SUPPLIER DETAILS RESPONSE Full name of the supplier completing the Tender Questionnaire Registered company address Registered company number Registered charity number Registered VAT number Name of immediate parent company Name of ultimate parent company Type of Company (Please mark ‘X’ in the relevant box to indicate your trading status) a public limited company a limited company a limited liability partnership other partnership sole trader other (please specify) Please mark ‘X’ in the relevant boxes to indicate whether any of the following classifications apply to you Voluntary, Community and Social Enterprise (SME) Small or Medium Enterprise (SME) Sheltered workshop Public service mutual BIDDING MODEL Please mark ‘X’ in the relevant box to indicate whether you are; Bidding as a Prime Contractor and will deliver 100% of the key contract deliverables yourself Yes No Bidding as a Prime Contractor and will use third parties to deliver some of the services If yes, please provide details of your proposed bidding model that includes members of the supply chain, the percentage of work being delivered by each sub-contractor and the key contract deliverables each sub-contractor will be responsible for. Yes No
Please self-certify whether you already have, or can commit to obtain, prior to the commencement of the contract, the levels of insurance cover indicated below: Employer’s (Compulsory) Liability Insurance = £10,000,000 Public Liability Insurance = £10,000,000 Professional Indemnity Insurance = £1,000,000 Please note that figures are per incident. The cover in place must not contain any exclusion which affects the Authority. Yes No A Yes response will score a Pass, and, a No response will score a Fail Compliance with equality legislation For organisations working outside of the UK please refer to equivalent legislation in the country that you are located. In the last three years, has any finding of unlawful discrimination been made against your organisation by an; Employment Tribunal, An Employment Appeal Tribunal; or Any other court (or in comparable proceedings in any jurisdiction other than the UK)? Yes No A No response will score a Pass, and Yes response will score a Fail In the last three years, has your organisation had a complaint upheld following an investigation by the Equality and Human Rights Commission or its predecessors (or a comparable body in any jurisdiction other than the UK), on grounds or alleged unlawful discrimination? If you have answered Yes to one or both of the questions in this module, please provide, as a separate Appendix, a summary of the nature of the investigation and an explanation of the outcome of the investigation to date. If the investigation upheld the complaint against your organisation, please use the Appendix to explain what action (if any) you have taken to prevent unlawful discrimination from reoccurring. You may be excluded if you are unable to demonstrate to the Authority’s satisfaction that appropriate remedial action has been taken to prevent similar unlawful discrimination reoccurring. Yes No A No response will score a Pass, and Yes response will score a Fail If you use sub-contractors, do you have processes in place to check whether any of the above circumstances apply to these other organisations? Yes No Environmental Management Has your organisation been convicted of breaching environmental legislation, or had any notice served upon it, in the last three years by any environmental regulator or Authority (including local Authority)? If your answer to the this question is Yes, please provide details in a separate Appendix of the conviction or notice and details of any remedial Yes No A No