this prequalification is
conducted.

2.2 Payment by the Bank will be made only at the request of the
Borrower and upon approval by the Bank, and will be subject,
in all respects, to the terms and conditions of the Loan (or
other financing) Agreement. The Loan (or other financing)
Agreement prohibits a withdrawal from the loan (or credit)
account for the purpose of any payment to persons or entities,
or for any import of goods, equipment, plant or materials, or
services if such payment or import, to the knowledge of the
Bank, is prohibited by a decision of the United Nations
Security Council taken under Chapter VII of the Charter of
the United Nations. No party other than the Borrower shall
derive any rights from the Loan (or other financing)
Agreement or have any claim to the proceeds of the loan (or
credit).

3. Fraud and 3.1 The Bank requires compliance with the Bank’s Anti-
Corruption Corruption Guidelines and its prevailing sanctions policies
and procedures as set forth in the WBG’s Sanctions
Framework, as set forth in Section VI, Fraud and Corruption.
3.2 In further pursuance of this policy, Applicants shall permit
and shall cause their agents (where declared or not),
Section I - Instructions to Applicants (ITA) 8

subcontractors, subconsultants, service providers, suppliers,

and personnel, to permit the Bank to inspect all accounts,
records and other documents relating to any initial selection
process, prequalification process, bid submission (in case
prequalified), proposal submission, and contract performance
(in the case of award), and to have them audited by auditors
appointed by the Bank.
4. Eligible Applicants 4.1 Applicants shall meet the eligibility criteria as per this ITA and
ITA 5.1 and 5.2.

4.2 An Applicant may be a firm that is a private entity, a state-owned

enterprise or institution subject to ITA 4.8 or any combination of
such entities in the form of a joint venture (“JV”) under an
existing agreement or with the intent to enter into such an
agreement supported by a letter of intent. In the case of a joint
venture, all members shall be jointly and severally liable for
the execution of the entire Contract in accordance with the
Contract terms. The JV shall nominate a Representative who
shall have the authority to conduct all business for and on
behalf of any and all the members of the JV during the
prequalification process, bidding (in the event the JV submits a
Bid) and during contract execution (in the event the JV is
awarded the Contract). Unless specified in the PDS, there is
no limit on the number of members in a JV.

4.3 A firm may apply for prequalification both individually, and

as part of a joint venture, or participate as a subcontractor. If
prequalified, it will not be permitted to bid for the same
contract both as an individual firm and as a part of the joint
venture or as a subcontractor. However, a firm may
participate as a subcontractor in more than one Bid, but only
in that capacity. Bids submitted in violation of this procedure
will be rejected.4

4.4 A firm and any of its affiliates (that directly or indirectly

control, are controlled by or are under common control with that
firm) may submit its application for prequalification either
individually, as joint venture or as a subcontractor among them
for the same contract. However, if prequalified, only one
prequalified Applicant will be allowed to bid for the same
contract. All Bids submitted in violation of this procedure
will be rejected.

4
If this Document is being used to prequalify Applicants for the Procurement of Plant, modify this provision in the
PDS to reflect the “One Bid per Bidder” provision in the Bank’s Standard Procurement Document for Plant.
Section I - Instructions to Applicants (ITA) 9

4.5 An Applicant may have the nationality of any country,

subject to the restrictions pursuant to ITA 5.1 and 5.2. An
Applicant shall be deemed to have the nationality of a
country if the Applicant is constituted, incorporated or
registered in and operates in conformity with the provisions
of the laws of that country, as evidenced by its articles of
incorporation (or equivalent documents of constitution or
association) and its registration documents, as the case may
be. This criterion also shall apply to the determination of the
nationality of proposed specialized sub-contractors or
suppliers for any part of the Contract including related
Services.

4.6 Applicants shall not have a conflict of interest. Applicants

shall be considered to have a conflict of interest, if they, or
any of their affiliates, participated as a consultant in the
preparation of the design or technical specifications or have
been hired or proposed to be hired by the Employer or
Borrower as Engineer for contract implementation of the
Works that are the subject of this prequalification. In
addition, Applicants may be considered to have a conflict of
interest if they have a close business or family relationship
with a professional staff of the Borrower (or of the project
implementing agency, or of a recipient of a part of the loan)
who: (i) are directly or indirectly involved in the preparation
of the prequalification Document or Request for Bids (RFB)
Document or specifications of the Contract, and/or the Bid
evaluation process of such Contract; or (ii) would be
involved in the implementation or supervision of such
Contract, unless the conflict stemming from such relationship
has been resolved in a manner acceptable to the Bank
throughout the prequalification, RFB process and execution
of the Contract.

4.7 An Applicant that has been sanctioned by the Bank, pursuant

to the Bank’s Anti-Corruption Guidelines, and in accordance
with its prevailing sanctions policies and procedures as set
forth in the WBG’s Sanctions Framework, as described in
Section VI, paragraph 2.2 d. shall be ineligible to be
prequalified for, initially selected for, bid for, propose for, or
be awarded a Bank-financed contract or benefit from a Bank-
financed contract, financially or otherwise, during such
period of time as the Bank shall have determined. The list of
debarred firms and individuals is available at the electronic
address specified in the PDS.
Section I - Instructions to Applicants (ITA) 10

4.8 Applicants that are state-owned enterprise or institutions in

the Employer’s Country may be eligible to prequalify,
compete and be awarded a Contract(s) only if they can
establish, in a manner acceptable to the Bank, that they (i) are
legally and financially autonomous (ii) operate under
commercial law, and (iii) are not under supervision of the
Employer.

4.9 An Applicant shall not be under suspension from bidding by the

Employer as the result of the execution of a Bid/Proposal–
Securing Declaration.
4.10 An Applicant shall provide such documentary evidence of
eligibility satisfactory to the Employer, as the Employer shall
reasonably request.
4.11 A firm that is under a sanction of debarment by the Borrower
from being awarded a contract is eligible to participate in this
procurement, unless the Bank, at the Borrower’s request, is
satisfied that the debarment; (a) relates to fraud or corruption,
and (b) followed a judicial or administrative proceeding that
afforded the firm adequate due process.
5. Eligibility 5.1 Firms and individuals may be ineligible if they are nationals
of ineligible countries as indicated in Section V. The
countries, persons or entities are ineligible if:

(a) as a matter of law or official regulations, the

Borrower’s country prohibits commercial relations
with that country, provided that the Bank is satisfied
that such exclusion does not preclude effective
competition for the supply of goods or the contracting
of works or services required; or

(b) by an act of compliance with a decision of the United

Nations Security Council taken under Chapter VII of
the Charter of the United Nations, the Borrower’s
country prohibits any import of goods or contracting
of works or services from that country, or any
payments to any country, person, or entity in that
country.

5.2 When the Works are implemented across jurisdictional

boundaries (and more than one country is a Borrower, and is
involved in the procurement), then exclusion of a firm or
individual on the basis of ITA 5.1(a) above by any country
may be applied to that procurement across other countries
involved, if the Bank and the Borrowers involved in the
Section I - Instructions to Applicants (ITA) 11

procurement agree.

B. Contents of the Prequalification Document

6. Sections of 6.1 This Prequalification Document consists of parts 1 and 2 which
Prequalification comprise all the sections indicated below, and which should be
Document read in conjunction with any Addendum issued in accordance
with ITA 8.

PART 1 Prequalification Procedures

 Section I - Instructions to Applicants (ITA)

 Section II - Prequalification Data Sheet (PDS)
 Section III - Qualification Criteria and Requirements
 Section IV - Application Forms
 Section V – Eligible Countries
 Section VI – Fraud and Corruption

PART 2 Works Requirements

 Section VII - Scope of Works
6.2 Unless obtained directly from the Employer, the Employer
accepts no responsibility for the completeness of the
document, responses to requests for clarification, the minutes
of the pre-Application meeting (if any), or Addenda to the
Prequalification Document in accordance with ITA 8. In case
of any discrepancies, documents issued directly by the
Employer shall prevail.
6.3 The Applicant is expected to examine all instructions, forms, and
terms in the Prequalification Document and to furnish with its
Application all information or documentation as is required by
the Prequalification Document.
7. Clarification of 7.1 An Applicant requiring any clarification of the
Prequalification Prequalification Document shall contact the Employer in
Document and Pre- writing at the Employer’s address indicated in the PDS. The
Application Employer will respond in writing to any request for
Meeting clarification provided that such request is received no later than
fourteen (14) days prior to the deadline for submission of the
applications. The Employer shall forward a copy of its
response to all prospective Applicants who have obtained the
Prequalification Document directly from the Employer,
including a description of the inquiry but without identifying
its source. If so indicated in the PDS, the Employer shall also
promptly publish its response at the web page identified in the
Section I - Instructions to Applicants (ITA) 12

PDS. Should the Employer deem it necessary to amend the

Prequalification Document as a result of a clarification, it shall
do so following the procedure under ITA 8. and in accordance
with the provisions of ITA 17.2.

7.2 If indicated in the PDS, the Applicant’s designated

representative is invited at the Applicant’s cost to attend a pre-
Application meeting at the place, date and time mentioned in
the PDS. During this pre-Application meeting, prospective
Applicants may request clarification of the project
requirement, the criteria for qualifications or any other aspects
of the Prequalification Document.

7.3 Minutes of the pre-Application meeting, if applicable,

including the text of the questions asked by Applicants,
including those during the meeting (without identifying the
source) and the responses given, together with any responses
prepared after the meeting will be transmitted promptly to all
prospective Applicants who have obtained the Prequalification
Document. Any modification to the Prequalification
Document that may become necessary as a result of the pre-
Application meeting shall be made by the Employer
exclusively through the use of an Addendum pursuant to ITA
8. Non-attendance at the pre-Application meeting will not be a
cause for disqualification of an Applicant.

8. Amendment of 8.1 At any time prior to the deadline for submission of

Prequalification Applications, the Employer may amend the Prequalification
Document Document by issuing an Addendum.

8.2 Any Addendum issued shall be part of the Prequalification

Document and shall be communicated in writing to all
Applicants who have obtained the Prequalification Document
from the Employer. The Employer shall promptly publish the
Addendum at the Employer’s web page identified in the PDS.

8.3 To give Applicants reasonable time to take an Addendum into

account in preparing their Applications, the Employer may, at
its discretion, extend the deadline for the submission of
Applications in accordance with ITA 17.2.

C. Preparation of Applications
9. Cost of Applications 9.1 The Applicant shall bear all costs associated with the preparation
and submission of its Application. The Employer will in no
case be responsible or liable for those costs, regardless of the
Section I - Instructions to Applicants (ITA) 13

conduct or outcome of the prequalification process.

10. Language of 10.1 The Application as well as all correspondence and documents
Application relating to the prequalification exchanged by the Applicant
and the Employer, shall be written in the language specified in
the PDS. Supporting documents and printed literature that are
part of the Application may be in another language, provided
they are accompanied by an accurate translation of the relevant
passages in the language specified in the PDS, in which case,
for purposes of interpretation of the Application, the translation
shall govern.

11. Documents 11.1 The Application shall comprise the following:

Comprising the
Application (a) Application Submission Letter, in accordance with ITA
12.1;
(b) Eligibility: documentary evidence establishing the
Applicant’s eligibility, in accordance with ITA 13.1;
(c) Qualifications: documentary evidence establishing the
Applicant’s qualifications, in accordance with ITA 14;
and
(d) any other document required as specified in the PDS.
11.2 The Applicant shall furnish information on commissions and
gratuities, if any, paid or to be paid to agents or any other party
relating to this Application
12. Application 12.1 The Applicant shall complete an Application Submission
Submission Letter Letter as provided in Section IV (Application Forms). This
Letter must be completed without any alteration to its format.
13. Documents 13.1 To establish its eligibility in accordance with ITA 4, the
Establishing the Applicant shall complete the eligibility declarations in the
Eligibility of the Application Submission Letter and Forms ELI (eligibility) 1.1
Applicant and 1.2, included in Section IV (Application Forms).
14. Documents 14.1 To establish its qualifications to perform the contract(s) in
Establishing the accordance with Section III, Qualification Criteria and
Qualifications of Requirements, the Applicant shall provide the information
the Applicant requested in the corresponding Information Sheets included in
Section IV (Application Forms).
14.2 Wherever an Application Form requires an Applicant to state a
monetary amount, Applicants should indicate the USD
equivalent using the rate of exchange determined as follows:
(a) For construction turnover or financial data required for
each year - Exchange rate prevailing on the last day of
Section I - Instructions to Applicants (ITA) 14

the respective calendar year (in which the amounts for

that year is to be converted).
(b) Value of single contract - Exchange rate prevailing on
the date of the contract.
Exchange rates shall be taken from the publicly available
source identified in the PDS. Any error in determining the
exchange rates in the Application may be corrected by the
Employer.
15. Signing of the 15.1 The Applicant shall prepare one original of the documents
Application and comprising the Application as described in ITA 11 and clearly
Number of Copies mark it “ORIGINAL”. The original of the Application shall be
typed or written in indelible ink and shall be signed by a
person duly authorized to sign on behalf of the Applicant. In
case the Applicant is a JV, the Application shall be signed by an
authorized representative of the JV on behalf of the JV and so as
to be legally binding on all the members as evidenced by a
power of attorney signed by their legally authorized signatories.
15.2 The Applicant shall submit copies of the signed original
Application, in the number specified in the PDS, and clearly
mark them “COPY”. In the event of any discrepancy between
the original and the copies, the original shall prevail.

D. Submission of Applications
16. Sealing and 16.1 The Applicant shall enclose the original and the copies of the
Marking of Application in a sealed envelope that shall:
Applications
(a) bear the name and address of the Applicant;
(b) be addressed to the Employer, in accordance with ITA
17.1; and
(c) bear the specific identification of this prequalification
process indicated in the PDS 1.1.
16.2 The Employer will accept no responsibility for not processing
any envelope that was not identified as required in ITA 16.1
above.
17. Deadline for 17.1 Applicants may either submit their Applications by mail or
Submission of by hand. Applications shall be received by the Employer at
Applications the address and no later than the deadline indicated in the
PDS. When so specified in the PDS, Applicants have the
option of submitting their Applications electronically, in
accordance with electronic Application submission
Section I - Instructions to Applicants (ITA) 15

procedures specified in the PDS.

17.2 The Employer may, at its discretion, extend the deadline for
the submission of Applications by amending the
Prequalification Document in accordance with ITA 8, in which
case all rights and obligations of the Employer and the
Applicants subject to the previous deadline shall thereafter be
subject to the deadline as extended.

18. Late Applications 18.1 The Employer reserves the right to accept applications
received after the deadline for submission of applications,
unless otherwise specified in the PDS.

19. Opening of 19.1 The Employer shall open all Applications at the date, time
Applications and place specified in the PDS. Late Applications shall be
treated in accordance with ITA 18.1.

19.2 Applications submitted electronically (if permitted pursuant

to ITA 17.1) shall be opened in accordance with the
procedures specified in the PDS.

19.3 The Employer shall prepare a record of the opening of

Applications to include, as a minimum, the name of the
Applicants. A copy of the record shall be distributed to all
Applicants.

E. Procedures for Evaluation of Applications

20. Confidentiality 20.1 Information relating to the Applications, their evaluation and
results of the prequalification shall not be disclosed to
Applicants or any other persons not officially concerned with
the prequalification process until the notification of
prequalification results is made to all Applicants in
accordance with ITA 28.
20.2 From the deadline for submission of Applications to the time
of notification of the results of the prequalification in
accordance with ITA 28. any Applicant that wishes to contact
the Employer on any matter related to the prequalification
process may do so only in writing.
21. Clarification of 21.1 To assist in the evaluation of Applications, the Employer may,
Applications at its discretion, ask an Applicant for a clarification (including
missing documents) of its Application, to be submitted within
a stated reasonable period of time. Any request for clarification
from the Employer and all clarifications from the Applicant
shall be in writing.
Section I - Instructions to Applicants (ITA) 16

21.2 If an Applicant does not provide clarifications and/or

documents requested by the date and time set in the
Employer’s request for clarification, its Application shall be
evaluated based on the information and documents available at
the time of evaluation of the Application.
22. Responsiveness of 22.1 The Employer may reject any Application which is not
Applications responsive to the requirements of the Prequalification
Document. In case the information furnished by the Applicant
is incomplete or otherwise requires clarification as per ITA
21.1, and the Applicant fails to provide satisfactory
clarification and/or missing information, it may result in
disqualification of the Applicant.
23. Margin of 23.1 Unless otherwise specified in the PDS, a margin of preference
Preference for domestic bidders5 shall not apply in the bidding process
resulting from this prequalification.
24. Subcontractors 24.1 Unless otherwise stated in the PDS, the Employer does not
intend to execute any specific elements of the Works by sub-
contractors selected in advance by the Employer (so-called
“Nominated Subcontractors”).
24.2 The Applicant shall not propose to subcontract the whole of
the Works. The Employer, in ITA 25.2, may permit the
Applicant to propose subcontractors for certain specialized
parts of the work as indicated therein as (“Specialized
Subcontractors”). Applicants planning to use such Specialized
Subcontractors shall specify, in the Application Submission
Letter, the activity(ies) or parts of the Works proposed to be
subcontracted along with details of the proposed subcontractors
including their qualification and experience.

F. Evaluation of Applications and Prequalification of

Applicants
25. Evaluation of 25.1 The Employer shall use the factors, methods, criteria, and
Applications requirements defined in Section III, Qualification Criteria and
Requirements, to evaluate the qualifications of the Applicants,
and no other methods, criteria, or requirements shall be used.
The Employer reserves the right to waive minor deviations
from the qualification criteria if they do not materially affect
5
An individual firm is considered a domestic Bidder for purposes of the margin of preference if it is registered in the country of
the Employer, has more than 50 percent ownership by nationals of the country of the Employer, and if it does not subcontract
more than 10 percent of the contract price, excluding provisional sums, to foreign contractors. JVs are considered as domestic
Bidders and eligible for domestic preference only if the individual member firms are registered in the country of the Employer,
have more than 50 percent ownership by nationals of the country of the Employer, and the JV shall be registered in the country of
the Borrower. The JV shall not subcontract more than 10 percent of the contract price, excluding provisional sums, to foreign
firms. JVs between foreign and national firms will not be eligible for domestic preference.
Section I - Instructions to Applicants (ITA) 17

the technical capability and financial resources of an Applicant

to perform the Contract.
25.2 Subcontractors proposed by the Applicant shall be fully
qualified for their parts of the Works. The subcontractor’s
qualifications shall not be used by the Applicant to qualify for
the Works unless their parts of the Works were previously
designated by the Employer in the PDS as can be met by
Specialized Subcontractors, in which case, the qualifications
of the Specialized Subcontractor proposed by the Applicant
may be added to the qualifications of the Applicant for the
purpose of the evaluation.

25.3 In case of multiple contracts, Applicants should indicate in

their Applications the individual contract or combination of
contracts in which they are interested. The Employer shall
prequalify each Applicant for the maximum combination of
contracts for which the Applicant has thereby indicated its
interest and for which the Applicant meets the appropriate
aggregate requirements. The qualification criteria and
requirements are specified in Section III.
25.4 However, with respect to the specific experience under item
Section III (Qualification Criteria and Requirements), 4.2 (a) ,
the Employer will select any one or more of the options as
identified below:
N is the minimum number of contracts
V is the minimum value of a single contract.
(a) Prequalification for one Contract:
Option 1: (i) N contracts, each of minimum value V;
Or
Option 2: (i) N contracts, each of minimum value V,
Or
(ii) Less than or equal to N contracts, each of
minimum value V, but with total value of
all contracts equal or more than N x V
(b) Prequalification for Multiple Contracts
Option 1: (i) Minimum requirements for combined
contract(s) shall be the aggregate
requirements for each contract for which
the Applicant has applied for as follows,
and N1, N2, N3, etc. shall be different
Section I - Instructions to Applicants (ITA) 18

contracts:
Lot 1: N1 contracts, each of minimum
value V1;
Lot 2: N2 contracts, each of minimum
value V2;
Lot 3: N3 contracts, each of minimum
value V3; ----etc.
Or
Option 2: (i) Minimum requirements for combined
contract(s) shall be the aggregate
requirements for each contract for which
the Applicant has applied for as follows,
and N1, N2, N3, etc. shall be different
contracts:
Lot 1: N1 contracts, each of minimum
value V1;
Lot 2: N2 contracts, each of minimum
value V2;
Lot 3: N3 contracts, each of minimum
value V3; ----etc,
Or
(ii) Lot 1: N1 contracts, each of minimum
value V1; or number of contracts less
than or equal to N1, each of minimum
value V1, but with total value of all
contracts equal or more than N1 x V1
Lot 2: N2 contracts, each of minimum
value V2; or number of contracts less than
or equal to N2, each of minimum value
V2, but with total value of all contracts
equal or more than N2 x V2
Lot 3: N3 contracts, each of minimum
value V3; or number of contracts less than
or equal to N3, each of minimum value
V3, but with total value of all contracts
equal or more than N3 x V3 ----etc.
Or
Option 3: (i) Minimum requirements for combined
contract(s) shall be the aggregate
requirements for each contract for which
Section I - Instructions to Applicants (ITA) 19

the Applicant has applied for as follows,

and N1, N2 ,N3, etc. shall be different
contracts:
Lot 1: N1 contracts, each of minimum
value V1;
Lot 2: N2 contracts, each of minimum
value V2;
Lot 3: N3 contracts, each of minimum
value V3; ----etc,
Or
(ii) Lot 1: N1 contracts, each of minimum
value V1; or number of contracts less than
or equal to N1, each of minimum value V1,
but with total value of all contracts equal or
more than N1 x V1
Lot 2: N2 contracts, each of minimum
value V2; or number of contracts less than
or equal to N2, each of minimum value
V2, but with total value of all contracts
equal or more than N2 x V2
Lot 3: N3 contracts, each of minimum
value V3; or number of contracts less than
or equal to N3, each of minimum value
V3, but with total value of all contracts
equal or more than N3 x V3 ----etc,
Or
(iii) Subject to compliance as per (ii) above
with respect to minimum value of single
contract for each lot, total number of
contracts is equal or less than N1 + N2 +
N3 +--but the total value of all such
contracts is equal or more than N1 x V1 +
N2 x V2 + N3 x V3 +---.
25.5 Only the qualifications of the Applicant shall be considered.
The qualifications of other firms, including the Applicant’s
subsidiaries, parent entities, affiliates, subcontractors (other
than Specialized Subcontractors in accordance with ITA 25.2
above) or any other firm(s) different from the Applicant shall
not be considered.
26. Employer’s Right 26.1 The Employer reserves the right to accept or reject any
to Accept or Reject Application, and to annul the prequalification process and
Section I - Instructions to Applicants (ITA) 20

Applications reject all Applications at any time, without thereby incurring

any liability to the Applicants.
27. Prequalification of 27.1 All Applicants whose Applications substantially meet or
Applicants exceed the specified qualification requirements will be
prequalified by the Employer.
27.2 An Applicant may be “conditionally prequalified,” that is,
qualified subject to the Applicant submitting or correcting
certain specified nonmaterial documents or deficiencies to the
satisfaction of the Employer.
27.3 Applicants that are conditionally prequalified will be so
informed along with the statement of the condition(s) which
must be met to the satisfaction of the Employer before or at the
time of submitting their Bids.
28. Notification of 28.1 The Employer shall notify all Applicants in writing of the
Prequalification names of those Applicants who have been prequalified or
conditionally prequalified. In addition, those Applicants who
have been disqualified will be informed separately.
28.2 Applicants that have not been prequalified may write to the
Employer to request, in writing, the grounds on which they
were disqualified.
29. Request for Bids 29.1 Promptly after the notification of the results of the
prequalification, the Employer shall invite Bids from all the
Applicants that have been prequalified or conditionally
prequalified.
29.2 Bidders may be required to provide a Bid Security or a Bid-
Securing Declaration acceptable to the Employer in the form
and an amount to be specified in the bidding document.
29.3 The successful Bidder shall be required to provide a
Performance Security as specified in the bidding document.
29.4 If applicable, the successful Bidder shall be required to provide a
separate Environmental and Social (ES) Performance Security.
29.5 Bidders shall be required to provide a Code of Conduct
which will apply to their and sub-contractors’ personnel that
includes the minimum requirements specified in the bidding
document.
29.6 Bidders shall be required to submit management strategies
and implementation plans that address key Environmental
and Social (ES) risks (including Sexual Exploitation and
Section I - Instructions to Applicants (ITA) 21

Abuse (SEA) and Sexual Harassment (SH)) requirements.

29.7 The successful Bidder shall provide additional information
about its beneficial ownership using the Beneficial Ownership
Disclosure Form included in the bidding document.
29.8 If specified in the PDS, Bidders shall be required to submit a
Sexual Exploitation and Abuse (SEA) and/or Sexual
Harassment (SH) Declaration, using the Sexual Exploitation
and Abuse (SEA), and/or Sexual Harassment (SH)
declaration form included in the bidding documents.
29.9 Prior to Contract award, the Employer will verify that the
successful Bidder (including each member of a JV) is not
disqualified by the Bank due to noncompliance with
contractual SEA/SH prevention and response obligations.
The Employer will conduct the same verification for each
subcontractor proposed by the successful Bidder. If any
proposed subcontractor does not meet the requirement, the
Employer will require the Bidder to propose a replacement
subcontractor.
30. Changes in 30.1 Any change in the structure or formation of an Applicant after
Qualifications of being prequalified in accordance with ITA 27 and invited to
Applicants bid (including, in the case of a JV, any change in the structure
or formation of any member and also including any change in
any specialized subcontractor whose qualifications were
considered to prequalify the Applicant) shall be subject to the
written approval of the Employer prior to the deadline for
submission of Bids. Such approval shall be denied if (i) a
prequalified applicant proposes to associate with a disqualified
applicant or in case of a disqualified joint venture, any of its
members; (ii) as a consequence of the change, the Applicant
no longer substantially meets the qualification criteria set forth
in Section III (Qualification Criteria and Requirements); or
(iii) in the opinion of the Employer, the change may result in a
substantial reduction in competition. Any such change should
be submitted to the Employer not later than fourteen (14) days
after the date of the Request for Bids.
31. Procurement 31.1 The procedures for making a Procurement-related Complaint
Related Complaint are as specified in the PDS.
Section II - Prequalification Data Sheet (PDS) 23

Section II - Prequalification Data Sheet (PDS)

A. General
ITA 1.1 The identification of the Invitation for Prequalification is: [insert number]
The Employer is: : [insert full name, including name of Project Officer, and address]
The list of contracts is: [insert number, names and identification numbers. If the
works has not been divided into contracts, add the name of the works]
RFB name and number are: [insert name and identification number]

ITA 2.1 The Borrower is: [insert name of the Borrower and statement of relationship
with the Employer, if different from the Borrower. This insertion should
correspond to the information to be provided in the RFB]

ITA 2.1 Loan or Financing Agreement amount: [insert US$ equivalent]

____________________________

ITA 2.1 The name of the Project is: [insert name of Project]

ITA 4.2 Maximum number of members in the JV shall be: [insert a number or insert “not
limited”]

ITA 4.7 A list of debarred firms and individuals is available on the Bank’s external website:
http://www.worldbank.org/debarr.

B. Contents of the Prequalification Document

ITA 7.1 For clarification purposes, the Employer's address is:

[insert information or state “same as in ITA1.1 above”]
Attention: [insert name and room number of Project Officer]
Address: [insert street name and number]
[insert floor and room number, if applicable]
City: [insert name of city or town]
ZIP Code: [insert postal (ZIP) code, if applicable]
Country: [insert name of country]]
Telephone: [insert telephone number including country and city codes]
Facsimile number: [insert fax number including country and city codes]
Electronic mail address: [insert e-mail address of Project Officer]

ITA 7.1 & 8.2Web page: [In case used, identify the widely used website or electronic portal of
free access where prequalification information is published]
Section II - Prequalification Data Sheet (PDS) 24

ITA 7.2 Pre-Application Meeting will be held: [Yes/No]

[If Yes, please add the address, date and time of the meeting]

C. Preparation of Applications

ITA 10.1 This Prequalification document has been issued in the [Insert “English” or
“French” or “Spanish”] language.
Note: In addition to one of the above languages, and if agreed with the Bank, the
Borrower has the option to issue translated versions of the Prequalification
document in another language which should either be: (a) the national
language of the Borrower; or (b) the language used nation-wide in the
Borrower’s country for commercial transactions. In such case, the following
text shall be added:]
“In addition, the Prequalification document is translated into the [insert national or
nation-wide used] language [if there are more than one national or nation-wide
used language, add “and in the ____________” [insert the second national or
nation-wide language].
Applicants shall have the option to submit their Prequalification Application in any
one of the languages stated above. Applicants shall not submit Applications in
more than one language.]”
All correspondence exchange shall be in ____________ language.
The Application as well as all correspondence shall be submitted in
_____________________. [Insert the language of the Prequalification
document in case of one language]
Note: If the Prequalification document is issued in more than one language, the
following text shall be inserted above: “in one of the above languages”]
Language for translation of supporting documents and printed literature is
_______________________. [Specify one language]

ITA 11.1 (d) The Applicant shall submit with its Application, the following additional documents:
[insert list of additional documents]

ITA 14.2 The source for determining exchange rates is [insert a publicly available source]

ITA 15.2 In addition to the original, the number of copies to be submitted with the Application
is: [insert number of copies]

D. Submission of Applications

ITA 17.1 The deadline for Application submission is:

 Section II - Prequalification Data Sheet (PDS) 25

Date: [insert date]

Time: [insert time]
[The time allowed for preparation and submission of the prequalification document
should be sufficient for Applicants to gather all the information required—
preferably eight weeks, but in any case not less than six weeks after the date
when the documents are available for distribution or the date of the
advertisement, whichever is later. This period may be longer for very large
projects, where time should be allowed for the formation of joint ventures and
assembly of the necessary resources.]
For Application submission purposes only, the Employer's address is:
[insert information requested below or insert “Employer’s address is the same as that
indicated in 1.1]
Attention: [insert name and room number of Project Officer]
Address: [insert street name and number]
[insert floor and room number, if applicable]
City: [insert name of city or town]
ZIP Code: [insert postal (ZIP) code, if applicable]
Country: [insert name of country]
Telephone: [insert telephone number including country and city codes]
Facsimile number: [insert fax number including country and city codes]
Email address: [insert e-mail address of Project Officer]
Applicants [insert “shall” or “shall not”] have the option of submitting their
Applications electronically.
[The following provision should be included and the required corresponding
information inserted only if Applicants have the option of submitting their
Applications electronically. Otherwise omit.]
The electronic Application submission procedures shall be: [insert a
description of the electronic Application submission procedures.]

ITA 18.1 [Choose one of the two options below:]

Late Applications will be returned unopened to the Applicants.
[or]
The Employer reserves the right to accept or reject late Applications.

ITA 19.1 The opening of the Applications shall be at [Insert date, time and address]

ITA 19.2 [The following provision should be included and the required corresponding
information inserted only if Applicants have the option of submitting their
 Section II - Prequalification Data Sheet (PDS) 26

Applications electronically. Otherwise omit.]

The electronic Application opening procedures shall be: [insert a description of
the electronic Application opening procedures.]

E. Procedures for Evaluation of Applications

ITA 23.1 [The following provision should be included and the required corresponding
information inserted only if the Procurement Plan authorizes the application
of a margin of preference and the Employer intends to apply it to the subject
contract. Otherwise omit]
A margin of domestic preference [insert either “shall” or “shall not”]
___________apply

ITA 24.1 At this time the Employer [insert “intends” or “does not intend”] to execute certain
specific parts of the Works by sub-contractors selected in advance.
If the above states “intends” list the specific parts of the works and the respective
sub-contractors]

ITA 25.2 [Indicate N/A if there are no parts of the Works requiring Specialized
Subcontractors]
The parts of the Works for which the Employer permits Applicants to propose
Specialized Subcontractors are designated as follows:
a. _______________
b. _______________
c. _______________
For the above-designated parts of the Works that may require Specialized
Subcontractors, the relevant qualifications of the proposed Specialized
Subcontractors will be added to the qualifications of the Applicant for the
purpose of evaluation.

ITA 29.8 Choose one of the two options below:]

[Choose Option 1 for contracts under Projects assessed as high risk for Sexual
Exploitation and Abuse (SEA) and/or Sexual Harassment (SH); otherwise
choose Option 2. It is indicated here as “intends” in case the risk level
changes by the time of inviting bids.]
[The Employer intends to require Bidders to submit Sexual Exploitation and Abuse
(SEA) and/or Sexual Harassment (SH) Declaration.
[or]
The Employer does not intend to require Bidders to submit Sexual Exploitation
and Abuse (SEA) and/or Sexual Harassment (SH) Declaration.]
 Section II - Prequalification Data Sheet (PDS) 27

ITA 31.1 The procedures for making a Procurement-related Complaint are detailed in
the “Procurement Regulations for IPF Borrowers (Annex III).” If an Applicant
wishes to make a Procurement-related Complaint, the Applicant shall submit
its complaint following these procedures, in writing (by the quickest means
available, that is either by email or fax), to:
For the attention: [insert full name of person receiving complaints]
Title/position: [insert title/position]
Employer: [insert name of Employer]
Email address: [insert email address]
Fax number: [insert fax number] delete if not used
In summary, at this stage, a Procurement-related Complaint may challenge any
of the following:
1. the terms of the Prequalification Documents; and
2. the Employer’s decision not to prequalify an Applicant.
Section III - Qualification Criteria and Requirements 29

Section III - Qualification Criteria and

Requirements
This section contains all the methods, criteria, and requirements that the Employer shall use to
evaluate Applications. The information to be provided in relation to each requirement and the
definitions of the corresponding terms are included in the respective Application Forms.

Contents
1. Eligibility..................................................................................................................................30
2. Historical Contract Non-Performance..................................................................................30
3. Financial Situation and Performance....................................................................................32
4. Experience................................................................................................................................33
Section III - Qualification Criteria and Requirements 30

Document/
Eligibility and Qualification Criteria Compliance Requirements
Form
Joint Venture (existing or intended) Submission
Requirement
No. Subject Requirement Single Entity All Each One
Members Member Member
Combined
1. Eligibility
1.1 Nationality Nationality in accordance with ITA 4.5 Must meet Must meet Must meet N/A Forms ELI –
requirement requirement requirement 1.1 and 1.2,
with
attachments
1.2 Conflict of Interest No conflicts of interest in accordance with Must meet Must meet Must meet N/A Application
ITA 4.6 requirement requirement requirement Submission
Letter
1.3 Bank Eligibility Not having been declared ineligible by the Must meet Must meet Must meet N/A Application
Bank, as described in ITA 4.7 and 5.1 requirement requirement requirement Submission
Letter
1.4 State-owned Entity Applicant required to meet conditions of Must meet Must meet Must meet N/A Forms ELI -
of the Borrower ITA 4.8 requirement requirement requirement 1.1 and 1.2,
Country with
attachments
1.5 United Nations Not having been excluded as a result of Must meet Must meet Must meet N/A Forms ELI –
resolution or prohibition in the Borrower’s country laws requirement requirement requirement 1.1 and 1.2,
Borrower’s or official regulations against commercial with
country law relations with the Applicant’s country, or attachments
by an act of compliance with UN Security
Council resolution, both in accordance
with ITA 5.1 and 5.2 and Section V.
2. Historical Contract Non-Performance
2.1 History of Non- Non-performance of a contract6 did not Must meet Must meet Must meet N/A Form CON-2
Performing occur as a result of contractor’s default requirement1 requirements requirement7
Contracts since 1st January [insert year].

6
Nonperformance, as decided by the Employer, shall include all contracts where (a) nonperformance was not challenged by the contractor, including through referral to
the dispute resolution mechanism under the respective contract, and (b) contracts that were so challenged but fully settled against the contractor. Nonperformance shall
not include contracts where Employers decision was overruled by the dispute resolution mechanism. Nonperformance must be based on all information on fully settled
disputes or litigation, i.e. dispute or litigation that has been resolved in accordance with the dispute resolution mechanism under the respective contract and where all
appeal instances available to the applicant have been exhausted.
7
This requirement also applies to contracts executed by the Applicant as JV member.
Section III - Qualification Criteria and Requirements 31

Document/
Eligibility and Qualification Criteria Compliance Requirements
Form
Joint Venture (existing or intended) Submission
Requirement
No. Subject Requirement Single Entity All Each One
Members Member Member
Combined
2.2 Suspension Based Not under suspension based on execution Must meet Must meet Must meet N/A Application
on Execution of of a Bid/Proposal Securing Declaration requirement requirement requirement Submission
Bid/Proposal pursuant to ITA 4.9. Letter
Securing
Declaration by the
Employer
2.3 Pending Litigation Applicant’s financial position and Must meet N/A Must meet N/A Form CON – 2
prospective long term profitability still requirement requirement
sound according to criteria established in
3.1 below and assuming that all pending
litigation will be resolved against the
Applicant
2.4 Litigation History No consistent history of court/arbitral Must meet Must meet Must meet N/A Form CON – 2
award decisions against the Applicant8 requirement requirement requirement
since 1st January [insert year]

2.5 Declaration: Declare any civil work contracts that have Must make the N/A Each must N/A Form CON-3
Environmental, been suspended or terminated and/or declaration. make the ES
and Social (ES) performance security called by an Where there are declaration. Performance
past performance employer for reasons related to the non- Specialized Where there Declaration
compliance of any environmental, or Sub- are
social (including Sexual Exploitation and contractor/s, the Specialized
Abuse) contractual obligations in the past Specialized Sub-
five years9. Sub- contractor/s,
contractor/s the
must also make Specialized
the declaration Sub-
contractor/s
must also
8
The Applicant shall provide accurate information on the related Application Form about any litigation or arbitration resulting from contracts completed or ongoing
under its execution over the last five years. A consistent history of awards against the Applicant or any member of a joint venture may result in rejection of the
Application.
9
The Employer may use this information to seek further information or clarifications during the bidding stage and the associated due diligence.
Section III - Qualification Criteria and Requirements 32

Document/
Eligibility and Qualification Criteria Compliance Requirements
Form
Joint Venture (existing or intended) Submission
Requirement
No. Subject Requirement Single Entity All Each One
Members Member Member
Combined
make the
declaration.
2.6 Bank’s SEA and/or (a) At the time of Contract Award, not
SH Disqualification subject to disqualification by the Bank
for non-compliance with SEA/ SH
obligations
(b) If the Applicant had been subject to Must meet
disqualification by the Bank for non- requirement
compliance with SEA/ SH obligations, Must meet (including Application
the Applicant shall either (i) provide requirement each Submission
evidence of an arbitral award on the N/A N/A
(including each subcontractor Letter, Form
disqualification made in its favour; or subcontractor) proposed by CON-4
(ii) demonstrate that it has adequate the
capacity and commitment to comply Applicant)
with SEA/SH prevention and response
obligations; or (iii) provide evidence
that it has already demonstrated such
capacity and commitment for another
Bank financed works contract

3. Financial Situation and Performance

3.1 Financial (i) The Applicant shall demonstrate that it Must meet Must meet N/A N/A Form FIN –
Capabilities has access to, or has available, liquid requirement requirement 3.1, with
assets, unencumbered real assets, lines of attachments
credit, and other financial means
(independent of any contractual advance
payment) sufficient to meet the
construction cash flow requirements
estimated as USD $ [insert amount in
US$] for the subject contract(s) net of the
Applicants other commitments Must meet Must meet N/A N/A
(ii) The Applicant shall also demonstrate, requirement requirement
to the satisfaction of the Employer, that it
Section III - Qualification Criteria and Requirements 33

Document/
Eligibility and Qualification Criteria Compliance Requirements
Form
Joint Venture (existing or intended) Submission
Requirement
No. Subject Requirement Single Entity All Each One
Members Member Member
Combined
has adequate sources of finance to meet
the cash flow requirements on works
currently in progress and for future
contract commitments.
(iii) The audited balance sheets or, if not
required by the laws of the Applicant’s
country, other financial statements
acceptable to the Employer, for the last Must meet N/A Must meet N/A
[insert number] years shall be submitted requirement requirement
and must demonstrate the current
soundness of the Applicant’s financial
position and indicate its prospective long-
term profitability.
3.2 Average Annual Minimum average annual construction Must meet Must meet Must meet Must meet Form FIN –
Construction turnover of US$ [insert amount in US$ requirement requirement [insert [insert 3.2
Turnover equivalent in words and figures], number] %, number] %,
calculated as total certified payments [insert [insert
received for contracts in progress and/or percentage in percentage in
completed within the last [insert number] words] of the words] of the
years, divided by [insert number of years requirement requirement
in words] years
4. Experience
4.1 General Experience under construction contracts in Must meet N/A Must meet N/A Form EXP –
(a) Construction the role of prime contractor, JV member, requirement requirement 4.1
Experience subcontractor, or management contractor
for at least the last [insert number] years,
starting 1st January _____ [insert year].
4.2 Specific (i) A minimum number of [state the Must meet Must meet N/A Must meet Form EXP
(a) Construction & number] similar contracts specified below requirement requirement12 the following 4.2(a)
Contract that have been satisfactorily and requirements
Management substantially10 completed as a prime for the key
Experience contractor, joint venture member 11, activities

10
Substantial completion shall be based on 80% or more works completed under the contract.
Section III - Qualification Criteria and Requirements 34

Document/
Eligibility and Qualification Criteria Compliance Requirements
Form
Joint Venture (existing or intended) Submission
Requirement
No. Subject Requirement Single Entity All Each One
Members Member Member
Combined
management contractor or subcontractor listed below
between 1st January [insert year] and [list key
Application submission deadline: activities and
the
(i) N contracts, each of minimum value V; correspondin
Or g minimum
(ii) Less than or equal to N contracts, requirements
each of minimum value V, but with total to be met by
value of all contracts equal or more than one member
N x V; [insert values of N & V, delete (ii) otherwise
above if not applicable]. state: ”N/A”]

[In case the Works are to be bid as

individual contracts under a slice and
package (multiple contract) procedure,
the minimum number of contracts
required for purposes of evaluating
qualification shall be selected from the
options mentioned in ITA 25.3b]

The similarity of the contracts shall be

based on the following: [Based on Section
VII, Scope of Works, specify the minimum
key requirements in terms of physical size,
complexity, construction method,
technology and/or other characteristics
including part of the requirements that
may be met by Specialized Subcontractors,
11
For contracts under which the Applicant participated as a joint venture member or sub-contractor, only the Applicant’s share, by value, and role and responsibilities
shall be considered to meet this requirement.
12
In the case of JV, the value of contracts completed by its members shall not be aggregated to determine whether the requirement of the minimum value of a single
contract has been met. Instead, each contract performed by each member shall satisfy the minimum value of a single contract as required for single entity. In
determining whether the JV meets the requirement of total number of contracts, only the number of contracts completed by all members each of value equal or more
than the minimum value required shall be aggregated.
Section III - Qualification Criteria and Requirements 35

Document/
Eligibility and Qualification Criteria Compliance Requirements
Form
Joint Venture (existing or intended) Submission
Requirement
No. Subject Requirement Single Entity All Each One
Members Member Member
Combined
if permitted in accordance with ITA 25.2]

[If cyber security risk has been assessed

to present potential or actual cyber
security risks, include key relevant specific
experience requirement to demonstrate
cyber security experience, practice and
track record, including relevant Cyber
security accreditation such as ISO 27000
(ISO 27001) or equivalent.]
4.2 For the above and any other contracts Must meet Must meet N/A Must meet Form EXP –
(b) [substantially completed and under requirements requirements the following 4.2 (b)
implementation] as prime contractor, joint [Specify [Specify requirements
venture member, or sub-contractor activities that activities that for key
between 1st January [insert year] and may be met may be met activities
Application submission deadline, a through a through a listed below
minimum construction experience in the specialized Specialized [if
following key activities successfully subcontractor, Subcontractor, applicable,
completed13: [list key activities indicating if permitted in if permitted in out of the
volume, number or rate of production as accordance accordance key activities
applicable. with ITA 25.2] with ITA 25.2 ] in the first
column of
Under 4.2(a), specified requirements this 4.2 b),
define similarity of contracts, whereas the list key
key activities or production rates to be activities
specified under 4.2 (b) define the required (volume,
capability of the Applicant to execute the number or
Works. There shall not be any rate of
inconsistency or repetition of requirement production as
between 4.2(a) and 4.2(b). For the rate of applicable)
production, specify that the rate of and the
production shall be on the basis of either correspondin

13
Volume, number or rate of production of any key activity can be demonstrated in one or more contracts combined if executed during same time period.
Section III - Qualification Criteria and Requirements 36

Document/
Eligibility and Qualification Criteria Compliance Requirements
Form
Joint Venture (existing or intended) Submission
Requirement
No. Subject Requirement Single Entity All Each One
Members Member Member
Combined
the average during the entire specified g minimum
period OR the rate of annual production requirements
in any 12 month period in the specified that have to
period, ]14 be met by one
member,
otherwise
this cell
should state:
“N/A”.]
4.2 Specific Experience For the contracts in 4.2 (a) above and/or Must meet Must meet Must meet Must meet Form EXP –
(c) in managing ES any other contracts [substantially requirements requirement the following the following 4.2 (c)
aspects [add, if completed and under implementation] as requirements: requirements:
applicable: “and prime contractor, joint venture member, or [list key [list key
any additional Subcontractor between 1st January [insert requirements requirements
sustainable year] and Application submission to be met by to be met by
procurement deadline, experience in managing ES risks each member one member
aspects”] and impacts in the following aspects: otherwise otherwise
[Consistent with ES assessment and any state: ”N/A”] state: ”N/A”]
additional sustainable procurement
objectives of the contract, specify, as
appropriate, specific experience
requirements to manage ES and any
additional sustainable procurement
aspects, or refer to requirements that the
Employer specifies in Section VII.]

14
The minimum experience requirement for multiple contracts will be the sum of the minimum requirements for respective individual contracts, unless
specified otherwise.
Section IV - Bidding Forms 37

Section IV - Application Forms

Table of Forms

Application Submission Letter...................................................................................................38

Form ELI -1.1 Applicant Information Form............................................................................41
Form ELI -1.2 Applicant's JV Information Form....................................................................42
Form CON – 2 Historical Contract Non-Performance, Pending Litigation and Litigation
History..........................................................................................................................................43
Form CON – 3 ES Performance Declaration............................................................................45
Form CON – 4 Sexual Exploitation and Abuse (SEA) and/or Sexual Harassment
Performance Declaration............................................................................................................47
Form FIN – 3.1 Financial Situation and Performance.............................................................49
Form FIN - 3.2 Average Annual Construction Turnover........................................................51
Form EXP - 4.1 General Construction Experience..................................................................52
Form EXP - 4.2(a) Specific Construction and Contract Management Experience...............53
Form EXP - 4.2(a) (cont.) Specific Construction and Contract Management Experience
(cont.)............................................................................................................................................54
Form EXP - 4.2(b) Construction Experience in Key Activities...............................................55
Form EXP - 4.2(c) Specific Experience in Managing ES aspects and any additional
sustainable procurement aspects................................................................................................57
Section IV - Bidding Forms 38

Application Submission Letter

Date: [insert day, month, and year]
PQD No. and title: [insert PQD number and title]

To: [insert full name of Employer]

We, the undersigned, apply to be prequalified for the referenced PQD and declare that:

(a) No reservations: We have examined and have no reservations to the Prequalification

Document, including Addendum(s) No(s), issued in accordance with ITA 8: [insert the
number and issuing date of each addendum].
(b) No conflict of interest: We have no conflict of interest in accordance with ITA 4;
(c) Eligibility: We (and our subcontractors) meet the eligibility requirements as stated ITA 4, we
have not been suspended by the Employer based on execution of a Bid/Proposal-Securing
Declaration in accordance with ITA 4.9;
(d) Suspension and Debarment: We, along with any of our subcontractors, suppliers,
consultants, manufacturers, or service providers for any part of the contract, are not
subject to, and not controlled by any entity or individual that is subject to, a temporary
suspension or a debarment imposed by the World Bank Group or a debarment imposed
by the World Bank Group in accordance with the Agreement for Mutual Enforcement of
Debarment Decisions between the World Bank and other development banks. Further, we
are not ineligible under the Employer’s country laws or official regulations or pursuant to
a decision of the United Nations Security Council;
(e) Sexual Exploitation and Abuse (SEA) and/or Sexual Harassment (SH): [select the
appropriate option from (i) to (v) below and delete the others].
We [where JV, insert: “including any of our JV members”], and any of our
subcontractors:
(i) [have not been subject to disqualification by the Bank for non-compliance with
SEA/ SH obligations.]
(ii) [are subject to disqualification by the Bank for non-compliance with SEA/ SH
obligations.]
(iii) [had been subject to disqualification by the Bank for non-compliance with SEA/
SH obligations. An arbitral award on the disqualification case has been made in
our favor.]
(iv) [had been subject to disqualification by the Bank for non-compliance with SEA/
SH obligations for a period of two years. We have subsequently provided and
demonstrated that we have adequate capacity and commitment to comply with
SEA and SH prevention and response obligations.]
Section IV - Bidding Forms 39

(v) [had been subject to disqualification by the Bank for non-compliance with SEA/
SH obligations for a period of two years. We have attached documents
demonstrating that we have adequate capacity and commitment to comply with
SEA and SH prevention and response obligations.]
(f) State-owned enterprise or institution: [select the appropriate option and delete the
other] [We are not a state-owned enterprise or institution] / [We are a state-owned
enterprise or institution but meet the requirements of ITA 4.8];
(g) Subcontractors and Specialized Subcontractors: We, in accordance with ITA 24.2 and
25.2, plan to subcontract the following key activities and/or parts of the works:
[Insert any of the key activities identified in Section III - 4.2(a) or (b) which the
Employer has permitted under the Prequalification Document and which the Applicant
intends to subcontract along with complete details of the Specialized Subcontractors,
their qualification and experience]
(h) Commissions, gratuities, fees: We declare that the following commissions, gratuities, or
fees have been paid or are to be paid with respect to the prequalification process, the
corresponding bidding process or execution of the Contract:

Name of Recipient Address Reason Amount

[insert full name for [insert street/ [indicate reason] [specify amount
each occurrence] number/city/country] currency, value,
exchange rate and
US$ equivalent]

________________ ________________ ________________ ________________

________________ ________________ ________________ ________________
________________ ________________ ________________ ________________
________________ ________________ ________________ ________________

[If no payments are made or promised, add the following statement: “No commissions or gratuities
have been or are to be paid by us to agents or any third party relating to this Application]

(i) Not bound to accept: We understand that you may cancel the prequalification process at
any time and that you are neither bound to accept any Application that you may receive nor
to invite the prequalified Applicants to bid for the contract subject of this Prequalification
process, without incurring any liability to the Applicants, in accordance with ITA 26.1.
(j) True and correct: All information, statements and description contained in the Application are
in all respect true, correct and complete to the best of our knowledge and belief.

Signed [insert signature(s) of an authorized representative(s) of the Applicant]

Section IV - Bidding Forms 40

Name [insert full name of person signing the Application]

In the capacity of [insert capacity of person signing the Application]

Duly authorized to sign the Application for and on behalf of:

Applicant’s Name [insert full name of Applicant or the name of the JV]

Address [insert street number/town or city/country address]

Dated on [insert day number] day of [insert month], [insert year]

[For a joint venture, either all members shall sign or only the authorized representative, in
which case the power of attorney to sign on behalf of all members shall be attached]
Section IV - Bidding Forms 41

Form ELI -1.1

Applicant Information Form
Date: [insert day, month, year]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

Applicant's name
[insert full name]
In case of Joint Venture (JV), name of each member:
[insert full name of each member in JV]
Applicant's actual or intended country of registration:
[indicate country of Constitution]
Applicant's actual or intended year of incorporation:
[indicate year of Constitution]
Applicant's legal address [in country of registration]:
[insert street/ number/ town or city/ country]
Applicant's authorized representative information
Name: [insert full name]
Address: [insert street/ number/ town or city/ country]
Telephone/Fax numbers: [insert telephone/fax numbers, including country and city codes]
E-mail address: [indicate e-mail address]
1. Attached are copies of original documents of
 Articles of Incorporation (or equivalent documents of constitution or association), and/or
documents of registration of the legal entity named above, in accordance with ITA 4.5.
 In case of JV, letter of intent to form JV or JV agreement, in accordance with ITA 4.2.
 In case of state-owned enterprise or institution, in accordance with ITA 4.8 documents
establishing:
 Legal and financial autonomy
 Operation under commercial law
 Establishing that the Applicant is not under supervision of the Employer
2. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership.
Section IV - Bidding Forms 42

Form ELI -1.2

Applicant's JV Information Form
[The following form is additional to Form ELI – 1.1., and shall be completed to provide information
relating to each JV member (in case the Applicant is a JV) as well as any Specialized Subcontractor
proposed to be used by the Applicant for any part of the Contract resulting from this prequalification]

Date: [insert day, month, year]

PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

Applicant name:
[insert full name]
Applicant's JV Member’s name:
[insert full name of Applicant's JV Member]
Applicant's JV Member’s country of registration:
[indicate country of registration]
Applicant JV Member’s year of constitution:
[indicate year of constitution]
Applicant JV Member’s legal address in country of constitution:
[insert street/ number/ town or city/ country]
Applicant JV Member’s authorized representative information
Name: [insert full name]
Address: [insert street/ number/ town or city/ country]
Telephone/Fax numbers: [insert telephone/fax numbers, including country and city codes]
E-mail address: [indicate e-mail address]
1. Attached are copies of original documents of
 Articles of Incorporation (or equivalent documents of constitution or association), and/or registration
documents of the legal entity named above, in accordance with ITA 4.5.
 In case of a state-owned enterprise or institution, documents establishing legal and financial
autonomy, operation in accordance with commercial law, and they are not under the supervision of
the Employer, in accordance with ITA 4.8.
2. Included are the organizational chart, a list of Board of Directors, and the beneficial ownership.
Section IV - Bidding Forms 43

Form CON – 2
Historical Contract Non-Performance, Pending Litigation
and Litigation History
[The following table shall be filled in for the Applicant and for each member of a Joint Venture]

Applicant’s Name: [insert full name]

Date: [insert day, month, year]
Joint Venture Member’s Name: [insert full name]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

Non-Performed Contracts in accordance with Section III, Qualification Criteria and

Requirements
 Contract non-performance did not occur since 1st January [insert year] specified in Section III,
Qualification Criteria and Requirements, Sub-Factor 2.1.
 Contract(s) not performed since 1st January [insert year] specified in Section III, Qualification
Criteria and Requirements, requirement 2.1
Year Non- Contract Identification Total Contract
performed Amount (current
portion of value, currency,
contract exchange rate
and US$
equivalent)
[insert [insert amount Contract Identification: [indicate complete contract [insert amount]
year] and percentage] name/ number, and any other identification]
Name of Employer: [insert full name]
Address of Employer: [insert street/city/country]
Reason(s) for nonperformance: [indicate main
reason(s)]
Pending Litigation, in accordance with Section III, Qualification Criteria and Requirements
 No pending litigation in accordance with Section III, Qualification Criteria and Requirements,
Sub-Factor 2.3.
 Pending litigation in accordance with Section III, Qualification Criteria and Requirements, Sub-
Factor 2.3 as indicated below.
Section IV - Bidding Forms 44

Year of Amount in dispute Contract Identification Total Contract

dispute (currency) Amount
(currency), USD
Equivalent
(exchange rate)
[insert [insert amount] Contract Identification: [indicate [insert amount]
year] complete contract name, number, and
any other identification]
Name of Employer: [insert full name]
Address of Employer: [insert
street/city/country]
Matter in dispute: [indicate main issues
in dispute]
Party who initiated the dispute:
[indicate “Employer” or
“Contractor”]
Status of dispute:
Litigation History in accordance with Section III, Qualification Criteria and
Requirements
 No Litigation History in accordance with Section III, Qualification Criteria and
Requirements, Sub-Factor 2.4.
 Litigation History in accordance with Section III, Qualification Criteria and
Requirements, Sub-Factor 2.4 as indicated below.
Year of Outcome as Contract Identification Total Contract
award percentage of Net Amount
Worth (currency), USD
Equivalent
(exchange rate)
[insert [insert Contract Identification: [indicate [insert amount]
year] percentage] complete contract name, number, and
any other identification]
Name of Employer: [insert full name]
Address of Employer: [insert
street/city/country]
Matter in dispute: [indicate main issues
in dispute]
Party who initiated the dispute:
[indicate “Employer” or
“Contractor”]
Reason(s) for Litigation and award
decision [indicate main reason(s)]
Section IV - Bidding Forms 45

Form CON – 3
ES Performance Declaration
[The following table shall be filled in for the Applicant, each member of a Joint Venture and each
Specialized Subcontractor]

Applicant’s Name: [insert full name]

Date: [insert day, month, year]
Joint Venture Member’s or Specialized Subcontractor’s Name: [insert full name]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

Environmental and Performance Declaration

in accordance with Section III, Qualification Criteria, and Requirements
 No suspension or termination of contract: An employer has not suspended or terminated a
contract and/or called the performance security for a contract for reasons related to
Environmental or Social, (ES) performance since the date specified in Section III, Qualification
Criteria, and Requirements, Sub-Factor 2.5.
 Declaration of suspension or termination of contract: The following contract(s) has/have
been suspended or terminated and/or Performance Security called by an employer(s) for reasons
related to Environmental or Social, (ES) performance since the date specified in Section III,
Qualification Criteria, and Requirements, Sub-Factor 2.5. Details are described below:
Year Suspended or Contract Identification Total Contract
terminated Amount (current
portion of value, currency,
contract exchange rate
and US$
equivalent)
[insert [insert amount Contract Identification: [indicate complete contract [insert amount]
year] and percentage] name/ number, and any other identification]
Name of Employer: [insert full name]
Address of Employer: [insert street/city/country]
Reason(s) for suspension or termination: [indicate
main reason(s) e.g. gender based violence; sexual
exploitation or sexual abuse breaches]
[insert [insert amount Contract Identification: [indicate complete contract [insert amount]
year] and percentage] name/ number, and any other identification]
Name of Employer: [insert full name]
Address of Employer: [insert street/city/country]
Reason(s) for suspension or termination: [indicate
Section IV - Bidding Forms 46

main reason(s)]
… … [list all applicable contracts] …
Performance Security called by an employer(s) for reasons related to ES performance
Year Contract Identification Total Contract
Amount (current
value, currency,
exchange rate and
US$ equivalent)
[insert Contract Identification: [indicate complete contract name/ number, and [insert amount]
year] any other identification]
Name of Employer: [insert full name]
Address of Employer: [insert street/city/country]
Reason(s) for calling of performance security: [indicate main reason(s)
e.g. gender-based violence; sexual exploitation or sexual abuse
breaches]
Section IV - Bidding Forms 47

Form CON – 4
Sexual Exploitation and Abuse (SEA) and/or Sexual
Harassment Performance Declaration
[The following table shall be filled in by the Applicant, each member of a Joint Venture and each subcontractor
proposed by the Applicant]
Applicant’s Name: [insert full name]
Date: [insert day, month, year]
Joint Venture Member’s or Subcontractor’s Name: [insert full name]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

SEA and/or SH Declaration

in accordance with Section III, Qualification Criteria, and Requirements

We:
 (a) have not been subject to disqualification by the Bank for non-compliance with SEA/ SH obligations
 (b) are subject to disqualification by the Bank for non-compliance with SEA/ SH obligations
 (c) had been subject to disqualification by the Bank for non-compliance with SEA/ SH obligations An
arbitral award on the disqualification case has been made in our favor.
 (d) had been subject to disqualification by the Bank for non-compliance with SEA/ SH obligations for
a period of two years. We have subsequently demonstrated that we have adequate capacity and
commitment to comply with SEA/ SH obligations.
 (e) had been subject to disqualification by the Bank for non-compliance with SEA/ SH obligations for
a period of two years. We have attached evidence demonstrating that we have adequate capacity
and commitment to comply with SEA/ SH obligations.

[If (c) above is applicable, attach evidence of an arbitral award reversing the findings on the issues
underlying the disqualification.]

[If (d) or ( e) above are applicable, provide the following information:]

Period of disqualification: From: _______________ To: ________________

If previously provided for another Bank financed works contract, details of evidence that demonstrated
adequate capacity and commitment to comply with SEA/ SH obligations (as per (d) above)
Name of Employer: ___________________________________________
Name of Project: _____________________________________
Contract description: _____________________________________________________
Brief summary of evidence provided: ________________________________________
Section IV - Bidding Forms 48

______________________________________________________________________
Contact Information: (Tel, email, name of contact person): _______________________
______________________________________________________________________

As an alternative to the evidence under (d), other evidence demonstrating adequate capacity and
commitment to comply with SEA/ SH obligations (as per (e) above) [attach details as appropriate].
Section IV - Bidding Forms 49

Form FIN – 3.1

Financial Situation and Performance
[ The following table shall be filled in for the Applicant and for each member of a Joint Venture]

Applicant’s Name: [insert full name]

Date: [insert day, month, year]
Joint Venture Member Name: [insert full name]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

1. Financial data
Type of Financial information Historic information for previous _[insert number] years,
in [insert in words]
(currency) (amount in currency, currency, exchange rate*, USD
equivalent)
Year 1 Year 2 Year 3 Year4 Year 5

Statement of Financial Position (Information from Balance Sheet)

Total Assets (TA)

Total Liabilities (TL)

Total Equity/Net Worth (NW)

Current Assets (CA)

Current Liabilities (CL)

Working Capital (WC)

Information from Income Statement

Total Revenue (TR)

Profits Before Taxes (PBT)

Cash Flow Information

Cash Flow from Operating
Activities

* Refer ITA 14 for the exchange rate

Section IV - Bidding Forms 50

2. Sources of Finance
[ The following table shall be filled in for the Applicant and all parties combined in case of a Joint
Venture]
Specify sources of finance to meet the cash flow requirements on works currently in progress
and for future contract commitments.

No. Source of finance Amount (US$ equivalent)

3. Financial documents

The Applicant and its parties shall provide copies of financial statements for [number] years pursuant
Section III, Qualifications Criteria and Requirements, Sub-factor 3.1. The financial statements shall:

(a) reflect the financial situation of the Applicant or in case of JV member, and not an
affiliated entity (such as parent company or group member).

(b) be independently audited or certified in accordance with local legislation.

(c) be complete, including all notes to the financial statements.

(d) correspond to accounting periods already completed and audited.

 Attached are copies of financial statements15 for the [number] years required above; and
complying with the requirements

15
If the most recent set of financial statements is for a period earlier than 12 months from the date of Application,
the reason for this should be justified.
Section IV - Bidding Forms 51

Form FIN - 3.2

Average Annual Construction Turnover
[The following table shall be filled in for the Applicant and for each member of a Joint Venture]

Applicant’s Name: [insert full name]

Date: [insert day, month, year]
Joint Venture Member Name: [insert full name]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

Annual turnover data (construction only)

Year Amount Exchange rate* USD equivalent
Currency
[indicate [insert amount and indicate
calendar currency]
year]

Average Annual
Construction
Turnover **

* Refer ITA 14 for date and source of exchange rate.

** Total USD equivalent for all years divided by the total number of years. See Section III,
Qualification Criteria and Requirements, 3.2.
Section IV - Bidding Forms 52

Form EXP - 4.1

General Construction Experience

[The following table shall be filled in for the Applicant and in the case of a JV Applicant, each
Member]

Applicant’s Name: [insert full name]

Date: [insert day, month, year]
Joint Venture Member Name: [insert full name]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

[Identify contracts that demonstrate continuous construction work over the past [number] years
pursuant to Section III, Qualification Criteria and Requirements, Sub-Factor 4.1.List contracts
chronologically, according to their commencement (starting) dates.]

Starting Ending Contract Identification Role of

Year Year Applicant

[indicate [indicate Contract name: [insert full name] [insert "Prime

year] year] Brief Description of the Works performed by the Contractor” or
Applicant: [describe works performed briefly] “JV Member” or
Amount of contract: [insert amount in currency, "Sub-contractor”
mention currency used, exchange rate and US$ or "Management
equivalent*] Contractor”]
Name of Employer: [indicate full name]
Address: [indicate street/number/town or city/country]
Contract name: [insert full name] [insert "Prime
Brief Description of the Works performed by the Contractor” or
Applicant: [describe works performed briefly] “JV Member” or
Amount of contract: [insert amount in currency, "Sub-contractor”
mention currency used, exchange rate and US$ or "Management
equivalent*] Contractor”]
Name of Employer: [indicate full name]
Address: [indicate street/number/town or city/country]
Contract name: [insert full name] [insert "Prime
Brief Description of the Works performed by the Contractor” or
Applicant: [describe works performed briefly] “JV Member” or
Amount of contract: [insert amount in currency, "Sub-contractor”
mention currency used, exchange rate and US$ or "Management
equivalent*] Contractor”]
Name of Employer: [indicate full name]
Address: [indicate street/number/town or city/country]
* Refer ITA 14 for date and source of exchange rate.
Section IV - Bidding Forms 53

Form EXP - 4.2(a)

Specific Construction and Contract Management
Experience

[The following table shall be filled in for contracts performed by the Applicant, each member
of a Joint Venture, and Specialized Sub-contractors]

Applicant’s Name: [insert full name]

Date: [insert day, month, year]
Joint Venture Member Name: [insert full name]
PQD No. and title: [insert PQD number and title]
Page [insert page number] of [insert total number] pages

Information
Similar Contract No.
[insert number] of [insert number
of similar contracts required]
Contract Identification [insert contract name and number, if applicable]
Award date [insert day, month, year, e.g., 15 June, 2015]
Completion date [insert day, month, year, e.g., 03 October, 2017]
Role in Contract Prime Member in Management Sub-
[check the appropriate box] Contractor JV Contractor contractor
   

Total Contract Amount [insert total contract amount US$ [insert

in local currency] Exchange rate and total
contract amount in US$
equivalent]*
[insert a [insert total [insert exchange rate and total
If member in a JV or sub-
percentage contract amount contract amount in US$
contractor, specify share in value in
amount] in local equivalent]*
total Contract amount and roles and
currency]
responsibilities
[insert roles and responsibilities]
Employer's Name: [insert full name]
Address: [indicate street / number / town or city / country]

Telephone/fax number [insert telephone/fax numbers, including country and

city area codes]

E-mail: [insert e-mail address, if available]

Section IV - Bidding Forms 54

* Refer ITA 14 for date and source of exchange rate.

Section IV - Bidding Forms 55

Form EXP - 4.2(a) (cont.)

Specific Construction and Contract Management
Experience (cont.)

Similar Contract No. Information

[insert number] of [insert number
of similar contracts required]
Description of the similarity in
accordance with Sub-Factor 4.2(a)
of Section III:
1. Amount [insert amount in local currency, exchange rate, US$
in words and in Figures]
2. Physical size of required works [insert physical size of items]
items
3. Complexity [insert description of complexity]
4. Methods/Technology [insert specific aspects of the methods/technology
involved in the contract]
5. Construction rate for key [insert rates and items]
activities
6. Other Characteristics [insert other characteristics as described in Section
VII, Scope of Works]
Section IV - Bidding Forms 56

Form EXP - 4.2(b)

Construction Experience in Key Activities
Applicant's Name: [insert full name]
Date: [insert day, month, year]
Applicant's JV Member’s Name: [insert full name]
Sub-contractor's Name16 (as per ITA 24.2 and 24.3): [insert full name]
PQD No. and title: [insert PQD number and title]

Page [insert page number] of [insert total number] pages

All Sub-contractors for key activities must complete the information in this form as per ITA 24.2
and 24.3 and Section III, Qualification Criteria and Requirements, 4.2.

1. Key Activity No. One: [insert brief description of the Activity, emphasizing its
specificity]
Total Quantity of Activity under the contract: _____________________________________
Information
Contract Identification [insert contract name and number, if applicable]
Award date [insert day, month, year, e.g., 15 June, 2015]
Completion date [insert day, month, year, e.g., 03 October, 2017]
Role in Contract
Member in
Prime Management Sub-
[check the appropriate box] Contractor Contractor contractor
 JV  

Total Contract Amount US$ [insert exchange rate
[insert total contract amount
and total contract amount
in contract currency(ies)]
in US$ equivalent]
Quantity (Volume, number or rate of Total quantity in Percentage Actual
production, as applicable) performed the contract participation Quantity
under the contract per year or part of the (i) (ii) Performed
year (i) x (ii)
[Insert extent of participation indicating
actual quantity of key activity successfully
completed in the role performed]
Year 1
Year 2
Year 3
Year 4

16
If applicable
Section IV - Bidding Forms 57

Employer’s Name: [insert full name]

Address: [indicate street / number / town or city / country]

Telephone/fax number [insert telephone/fax numbers, including country and

city area codes]

E-mail: [insert e-mail address, if available]

2. Activity No. Two

3. …………………

Information

Description of the key activities in

accordance with Sub-Factor 4.2(b) of
Section III:
[insert response to inquiry indicated in left
column]
Section IV - Bidding Forms 58

Form EXP - 4.2(c)

Specific Experience in Managing ES aspects and any
additional sustainable procurement aspects

[The following table shall be filled in for contracts performed by the Applicant, and
each member of a Joint Venture]

Applicant's Name: ________________

Date: ___________________
Applicant's JV Member Name: __________________
PQD No. and title: _____________________
Page __________________of ________________pages

1. Key Requirement no 1 in accordance with 4.2 (c): ______________________

Contract Identification
Award date
Completion date
Role in Contract Prime Member in Management
Subcontractor
Contractor JV Contractor

  
Total Contract Amount
US$

Details of relevant experience

2. Key Requirement no 2 in accordance with 4.2 (c): ______________________

3. Key Requirement no 3 in accordance with 4.2 (c): ______________________
4. …
Section VI - Fraud and Corruption

Section V - Eligible Countries

Eligibility for the Provision of Goods, Works and Services in Bank-Financed
Procurement

In reference to ITA 5.1 and 5.2, for the information of the Applicants, at the present time firms and
individuals, supply of goods, or contracting of works or services, from the following countries are
excluded from this prequalification process:
Under ITA 5.1 (a): [insert a list of the countries following approval by the Bank to apply the
restriction or state “none”]
Under ITA 5.1 (b): [list the countries or state “none”]
Section VI - Fraud and Corruption

Section VI - Fraud and Corruption

(This Section VI shall not be modified)
1. Purpose
1.1 The Bank’s Anti-Corruption Guidelines and this annex apply with respect to procurement
under Bank Investment Project Financing operations.
2. Requirements
2.1 The Bank requires that Borrowers (including beneficiaries of Bank financing); bidders
(applicants/proposers), consultants, contractors and suppliers; any sub-contractors, sub-
consultants, service providers or suppliers; any agents (whether declared or not); and any of
their personnel, observe the highest standard of ethics during the procurement process,
selection and contract execution of Bank-financed contracts, and refrain from Fraud and
Corruption.

2.2 To this end, the Bank:

a. Defines, for the purposes of this provision, the terms set forth below as follows:
i. “corrupt practice” is the offering, giving, receiving, or soliciting, directly or
indirectly, of anything of value to influence improperly the actions of another party;
ii. “fraudulent practice” is any act or omission, including misrepresentation, that
knowingly or recklessly misleads, or attempts to mislead, a party to obtain financial
or other benefit or to avoid an obligation;
iii. “collusive practice” is an arrangement between two or more parties designed to
achieve an improper purpose, including to influence improperly the actions of
another party;
iv. “coercive practice” is impairing or harming, or threatening to impair or harm,
directly or indirectly, any party or the property of the party to influence improperly
the actions of a party;
v. “obstructive practice” is:
(a) deliberately destroying, falsifying, altering, or concealing of evidence material
to the investigation or making false statements to investigators in order to
materially impede a Bank investigation into allegations of a corrupt, fraudulent,
coercive, or collusive practice; and/or threatening, harassing, or intimidating
any party to prevent it from disclosing its knowledge of matters relevant to the
investigation or from pursuing the investigation; or
(b) acts intended to materially impede the exercise of the Bank’s inspection and
audit rights provided for under paragraph 2.2 e. below.
Section VI – Fraud and Corruption 61

b. Rejects a proposal for award if the Bank determines that the firm or individual
recommended for award, any of its personnel, or its agents, or its sub-consultants, sub-
contractors, service providers, suppliers and/ or their employees, has, directly or
indirectly, engaged in corrupt, fraudulent, collusive, coercive, or obstructive practices in
competing for the contract in question;
c. In addition to the legal remedies set out in the relevant Legal Agreement, may take other
appropriate actions, including declaring misprocurement, if the Bank determines at any
time that representatives of the Borrower or of a recipient of any part of the proceeds of
the loan engaged in corrupt, fraudulent, collusive, coercive, or obstructive practices
during the procurement process, selection and/or execution of the contract in question,
without the Borrower having taken timely and appropriate action satisfactory to the
Bank to address such practices when they occur, including by failing to inform the Bank
in a timely manner at the time they knew of the practices;
d. Pursuant to the Bank’s Anti-Corruption Guidelines, and in accordance with the Bank’s
prevailing sanctions policies and procedures, may sanction a firm or individual, either
indefinitely or for a stated period of time, including by publicly declaring such firm or
individual ineligible: (i) to be awarded or otherwise benefit from a Bank-financed
contract, financially or in any other manner;17 (ii) to be a nominated18 sub-contractor,
consultant, manufacturer or supplier, or service provider of an otherwise eligible firm
being awarded a Bank-financed contract; and (iii) to receive the proceeds of any loan
made by the Bank or otherwise to participate further in the preparation or
implementation of any Bank-financed project;
e. Requires that a clause be included in bidding/request for proposals documents and in
contracts financed by a Bank loan, requiring (i) bidders (applicants/proposers),
consultants, contractors, and suppliers, and their sub-contractors, sub-consultants,
service providers, suppliers, agents, personnel, permit the Bank to inspect 19 all accounts,
records and other documents relating to the procurement process, selection and/or
contract execution, and to have them audited by auditors appointed by the Bank.

17
For the avoidance of doubt, a sanctioned party’s ineligibility to be awarded a contract shall include, without limitation, (i)
applying for pre-qualification, expressing interest in a consultancy, and bidding, either directly or as a nominated sub-
contractor, nominated consultant, nominated manufacturer or supplier, or nominated service provider, in respect of such
contract, and (ii) entering into an addendum or amendment introducing a material modification to any existing contract.
18
A nominated sub-contractor, nominated consultant, nominated manufacturer or supplier, or nominated service provider
(different names are used depending on the particular bidding document) is one which has been: (i) included by the bidder in
its pre-qualification application or bid because it brings specific and critical experience and know-how that allow the bidder to
meet the qualification requirements for the particular bid; or (ii) appointed by the Borrower.
19
Inspections in this context usually are investigative (i.e., forensic) in nature. They involve fact-finding activities undertaken
by the Bank or persons appointed by the Bank to address specific matters related to investigations/audits, such as evaluating
the veracity of an allegation of possible Fraud and Corruption, through the appropriate mechanisms. Such activity includes but
is not limited to: accessing and examining a firm's or individual's financial records and information, and making copies thereof
as relevant; accessing and examining any other documents, data and information (whether in hard copy or electronic format)
deemed relevant for the investigation/audit, and making copies thereof as relevant; interviewing staff and other relevant
individuals; performing physical inspections and site visits; and obtaining third party verification of information.
Part 2 – Works’ Requirements

PART 2 – Works’ Requirements

Section VII - Scope of Works 65

Section VII - Scope of Works

Contents

1. Description of the Works........................................................................................................66

2. Construction Period.................................................................................................................67
3. Site and Other Data.................................................................................................................68
4. Environmental and Social (ES) Requirement and additional sustainable Procurement
Aspects..........................................................................................................................................69
Section VII - Scope of Works 66

1. Description of the Works

Section VII - Scope of Works 67

2. Construction Period
Section VII - Scope of Works 68

3. Site and Other Data

Section VII - Scope of Works 69

4. Environmental and Social (ES) Requirement and

additional sustainable Procurement Aspects
[The Employer’s team preparing the ES requirements should include a suitably qualified
Environmental and Social specialist/s.
Based on the ES assessment, the Employer shall provide key ES risks and impacts and
expectations on contractors to manage the risks and impacts. This may include as appropriate,
but not limited to a summary of: key expectations in addressing Sexual Exploitation and Abuse
(SEA) and Sexual Harassment (SH) risks and impacts, managing labor and working conditions,
protection of the environment, security of the site, community health and safety, management of
safety of hazardous materials, resource efficiency and pollution prevention and management,
biodiversity conservation and sustainable management of living natural resources etc. Any
summary (key) information provided here shall not be inconsistent with the more detailed
requirements in the bidding document.]
[Consistent with any additional sustainable procurement objectives of the contract, specify, as
appropriate, specific experience requirements to manage any additional sustainable procurement
aspects.]