Please answer the following questions in full. Note that every organisation that is being relied on to meet the selection must complete and submit the Part 1 and Part 2 self-declaration. Section 1 Potential supplier information Question number Question Response 1.1(a) Full name of the potential supplier submitting the information 1.1(b) – (i) Registered office address (if applicable) 1.1(b) – (ii) Registered website address (if applicable) 1.1(c) Trading status public limited company limited company limited liability partnership other partnership sole trader third sector other (please specify your trading status) 1.1(d) Date of registration in country of origin 1.1(e) Company registration number (if applicable) 1.1(f) Charity registration number (if applicable) 1.1(g) Head office DUNS number (if applicable) 1.1(h) Registered VAT number 1.1(i) - (i) If applicable, is your organisation registered with the appropriate professional or trade register(s) in the member state where it is established? Yes ☐ No ☐ N/A ☐ 1.1(i) - (ii) If you responded yes to 1.1(i) - (i), please provide the relevant details, including the registration number(s). 1.1(j) - (i) Is it a requirement in the state where you are established for you to possess a particular authorisation, or be a member of a particular organisation in order to provide the services specified in this procurement? Yes ☐ No ☐ 1.1(j) - (ii) If you responded yes to 1.1(j) - (i), please provide additional details of what is required and confirmation that you have complied with this. 1.1(k) Trading name(s) that will be used if successful in this procurement 1.1(l) Relevant classifications (state whether you fall within one of these, and if so which one) Voluntary Community Social Enterprise (VCSE) Sheltered Workshop Public service mutual 1.1(m) Are you a Small, Medium or Micro Enterprise (SME)? Yes ☐ No ☐ 1.1(n) Details of Persons of Significant Control (PSC), where appropriate: - Name;
need to complete questions 8.7.2 – 8.7.6 8.7.1a You hold a UKAS (or equivalent) accredited independent third party certificate of compliance with BS EN ISO 9001 Yes ☐ No ☐ 8.7.2 Do you have a policy and organisation for quality management Yes ☐ No ☐ 8.7.3 Do you have arrangements for ensuring that your quality management including the quality of general performance and the output relating to the services being tendered is effective in reducing incidents and sub-standard service delivery? Yes ☐ No ☐ 8.7.4 Do you have arrangements for providing your workforce with quality-related training and information appropriate to the type of work for your organisation is likely to bid? Yes ☐ No ☐ 8.7.5 Do you have procedures for periodically reviewing, correcting and improving quality performance? Yes ☐ No ☐ 8.7.6 Do you have arrangements for ensuring that your own suppliers apply quality management measures that are appropriate to the work for which they are being engaged? Yes ☐ No ☐ 8.8 Equal Opportunity and Diversity Policy & Capability 8.8.1 As an Employer, do you meet the requirements of the positive equality duties in relation to the Equalities Act 2010. Yes ☐ No ☐ 8.8.2 Is it your policy as an employer to comply with legislation, and to treat all people fairly and equally so that no one group of people is treated less favourably than others? Yes ☐ No ☐ 8.8.3 In the last three years has any finding of unlawful discrimination been made against your organisation by any court or industrial or employment tribunal or equivalent body? If yes please provide details at 8.8.5 and 8.8.6 Yes ☐ No ☐ 8.8.4 In the last three years has your organisation been the subject to a compliance action by the Equality and Human Rights Commission or an equivalent body on grounds of alleged unlawful discrimination? If yes please provide details at 8.8.5 and 8.8.6 Yes ☐ No ☐ 8.8.5 If you have answered Yes to 8.8.3 or 8.8.4 please provide details 8.8. If you have answered Yes to 8.8.3 or 8.8.4 explain what measures have been taken to demonstrate the reliability of the organisation despite the existence of a relevant ground for exclusion? (Self Cleaning) Annex C Mandatory Exclusion Grounds Public Contract Regulations 2015 R57(1), (2) and (3)