Reinstatement of Fire Damaged Properties by 9bN92am

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									                                        Economic Operator Pre-Qualification Questionnaire



                               NORTHERN IRELAND HOUSING EXECUTIVE
                                      Reinstatement of Fire Damaged Properties

                                        Grove Park, Balnamore, Ballymoney

                                                  Project No. 04.28.006
Applications are invited from contractors meeting the criteria below to be considered for
inclusion on a list of up to 6 firms to be invited to tender for the following works:

The works are for the reinstatement of semi detached bungalows extensively
damaged by fire, including roof replacement, limited demolition, replacement of all
internal elements, partial external cavity wall construction and connection of
services.

The estimated value of the proposed works is £105,000

The duration will be 22 weeks and the proposed date of commencement is September
2012.

Applicants MUST:

    a)                  Demonstrate that they meet the minimum financial criteria of:
                        (1) In each of the past 3 years have an turnover of at least £200,000 and
                        (2) Have a Category Value for Building General of at least equal to, or greater
                        than the estimated cost of the works.

    Applicants registered with Constructionline, and have an ‘Active’ status should
    complete the application on the next page.

    Applicants not registered with Constructionline should request a financial
    questionnaire from procurement@nihe.gov.uk quoting the Project No. above.
    The Financial questionnaire must be completed in full and returned with
    supporting documentation by the closing date.

    b)                  Demonstrate that they meet the technical criteria:
                         comply with the Buildsafe (NI) Initiative
                         provide, on the application attached, details of works of a similar nature,
                          value complexity undertaken within the past 5 years to domectic housing.
                         Complete and return the Health and Safety Declaration

Complete and return the Application and Health and Safety Declaration below to
procurement@nihe.gov.uk no later than 3.00 pm on Monday 20th August 2012

Head of Procurement


CIFNI-PTG-Works Template Version 05                    Page 1 of 4
                                         Economic Operator Pre-Qualification Questionnaire




NORTHERN IRELAND HOUSING EXECUTIVE

Complete and return to: procurement@nihe.gov.uk by 3.00 pm on Monday
20th August 2012

Project No. 04.28.006 Title: Fire Damaged Properties, Balnamore, Ballymoney

Applicant:                      Name:


                                Address:


                                Email:

Constructionline: Registration No.
                  Applicants not registered with Constructionline, or equivalent,
                  should request a financial questionnaire from
                  procurement@nihe.gov.uk

Health and Safety Certificate
All applicants are required to complete and return the Health and Safety Declaration
below.

I confirm that I hold and will maintain 3rd party certification of                           [---]
my documented health and safety management system
                                                                                    [Select from drop down]

Name of Certification Body:                           [Enter name here]

Name of Certification Scheme
                                                      [Enter name here]
(if applicable):
Expiry Date of Certificate:                           [Enter date here] dd/mm/yyyy

                                 Copy of Certificate attached at Appendix 1:                 [---]

                   This Certification Body is registered with SSIPS:                         [---]
                                         I hold a COPE Certificate numbered


If your Certification Body is not registered with SSIPS and you do not hold a COPE
Certificate please request a Health and Safety Questionnaire from
procurement@nihe.gov.uk
Applicants are required to submit details of Schemes of a similar nature and Value
undertaken within the last 5 years:
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                                      Economic Operator Pre-Qualification Questionnaire



Each of the schemes submitted will be marked out of a maximum of 9 as follows:
      Value within 10% or greater than estimated cost               3 marks :
      Greater than 10% less than 20%                                1 mark other 0
      Reinstatement of Fire Damaged Domestic
      Property.                                                     3 marks : other 0
      Construction of Domestic Property                             3 marks: other 0


1               Title of Scheme:                                    Ref.
                Nature of Works:

                Address of Works:

                Client:                                                     email:
                Value: £                   Duration         weeks       Completion date:
                             ( brief comment)

2               Title of Scheme:                                    Ref.
                Nature of Works:

                Address of Works:

                Client:                                                     email:
                Value: £                   Duration         weeks       Completion date:
                             ( brief comment)

3               Title of Scheme:                                    Ref.
                Nature of Works:

                Address of Works:

                Client:                                                     email:
                Value: £                   Duration         weeks       Completion date:
                             ( brief comment)

NOTE:

There is no requirement to submit any documentation other than that requested in
this PQQ but the Housing Executive reserves the right to clarify any information and
seek evidence of same or require further explanation from applicants.




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                                      Economic Operator Pre-Qualification Questionnaire



DECLARATION


I certify that the information supplied is accurate to the best of my knowledge. I understand and
accept that false information could result in exclusion from this procurement competition.

 I undertake to notify the Contracting Authority of any changes to the information given in answer
to questions in this PQQP that may arise during this procurement process.

 I also 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. I also
understand that any such action will empower the Contracting Authority to cancel any contract
currently in force and will result in exclusion from this procurement competition.

I confirm that I have not canvassed or solicited any officer or employee of the Contracting
Authority/CoPE in connection with this pre-qualification process and that no person employed by
me or acting in my/our behalf has done any such act.

I undertake that I will not in the future canvass or solicit any office or employee of the Contracting
Authority/CoPE in connection with this pre-qualification process and that no person employed by
me or acting on my/our behalf will do any such act.

I undertake that I will not offer or agree to pay or give, or pay or give any sum of money,
inducement of valuable consideration directly or indirectly to any person or have done so or cause
or have caused to be done in relation to any other response to this pre-qualification process any
act or omission.

I undertake that I will not enter into any agreement or arrangement with any other person that
he/she shall refrain from participating in this pre-qualification process.

I also undertake that I will not at any time discuss with any other person any aspect of our
submission, save for the Subcontractors being part of my submission, and will procure this same
undertaking from those Subcontractors.

I confirm that I have read and understand all the documentation contained within this competition.

I confirm that I have highlighted any perceived shortcomings in this procurement process to the
CoPE. Any part of the documentation, or any other aspect of this procurement process, which I
considered to be unclear, or not compliant with relevant legislation has been highlighted to the
CoPE in an email.

For and on behalf of Economic Operator;

I the under named hereby confirm that I have read and accept to abide by the terms of this PQQP
and that I have all requisite corporate authority to authorise this warranty.

  Print Name:                           [Enter name here]

  Position in Firm:                     [Enter position here]


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