4-Laning of Dhaka-Chittagong - Roads and Highways Department

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2nd Dhaka-Chittagong National Highway (Expressway) Request for Qualification Document FORM XI(a) : DETAILS OF PROPOSED EQUIPMENT Name of Applicant The Applicant should provide adequate information to demonstrate clearly that it has the capability to meet the requirements for each and all items of Equipment proposed in Form XI. A separate Form XIA shall be prepared for each key item of equipment proposed by the Applicant. Item of equipment: ____________________________________________________ 1. Manufacturer: ___________________ 2. Model and power rating: __________ 3. Capacity : ______________________ 4. Year of manufacture: ____________ 5. Current Condition and Location: _______________________________________ 1. Details of Current Commitments: _______________________________________ __________________________________________________________________ 6. In case the Applicant is a joint venture, indicate the name of the partner who will provide this particular equipment : __________________________________________________________________ 7. Indicate whether equipment is owned or to be hired, leased, manufactured especially, or through other means: _________________________________________________________________ 8. Owner : ___________________________________________________________ [Omit the following information for equipment owned by the Applicant, including partners of a joint venture] 9. Owners address: _____________________________________________________ Tel: ____________________________ Fax: ______________________________ Contract Person (Name and Title) : _____________________________________ 10. Details of hire/lease/manufacture agreements specific to the project _________________________________________________________________ _________________________________________________________________ Roads and Highways Department 51
2nd Dhaka-Chittagong National Highway (Expressway) Request for Qualification Document FORM XII : SUMMARY SHEET: CURRENT CONTRACT COMMITEMNTS/ WORKS IN PROGRESS Names of Partner of a joint venture ______________________________________ All partner to an application should provide information on their current commitments on all contracts that have been awarded, or for which a letter of intent or acceptance has been received, or contracts approaching completion but for which an unqualified, full completion certificate has yet to be issued. Name of Contract Value of Outstanding Work Estimated (US$ equivalent) Completion Date 1. ____________________________ _________________ _______________ 2. ____________________________ _________________ _______________ 3. ____________________________ _________________ _______________ 4. ____________________________ _________________ _______________ 5. ____________________________ _________________ _______________ 6. ____________________________ _________________ _______________ 7. ____________________________ _________________ _______________ 8. ____________________________ _________________ _______________ 9. ____________________________ _________________ _______________ 10 ____________________________ _________________ _______________ [ use additional sheets as necessary ] Roads and Highways Department 52
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CONSTRUCTION OF 2ND DHAKA-CHITTAGON
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2nd Dhaka-Chittagong National Highw
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4-Laning of Dhaka-Chittagong - Roads and Highways Department

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