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Quality Control Support and Inspections for Humanitarian Projects in Indonesia POD IDIQ Contract # W912UM-07-D-0004
SUBCONTRACTOR PREQUALIFICATION PACKAGE
LIST OF CONTENTS I. II. III. IV.
SECTION I – SUBCONTRACTOR PREQUALIFICATION APPLICATION SECTION III – SUBSTITUTE W-9 AND CERTIFICATION FORM SECTION VI - REPRESENTATION AND CERTIFICATIONS APPENDIXES
IV.1
APPENDIX A.01
LICENSES
IV.2
APPENDIX A.02
LIST OF EQUIPMENT
IV.3
APPENDIX A.03
RESUMES OF PERSONNEL ASSIGNED TO PROJECT
IV.4
APPENDIX A.04
LIST OF PROJECT ON GOING AND COMPLETED OVER THE LAST FIVE YEARS
IV.5
APPENDIX A.05
AUDITED FINANCIAL STATEMENTS FROM THE PAST THREE YEARS
IV.6
APPENDIX A.06
BONDS AND INSURANCE CERTIFICATE
PT. ENCONA INTI INDUSTRI
INDONESIA
BPH MIGAS BUILDING GROUND FLOOR, JL. KAPTEN P. TENDEAN KAV. 28 JAKARTA
INDONESIA
12710
62-21-5278712
ENGINEERING, PROCUREMENT, CONSTRUCTION 22 years
√ INDONESIA
1985
Ir. HARYONO_YB.______ Ir._GEORGE,_DIPL.Ing____ Ir._BOEDIONO_SOERASNO,_MSc._BEM._ Ir. JB. VISNU SULISTYAWAN
2002
1985 1985 1985 1985
√ 40 INDONESIA INDONESIA APPENDIX. A.01
APPENDIX A.02
PT ENCONA INTI INDUSTRI - JAKARTA APPENDIX. A.03 BAMBANG SUTADJI - PROJECT MANAGER SUTANTO - HES MANAGER BAMBANG ADHIONO - SENIOR DESIGN ENGINEER SECTION IV - Health & Safety Performance Questionairre 100
A PPENDIX. A.04
√ BEYOND PETROLEUM-TANGGUH BD-1 LNG PROJECT (2005-2007) BUILDING AND CIVIL WORKS CONSTRUCTION OF LNG TANGGUH PLANT OWNER: KJP (KELLOG-JAPAN GAS CO.-PERTAFENIKKI CONSORTIUM) SUBCON: ZAMIL STEEL BUILDING VIETNAM CO.LTD
16,700,000.00 62-21-5222005 John Baguile/ Michael J Orgeron
TANGGUH TEMPORARY BUILDING PROJECT (2005) TEMPORARY BUILDINGS CONSTRUCTION OWNER: PT PP - KJP
732,930.00 62-21-840-3883 Taufik Hidayat / Oki Takehiro
CHEVRON PACIFIC INDONESIA (CPI) CAMP PROJECTS (2005-present) ENGINEERING AND CONSTRUCTION MANAGEMENT SERVICES FOR PT CPI CAMP FACILITIES IN SUMATERA (HOUSING, SCHOOL, OFFICES, INFRASTRUCTURE) OWNER: PT CHEVRON PACIFIC INDONESIA
1,200,000.00 62-21- 3512141 Ella Turina S/ R. Awan Setyawan
CARREFOUR BUILDING PROJECTS (2003-present) ENGINEERING & CONSTRUCTION MANAGEMENT WORKS FOR CARREFOUR BUILDINGS (JAKARTA, JAVA, BALI) OWNER: PT CARREFOUR INDONESIA
120,000.00 (BALI) 62-21-27585800 Claude Debeury/ George Suryopurnomo
LOYOLA SCHOOL SEMARANG, MID JAVA (2002) DESIGN ENGINEERING OF SMU LOYOLA SCHOOL SEMARANG OWNER: THE LOYOLA FOUNDATION
16,700,000.00 62-24-546945 I. Warnabinarja, SJ/ B. Hartoyo, SJ
√ √ √ √
APPENDIX. A.05
√ √
PT ENCONA INTI INDUSTRI
ENCONA
HARYONO YB PRESIDENT DIRECTOR BPH MIGAS BUILDING GR.FLOOR JL. KAP TENDEAN KAV. 28 JAKARTA JAKARTA 12710 INDONESIA 62-21-5276711 62-21-5276713 [email protected] / [email protected]
01.407.843.0−027.000
POD IDIQ Contract - Quality Control Support and Inspections for Humanitarian Projects in Indonesia W912UM-07-D-0004
√
01.407.843.0-027.000
√
√
√
√
√
√ √
√
√ √
√ √
√ √ √ √
√
SUBCONTRACTOR PREQUALIFICATION PACKAGE
LIST OF CONTENTS I. II. III. IV.
SECTION I – SUBCONTRACTOR PREQUALIFICATION APPLICATION SECTION III – SUBSTITUTE W-9 AND CERTIFICATION FORM SECTION VI - REPRESENTATION AND CERTIFICATIONS APPENDIXES
IV.1
APPENDIX A.01
LICENSES
IV.2
APPENDIX A.02
LIST OF EQUIPMENT
IV.3
APPENDIX A.03
RESUMES OF PERSONNEL ASSIGNED TO PROJECT
IV.4
APPENDIX A.04
LIST OF PROJECT ON GOING AND COMPLETED OVER THE LAST FIVE YEARS
IV.5
APPENDIX A.05
AUDITED FINANCIAL STATEMENTS FROM THE PAST THREE YEARS
IV.6
APPENDIX A.06
BONDS AND INSURANCE CERTIFICATE
PT. ENCONA INTI INDUSTRI
INDONESIA
BPH MIGAS BUILDING GROUND FLOOR, JL. KAPTEN P. TENDEAN KAV. 28 JAKARTA
INDONESIA
12710
62-21-5278712
ENGINEERING, PROCUREMENT, CONSTRUCTION 22 years
√ INDONESIA
1985
Ir. HARYONO_YB.______ Ir._GEORGE,_DIPL.Ing____ Ir._BOEDIONO_SOERASNO,_MSc._BEM._ Ir. JB. VISNU SULISTYAWAN
2002
1985 1985 1985 1985
√ 40 INDONESIA INDONESIA APPENDIX. A.01
APPENDIX A.02
PT ENCONA INTI INDUSTRI - JAKARTA APPENDIX. A.03 BAMBANG SUTADJI - PROJECT MANAGER SUTANTO - HES MANAGER BAMBANG ADHIONO - SENIOR DESIGN ENGINEER SECTION IV - Health & Safety Performance Questionairre 100
A PPENDIX. A.04
√ BEYOND PETROLEUM-TANGGUH BD-1 LNG PROJECT (2005-2007) BUILDING AND CIVIL WORKS CONSTRUCTION OF LNG TANGGUH PLANT OWNER: KJP (KELLOG-JAPAN GAS CO.-PERTAFENIKKI CONSORTIUM) SUBCON: ZAMIL STEEL BUILDING VIETNAM CO.LTD
16,700,000.00 62-21-5222005 John Baguile/ Michael J Orgeron
TANGGUH TEMPORARY BUILDING PROJECT (2005) TEMPORARY BUILDINGS CONSTRUCTION OWNER: PT PP - KJP
732,930.00 62-21-840-3883 Taufik Hidayat / Oki Takehiro
CHEVRON PACIFIC INDONESIA (CPI) CAMP PROJECTS (2005-present) ENGINEERING AND CONSTRUCTION MANAGEMENT SERVICES FOR PT CPI CAMP FACILITIES IN SUMATERA (HOUSING, SCHOOL, OFFICES, INFRASTRUCTURE) OWNER: PT CHEVRON PACIFIC INDONESIA
1,200,000.00 62-21- 3512141 Ella Turina S/ R. Awan Setyawan
CARREFOUR BUILDING PROJECTS (2003-present) ENGINEERING & CONSTRUCTION MANAGEMENT WORKS FOR CARREFOUR BUILDINGS (JAKARTA, JAVA, BALI) OWNER: PT CARREFOUR INDONESIA
120,000.00 (BALI) 62-21-27585800 Claude Debeury/ George Suryopurnomo
LOYOLA SCHOOL SEMARANG, MID JAVA (2002) DESIGN ENGINEERING OF SMU LOYOLA SCHOOL SEMARANG OWNER: THE LOYOLA FOUNDATION
16,700,000.00 62-24-546945 I. Warnabinarja, SJ/ B. Hartoyo, SJ
√ √ √ √
APPENDIX. A.05
√ √
PT ENCONA INTI INDUSTRI
ENCONA
HARYONO YB PRESIDENT DIRECTOR BPH MIGAS BUILDING GR.FLOOR JL. KAP TENDEAN KAV. 28 JAKARTA JAKARTA 12710 INDONESIA 62-21-5276711 62-21-5276713 [email protected] / [email protected]
01.407.843.0−027.000
POD IDIQ Contract - Quality Control Support and Inspections for Humanitarian Projects in Indonesia W912UM-07-D-0004
√
01.407.843.0-027.000
√
√
√
√
√
√ √
√
√ √
√ √
√ √ √ √
√
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