Instructions to Prospective Bidders

Annex QD-1A

ANNEX QD-1A: Business Structure (for a Prospective Bidder which is an individual, partnership, corporation or any other juridical entity)

1.  Name of Prospective Bidder: ______

2.  Contact Information of Prospective Bidder

a.  Address
b.  Website
c.  Contact Person
i.  Telephone
ii.  Fax
iii.  E-mail

3.  Entity which fulfills the Development Experience Requirement

a.  Name of Entity
b.  Relationship to Prospective Bidder
c.  Address
d.  Website
e.  Contact Person
i.  Telephone
ii.  Fax
iii.  E-mail

Note:

a.  If this requirement is fulfilled by an Affiliate of the Prospective Bidder, provide evidence of such affiliation using the form prescribed in Annex QD-14.

4.  Construction Contractors (at least one)

a.  Name of Entity
b.  Address
c.  Website
d.  Contact Person
iv.  Telephone
v.  Fax
vi.  E-mail
a.  Name of Entity
b.  Address
c.  Website
d.  Contact Person
vii.  Telephone
viii.  Fax
ix.  E-mail

5.  Entity which fulfills the Design and Engineering Experience Requirement

a.  Name of Entity
b.  Relationship to Prospective Bidder
c.  Address
d.  Website
e.  Contact Person
i.  Telephone
ii.  Fax
iii.  E-mail

Note:

a.  If this requirement is fulfilled by an Affiliate of the Prospective Bidder, provide evidence of such affiliation using the form prescribed in Annex QD-14.

b.  If this requirement is fulfilled by the Prospective Bidder proposing a Subcontractor, list at least one (1) and up to five (5) Subcontractors and provide the information above for each of them.

6.  Entity which fulfills the Operations and Maintenance Experience Requirement

a.  Name of Entity
b.  Relationship to Prospective Bidder
c.  Address
d.  Website
e.  Contact Person
i.  Telephone
ii.  Fax
iii.  E-mail

Note:

a.  If this requirement is fulfilled by an Affiliate of the Prospective Bidder, provide evidence of such affiliation using the form prescribed in Annex QD-14.

7.  Entity which fulfills the Financial Qualification Requirement

a.  Name of Entity
b.  Relationship to Prospective Bidder
c.  Address
d.  Website
e.  Contact Person
i.  Telephone
ii.  Fax
iii.  E-mail

Note:

a.  If this requirement is fulfilled by an Affiliate of the Prospective Bidder, provide evidence of such affiliation using the form prescribed in Annex QD-14.

For and on behalf of
(individual/partnership/corporation/other juridical entity)
(Signature of Authorized Representative)
______
(Name, Title, and Date)