SELECT LIST OF CONTRACTORS / CONSULTANTS APPLICATION FORM · SELECT LIST OF CONTRACTORS /...

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NPT Homes Ltd. - Confidential Page 1 SELECT LIST OF CONTRACTORS / CONSULTANTS APPLICATION FORM

Transcript of SELECT LIST OF CONTRACTORS / CONSULTANTS APPLICATION FORM · SELECT LIST OF CONTRACTORS /...

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NPT Homes Ltd. - Confidential Page 1

SELECT LIST OF CONTRACTORS /

CONSULTANTS APPLICATION FORM

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TABLE OF CONTENTS

Application Return Information Page 3

SECTION 1 – Terms of Reference Page 4

SECTION 2 – Questionnaire Page 5 – 35

Data Protection Act Page 36

Declaration Page 37

All Applicants must be aware that inclusion onto the Select List does not

imply or guarantee any volume of work nor does it guarantee a minimum or

maximum number of invitations to Tender

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APPLICATION RETURN INFORMATION

NPT Homes Ltd. invites you to submit an application form for inclusion on a Select list of

Contractors/Consultants. For your guidance, instructions for submission of your application

are detailed below:

1. Select List applications must be returned in a sealed envelope (bearing no name or

other distinguishing mark revealing the identity of the sender) clearly marked

“Select List Application Form” and addressed to:-

Procurement Manager

NPT Homes Ltd.

Tŷ Gwyn

Brunel Way

Baglan Energy Park

Neath

SA11 2FP

2. Applicants are required to submit one hard copy plus one digital version in MS

Word.

3. The Application Package is comprised of:

Section 1 – Terms of Reference

Section 2 – Questionnaire

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SECTION 1 – TERMS OF REFERENCE

INTRODUCTION

Applications are invited from suitably experienced contractors who would like to be

included on a Select list of Contractors/Consultants to be used by NPT Homes Ltd. for all

building and construction works within designated categories as specified in the

Questionnaire document.

Only those contractors who can demonstrate a detailed knowledge as a main contractor for

these types of works, who have successfully completed schemes/works of a similar nature

and have the relevant qualifications and expertise should apply.

Contractors must have completed a Health & Safety pre-qualification assessment by a

Registered Member of the SSIP (Safety Schemes in Procurement) Forum. Contractors must

provide their consent for NPT Homes Ltd. to conduct financial checks through the use of

CreditSafe, and all Applicants must have a CreditSafe Score higher than the clearly defined

Thresholds set by NPT Homes Ltd.

TIMESCALE

The anticipated timescale for appointment to the Select List is as follows:

1. Select List appointed January 2014

2. Duration 5 Years

FURTHER INFORMATION

Should applicants require clarification of any details enclosed in this document, requests

must be made in writing to:

Andrew Thomas

Procurement Manager

[email protected]

Or

Tom Davies

Procurement & Purchasing Assistant

[email protected]

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SECTION 2 – QUESTIONNAIRE

SECTION DESCRIPTION

A Information Only

A.1 Minimum Requirements

A.2 Instructions and Guidance Notes for Completion

A.3 General Terms & Conditions

A.4 How are Tenders issued?

A.5 Reasons for Suspension or Exclusion

B Questionnaire – To be completed

B.1 Mandatory Exclusions

B.2 Works Categories

B.3 Company Information

B.4 Targeted Recruitment & Training

B.5 Financial Criteria

B.6 Equal Opportunities

B.7 Technical Capacity and Resources

B.8 Previous Contract Experience

B.9 Health and Safety – SSIP

B.10 Environmental and Quality Management

B.11 Data Protection Act

B.12 Declaration

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A.1 - MINIMUM REQUIREMENTS

It must be understood that failure to meet these minimum requirements will result in

your application being rejected.

The following questions are those that have been marked as ‘Pass/Fail’. You are not

required to complete the questions at this point. They are described here for information

purposes only.

Section B.4 – Targeted Recruitment & Training Question 1 (If the Applicant selects Yes that

is a Pass, if the Applicant selects No then that is a Fail):

“Do you confirm that your organisation is will to participate in the Targeted

Recruitment & Training? “

Yes ☐ No ☐

Section B.4 – Targeted Recruitment & Training Question 2 (If the Applicant selects Yes that

is a Pass, if the Applicant selects No then that is a Fail):

“Do you confirm that your organisation is will to participate in the community

Benefits Scheme?”

Yes ☐ No ☐

The purpose of this section is to make Applicants aware that specific questions in this

application form have been set as ‘Pass/Fail’ and have been agreed by NPT Homes Ltd as

minimum standards for Applicants to meet in order for their application to be approved.

These questions will be clearly marked as “PASS/FAIL QUESTION”

These questions will be clearly marked as “PASS/FAIL QUESTION”

These questions will be clearly marked as “PASS/FAIL QUESTION”

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Section B.5 – Financial Criteria Question 1a (If the Applicant selects Yes that is a Pass, if

the Applicant selects No then that is a Fail): Answers will be checked as part of the

applicant’s Assessment.

“As mentioned in Section 1 – Terms of Reference, NPT Homes Ltd. wishes to conduct

financial checks on the Applicant through the use of CreditSafe. (Failure to provide

consent will result in your application being rejected.)

Does your company give consent for NPT Homes Ltd. to use CreditSafe to conduct

financial checks when necessary? “

Yes ☐ No ☐

Section B.5 – Financial Criteria Question 1b (If the Applicant scores higher than the

appropriate Threshold then that is a Pass, if the Applicant scores lower than the

appropriate Threshold then that is a Fail):

“In order for Applicants to successfully Pass this question and gain inclusion on the

Select List they must have a CreditSafe rating higher than the designated Threshold’s

as detailed below:“

For Limited Companies – 40

For non-Limited Companies – Bank Reference

For Sole Traders – Bank Reference

Section B.5 – Financial Criteria Question 3 (If the Applicant has £10 million Employers

Liability cover that is a Pass, if the Applicant has less than £10 million cover then that is a

Fail):

“Employers Liability Insurance (Minimum £10 million cover. Copy of policy to be

provided)”

Limit of Cover Name of Insurer Renewal Date

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Section B.5 – Financial Criteria Question 4 (If the Applicant has £5 million Public Liability

Insurance cover that is a Pass, if the Applicant has less than £5 million cover then that is a

Fail):

“Public Liability Insurance (Minimum £5 million cover. Copy of policy to be

provided)”

Limit of Cover Name of Insurer Renewal Date

Section B.8 - Previous Relevant Contract Experience

The contractor/consultant will be asked to provide references from three relevant

completed projects. Referees must be provided by the Company applying for entry on to the

select list and returned as part of this form. Applicants must be aware that information

provided in this section may have a direct impact on whether your Company is invited to

Tender. . Responsibility to provide references sits with the Applicant and failure to provide

references will result in a “Fail”.

Section B.9 – Health and Safety Question 1 (If the Applicant selects Yes that is a Pass, if the

Applicant selects No then that is a Fail):

“Have you completed a national H&S assessment process, demonstrating

competence in Stage 1 Health & Safety management systems using the benchmark

standard (CDM 2007 core criteria stage 1 or the Health & Safety Module of PAS91)

through a full Registered Member of the SSIP Forum? “

Yes ☐ No ☐

Section B.10 – Environmental and Quality Management Question 1 (If the Applicant

selects Yes that is a Pass, if the Applicant selects No then that is a Fail):

“Does your Company have an Environmental Policy?”

Yes ☐ No ☐

If Yes, please return a copy with your application.

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Section B.10 – Environmental and Quality Management Question 4 (If the Applicant

selects Yes that is a Pass, if the Applicant selects No then that is a Fail):

“Does your Company have a Quality Management Policy?”

Yes ☐ No ☐

If Yes, please return a copy with your application.

Section B.11 - Data Protection Act

Failure to agree to the requirements that must be satisfied under the Data Protection Act

1998 will result in your application being rejected.

☐ *I/We agree to meet the above requirements that must be satisfied under the

Data Protection Act (1998).

Section A.3 - General Terms & Conditions

Failure to agree to NPT Homes Ltd. terms and conditions will result in your application

being rejected.

☐ * I/We agree to NPT Homes Ltd. terms and conditions

If you feel that your Company cannot meet the minimum requirements set above then

NPT Homes Ltd. advises you to suspend your application at this point and seek the

necessary action it will take in order for your Company to pass the minimum

requirements.

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A.2 - INSTRUCTIONS AND GUIDANCE NOTES FOR COMPLETION

1. The questions which follow are designed to give NPT Homes Ltd. all the information needed

to assess your organisation’s capability to carry out any potential tenders that you may or

may not be invited to Tender.

2. All questions should be answered in the spaces provided. DO NOT alter the layout of the

form in any way or print/write details outside the boxes provided. All writing must be clear

and legible.

3. Only where it is specifically requested should documents be enclosed and returned with the

Questionnaire. CV’s, Company Profiles, Letters or any other supplementary materials etc.

should not be returned with the application documentation.

4. The completion and return of this Questionnaire qualifies contractors and suppliers for

consideration for inclusion on NPT Homes Ltd. Select list of Contractors/Consultants . No

other form of application will be considered.

5. All questions are to be answered in English with monetary values given in pounds sterling (£)

excluding VAT.

6. The completed Questionnaire of companies admitted to the Select list of

Contractors/Consultants may be incorporated into the Form of Agreement for any possible

awarded Contract arising. If any information submitted in the Questionnaire changes then

NPT Homes Ltd. must be informed immediately. Failure to do so may result in your company

being suspended or removed from the Select List, or termination of any contract that has

been granted.

7. NPT Homes Ltd. reserves the right to contact organisations’ technical referees. Referees

should be informed in advance so as not to cause delay and, should references be either not

returned or do not provide comfort of an organisation’s technical abilities then it will result

in the Application not being considered further.

8. Please read all the notes in this application form. If you have any questions or need help

filling in the form, please contact the officers mentioned previously.

9. Please ensure that you complete the Declaration at the end of this document before

returning the form and any enclosures.

10. The provision of false or misrepresented information will result in your application being

rejected.

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A.3 - GENERAL TERMS & CONDITIONS

1. The information disclosed in this Questionnaire will be used in an evaluation of

your company’s suitability to be included on NPT Homes Ltd Select list of

Contractors/Consultants . Inclusion onto the Select List does not imply or

guarantee any volume of work nor does it guarantee a minimum or maximum

number of invitations to tender.

2. Companies responding to this Questionnaire are asked to provide the

information requested in as much detail as possible in order to enable NPT

Homes Ltd. to assess the technical ability and capacity of organisations

expressing an interest in working for NPT Homes Ltd.

3. NPT Homes Ltd. reserves the right to request applicants to clarify their

submissions in writing. Any such request shall be made in writing to the

applicant.

4. NPT Homes Ltd. reserves the right to reject or suspend any applicant who is

found to be guilty of a serious misrepresentation in supplying any information

requested.

5. Unless instructed otherwise when answering the questions, please give details

that specifically relate to your Company, not to the whole of the group if your

company forms part of a Group structure.

6. Please note that NPT Homes Ltd. will not be responsible for Applicants’ costs

relating to expenses incurred in preparation and submission of the application.

7. Successful applicants should note that, for any contracts awarded, a post-

completion evaluation is carried out including contractor performance and

unsatisfactory performance may lead to a suspension or in some cases may lead

to removal from the Select list of Contractors/Consultants.

PASS/FAIL QUESTION

☐ * I/We agree to NPT Homes Ltd. terms and conditions

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A.4 - HOW ARE TENDERS ISSUED?

Invitations to Tender (below OJEU Thresholds) shall only be sent to Companies that are

included on NPT Homes Ltd. Select list of Contractors/Consultants.

A minimum number of six companies will be invited to Tender for each contract.

If NPT Homes Ltd. feels that a more competitive bid will result, the number of Companies to

be invited to Tender may exceed the number prescribed above.

Companies will be invited to Tender in alphabetical order in relation to the Works Category

that the Contract deems to satisfy, with the three lowest (priced) tenderers from the

previous contract awarded within the Works Category automatically receiving an invitation

to Tender.

NPT Homes Ltd. reserves the right to exclude a contractor from an invitation to Tender if

they fail to meet the minimum requirements as described in ‘Reasons for

Suspension/Exclusion’ on page 13.

Inclusion onto the Select List does not imply or guarantee any volume of work nor does it

guarantee a minimum or maximum number of invitations to Tender.

The purpose of this section is to provide Applicants with information on how NPT Homes

Ltd. conducts its procurement process for issuing Tenders.

The guidance below is for information purposes only.

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A.5 - REASONS FOR SUSPENSION/ EXCLUSION

1. Unsatisfactory work or performance on a contract for NPT Homes Ltd. within the last

5 years.

2. Unsatisfactory work or performance on a contract for any other company.

3. No previous experience in the category of work applied for.

4. Habitually submits excessive claims.

5. Declined invitations, or did not submit a tender on the last three occasions within

the previous 12 months.

6. Inadequate plant resources.

7. Likely to cause additional cost to NPT Homes Ltd. in supervision of contracts because

of inadequate arrangements from Head Office or Site Management.

8. Disregard for the Conditions of Contract or instructions given by, or on behalf of, the

acting Supervisor.

NPT Homes Ltd. reserves the right to suspend or exclude a contractor from the Select List

if they fail to meet minimum requirements. Reasons for possible suspension or exclusions

are listed below.

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B.1 – MANDATORY EXCLUSION

PASS/FAIL QUESTION

If an organisation that is a company:

has had a winding-up order

has gone into administration or is the subject of related legal proceedings

has failed to meet its tax or social security obligations

has court actions or industrial tribunal hearings outstanding against it

If any of the Directors, Partners, Associates or the Company Secretary

has been involved in any organisation that has been liquidated or gone into receivership

has been convicted of a criminal offence relating to conspiracy, corruption, bribery, fraud, theft and/or money laundering or to the conduct of their business or profession

has committed an act of grave misconduct in the course of their business or profession.

If the tenderer is an individual and

is bankrupt or has been declared insolvent or has had a receiving order or administration order made against them.

Do you confirm that your organisation to the best of your knowledge is not liable to

exclusion from tendering on any of the grounds listed above?

Yes ☐ No ☐

If “No”, please give details below:

Regulation 23 of the Public Contracts Regulations 2006 enables contracting authorities to

exclude and disqualify economic operators (suppliers, contractors and services providers)

from tendering in the following circumstances:

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B.2 – WORK CATEGORIES

1. Building Construction - General Building, Repair & Refurbishment Works

a) £0 - £50k ☐

b) £50k - £250k ☐

c) £250k - £500k ☐

2. Painting & Decoration ☐

3. Re-roofing < £50k

a) Felt & Asphalt ☐

b) Tiles & Slates ☐

c) GRP ☐

d) High Performance Coverings ☐

e) Sheeting & Cladding ☐

4. Re-roofing > £50k

a) Felt & Asphalt ☐

b) Tiles & Slates ☐

c) GRP ☐

d) High Performance Coverings ☐

e) Sheeting & Cladding ☐

5. Doors

a) GRP Composite Doors (inc Fire Doors (FD30)) ☐

b) Security (inc Composite, Aluminium, Steel) ☐

6. Building Finishes

a) External Wall Insulation ☐

b) Cavity Wall Insulation ☐

c) Wall Tie Replacement ☐

Categories of work for which your Company seeks inclusion on the Select List of

Contractors/Consultants

Please Cross appropriate boxes for the categories that you wish to be included in.

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7. Electrical

a) Domestic Electrical Installation ☐

b) Fire Alarm/ Detectors ☐

c) Door Entry Systems ☐

8. Civil Engineering (inc Drainage & Tarmac) < £50k ☐

9. Demolition ☐

10. Fencing

a) Works < £25k ☐

b) Works £25k - £50k ☐

c) Works > £50k ☐

11. Asbestos Removal ☐

12. Steelwork/ Welding (inc gates, handrails, balconies) < £25k ☐

13. Cleaning

a) Building Cleaning ☐

b) Void Clearance ☐

14. Consultancy

a) Architectural and Design Services ☐

b) Structural & Building Surveys and Design ☐

c) Mechanical Design Services ☐

d) Electrical Design Services ☐

e) Cost Consultancy Services ☐

f) Engineering Design Services ☐

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B.3 – COMPANY INFORMATION

1. Please provide the name, address, telephone number and email of the Company for

which this application is made. This is the name and address which will be used on

the List of Contractors/Consultants and, when the company is invited to tender, to

where enquires and tender documents etc. will be sent.

Company Name

Address

Registered Address

Telephone No.

Fax No.

Contact Name

Contact E-mail

Job Title

The details provided below must be of the Company or Division which will have direct

responsibility for carrying out the Contract i.e. NOT the Parent or Holding Company.

If any of this information changes after you have sent us your application you must let us

know immediately.

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2. Is a principal Proprietor of your business related to an employee or Board Member

of NPT Homes Ltd. or a person who has been employed or has been a Board

Member of NPT Homes Ltd. within the last 12 months? Details of Board Members

can be found on the www.npthomes.co.uk.

Yes ☐ No ☐

If Yes, please state their name and job title here.

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B.4 - TARGETED RECRUITMENT & TRAINING

Targeted Recruitment & Training Requirements Skills & Training Opportunities

NPT Homes believes that all work related tenders it awards is an opportunity to help meet the aspirations of the Welsh Government and NPT Homes in terms of improving employment and training opportunities through apprenticeships and other training opportunities. Additionally, NPT Homes is committed to ensuring that the local communities it serves

benefit both socially and economically from the Association’s significant investment

programme, to both improve and maintain its properties to the Welsh Housing Quality

Standard.

To maximise training opportunities, NPT Homes requires all of our delivery partners to

provide training and employment opportunities, as appropriate, to the work being

undertaken. Specific requirements will be included within individual tenders or requests for

quotations that will form part of the tender process and be monitored for implementation

during the delivery of the works.

Contractors who are selected for inclusion on the NPT Homes Select List of

Contractors/Consultants will, when undertaking work for the Association, be expected to

provide placement opportunities for apprentices employed by South West Wales Regional

Shared Apprenticeship Ltd; a company that NPT Homes is firmly committed to supporting.

Where appropriate, Contractors/Consultants will be obliged to provide a minimum of 2.5 days of Shared Apprentice placements or other training opportunities for every £10k of contract spend. NPT Homes will monitor, in conjunction with South West Wales Regional Shared

Apprenticeship Ltd, the number of shared apprenticeship placement training days provided.

The adoption of ‘community benefits’ is one of the 9 principles of the Wales Procurement

Policy Statement. Community Benefits policy recognises public procurement as a major

lever to change the way business is done in Wales, using Welsh Government expenditure

to stimulate growth and maximising the creation and retention of jobs in Wales.

NPT Homes Ltd. is committed to applying the community benefit approach to deliver

positive outcomes from all contracts where such benefits can be realised.

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Where appropriate and included within tender documentation, a training bond of 1% of the

contract value will be withheld until confirmation that the required number of apprentice

training days, specifically for the contract work being undertaken, has been provided.

Shared Apprenticeship Scheme Contact Details

South West Wales Regional Shared Apprenticeships Ltd

Scheme Manager – Anthony Rees

Email: [email protected]

NPT Homes Contact: Gareth John

Tel: 01639 505948

Email: [email protected]

Website www.swwrsa.co.uk

1. PASS/FAIL QUESTION

Do you confirm that your organisation is willing to participate in the Targeted

Recruitment & Training Shared Apprentice Scheme?

Yes ☐ No ☐

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Community Benefits

The adoption of ‘community benefits’ is one of the 9 principles of the Wales Procurement

Policy Statement. Community Benefits policy recognises public procurement as a major

lever to change the way business is done in Wales, using Welsh Government expenditure to

stimulate growth and maximising the creation and retention of jobs in Wales.

NPT Homes Ltd is committed to contributing to social, economic and environmental well-

being of the wider community. All contractors/Consultants will be expected to include a

Community Benefits Policy that includes consideration for opportunities to recruit and train

economically inactive persons as part of the workforce delivering projects, as well as other

Community Benefits initiatives that NPT Homes ltd specifies in future contract

documentation.

NPT Homes Ltd does not expect the applicant to provide a Community Benefits Policy with

your application, however all applicants must be mindful that a Community Benefits Policy

will be required and assessed as part of any future contracts to be advertised and awarded.

2. PASS/FAIL QUESTION

Do you confirm that your organisation is willing to participate in the Community Benefits

Scheme?

Yes ☐ No ☐

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B.5 – FINANCIAL CRITERIA

1. PASS/FAIL QUESTION

a) As mentioned in Section 1 – Terms of Reference, NPT Homes Ltd. wishes to

conduct financial checks on the Applicant through the use of CreditSafe. (Failure to

provide consent will result in your application being rejected.)

Does your company give consent for NPT Homes Ltd. to use CreditSafe to conduct

financial checks when necessary?

Yes ☐ No ☐

b) In order for Applicants to successfully Pass this question and gain inclusion on the

Select List they must have a CreditSafe rating higher than the designated Threshold’s

as detailed below:

For Limited Companies – 40

For non-Limited Companies – 20

(NPT Homes Ltd. reserves the right to obtain Bank References to assist the

evaluation process.)

For Sole Traders – 20

(NPT Homes Ltd. reserves the right to obtain Bank References to assist the

evaluation process.)

2. Please detail your VAT Registration number (if registered)

Data Protection Act

Due to the change in the above act it has become necessary to inform you that Financial

Checks may be carried out on your Company and its Directors.

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3. PASS/FAIL QUESTION

Employers Liability Insurance

(Minimum £10 million cover. Copy of policy to be provided)

Limit of Cover Name of Insurer Renewal Date

4. PASS/FAIL QUESTION

Public Liability Insurance

(Minimum £5 million cover. Copy of policy to be provided)

Limit of Cover Name of Insurer Renewal Date

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B.6 – EQUAL OPPORTUNITIES

1. Is it your policy as an employer to comply with the statutory obligations under the

Race Relations Act 1976 (as amended)?

Yes ☐ No ☐

2. Accordingly, is it your practice not to discriminate directly or indirectly on grounds of

colour, race, nationality, or ethnic or national origin in relation to decisions to

recruit, select, train and promote employees?

Yes ☐ No ☐

3. In the last three years, has any finding of unlawful racial discrimination been made

against your organisation by any Court or Industrial Tribunal?

Yes ☐ No ☐

If Yes, please provide details of each occasion (on a separate piece of paper)

4. In the last three years, has your company been the subject of formal investigation by

the Commission for Racial Equality or a comparable body on the grounds of alleged

unlawful discrimination in the employment field?

Yes ☐ No ☐

If Yes, please provide details of each occasion (on a separate piece of paper)

5. In the last three years, has any finding of unlawful disability, equal pay or sex

discrimination in the employment field been made against your organisation by the

Employment Tribunal, the Employment Appeal Tribunal or any court or in

comparable proceedings in any other jurisdiction?

Yes ☐ No ☐

If Yes, please provide details of each occasion (on a separate piece of paper)

Non-UK based companies should attempt to answer each of the following questions,

submitting where relevant the appropriate legislation/codes of practice etc. which are

applicable within their domestic jurisdiction.

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6. Do you observe as far as possible the Commission for Racial Equality’s Code of

Practice for Employment, as approved by Parliament in 1983, or an equivalent code

or statutory guidance issued under equivalent legislation in another Member State,

which gives practical guidance to employers and others on the elimination of racial

discrimination and the promotion of equality of opportunity in employment,

including monitoring of workforce matters and steps that can be taken to encourage

members of the ethnic minorities to apply for jobs or take up training opportunities?

Yes ☐ No ☐

Please submit a copy of your Equal Opportunity Policy

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1. Staffing Details

Please complete the table below:

Type of Staff (Role)

No. of Staff Year Ended: 2010

No. of Staff Year Ended: 2011

No. of Staff Year Ended: 2012

2. Sub-contracting

Please state the trades/works your company would normally let to subcontractors.

Trade/ Type of Work

B.7 – TECHNICAL CAPACITY & RESOURCES

We will use the information in this section to assess the capability of your organisation to

fulfil a contract.

Applicants must be aware that information provided in this section may have a direct

impact on whether your Company is invited to Tender.

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3. Please enter details of any relevant (relating to Works Categories selected)

registered bodies that your Company holds current membership of in the table

below:

Registered Bodies Registration No. Date of Registration

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SECTION B.8 – PREVIOUS RELEVANT CONTRACT EXPERIENCE

1. Previous Relevant Contract Experience

Please list details of one relevant completed project carried out by the organisation in

the last 3 years in the following categories:

Project carried out within Neath Port Talbot County Borough.

Project carried out within a 30 mile radius of NPT Homes Ltd.

Project carried out in another area.

(If your company has only worked in the Neath Port Talbot area please provide 3

projects within that area)

Project 1 – Project carried out within Neath Port Talbot County Borough

Project Name

Client Name

Client Address

Client Contact

Client E-mail

Description of Project Elements

Completion Date Final Construction Cost

Please attach a photograph or printed image of the completed project described.

Clients identified in this section may be used as Referees to assess your suitability to

undertake future works. Therefore, the referees should be contacted and agree to

providing a reference prior to this questionnaire being submitted.

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Project 2 – Project carried out within a 30 mile radius of NPT Homes Ltd.

Project Name

Client Name

Client Address

Client Contact

Client E-mail

Description of Project Elements

Completion Date Final Construction Cost

Please attach a photograph or printed image of the completed project described.

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Project 3 – Project carried out in another area

Please do not attach project profiles. Details must be inserted in the spaces provided

below with one image of the project attached.

Project Name

Client Name

Client Address

Client Contact

Client E-mail

Description of Project Elements

Completion Date Final Construction Cost

Please attach a photograph or printed image of the completed project described.

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2. Please list details of 5 completed projects carried out by your organisation in the last

3 years in the table provided below.

Clients identified in this section may be used as Referees to assess your suitability to

undertake any future works. NPT Homes reserves the right to contact any number of

references supplied. Applicants must be aware that information provided in this

section may have a direct impact on whether your Company is invited to Tender.

Name & Address of Client Description/ Name of Contract

Length of Contract

Contract Value

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3. Building Contractors Only

Have you had experience working within JCT, NEC and PPC 2000 Standard Form of

Contracts?

Yes ☐ No ☐ N/A ☐

4. Civil Engineering Only

Have you had experience working within ICE Standard Form of Contract?

Yes ☐ No ☐ N/A ☐

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B.9 – HEALTH AND SAFETY

1. PASS/FAIL QUESTION

As mentioned in Section 1 – Terms of Reference, NPT Homes Ltd. require

Contractors to have completed a Health &Safety pre-qualification assessment by an

accredited member of the SSIP (Safety Schemes in Procurement) Forum.

This is a minimum standard; failure to meet this requirement will result in your

application being rejected.

Have you completed a national H&S assessment process, demonstrating

competence in Stage 1 Health & Safety management systems using the benchmark

standard (CDM 2007 core criteria stage 1 or the Health & Safety Module of PAS91)

through a full Registered Member of the SSIP Forum?

Yes ☐ No ☐

If Yes, please provide your SSIP Registration Number in the box below.

If Yes, what member did you complete the assessment with?

Please provide a copy of the certificate.

This section is concerned with obtaining information on your Organisations commitment

to Health and Safety.

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B.10 – ENVIRONMENTAL AND QUALITY MANAGEMENT

Environment

1. PASS/FAIL QUESTION

Does your Company have an Environmental Policy?

Yes ☐ No ☐

If Yes, please return a copy with your application.

2. Are you currently operating an Environmental Management System such as

ISO14001, EMAS or BS855?

Yes ☐ No ☐

If Yes, please provide a copy of the System’s scope and certificate.

If No, please provide details of any other Environmental Management System or

Procedures you may have.

3. Has there been any criminal/civil action against your organisation in respect of

environment in the last 5 years?

Yes ☐ No ☐

If Yes, please provide details on an additional document with your application.

This section will be assessed on whether or not a Management System is in place. NPT

Homes Ltd. is committed to improving our effect on the environment by using the most

appropriate materials, practices and technologies available. To achieve this aim, we wish

to work with like-minded organisations who can demonstrate a similar commitment.

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Quality Management

4. PASS/FAIL QUESTION

Does your Company have a Quality Management Policy?

Yes ☐ No ☐

If Yes, please return a copy with your application.

5. Are you currently operating a Quality Management System such as BS EN ISO9001?

Yes ☐ No ☐

If Yes, please provide a copy of the System’s scope and certificate.

If No, please provide details of any other Quality Management System’s or

Procedures you may have.

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B.11 - DATA PROTECTION ACT

(i) Where ‘the contractor’ receives any personal data, as defined by the Data

Protection Act 1998 (the Act) from NPT Homes Ltd, it shall ensure that it fully

complies with the provisions of the Act and only deals with the data to fulfill

its obligations under the contract.

(ii) The contractor shall indemnify NPT Homes Ltd, for any breach of the Act

which renders NPT Homes Ltd, liable for any costs, claims or expenses.

(iii) In fulfillment of its obligations under the Act the Contractor shall have

systems in place to ensure:

a) Full compliance with the Act.

b) In particular, compliance with the Seventh Data Protection Principle which

deals with the security of personal data.

c) The reliability of all its employees who may be involved in processing the

personal data.

(iv) The Contractor shall take all reasonable steps to ensure that all its partners,

contractors and agents comply with this clause where they are processing

any personal data on behalf of NPT Homes Ltd.

(v) The Contractor shall allow NPT Homes Ltd, reasonable access to such

information as is necessary to ensure that it is complying with the above

provisions and the Act as a whole.

PASS/FAIL QUESTION

☐ *I/We agree to meet the above requirements that must be satisfied under the

Data Protection Act (1998).

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B.12 - QUESTIONNAIRE DECLARATION

I/We certify that as far as I/We know, the information supplied within this

questionnaire is accurate. I/We understand that if I/We give false information

I/We would not be considered for inclusion on NPT Homes Ltd. Select list of

Contractors/Consultants.

Signed:

Name:

Position:

For and on behalf of:

Date:

Telephone number:

E-mail address: