Renovation work on the landscape pond at Bankoku Shinryokan (R8)

Renovation work on the landscape pond at Bankoku Shinryokan (R8) Letter of Attorney I hereby appoint as my representative and delegate all authority concerning the tender for the following work. Details 1. Work Name: Renovation work on the landscape pond at Bankoku Shinryokan (R8) 2. Representative's Seal: Year Month Day Attorney-in-fact: Address Business Name Name Seal To the Governor of Okinawa Prefecture Governor of Okinawa Prefecture Form No. 4 Tender Form (Construction) Tender Amount: 100 million 10 million 1 million 100 thousand 10 thousand Yen Purpose of Work: Renovation work on the landscape pond at Bankoku Shinryokan (R8) Location of Work: Nago City Construction Period: Commencement: The day after the contract is concluded. Completion: By March 1, Reiwa 9. Tender Security Amount: Exempt I hereby submit my tender, agreeing to undertake the work for the amount indicated above, plus an amount equivalent to 10% of that amount (if there is a fraction of less than one yen, that fraction will be rounded down), and acknowledging the submitted design documents, specifications, financial regulations (Okinawa Prefecture Ordinance No. 12 of 1972), and instructions. Year Month Day Lot Number: Address: Bidder Name: Seal To the Governor of Okinawa Prefecture Form No. 3 (Individual) Form No. 3 JV Appendix 1 Form 1 Form 2 Submission List (Individual) Submission List (JV) Form No. 3 (1)-② (Individual Order, Post-qualification Type) Application for Confirmation of Eligibility for Participation in General Competitive Bidding Year Month Day To the Governor of Okinawa Prefecture Address: Business Name: Name: Signature [Handwritten] Affiliation: Name: I hereby apply for confirmation of my eligibility to participate in the bidding for the following procurement project, attaching the necessary documents. I pledge that the contents of the qualification confirmation documents are true and correct. Details 1. Announcement Date: 2026/09/07 2. Work Name: Renovation work on the landscape pond at Bankoku Shinryokan (R8) 3. Work Location: Nago City 4. Name of Person Responsible for Qualification Confirmation Documents: ○○ ○○ Telephone Number: 098-***-**** 5. Qualification Items: Qualification Item *1 1. Holder of a special construction business license as defined by the Construction Business Act, registered in the Okinawa Prefecture Construction Works Bidding Eligibility Register for Reiwa 7/8 with a D grade in architectural construction. Applicable. (Grade) 2. Possesses construction experience of the same type of work. Possesses construction experience as per Form 1. 3. Has a principal place of business in Okinawa Prefecture based on the Construction Business Act. Applicable. 4. Able to assign qualified technicians. Able to assign as per Form 2. 5. The assigned technician must have been in direct and continuous employment for at least 3 months prior to the bid date. Applicable. 6. Not subject to disqualification under Article 167-4 of the Local Autonomy Act. Not subject to the provisions of the said Article. 7. Holder of a business performance review as stipulated in Article 27-23 of the Construction Business Act, with a valid business performance review notification. Applicable. 8. Not subject to a suspension of designation by this prefecture during the period from the bid date to the award decision date. Not subject to suspension. 9. Not a party for whom rehabilitation proceedings have been initiated under the Corporate Rehabilitation Act or for whom reorganization proceedings have been initiated under the Civil Reorganization Act (excluding those who have received re-certification). Applicable. 10. No capital, personnel, or other relationships that would impede the fairness of bidding with other bidders. No capital, personnel, or other relationships with other bidders. 11. Not a construction company that is a contractor for design work related to the said work (including each member in the case of a joint venture) or that has capital, personnel, or other equivalent capital or personnel relationships with such a contractor. No capital, personnel, or other relationships with the design work contractor. 12. Not a construction company that is requested by the police authorities to be excluded from works ordered by the Okinawa Prefectural Government's Civil Engineering and Construction Department, as being substantially controlled by a member of a crime syndicate or equivalent, and where such a situation continues. No exclusion request has been received. 13. Possesses a recent overall evaluation score of ○○○ points or more in the business performance review for ○○ general construction work prior to the bid date, with a valid business performance review notification. Applicable. (○○ general construction work, overall evaluation score ○○○ points) 14. Possesses construction experience in measures to prevent the outflow of red soil, etc., that meet the requirements. Possesses construction experience as per Form 1. 6. Notes: *1: The is an example, so please modify it as appropriate. *2: Check the document list for attached documents. ← Be careful not to miss anything, ← Modify as appropriate, ← Be careful not to miss anything, Please print without signing by computer and sign by hand after identity verification at the time of submission. Form No. 3 (2)-② (Joint Venture Order, Post-qualification Type) Application for Confirmation of Eligibility for Participation in General Competitive Bidding Year Month Day To the Governor of Okinawa Prefecture ○○ Construction / △△ Construction / □□ Construction Special Construction Joint Venture Representative: Address: Business Name: Name: Member: Address: Business Name: Name: Member: Address: Business Name: Name: Member: Address: Business Name: Name: Signature [Handwritten] Affiliation: Name: I hereby apply for confirmation of my eligibility to participate in the bidding for the following procurement project, attaching the necessary documents. I pledge that the contents of the qualification confirmation documents are true and correct. Details 1. Announcement Date: Reiwa 4 Month Day 2. Work Name: ○○○ Construction 3. Work Location: ○○ City 4. Name of Person Responsible for Qualification Confirmation Documents: ○○ ○○ Telephone Number: 098-***-**** 5. Qualification Items: (1) Matters concerning the qualifications required for members of a special JV Qualification Item *1 1. Not subject to disqualification under Article 167-4 of the Local Autonomy Act. None of the members are subject to the said Article. 2. Holder of a business performance review as stipulated in Article 27-23 of the Construction Business Act, with a valid business performance review notification. All members are applicable. 3. Not subject to a suspension of designation by this prefecture during the period from the bid date to the award decision date. None of the members are subject to suspension. 4. Not a party for whom rehabilitation proceedings have been initiated under the Corporate Rehabilitation Act or for whom reorganization proceedings have been initiated under the Civil Reorganization Act (excluding those who have received re-certification). All members are applicable. 5. No capital, personnel, or other relationships that would impede the fairness of bidding with other bidders. None of the members have capital, personnel, or other relationships with other bidders. 6. Not a construction company that is a contractor for design work related to the said work (including each member in the case of a joint venture) or that has capital, personnel, or other equivalent capital or personnel relationships with such a contractor. None of the members have capital, personnel, or other relationships with the design work contractor. 7. Not a construction company that is requested by the police authorities to be excluded from works ordered by the Okinawa Prefectural Government's Civil Engineering and Construction Department, as being substantially controlled by a member of a crime syndicate or equivalent, and where such a situation continues. None of the members have received an exclusion request. (2) Matters concerning the qualifications required for the representative member of a special JV Qualification Item *1 1. Holder of a ○○ construction business license as defined by the Construction Business Act, registered in the Okinawa Prefecture Construction Works Bidding Eligibility Register for Reiwa 3/4 with a Grade ○ or Grade ○ in ○○ construction work. Applicable. (Grade ○) 2. Possesses construction experience of the same type of work. Possesses construction experience as per Form 1. 3. Has a principal place of business in Okinawa Prefecture based on the Construction Business Act. Applicable. 4. Able to assign qualified technicians. Able to assign as per Form 2. 5. The assigned technician must have been in direct and continuous employment for at least 3 months prior to the bid date. Applicable. 6. Possesses a recent overall evaluation score of ○○○ points or more in the business performance review for ○○ general construction work prior to the bid date, with a valid business performance review notification. Applicable. (○○ general construction work, overall evaluation score ○○○ points) 7. Possesses construction experience in measures to prevent the outflow of red soil, etc., that meet the requirements. Possesses construction experience as per Form 1. (3) Matters concerning the qualifications required for members other than the representative member of a special JV Qualification Item *1 1. Holder of a ○○ construction business license as defined by the Construction Business Act, registered in the Okinawa Prefecture Construction Works Bidding Eligibility Register for Reiwa ○/○ with a Grade ○ or Grade ○ in ○○ construction work. Applicable. (Grade ○) 2. Has a principal place of business in Okinawa Prefecture based on the Construction Business Act. Applicable. 3. Able to assign qualified technicians. Able to assign as per Form 2. 4. The assigned technician must have been in direct and continuous employment for at least 3 months prior to the bid date. Applicable. 5. Possesses a recent overall evaluation score of ○○○ points or more in the business performance review for ○○ general construction work prior to the bid date, with a valid business performance review notification. Applicable. (○○ general construction work, overall evaluation score ○○○ points) 6. Notes: *1: The is an example, so please modify it as appropriate. *2: Check the document list for attached documents. ← Be careful not to miss anything, Please print without signing by computer and sign by hand after identity verification at the time of submission. (Appendix 1) Cover Page (Paper Size A4) Qualification Document Cover Page Address: Company Name: Representative: Contact Person: Contact Number: Work Name: Renovation work on the landscape pond at Bankoku Shinryokan (R8) ← (Enter work name from client) Submission Date: Reiwa Year Month Day ( ) Table of Contents (Example Entries) □ Copy of Construction Business License (Notification)・・・・・・・・・・・・・・・ P○ □ Copy of Bidding Eligibility Approval Notice・・・・・・・・・・・・・・・・・ P○ □ Copy of Valid Business Performance Review Notification・・・・・・・・・・・・・・ P○ □ Form 1 (Construction Experience of the Same Type/Work)・・・・・・・・・・・・ P○ ← (Delete "same type" or "same work" as not applicable by the client) □ Receipt of CORINS Completion Work Chart, Copy of Work Chart, etc.・・・・・・・・ P○ □ Form 2 (Qualifications of Assigned Technicians, etc.)・・・・・・・・・・・・・・・ P○ □ Copy of Grade ○ Technical Examination (○ Grade ○○ Construction Management Engineer) Certificate・・・・・・・ P○ □ Copy of Supervising Engineer Qualification Certificate (Front and Back)・・・・・・・・・・・・・・・・ P○ □ Copy of Supervising Engineer Training Completion Certificate・・・・・・・・・・・・・・・・・・ P○ □ Qualification Confirmation Documents for Chief Engineer (if assigning a Chief Engineer)・・・・・・ P○ ← (Delete if no requirement is set by the client) □ Copy of Valid Health Insurance Certificate, etc.・・・・・・・・・・・・・・・・ P○ □ Documents Confirming Shareholding Status, etc. (if related to the design work contractor)・・・ P○ □ Copy of Construction Business License Application Form (Form No. 1)・・・・・・・・・・・・・ P○ □ Copy of Construction Business License Application Form Appendix (for confirming business office location)・・・・・ P○ □ Copy of Business Performance Review Notification (if requirement for overall evaluation score is set)・ P○ ← (Delete if no requirement is set by the client) Total ○○ Pages ↓ Modify as appropriate Form 1 Construction Experience of the Same Type of Work Company Name (Representative): Work Name, etc.: Work Name: Client Name: Construction Location: Contract Amount (Yen): Construction Period: Order Type: Individual Joint Venture (Share Ratio): Work Description: Scale/Dimensions: Structural Type: Construction Method: Company Name (Representative): Work Name, etc.: Work Name: Client Name: Construction Location: Contract Amount (Yen): Construction Period: Order Type: Individual Joint Venture (Share Ratio): Work Description: Scale/Dimensions: Structural Type: Construction Method: Company Name (Representative): Work Name, etc.: Work Name: Client Name: Construction Location: Contract Amount (Yen): Construction Period: Order Type: Individual Joint Venture (Share Ratio): Work Description: Scale/Dimensions: Structural Type: Construction Method: Remarks 1. If the work to be entered is registered in CORINS, attach a copy of the Receipt of CORINS Completion Work Chart and the Work Chart (General Data, Technical Data). If the work to be entered is not registered in CORINS, attach copies of documents that prove the work content (experience), such as a copy of the contract. 2. For the work description, enter the minimum necessary items that can be judged as having the qualifications specified in the announcement. 3. The contract amount shall be the total contract amount. For joint ventures, the amount allocated by the share ratio shall be indicated in parentheses. ← Enter the site supervisor, chief engineer, supervising engineer, and other assigned roles. ← Example 1) Possible to engage in this work as the construction period will be completed ○ months before the commencement of this work. Example 2) Currently serving as site supervisor (assigned technician), so can change and engage in this work by the commencement date. ← Modify as appropriate Form 2 Qualifications of Assigned Technicians, etc. Company Name: Technician Name: Date of Birth: Address: Final Education: Telephone Number: Legal License: Grade ○ ○○ Construction Management Engineer: Number: 0000000000 (Only qualifications specified in the announcement) Acquired: Month Day, Year of Acquisition and Registration: Supervising Engineer Qualification: Certificate Number: No. 00000000, Enter number: First Issued: Month Day, Year of First Issuance: Issued: Month Day, Year of Issuance: Supervising Engineer Training Completion: Certificate Number: No. 00000000, Date of Completion: Month Day, Year of Completion: Employment Status in Other Works at the Time of Application: Work Name: Client: Construction Period: Year Month Day - Year Month Day: Assigned Role: Measures in case of overlap with this work: CORINS Registration: Yes (CORINS Registration Number) - No: Overlap Application Status: Overlapping Work Name: Submission Date/Place: Note 1) Enter the minimum necessary items that can be judged as having the qualifications specified in the announcement. 2) In the "Measures in case of overlap with this work" section of "Employment Status in Other Works at the Time of Application," fill in so that it is clear that the assigned technician can be exclusively assigned to this work. Also, attach documents that confirm this. 3) The "Overlap Application Status" section should be filled in if you are currently applying for or intend to apply for overlapping work in other projects for which bidding procedures have commenced at the time of application for confirmation of eligibility for this bid. 4) If assigning a supervising engineer, attach a copy of the supervising engineer qualification certificate (front and back) and a copy of the supervising engineer training completion certificate. 5) Attach a copy of a valid health insurance certificate, etc., or a copy of the confirmation notice of acquisition of employment insurance insured person status, etc. 6) If applying for multiple assigned technicians, fill in for each technician separately.