Contractors Registration Form - ERegulations Kenya

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Form NCA 1aNational Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Fixed lines: 02712096, 02712098, 02712099.APPLICATION FORM FOR CONTRACTOR’S REGISTRATION- (KENYAN FIRMS) – REGULATION 3 and 4ALL WRITING TO BE IN CAPITAL LETTERS/UPPERCASE (attach documentary evidence)aCLASS(S) OF CONSTRUCTION WORKS APPLIED FOR.Class of worksCategory applied for:(i)(ii)(iii)(iv)(v).SECTION I: COMPANY PROFILE1. AddressCompany’s name in full.Address of Head Office. Postal Code.Town.Physical Address: Building. Street.Town.Tel No: . Fax No: .Cell phone no: .E-Mail. Website: .2. Branch OfficesBranch Offices (if any)TownLocation1) . .2) . .3) . .Address.3. Company registrationAttach details of directors as per Annex 1.1 (Attach copies of share/academiccertificates and testimonials for the technically qualified directors)Certificate of Incorporation Number (Attach copy of certificate).Registered Capital: . Paid Up Capital.Current Business Licence Number (Attach certified copy(s)).4. Staff DetailsAttach the details of staff as per Annex 1.2; Provide WORK PERMIT(S) (ForForeign Staff only)Page 1 of 15(FOR OFFICIALUSE)

National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Fixed lines: 02712096, 02712098, 02712099.(FOR OFFICIAL USE)5. Referees (Name and contacts – at least one should be a professional in theconstruction industry)NamePostal addressTelephone1) .2) .3) .6. BankerBanker’s Name.Address.SECTION II: FINANCIAL STATUS OF THE FIRMCapital and other financial resources in possession of/or available to theFirm (Attach 3 years Audited Accounts and other relevant financial information)Company’s fixed (Immovable) Assets in the Annex 1.3; (Attach certified copiesproving ownership) – N.B. Plant and equipment are not Fixed Assets).Tax Compliance Certificate No.(Attach a current copy of certificate)SECTION III: OFFICE AND SERVICE FACILITIESIndicate the office space, service workshop, yard and testing section of the firm asper Annex 1.4SECTION IV: EQUIPMENT OWNEDIndicate the particulars of construction equipment owned by the company as perAnnex 1.5SECTION V: FIRMS EXPERIENCE1. Attach particulars of contracts in hand or executed before by the firm as perAnnex 1.6.2. Registration with other agencies.Name of agency.Category of registration.3. Membership of contractor’s association (not mandatory for new applicants)Name of the association. (Attach currentcertificate)Membership no.Page 2 of 15

National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Fixed lines: 02712096, 02712098, 02712099.SECTION VI: FIRMS LITIGATION HISTORY4. Indicate details of litigation, arbitration, adjudication, termination on anycontracts and any completion projects as per Annex 1.7.SECTION VII: DECLARATIONI/we the undersigned hereby declare as follows:(i)My/our signing of this application form implies acceptance ofresponsibility for the veracity and accuracy of all information submittedtherein or therewith.(ii)The information given will be used by the National ConstructionAuthority for the purpose of evaluating this application for registration.Such registration will be approved at the sole discretion of the Authority.(iii)Any employer , consultant or banker, past or present is hereby authorizedand requested to provide information on the competence and generalreputation of this firm if so requested by the Authority.(iv)The Authority may visit and physically inspect my/our establishment andauthenticity of the information given herein, or by our Referees, orobtained from any other source regarding our firm.(v)Failure to complete any part of this application form may result to notbeing registered.(vi)My/ our firm shall not be engaged in any acts of corruption in whateverform.(vii)I undertake to comply with the provisions of the code of conduct issuedby the National Construction Authority as issued and any revisions fromtime to time.I understand that non-disclosure of any material information may lead toautomatic disqualification of this application.(viii)Dated this .day of. .20 .Signed by .In the capacity of . (Status in firm)Signature and Stamp .Witnessed by .Signature .Page 3 of 15(FOR OFFICIAL USE)

Annex 1.1National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.DIRECTORS’ DETAILSATTACH COPIES OF ACADEMIC CERTIFICATES AND CVSNo.Full NamesNationalityHighest QualificationTechnical directorsOther directorsPage 4 of 15Yearsof PercentageExperienceShareFOR OFFICIAL USE

Annex 1.2National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.STAFF DETAILSATTACH COPIES OF ACADEMIC CERTIFICATES AND CVSNo.Full NamesNationalityHighest QualificationYearsof Work PermitexperiencePage 5 of 15FOR OFFICIAL USE

Annex 1.3National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.COMPANY’S FIXED (IMMOVABLE) ASSETSNo.DescriptionRegistration no:Page 6 of 15(FOR OFFICIAL USE

Annex 1.4National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.OFFICE AND SERVICE FACILITIESNo.Nature of SpaceRoomsStaffInstalled facilitiesPage 7 of 15Size (M2)(FOR OFFICIAL USE

Annex 1.5National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.PLANTS AND EQUIPMENTATTACH PROOF OF OWNERSHIP, WHICH INCLUDE, BUT NOT LIMITED TO; REGISTRATION DOCUMENTS (LOGBOOKS),CERTIFICATE OF IMPORTATION, CERTIFICATE OF SALE, LEASE AGREEMENTS ETC.No.Name of Plant/equipment.Type/Make/ModelDateof Registration No./manufacture Serial No/ OtherIdentification markPage 8 of 15Owned/LeasedFOR OFFICIAL USE

Annex 1.6National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.FIRMS EXPERIENCEATTACH DOCUMENTARY SUPPORT FOR ONGOING AND COMPLETED PROJECTS (AWARD LETTERS, PRACTICALCOMPLETION CERTIFICATE, CERTIFICATE OF TAKING OVER, FINAL ACCEPTANCE CERTIFICATE)No.Project & locationClient andAddressConsultantandaddressPage 9 of 15Contract(kshs. M)sumContractPeriodFOR OFFICIAL USE

National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.Annex 1.7LITIGATION HISTORYRef. No.Project & locationClient and addressPage 10 of 15ParticularLitigationofCurrent Status of thematterFOR OFFICIAL USE

National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Direct lines: 020712096, 020712098, 020712099.Annex 1.8PARTNERSHIPS OF FOREIGN FIRMS & JOINT VENTURESDETAILS OF PROJECT(S) TO BE EXECUTED BY FOREIGN FIRM OR JOINT VENTUREProject & locationClient and addressConsultantaddressandContract(kshs. M)sumContractPeriodFORUSEOFFICIALShare HoldingFORUSEOFFICIALDETAILS OF KENYA PARTNERS WITH FOREIGN FIRMS OR JOINT VENTUREName of the FirmAddressClassRegistrationPage 11 of 15ofCategoryRegistrationof

Annex 1.9National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Fixed lines: 02712096, 02712098, 02712099.EVALUATION SHEET (FOR OFFICIAL USE)ALL WRITING TO BE IN CAPITAL LETTERS/UPPERCASE.Evaluation of this application in all successive stages depends on 100% provision of all the mandatory requirementsIN STAGE 1, 2 & 3STAGE 1: Mandatory requirements in the various sectionsSECTION I: COMPANY PROFILEFOR OFFICIALUSECompany name and AddressCertificate of Incorporation/ Certificateof Registration with SocietiesCurrent Business LicenseValid work Permits for foreign staffRefereesTax Compliance CertificateDeclarationSTAGE 2: Mandatory requirements in the various categoriesCATEGORY TECHNICAL REQUIREMENTSNCA 1At least 1 Director with a minimum of BachelorsDegree in construction related field.NCA 2At least 1 Director with a minimum of BachelorsDegree in construction related field.NCA 3At least 1 Director with a minimum of HigherDiploma in construction related field.NCA 4NCA 5At least 1 Director with a minimum of HigherDiploma in construction related field.Diploma.NCA 6Certificate.NCA 7Trade test.Page 12 of 15FOR OFFICIALUSE

National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Fixed lines: 02712096, 02712098, 02712099.For Specialists contractors, the following qualifications are mandatoryContractorMinimum requirementi. Electrical Installations.ii. Generating Plants, Lifts andEscalators.iii. Radio Communicationiv. Structural Cabling.v. Telecommunication(PABX,Intercoms and Telephone Wiring).vi. Plumbing and Drainage.vii. Boilers, Incinerators and PressureVessels.For Official Use Electrician License C2 Electrician License A2 Licensed by CCK Licensed by CCK Licensed by CCK Government Trade Test Grade 2 Boilers Inspectors’License/Certificate underFactories Act CAP 514, Section37STAGE 3: EVALUATION OF OTHER PARTICULARS PROVIDEDReferenceParticularsMax. Marks (%)Section I:2Branch Offices2Section I:434Section IIStaff Qualifications (Directors Other Staff)Financial statusSection IIIOffice and Service Facilities3Section IVEquipment Owned15Section VFirms Experience16TOTALFor Official Use30100CATEGORYMARKS AWARDEDNCA 181-100NCA 266-80NCA 356-65NCA 446-55NCA 536-45NCA 621-35NCA 710-20NCA 8Below 10Page 13 of 15For Official Use

National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Fixed lines: 02712096, 02712098, 02712099.Annex 1.10Fee for Application, Registration, Annual Renewal, charges for Defaulters of Renewal, and fines forNon-Registered Contractors and Accreditation for Skilled Construction Workers and ConstructionSite SupervisorsS/NOABCD1.2.3.4.TYPE OF 005,000.005,000.00New applicationUp-grading class of ContractorsAppealsReplacement of lost CertificatesREGISTRATIONCategory1. NCA1100,000.002. NCA275,000.003. NCA350,000.004. NCA425,000.005. NCA520,000.006. NCA615,000.007. NCA710,000.008. NCA85,000.00ANNUAL RENEWAL FEESCategory1. NCA130,000.002. NCA225,000.003. NCA320,000.004. NCA415,000.005. NCA512,000.006. NCA610,000.007. NCA75,000.008. NCA82,500.00CHARGES OF DEFAULTERS OF RENEWALCategory1. NCA190,000.002. NCA275,000.003. NCA360,000.004. NCA445,000.005. NCA536,000.006. NCA630,000.007. NCA715,000.008. NCA810,000.00Charges for Non-Registered Contractors300,000.00Skilled Construction Workers and Construction Site Supervisors1.Skilled Construction Workers1,0002.Construction Site Supervisors2,000Training Institution1. Universities50,0002. Polytechnics and Technical Colleges20,0003. Youth Polytechnics10,000Page 14 of 15FOREIGNCONTRACTORS(US )5005005005002,500-1,500-4,5007,500

National Construction Authority P.O. BOX 21046-00100; website: www.nca.go.ke ; Email:info@nca.go.ke,Cell phone no: 0700021222; Fixed lines: 02712096, 02712098, 02712099.Annex 1.11Categories of Registration according to capability123Contractors .NCA67.NCA78.NCA8Specialist .NCA67.NCA78.NCA8Roads and other Civil .NCA78.NCA8Value Limit (Kshs)UnlimitedUpto 500,000,000.00Upto 300,000,000.00Upto 200,000,000.00Upto 100,000,000.00Upto 50,000,000.00Upto 20,000,000.00Upto 10,000,000.00Value Limit (Kshs)UnlimitedUpto 250,000,000.00Upto 150,000,000.00Upto 100,000,000.00Upto 50,000,000.00Upto 20,000,000.00Upto 10,000,000.00Upto 5,000,000.00Value Limit (Kshs)UnlimitedUpto 750,000,000.00Upto 500,000,000.00Upto 300,000,000.00Upto 200,000,000.00Upto 100,000,000.00Upto 50,000,000.00Upto 20,000,000.00Page 15 of 15

Non-Registered Contractors and Accreditation for Skilled Construction Workers and Construction Site Supervisors S/NO TYPE OF APPLICATION KENYAN CONTRACTORS (KShs.) FOREIGN CONTRACTORS (US ) A 1. New application 5,000.000 500 2. Up-grading class of Con

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