gaca_gov_sa · form · processed · 3 chunks
GACA المنامه للطيران المجتمع General Authority of Civil Aviation APPLICATION FORM FOR CONSULTANT ACCEPTANCE (GACAR PART 137) <table><tr><td colspan="4">Part I: Scope of Work</td></tr><tr><td>S. No.</td><td>Description(s)</td><td>Information to be filled in by Applicant/Owner/Water Aerodrome Operator</td><td>Remarks</td></tr><tr><td>1</td><td>Name of the Proposed Project Work of Water Aerodrome</td><td></td><td></td></tr><tr><td>2</td><td>Type of Consultancy Work (Design or Supervisory Work)</td><td></td><td></td></tr><tr><td>3</td><td>Estimated Value of the Proposed Project Work, if available</td><td></td><td></td></tr><tr><td>4</td><td>Estimated Completion Period of Proposed Project, if available</td><td></td><td></td></tr></table> <table><tr><td colspan="4">Part II: Details of Consultant</td></tr><tr><td>S. No</td><td>Description(s)</td><td>Information to be filled in by Applicant/Owner/Water Aerodrome Operator</td><td>Remarks</td></tr><tr><td>1</td><td>Name of Consultant Entity</td><td></td><td></td></tr><tr><td>2</td><td>Address and Contact Details (Saudi Arabia and Outside, if head office outside Saudi Arabia)</td><td></td><td></td></tr><tr><td>3</td><td>Type of Firm Individual/JV/Government</td><td></td><td></td></tr><tr><td>4</td><td>Year of Establishment (Must have completed 5 yrs. of establishment on date of application)</td><td></td><td></td></tr><tr><td>5</td><td>Annual Gross Turnover (In SAR) (Attach Last Annual Reports)</td><td></td><td></td></tr></table> GACA-AVSES-AGA-F042 Rev: 2, Date: 11 Sep 25 Page 1 of 4 GACA الجامعه للطيران المدني General Authority of Civil Aviation [Non-Text] APPLICATION FORM FOR CONSULTANT ACCEPTANCE (GACAR PART 137) Part III: Consultant Human Resource Capabilities (Minimum Technical Manpower on Role) <table><tr><td rowspan="2">S. No.</td><td rowspan="2">Work Positions (Position 1 Main Key Personnel)</td><td rowspan="2">Name of Position Holder (Attach CV)</td><td colspan="2">Qualifications</td><td colspan="2">Minimum Work Experience (10 Years)</td><td rowspan="2">Remarks</td></tr><tr><td>Basic (Graduation)</td><td>Highest (Higher than Graduation)</td><td>Similar Work (Min 7 Years)</td><td>Position Specific (Min 3 Years)</td></tr><tr><td>1</td><td>Project Director/ Project In-Charge</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td rowspan="2">S. No.</td><td rowspan="2">Work Positions (Position 2 to 8 are Key Personnel)</td><td rowspan="2">Name of Position Holders (Attach CV)</td><td colspan="2">Qualifications</td><td colspan="2">Minimum Work Experience (7 Years)</td><td rowspan="2">Remarks</td></tr><tr><td>Basic (Graduation)</td><td>Highest (Higher than Graduation)</td><td>Similar Work (Min 5 Years)</td><td>Position Specific (Min 2 Years)</td></tr><tr><td>2</td><td>Chief Architect/Planner</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>3</td><td>Chief Design Engineer</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>4</td><td>Civil Engr-In-charge</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>5</td><td>Electrical Engr-In-charge</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>6</td><td>Environment Manager</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>7</td><td>Quality Manager</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>8</td><td>Safety Manager</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>9</td><td>Other Personnel</td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table> GACA-AVSES-AGA-F042 Rev: 2, Date: 11 Sep 25 Page 2 of 4 GACA المنامه العامه للطيران المجتمع General Authority of Civil Aviation [Non-Text] APPLICATION FORM FOR CONSULTANT ACCEPTANCE (GACAR PART 137) Part IV: Consultant Technical Capabilities (Minimum 3 Works) <table><tr><td>S. No.</td><td colspan="2">Planning and Design Consultancy Work of Airports and/or Water Aerodromes Project (Value of at least two works must be more than 50 % of the proposed work estimated value – Ref para 1 (3)</td><td>Description of Similar Work completed successfully by consultant in last 5 years.(Attach Copy of the Client Completion Certificate)</td><td>Value of Work (in SAR)</td><td>Remarks</td></tr><tr><td rowspan="3">1</td><td rowspan="3">Planning and Designing Work of Water Aerodromes and Airports such as Site Selection, Feasibility Study, Topographical Survey, Environmental study, wind data analysis and orientation study, water currents, water tides, OLS Survey, Aeronautical Study, Visual aids and Detail Project Reports etc.</td><td>Work 1</td><td></td><td></td><td rowspan="3"></td></tr><tr><td>Work 2</td><td></td><td></td></tr><tr><td>Work 3</td><td></td><td></td></tr><tr><td>S. No.</td><td>Supervisory Consultancy for construction Work of Airports and/or Water Aerodromes Project (Value of at least two works must be more than 50 % of the proposed work estimated value – Ref para 1 (3)</td><td colspan="2">Description of Similar Work completed successfully by consultant in last 5 years.(Attach Copy of the Client Completion Certificate)</td><td>Value of Work (in SAR)</td><td>Remarks</td></tr><tr><td rowspan="3">2</td><td rowspan="3">Supervision and Project management of Water Aerodromes and Airports works including Water Runways, Taxi-Lanes, Docking Platforms, Anchoring Areas, mooring area etc. for Water Aerodrome, Pax Terminals, Walkways, Associated buildings such as ATC, RFF Vessels/Stations, Power supply, Lighting and Markers Systems etc.</td><td>Work 1</td><td></td><td></td><td></td><td rowspan="3"></td></tr><tr><td>Work 2</td><td></td><td></td><td></td></tr><tr><td>Work 3</td><td></td><td></td><td></td></tr></table> GACA-AVSES-AGA-F042 Rev: 2, Date: 11 Sep 25 Page 3 of 4 GACA المنامه العامه للطيران المجتمع General Authority of Civil Aviation APPLICATION FORM FOR CONSULTANT ACCEPTANCE (GACAR PART 137) <table><tr><td colspan="4">Part V: Consultant Work Methods</td></tr><tr><td>S. No.</td><td>Description of Method of Work Plan (MOWP) (As applicable)</td><td>Confirm Availability and Description of the Plans (Attach Copy)</td><td>Remarks</td></tr><tr><td>1</td><td>Project Planning and Designing Plan or Project Supervision Plan</td><td></td><td></td></tr><tr><td>2</td><td>Quality Control and Quality Assurance Plan</td><td></td><td></td></tr><tr><td>3</td><td>Project Time Schedule and Work Activity Schedule Plan</td><td></td><td></td></tr><tr><td>4</td><td>Safety Policy and Risk Management Plan</td><td></td><td></td></tr><tr><td>5</td><td>Security Policy and Environment Management Plan</td><td></td><td></td></tr></table> <table><tr><td colspan="2">I hereby certify that</td></tr><tr><td colspan="2">the forgoing information is correct in every respect and no relevant information has been withheld.</td></tr><tr><td>Signature of Applicant/Owner/Operator</td><td>Name</td></tr><tr><td></td><td></td></tr><tr><td>Position held</td><td>Date</td></tr><tr><td></td><td></td></tr></table> GACA-AVSES-AGA-F042 Rev: 2, Date: 11 Sep 25 Page 4 of 4