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					            PRE QUALIFICATION
              QUESTIONNAIRE
  Provision of a Counselling Service for
          Occupational Health
                                     R e f e re nc e 0 3 2 1

                                    C o n t ra c t Pe ri od

              0 1 O c to b e r 2 0 1 2 to 3 0 Se p te m b e r 2 0 1 4
            o p ti o n to e x te n d up to 3 0 N o v e m b e r 2 0 1 6




Published by:
Greater Manchester Police, Procurement Section, Openshaw Complex, Lawton Street, Openshaw, Manchester
M11 2NS Telephone: 0161 856 1140, Facsimile: 0161 856 1115
Email: procurement@gmp.police.uk


Jude Leadbeater, Assistant Branch Head, Procurement, Greater Manchester Police – March 2012
TABLE OF CONTENTS: CONTRACT INFORMATION

1.1 INTRODUCTION, BACKGROUND, SCOPE AND CONTRACT DURATION

1.2 CURRENT CONTRACT PROVISION

1.3 INSTRUCTIONS FOR COMPLETION

1.4 COMMUNICATION, ENQUIRIES AND CLARIFICATIONS

1.5 TIMETABLE

1.6 SUBMISSION OF RESPONSE

1.7 EQUAL OPPORTUNITIES

1.8 CONSORTIA AND SUB-CONTRACTING

1.9 DEFINITIONS

1.10 EVALUATION APPROACH & SCORING GUIDE

1.11 COPY OF OJEU CONTRACT NOTICE


TABLE OF CONTENTS: PRE-QAULIFICATION QUESTIONNAIRE

Part One:      ORGANISATION INFORMATION

Part Two:      PROFESSIONAL CONDUCT

Part Three:    GROUNDS FOR DISCRETIONARY REJECTION

Part Four:     TECHNICAL EXPERIENCE AND REFERENCES

Part Five:     E-COMMERCE

Part Six:      FINANCIAL DETAILS

Part Seven:    INSURANCE

Part Eight:    DIVERSITY

Part Nine:     HEALTH AND SAFETY

Part Ten:      SUSTAINABLE CONSIDERATIONS

Part Eleven:   BUSINESS CONTINUITY




                                   Page 2 of 22
1.1 INTRODUCTION, BACKGROUND, SCOPE AND CONTRACT DURATION
Purpose of this document
The Greater Manchester Police Authority (GMPA), hereby referred to the Authority requires the
information sought in this pre-qualification from economic operators responding to the Contract
Opportunity for the provision of a Counselling Service for Occupational Health. GMP will award to
one preferred supplier for the provision of this service.

Economic Operator = Contractor, Supplier or Services Provider (as defined in The Public
Contracts Regulations 2006 – SI 2006 No. 5).

Responses to the pre-qualification questionnaire will be used to select economic operators who will
be invited to tender.
This is a competitive procurement conducted in accordance with the Restricted Procedure, under the
Directive 2004/18/EC of the European Parliament, as implemented by The Public Contracts
Regulations 2006 Statutory Instrument 2006 No. 5.

Background Information

1.1.1   The North West Police Region is composed of Cheshire Constabulary, Cumbria
        Constabulary, Greater Manchester Police, Lancashire Constabulary, Merseyside Police
        North Wales Police.

1.1.2   In addition the contract may be open for use by other Police Forces or Emergency Services
        in the UK. A full list of those organisations can be found at

1.1.3   www.policeprocurementnorthwest.co.uk

        under standard Dcouments the Authority will notify the Contractor in writing during the period
        of this contract of the intention of another Police Force or Emergency Service to enter into
        this contract. In such an event, the Contractor agrees that the terms and conditions of this
        contract shall apply to the course of dealings between such a Police Force or Emergency
        Service and the Contractor. Each participating Authority will be contractually liable for
        adhering to the Conditions of the contract.

1.1.4   In this instance Greater Manchester Police (GMPA) will award to one supplier and will
        manage the tender process throughout. All enquiries should be directed to the person
        identified in the General Information Section on the Bluelight Portal. The contract will be
        available for use by any of the forces names at 1.1.1 as well any other UK police force.

1.1.5   Further information about the North West Region, including its Procurement Pledge,
        Sustainable Procurement Pledge and the individual force is available at:
        www.policeprocurementnorthwest.co.uk

1.1.6   This contract is being established by GMPA. Any police force which utilises the contract
        following award will be responsible for its own ordering, payment and day to day monitoring.

1.1.7   Scope




                                             Page 3 of 22
1.1.8   Contract Term

The contract will be for an initial period of two (2) years. There will be the option to extend the
contract for a further two periods of 12 months at the discretion of the Authority and with the
agreement of the Supplier. This will be subject to:

       All parties agreeing:
       The price being acceptable
       The satisfactory performance of the Contractor as agreed by the Authority
       The services still being required.

1.2 CURRENT CONTRACT PROVISION

The current contract period ends on 30 September 2012.

No further information will be provided at Pre-Qualification Questionnaire (PQQ) [ie this document]
stage.

Economic Operators Invited to Tender (ITT) will be provided with further information and it shall be
their responsibility to consider whether the Transfer of Undertakings (Protection of Employment)
Regulations 2006 (SI 2006/246, and as amended by SI 2009/592) may apply to this contract and to
seek the relevant information as to number of staff employed and their terms and conditions of
service from the current contractor.


1.3 INSTRUCTIONS FOR COMPLETION

Completed questionnaires MUST be submitted electronically by upload to the PQQ within
Bluelight.

Economic operators should answer all questions as accurately and concisely as possible. Where a
question is not relevant to the responder’s organisation, this should be indicated, with an explanation.
Please do not include general marketing or promotional material from your Company as
answers to the questions unless specifically requested to do so.

Responses will be evaluated in accordance with the Evaluation Approach. The Authority reserves
the right to consider alternative procurement options, should there be insufficient economic operators
suitable to be selected to be invited to tender.
The Authority may seek independent financial and market advice to validate information declared or
to assist in the evaluation. Reference site visits or demonstrations and/or presentations may be
requested at this stage.
The Authority reserves the right to reject as ineligible any incomplete submissions or submissions
which are guilty of serious misrepresentation in supplying any information requested.

The Authority reserve the right to: alter the timings of any of the evaluation stages; withdraw the
invitation to tender and any of the evaluation stages at any time.

In relation to this tender process, the GMPA reserves the right to abandon the procurement process
at any stage without any liability to the GMPA or GMP.

The Authority intends to invite only 5 Economic Operators to tender for this contract. The 5 will be
those Economic Operators whose PQQ’s score highest (see 1.11).

The Authority is subject to the Freedom of Information Act which provides that all individuals have the
right to any recorded information held by the Authority unless covered by one of 23 exemptions,
which protect certain information. Information must be provided within 20 working days of request.
Information held by the supplier relating to any contract with the Authority will be subject to the Act in
the same way as information held by the Authority.




                                              Page 4 of 22
1.4 COMMUNICATION, ENQUIRIES AND CLARIFICATIONS

Any queries or questions in connection with this Pre-Qualification Questionnaire (PQQ) MUST be
submitted via the “Q&A option button within this PQQ on www.bluelight.gov.uk

The Authority will not enter into detailed discussion of the requirement for the provision of this
contract at this stage.

To allow information to be circulated to all parties, the deadline for questions/queries (on the PQQ) is
             th
14:00hrs 25 April 2012.

If the Authority considers any question or request for clarification to be of material significance, both
the query and the response will be communicated, in a suitably anonymous form, to all economic
operators who have expressed interest and have been invited to submit a PQQ. When submitting a
question/query please do not include any details which will identify your organisation within the box
containing your question/query, failure to do this will result in your companies details being published
with the responses.

Economic operators contact point
The Authority shall not be responsible for contacting the economic operator through any route other
than the nominated contact on Bluelight, via communications which will be issued from
www.bluelight.gov.uk . The economic operator must therefore undertake to ensure that the email
address linked to their Bluelight account is monitored accordingly.



1.5 TIMETABLE

Date                      Action
  st
21 March 2012             Submission of Contract Notice to the Official Journal of the European Union
                          (OJEU)

                          Advertisement of Opportunity on www.bluelight.gov.uk
                          Automatic issue of PQQ to all those expressing interest.
  th
25 April 2012             Deadline for Expressions of Interest
                          Pre-Qualification Questionnaires (PQQ’s) will only be issued in response to
                                                                         st                   th
                          Expressions of Interest received between 21 March 2012 and 25 April
                          2012. The cut-off of 5 days prior to the deadline for receipt has been set as
                          a sensible date to allow sufficient time for economic operators to receive the
                          PQQ, raise any questions and complete the information required and still
                          meet the deadline below
  th
25 April 2012             Deadline for raising any questions/queries regarding the PQQ.
                          Publication of responses to requests for further information using the Q&A
                                                                           th
                          function within Bluelight will be by 1400hrs 25 April 2012.

  th
30 April 2012             Deadline for receipt of completed PQQ by upload to the PQQ in
                          www.bluelight.gov.uk
  th                 st
30 April 2012 – 21        Evaluation of PQQ’s.
May 2012                  Economic Operators will be advised accordingly if they have been selected
                          to be invited to tender
  st
21 May 2012*              Anticipated Issue of Invitation to Tender via Bluelight.
  nd
22 June 2012              Deadline for receipt of requests for further information using the Q&A
                          function within Bluelight.

                          Deadline for receipt of requests for further information using the Q&A
                                                                     nd
                          function within Bluelight: 1400hrs 22 June 2012 (based on 2 days to
                          prepare response and allow information to be provided not less than 4 days
                          prior to the final date for receipt of tenders).


                                              Page 5 of 22
  nd
22     June 2012         Deadline for publication of responses to requests for further information
                         using the Q&A function within Bluelight.

  th
29 June 2012             Deadline for receipt of Tenders via upload to Bluelight.
  th
29 June 2012 –           Evaluation of Tenders.
  th
20 July 2012*

During, or within        Site Visit (date will be confirmed in the ITT)
the week after,
evaluation period*


August 2012*             Recommendation to award and seek internal approval to award contract(s)
August / September       Notification of Intention to Award and notification of unsuccessful tenderers
2012*
August / September       Standstill Period and remedies directive
2012*
August –                 Anticipated Award of Contract(s)
September 2012*
01 October 2012          Contract(s) Start



                                                                                th
Completed responses to the PQQ must be received by 14:00hrs Monday 30 April 2012. The
Bluelight server will date and time mark all uploaded PQQ submissions. (The time is recorded in
hh:mm:ss (hours, minutes and seconds)

You are strongly recommended to commence your PQQ submission process within Bluelight in
sufficient time for it to reach the server prior to the closing date and time. You should bear in mind
that depending on the file size of your documents for upload, they may take some time to transfer
and up load. It can take up to two working days for the Bluelight Technical Team to respond to any
technical enquires (if necessary, please contact them directly, as per the instructions on the Bluelight
website) . GMP / GMPA will not be liable for any difficulties encountered uploading documents, and
the closing date and time will be strictly adhered to.

It is envisaged that the outcome of the evaluation of the PQQ stage of this procurement will be
                                  st
announced week commencing 21 May 2012.

1.6 SUBMISSION OF RESPONSE

Your PQQ submission must be uploaded within the Bluelight PQQ.
The format of the Pre Qualification Questionnaire (PQQ) – MUST NOT be altered. Economic
Operators should either type their response directly into the spaces provide – or add a reference to
indicate where the response can be found. Economic Operators are not to submit their own
formatted version of the PQQ.

Supporting information, when requested, should be presented in the same order and should be
referenced to the relevant question, with details of the name of the economic operator and the
reference number from the front of this questionnaire. Any additional information should be
consolidated ideally into a single additional document for upload. If a single document is not
possible, you are requested to consolidate into as few documents as possible. Information can also
be added, where appropriate, to the space provided within the questionnaire itself. If necessary, a
single “zipped” file will be accepted containing your response. Multiple “zipped” files (e.g a zipped file
within a zipped file) must not be submitted.




                                              Page 6 of 22
1.7 EQUAL OPPORTUNITIES

The Authority, under the provisions of the Equality Act 2010 has both a legal and moral duty to
promote equality and fairness through all its business, whether that is internally amongst staff,
members and volunteers or externally in its dealings its contractors and suppliers.
Economic Operators will be asked to provide copies of policies they have in place to demonstrate
their commitment to equal opportunities in respect of sex, age, race, disability, sexual orientation,
gender reassignment, pregnancy and maternity, religion and belief.
GMP along with the other Police forces in the North West Region are fully supportive of all
aspects of diversity including ethnicity, race, religion, age, gender, disability and sexual
orientation. In this respect, police forces welcome expressions of interest from the ethnic minority,
disabled and other diverse business communities and the voluntary sector.
You can find out more about the Equality Act 2010 at: http://www.equalities.gov.uk/equality_bill.aspx
Economic Operators may find the guide for “Businesses who provide goods and services” at the
following link useful: http://www.equalities.gov.uk/pdf/GEO_EqualityLaw_Business_acc2.pdf

1.8 CONSORTIA AND SUB-CONTRACTING

Where a consortium or sub-contracting approach is proposed, all information requested should be
given in respect of the proposed lead/main contractor or consortium leader. Relevant information
should also be provided in respect of consortium members or sub-contractors who will play a
significant role in the delivery of services or products under any ensuing contract. Responses must
enable the Authority to assess the overall service proposed.
An economic operator or group of economic operators may rely on the capacities of other entities or
members in the group. The economic operator or group of economic operators shall prove to GMPA
that the resources necessary to perform the contract will be available and an undertaking from the
other entities to that effect may be required.
The Authority recognises that arrangements in relation to consortia and sub-contracting may be
subject to future change. Economic operators should therefore respond in the light of such
arrangements as are currently envisaged.

1.9 DEFINITIONS

                                                    Definitions
 Authority                   Shall mean Greater Manchester Police Authority.
 Contract                    Shall mean the agreement between the Authority and the Economic Operator for
                             the execution of the services subject of this procurement, including all
                             documents to which reference may properly be made in order to ascertain the
                             rights and obligations of all the parties involved.
 Bluelight                   Shall mean www.bluelight.gov.uk the Police and Emergency Services e-
                             tendering website.
 GMPA                        Greater Manchester Police Authority.
 GMP                         Greater Manchester Police
 Economic Operator           Shall mean the Organisation responding to this Pre-Qualification Questionnaire
 (EO)/Contractor             with a view to qualifying to progress to the Invitation to Tender stage.
 Invitation to Tender        Shall mean the document issued to economic operators who the Authority
 (ITT)                       selects to progress through the Pre-Qualification Questionnaire stage. The ITT
                             will detail the specification and will be the basis for submitting price and
                             qualitative information for evaluation.
 Organisation                The sole practitioner; partnership; incorporated company; public body; co-
                             operative; charity, or analogous entities operating outside the UK, as appropriate
                             responding to this Pre-Qualification Questionnaire.
 Premises                    Shall mean the premises to which goods are to be delivered and from where the
                             Service is to be provided as described in the Contract.
 Pre-Qualification           Shall mean this Pre-Qualification Questionnaire. This is a screening document
 Questionnaire (PQQ)         which precedes the issue of Invitations to Tender.
 Services                    Shall mean any action by the organisation required by the Contract.
 Sub-contractor              Shall mean any person, firm or company to whom any part of the Contract has
                             been sub-let in accordance with the Contract and its legal representatives,
                             successors and permitted assigns.

                                             Page 7 of 22
1.10 EVALUATION APPROACH & SCORING GUIDE

Responses to the pre-qualification questionnaire will be used to identify a group of qualified suppliers
who will be selected to be invited to tender.

It should also be noted that Regulation 23 of The Public Contracts Regulations 2006 SI 2006 No 5
paragraph (2), provides details of offences that will render an economic operator ineligible. Please
ensure that you familiarise yourself with the above regulation prior to completion of this PQQ.


Scoring Guide

The PQQ comprises 11 parts. Some questions are for information only and will not be scored. Other
questions will be scored. Those sections not attracting an individual score will however be subject to
a pass or fail.

See the table below for the scoring methodology.

The table of scores, below, applies to questions in the following sections:

PART FOUR: TECHNICAL EXPERIENCE AND REFERENCES
PART FIVE: E-COMMERCE
PART EIGHT: DIVERSITY
PART NINE: HEALTH AND SAFETY
PART TEN: SUSTAINABLE CONSIDERATIONS
PART ELEVEN: BUSINESS CONTINUITY

If applicants’ responses to any of the questions in are left blank (e.g. no written response) then the
question(s) concerned will be scored “0”.

Economic Operator failing to score 20 marks or more on the technical experience and reference
section (Part four), including the double weightings applied to questions 4.1, will result in the
Economic Operator being ineligible for selection and scoring will cease.

Economic operators are required to score 3 or more for each scored question within Parts five, eight,
nine, ten and eleven, to proceed to the next question. Failure to achieve a score of 3 or more will
result in the Economic Operator being ineligible for selection and scoring will cease.




                                              Page 8 of 22
Response                                                                                   Marking Guide

EO fails to provide a response or the response is of such a poor standard, question             0
not answered, or omitted, or response is unsatisfactory to provide no confidence that
the EO can meet the standards required. Evidence is unacceptable or non existent.
Does not meet the minimum requirements.
Is Unacceptable
Poor response, which only partially answers requirement with major deficiencies or
concerns in certain areas with lack of detail or relevant evidence. Little relevant data        1
included. Does not meet minimum requirements.
Is well below expectations.

EO provides a response that partially satisfies requirement with useful evidence
provided, but response falls short of minimum expectations and is of a low standard,            2
with minor deficiencies or concerns in the information provided, provides a low level of
confidence that the EO can meet the standards required. Does not meet minimum
requirements.
Is below expectations.

EO provides a response that is acceptable and meets minimum criteria, but remains
basic and could have been expanded upon. The response is of a low to mid standard               3
that provides a low to mid level of confidence that the EO can meet the standards
required
Meets expectations.

EO provides a response that is comprehensive, is of a mid to high standard that
satisfies requirement and exceeds minimum expectations, including extra levels of               4
detail. Provides a mid level of confidence that the EO can meet the standards
required.
Above expectations.

EO provides an excellent response, that is a comprehensive and useful response of a
high standard which exceeds expectations including a full description of techniques             5
and measurements employed, where appropriate that provides a high level of
confidence that the EO can meet the standards required.
Is exceptional




WEIGHTINGS:
Part 4: Technical experience and references will account for 50% of the overall marks available.
Parts 5, 8, 9, 10 & 11 will each account for 10% of the overall marks available.


PART ONE: COMPANY INFORMATION
This Section will be marked on a pass or fail basis. A response to all the questions in this section is
mandatory. Where a EO fails to answer or does not fully complete one of the Mandatory questions
they will not be eligible to continue to the next stage of the process and no questions beyond that
point will be marked.

PART TWO: PROFESSIONAL CONDUCT
This Section will be marked on a pass or fail basis. A response to all the questions in this section is
mandatory. Where a EO fails to answer or does not fully complete one of the Mandatory questions
they will not be eligible to continue to the next stage of the process and no questions beyond that
point will be marked.

PART THREE: GROUNDS FOR DISCRETIONARY REJECTION
This Section will be marked on a pass or fail basis. A response to all the questions in this section is
mandatory. Where a EO fails to answer or does not fully complete one of the Mandatory questions
they will not be eligible to continue to the next stage of the process and no questions beyond that
point will be marked.

PART FOUR: TECHNICAL EXPERIENCE AND REFERENCES

                                                  Page 9 of 22
Questions 4.2 – 4.5 in this section will be scored on a 0 to 5 basis, based on the table above. Note
that question 4.1 will be scored on a 0 – 10 basis and carries a double weighting. (The overall
weighting of 50%, as previously mentioned, will then be applied).

PART FIVE: E-COMMERCE
This section will be scored on a 0 to 5 basis, based on the table above.

PART SIX: FINANCIAL DETAILS
This Section will be marked on a pass or fail basis. A response to all the questions in this section is
mandatory. Where a EO fails to answer or does not fully complete one of the Mandatory questions
they will not be eligible to continue to the next stage of the process and no questions beyond that
point will be marked.

PART SEVEN: INSURANCE
This section will be marked as follows:

 Response                                   Marking Guide
 Less than £2M                                    0
 Less than £3M                                    1
 Less than £4M                                    2
 Less than £5M                                    3
 £5M or over                                      4
 £10M or over                                     5

NB: The scoring methodology for Part Seven (Insurance) will only apply to Employers Liability and
Public Liability insurances. Professional Indemnity insurance will be considered separately.

PART EIGHT: DIVERSITY
This section will be scored on a 0 to 5 basis, based on the table above.

PART NINE: HEALTH AND SAFETY
This section will be scored on a 0 to 5 basis, based on the table above.

PART TEN: SUSTAINABLE CONSIDERATIONS
This section will be scored on a 0 to 5 basis, based on the table above.

PART ELEVEN: BUSINESS CONTINUITY
This section will be scored on a 0 to 5 basis, based on the table above.


UNDERTAKING
Failure to complete this section in full will result in the submission not being progressed.
The Authority may seek clarification regarding applicants written responses to any of the
questions in the Pre-Qualification Questionnaire.




                                             Page 10 of 22
1.11 COPY OF OJEU CONTRACT NOTICE

                                       CONTRACT NOTICE

SECTION I: CONTRACTING AUTHORITY
    I.1) NAME, ADDRESS AND CONTACT POINT(S)
           Greater Manchester Police Authority
           Procurement, Openshaw Complex, Lawton Streed, Openshaw, M11 2NS
           Contact: Mr Ryan O’Hanlon
           Attn: Mr Ryan O’Hanlon
           M11 2NS Openshaw, Manchester
           Tel: +44 1618561140
           Email: procurement@gmp.police.uk
           Internet Address(es)
           Further information can be obtained at:
           Please DO NOT contact the procurement officer listed above directly
           Suppliers/Contractors wishing to express an interest in this tender opportunity, should go to
           www.bluelight.gov.uk/opportunities and enter the following reference number in the search
           criteria “contains:” box: QTLE-8S4JY2 then click on the tender opportunity Title and select the
           “Login and Register Interest” button. The Pre-Qualification Questionnaire (PQQ) / Invitation to
           Tender (ITT) documents can then be accessed and downloaded to fill in, by going to
           www.bluelight.gov.uk and selecting the “Supplier Login” option. Please note:
           Suppliers/Contractors not already registered on the Bluelight ProContract eTendering system,
           will need to go to www.bluelight.gov.uk and click on the “Register Company” link on the left
           hand side and fill in the company registration form. It is free to register on the system and there
           are no subscription charges or additional costs for using the system. Once the registration has
           been processed they then need to return to the tender opportunity, and register their expression of
           interest.
    I.2) TYPE OF THE CONTRACTING AUTHORITY AND MAIN ACTIVITY OR ACTIVITIES
           Body governed by public law
           Police Authority
           The contracting authority is purchasing on behalf of other contracting authorities: YES

SECTION II: OBJECT OF THE CONTRACT
    II.1) TITLE ATTRIBUTED TO THE CONTRACT
            Provision of a Counselling Service for Occupational Health
    II.1.2) TYPE OF CONTRACT AND LOCATION
            Services
            Main site or location of works, place of delivery or performance
            North West England and North Wales, UK
            NUTS Code: UKD
    II.1.3) THE NOTICE INVOLVES
            A public contract
    II.1.4) INFORMATION ON FRAMEWORK AGREEMENT
    II.1.5) SHORT DESCRIPTION OF THE CONTRACT OR PURCHASE
            GMP wishes to contract with one external organisation for the provision of Counselling for its
            staff as per the two following options. Option 1: Face to face counselling only, for referrals from
            the Occupational Health and Welfare Unit and also self-referrals for all GMP staff. Option 2:
            Information help-line, telephone advice and counselling, and face-to-face counselling for referrals
            and self-referrals as Option 1.
    II.1.6) COMMON PROCUREMENT VOCABULARY (CPV)
            Main Code
            85312300
            Additional Codes
    II.1.7) CONTRACT COVERED BY THE GPA
            YES
    II.1.8) DIVISION INTO LOTS

                                              Page 11 of 22
           No
    II.1.9) VARIANTS WILL BE ACCEPTED
            NO
    II.2.1) TOTAL QUANTITY OR SCOPE
            The contract being established by GMPA is based around their requirements, however the
            arrangements will be open to other police forces to participate. The total expenditure by GMP
            over the contract duration (4 years) is estimated to be in the region of £400,000. A further
            £5,000,000 will be available for other police forces that may wish to utilise the contract
            arrangements. The spend on any subsequent contract awarded is not therefore expected to exceed
            £5,000,000. N.B. No values or volumes can be guaranteed. Excludes VAT.
            Excluding VAT
            Range: between 400 000 and 5 000 000GBP
    II.2.2) OPTIONS
            No
    II.2.3) DURATION OF THE CONTRACT OR TIME-LIMIT FOR COMPLETION
            In months: 48

SECTION III: LEGAL, ECONOMIC, FINANCIAL AND TECHNICAL INFORMATION
    III.1.1) DEPOSITS AND GUARANTEES REQUIRED
            As specified in the Pre Qualification and/or Tender document
    III.1.2) MAIN FINANCING CONDITIONS AND PAYMENT ARRANGEMENTS
            As specified in the Pre Qualification and/or Tender document
    III.1.3) LEGAL FORM TO BE TAKEN BY THE GROUP OF ECONOMIC OPERATORS
            Joint and several liability
    III.1.4) OTHER CONDITION TO WHICH THE PERORMANCE OF THE CONTRACT IS
    SUBJECT
            Yes
            As specified in the Pre Qualification and/or Tender document
    III.2.1) PERSONAL SITUATION OF ECONOMIC OPERATORS
            Information and formalities necessary for evaluating if requirements are met:
            Any supplier may be disqualified who:
            (a) is bankrupt or is being wound up, where his affairs are being administered by the court, where
            he has entered into an arrangement with creditors, where he has suspended business activities or
            is in any analogous situation arising from a similar procedure under national laws and regulations;
            (b) is the subject of proceedings for a declaration of bankruptcy, for an order compulsory winding
            up the administration by the court or of an arrangement with creditors or of any other similar
            proceedings under national laws and regulations;
            (c) has been convicted by a judgment which has the force of res judicata in accordance with the
            legal provisions of the country of any offence concerning his professional conduct;
            (d) has been guilty of grave professional misconduct proven by any means which the contract
            authorities can demonstrate;
            (e) has not fulfilled obligations relating to the payment of social security contributions in
            accordance with the legal provisions of the country in which he is established or with those of the
            country of the contracting authority;
            (f) has not fulfilled obligations relating to the payment of taxes in accordance with the legal
            provisions of the country in which he is established or with those of the country of the contracting
            authority;
            (g) is guilty of serious misrepresentation in supplying the information required under this Section
            or has not supplied such information;
            (h) has been the subject of a conviction for participation in a criminal organization, as defined in
            Article 2(1) of Council Joint Action 98/733/JHA;
            (i) has been the subject of a conviction for corruption, as defined in Article 3 of the Council Act
            of 26 May 1972 and Article 3(1) of Council Joint Action 98/742/JHA3 respectively;
            (j)has been the subject of a conviction for fraud within the meaning of Article 1 of the
            Convention relating to the protection of the financial interests of the European Communities;
            (k) has been the subject of a conviction for money laundering, as defined in Article 1 of Council
            Directive 91/308/EEC of 10 June 1991 on prevention of the use of the financial system for the
            purpose of money laundering.

                                              Page 12 of 22
             Information and formalities necessary for evaluating if requirements are met:
             As specified in the Pre Qualification and/or Tender document
      III.2.2) ECONOMIC AND FINANCIAL CAPACITY
              Information and formalities necessary for evaluating if requirements are met:
              (b) the presentation of balance-sheets or extracts from the balance-sheets, where publication of
              the balance-sheet is required under the law of the country in which the economic operator is
              established;
              (c) a statement of the undertaking’s overall turnover and, where appropriate , of turnover in the
              area covered by the contract for a maximum of the last three financial years available, depending
              on the date on which the undertaking was set up or the economic operator started trading, as far
              as the information of these turnovers is available.
              Information and formalities necessary for evaluating if requirements are met:
              As specified in the Pre Qualification and/or Tender document
              As specified in the Pre Qualification and/or Tender document
      III.2.3) TECHNICAL CAPACITY
              Information and formalities necessary for evaluating if requirements are met:
              (b) a list of the principal deliveries effected or the main services provided in the past three years,
              with the sums, dates and recipients, whether public or private, involved. Evidence of delivery and
              services provided shall be given: - where the recipient was a contracting authority, in the form of
              certificates issues or countersigned by the competent authority, - where the recipient was a private
              purchaser, by the purchaser’s certification or, failing this, simply by a declaration by the
              economic operator;
              (c) an indication of the technicians or technical bodies involved, whether or not belonging
              directly to the economic operator’s undertaking, especially those responsible for quality control
              and, in the case of public works contracts, those upon whom the contractor can call in order to
              carry out the work;
              (g) for public works contracts and public services contracts, and only in appropriate cases, and
              indication of the environmental management measures that the economic operator will be able to
              apply when performing the contract;
              (h) a statement of the average annual manpower of the service provider or contractor and the
              number of managerial staff for the last three years;
              (j) an indication of the proportion of the contract which the services provider intends possibly to
              subcontract;
              Information and formalities necessary for evaluating if requirements are met:
              As specified in the Pre Qualification and/or Tender document
              Minimum level(s) of standards possibly required
              As specified in the Pre Qualification and/or Tender document
      III.2.4) RESERVED CONTRACTS
      III.3.1) EXECUTION OF THE SERVICE IS RESERVED TO A PARTICULAR PROFESSION
              No
      III.3.2) LEGAL ENTITIES SHOULD INDICATE THE NAMES AND PROFESSIONAL
      QUALIFICATIONS OF THE STAFF RESPONSIBLE FOR THE EXECUTION OF THE
      SERVICE
              YES

SECTION IV: PROCEDURE
    IV.1.1) TYPE OF PROCEDURE
           Restricted
    IV.1.2) Limitations on the number of operators who will be invited to tender or to participate
           Envisaged number of operators5
           Object criteria for choosing the limited number of candidates:
           Professional Conduct, Technical Experience and References, e- Commerce, Financial Details,
           Insurance, Diversity, Health and Safety, Sustainability, Business Continuity
           There are also published criteria for discretionary rejection of submissions.
    IV.2.1) AWARD CRITERIA
           The most economically advantageous tender in terms of the criteria stated in the specifications, in
           the invitation to tender or to negotiate or in the descriptive document
    IV.2.2) AN ELECTRONIC AUCTION HAS BEEN USED
           No


                                                 Page 13 of 22
      IV.3.1) FILE REFERENCE NUMBER ATTRIBUTED BY THE CONTRACTING AUTHORITY
             0321
      IV.3.2) PREVIOUS PUBLICATION(S) CONCERNING THE SAME CONTRACT
             No
      IV.3.3) CONDITIONS FOR OBTAINING SPECIFICATIONS AND ADDITIONAL
      DOCUMENTS
             No Payable Documents
      IV.3.4) TIME-LIMIT FOR RECEIPT OF TENDERS OR REQUESTS TO PARTICIPATE
             30.4.2012 - 14:00
      IV.3.5) DATE OF DISPATCH OF INVITATIONS TO TENDERS
             21.5.2012
      IV.3.6) LANGUAGE(S) IN WHICH TENDERS MAY BE DRAWN UP
             EN
      IV.3.7) MINIMUM TIME FRAME DURING WHICH THE TENDERER MUST MAINTAIN
      THE TENDER
      IV.3.8) CONDITIONS FOR OPENING TENDERS
             Date: 29.6.2012 - 14:00
             Persons authorised to be present at the opening of tenders: Yes
             Force Financial Director or delegated officer

SECTION VI: COMPLEMENTARY INFORMATION
    VI.1) THIS IS A RECURRENT PROCUREMENT
           No
    VI.2) CONTRACT RELATED TO A PROJECT FINANCED BY COMMUNITIY FUNDS
           No
    VI.3) ADDITIONAL INFORMATION
           The Contracting Authority does not bind itself to accept any tender and reserves the right to
           cancel the tendering process at any point. The Contracting Authority is not liable for any costs
           incurred by those expressing an interest in tendering for this contract opportunity.
           HOW TO OBTAIN A PRE QUALIFICATION QUESTIONNAIRE:
           Documentation relating to this procurement activity is only available via the Emergency Services
           e-Tendering system at: WWW.BLUELIGHT.GOV.UK
           The specific contract reference for this procurement is:
           QTLE-8RCJ3M
    VI.4.1) BODY RESPONSIBLE FOR APPEAL PROCEDURES
           Greater Manchester Police
           BODY RESPONSIBLE FOR MEDIATION PROCEDURES
    VI.4.2) LODGING OF APPEALS
           This Authority will incorporate a minimum 10 working day standstill period at
           the point information on the award of the contract is communicated to
           tenderers. This period allows unsuccessful tenderers to seek further debriefing
           from the contracting authority before the contract is entered into. Applicants
           have two working days from notification of the award decision to request
           additional debriefing and that information has to be provided a minimum of 3
           working days before expiry of the standstill period. Such additional
           information should be requested by email to: procurement@gmp.police.uk . If an
           appeal regarding the award of a contract has not been successfully resolved the
           Public Contracts Regulations 2006 (SI 2006 No 5) provide for aggrieved parties
           who have been harmed or are at risk of harm by a breach of the rules to take
           action in the High Court (England, Wales and Northern Ireland). Any such action
           must be brought promptly (generally within 3 months). Where a contract has not
           been entered into the court may order the settling aside of the award decision
           or order the authority to amend any document and may award damages. If the
           contract has been entered into the court may only award damages.
    VI.4.3) INFORMATION ABOUT THE LODGING OF APPEALS MAY BE OBTAINED
    VI.4.4) DATE OF DISPATCH OF THIS NOTICE
           21.3.2012




                                              Page 14 of 22
PRE QUALIFICATION QUESTIONNIARE

PART ONE: ORGANISATION INFORMATION (Mandatory response required)
This Section will be marked on a pass/fail basis. A response to all the questions is mandatory. Where
a respondent fails to answer or does not fully complete one of the Mandatory questions they will not be
eligible to continue to the next stage of the process and no questions beyond that point will be marked.

           Question
           Full name of organisation tendering (or of the organisation acting as lead contact where a
   1.1     consortium bid is being submitted)

           Trading name of organisation (if different from above).
   1.2
           Date of formation of the organisation.
   1.3
           Registered number if a limited organisation (please supply a copy of the Certificate of
   1.4     Incorporation and any certificate of change of name).

           Registered address of organisation or address of principal office in organisation.
   1.5
           Phone number.
   1.6
           E-Mail address.
   1.7
           Address and phone number of office from where business would be conducted in support
   1.8     of this contract, or where purchase orders should be sent, if different from above.

           Is your organisation a sole trader, a limited liability partnership, private limited organisation
           , public limited organisation , a limited liability partnership, other Partnership or other –
   1.9
           please state.

           Full names and (organisation) addresses of all directors/organisation
           secretary/partners/associates/members or proprietor indicating who should be contacted in
   1.10
           case of difficulties with this contract.

           Are any of the persons named in 1.10 above related to anybody employed by any of the
           North West Region Police Authorities or a member of the Authority or Police Officer? If yes,
   1.11
           please give details.

           Have any of the persons named in 1.10 above been employed by any of the North West
           Region Police Authorities or been a member of any of the North West Region Police
   1.12
           Authorities or Police Officer. If yes, please give details.

           If your organisation is a member of a group of companies, give the name and address of
   1.13    the ultimate holding organisation and immediate parent organisation?

           If your organisation is a member of a group of companies, will the holding organisation
   1.14    guarantee your performance of the contract?

           How many staff does your organisation (including consortia members or named sub-
           contractors where appropriate) employ relevant to the carrying out of services and/or
   1.15
           delivery of goods similar to those required under this contract?

           Please provide a full breakdown by ethnic origin of all staff currently employed in your
   1.16    organisation.



                                               Page 15 of 22
           Please confirm the objectives of the organisation as stated in the Memorandum of
           Association cover the purposes for which this tender is being compiled. Please enclose a
   1.17
           copy of the Memorandum.

           Is your organisation currently involved with any legal proceedings (including arbitration) with
           any other organisations including police authorities and / or local authorities? If yes, please
   1.18    provide details.

           Are there any issues current or likely in relation to your organisation that may give rise to
   1.19    any conflict of interest with this contract? If, yes please provide details.


PART TWO: PROFESSIONAL CONDUCT – RESPONSES REQUIRED.
These questions will be marked on a pass/fail basis. A response to all the questions is mandatory.
Where a respondent fails to answer or does not fully respond to one of the mandatory questions they
will not be eligible to continue to the next stage of the process and no questions beyond that point will
be marked.
Important Notice:
In some circumstances the Authority is required by law to exclude you from participating further in a
procurement. If you cannot answer ‘no’ to every question in this section it is very unlikely that your
application will be accepted, and you should contact us for advice before completing this form.

 Question
 Has your organisation or any Directors or partner or any other person who has powers of
 representation, decision or control been convicted of any of the following offences?
           Conspiracy within the meaning of section 1 of the Criminal Law Act 1977 where that
           conspiracy relates to participation in a criminal organisation as defined in Article 2(1) of
   2.1     Council Joint Action 98/733/JHA (as amended);

           Corruption within the meaning of section 1 of the Public Bodies Corrupt Practices Act 1889
   2.2     or section 1 of the Prevention of Corruption Act 1906 (as amended);

           The offence of bribery as described under the Bribery Act 2010:
   2.3
           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
   2.4
           financial interests of the European Union, within the meaning of:

           The offence of cheating the Revenue;
  2.4a
           The offence of conspiracy to defraud;
  2.4b
           Fraud or theft within the meaning of the Theft Act 1968 and the Theft Act 1978;
  2.4c
           Fraudulent trading within the meaning of section 458 of the Companies Act 1985 or section
  2.4d     993 of the Companies Act 2006;


           Defrauding the Customs within the meaning of the Customs and Excise Management Act
  2.4e     1979 and the Value Added Tax Act 1994;

           An offence in connection with taxation in the European Community within the meaning of
   2.5     section 71 of the Criminal Justice Act 1993;

           Destroying, defacing or concealing of documents or procuring the extension of a valuable
   2.6     security within the meaning of section 20 of the Theft Act 1968;

           Money laundering within the meaning of the Money Laundering Regulations 2003 or Money
   2.7     Laundering Regulations 2007;

                                               Page 16 of 22
           Any other offence within the meaning of Article 45(1) of Directive 2004/18/EC as defined by
   2.8     the national law of any relevant State.


PART THREE: GROUNDS FOR DISCRETIONARY REJECTION
Important Notice
The Authority is entitled to exclude you from consideration if any of the following apply but may decide
to allow you to proceed further. If you cannot answer ‘no’ to every question it is possible that your
application might not be accepted. In the event that any of the following do apply, please set out full
details of the relevant incident and any remedial action taken subsequently. The information provided
will be taken into account by the Authority in considering whether or not you will be able to proceed
any further in respect of this procurement exercise.

Please state ‘Yes’ or ‘No’ to each question.
           Question
           Is the following true of your organisation? Being an individual
           is bankrupt or has had a receiving order or administration order or bankruptcy restrictions
           order made against him or has 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 appears unable to pay or to have no reasonable prospect of being able to pay,
   3.1     a debt within the meaning of section 268 of the Insolvency Act 1986, or article 242 of the
           Insolvency (Northern Ireland) Order 1989, or in Scotland has granted a trust deed for
           creditors or become otherwise apparently insolvent, or is the subject of a petition presented
           for sequestration of his estate, or is the subject of any similar procedure under the law of
           any other state.


           Is the following true of your organisation? being a partnership constituted under Scots law,
           has granted a trust deed or become otherwise apparently insolvent, or is the subject of a
   3.2     petition presented for sequestration of its estate.


           Is the following true of your organisation? being a organisation or any other entity within the
           meaning of section 255 of the Enterprise Act 2002
           has passed a resolution or is the subject of an order by the court for the organisation’s
           winding up otherwise than for the purpose of bona fide reconstruction or amalgamation, or
   3.3     had a receiver, manager or administrator on behalf of a creditor appointed in respect of the
           organisation’s business or any part thereof or is the subject of similar procedures under the
           law of any other state?


           Has your organisation been convicted of a criminal offence relating to the conduct of your
   3.4     business or profession.


           Has your organisation committed an act of grave misconduct in the course of your business
   3.5     or profession.


           Has your organisation failed to fulfil obligations relating to the payment of social security
           contributions under the law of any part of the United Kingdom or of the relevant State in
   3.6     which you are established.


           Has your organisation failed to fulfil obligations relating to the payment of taxes under the
   3.7     law of any part of the United Kingdom or of the relevant State in which you are established;




                                               Page 17 of 22
        Has your organisation been guilty of serious misrepresentation in providing any information
  3.8   required of you under Regulation 23 of the Public Contracts Regulations 2006?


        Has your organisation ever had a contract terminated, not had a contract renewed for failure
        to perform or your employment terminated under the terms of that contract within the last 5
  3.9   years? If yes, please give details.


        In the last three years has any finding of unlawful discrimination in the employment field
        been made against your organisation by the Employment Tribunal, the Employment Appeal
 3.10   Tribunal or any court or in comparable proceedings in any other jurisdiction?


        In the last three years has your Organisation been prosecuted for contravention of the
        Health & Safety at Work Act 1974 or equivalent national legislation, or been the subject of a
 3.11   formal investigation by the Health & Safety Executive or similar body charged with
        Improving health and safety standards? If yes, please provide details.


        Has your organisation in the last 3 years been served any notice by the environmental
 3.12   regulator or authority, or been prosecuted for breaking any UK or EU environmental law?



PART FOUR: TECHNICAL EXPERIENCE AND REFERENCES

        Question
        Please provide details of up to three contracts from either or both the public or private
        sector, that are relevant to the Authority’s requirement for the Provision of a Counselling
        Service for Occupational Health. Contracts for the supply of goods or services should have
        been performed during the past three years. (The customer contact should be prepared to
        speak to the purchasing organisation to confirm the accuracy of the information provided
        below if we wish to contact them). The response to each example provided must contain the
        following:
  4.1
        Customer Organisation (name);
        Customer contact name, telephone number and email address;
        Contract start date, contract completion date, and the contract value;
        Brief description of contract (max 300 words) including evidence as to your technical
        capability in this market;
        If you cannot provide at least one example, please briefly explain why (100 words max).

        Has your organisation ever suffered a deduction for liquidated and ascertained damages in
  4.2   respect of any contract within the last 5 years? If yes, please give details.

        Please provide details of any relevant professional or trade organisation that your company
        is a member of. Please provide a statement of the professional and technical skills available
  4.3
        within your organisation.

        Does your Organisation have any quality accreditation? If yes, please give details and
  4.4   enclose evidence of the accreditation.

        Please confirm whether:

            a) Your organisation is bidding to provide the services required itself;
  4.5
            b) Your organisation is bidding in the role of Prime Contractor and intends to use third
               parties to provide some services;
            c) The Potential Provider is a consortium.



                                          Page 18 of 22
           If your answer is (b) or (c) please indicate in a separate annex (by inserting the relevant
           organisation /organisation name) the composition of the supply chain, indicating which
           member of the supply chain (which may include the Potential Provider solely or together
           with other providers) will be responsible for the elements of the requirement.



FOR COMPLETION BY NON-UK BUSINESSES ONLY (NB: responses to these questions will be
noted and verified as necessary – no score will be applied to them).

           Question
           Registration with professional body
           Is your business registered with the appropriate trade or professional register(s) in the EU
   4.9     member state where it is established (as set out in Annexes IX A-C of Directive
           2004/18/EC) under the conditions laid down by that member state).

           Is it a legal requirement in the State where you are established for you to be licensed or a
           member of a relevant organisation in order to provide the requirement in this procurement?
   4.10    If yes, please provide details of what is required and confirm that you have complied with
           this.


PART FIVE: E-COMMERCE

           Question
           Is your Organisation using or developing e Commerce solutions for accepting purchase
           orders? If yes please provide full details of your capability;
           E Ordering:
   5.1     Self hosted On line web page
           E Catalogues
           Market Place & Punch out technology including Zanzibar market place.

           Does your organisation produce electronic invoices?
   5.2     e.g E Invoicing; Electronic invoice; PDF;E mail or XML


PART SIX: FINANCIAL DETAILS
Please note: Information submitted in this section is for initial evaluation purposes only. The Authority
reserves the right to undertake a full financial evaluation prior to the award of any contract

           Question
           Please enclose a copy of your Organisation’s latest summary audited accounts. This
           should include: Balance Sheet, Profit and Loss Account, (Please do not submit information
   6.1
           consolidated into parent, Holding, Group or subsidiary organisation accounts)

           If you have submitted accounts for a year ending more than 10 months ago, please confirm
           that the organisation described in the enclosed accounts is still trading. Also supply a
   6.2
           statement of turnover since the last set of published accounts.

           If your organisation’s accounts and annual reports are consolidated into those of your
           parent organisation or group, then for each of the last three years please provide for your
   6.3
           organisation: organisation turnover, profit before tax and net assets.

           Please state the name and address of your bankers, including sort code and account
   6.4     numbers.

           Please supply your VAT registration number, or anything corresponding to this in your
   6.5     country of origin if not UK.

   6.6     Please supply your Dun and Bradstreet D-U-N-S number or equivalent, eg Experian.

                                              Page 19 of 22
         Assessment of annual turnover increase over the past 2 financial years
  6.7
         Most recent annual turnover in proportion to annual contract value
  6.8
         Average net profit margin
  6.9
         Current ratio for latest financial year
  6.10

PART SEVEN: INSURANCE

         Question
         Employer’s liability insurance is a legal requirement (except for businesses employing only
         the owner / close family members) and this should be at least £5 million. Please confirm
  7.1    that you have this in place.


         Please give details of your Organisation’s Public Liability (Third Party) Insurance.
  7.2
         Please give details of your professional indemnity insurance. (If applicable)
  7.3

PART EIGHT: DIVERSITY

         Question
         Does your Organisation have a Diversity or Equal Opportunities Policy or statement
  8.1    including a recruitment policy? If yes, please provide a copy.

         Is your equality policy set out in the following places:
          In instructions to those concerned with recruitment, selection, remuneration, training and
         promotion, in documents available to employees, recognised trade unions or other
  8.2    representative groups of employees, in recruitment advertisements or other literature?
         Please include details of how your Equal Opportunities policy and recruitment policy are
         promoted and implemented.

         In the last 3 years has your organisation been the subject of formal investigation by the
  8.3    Equality and Human Rights Commission? If so, please provide details, including what steps
         you have taken as a result of that finding.


         Does your staff receive equality and diversity training?
  8.4

         What measures have you put in place to comply with the Equality Act 2010?
  8.5

         If you are not currently subject to UK legislation, please supply details of your experience in
         complying with equivalent legislation which in the relevant country is designed to eliminate
  8.6
         discrimination and to promote equality of opportunity.

         Under Equality legislation, the Authority has a specific duty to promote equality. Please
  8.7    indicate how your organisation would seek to support the Authority in this duty.

         If you are intending to use sub-contractors or agents as part of this contract, please state
         what arrangements you have in place to provide information to The Authority in respect of
  8.8
         sub-contractor policies and procedures for equality and diversity issues.




                                              Page 20 of 22
PART NINE: HEALTH AND SAFETY

         Question
         Please enclose a copy of your Organisation’s Health & Safety Policy and/or other
         declaration, information or instruction issued by your Organisation as necessary, to protect
  9.1
         the health and safety of your employees.

         Please provide details of how your health and safety policies are communicated to your
         employees and administered within your organisation. Including details of your
  9.2
         organisation’s health and safety training for employees

         Please provide details of any strategies your organisation has introduced to improve safety.
  9.3
         Please provide details of any COSH implications and confirm that you can provide all the
  9.4    data required?

         Does your organisation undertake health and safety audits? If yes, please provide details.
  9.5

PART TEN: SUSTAINABLE CONSIDERATIONS

         Question
         Does your organisation have a written environmental policy? If yes please provide a copy
  10.1
         Does your business operate under or is it working towards an Accredited Environmental
         Management System:

         If yes please state which scheme and level achieved
  10.2
         If no please state what environmental improvement initiatives are undertaken by your
         organisation :



PART ELEVEN: BUSINESS CONTINUITY

         Question
         Do you have a formal business continuity programme and business continuity plan and is it
  11.1   regularly tested and updated?

         What actions have taken place with your business continuity programme within the last
  11.2   year and what were the outcomes?

         Has your business operation been interrupted in the last five years? What was the effect
  11.3   upon your customers?

         Do you have a strategy for ensuring continuity of supply from your critical suppliers?
  11.4
         What is the trigger point for you to contact the Authority in the event of a disruption? How
  11.5   will you keep us updated?

         Are you clear about the level of service you are expected to provide if there is an
         emergency/disruption and are your arrangements adequate to deliver that level of service
  11.6
         during an emergency?

         What is your approach to risk management? Have you taken into account the risks in your
  11.7   particular area? This information is available in your local Community Risk Register (CRR).




                                            Page 21 of 22
WHEN YOU HAVE COMPLETED THE APPLICATION PLEASE READ AND SIGN THE SECTION
BELOW.

UNDERTAKING

I/We declare that to the best of my knowledge the answers submitted in this PQQ are correct. I
understand that the information will be used in the process to assess my organisation’s suitability to
be invited to tender for the Authority’s requirement and I am signing on behalf of my organisation. I
understand that the Contracting Authority may reject this PQQ if there is a failure to answer all
relevant questions fully or if I provide false/misleading information

I/We understand that it is a criminal offence, punishable by imprisonment, to give or offer any gift or
consideration whatsoever as to inducement or reward to any servant of a public body and that any
such action will empower the authority to cancel any contract currently in force and may result in
my/our exclusion from the Authority’s Approved List of Firms to be invited to tender.

I / we agree to enter into a Data Processing Agreement (DPA) if we progress to be the
successful tenderer.

Electronic submission instructions: As this document is being submitted electronically by
upload via the PQQ within www.bluelight.gov.uk the name of the Director or other senior
representative should be typed in the signature block and will be accepted as their authorised
signature in submitting this PQQ.

 Signed
 Print Name
 Date
 Position
 For and on behalf of (name and
 address of Organisation )
 Telephone No
 Email:

This questionnaire shall be signed by a Director or other senior representative.

Please note that the term ‘firm’ refers to: sole proprietor, partnership, incorporated organisation and
co-operative as appropriate.

BEFORE RETURNING THIS QUESTIONNAIRE PLEASE ENSURE THAT YOU HAVE:

        Answered all questions appropriate to your application;

        Enclosed all relevant documents ensuring that all enclosures are clearly marked with the
         name of your organisation and the number of the question to which they refer;

        Completed and Signed the above undertaking

        Supporting information has been presented in the same order and is referenced to the
         relevant question and has been consolidated ideally into a single additional document for
         upload. (See Instructions at the beginning of the PQQ for more details).


IF YOUR TENDER IS SUCCESSFUL THIS APPLICATION WILL BE INCORPORATED INTO THE
CONTRACT AWARDED TO YOU.




                                            Page 22 of 22

				
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