Does your organisation have an environmental management system

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					  BUSHBURY HILL ESTATE MANAGEMENT BOARD




         PRE-QUALIFICATION QUESTIONNAIRE FOR


 REPAIRS & MAINTENANCE (INCLUDING CALL
          HANDLING) CONTRACT

               PRIVATE AND CONFIDENTIAL




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Instructions for Completion

The information disclosed in this form will be used in an evaluation process and will
be treated with the strictest confidence. Any invitation to tender or to supply further
information based on this PQQ does not imply any guarantee by Bushbury Hill Estate
Management Board as to the financial stability, technical competence or ability in any
way to carry out the services required. The right to return to these matters as part of
the further evaluation process is hereby reserved.

This Pre-Qualification Questionnaire (“PQQ”) is issued following the placement of a
contract notice in the Official Journal of the European Union (“the OJEU Notice”) in
accordance with the Public Contracts Regulations (Amendment) 2009.

Organisations responding to this PQQ (“Respondents”) are asked to provide the
information requested in this PQQ, which Bushbury Hill Estate Management Board
will use to select a shortlist of Respondents to receive an Invitation to Tender for the
next stage of the competitive procurement process. Please note that all responses
must be in English.

This PQQ has been produced to enable Bushbury Hill Estate Management Board to
assess the technical ability and capacity, financial and economic strengths of
organisations expressing an interest in bidding for the contracts. Please note that it
is important for Respondents to demonstrate an ability to deliver the requirements for
the contract. Bushbury Hill Estate Management Board will wish to be satisfied that,
within the parameters of the Regulations, each Respondent selected to go forward
has the appropriate technical qualities and financial resources to undertake the
contracts.

Bushbury Hill Estate Management Board reserves the right to require some or all
Respondents to clarify their submissions in writing. Any such request shall be made
in writing to the Respondent or its nominated representative. Failure to respond
adequately may result in that Respondent not qualifying.

It is expected that qualifying Respondents will confirm that they will not collaborate
with other Respondents except where those Respondents form part of a consortium
which is expressing an interest.

Bushbury Hill Estate Management Board reserves the right to reject any Respondent
that fails to comply fully with the requirements of the selection process set out in this
document or which is guilty of a serious misrepresentation in supplying any
information requested.

Respondents must complete all relevant sections of the PQQ and supply any
additional information as required. Please insert the answer in the box provided
including any additional continuation sheets where necessary, clearly numbered as
appropriate, or by providing enclosures as indicated. If the question is not applicable
then enter ‘not applicable’.

Please note that whenever used in this PQQ and unless otherwise instructed, the
term “Firm/Consortium” refers to a sole proprietor, partnership, limited liability
partnership, incorporated company, limited liability company, co-operative, or

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consortium as appropriate, and the term “Officer” refers to any director, company
secretary, partner, associate or other person occupying a position of authority or
responsibility within the Firm/Consortium.

Unless instructed otherwise when answering the questions, please give details that
specifically relate to your Firm/Consortium, not to the whole of the group if your
Firm/Consortium forms part of a group. Consortia should submit completed PQQs
for each Consortium member.

Submissions must follow the format of this PQQ and any supporting information must
be clearly referenced to the relevant question.

Please do not include general marketing or promotional material for your
Firm/Consortium, either as answers to any of the following questions or for any other
reason.

This PQQ must be fully completed even if you have previously submitted a PQQ to
Bushbury Hill Estate Management Board. It is not enough to cross-refer to earlier or
other PQQs. Failure to fully complete this PQQ as instructed may preclude
consideration of any application.

Please note that Bushbury Hill Estate Management Board will not be responsible for
Respondents’ costs relating to this procurement exercise.

All Firms/Consortiums submitting PQQs will be informed of the outcome of their
application and will be supplied with the information required by Regulation 32 of the
Regulations in due course.

Consortia
Where a consortium is proposed, all information should be given in respect of the
proposed prime contractor. Information should also be provided in respect of
consortium members who will play a significant role in the delivery of any ensuing
contract(s). Responses must enable the Authority to assess the overall provision
proposed.

Where the proposed prime contractor is a special purpose vehicle or holding
company, the information should be provided of the extent to which it will call upon
the resources and expertise of its members or subsidiaries.

Health and Safety
Service providers must indicate in section E that if they are not currently members of
CHAS that they will make their best endeavours to become CHAS registered during
this tender process. Successful service providers will only be awarded a contract if
they have completed a successful CHAS registration or equivalent.

Weighting
The scoring and/or weighting of the various sections that will be used for the
evaluation to shortlist tenderers are set out under each heading in the PQQ.

Respondents should note that Bushbury Hill Estate Management Board are
concerned not to exclude otherwise competent and experienced contractors from
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tendering on the grounds of size or because of onerous compliance. Bushbury Hill
Estate Management Board requires respondents to have policies in relation to Health
and Safety, Equal Opportunities and Environmental Management.

Expressions of interest from prospective contractors that do not pass the "pass/fail"
criteria above will be excluded from further consideration. Any questions or requests
for clarification must be in writing by email to:

Name:        Graham Coupar (Consultant advisor) Tindall Davies Asset
             Management


Email:       gcoupar@btopenworld.com


Please note any significant issues or points of clarification will be shared with all
companies responding to the tender.
Submissions should be one hard copy and one electronic version (CD ROM /
Memory Pen) of the PQQ as detailed below:

         Do not open PQQ enclosed

         Due by noon on 13th August 2012

         FAO Karen Williams
         Chief Officer
         Bushbury Hill Estate Management Board
         14 Kempthorne Avenue
         Low Hill
         Wolverhampton
         WV10 9JG




The date for submission of this PQQ is no later than noon on 13th August 2012.




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PRE QUALIFICATION QUESTIONNAIRE

                            CONTENTS

                                                                   Page
A.           ORGANISATION PROFILE                                   6
B.           GROUNDS FOR EXCLUSION                                  9
C.           INSURANCE                                             13
D.           FINANCIAL INFORMATION                                 14
E.           HEALTH AND SAFETY                                     16
F.           EQUALITY AND DIVERSITY                                23
G.           TECHNICAL CAPACITY                                    24
H.           REFERENCES                                            34
I.           UNDERTAKING                                           35

APPENDIX 1   BANKERS REFERENCE LETTER                              36

APPENDIX 2   SCORE MATRIX                                          37




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                      PRE-QUALIFICATION QUESTIONNAIRE


A.       ORGANISATION PROFILE

 NOTE TO ORGANISATION:
 This section is required for information purposes only.

Please provide the following details:

A1.      Business name (or Consortium Name):




A2.      Registered or trading name if different:




A3.      Type of organisation (e.g. private limited company, partnership, sole trader):




A4a.     Registered address:




A4b.     Correspondence address if different from the above:




A4c.     Address from which the Contract will be provided if different from the above:




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A5.      Name of ultimate holding/parent company or subsidiary companies including
         addresses and an explanation of group structure and internal relationships:




A6.      Please provide the following for the ultimate holding/parent company and any
         subsidiary companies:
            a. company registration number
            b. place of registration
            c. year established
            d. VAT number




A7.      If you have included details of an ultimate holding/parent company above
         would this company be willing to guarantee your contract performance and
         enter into any requisite legal documentation?

                                                    YES / NO


A8.      Indication of the principal areas of business activity of your organisation:




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A9.      Please provide the following details of your main contact for this expression
         of interest:

 Contact name:

 Contact's position:
 Contact's telephone
 number:
 Contact's fax number:

 Contact’s email address:




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B.       GROUNDS FOR EXCLUSION


 NOTE TO ORGANISATION:
 This section will be evaluated on a pass/fail basis.

B1.      Mandatory Grounds
Please confirm that, to the best of your knowledge, the organisation named above is
not in breach of the provisions of Regulation of the Public Contracts Regulations
(Amended) 2009 as summarised below.

The organisation (or its directors or any other person who has powers of
representation, decision or control of such organisation) has not been convicted of
any of the following offences:-


 Conspiracy within the meaning of section 1 of the Criminal Law Act
                                                                                  YES/NO
 1977 where that conspiracy relates to participation in a criminal
                                                                                 (Delete as
 organisation as defined in Article 2(1) of Council Joint Action
                                                                                appropriate)
 98/733/JHA;or

 Corruption within the meaning of section 1 of the Public Bodies                  YES/NO
 Corrupt Practices Act 1889 or section 1 of the Prevention of                    (Delete as
 Corruption Act 1906; or                                                        appropriate)
                                                                                  YES/NO
 The offence of bribery; or                                                      (Delete as
                                                                                appropriate)
 Fraud, where the offence relates to fraud affecting the financial
 interests of the European Communities as defined by Article 1 of the
 Convention relating to the protection of the financial interests of the
 European Union, within the meaning of:-

  the offence of cheating the Revenue; or

  the offence of conspiracy to defraud; or

  fraud or theft within the meaning of the Theft Act 1968 and the
   Theft Act 1978; or                                                             YES/NO
                                                                                 (Delete as
  fraudulent trading within the meaning of section 458 of the                  appropriate)
   Companies Act 1985; or

  defrauding the Customs within the meaning of the Customs and
   Excise Management Act 1979 and the Value Added Tax Act
   1994; or

  an offence in connection with taxation in the European
   Community within the meaning of section 71 of the Criminal
   Justice Act 1993; or

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  destroying defacing or concealing of documents or procuring the
   extension of a valuable security within the meaning of section 20
   of the Theft Act 1968; or
                                                                                 YES/NO
 Money laundering within the meaning of the Money Laundering
                                                                                (Delete as
 Regulations 2003; or
                                                                               appropriate)
                                                                                 YES/NO
 Any other offence within the meaning of Article 45(1) of the Public
                                                                                (Delete as
 Sector Directive.
                                                                               appropriate)


 If you are unable to confirm any of the above, please give details below,
 including any action taken to resolve the situation. (max 300 words)




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B2.      Discretionary Grounds

Please confirm the following statements or give details if you answer no to any of the
questions.

The organisation (or its directors or any other person who has powers of
representation, decision or control of such organisation) confirms that:-


 Being an individual he is not bankrupt or has not had a receiving
 order or administration order or bankruptcy restrictions order made
 against him or has not made any composition or arrangement with
 or for the benefit of his creditors or has not made any conveyance or
 assignment for the benefit of his creditors or does not appear able to
                                                                                   YES/NO
 pay or to have no reasonable prospect of being able to pay, a debt
                                                                                   Delete as
 within the meaning of section 268 of the Insolvency Act 1986, or
                                                                                  appropriate)
 article 242 of the Insolvency (Northern Ireland) Order 1989, or in
 Scotland has not granted a trust deed for creditors or become
 otherwise apparently insolvent, or is not the subject of a petition
 presented for sequestration of his estate, or is not the subject of any
 similar procedure under the law of any other state; or
                                                                                    YES/NO
 Being a partnership constituted under Scots law it has not granted a
 trust deed or become otherwise apparently insolvent, or is not the                (Delete as
 subject of a petition presented for sequestration of its estate; or              appropriate)

 Being a company or any other entity within the meaning of section
 255 of the Enterprise Act 2002 has not passed a resolution or is not
 the subject of an order by the court for the company’s winding up                  YES/NO
 otherwise than for the purpose of bona fide reconstruction or
 amalgamation, or has not had a receiver, manager or administrator                 (Delete as
 on behalf of a creditor appointed in respect of the company’s                    appropriate)
 business or any part thereof or is not the subject of the above
 procedures or is not the subject of similar procedures under the law
 of any other state; or
                                                                                    YES/NO
 It has not been convicted of a criminal offence relating to its conduct           (Delete as
 of his business or profession; or
                                                                                  appropriate)

                                                                                    YES/NO
 It has not committed an act of grave misconduct in the course of its              (Delete as
 business or profession; or
                                                                                  appropriate)

                                                                                    YES/NO
 It has fulfilled obligations relating to the payment of social security
 contributions under the law of any part of the United Kingdom or of               (Delete as
 the relevant State in which the organisation is established; or                  appropriate)


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                                                                                     YES/NO
 It has fulfilled obligations relating to the payment of taxes under the
 law of any part of the United Kingdom or of the relevant State in                  (Delete as
 which the economic operator is established; or                                    appropriate)

                                                                                     YES/NO
 It is not guilty of serious misrepresentation in providing any
                                                                                    (Delete as
 information required of it under this regulation; or
                                                                                   appropriate)
 In relation to procedures for the award of a public services contract,
 it is licensed in the relevant State in which it is established or is a             YES/NO
 member of an organisation in that relevant State when the law of                   (Delete as
 that relevant State prohibits the provision of the services to be                 appropriate)
 provided under the contract by a person who is not so licensed or
 who is not such a member; or
                                                                                     YES/NO
 Where applicable, it is registered with the appropriate trade or
 professional register(s) in the EU Member State where it is                        (Delete as
 established (as set out in Annex IXB of Directive 2004/18/EC) under
 the conditions laid down by that Member State.                                    appropriate)



 If you are unable to confirm any of the above, please give details below,
 including any action taken to resolve the situation. (max 300 words)




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C.       INSURANCE


 NOTE TO ORGANISATION:
 This section will be evaluated on a pass/fail basis.
 C1. Please provide
 confirmation that you have or, if
 successful, will buy the following
 minimum levels of insurance.            Confirmed           Evidence Attached
 Please attach the relevant
 certification as proof of
 insurance.

 Public liability £10 million               YES/NO                    YES/NO

 Employers liability £10 million            YES/NO                    YES/NO




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D.        FINANCIAL INFORMATION


 NOTES TO ORGANISATION:

 1. This section carries a weighting of 20% of the overall scores, allocated to
 questions D1 and D6.

 2. We may seek evidence relating to the questions below, if required and we
 reserve the right to use the services of an independent third party to assess
 your financial standing/appraisal

 3. Where the organisation is a subsidiary of a group all questions must be
 answered for both the subsidiary and the ultimate parent.

 4. Where this PQQ is being submitted as a consortium, the above information
 is required for each member organisation

D1.      What was your turnover in the last three years (if this applies)?

                    £ ……..……… for year ended
                     __ / __ / ____

                    £ ……..……… for year ended
                     __ / __ / ____

                    £ ……..……… for year ended
                     __ / __ / ____




D2.      Has your organisation met the terms of its banking facilities and loan
         agreements (if any) during the past year?

 YES/NO (delete as appropriate)

If the answer to the above question is no, what were the reasons, and what has been
done to put things right?




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D3.      Has your organisation met all its obligations to pay its creditors and employees
         during the past year?

 YES/NO (delete as appropriate)

If the answer to the above question is no, please explain why not:




D4.       Please confirm that, in the event that we are unable to assess your
          organisation’s financial suitability from the information provided you will
          complete and return the Banker’s Letter attached as Appendix 1.

 YES/NO (delete as appropriate)


What is the name and branch of your bankers who could provide a reference?

 Name

 Branch
 Contact
 Details


D5.       The following must be provided:

A copy of your most recent accounts, audited if applicable (for the last two years if
this applies). If not applicable please provide an Accountant’s Reference instead.

 Please tick the box to confirm the above documents are
 enclosed:


D6.       The following may be requested:

Profit and loss account, balance sheet and cash flow forecast for the current year
and a bank letter outlining the current cash and credit position.

 Please confirm you could provide
                                                      Yes                          No
 documents if requested:

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E.       HEALTH AND SAFETY


 NOTE TO ORGANISATION:
 This section will be evaluated on a pass/fail basis.


Responsibility & Structure


E1.      Please state the name and position of the person with overall responsibility
         for health and safety in your organisation together with details of experience
         and any relevant qualifications.

 Name
 Position in
 Organisation
 Experience

 Qualifications



E2.      Please state the name and position of the person (if different to above)
         appointed to provide health and safety advice as required by Regulation 7 of
         the Management of Health & Safety Work Regulations 1999, together with
         details of experience and any relevant qualifications.

 Name
 Position in
 Organisation
 Experience

 Qualifications



E3.      How many persons does your organisation normally employ?




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E4.      Does your organisation (not individuals within it) have current membership of
         any trade associations, safety organisations, registration with or accreditation
         by any accrediting bodies, for example, CHAS or equivalent?

 YES/NO (delete as appropriate)

If the answer is yes, provide details, using full names of associations, bodies and any
applicable registration number. Please do not use abbreviations.




Policies and Procedures

E5a.     Does your organisation have a written Health and Safety Policy (covering
         General Policy, Organisation and Arrangement) as required by Section 2(3)
         of the Health and Safety at Work etc Act 1974 and issue any codes of safe
         working practices to workforce?

 YES/NO (delete as appropriate)

E5b.     If the answer is yes please enclose a copy of the policy.

         If your organisation does not have a written Health and Safety Policy, please
         give the reason why (max 200 words).




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E6.      Please state how health and safety policies and procedures are
         communicated to your workforce and administered within your organisation
         (max 300 words).




E7.      Does your organisation have a procedure for the reporting and recording of
         accidents and dangerous occurrences in accordance with RIDDOR?

 YES/NO (delete as appropriate)


E8.      Have you enclosed a copy of your procedure for accident reporting, recording
         and investigation?

 YES/NO (delete as appropriate)


E9.      Please complete the following table in respect of accidents and dangerous
         occurrences as set out below.




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                          Major Injury
                                         Non-      Dangerous                Reportable      Near
                          or “Over 3-
Year            Fatal                  Reportable Occurrences                ill-health    Misses
                             Day”

This year

Last year

Year before
last



E10.     During the last five years, has your organisation been subject to formal
         enforcement (e.g. Prosecution, Prohibition Notice or Improvement Notice) for
         contravention of the Health and Safety at Work etc Act 1974, or equivalent
         legislation arising from your conduct of activities similar to those covered by
         this contract?

 YES/NO (delete as appropriate)


If the answer is yes, please provide full details and explain corrective action taken to
prevent re-occurrence (max 300 words)




E11.     Does your organisation have Risk Assessment Procedures in place for all
         work activities as required by the Management of Health and Safety at Work
         Regulations 1999 and associated legislation?

 YES/NO (delete as appropriate)




If the answer is yes, please supply 2 examples of risk assessments and safety
method statements for work activity undertaken within the last 12 months. This
should include manual handling, COSHH or others that are relevant to your work
activities.



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 Copy of above enclosed if appropriate              Yes                           No


E12. Does your organisation have a health and safety training programme for your
workforce to ensure that they are competent for their duties?

 YES/NO (delete as appropriate)

If the answer is yes, please enclose brief details of training courses or programmes
undertaken by managers and workforce (max 300 words)




E13.     Does your organisation have arrangements in place for consultation with
         workforce on health and safety matters?

 YES/NO (delete as appropriate)

If the answer is yes, please provide details (max 200 words).




E14.     If your organisation uses sub-contractors, do you have a system in place for
          assessing their competence and the ongoing monitoring and review of their
          Health and Safety performance?

 YES/NO (delete as appropriate)

If the answer is yes, please provide details (max 300 words).

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E15.     Do you have a system in place for monitoring your Health and Safety
         arrangements including auditing them at periodic intervals and for reviewing
         them on an ongoing basis?

 YES/NO (delete as appropriate)

If the answer is yes, please provide details including examples (max 300 words).




E.16     Describe what existing resources and methods (including staff, equipment
         and technical facilities) as required under the Construction (Design and
         Management) Regulations 2007 your organisation has in place and
         implements to allow you to discharge your duties under the Regulations (max
         500 words).


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E17.     With Reference to Part 3 of the Construction (Design and Management)
         Regulations 2007, please list all projects for which you have had
         responsibility as Principal Contractor during the last two years. Please
         provide details and the risk control measures you implemented on those
         schemes.




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F.        EQUALITY AND DIVERSITY

 NOTES TO ORGANISATION:
 1. This section will be evaluated on a pass/fail basis

 2. We will seek evidence relating to the questions below, if required

F1.      Does your organisation comply with its legal obligations relating to the
         following?

 Race                                          YES/NO (delete as appropriate)
 Sexual Orientation                            YES/NO (delete as appropriate)

 Disability                                    YES/NO (delete as appropriate)

 Age                                           YES/NO (delete as appropriate)

 Religion or Belief                            YES/NO (delete as appropriate)

 Gender                                        YES/NO (delete as appropriate)

 Human Rights                                  YES/NO (delete as appropriate)

 NOTE TO ORGANISATION:
 You must keep up to date with relevant changes in legislation.


F2.       In the last three years has any finding of unlawful discrimination been made
          against your organisation by any court or industrial or employment tribunal?

 YES/NO (delete as appropriate)

F3.       In the last three years has your organisation been the subject of a formal
          investigation on grounds of alleged unlawful discrimination by, for example,
          the Commission for Racial Equality (CRE), Disability Rights Commission
          (DRC), Equal Opportunities Commission (EOC) or Equality and Human
          Rights Commission (EHRC)?

 YES/NO (delete as appropriate)

If the outcome of either of the last two questions (above) was yes, please clarify:
           a. What action were you required to take as a result of that finding or
              investigation
           b. What action you actually took
           c. If you were required to take action and did not, explain why.
           d. Whether your chosen course of action satisfied the relevant organisation




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G.       TECHNICAL CAPACITY

WORKS

G1.       Please provide details of relevant experience of works similar in size, nature
          and complexity to those required under this contract for works over the past
          five years.

          Information on your experience of relevant contracts is of particular interest.
          For each project clearly state the dates during which the contract was
          undertaken, the contract value and details of the client organisation as well
          as providing a clear description of the works.


 NOTE TO ORGANISATION:
 This question carries a weighting of 25% of the overall scores



             Project Description and                                     Contact Details of
     Dates                                     Client        Value
             Company Involvement                                            Reference




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G.2      Please provide CVs of the key personnel you envisage being involved in this
         project. Describe their role on the project team and how they fit into your
         organisational structure.



 NOTE TO ORGANISATION:
 This question carries a weighting of 5% of the overall scores




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G3.      Please confirm that any sub-contractor you have identified or intend to identify
         will comply with the standards set out in this PQQ. Please note that the
         Bushbury Hill Estate Management Board reserves the right at any time in the
         procurement process to seek evidence of this.

                                                                YES / NO

 NOTE TO ORGANISATION:
 This question is to be scored on a pass/fail basis.




Quality Management

NOTE TO ORGANISATION:
The questions in G4 together carry a weighting of 10% of the overall scores




In order to assess quality systems, applicants are required to complete the questions
below.


G4a. Does your organisation operate to a Quality Management System?

YES/NO (delete as appropriate)
If the answer to this question is yes, please tick the box to
confirm a copy of the Scope and the Quality Policy is enclosed:


G4b.     Is the Quality Management System certified to a recognised standard by a
         third party certification body (e.g. ISO9001:2000 or service specific
         equivalent)?

YES/NO (delete as appropriate)
If the answer to this question is yes, please tick the box to
confirm a copy of the certificate is enclosed:


G4c.     Will your organisation participate in Audits which would examine Quality /
         Environmental and/or Health & Safety systems / records?

YES/NO (delete as appropriate)



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G4d.     Please provide details of the person who is responsible for quality standards.




G5.      Has your organisation ever had a contract terminated within the last 3 years?


 NOTE TO ORGANISATION:
 This question carries a weighting of 10% of the overall scores




 YES/NO (delete as appropriate)

If the answer is yes, please provide full details (max 500 words).




G6.      Has your organisation withdrawn from a contract prematurely within the last 3
         years?


 NOTE TO ORGANISATION:
 This question carries a weighting of 10% of the overall scores




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 YES/NO (delete as appropriate)

If the answer is yes, please provide full details (max 500 words).




G7.       Has your organisation any outstanding claims or had any litigation against it
         in the last 3 years?


 NOTE TO ORGANISATION:
 This question carries a weighting of 5% of the overall scores




 YES/NO (delete as appropriate)

If the answer is yes, please provide full details (max 300 words).




Environment


NOTE TO ORGANISATION:
Questions G8 – G19 together carry a weighting of 15% of the overall scores




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Bushbury Hill Estate Management Board is committed to protecting the environment
and ensuring a better quality of life for everyone now and for future generations.
Organisations are required to complete the Environmental Questionnaire below.

G8.       Please detail the environmental management measures that you are able to
          apply when performing the contract by providing either:

          1. A certificate attesting to conformity to environmental management
             standards based on the Community Eco-management and Audit Scheme
             or a relevant European or international standard or from an independent
             body conforming to EU Law or standards on certification; or

          2. Any other evidence of environmental management measures equivalent
             to those above.




G9.       During the last three years have any prosecutions been taken, cautions
          given, notices served or other action taken against your organisation or
          against any of your directors/management for contraventions of
          environmental legislation (including town and country planning legislation) in
          relation to activities similar to those covered by this contract?

YES/NO (delete as appropriate)

If the answer to the above question is yes, please provide details (including, in the
case of prosecutions, details of charges, dates and venues of hearings, verdicts of
the court and penalties, if found guilty) and any steps you have taken as a result of
this:




G10.     Has your organisation ever failed to fulfil the environmental requirements of a
         previous contract?

YES/NO (delete as appropriate)


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If the answer to the above question is yes, what steps has your organisation taken to
ensure this does not happen when performing contracts in the future?




G11.     Please read the following statement:

"Our organisation recognises and shares Bushbury Hill Estate Management Board’s
commitment to promoting sustainability within the goods, services and works it
procures. Our organisation will seek to ensure the contract is performed in such a
manner as to facilitate the Bushbury Hill Estate Management Board 's commitment to
sustainability within this contract.

Our organisation will also seek this commitment from any sub-contractors appointed
to deliver this contract."

If your organisation is awarded a contract with Bushbury Hill Estate Management
Board will you abide by the above statement?

 YES/NO (delete as appropriate)


G12.     Please provide the name of your Environmental Contact Officer.




G13a. Does your organisation have an environmental policy?

YES/NO (delete as appropriate)
If the answer to this question is yes, please tick the box to
confirm the above document is enclosed:

G13b. When was the policy last reviewed?




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G13c. Is your environmental policy publicly available?

YES/NO (delete as appropriate)


If the answer to the above question is yes, please state where.




G14a. Does your organisation have a waste management policy?

YES/NO (delete as appropriate)
If the answer to this question is yes, please tick the box to
confirm the above document is enclosed:


G14b. When was the policy last reviewed?




G14c. Is your waste management policy publicly available?

YES/NO (delete as appropriate)


If the answer to the above question is yes, please state where.




G15a. Does your organisation have an environmental management system?

YES/NO (delete as appropriate)

G15b. Is your system externally validated?

YES/NO (delete as appropriate)
If the answer to this question is yes, please tick the box to
confirm a copy of the certificate confirming the certificate
number and date of last validation is enclosed:




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G16.     Has your organisation been accredited with any of the following?

ISO 14001                                YES/NO (delete as appropriate)

EMAS                                     YES/NO (delete as appropriate)

Other – Please specify




G17a.    Does your organisation carry out regular environmental audits on the impact
         its activities have on the environment?

YES/NO (delete as appropriate)
If the answer to this question is yes, please tick the box to
confirm a copy of your last audit is enclosed:


G17b.    Are the audits publicly available?

YES/NO (delete as appropriate)


If the answer to the above question is yes, please state where.




G18.     Is the environmental performance of the organisation reported in the
         Organisation's Annual Report?

YES/NO (delete as appropriate)
If the answer to this question is yes, please tick the box to
confirm a copy of the most recent report is enclosed:


G19.     Have any prosecutions been taken, cautions given, notices served or other
         action against your organisation or any of your Directors by any enforcement
         body responsible for protecting the environment (including a planning
         authority for breach of planning control)?

YES/NO (delete as appropriate)

                                         32 OF 37
Issued                                                          Commercial in Confidence
If the answer to the above question is yes, please provide details (including in the
case of prosecutions details of charges, dates and venues of hearings, verdicts of the
Court and penalties, if found guilty).

NOTE TO ORGANISATION:
This section will be evaluated on a pass/fail basis.




                                       33 OF 37
Issued                                                       Commercial in Confidence
H.         REFERENCES

Please provide details of three references from your organisation’s clients for the
contracts mentioned in question G1 whom Bushbury Hill Estate Management Board
may contact for further information.

                   Reference 1             Reference 2               Reference 3
Name

Title

Address




Tel. No.

Fax No.

Email
Address




                                       34 OF 37
Issued                                                      Commercial in Confidence
NOTE TO ORGANISATION:
This section will be evaluated on a pass/fail basis.


I.       UNDERTAKING

When you have completed the PQQ, please ensure that:

1. You have answered all the questions;
2. You have provided all documents requested;
3. You have read and signed the undertaking below.

I certify that the information supplied regarding the Organisation is accurate to the
best of my knowledge and that I accept the conditions and undertakings requested in
the Pre-Qualification Questionnaire. I understand and accept that false information
could result in rejection of the application to be selected to take part in the tender
process.

I understand and agree that if our tender is successful that the Organisation will
purchase professional indemnity insurance as required if such insurance is not
already held.

I understand and agree to the conditions set out in the Freedom of Information and
Environmental Information Statement.

NB This undertaking is to be signed by a Partner, Director or authorised
representative i.e. in their name on behalf of the Organisation.

 Signed for and on behalf of
 the Organisation:
 Signed:
 Position/Status in the
 Organisation:
 Organisation’s name:

 Organisation’s address:

 Date:




                                        35 OF 37
Issued                                                         Commercial in Confidence
                                                                                        Appendix 1

Date:



         Bank




Dear Sirs,

Re: Bankers Reference

I confirm that, by authority of this letter, I give permission for:

Bushbury Hill Estate Management Board


To be supplied with a current bank reference in respect of:

Account Name:

Account Number:                       (12345678)

Sort Code:                    (99-99-99)

Branch:

Any costs associated with this reference are to be met by us.


Yours faithfully




                                           36 OF 37
Issued                                                                Commercial in Confidence
PRE-QUALIFICATION QUESTIONNAIRE – EVALUATION CRITERIA

Score card
The weightings for the scores appointed to the evaluation of each section will differ according
to the importance of the subject matter. A raw score of 1 (unacceptable), 2 (acceptable) and
3 (exceeds expectations) will be applied.
A weighting model is included below
         Section of PQQ          Raw Score                  Weighting              Residual score
                                    (1 to 3)

A. Company Details                                              N/A
B. Grounds for Exclusion                                    Pass / Fail
C. Insurance                                                Pass / Fail

D. Finance                                                     20%

E. Health & Safety                                          Pass / Fail

F. Equality & Diversity                                     Pass / Fail

G. Technical ability                                         G1 25%
                                                              G2 5%
                                                           G3 Pass / Fail
                                                             G4 10%
                                                             G5 10%
                                                             G6 10%
                                                              G7 5%
                                                          G8-19 (Inc) 15%
H. References                                               Pass / Fail

I. Undertaking                                              Pass / Fail

Total to collection



Failure on any Pass / Fail criteria will supersede all other criteria and will lead to rejection of
the applicant(s).




                                               37 OF 37
Issued                                                                      Commercial in Confidence

				
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