Table 1 – Qualification Criteria and Requirements [Note to Employer: Only applications that are substantially responsive to the qualification criteria and requirements in Table 1 are to be assessed against Table 2, Rated Criteria and Requirements.] Eligibility Criteria Single Entity Requirements Joint Venture Requirements Documentation No. Subject Requirement All Members Combined Each Member One Member Submission Requirements 1.1 Nationality Nationality in accordance with ITA 4.5 Must meet requirement Must meet requirement Must meet requirement N/A Forms ELI – 1.1 and 1.2, with attachments 1.2 Conflict of Interest No conflicts of interest in accordance with ITA 4.6 Must meet requirement Must meet requirement Must meet requirement N/A Application Submission Letter 1.3 Bank Eligibility Not having been declared ineligible by the Bank, as described in ITA 4.7 and 5.1 Must meet requirement Must meet requirement Must meet requirement N/A Application Submission Letter 1.4 United Nations resolution or Borrower’s country law Not having been excluded as a result of prohibition in the Borrower’s country laws or official regulations against commercial relations with the Applicant’s country, or by an act of compliance with UN Security Council resolution, both in accordance with ITA 5.1 and Section V. Must meet requirement Must meet requirement Must meet requirement N/A ELI – 1.1 and 1.2, with attachments
completed within the last [insert number] years, divided by [insert number of years in words] years. [In case the contracts are to be procured as individual contracts under a slice and package (multiple contracts) state the average annual turnover requirement to qualify for individual and multiple contracts.] the requirement the requirement Experience Criteria Single Entity Requirements Venture Requirements Documentation No. Subject Requirement All Members Combined Each Member One Member Submission Requirements 4.1 General Experience Experience under construction contracts in the role of prime contractor, JV member, subcontractor, or management contractor for at least the last [insert number] years, starting 1st January [insert year]. Must meet requirement N/A Must meet requirement N/A Form EXP – 4.1 4.2 Specific Experience A minimum number of [state the number] similar contracts specified below that have been satisfactorily and substantially completed as a Must meet requirement Must meet requirement N/A N/A Form EXP 4.2
Sustainable Procurement Criteria Scoring Documentation Requirement Maximum score Remark Submission Requirement [Sustainable procurement (to be specified by the Employer) practices in the following key areas: Sustainable procurement practice, and Track record of delivering sustainable procurement outcomes. Scoring methodology: [select a maximum score (out of 100) between 0 and 20] In case of JV, at one member will be evaluated. 2-SP
[insert year] [insert amount] Contract Identification: [indicate 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: [Indicate if it is being treated by the Adjudicator, under Arbitration or being dealt with by the Judiciary] [insert amount] Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements No Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements, Sub-Factor 2.4. Litigation History in accordance with Section III, Table 1 Qualification Criteria, and Requirements, Sub-Factor 2.4 as indicated below. Year of award Outcome as percentage of Net Worth Contract Identification Total Contract Amount (currency), USD Equivalent (exchange rate) [insert year] [insert percentage] Contract Identification: [indicate complete contract name, number, and any 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)] [insert amount] Form CON – 3 ESHS Performance Declaration [The following table shall be filled in for the Applicant, each member of a Joint Venture and each Specialized Subcontractor]