HTSI Due Diligence Questionnaire -Teaming Partners (FCPA)(072511)

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Due Diligence Questionnaire proposed teammates of Honeywell Technology Solutions Inc. Applicant Details: 1. Name of Applicant organization: 2. Address of Applicant organization: 3. Country where Applicant is physically located: 4. Telephone number of Applicant Organization: 5. Fax number of Applicant organization: 6. Type of Organization: Insert (*) asterix in the text box which ever applies. Public Corporation Privately owned corporation Sole Proprietorship Individual 7. Country where incorporated: 8. Website address: Kanoos Group of Companies P.O.Box:42998. CBI Bldg, Office 104, Street 1, Sector 73, Zone 2, Corniche, Khaladiya UAE +971 26395551/ 26395552 +971 26395597 x India www.kanoosgroup.com

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HTSI Due Diligence Questionnaire -Teaming Partners (FCPA)(072511)

Transcript of HTSI Due Diligence Questionnaire -Teaming Partners (FCPA)(072511)

Page 1: HTSI Due Diligence Questionnaire -Teaming Partners (FCPA)(072511)

Due Diligence Questionnaireproposed teammates of Honeywell Technology Solutions Inc.

Applicant Details:

1. Name of Applicant organization:

2. Address of Applicant organization:

3. Country where Applicant is physically located:

4. Telephone number of Applicant Organization:

5. Fax number of Applicant organization:

6. Type of Organization:

Insert (*) asterix in the text box which ever applies.

Public Corporation

Privately owned corporation

Sole Proprietorship

Individual

7. Country where incorporated:

8. Website address:

Point of Contact Details (if different from entity/individual telephone)

1. Name of Contact:

2. Address of Contact:

3. Country where Point of Contact resides:

Kanoos Group of Companies

P.O.Box:42998. CBI Bldg, Office 104, Street 1, Sector 73, Zone 2, Corniche, Khaladiya

UAE

+971 26395551/ 26395552

+971 26395597

x

India

www.kanoosgroup.com

Michael Ray

Kuwait

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4. E-mail address of contact:

Individuals Performing Proposed Services:

1. List branch offices and parent/subsidiary organizations of the Applicant:

2. Has the Applicant had any previous relationship with Honeywell or any of its predecessor or affiliated companies?

3. Are any of the individuals listed above government officials? If so, please describe:

Bank Account Details for Remittances / References

It is Honeywell's policy to request a bank reference in case the recent audited financial statements are not attached, so please provide the complete details about the Bank Reference.

1. Name of Bank:

2. Contact Person:

3. Job Title:

4. Email- Id:

5. Address of Bank:

6. Telephone Number:

[email protected]

Al-Hokook Intl. KuwaitKGC, Bosnia

No

No

National Bank of Kuwait

Amani Al Omani

00965 22593832

00965 22593839

Branch Manager

[email protected]

Code 073, Fahaheel Al Samely

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7. Fax Number:

8. Account Name:

9. Account Number:

Company Services

1. What are the main services provided by the Applicant and what percentage of the Applicant's time is dedicated to each:

2. If the answer to previous question is different from the services the Applicant proposes to provide to Honeywell please explain why and describe what percentage of Applicant efforts/time/staff will be dedicated to the proposed engagement:

3. Is registration with any governmental organization required to provide the services contemplated by this appointment? If so, please describe:

4. Identify the capabilities and expertise of the Applicant which are relevant to the appointment:

5. Identify the technical and other facilities available from the Applicant:

All Directors, Officers and Share holders of the Applicant's Organization

Manpower (50%), Supply Chain (20%), Maintenance (20%), Equipment (10%)

N/A

Eastern Europeans

M84 Mechanics, Supply Chain Professionals

Al Hok Intl. Gen. Tradg & Contg.

KWD A/C 1001322026

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1. List all Directors, Officers and Shareholders: (Note: if Applicant is a public corporation, please list all shareholders that hold more than 10% of the outstanding shares and Attach CV for each shareholder holding more than 10% of the shares.

Name Title / Role

Nationality # Years with Applicant

% Ownership Director, Officer orShareholder

Saidaly Kadar Pillai

Director & Manager

Indian (KGC since 22/12/2010)

34%

Anooj Kader Director Indian 33%

Sanooj Kadar Secretary

Indian 33%

2. Does any government or any department, agency or other organization of that government, or any official or employee of that government own or have any other interest directly or indirectly in the Applicant's organization?

3. Is the Applicant or any owner, shareholder, officer or employee of the Applicant an elected or appointed official of any government, or an employee of any government department, agency or other organization of that government, including military or paramilitary forces?

4. Does any shareholder or other owner, or any officer or employee of the Applicant have a family relationship with any current official or employee of any government or of any department, agency or of the organization of that government?

5. Is the Applicant, or any owner, officer or employee of the Applicant employed by, or the agent of, any customer of Honeywell or its affiliate companies? Please give full details and attach a written authorization from Customer for this Honeywell appointment in Attachment Section, below:

6. Has the Applicant or any employee or officer of the Applicant ever been suspended from being allowed to work with any office of a government on procurement matters?

No

No

No

No

No

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7. Has the Applicant, any former or associated organization of the Applicant, any present or former owner, officer or employee of the Applicant or of any former or associated organization of the Applicant been charged with any criminal act, or been the subject of any allegation or investigation of fraud, bribery or other corruption?

8. Has the Applicant or anyone connected with its business been subject to a review by a US company relating to the Foreign Corrupt Practices Act?

9. Has the Applicant been sued for allegations relating to fraud or corruption?

10.Does any former political party official or candidate for office (from the country where the Applicant is located) have an ownership interest, direct or indirect, in the Applicant?

11.Is any candidate for office (from the country where the Applicant located) currently a prospective contractor/employee to the Applicant?

12.Does the Applicant have any other assignments or appointments with a Honeywell business other than the appointment for which this Application is being submitted?

13. Please Confirm whether your company is registered with the U.S. Department of State as a broker [http://www.pmddtc.state.gov/docs/itar/2007/itar_part_129.doc], which is required for anyone that acts as an agent for others in negotiating or arranging contracts, purchases, sales or transfers of defense articles or defense services in return for a fee, commission, or other consideration.

If the answer to this question is YES, please attach a copy of your U.S. Department of State Broker registration below in the Checklist of Enclosures.

14.If your company is not required to register as a broker as described in the previous question, do you have credible reasons for not being registered that are documented, for example in the form of a letter from the U.S. Department of State or from a law firm?

If the answer to the above is YES, you should attach below documentation that states that you are not required to register.

No

No

No

No

Yes

No

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References: Business (a minimum of 3)

It is Honeywell's policy to approach at least three business references, so please provide at least three (3) references. Provide business references below. References should not be current Honeywell employee. Where the Applicant has dealings with U.S. companies, it may be helpful to give them as references.

Name Company Phone number Fax Number Email address

Signed:

Title:

Date: