apply to you ii) Small or Medium Enterprise (SME) Yes iii) Sheltered workshop Yes iv) Public service mutual Yes 1.2 Bidding model Please check the relevant box to indicate whether you are; Bidding as a Prime Contractor and will deliver 100% of the key contract deliverables yourself Yes 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 c) Bidding as Prime Contractor but will operate as a Managing Agent and will use third parties to deliver all 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 d) Bidding as a consortium but not proposing to create a new legal entity. If yes, please include details of your consortium in the row below and use a separate Appendix to explain the alternative arrangements i.e. why a new legal entity is not being created. Please note that the authority may require the consortium to assume a specific legal form if awarded the contract, to the extent that it is necessary for the satisfactory performance of the contract. Yes If you responded “Yes” in 1.2 d), please include details here: Consortium members Lead member e) Bidding as a consortium and intend to create a Special Purpose Vehicle (SPV). If yes, please include details of your consortium, current lead member and intended SPV in the row below and provide full details of the bidding model using a separate Appendix. Yes If you responded “Yes” in 1.2 e), please include details here: Consortium members
(vii) destroying, defacing or concealing of documents or procuring the execution of a valuable security within the meaning of section 20 of the Theft Act 1968 or section 19 of the Theft Act (Northern Ireland) 1969; Yes No (viii) fraud within the meaning of section 2, 3 or 4 of the Fraud Act 2006; or Yes No (ix) the possession of articles for use in frauds within the meaning of section 6 of the Fraud Act 2006, or the making, adapting, supplying or offering to supply articles for use in frauds within the meaning of section 7 of that Act; Yes No any offence listed— (i) in section 41 of the Counter Terrorism Act 2008; or Yes No (ii) in Schedule 2 to that Act where the court has determined that there is a terrorist connection; Yes No any offence under sections 44 to 46 of the Serious Crime Act 2007 which relates to an offence covered by subparagraph (f); Yes No money laundering within the meaning of sections 340(11) and 415 of the Proceeds of Crime Act 2002; Yes No an offence in connection with the proceeds of criminal conduct within the meaning of section 93A, 93B or 93C of the Criminal Justice Act 1988 or article 45, 46 or 47 of the Proceeds of Crime (Northern Ireland) Order 1996; Yes No an offence under section 4 of the Asylum and Immigration (Treatment of Claimants etc.) Act 2004; Yes No an offence under section 59A of the Sexual Offences Act 2003; Yes No an offence under section 71 of the Coroners and Justice Act 2009 Yes No an offence in connection with the proceeds of drug trafficking within the meaning of section 49, 50 or 51 of the Drug Trafficking Act 1994; or Yes No any other offence within the meaning of Article 57(1) of the Public Contracts Directive— (i) as defined by the law of any jurisdiction outside England and Wales and Northern Ireland; or Yes No (ii) created, after the day on which these Regulations were made, in the law of England and Wales or Northern Ireland. Yes No Note: Non-EU based suppliers should note that 2.1 (n)(i) above requires you to confirm that you have not been convicted of any such offences in your home jurisdiction and/or any other jurisdiction outside of England and Wales and Northern Ireland.