Guarantor Contractor Responsibility Act

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Guarantor Contractor Responsibility Act Powered By Docstoc
					         APPLICATION FORM FOR INCLUSION ON THE FACILITIES CONTRACTOR APPROVED LIST




The University is happy to consider applications from Contractors who are interested in becoming an approved
Facilities Contractor. This process requires the completion of the attached form, which is to be returned to:

                                     D.C.Thomson, Assistant Director of Facilities
                                               Facilities Directorate
                                                53 Salmon Grove
                                                  Hull HU6 7SZ
                                                 (01482) 465087



It is essential that all questions are answered fully. If you are providing evidence to support your response, then this
must be clearly cross referenced to the question number on the Application Form.



It should be noted that becoming an approved contractor does not guarantee that any business will be placed with
you. You will be given the opportunity to submit quotations for qork and be included on the tender exercises.
                                Approved Facilities Contractor Application Form


1      COMPANY INFORMATION
1.1    Name of the company:
       Address:



1.2
1.3    Post Code:
1.4    Tel
1.5    Fax
1.6    Company E-mail:
1.7    Website:
1.8    Contact name:
1.9    Position:
1.10   Email:
1.11   Tel:
1.12   Fax:
1.13   Mobile:
1.14   Contact name:
1.15   Position:
1.16   Email:
1.17   Tel:
1.18   Fax:
1.19   Mobile:
       If you are part of a group of companies please
       provide the name and registered office address
       of the parent company.
1.20
1.21   Address of Parent Company
       Does the parent company guarantee the            YES/NO (if yes please complete Parent Guarantee form).
       contract performance of its subsidiaries?
1.22
     Please give the names and responsibilities of
1.23 the Directors/Partners of your company.
1.24 Name:
1.25 Responsibility:
1.26 Name:
1.27 Responsibility:
1.28 Name:
1.29 Responsibility:
1.30 Name:
1.31 Responsibility:
     Has any Director/Partner or Associate had
     involvement in managing a company that has
     been liquidated or gone into receivership in the
1.32 last 10 years?                                              YES/NO (if yes, please give details)
     Does any Director/Partner or Associate have a
     personal or business involvement with any
1.33 employee(s) of the University of Hull?                      YES/NO (if yes, please give details)
     Is your company registered under the Data
     Protection Act 1998?
1.34                                                                           YES/NO
     If yes, please state your DPA registration
1.35 number:
          D:\Docstoc\Working\pdf\9cf5cfaa-7b58-405a-8736-07d8574adcc1.xls                                    application form
       PRINCIPAL BUSINESS ACTIVITY
2.0
       Please state the main type of work/services you provide and list all of the categories and value bands for which
2.1    you wish to be considered.
2.2    Category                                                         Maximum contract Value (£,000’s)
2.3                                                        10      50     100   250 500 1,000 3,000               5,000+
2.4    a) Air Conditioning/Refrigeration
2.5    b) Asbestos Removal & thermal Insulation
2.6    c) Building
2.7    d) Cleaning
2.8    e) Date/Telecommunications
2.9    f) Drainage
2.10   g) Decorating
       h) Electrical Installations (NICEIC or ECA only)
2.11
2.12   i) Environmental
2.13   j) Fencing
2.14   k) Fire Alarms (NICEIC or ECA only)
2.15   l) Flooring
2.16   m) Glaziers
2.17   n) Groundworks
2.18   o) Laboratory Refurbishment
2.19   p) Lifts
2.20   q) Mechanical Installations (CORGI only)
2.21   r) Partitioning
2.22   s) Pest Control
2.23   t) Roofing
2.24   u) Scaffolding
2.25   v) Security
2.26   w) Suspended Ceilings
2.27   x) Other (Please state below)
2.28
       Please indicate if there is a minimum contract
2.29   value for which you wish to be considered:
3.0    FINANCIAL INFORMATION
       Please submit the following information for the
3.1    last 3 years
       Signed audited accounts or Accounts that have
       been prepared by an independent professional
3.2    advisor.
       Details of annual turnover (if your organisation
       is part of a group please give figures for both
       your own organisation and the group).
3.3
       Details of any claims or litigation against your
       organisation including those that are
       outstanding, which relate to contracts
3.4    performed.
4.0    INSURANCE
       Please indicate which of the following
       insurances you hold and please submit signed
4.1    copies:
4.2    Public Liability/Products Insurance
4.3    Professional indemnity Insurance
4.4    Employers Liability Insurance
4.5    Contractor’s All Risks Insurance
       Please note: It is a requirement or the University of Hull that Public Liability Insurance cover should be not less
4.6    than five million pounds (£5,000,000)
5.0    INLAND REVENUE CONSTRUCTION INDUSTRY SCHEME (CIS)
       Please give details of your CIS rating (if
5.1    applicable)

          D:\Docstoc\Working\pdf\9cf5cfaa-7b58-405a-8736-07d8574adcc1.xls                                              application form
      CIS 5 certificate - Please submit a copy with
5.2   this application
       CIS 4 card You will be required to present this
      card in person prior to commencement of any
5.3   work at the University
       CIS 6 card You will be required to present this
      card in person prior to commencement of any
5.4   work at the University
5.5   Please state your CIS Registration number
      Please note: If you carry out any work for the University which is classified as “construction operations” by the
      Inland Revenue CIS, the University will not be able to pay you unless it has inspected an original registration
5.6   card or tax certificate.
6.0   BANK DETAILS
      The University’s preferred method for the
      payment of invoices is by bank transfer
      (BACS). Please assist us by providing the
6.1   following details:
6.2   Name of Bank/Building Society:
      Address:
6.3
6.4   Account in the name of:
6.5   Sort Code:
6.6   Bank/Building society account number:
6.7   VAT No:
6.8   Email address for remittance advice:
      Do you accept the University’s payment terms                                   Yes / No
6.9   of net monthly account?
7.0   COMPANY POLICIES
7.1   HEALTH AND SAFETY POLICY
7.1.1 Do you have Health and Safety care policy?                                     Yes / No
      If Yes, Please outline the main headings of your
      policy eg COSHH (please do not send your
7.1.2 policy )
      If No, Please give a statement that
      demonstrates your commitment to Health and
7.1.3 Safety.
      Are you members of Contractors Health and                                      Yes / No
7.1.4 Safety Assessment Scheme.
7.2   EQUALITIES POLICY
      Do you have an equalities/equal opportunities                                  Yes / No
7.2.1 policy?

      If Yes, Please outline the main headings of your
7.2.2 policy (please do not send your policy )
      If No, Please give a statement that
      demonstrates your awareness of equalities
7.2.3 issues.
      Have any claims of unlawful                                      Yes / No (if yes, please give details)
      discrimination/dismissal been made against
7.2.4 your company in the last 3 years?

      New Contractors will be required to complete the University’s Race Relations Questionnaire and adhere to out
7.2.5 Race Relations Policy which is available on The University of Hull Web site
7.3   QUALITY POLICY
                                                                                     Yes / No
      Do you have ISO9000/9002 QMS or equivalent
7.3.1 international recognised standard?

      If Yes, Please outline the main headings of your
7.3.2 policy (please do not send your policy )
      If No, Please give a statement that
7.3.3 demonstrates your assessments.
         D:\Docstoc\Working\pdf\9cf5cfaa-7b58-405a-8736-07d8574adcc1.xls                                              application form
7.4   ENVIROMENTAL POLICY
7.4.1 Do you have ISO14001 EMD or equivalent international recognised standard?
                                                                              Yes / No

       If Yes, Please outline the main headings of your
7.4.2 policy (please do not send your policy )
       If No, Please give a statement that
7.4.3 demonstrates your awareness
8.0   TECHNICAL RESOURCES
                                                           Permanent                Temporary/Agency/Casual
       Please state the number of staff currently
8.1    directly employed by your company.
8.3                                                         Full-time      Part-time        Full-time        Part-time
8.4  Management
8.5  Supervisors
8.6  Operatives/Manual
8.7  Admin/Support Staff
9.0  TRADE ORGANISATIONS
     Please give details of any trade
     memberships/affiliations that your company
9.1  holds.
9.2  ORGANISATION
9.3  EXPIRY DATE
9.4  ORGANISATION
9.5  EXPIRY DATE
9.6  ORGANISATION
9.7  EXPIRY DATE
10.0 ELECTRICAL CONTRACTORS
     Please note: All contractors carrying out electrical work for the University of Hull are required to be on the roll of
10.1
     the National Inspection Council for Electrical Installation Contracting (NICEIC)
1.02   Please state your enrolment number:
11.0   SUB-CONTRACTOR APPRAISAL
11.1   Do you use Sub-Contractors? Yes / No                                       Yes / No
       Please give details of how you assess the
       technical competence of the
       companies/individuals with whom you place
11.2   contracts.
       How do you communicate clients requirements
11.3   and instructions?
       Is your insurance extended to include sub-                                 Yes / No
11.4   contractors liabilities?
12.0   PREVIOUS CONTRACTS
       Please give the percentage of your contracts and the actual number of jobs completed within the following value
12.1   bands for the last 3 years.
       Year                                                Up to £50k      £50k-250k         £250k-       Over £1,000.000
12.2                                                                                       1,000.000
12.3                                                       No of jobs       No of jobs     No of jobs        No of jobs
12.4
12.5
12.6
     Has your company had any contracts
12.7 terminated in the last 3 years?                                    YES/NO (If yes, please give details)
     Has your company suffered a deduction for
     liquidated and ascertained damages in respect
12.8 of any contract in the last 3 years?                               YES/NO (If yes, please give details)
     TECHNICAL REFERENCES
13.0
       Please provide at least 2 referees for each
       category of work that you wish to be considered
       for. Please note: only references for contracts
13.1   completed within the last 3 years will be
13.2   accepted.
       Company:
13.3   Address:
13.4   Contact Name:
          D:\Docstoc\Working\pdf\9cf5cfaa-7b58-405a-8736-07d8574adcc1.xls                                                 application form
13.5    Tel:
13.6    Fax:
13.7    E-Mail:
13.8    Details of work undertaken:
13.9    Company:
13.10   Address:
13.11   Contact Name:
13.12   Tel:
13.13   Fax:
13.14   E-Mail:
13.15   Details of work undertaken:
13.16   Company:
13.17   Address:
13.18   Contact Name:
13.19   Tel:
13.20   Fax:
13.21   E-Mail:
        Details of work undertaken:

13.22
13.23 PLEASE CONTINUE ON SEPARATE SHEETS IF NECESSARY
      WHEN YOU HAVE COMPLETED THE APPLICATION FORM PLEASE READ AND SIGN THE SECTION
13.24 BELOW.
14.0 APPROVED LIST APPLICATION FORM
14.1
      I certify that the information I have supplied on the application form is complete, accurate and true.
14.2    Print name:
14.3    Position:
14.4    Signature:
14.5    Tel No:
14.6    Date:
     Thank you for completing the approved contractor application form. The information you have supplied will be
     held in confidence by the University of Hull and will not be shared with other organisations without your written
14.7 permission.
         Please Note: Inclusion on the University of Hull database of approved contractors offers no guarantee that your
14.8    company will receive orders or be invited to tender for works.
14.9    Enclosures:
                                                                                    please tick
        Please ensure you have enclosed/submitted
14.10   the following documentation…….
14.11   Financial information:
14.12   CIS 5 Tax certificate (if applicable):
14.13   Signed Copies of Insurance Certificates:
14.14   Health, Safety & Environment certificates:
14.15   Parent Guarantee (if applicable)
      Only information supplied on the application form is assessed, therefore please ensure that all relevant sections
      are completed .Please only include the additional documents that have been requested. Do not send any
14.16 marketing/publicity material .

                                                           D.C.Thomson, Assistant Director of Facilities Facilities
                                                                               Directorate
                                                                            53 Salmon Grove
                                                                              Hull HU6 7SZ
                                                                             (01482) 465087
14.17 Please return all forms to:

                                                                                                                           TOTAL




           D:\Docstoc\Working\pdf\9cf5cfaa-7b58-405a-8736-07d8574adcc1.xls                                           application form
   ADDITIONAL REFERENCES


   13.0 TECHNICAL REFERENCES
            Please provide at least 2 referees for each category of work that you wish to be considered for.
             Please note: only references for contracts completed within the last 3 years will be accepted.
   13.1
   13.2 Company:
        Address:
   13.3
   13.4 Contact Name:
   13.5 Tel:
   13.6 Fax:
   13.7 E-Mail:
   13.8 Details of work undertaken:
   13.9 Company:
        Address:
   13.10
   13.11   Contact Name:
   13.12   Tel:
   13.13   Fax:
   13.14   E-Mail:
   13.15   Details of work undertaken:
   13.16   Company:
           Address:
   13.17
   13.18   Contact Name:
   13.19   Tel:
   13.20   Fax:
   13.21   E-Mail:
   13.22   Details of work undertaken:




D:\Docstoc\Working\pdf\9cf5cfaa-7b58-405a-8736-07d8574adcc1.xls                                                references
                                    PARENT COMPANY GUARANTEE

                                     IN RESPECT OF A SUBSIDIARY
  Name of Guarantor: ______________________________________________
  Address: ______________________________________________________

  To: The University of Hull




  We in consideration of your acceptance of the tender of __________________ (hereinafter called the
  Contractor) for ____________________________________ dated _____________ (which tender and
  acceptance are hereinafter referred to as the "Contract"), hereby agree to provide all resources whether
  financial or otherwise to enable the Contractor to fulfil duly the commitments arising from the Contract and
  agree that if the Contractor shall in any respect fail duly to perform and observe any of its obligations
  under the Contract to your satisfaction we shall indemnify you against all losses, claims, liabilities and
  expenses which may be incurred or suffered by you by reason of such failure.
  And we further agree that all the dividends, compositions and payments which you may at any time
  receive from the Contractor whether in liquidation or otherwise shall be taken and applied by you in part
  satisfaction of such losses, claims, liabilities and expenses and that this guarantee shall stand good in
  respect of the balance, and that we shall have no right to be subrogated to you until you have received
  payment in full of your claim against the Contractor.
  We further agree that this guarantee shall not be affected by amalgamation, reconstruction, change of
  name or status in the Contractor.

  And we further agree that we shall not be discharged or released from this guarantee by any arrangement
  made between you and the Contractor or by any alteration in the obligation imposed upon the Contractor
  by the Contract or by any forbearance granted by you to the Contractor as the payment, time,
  performance or otherwise or by any other matter or thing which but for this provision might exonerate us
  and this notwithstanding that such arrangement, alteration, forbearance, matter or other thing may have
  been made, granted or happen without our knowledge or consent.

  Dated this __________________day of _________________________199 ____.

  Signature of Guarantor ___________________________________________________

  Address        ___________________________________________________________

  Witness ________________________________________________________________

  Address ________________________________________________________________




D:\Docstoc\Working\pdf\9cf5cfaa-7b58-405a-8736-07d8574adcc1.xls                         parent company guarantee

				
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