II.D. INFORMATION CONCERNING ON WHOSE CAPACITY THE ECONOMIC OPERATOR DOES NOT RELY Subcontracting Answer 2.D.1 Does the economic operator intend to subcontract any share of the contract to third parties, but does not rely on those third parties in order to meet the selection criteria for this Competition as set out in part 3.2 of the RFT? 2.D.2 If the answer to 2.D.1 is yes and in so far as known, please: List the subcontractors here and insert details] Please also provide a separate ESPD form for each of the subcontractors concerned, setting out the information required under Parts 2.A, 2.B and all of Part III of the ESPD duly filled in and signed by the subcontractors concerned. Part III: Exclusion grounds III.A: GROUNDS RELATING TO CRIMINAL CONVICTIONS Regulation 57 (1) of S.I. No. 284 of 2016 , the European (Award of Public Authority Contracts) Regulations 2016, sets out the following reasons for exclusions: Participation in a criminal organisation (); Corruption (); Fraud(); Terrorist offences or offences linked to terrorist activities (); Money laundering or terrorist financing (); Child labour and other forms of trafficking in human beings (). Grounds relating to criminal convictions Answer 3.A.1 Has the economic operator itself or any person who is a member of its administrative, management or supervisory body or has powers of representation, decision or control therein been the subject of a conviction for any of the following, either within the last 5 or where [If the relevant documentation is available electronically, please indicate the web address, issuing authority or body, precise reference of
3.B.2 If the economic operator has not met all the obligations in 3.B.1 relating to the payment of or social security contributions, please indicate in respect of each breach of such obligations: Social Contributions: Country or Member State concerned here and insert details] [Click here and insert details] What is the amount concerned? [Click here and insert details] [Click here and insert details] How has this breach of obligations been established: [Click here and insert details] [Click here and insert details] (c)(1) Through a judicial or administrative decision Is this decision final and binding? Please indicate the date of conviction or decision [Click here and insert details] [Click here and insert details] In case of a conviction, insofar as established directly therein, the length of the period of exclusion [Click here and insert details] [Click here and insert details] (c)(2) By other means? Please specify [If Yes, click here and insert details] [If Yes, click here and insert details] Has the economic operator fulfilled its obligations by paying or entering into a binding arrangement with a view to paying the or social security contributions due, including, where applicable, any interest accrued or fines? If the answer to 3.B.2 (d) above is yes, please provide details. [If Yes, click here and insert details] [If Yes, click here and insert details] 3.B.3 If the relevant documentation concerning payment of taxes or social contributions is available electronically, please indicate the web address, issuing authority or body and precise reference of the documentation [Click here and insert details] III.C: GROUNDS RELATING TO INSOLVENCY, OF OR PROFESSIONAL MISCONDUCT () Information concerning possible insolvency, conflict of interest or professional misconduct Answer 3.C.1 Has the economic operator, to its knowledge, breached its obligations in the fields of environmental, social and labour law ()? 3.C.2 If the answer to 3.C.1 is yes, please complete (a) and (b)
SIGNED for and on behalf of the Client __________________________ (being a duly authorised officer) SIGNED for and on behalf of the Contractor ____________________________ Witness Witness