prequalification questionnaire for the subcontractors

Prequalification Questionnaire

DocumentPrequalification

Questionnaire for the Sub-contractors

Documentcode

FAST-CJV-PQ-rev.1

Project&Client Riyadh Metro Package 3

ArRiyadh Development Authority

Document type and

title Prequalification Questionnaire

Document code FAST-CJV-PQ-rev.2

SynopsisDocument to collect all information required to assess subcontractors/suppliers capabilities

Prequalification Questionnaire for the Sub-contractors

The Firm’s Name:

PT. WIJAYA KARYA (persero) Tbk___________________________________________________

P.Q. for the Sub-Contractors of 2222



Documentcode

FAST-CJV-PQ-rev.1

SUMMARY

Serial Title Page Number

1 COMPANY STATEMENT 3

1.1. The Firm’s Full Registered Contact Details 3

1.2. Areas of Specialty 3

1.3. The Firm’s Mission Statement 4

1.4. Power of Attorney Letter & full Contact Data of the Authorized Person 4

1.5. The Firm’s Full Registered Official Data 4

2 FINANCIAL CAPABILITIES, INSURANCES & Litigation Status 7

2.1. Financial Position 7

2.2. Insurances 8

2.3 Litigation Status 9

3 THE FIRM’S EXPERIENCE 10

3.1. Projects References 10

4 THE FIRM’S RESOURCES 13

4.1. The Employees 13

4.2. The Equipment & Facilities 15

5 THE FIRM’S EFFICIENCY SYSTEMS 16

5.1. Efficiency Indicators 16

5.2. Compliance with QA/QC Systems 16

5.3. Compliance with HSE Systems 17

5.4. Compliance with Risk Management Systems 17

6 THE FIRM’S DISCIPLINE & CAPABILITY 19

6.1. Before/After Commissioning Service 19

6.2. Formal Letters 20

1. COMPANY STATEMENT




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FAST-CJV-PQ-rev.1

1.1. The Firm’s Full Registered Contact Details

1.1.1. Firm Name: PT. Wijaya Karya (persero) Tbk

1.1.2. Registered Address: Jl. DI. Panjaitan Kav 9, Jakarta 13340. Rep. of Indonesia

This address is for the:

Main Office Regional Office Branch Office Factory

1.1.3. Phone Number: +62-21-8192808, +62-21-8508650

1.1.4. Facsimile Number: +62-21-8564463, +62-21-8191235

1.1.5. Web-Site Home Page: http://www.wika.co.id

1.1.6. P.O Box: 4174/JKTJ

1.2. Areas of Specialty

1.2.1. Major Business Type & Firm’s specialization:

Engineering / Design Services

Construction / Installation at site

Trading / Material Supply/Manufacturing

Manpower supply

Equipment supply / rental.

1.2.2. Interests:

- Please state the works which is your Firm’s core business:

1. Please state the works that applied to be

1. Civil Works and Building ,

2. Industrial and Power Plant

3. Precast Factory ,

4. Irrigation and Drainage

3. performed for FAST Consortium:

1. Viaduct Substructure Works. , 2. ______________________________

3. __________________________ , 4. ______________________________

5. ___________________________ , 6. _____________________________

1.2.3. What’s your approach plan to be involved into the FAST Works? Single Subcontractor




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(Kindly mention in Brief;” Single, Entity, JV or Consortium”).

1.3. The Firm’s Mission Statement

1.3.1. Do you have any of company philosophy (mission & vision)?

Yes No

(If yes, kindly state below).

PT. Wijaya Karya (persero) Tbk has always been a company that worked with the right thing, in the right time and focused on continuous improvement- which is really what sustainability is all about

1.3.2. Do you have a brochure, or any kind of publication about your company will help us to assess your company?

Yes No

(If yes, kindly provide us a copy of the Company Profile ).

Yes, see our company profile

1.4. Power of Attorney Letter & full Contact Data of the Authorized Person

1.4.1. Representative name(s)/position(s):

Name Title e-mail address Telephone

Bintang Perbowo President Director [email protected]

+62-21-8192808, +62-21-8508650

1.4.2. Contact Person Data:

(Kindly provide us a signed & stamped Attorney Letter)

Name Title e-mail address Telephone

Gelora Yala Nusantoro Business Manager

[email protected]

+62-21-8192808, +62-21-8508650

1.5. The Firm’s Full Registered Official Data

1.5.1. The Type of Company at market:

Corporation Private Partnership

Joint Venture Stock company




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FAST-CJV-PQ-rev.1

LLC Other, _________________

1.5.2. Established Date: December 20th 1972

(Kindly attach Incorporation Certificate Copy)

1.5.3. Is the capital of your company 100% Saudi? No, We are , Rep. of Indonesia’s

state-owned enterprises

(Kindly attach detailed information & mention the Owners and shares holders’

names & Percentages):

Owner’s names % Nationality

Government

WIKA's Employee

Public (Foreign)

Public (Local)

65.15%

1.60%

14.45%

18.80%

Indonesian

Indonesian

Foreign

Indonesian

Total 100%

1.5.4. Relevant Organizations:(Kindly attach detailed information, mentioning the Data

of these Organizations & kind of relationships)

Firm Name Owner Ship Type of Firm Relationship

Wika Beton Subsidiaries of Wijaya Karya

Pre-cast factory Subsidiaries

Wika Gedung Subsidiaries of Wijaya Karya

Building apartement, highrise building

Subsidiaries

Wika Realty Subsidiaries of Wijaya Karya

Building apartement, highrise building

Subsidiaries

2. FINANCIAL CAPABILITIES, INSURANCES & LITIGATION STATUS

2.1. Financial Position:

2.1.1. Company's latest financial statements:

See our attachment Financial Statement

Kindly attach a formal signed & stamped copy of the following:




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FAST-CJV-PQ-rev.1

1. Balance Sheets.

2. Income Statements.

3. Financial Annual Reports.

2.1.2. Turn-Over:

Kindly fulfil the Following Data:

1. Average annual Turn-Over Last 5 years:

2. Turn-Over Last Year:

See our attachment annual turnover Report

2.1.3. Related Banks References:

Kindly fulfil the Following Data:

1. Name of Bank: Bank Mandiri

2. Address of Bank: PT BANK MANDIRI (PERSERO) Tbk. Jl. Jenderal Gatot Subroto Kav. 36-38. Jakarta 12190 Indonesia

3. Contact Person Name and Title: Iwan Rudiyana/ Relationship Manager

4. Telephone: 14000, +62-21-52997777

5. E-mail Address: [email protected]

2.1.4. Certified Bonding Capacity letter from each related bank, addressed to:

“CJV unincorporated (FCC Construccion S.A., Samsung C&T Corporation,

Strukton Civiel Projecten B.V., Freyssinet Saudi)

King Abdulaziz Road, Al Morouj Center. Riyadh

Package 3 Riyadh Metro Project”.

(Kindly attach the formal letters as per mentioned above)

Yes, we have sample for attachment Reference Bank

2.1.5. Does the Firm provides a Bank Guarantees Tender Bond?

(Kindly Mention Yes or No, supported with the usual agreed percentage).

Yes, we have sample for attachment Reference Bank

2.1.6. Does the Firm provide Bank Guarantees?




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FAST-CJV-PQ-rev.1

Yes No

(Kindly Mention Yes or No, supported with the usual agreed percentage).

2.1.7. Does the Firm Require an advance Payment?

Yes No

(Kindly Mention Yes or No, supported with the usual requested percentage)

2.1.8. Kindly describe your Cash Flow Approach method Towards FAST Consortium?

We are not a part of FAST Consortium, and We have our own method in serve of

Financial Statement/ Cash Flow

2.2. Insurances:

2.2.1. Related Insurance Brokers Companies:

1. Name of Bank: Mega Insurance

2. Address of Bank: Cown Palace BlokC 03/ 231, Jl. Dr. Supomo, Tebet, Jakarta Selatan

3. Contact Name and Title: Lukman Siregar/ Director

4. Telephone:+62-21-83790422

5. E-mail Address:-

2.2.2. Does the Firm have valid Group Insurance?

Yes No

(If yes, kindly mention in brief the Employees Liability insurance Status)

2.2.3. Does the Firm have valid Public liability Insurance? (Third Party)

Yes No

(Kindly Mention Yes or No, supported with Formal Papers)

2.2.4. Does the Firm have valid Professional Indemnity Insurance?

Yes No

(Kindly Mention Yes or No, supported with Formal Papers)

2.3 Litigation Status




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FAST-CJV-PQ-rev.1

2.3.1. Kindly mention the information for the history of litigation or arbitration resulting from contract

executed in the last 5 years or currently under execution.

YearAward

For/Against Applicant

DescriptionDisputed

Amount(SAR)

NONE

2.3.2. Kindly provide information about any Past Failed Projects / Operations & the Reasons

of Failure:

3. THE FIRM’S EXPERIENCE

3.1. Projects References:

List of Failed Projects / OperationsYear Budgeted Cost Description Reason of Failure

NONE




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FAST-CJV-PQ-rev.1

3.1.1. Lists of Finished Works within Saudi Arabia in the Last 3years: (List most recent first)

Project Name Region Client Contract

AmountConstruction

TypeScope of

Work Provided

Period

NONE

3.1.2. . Lists of Finished Works outside Saudi Arabia in the Last 3years: (List most recent first)

Project Name Country Region Client Contract

AmountConstruction

TypeScope of Work

Provided Period

Achmad Yani

Flyover, Summarecon, Bekasi

Indonesia Bekasi PT. Summarecon Agung, Tbk

16.351.198,44 Flyover Construction

Substructure&

Superstructure,Design/Build

April 2011- Feb 2013

Bridge and Toll of

Solo- Kertosono

Indonesia Central Java

Province

Rep. Of Indonesia

Ministry of Public

Works

14.341.924,39 Bridge and Toll

Substructure & Superstructure,

Design/Build

June 2011-Dec 2012

Casablanca Flyover

Indonesia Jakarta Rep. Of Indonesia

Ministry of PublicWorks


Substructure & Superstructure Design/Build

Nov 2010-Dec 2013

Merah Putih

Bridge

Indonesia Ambon Rep. Of Indonesia

Ministry of

27.890.001,74 Bridge Construction

Substructure & Superstructure

July 2011- Oct 2013




Documentcode

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PublicWorks Design/Build

Cileunyi- Sumedang- Dawuan

Toll Project

Indonesia West Java

Province

Rep. Of Indonesia


105.463.788,99

Toll Construction

Project


November 2011-

September 2014

East- WestMotorway

Project

Algeria Alger Consortium Japonais

Pour L’ autoroute Algerienne

35,300,481.39 Flyover

Construction Project

Substructure & Superstructure

June 2007-July 2011

(Accepted in

2012)

3.1.3. Lists of Finished / Ongoing Works with any of FAST members (FCC, Samsung, Strukton, Freyssinet). If any (List most recent first):


AmountConstruction

TypeScope of

Work Provided

Period

NONE

3.1.4. Number of Completed Design/Build Projects in Last 3years: (List most recent first)


AmountConstruction

TypeScope of Work

Provided Period

Achmad Yani Flyover,

Indonesia Bekasi PT. Summarecon


Substructure April 2011- Feb 2013




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FAST-CJV-PQ-rev.1

Summarecon, Bekasi

Agung, Tbk & Superstructure,

Design/Build

Bridge and Toll of

Solo- Kertosono

Indonesia Central Java

Province

Rep. Of Indonesia

Ministry of Public

Works

14,341,924.39 Bridge and Toll

Substructure & Superstructure,

Design/Build

June 2011-Dec 2012

Casablanca Flyover

Indonesia Jakarta Rep. Of Indonesia


35,115,503.86 Flyover Construction


Nov 2010-Dec 2013

Merah Putih Bridge

Indonesia Ambon Rep. Of Indonesia


27,890,001.74 Bridge Construction


July 2011- Oct 2013

Cileunyi- Sumedang- Dawuan Toll

Project

Indonesia West Java

Province

Rep. Of Indonesia


105,463,788.99 Toll Construction

Project


November 2011-

September 2014

3.1.5 The Present Workload:

Kindly fill the following Table and add additional Rows as required with information regarding ongoing Projects.

Project Name Country Region Client Contract amount (SAR)

Value of remaining

works (SAR)

Construction type

Scope of works

providedExpected completion date

Jakarta Mass Rapid

Transit CP 104 Indonesia Jakarta

. PT. Jakarta

Mass Rapid

Transit

92,337,010.88 68%

MRT

underground

package

Substructure and

underground worksJune 2016

Jakarta Mass Rapid Indonesia Jakarta PT. Jakarta 68% MRT Substructure and June 2016




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FAST-CJV-PQ-rev.1

Transit CP 105 Mass Rapid

Transit

102.805.786,38underground

package underground works

Jakarta Mass Rapid


PT. Jakarta

Mass Rapid

Transit

93,486,741.66 64%

MRT

Elevated

Package

Substructure and

Superstructure

Works

October 2016

Jakarta Mass Rapid


PT. Jakarta

Mass Rapid

Transit

82,575,082.30 62%

MRT

Elevated

Package

Substructure and

SuperstructureWorks0ctober 2016

NDD Chevron

Project IndonesiaRiau

Province

PT.Chevron

Pacific

Indonesia

182,976,137.50 95%

Engineering,

Procurement,

Construction,

Cakar AyamInstallation

Substructure

MEP WorksDec 2015

Oecusse

International

Airport

Project

Timor LesteOecusse

District

Goverment of

Democratic

Of

Timor Leste

79,800,000.00 27%

Spread Footing

Of

Cakar Ayam

Substructure

MEP WorksMarch 2017

3.1.6. Please describe outstanding awards from Authorities or Boards:(Kindly attach a copy of recent indicated company’s certifications)

Award Authorities/Boards Year RemarkCertificate of Compleition USAID 2009 For the

Compleition of Section 2A

Certificate of Compleition USAID 2009 For the Compleition of Section 3

Notes: Please find out in




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our Attachment

3.1.7. Certification by the Saudi Contractors Classification Association: (Kindly attach copy of classification certificate)

Description of work Classification Status

Classification 1,2,3,4 or 5 Expiry Date

BuildingRoadsInfrastructures

Superstructures NONE NONE NONEElectrical worksMechanical worksDams and bridgesLandscapingOthers (Please specify)

4. THE FIRM’S RESOURCES

4.1. The Employees:

4.1.1. Kindly attach a copy of the Firm’s Nominated Organization Chart.

See our attachment in Organization Chart

4.1.2. Total number of In-house Engineering Staff:

1. Engineering: 1,147 person

2. Field Supervision: 648 person

3. Design Services: 156 person

See our attachment in Engineering Staff

4.1.4. Total number of In-house Administration Staff:

1. Management: 234 person

2. Logistic: 122 person

3. Administration:41 person

See our attachment in Administration Staff

4.1.6. Total number of In-house Employees that work on-site:

1. Technician: 39 person




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2. Labors: 114 person

Name Position Profession Years of Experience Degrees

Licenses/Certifications/Registrations

NONE

4.1.7. List of the Names & Years of Experience for Employees that work on-site:

Name Position Profession Years of Experience Degrees

Licenses/Certifications/Registrations

None

4.1.8. The Firm’s approach Plan towards FAST works in respect to manpower resources:

1. By own manpower. Yes No

2. Subcontract part of work to others. Yes No

(If you use outsource manpower source, kindly mention detailed information)

See our attachment in manpower source

4.1.9. What is the Estimated Total Manpower that can be afforded by the Firm at Work Peak?

200 person for estimated

4.1.10 kindly attach the List of average annual manpower for Last Three Years.

Staff Category Number/2013 Number/2012 Number/2011

Management 241 288 312

Engineering 369 495 677

Contracts/Procurement

112 134 145

Site Engineers 159 172 189

Technical Skilled 245 412 473

Unskilled Workers 740 917 1031




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4.1.11. Does the Firm have the availability for additional Block Visa?

Yes No

(If yes, kindly detail to how much Limit)

4.2. The Equipment & Facilities:

4.2.1. Kindly attach the List of described Owner Equipment:

See our attachment List of described Owner Equipment and the attachment detail.

4.2.2. Kindly attach the Deployment Schedule of existing Equipment to various job sites.

See attachment Schedule of Equipment

4.2.3. Kindly attach the List of Owned Factories.

Wika Beton, Wika Bitumen, Wika Krakatau Beton, Wika Komponen Beton

4.2.4. Kindly mention the capacity / rate of production and delivery intervals afforded by the Factory.

PT. Wika Beton= 2,5 million ton/years, Area Karawang, Jawa Barat, Lampung

4.2.5. Kindly attach the Current Annual Plan for in stock products this year.

See attachment Annual Report (Wika Beton)

4.2.6. Kindly mention the Manufacturing / Shipment usual intervals of time.

Find out attachment Annual Report (Wika Beton)

4.2.7. List of described Owned Workshops, Factories, Facilities and Assembly Yards:

PT Wijaya Karya Beton (WIKA BETON), as one of subsidiaries of PT Wijaya Karya (Persero),Tbk (WIKA), is part of corporate expansion that specializes in precast concrete industry. WIKA started to concentrate on the pre-cast concrete industry in 1977 by developing pre-cast concrete panel for low-rise housing projects. Ever since, WIKA is determined to keep developing their products in order to anticipate the development plan and emerging infrastructure projects.

The product development has created these outcomes : pre-stressed concrete poles for power distribution lines and PC piles, then followed by other products, for instance, concrete open channels, concrete railways sleepers, bridges girders, sheet piles, pipes, platform slabs and building components which have been implemented in various range of projects. Those products emerged in the right timing and succeeded to become leading products in the market.

Apart from product developing endeavors, WIKA also continuously develops the production facilities by adding factories in some locations. To date, WIKA BETON owns seven factories in the seven locations throughout Indonesia, such as in North Sumatra, Lampung, Bogor, Karawang, Majalengka, Boyolali, Pasuruan and South Sulawesi. Supported by large number of factories owned, variety of products as well as professional




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management, WIKA BETON becomes the major manufacturer and market leader of pre-cast concrete products in Indonesia.

For more information please find in our website : www.wikabeton.co.id

PT Wika Bitumen, Mining , Buton Natural Asphalt (Asbuton) mining has started since the Dutch Colonial era, precisely on October 21, 1924 whenever Asbuton mining concessions for 30 years was granted to a Dutch businessman named A.Volker. Since then, the Asbuton mining has continously managed under different company/entity as the managing party (refer to the history of PT WIKA Bitumen) Currently, the mining business of Asbuton still becoming the backbone of the company revenue with total export of Buton Natural Asphalt raw material of approximately 500,000 ton per year. The natural Asphalt export activities both from IUP (Mining Concession) Lawele and Kabungka, has dominated more than 90% of the company’s revenue and has contributed significantly to the performance of the company. Starting from 2014, PT WIKA Bitumen has deternimed to develop the industrial sector of natural Bitumen Mining by developing and constructing the Granular Asphalt Plant in Kabungka with initial capacity of 20.000 ton per year. This program was in line with the goverment policy to increade the minerals value added produced from the mining operations. The transformation towards proessing industry is believed will lead to a continous and sustainable growth of the Company Business. Its believed, that throgh industrialization program and development of high value added natural Bitumen product, the Company has chosen the right strategy to achieve the Company's Vision and Mission.

For more information please visit our website : wikabitumen.co.id

Description Areas Capacity of work Address / Location

See our attachment - - -

- - - -

- - - -

- - - -

- - - -

5. THE FIRM’S EFFICIENCY SYSTEMS

5.1. Efficiency Indicators:

5.1.1. Does the Firm’s Works comply with any of the following International Standards? :

1. British Standards and Codes Yes No

2. American Standards and Codes Yes No

3. Saudi Standards (SASO) Yes No

4. Others (Please state):

http://www.wikabeton.co.id/




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5. Indonesia Standards (SNI) (YES)

5.2. Compliance with QA/QC Systems:

5.2.1. Indicate Quality Standard as applied by your Firm

ASME Certification ISO 9001 Other ISO 14000 (YES)

(Kindly attach a copy of updated Firm’s certifications).

Please find our attachment ISO and OHSAS

5.2.2. Is your Quality System fully documented and available in writing (English Version)?

Yes No

(If yes, kindly attach a copy of updated Firm’s Quality System).

Please find out our attachment Quality System

5.2.3. Is your Quality Control Manual implemented?

Yes No

(If yes, kindly attach a copy of updated Firm’s Quality Control Manual).

Please find out our attachment Quality Control Manual

5.2.4. If you have, who is responsible for Quality management within your Company?

Position: Manager QA/QC SHE

Name: Aliset Sebayang

Phone: wika.co.id

Email: [email protected]

5.2.5. Kindly attach the nominated Chart of your QC / QA department.

Please find our attachment Chart of QA/QC Department

5.2.6. Do you operate formal quality inspection / testing procedures?

Yes No

(If yes, kindly attach your detailed internal Audit procedure).

Please find our attachment internal Audit procedure

5.3. Compliance with HSE Systems:

5.3.1. Indicate HSE Certificates held by you

ISO 14001 OHSAS 18001




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Other :Certificate Security Management System based on Chief of Indonesian National Police Regulation No. 24/2007

(see the attachment 5.3.1)

5.3.2.Is your HSE System fully documented and available in writing (English Version)?

Yes No

We always give a SHE Plan for planning all about SHE. For the example see the attachment 5.3.2.

5.3.3. Is your HSE Manual implemented?

Yes No

We have a procedure that is used to set policies regarding the implementation and maintenance of management systems pereusahaan (located on the procedure Policy Implementation and Maintenance Management System PT Wijaya Karya No.Doc .: WIKA-PEM-PM-01:01 NoRev .: 02, amd.04) and procedures guidance (contained in the WIKA procedure Management System (SMW) No.Doc .: WIKA-PEM-QM-1:01 NoRev .: 07, amd.05).

5.3.4. Describe how your HSE department is organized with a nominated Chart.(see the attachment 5.3.4)

5.4. Compliance with Risk Management Systems:

5.4.1. Is your Risk Management System fully documented and available in writing (English Version)?

Yes No

(If yes, kindly attach a copy of updated Firm’s Risk Management System).

Please find out our attachment in Risk Management

5.4.2. Who is responsible for Risk management System within your Company?

Position: Risk Management sisytem and Contract admnistration Manager

Name: Irianto Purwosunu

Phone: wika.co.id

Email: [email protected]

5.4.3. Describe how your Risk management department is organized with a nominated Chart.

Please find our attachment in Risk Management

5.4.4. Does your company carry out Method of Statements for your Works?

Yes No

(If yes, kindly attach your Method Statements).




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Please find our attachment Risk Management

5.4.5. If you planned a Risk Monitoring & Controlling System, kindly provide us with your detailed procedure for:

1. The risk assessment procedure to identify the hazards and industrial risk assessment

related to your activities:

Find out our attachment Risk Management

2. The regulatory Auditing Procedure to ensure that the activities are carried out in

compliance with applicable laws:

Find out our attachment3. The Mitigating Plan for Estimated Risks through life time of your works:

Find out our attachment Risk Management

6. THE FIRM’S DISCIPLINE & CAPABILITY

6.1. Before/After Commissioning Service:

6.1.1. Does your Firm Afford Training Sessions for Usage of Products?

Yes No

Assist the engineering design process associated with the use of specifications Wika precast concrete products as part of the construction of structures, including design reviews in order to achieve optimal use of materials and efficient construction.In addition to product - product standards, various non-standard products according to customer requirements are also accommodated as much as possible by WIKA Beton. By relying on the quality of human resources and supported by the program - a program of engineering the most up to date, the Bureau of Engineering WIKA Beton always ready to provide design services (engineering) at each customer if required. Design service is aimed to provide a technical design of an efficient and effective in application of the product - the product WIKA Beton. WIKA Beton has also developed design and their own production standards based on the necessity to meet the a standard as required by the customer.

Wika Beton can perform the installation process for concrete products according to customer requirements in order to achieve a competitive cost and efficient implementation, besides Wika Beton can also provide assistance on the pairing process, and for the guidance on installation work for every product use we can support the data by giving WIKA beton manual Instruction.




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Wika Beton can perform the delivery process for concrete products according to customer requirements in order to achieve a competitive cost and efficient implementation. Wika Beton can also provide assistance to Corporate Business

Partner, to inform guidance on training work for every product use in land or sea transport.

Please see our website in www.wikabeton.co.id

Wika bitumen, CSR Activities, CORPORATE SOCIAL RESPONSIBILITY

In accordance with Law No. 40 Year 2007 Chapter V Clause 74 article (1), a limited liability company (Perseroan) which conducted businesses are in relation with natural resources has to manage the Environment and Social Responsibility. During 2014, as the company is running business in mining sector and a subsidiary of a state-owned company, it based the Environment and Social Responsibility to the State-Owned Enterprises Ministerial decree No. Per – 05/MBU/2007 regarding the State-Owned Enterprises Ministry Partnership Program with Small Scales Businesses and Environment Building Program. Throughout 2013, PT WIKA Bitumen had conducted the CSR program in education field, environment development , partnership and manpower. As an effort to fulfill the corporate social responsibility based on the existing regulation, PT WIKA Bitumen has conducted several activities as follows: Education Sector Provision of education at Kindergarten level, which was held through cooperation with PUTRA Foundation. This activity, began in 1967, had been managed not only to foster the company’s children but also the children of Pasarwajo residents nearby PT WIKA Bitumen office and in Banabungi. In 2014, the number of students has reached to 54 people. Assisting Internship programs of several students of different universities in North Sulawesi. Health and Environment Development Program Road repair in Banabungi village, Pasarwajo Training for community health center to improve people’s health especially toddlers every month. Partnership Program, Cooperating with local business partner in business activity implementation such as material hauling from mining site to stockpile and equipment rent Supporting the existence of Labor Union (SP) by providing facility for organizational activity. Empowerment of local human resources at least 96% of the company’s manpower is local residents. Increase productivity of Purnabakti through Bosletong Training WIKA CSR in collaboration with Paguyuban Purnabakti of WIKA held Bosletong System Training in Bekasi, on June 3, 2014. The training was opened by the Chairman of Paguyuban Purnabakti WIKA, Suryo Sitepu, and attended by 57 participants from Paguyuban Purnabakti of WIKA and representatives of the CSR Bureau. Bosletong system itself is an integrated cropping pattern between fisheries and agriculture are carried out simultaneously in a medium that is gentong. Bosletong system was created with the goal of maintaining a beautiful

http://www.wikabeton.co.id/




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environment, ensure food security, and prepare a healthy generation. Through this training the WIKA Purnabakti member were given knowledge in theory and practice “how to be a City Farmer with Bosletong system. The program is expected to be useful also for the Purnabakti WIKA to remain productive and dynamic despite approaching retirement.

Please visit our website in http://wikabitumen.co.id/index.php?m=6

(If yes, kindly attach Sample of afforded sessions).

6.1.2. Does your Firm have a Permanent Maintenance Team Located here in KSA for the after selling / Commissioning Service?

Yes No

(If yes, kindly attach a Detailed Information).

We have branch office in KSA. Please find our letter of branch office.

6.1.3. How much time does your Firm usually afford for the Warranty / Guarantee Periods?

(Kindly attach a Detailed Information).

360 days, please find our attachment of our contracts

6.1.4. Does your Firm offers Spare Parts / in stock Quantities within Packages & after Commissioning of the executed Works?

Yes No

(If yes, kindly attach a Detailed Information).

6.2. Formal Letters:

6.2.1. Prequalification Questionnaire Cover Letter:

(Kindly attach an Official/Formal Cover letter for the Prequalification

Questionnaire Clarifications, regarding that it will be stamped & signed by the

Authorized Person as well as each Paper of the Questionnaire).

Please find our Power of Attorney

6.2.2. Declaration: I hereby certify that the statements and information in this application form and it´s attachments if any are true and correct to the best of my knowledge and belief,

http://wikabitumen.co.id/index.php?m=6




Documentcode

FAST-CJV-PQ-rev.1

I have furnished all information & detail necessary for pre-qualification eligibility and have no further pertinent information to supply

I submit the requisite Certified Bonding Capacity letter and authorize FAST Consortium and each of its members individually to approach the Bank issuing the Bonding Capacity Certificate to confirm the correctness there of I also authorize FAST Consortium and each its members individually to approach individuals, employers firms and corporation to verify our competence and general reputation

I authorize FAST Consortium and also each of its members individually to place data from this application into its computerized referral system.

Signed:

___________________________ Stamp: Gelora Yala Nusantoro, D.E.ADate: 9th November 2015In the capacity of: Business Development Overseas Departmen, PT. Wijaya Karya

FAST Consortium recognizes and respects the privacy of your information. When you choose to provide us with information about your company, FAST Consortium and its members individually will act in a responsible manner. Without your express approval, we will not trade, share or disclosure your company information to other parties. We restrict access to information about you to those employees who need to know that information as part of their job responsibilities. We also notify employees about the importance of confidentiality and privacy through our company’s compliance requirements. If you have any questions about this Privacy Pledge, please contact us.