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:
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?
INSURANCE
Do you have a Employer's Liability and Public Liability?
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?
If not, does your organisation have a quality managementsystem?
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?
If yes, please enclose a copy

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HEALTH & SAFETY
Does your organisation have a written health and safety atwork policy?
If yes, please enclose a copy of certificate

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Does your organisation have a health and safety at work system?
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?
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?
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?
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
Should be Empty:

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