Name of Project
Date
SECTION A: BACKGROUND INFORMATION OF PROPOSER
A1
BASIC INFORMATION
A1-1
Provide information of the proposer in the table below. For consortium / joint venture, information on each company shall be provided.
Table A1-1
NAME OF
COMPANY
COUNTRY OF
INCORPORATION
DATE OF
INCORPORATION
COMPANY
REGISTRATION
NO.
[MM/DD/YYYY]
[##]
[MM/DD/YYYY]
[##]
1
ADDRESS OF
CORPORATE
HEADQUARTERS
AND ITS BRANCH
OFFICES (IF ANY)
IN MALAYSIA
ROLES &
RESPONSIBILITI
ES IN THE
PROJECT
PERCENTAGE OF
SHAREHOLDING
IN THE
CONSORTIUM /
JOINT VENTURE
Name of Project
Date
A1-2
Please provide detailed profile of proposer. Information shall include, but not limited to:i.
company holding structure
ii.
number of employees
iii.
notable mergers or acquisitions
iv.
core business
v.
principal business locations
vi.
major projects
vii.
market share
For consortium / joint venture, information on each company shall be provided.
Information may be in the form of company brochure, attached as Appendix A1-2.
A2
EVIDENCE OF ESTABLISHMENT
Proposer shall provide a copy of the following documents. For consortium / joint venture, documents from each company shall be
provided.
A2-i
Certified copy of Form 8 or Form 9 of Companies Commission of Malaysia for Malaysian company or certificate of incorporation
or registration (as applicable) for non-Malaysian Company.
A2-ii
Certified copy of Form 24 of Companies Commission of Malaysia for Malaysian Company. Non-Malaysian Company must provide
equivalent evidence of incorporation in their country of origin.
A2-iii
Certified copy of Form 49 of Companies Commission of Malaysia for Malaysian Company. Non-Malaysian Company should
provide details of their shareholders.
A2-iv
Certified copy of Memorandum of Association or equivalent (applicable only to companies incorporated in Malaysia).
2
Name of Project
Date
SECTION B: EVIDENCE OF FINANCIAL STABILITY AND CAPABILITY
Proposer shall provide a copy of the following documents. For consortium / joint venture, documents from each company shall be
provided.
B1-i
Copy of audited Financial Statements for five (5) preceding years from the current year.
B1-ii
Copy of Annual Reports for listed companies for five (5) preceding years from the current year.
B1-iii
Latest copy of certified three (3) months bank statement certified by the issuing bank.
B1-iv
Please fill in the information required in Table B1-iii below. Please insert a new table for each consortium / joint venture member
(if applicable).
[NAME OF COMPANY]
YEAR
Latest completed
financial year –
YEAR 1
(RM)
YEAR 2
(RM)
YEAR 3
(RM)
YEAR 4
(RM)
YEAR 5
(RM)
[YYYY]
[YYYY]
[YYYY]
[YYYY]
[YYYY]
0.00
0.00
0.00
0.00
0.00
REVENUE
PROFIT AFTER TAX
DEPRECIATION
NET CASH ACCRUALS
3
Name of Project
Date
SECTION C: EXECUTIVE SUMMARY
C1-1
Please fill in the information required in Table C1-1 below.
Proposer
Name of proposer
Proposed project
Brief information of the proposed project, its components and implementation timeline, source of waste and
tonnage
Proposed project location
Address of proposed location, GPS coordinates
Type of waste
Municipal solid waste / scheduled waste / ………
Proposed technology
Name of technology
Name of technology
provider
Financial
CAPEX (RM)
OPEX (RM)
Key features of the proposal
Country of origin
Gate fee (RM)
Year of track record
Land requirement (acres)
Benefits to GoM, Values to the Rakyat. Please quantify the tangible benefits / values.
- % of waste diversion from landfill
- Generation of green energy in MW
- GHG reduction
- Potential savings on land acquisition
- Potential savings by GoM (vis-à-vis business as usual)
- Recycling rate
- Job creation
4
Name of Project
Date
SECTION D: TECHNICAL PROPOSAL
D1
D1-1
No
PROBLEM STATEMENT
Please provide the need statements and how your proposed project would contribute in resolving the issues.
Need / Problem statement
Your proposed solution
1
2
3
D2
TECHNICAL SOLUTION
D2-1 Please provide a description of the proposed technical solution / technologies. The level of detail must include specifications with
supporting high level calculations and design assumptions, where relevant. The description shall be supported by graphics, where
relevant.
5
Name of Project
Date
D3
D3-1
TECHNICAL TRACK RECORD
Please provide your track record in the past 10 years in delivering similar projects / facilities.
6
Name of Project
Date
SECTION E: FINANCIAL & COMMERCIAL PROPOSAL
E1
E1-1
SUMMARY OF FINANCIAL MODEL
Please fill in the information required in Table E1-1 below.
Parameter
Value
Total expected income
RM
Proposed tipping fee
RM/tonne (tipping fee required to be paid by the GoM, for each year of the
proposed contract duration)
Expected income from recyclables & reusable materials
RM/tonne; percentage of revenue as compared to total
Expected income from the exported energy to the national grid
RM; percentage of revenue as compared to total
Other revenue options (please add new row for each options)
RM; percentage of revenue as compared to total
7
Name of Project
Date
Parameter
Estimated CAPEX
Estimated OPEX
Internal Rate of Return
E1-2
Value
Total
RM
Civil works
RM
Mechanical & Electrical
RM
Others (please specify, add new
row for each)
RM
Total
RM
(Please specify the OPEX
component, add new row for each)
RM
(Please specify the OPEX
component, add new row for each)
RM
(Please specify the OPEX
component, add new row for each)
RM
RM
Please attach the Financial Model workbook as Appendix E1-2
8
Name of Project
Date
E2
SUMMARY OF LIFE CYCLE COST ANALYSIS
E2-1
Please highlight below the salient benefits of your proposed project in comparison to other options, in respect to life cycle cost.
E2-2
Please attach the Life Cycle Cost Analysis workbook as Appendix E2-2.
9
Name of Project
Date
E3
PROJECT STRUCTURE & DELIVERY
E3-1 Please describe the roles and responsibilities of each stakeholders involved in the proposed project.
Stakeholder
Roles & Responsibilities
Name of Stakeholder 1
Name of Stakeholder 2
Name of Stakeholder 3
Name of Stakeholder 4
Name of Stakeholder 5
E3-2 Please describe below the diagram of the proposed project structure.
Insert diagram here.
10
Name of Project
Date
E4
PROJECT TIMELINE
E4-1 Please describe below the diagram of the proposed project timeline. The timeline shall detail the envisioned development,
construction and operation & maintenance activities.
Insert diagram here.
11
Name of Project
Date
E5
PROJECT BENEFITS
E5-1 The Government of Malaysia aspires to achieve 40% waste diversion from landfill and 22% recycling rate by year 2020.
Please quantify how your proposed project would contribute in achieving these targets and other potential effects that may benefit the
Government and Rakyat.
Benefits to GoM
-
% of waste diversion from landfill
Generation of green energy in MW
GHG reduction
Potential savings on land acquisition
Potential savings by GoM (vis-à-vis business as usual)
Recycling rate
Etc
Values to the Rakyat
-
Job creation
Etc
Others
(Please state, if applicable)
12