You are on page 1of 12

APPENDIX F

PRE-TENDER QUESTIONNAIRE

(There are two standard Pre-tender Questionnaires. The attached is the
shorter version. The Legal Department would be happy to advise which is
most suitable)

C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc


SOUTH YORKSHIRE PASSENGER TRANSPORT EXECUTIVE



APPLICATION FOR INCLUSION ON
THE APPROVED LIST OF TENDERERS
FOR THE PROVISION OF [ ]












[SHORTENED]

CONTRACT QUESTIONNAIRE

C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc



GUIDANCE NOTES

The information disclosed in this form will be used in the selection of
tenderers. However, any invitation to tender based on this questionnaire does
not imply any representation by the Executive as to your financial stability,
technical competence or ability in any way to carry out the services. The right
to return to these matters as part of the formal tender evaluation process is
hereby reserved to the Executive.

Please note that whenever used in this questionnaire, the term firm refers
to a sole practitioner, partnership, incorporated company, co-operative,
charity or analogous entities operating outside the UK as appropriate, and
the term officer refers to any director, company secretary, partner,
associate, trustee or other person occupying a position of authority or
responsibility within the firm.

Unless instructed otherwise when answering the questions, please give
details which specifically relate to your firm, not to the whole of the group if
your firm forms part of a group.

Please return the questionnaire as soon as possible together with any
supporting documents.

Firms not currently registered in the UK should attempt to answer all of the
following questions as far as they are able to do so, substituting the
equivalent legislation and/or regulations applicable in their domestic
jurisdiction.

Where necessary, please feel free to use additional sheets in order to
provide full answers to any of the questions. Please ensure that any
additional sheets are clearly marked with the appropriate question number
and that all sheets are signed.







C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc


A. GENERAL INFORMATION

FIRM DETAILS




A1. Firm making the application






A2. Address to which
correspondence is to be sent









A3. Registered office address











A4. Person applying on behalf of
the firm











A5. Position in firm











A6. Telephone and fax numbers






A7. Are you a sole principal,
partnership, private limited
company, public limited
company, charity or other
(please specify)?




C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc

A8. Have any of the firms officers
been made bankrupt or
involved in any firm which has
been liquidated or gone into
receivership (If so, please give
details)?


PROFESSIONAL CONDUCT

A9. Has the firm or any staff within
the firm who would be
performing this work
committed a criminal offence
relating to the conduct of your
business or profession?


A10. If yes to A9, please give details on a separate sheet

ENCLOSED
Tick if enclosed

EQUAL OPPORTUNITIES

A11. Do you comply with the Sex Discrimination Act 1975 and the Equal
Pay Act 1975?

YES NO

A12. Do you undertake to comply with the Disability Discrimination Act
1995?

YES NO

A13. Is it your policy as an employer to comply with your statutory
obligations under the Race Relations Act 1976 (and any following
enactment) and accordingly, your practice not to treat one group of
peoples less favourable than others because of their colour, race,
nationality or ethnic origin when deciding to recruit, train or promote
employees?

YES NO

A14. In the last three years, has any finding of unlawful racial discrimination
been made against your firm by any court or industrial tribunal?

YES NO

A15. In the last three years, has your organisation been the subject of
formal investigations by the Commission for Racial Equality on the
grounds of alleged unlawful discrimination?

YES NO

C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc

If the answer to question A14 is yes or, in relation to question A15 if the
Commission made a finding adverse to your organisation

A16. What steps did you take as a
consequence of that finding?





A17. Do you observe as far as possible the Commission for Racial
Equalitys Code Of Practice for Employment, as approved by
Parliament in 1983, which gives practical guidance to employers and
others on the elimination of racial discrimination and the promotion of
equality of opportunity in employment, including the steps that can be
taken to encourage members of the ethnic minorities to apply for jobs
or take up training opportunities? (If so please enclose evidence.)


YES NO



ENCLOSED

Tick of enclosed


B. TECHNICAL CAPABILITY AND REFERENCES

B1. Has your firm suffered a deduction for liquidated and ascertained
damages in respect of any contract within the last 3 years?

YES NO

B2. Has your firm ever had a contract terminated or your employment
determined under the terms of a contract?

YES NO

B3. Has your firm ever not had a contract renewed for failure to perform to
the terms of a contract?

YES NO

If the answer to any of questions B2-B3 above is yes, please enclose details.

ENCLOSED
Tick if enclosed

B4. State below the appropriate number of staff in your firm engaged in
the type of work for which you are applying.

Type of Staff Number

C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc


B5.

Enclose a brief CV for each officer who will have responsibility for the
performance of work for the Executive, indicating minimum
qualifications and experience.

ENCLOSED
Tick if enclosed


C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F - V1.doc

ABILITY AND EXPERIENCE OF SIMILAR WORK
B6. Please list below the full names, addresses and other details of organisations for which your firm has carried
out similar work within the last three years. Only include non-public sector work where no public sector work
has been undertaken. The information given should cover the whole range of work for which your firm wishes
to be considered.

Name and
address of
organisation
Contact
name
Tender
Price()
Price Basis Value to Date
()
Nature of Work Date of Contract
1.


2.


3.


4.


5.


6.


7.


8.


9.


10.
NB: You may use additional sheets if necessary, but please mark clearly Questions B6.)

C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc


HEALTH AND SAFETY

B7. Give the names of the officer
or other persons responsible
for the implementation of your
firms safety policy



B8. Please enclose a copy of the firms health and safety Policy and
arrangements or other declaration or information/instruction issued by
your firm as necessary to protect health and safety and prevent risks
at work.

ENCLOSE

Tick if enclosed



B9. Has your firm during the last
three years, been prosecuted
for contravention of the Health
and Safety at Work Act 1974?
Has your firm been the subject
of a formal investigation by the
Health and Safety Executive,
or similar national body
charged with supervision of
health and safety standards?
(If so, please give full details.)



ENCLOSED

Tick if enclosed



B10. How are your health and safety
policies and procedures
communicated to your staff,
and administered within your
firm? (please supply details.)





ENCLOSED

Tick if enclosed


C. FINANCIAL STANDING


C1. What is the name of the
person in the firm responsible
for financial matters; what
position does he/she hold?


C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc


BANKERS

C2. What is the name and address
of your principal banker?





C3. Please enclose a letter on your headed notepaper, signed by an
authorised signatory, authorising the Executive to seek a financial
reference from your principal banker.


ENCLOSED

Tick if enclosed


ACCOUNTS

C4. Please enclose copies of accounts (audited if relevant) and annual
reports for the last 3 years, to include:

Balance Sheet
Profit and Loss Account and Cost of Sales
Full Notes to the Accounts
Directors Report/Managing Partners Report
Auditors Report

ENCLOSED

Tick if enclosed



C5. If the accounts you are submitting are for a year ended more than 10
months ago, can you confirm that the firm as described in those
accounts is still trading?

YES NO

C6. Please give details of any outstanding claims or litigation against the
firm on a separate sheet.

TAXATION

C7. VAT Registration Number







C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc
INSURANCE

C8. Please give details of insurance as indicated below, supply in each
case a copy of the policy held by you in relation to that insurance

(a) Employers Liability Insurance held.

Insurer
Policy Number
Extent of cover
Expiry Date


(b) Public Liability (Third Party) Insurance held

Insurer
Policy Number
Extent of cover
Expiry Date



(c) Professional Indemnity Insurance held

Insurer
Policy Number
Extent of cover
Expiry Date








C9. Please enclose full details of any claims in excess of 50,000 made
under your firms professional indemnity policy within the last 3 years.



ENCLOSED

Tick if enclosed

WHEN YOU HAVE COMPLETED THE QUESTIONNAIRE
PLEASE READ AND SIGN THE SECTION BELOW


C:\Documents and Settings\melaniea\Local Settings\Temporary Internet Files\OLK584\Appendix F -
V1.doc
I/We certify that the information supplied is accurate to the best of my/our
knowledge and that I/we accept the conditions and undertakings requested in
the questionnaire. I/We understand that false information could result in
my/our exclusion from the tendering exercise.

I/We also understand that it is a criminal offence, punishable by imprisonment,
to give or offer any gift or consideration whatsoever as an inducement or
reward to any servant of a public body and that any such action will empower
the Executive to cancel any contract currently in force and will result in my/our
exclusion from the tendering exercise.


Signed



for and on behalf of .. Date

Please note, the term firm refers to: sole practitioner, partnership,
incorporated company, charity, co-operative as appropriate. The undertaking
should be signed by the applicant, a partner or authorised representative in
her/his own name and on behalf of the firm.

Before returning this application form, please ensure that you have:

Answered all questions appropriate to your application

Enclosed all relevant documents

Signed the above undertaking.

You might also like