SUBCONTRACTOR EVALUATION QUESTIONAIRE

Please enter the following information concerning your Company in the relevant sections below. Please return by post or email as soon as possible marking for the attention of THE RECRUITMENT MANAGER. Your prompt co-operation is appreciated.

1 COMPANY DETAILS:

Company Name(or Trading name)
Registered Address:
Tel. Number:
Email address:
WEBSITE:
Contact within your organisation
Contact email address:
Trade / Services provided:
STATUS OF COMPANY (EG SOLE TRADER, LTD ETC): If Limited Company State Company No & Date of Registration
Company VAT No
UTR No
National Insurance No.

1.2 Has the organisation or any of its Directors, Partners, Associates including the company secretary been convicted of a criminal offence relating to the conduct of business of professions? Have any of the above committed an act of grave misconduct in the course of their business or profession?

(Please tick) / Yes / No

1.3 Is your company able to accept electronic enquiries?

(Please tick) / Yes / No

1.4 Please provide brief details of at least 3 projects your company has undertaken in the past two years and a brief summary of your relevant knowledge and experience.

NAME OF
PROJECT / APROX.
DATE OF WORK / VALUE / CLIENT / DESCRIPTION

1.5 Please provide 3 references and brief description of the provision of service you provided.

Customer name, address: Contact name telephone number, Fax Number,
E-mail address: / Date contract awarded and value of your work (£): / Contract reference and brief description of services undertaken:

1.6 Criminal Records Checks

Where you and/or your employees come into contact with children and/or vulnerable adults you are

expected to take all reasonable steps to ensure that you and/or your employees have obtained the appropriate Disclosure from the Criminals Records Bureau. It is your responsibility to satisfy the Council that this step has been undertaken and regularly updated

Yes we accept ¨ No we do not accept ¨

2 Insurance Details

LIMIT / EXCESS / EXPIRY DATE
PUBLIC LIABILITY:

2.2 Please note if you don’t have the relevant level of insurance cover that you would be willing to provide it prior to us awarding any works to your company.

Please tick) / Yes / No

3 ACCREDITATIONS

Please list details and dates of any other accreditation your company may hold

4 DECLARATION: