pre-qualification questionnaire for [project name] · pre-qualification questionnaire for [project...

Pre-Qualification Questionnaire For [Project Name]

Name of Project [Insert Project Name]

Project Reference Number [Insert Reference]

OJEU Number (if appropriate)

[Insert OJEU Reference (if applicable)]

PQQ for [insert title] - Commercial In Confidence

Contents

Part A - General Guidance and Introduction 3 Section 1 - Introduction 3 Section 2 - Tender Timetable 4

Part B - PQQ Return 7 Section 3 - PQQ Completion Documentation 8 Schedule 1 - Commercially Sensitive Information 31 Section 4 - Declarations 32

Version 1.1 – 12th August 2013 of 34


PART A – GENERAL GUIDANCE AND INTRODUCTION

Section 1 - Introduction

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1.1 Purpose and Scope of this PQQ This PQQ:

• Provides Applicants with information on submission to enable them to submit a compliant PQQ (including providing templates where relevant)

• Sets out the Selection Criteria for Applicants to complete which will be used to evaluate and shortlist Applicants

IMPORTANT Applicants should note that full and comprehensive instructions on submission and evaluation, as well as the defined terms for, this PQQ and any subsequent ITT/Tender documents are found within the Restricted Procurement Instructions Document (“the Instructions Document”) which has been provided with this PQQ. Applicants must keep and refer to the Instructions Document throughout the life of this procurement as those instructions will stand unless otherwise stated by the Council in the manner laid down in the Instructions Document.



Section 2 – Tender Timetable

2.1 Tender Information Table

Tender Information Table

Submission Instructions

Applicants must complete and return the various requirements set out in Part B of this document which includes it’s Schedules and Appendix [A/B/C], in order to submit a compliant PQQ.

Applicants must supply - 1 x paper copies and 1 x master electronic version on CD. PQQ Documents must be sealed in a plain envelope addressed using the Return Label. The envelope or parcel shall not bear any name or any other mark (e.g. postal or franking devices on envelope) by which the applicant can be identified.

PQQ to be returned to: [Insert name of officer and address]

PQQ clarification contact officer: [Insert name]

PQQ clarification contact email: [Insert email address]



2.2 Tender Timetable The key dates for this procurement can be found in the Tender Timetable within the accompanying Restricted Procurement Instructions Document which has been provided with this PQQ.

It is the intention of the Council, that this procurement will follow a clear, structured and transparent process at all times and that all Applicants are treated equally.




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PART B – PQQ RETURN

PRE-QUALIFICATION QUESTIONNAIRE

PA

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RETU

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[Title of Contract or Framework Agreement]

[Contract Reference Number] Submitted By

Date


PART B – PQQ RETURN

Section 3 – PQQ Completion Documentation

3.1 PQQ Compliance Instructions Applicants shall complete and return only Part B of this PQQ which includes it’s Schedules and Appendix [A/B/C]. All applications received by the Return Date will be checked for compliance with the submission requirements set out in Part A of this PQQ and the Instructions Document.

Applicants are asked to respond to all of the questions in this section.

Responses to all sections of the PQQ may be assessed independently of each other. Therefore, where a response to a section of a PQQ is duplicated in the response to a different section, Applicants are requested to repeat that information for each section rather than cross-referencing responses to where the information may have already been provided. It is the Applicants responsibility to ensure the response to each question is entire and can be assessed as such.

Failure to comply with the above requirements or any other requirement detailed in this PQQ and accompanying Instructions Document may lead to a PQQ being considered to be non-compliant and the Council reserves the right not to carry out any further evaluation and may eliminate the Applicant from the procurement.

3.2 Applicants Details - Sub-Contracting and Consortia Where an Applicant intends to participate in sub-contracting or a consortia for the purposes of this procurement, the Applicant shall identify whether and which subcontracting or consortium arrangements apply in the case of their application and precisely which entity they propose to be the Contractor.



3.3 Module 1 - Applicant Details NOTE TO APPLICANT (for consortium or where there will be Significant Sub-Contractors): only the Lead Organisation is required to complete this section.

3.3.1 Full Registered Company and Trading Name and address of the applying Lead Organisation / Applicant (Note all documentation, e.g. H&S policy, subsequently supplied must relate to this Lead Organisation / Applicant)

3.3.2 Registered Office of the Lead Organisation / Applicant if different from the above

3.3.3 Company and/or Charity Registration Number

3.3.4 If a Registered Company, please state if you are Limited by Shares, Limited by Guarantee or an Unlimited Company

3.3.5 Date of Formation or Registration

3.3.6 VAT Registration Number

3.3.7 Is your organisation

(a) A sole trader?

Yes / No

(b) A partnership?

Yes / No

(c) A private limited company?

Yes / No

(d) A public limited company?

Yes / No

(e) A local authority Direct Services Organisation?

Yes / No

(f) A charity trading as a company? Or, if not state number of trustees.

Yes / No …..….

(g) If other - please specify below

Yes / No



3.3.8 If your organisation is a subsidiary of another company or a member of a

group of companies, please give the name, registered office address and registration number of the ultimate holding / parent company and all subsidiaries, and provide details of the group structure and relationships.

3.3.9 Please indicate which box below applies:

(a) The Applicant is tendering with the intention of

providing the Services, Supplies or Works required directly without the use of third parties.

Yes / No

OR (b) The Applicant is tendering in the role of Lead Organisation and intends to use third parties to provide some or all of the Services, Supplies or Works required.

Yes / No

OR (c) The Applicant is tendering in the role of Lead Organisation and intends to enter into a partnership or consortium for the provision of the Services, Supplies or Works required.

Yes / No



3.4 Module 2 - Compliance with Legislation NOTE TO APPLICANT: This section will be evaluated on a pass/fail basis. Please note the answer to this question will receive a ‘fail’ where the exclusionary conditions of the Regulations apply to the Applicant and/or insufficient or unsatisfactory information has been provided. The Lead Organisation and the Relevant Organisations must answer all questions in this section.

3.4.1 Do any of the exclusionary conditions in the [Public Contracts

Regulations 2006 (SI 2006 No. 5) (as amended)] [Utilities Contracts Regulations 2006 (SI 2006 No.6) (as amended)] [Delete as applicable] apply to your organisation? (A summary of the circumstances of Regulation [23] [26] [Delete as applicable] is provided below).

Please follow the link below to obtain details of [Regulation 23] [Regulation 26] [Delete as appropriate]. It is vital that you understand the contents of the Regulation before answering the above question.

[Public Contracts Regulations - http://www.opsi.gov.uk] [Utility Contracts Regulations - http://www.legislation.gov.uk/uksi/2006/6/contents/made] [Delete as applicable] If the answer to the above question is yes please provide full details below.

Yes / No


http://www.opsi.gov.uk/

http://www.legislation.gov.uk/uksi/2006/6/contents/made

http://www.legislation.gov.uk/uksi/2006/6/contents/made


3.5 Module 3 - Financial Matters NOTE TO APPLICANT: This section must be completed and the responses given will be scored together with an independent financial assessment of the Applicant and (where applicable) its ultimate parent company which the Council will obtain from a reputable credit rating organisation. The section will be awarded a pass or fail mark overall dependant on the score awarded to the Applicant. For full details on how this section will be evaluated please refer to section 4.9 of the “Instructions Document”

3.5.1 Please confirm that your organisation or its ultimate

parent company meets or exceeds the Minimum Financial Threshold (average annual turnover over the last two years) of £[xxxxxxx].

Confirmed

Yes/No

3.5.2 Please confirm your ultimate parent company has been trading for two years or more and is willing to give financial support and a parent company guarantee if required (if applicable).

Confirmed

Yes/No/Not Applicable

3.5.3 Does your organisation have any outstanding claims or litigation against it? If yes, please provide the extent of the percentage of those claims as against the profits of the last financial year (or part year if full year not applicable).

Yes/No

% --------

3.5.4 To only be completed by EXISTING TRADING ORGANISATIONS (i.e.: trading for 2 years or longer) The Applicant shall provide the following financial information for the last two years of trading; If the accounts you are submitting are for a year ended more than 10 months ago, please enclose a copy statement signed by the Director responsible for financial affairs, setting out the organisation’s turnover and net profit since the latest accounts, and any known significant changes in the balance sheet of the organisation.

Please note: If the organisation is a subsidiary, the financial information is required for both the subsidiary and the ultimate parent organisation. Where a consortium or association is proposed, the financial information is required for each relevant organisation.

(a) two consecutive years of full audited or unaudited accounts as appropriate for the size of your organisation (to include Director’s and Auditor’s / Accountant’s Reports and Notes to the Accounts)

Attached

Yes/No



(b) if applicable provide a separate statement of the organisation’s turnover within the accounts that relates directly to the supply of these services, supplies or works for the past two years.

Attached

Yes/No

3.5.5 To only be completed by NEWLY FORMED ORGANISATIONS (i.e.: Trading for less than 2 years) The Applicant shall provide the following financial information: If at section (d) below the accounts you are submitting are for a year ended more than 10 months ago, please enclose a copy statement signed by the Director responsible for financial affairs, setting out the organisation’s turnover and net profit since the latest accounts, and any known significant changes in the balance sheet of the organisation.

Please note: If the organisation is a subsidiary, the financial information is required for both the subsidiary and the ultimate parent organisation. Where a consortium or association is proposed, the financial information is required for each relevant organisation.

(a) provide a five year business plan, including a

five year cash flow forecast highlighting future turnover.

Attached

Yes/No

(b) provide evidence of external funding arrangements included in the business plan. Grant offer evidence to include a signed copy of the grant conditions and signed bank letter outlining the terms of the loan, overdraft and/or credit facility position.

Attached

Yes/No

(c) if applicable provide a separate statement of the organisation’s turnover within the business plan that relates directly to the supply of these services, supplies or works.

Attached

Yes/No

(d) audited or unaudited full accounts as appropriate for the size of your organisation (to include Director’s and Auditor’s / Accountant’s Reports and Notes to the Accounts)

Attached

Yes/No

The Council will require as part of the evaluation process a reference from each applicant's bankers as to the organisation’s suitability to undertake a [Contract/Framework Agreement] of this size and nature. Please complete the Bank Authority Form below ensuring that you have entered all the information.

A Director of your organisation who has the authority to do so and whose signature is acceptable to your bankers must sign this form. Please do not



send a photocopy. The duly completed form will be sent by the Council to your bankers to obtain a reference from them.

Note: As banks are unwilling to supply references without this authority, failure to provide such an authorisation may mean that the Council is unable to consider your application further.



BANK AUTHORITY FORM Bank/Building Society Details

Name of your Bank

Name of your Branch

Address of your Branch

Branch Sort Code

Account Number

Building Society Roll Number (if appropriate)

Name of your Organisation

I hereby authorise you to supply the Head of Finance of Cornwall Council, information on the financial status of the organisation, Banker's reference and legal charges against the organisation, together with detail of any mortgages. I consent to ……………………………………………………. Bank/Building Society debiting my/our account with their standard administration fee.

Signature

Printed Name

Position in organisation

Date (day, date, month, year)

Head of Finance Cornwall Council, New County Hall Treyew Road, Truro, Cornwall, TR1 3AY



3.6 Module 4 - Health and Safety NOTE TO APPLICANT: The Health and Safety Assessment section is attached in appendix [A, B or C] [delete as appropriate]. The appendix must be completed and will be evaluated as a whole and given a pass or fail rating based on an evaluation of the risk to the Council of entering into a [Contract/Framework Agreement] with the Applicant.



3.7 Module 5 - Equality and Diversity NOTE TO APPLICANT: this section will be evaluated on an individual question basis as follows: 3.7.1 & 3.7.2 these questions will be evaluated on a ‘Pass/Fail’ basis, with all parts marked as ‘Yes’ constituting a ‘Pass’, and any parts marked as ‘No’ constituting a ‘fail’.

The Lead Organisation and the Relevant Organisations must answer all questions in this section.

3.7.1 Please confirm that your organisation complies with its legal obligations relating to the following: a) Race, b) Sexual Orientation, c) Gender Reassignment d) Disability, e) Age, f) Religion or Belief, g) Sex, h) Marriage & Civil Partnership i) Caring Association j) Pregnancy & Maternity

Confirm Yes / No

3.7.2 Please confirm that your organisation has an Equality & Diversity policy which meets the principles set out in Cornwall Council’s Equality & Diversity Policy (please see link) and therefore all statutory requirements http://www.cornwall.gov.uk/Default.aspx?page=1958.

Yes / No


http://www.cornwall.gov.uk/Default.aspx?page=1958


3.8 Module 6 – Insurances NOTE TO APPLICANT: only the Lead Organisation is required to answer this section.

3.8.1 If your organisation’s tender is successful, adequate insurance cover will be required. The minimum levels are indicated below. Please complete the below table with the relevant information and confirm that the details entered are correct. If you do not currently have the required level of insurance please indicate in the box provided below that you will have the cover required should you be awarded the [Contract/Framework Agreement]. If the policy held is in the aggregate, the remaining cover must exceed the minimum requirements shown. Employers Liability (minimum [£X m] cover) Insurer Policy Number Amount of cover £ Deductibles £

(a)

Renewal Date Public Liability (minimum [£X m] cover) Insurer Policy Number Amount of cover £ Deductibles £

(b)

Renewal Date [Insert Type of Insurance Required (minimum [£X m] cover)]

Insurer Policy Number Amount of cover £ Deductibles £

(c)

Renewal Date We confirm that the details of insurance provided above are correct:

Yes / NA

We confirm that we will have the insurance required above if we are awarded the [Contract/Framework Agreement]:

Yes / NA



3.9 Module 7 – Legal Matters and Disputes NOTE TO APPLICANT: this section must be completed and will be evaluated as a whole on a Pass or Fail basis.

The Council will evaluate the Applicant's response below and will decide whether any answer "Yes" to any of the circumstances listed in (a) to (h) below constitutes an acceptable risk if the Applicants response to section 3.9.2 demonstrates that the steps taken by the Applicant mitigates this risk to the Council's satisfaction. If an Applicant (including the Lead Organisation and all Relevant Organisations) answers "No" to all of sections (a) to (h) the Applicant will pass.

The Lead Organisation and the Relevant Organisations must answer all questions in this section.

3.9.1 In respect of similar services, supplies or works as that being applied for has your organisation, or any of its proposed partners, in the last three years:

(a) been prosecuted or had any Court judgements awarded against it in the last three years? If yes, please provide details including details of any unresolved disputes, outstanding claims or litigation?

Yes / No

(b) had penalties, default notices or liquidated damages awarded against it?

Yes / No

(c) had a [Contract/Framework Agreement] terminated or not had a [Contract/Framework Agreement] renewed due to a failure to perform?

Yes / No

(d) been prosecuted for breaking any UK or EU, or equivalent national legislation relating to the environment?

Yes / No

(e) had any notice served upon it by an environmental regulator or authority?

Yes / No

(f) had any finding of unlawful discrimination been made against your organisation by any court of law or industrial or employment tribunal?

Yes / No

(g) has your organisation been the subject of a formal investigation on grounds of alleged unlawful discrimination?

Yes / No

(h) been convicted for failure to prevent corruption or bribery under section 7 of the Bribery Act 2010?

Yes / No

3.9.2 If the answer to any of the questions (a) to (h) above is ‘yes’, please provide full details and the steps you took as a consequence of that finding/investigation below?



3.10 Module 8A – Safeguarding staff and Vulnerable People NOTE TO APPLICANT; only the Lead Organisation is required to complete this section.

Please note that although this Module is labelled as ‘Module 8A’ no other modules numbered 8 exist for the purposes of this documentation.

3.10.1 Please confirm your organisation have a Safeguarding Policy that complies with the Council’s policy and provides a commensurable level of protection as that policy. A copy of the Council’s policy can be found below:

CC Safeguarding Policy

Yes / No

3.10.2 If the answer to 3.10.1 is ‘No’, confirm you will make such amendments to your policy to ensure compliance with the Council’s.

Yes / No



3.10 Module 8B – Safeguarding Staff and Vulnerable People NOTE TO APPLICANT: This section must be completed and will be evaluated as a whole on a Pass or Fail basis. Each individual response will be evaluated as ‘Acceptable Risk’ = Pass; ‘Unacceptable Risk’ = Fail / Disqualify. If any individual response receives a “fail / disqualify” then the Council may award the entire section a “fail” and the Council may also reject this PQQ without being required to evaluate any other sections of this PQQ.

Please note that although this module is labelled as ‘Module 8B’ no other Modules numbered 8 exist for the purposes of this documentation.

3.10.1 Please provide a copy of your Safeguarding policy and any other relevant policies and procedures you hold, e.g. safer recruitment procedures, managing allegations policy, whistle blowing policy, etc.

3.10.2 How does your organisation comply with the Disclosure and Barring

Scheme/Protection of Vulnerable Adults/Protection of Children Act requirements.

3.10.3 In the last three years, has any findings of unlawful acts been made against any individual employed within your organisation or working voluntarily for your organisation? If yes provide details below, including details of any investigations undertaken and the outcome of any such investigations.

3.10.4 In the last three years has your organisation been the subject of

formal investigation under the Criminal Justice and Court Services Act? If yes, provide details below.



3.11 Module 9 – Lone Working NOTE TO APPLICANT: This section must be completed and will be evaluated as a whole on a Pass or Fail basis. The section will be marked fail if “No” is answered to both questions 3.11.1 and 3.11.2.

3.11.1 Please confirm your organisation have a Lone Working Policy that complies with the Council’s policy and provides a commensurable level of protection as that policy. A copy of the Council’s policy can be found below:

Lone Working Policy

Yes / No

3.11.2 If the answer to 3.11.1 is ‘No’, confirm you will make such amendments to your policy to ensure compliance with the Council’s.

Yes / No



3.12 Module 10 – Registration Under the Data Protection Act 1998

3.12.1 Is your organisation registered with the ICO under the Data Protection Act 1998? If yes, please provide Registration Number.

Yes / No

Reg No:



SCORED MODULES

3.13 Module 11 - Quality Management and Complaints Procedure NOTE TO APPLICANT: This section will be evaluated as a whole against the requirements of ISO 9001 and scored. If the Applicant does not hold ISO 9001 the evaluator will determine the level of quality management by assessing the responses provided in section 3.13.2 to the extent they are comparable to the requirements of ISO 9001. Only the Lead Organisation is required to complete this section.

3.13.1 Does your organisation hold ISO 9001 Quality Management system (QMS) certification? If ‘yes’ please enclose a copy of the certificate and proceed directly to section 3.14 without answering any of the other questions in section 3.13. If ‘no’ please complete the remainder of Section 3.13.

Yes / No Attached Yes / No

3.13.2 Explain in what respect your Quality Management Systems do not meet the requirements of ISO 9001 and detail what alternative measures you have in place and how these compare or differ to the requirements of ISO 9001.

3.13.3 Please provide a copy of your complaints procedure

including escalation procedures and explain below how the procedure is communicated to your employees.

Attached Yes / No



3.14 Module 12 – Ability and References NOTE TO APPLICANT: This section must be completed and will be scored. References for works/services with Local Authorities or other Public Sector bodies should be considered preferable. In order to avoid the potential for a conflict of interest, references should not be supplied for works undertaken for Cornwall Council; however, if such references are the only ones that the Applicant can provide then the council may accept them subject to the Council’s absolute discretion to reject any reference(s) that create or may be considered to create a conflict of interest.

The Council may elect to contact any of the given organisations for a reference at any stage of the procurement. Your permission to do so will be assumed unless you explicitly state any objections.

3.14.1 Please provide reference details of three major contracts you have been awarded within the last five years for the provision of services, supplies or works similar to those required by the Council. Reference Company Name Address

Contact Name Telephone Number e-mail Address Contract Reference Number Description of services/supplies/works undertaken

Date Contract Awarded Length of Contract Type of Contract Annual Value of Contract (£) Details of relevant qualifications, skills, memberships to professional bodies etc used in support of delivery of the contract

(a)

Details of known risks involved with delivery of this type of work and suggested mitigations



Reference Company Name Address


Date Contract Awarded Length of Contract Type of Contract Annual Value of Contract (£) Details of relevant qualifications, skills, memberships to professional bodies etc used in support of delivery of the Contract

(b)


Reference Company Name Address


Date Contract Awarded Length of Contract Type of Contract

(c)

Annual Value of Contract (£)



Details of relevant qualifications, skills, memberships to professional bodies etc used in support of delivery of the Contract




3.15 Module 13 - Project Specific Questions

3.15.1 [Insert Question] 3.15.2 [Insert Question] 3.15.3 [Insert Question] 3.15.4 [Insert Question] 3.15.5 [Insert Question] 3.15.6 [Insert Question] 3.15.7 [Insert Question] 3.15.8 [Insert Question] 3.15.9 [Insert Question] 3.15.10 [Insert Question]



3.16 Module 14 – Environmental and Carbon Management NOTE TO APPLICANT: This section must be completed and responses given will be scored. Note: Holding ISO 14001 will be evaluated as Excellent; else the evaluator will determine the quality of the environmental management by reference to the information supplied. Only the Lead Organisation is required to complete this section.

3.16.1 Does your organisation have ISO 14001 Environmental Management System (EMS) certification? If ‘yes’ please enclose a copy of the certificate and proceed directly to the next section without answering any of the other questions in section 3.16. If no please complete the remainder of Section 3.16.

Yes / No

Certificate attached Yes / No

3.16.2 Please explain in what respect your EMS does not meet the broad requirements of ISO 14001 and detail what alternative measures you have in place and how these compare or differ to the requirements of ISO 14001? This question will be evaluated as a whole and higher marks will be awarded to Applicants that demonstrate their alternative measures do not detract from the requirements of ISO 14001.



Schedule 1 – Commercially Sensitive Information The Council may be obliged to disclose information in or relating to this PQQ following a request for information under the Freedom of Information Act 2000 (“FOIA”) or the Environmental Information Regulations 2004 (“EIR”). Please outline in the table below items which you consider are confidential and genuinely commercially sensitive and which should not be disclosed in respect of your PQQ.

The Applicant is required to identify information considered to be designated as Commercially Sensitive:

Information / Document

Reference / Page No.

Reasons for Non-Disclosure (cite exemption(s) to be considered)

Duration of confidentiality

Notwithstanding the above, we acknowledge that the Council may still be obliged to disclose the Commercially Sensitive Information listed in this Schedule in accordance with the PQQ and any subsequent Contract / Framework Agreement pursuant to a request under the FOIA or EIR. Without prejudice to the Council’s obligation to disclose information in accordance with the FOI or EIR the Council shall, acting reasonably, and notwithstanding any other provision in this PQQ or otherwise, shall apply the commercial interests exemption at its absolute discretion to the information/documents listed in this Schedule.

This schedule will be kept with the Tender documents for consideration should a request for information under the FOIA or EIR received. This document will be destroyed in line with the retention and destruction policy of the Council.



Section 4 - Declarations

4.1 Declarations and Signatures WHEN YOU HAVE COMPLETED THE PQQ AND ALL APPLICABLE APPENDICES AND SCHEDULES, PLEASE READ AND SIGN THE SECTION BELOW. This section must be completed by the Applicant (including each Lead Organisation and any Relevant Organisations).

We accept the conditions set out in, and provide the undertakings requested in, this PQQ. We understand that false information could result in this Applicant's exclusion from the procurement and/or any resultant Contract / Framework Agreement. We shall notify the Council immediately if we become aware of any actual or potential conflict of interest which may arise between the interests of the Council and my organisation or any of our clients and that my organisation will take immediate steps to remove the cause of any such conflict to the complete satisfaction of the Council. We understand that it is a criminal offence, punishable by imprisonment, to give or offer any gift or consideration whatsoever as an inducement or reward to any servant of a public body, and that any such action will empower such body to cancel any contract currently in force and will result in this Applicant's exclusion from the procurement and/or any resultant Contract / Framework Agreement. We accept the conditions set out in, and provide the undertakings requested in, this PQQ. We certify that this is a bona fide submission and (except as expressly authorised by Cornwall Council) we have not done and undertake that we will not do at any time any of the following acts:

Entered into any agreement with any other person with the aim of preventing the submission being made or as to the fixing or adjusting of any other details of any submission or the conditions on which any submission is made; or

Informed any other person, other than Cornwall Council, of the details of the

submission except where such disclosure was made in confidence, and was necessary to obtain quotations necessary for the preparation of the submission for insurance, for performance bonds and/or contract guarantee bonds or for professional advice required for the preparation of the submission; or

Caused or induced any person to enter into such an agreement as is

mentioned in paragraph 1 above or to inform the Applicant of the details of any rival submission for this procurement; or

Committed any offence under the Prevention of Corruption Acts 1889 to 1916;

or

Done anything which would amount to an offence under the Bribery Act 2010; or

Offered or agreed to pay or give any sum of money, inducement or valuable

consideration directly or indirectly to any person for doing or having done or causing or having caused to be done in relation to any other submission or



proposed submission for this procurement by any act or omission; or Canvassed any person referred to in paragraph 1 above or any member or

officer of Cornwall Council or any person acting as their advisors in connection with this procurement; or

Contacted any officer of Cornwall Council or their advisors about any aspect of

this procurement except as authorised by this PQQ.

We declare that we have completed this PQQ to the best of our knowledge including completion and attachment of (where applicable) the following:

Organisational Structure of Group (if applicable) Audited accounts and other requested financial information (for both the

organisation and parent organisation if applicable) Completed Appendix: Health and Safety Questionnaire Copy of Health and Safety accreditation (SSIP Scheme) or all other

documentation as requested in the Health and Safety appendix ISO 9001 Quality Management Certificate (if applicable) Schedule 1 - Commercially Sensitive Information (if required) Bank Authority Form (if requested) ISO 14001 Environmental Management Certificate (if requested)

We understand that false information could result in this Applicant's exclusion from the procurement and/or any resultant Framework Agreement. Organisation

Printed Name

Position

Signature

Date

Telephone Number

Email Address

This form must be signed by a Director, Partner, Senior Manager or person authorised to sign on behalf of the of the organisation. Before returning the questionnaire, please make sure you have

• Answered all the questions appropriate to your organisation;

• Signed the questionnaire; and

• Enclosed all relevant documents




If you would like this information in another format please contact:

Cornwall Council County Hall Treyew Road Truro TR1 3AY

Telephone: 0300 1234 100

Email: [email protected]

www.cornwall.gov.uk

mailto:[email protected]