CONTRACTORS REGISTRATION SYSTEM FORM CRS005 5 Maxwell Road #02-00 Tower Block MND Complex Singapore 069110
Reconsideration Toll-free line : 1800-dial bca (3425 222) Road #02-00 Fax : 6324 0346 Application Form Email : [email protected] Website : www.bca.gov.sg Counter hours : Mon - Fri 8.30am - 5.00pm
#02-00 INSTRUCTIONS
1. This form is for companies who wish to appeal on the decision made on their last application and has to be submitted within 1 month from the date of the result letter.
2. Kindly read through the BCA Registration Requirements to ensure that there are adequate grounds for reconsideration. The fresh grounds should be stated very clearly in this form and substantiated by supporting documents wherever possible.
3. This form may take you 10 minutes to fill in.
4. You may need the following information to fill in the form: . Accounting and Corporate Regulatory Authority (ACRA) business profile . Technical Personnel's NRIC/Employment Pass number . Technical Personnel's education qualification . Track record award letter/invoice/purchase order
5. A non-refundable processing fee is payable for each workhead applied. Payment can be made by NETs, Cashcard, Credit cards (Master/Visa) or GIRO (existing account holder only)
6. Application form for GIRO can be obtained from the Contractors Registration System (CRS) counter or downloaded from the CRS webpage at www.bca.gov.sg.
DECLARATION
I, Mr/Mrs/Ms (Name of Company Head) (NRIC/Passport No.) declare that the particulars given by me in this application are true. I authorise BCA to conduct any enquiries on the particulars furnished as BCA deems fit, and accept that neither BCA nor its officer shall be held liable for any loss, injury or damages howsoever caused by BCA's processing of and decision on this application.
I authorise Mr/Mrs/Ms (Name of Contact Person) to provide any additional information required by BCA. I understand that false declaration or false information provided is a serious offence which may result in penalties including debarment of my firm from participating in public sector tenders.
______Signature of Company Head and Company Stamp Designation Date
Apr 2013 Edition Page 1 SECTION A: APPLICATION Name of Company: Tel:
Fax: Email Address* (Mandatory - For internal Use Address: Only):
*Note: All correspondence will be made through email WORKHEADS TO BE RECONSIDERED Grade To Be For Official No Workhead Code Grade Accorded Reconsidered Use Only 1. 2. 3. 4. 5. 6. 7. 8.
Workhead Code and Description CW01 General Building SY01A Essential Construction Materials CW02 Civil Engineering SY01B Ready-Mixed Concrete SY01C Other Basic Construction Materials CR01 Minor Construction Works (No grade) SY02 Chemicals CR02 Corrosion Protection SY04 Electrical Equipment CR03 Demolition (No Grade) SY05 E&E Materials, Products & Components CR04 Fencing & Ironworks SY06 Finishing & Building Product CR05 Concrete Repairs SY07 Gases CR06 Interior Decoration & Finishing Works SY08 Mechanical Equipment, Plant & Machinery CR07 Cable/Pipe Laying & Road Reinstatement SY09 Mechanical Materials, Products & Components CR08 Piling SY10 Metal &Timber Structures CR09 Repairs & Redecoration SY11 Petroleum Products CR10 Precast Concrete Products SY12 Pipes CR11 Signcraft Installation SY14 Sanitary Products CR12 Ground Support & Stabilisation Works CR13 Waterproofing Installation RW01 Window Contractors (No Grade) CR14 Asphalt Works & Road Marking RW02 (L2) Lift Contractors (No Grade) CR15 Site Investigation Works (No grade) CR16 Curtain Walls PROCESSING FEES (per workhead) CR17 Windows (No grade) CR18 Doors (No grade) Grade Amount (Incl GST) ME01 Air-Conditioning, Refrigeration & Ventilation Works No Grade ME02 Building Automation, Industrial & Process Control Systems CR01, CR03, CR15, CR17, CR18 $184 ME04 Communication & Security Systems RW01, RW02 ME05 Electrical Engineering ME06 Fire Prevention & Protection Systems C3, L1 $184 ME07 High & Low Tension Overhead Line Installation C2, L2 $225 ME08 Internal Telephone Wiring for Telecommunications ME09 Lift & Escalator Installation C1, L3 $245 ME10 Line Plant Cabling/Wiring for Telecommunications L4 $306 ME11 Mechanical Engineering ME12 Plumbing & Sanitary Works B2, L5 $367 ME13 Traffic Light Systems B1 $408 ME14 Underground Pipeline or Telecommunications ME15 Integrated Building Services A2, L6 $714
MW02 Housekeeping, Cleansing, Desilting & Conservancy Services MW03 Landscaping A1 $1,224 MW04 Pest Control
Apr 2013 Edition Page 2 CHECKLIST FOR RECONSIDERATION
Select the appropriate boxes on the ground(s) that affected your previous application and submit relevant documents that will support your reconsideration application. You should enclose a copy of the BCA Result Letter for easy reference.
For Official Use COMPANY INFORMATION Only 1. ACRA (Accounting & Corporate Regulatory Authority) registration expired. 2. Director Debarred. 3. Insufficient shares held by Sole-proprietor / Partners. Outdated Audited Accounts / Auditor’s Qualification on Accounts. No VAP 4. certification Financial Resources not a) Latest Paid-Up Capital (S$) 5. met b) Latest Net Worth (S$) TECHNICAL PERSONNEL
7. Insufficient Technical Personnel / Personnel Licences. Please fill in Section C
TRACK RECORD Insufficient Track Record / Performance Reports. Please fill in Section D (for CW, CR, 8. ME and MW projects) and Section E (for SY projects). OTHER DOCUMENTS
For CW Workheads: No SAC accredited ISO 9001:2008, ISO 14000 and/or OHSAS 180000 Certificate (for 9. grades B2 and above). 10. No SMC or OHSAS 18000 Certificate (for grades C1 and C2)
11. No GB1 for B2 and above. No GB1 or GB2 for C1 to C3 For CR08, CR10, CR12 and CR15 : No SMC or OHSAS 18000 Certificate for CR08, CR10 and CR12, grades L2 and above. 12. No relevant SB licence. For ME05 : 13. No Electrican / Electrical Technician / Electrical Engineer Licence from EMA For ME 08 : 14. No Company’s Telecommunication Wiring Licence from IDA. For ME 12 : No PUB Water Service Plumber Licence or EMA Gas Service Worker Licence or 15. SPS Plumber Licence. For ME15 : 16. No Electrican / Electrical Technician / Electrical Engineer Licence from EMA
17. No Company’s Telecommunication Wiring Licence from IDA.
18. Insufficient related ME Workhead(s) / Grade(s) No full-time employee’s Certificate/Specialist Diploma in M&E Co-ordination OR Building Services Engineering awarded by Ngee Ann Polytechnic OR 19. Diploma in Intelligent Building Technology awarded by Temasek Polytechnic. For MW04 : 20. No Vector Control Operator Certificate from ENV. For SY Workheads: No valid Agency Appointment or Letter, Trade Brochures and Catalogues. No 21. Import Licence for SY01A. No SAC certification for SY01B For CR17 & RW01 No RW01 for CR17. 22. Insufficient personnel with Certificate of Attendance on Safety of Windows issued by HDB for RW01.
Apr 2013 Edition Page 3 SECTION C: TECHNICAL PERSONNEL* Please attach copies of relevant educational certificates and licences of each of the listed technical personnel for verification. For Singapore NRIC, please enter prefix ‘S’.. A copy of Company’s CPF statement must also be enclosed. NRIC FIN Number Qualification/Discipline Institution No Name (Singaporean & (Foreigner) (Degree, Diploma, Licence, Certificate) (Year of Graduation) PR) Degree in Civil Engineering eg Anthony Tan Ah Teck S1234567X F1234567M Diploma in Mechanical Engineering NUS (1999) PUB Electrical Licence 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
* Please make duplicate copies if required.
Apr 2013 Edition Page 4 SECTION D: TRACK RECORD (for CW, CR, ME and MW Workheads) Please complete Section D and submit to your client / client’s representative (responsible for the supervision of the project) for assessment and endorsement on both pages. Each project must be enclosed with Award Letter / Certificate of Completion / Purchase Orders / Payment Certificates. Any changes to the final contract value and completion date must be accompanied with supporting documents.
Name of Applicant (Company Name):
Workhead(s) involved: CW CR ME ME MW
Project Title:
Please give a description on the work done for the above project. Contract No: (e.g. HDB P/036/99)
Provide breakdown value ($) if claiming for more than one workhead: 1. Workhead: Value ($): 2. Workhead: Value ($): 3. Workhead: Value ($): 4. Workhead: Value ($): If Joint Venture J.V., state name of partner(s): % share of J.V. 1. 2. 3. Date of Commencement Scheduled Date of Completion (dd/mm/yy): Actual Date of Completion (dd/mm/yyyy): (dd/mm/yy):
(Enclose copy of Letter of Award) (Enclose copy of Letter of Award) (Enclose copy of Completion Certificate) Initial Contract Value(S$): On-going Contract Value to date (S$) Completed Contract Value (S$):
(Enclose copy of Letter of Award) (Enclose latest copy of Payment Certificate) (Enclose latest copy of Payment Certificate) Acknowledgement of Client / Client’s Rep involved in above Project (Compulsory) For Main-contract, Client/Client’s Rep can be Architect, Engineer, Government Agency, Developer, Business or Home Owner For Sub-contract, Client should be Main-Contractor.
I hereby declare that the contract value and date of completion are correct as stated:
Name: Email address:
______Contact Number: Official Client Stamp, Signature and Date Particulars of Client / Client’s Rep Involved in Project Please complete either I or II only. I. Main Contract (If project was awarded to your company as Main Contract or Nominated Sub-Contract) Details of Client/Client’s Rep Name of Organisation Tel Fax Email address Architect Firm
Consulting Engineer
Public Sector Agency Developer / Business / Home Owner II. Sub-Contract (If project was awarded to your company as a Sub-Contract)
Apr 2013 Edition Page 5 SECTION D: TRACK RECORD (for CW, CR, ME and MW Workheads) Please complete Section D and submit to your client / client’s representative (responsible for the supervision of the project) for assessment and endorsement on both pages. Each project must be enclosed with Award Letter / Certificate of Completion / Purchase Orders / Payment Certificates. Any changes to the final contract value and completion date must be accompanied with supporting documents.
Name of Applicant (Company Name):
Workhead(s) involved: CW CR ME ME MW
Project Title:
Main Contractor that sub- contracted to your company
Performance Assessment A separate performance report will be submitted by the government agency directly to BCA for public sector projects. However, if the public sector project is assessed by consultant/architect using this form, the government agency concerned must countersign on the same report.
Please select the appropriate rating
Quality Excellent Very Good Good Satisfactory Poor
a) Quality Performance
Management
b) Site Planning And Control
c) Progress of Works
d) Housekeeping
e) Response To Instructions
Overall Score
Acknowledgement of Client / Client’s Rep involved in above Project (Compulsory) For Main-contract, Client/Client’s Rep can be Architect, Engineer, Government Agency, Developer, Business or Home Owner For Sub-contract, Client should be Main-Contractor
I hereby declare that the performance assessment given by me have been verified and endorsed:
Name: Email address:
Contact No:
______Official Client Stamp, Signature and Date * Please make duplicate copies if required.
Apr 2013 Edition Page 6 SECTION E: TRACK RECORD (for SY Workheads only)*
1) Firms applying for SY Workheads need only to submit a summary of past 3 years’ track record up to the required amount of the grade applied for. For your largest 3 projects, please submit their Award Letter or Purchase Orders or Invoices for verification. SY01A, SY01B and SY01C do not require track record.
2) Firms are to prepare a separate summary table for each SY Workhead applied.
Invoice / Commencement Completion Supply Project Value Name of Client and Contact No. Workhead No Purchase Date Date Description (S$) Contact Person of Client Applied Order No. (dd/mm/yy) (dd/mm/yy) 1. SY
2. SY
3. SY
4. SY
5. SY
6. SY
7. SY
8. SY
* Please make duplicate copies if required.
Jul 2012 Edition Page 7