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 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 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 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:
Eligibility and Qualification Criteria Compliance Requirements Documentation No. Subject Requirement Single Entity Joint Venture (existing or intended) Submission Requirements All Members Combined Each Member One Member 1. Eligibility 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 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 State-owned enterprise of the Borrower country Meet conditions of ITA 4.8 Must meet requirement Must meet requirement Must meet requirement N/A Forms ELI – 1.1 with attachments 1.5 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 Forms ELI – 1.1 with attachments 2. Historical Contract Non-Performance 2.1 History of Contracts Non-performance of a contract did not occur as a result of Supplier’s default since 1st January [insert year]. Must meet requirement2 Must meet requirements Must meet requirement N/A Form PER-1 2.2 Suspension Based on Execution of Not under suspension based on execution of a Bid/Proposal Securing Must meet requirement Must meet requirement Must meet requirement N/A Application Submission Letter Non-
Non-Performed Contracts in accordance with Section III, Qualification Criteria and Requirements Contract non-performance did not 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 performed portion of contract Contract Identification Contract Amount (current value, currency, exchange rate and US$ equivalent) [insert year] [insert amount and percentage] Contract Identification: [indicate complete contract name/ number, and any other identification] Name of Purchaser: [insert full name] Address of Purchaser: [insert street/city/country] Reason(s) for nonperformance: [indicate main reason(s)] [insert amount] 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. Year of dispute Amount in dispute (currency) Contract Identification Total Contract Amount (currency), USD Equivalent (exchange rate)