BECOME A SUPPLIER

BECOME A SUPPLIER
BASIC DETAILS OF YOUR ORGANISATION

(*) Mandatory questions to be answered.
Name of your Company*
Please provide the contact details of the person who is responsible for bookings:
Full Name*

First NameLast Name
Email Address*
example@example.com
Mobile Phone Number*
Full Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Number:*
Company Email Address*
example@example.com
Website Address (if any):
Companies House Registration Number
Date of Registration

MonthDayYear
Registered Address & Post Code if different from above:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload a Company House Certificate

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VAT Registration Number:
Are you an approved SIA/ACS contractor:*

YESNO
If YES, Please upload a copy of your certificate

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BUSINESS ACTIVITIES
What is the nature of your organisation business?*
How many staff can your organisation supply*
What areas do you supply?*
Ex. London, Manchester, Kent
EQUAL OPPORTUNITIES
Does your organisation have a written equal opportunities policy?*

YESNOOther
INSURANCE
Do you have a Employer's Liability and Public Liability?*

YESNO
If YES, Please upload copies of certificates*

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QUALITY ASSURANCE
Does your organisation hold a quality management certification for example BS/EN/ISO 9000 or equivalent?*

YESNO
If not, does your organisation have a quality managementsystem?*

YESNO
If you do not have a quality certification or a quality management system, please explain why:
Do you hold membership of professional/trade/relevant organisations and bodies?*

YESNO
If yes, please enclose a copy

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HEALTH & SAFETY
Does your organisation have a written health and safety atwork policy?*

YESNO
If yes, please enclose a copy of certificate

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Does your organisation have a health and safety at work system?*

YESNO
Has your organisation been subjected to any enforcement measures including improvement, prohibition notices and/or prosecution by the HSE or other enforcement body in the last 5 years?*

YESNO
If so please give details
Please provide details of any accidents / incidents in the last three years:*
Fatal, Major, 3 Days, Non Reportable, Near Misses
FINANCIAL INFOMATION
What was your last year turnover?*
Has your company met the terms of its banking facilities and loan agreements during the last year?*

YESNO
If "NO" please provide the outcome.
What solutions has your company implemented to reverse this?*
Has your organisation met all its obligations to pay its creditors and staff in the last year?*

YESNO
If “NO” please explain why not:
Bank Details
Name of account:*
Account Number:*
Sort Code:*
Address for invoice to be sent:*

Street Address

Email Address

CityState / Province

Postal / Zip Code
PROFESSIONALAND BUSINESS STANDARS
Do any of the following apply to your organization, or to (any of) the director(s) / partners / proprietor(s)? *
Is in a state if bankruptcy, insolvency, compulsory winding up, receivership, composition with creditors, or subject to relevant proceedings *
Has been convicted of a criminal offence related tobusiness or professional conduct*
Has committed an act of grave misconduct in the course of business*
Has not fulfilled obligations related to payment of social security contributions and taxes to HMRC?*
Is quality of serious misrepresentation in supplying information*
Is not in possession of relevant licenses or membership of an appropriate organisation where required by law*
If the answer to any of these is “Yes” please give brief details below including what has been done to put things right*
REFERENCES

Please provide 2 references
REFERENCES 1

Customer Organisation (Name): *
Customer Contract Name   First Name*   Last Name*   and Phone      *
Date of Contract Awarded:   Date*
Contact Reference and Brief Description:   *
Value:    *
Date contract was completed:   Date*
Have you had any contracts terminated for poor performance in the last three years or any contracts where damages have been claimed by the contracting authority?  If "YES", please give details: *
REFERENCES 2

Customer Organisation (Name):
Customer Contract Name   First Name   Last Name   and Phone
Date of Contract Awarded:   Date
Contact Reference and Brief Description:
Value:
Date contract was completed:   Date
Have you had any contracts terminated for poor performance in the last three years or any contracts where damages have been claimed by the contracting authority?  If "YES", please give details:
DECLARATION
I DECLARE THAT TO THE BEST OF MY KNOWLEDGE THE ANSWERS SUBMITTED IN THIS PPQ (AND ANY SUPPORTING MODULES) ARE CORRECT. I UNDERSTAND THAT THE INFORMATION WILL BE USED IN THE EVALUATION PROCESS TO ASSESS MY ORGANISATIONS SUITABILITY.

I ALSO CONFIRM THAT ALL PERSONNEL WILL BE:

·         Suitably experienced

·         Properly qualified

·         Have access to all contract documentation enabling them to fully appreciate all aspects of the works required by them
Form Completed By
Name*

First NameLast Name
Position (Job Title):*
Date:*

MonthDayYear
Telephone Number:*
Signature*

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BECOME A SUPPLIER

BASIC DETAILS OF YOUR ORGANISATION

BUSINESS ACTIVITIES

EQUAL OPPORTUNITIES

INSURANCE

QUALITY ASSURANCE

HEALTH & SAFETY

FINANCIAL INFOMATION

Bank Details

PROFESSIONALAND BUSINESS STANDARS

REFERENCES

DECLARATION

Form Completed By