Economic Operator Pre-Qualification Questionnaire
NORTHERN IRELAND HOUSING EXECUTIVE
Special Revenue and Health & Safety Works to
Brookmount Lodge
Project No. 11.78.073
Applications are invited from contractors meeting the criteria below to be considered for inclusion on a list of up to 6 firms to be invited to tender for the following works:
The works are for special revenue and Health & Safety Works to a five storey block of 8 maisonettes and three flats built in 1968, located in Strule Park, Omagh. The works include a new lightweight pitched and hipped trussed roof, rendering to external walls, double glazed windows with a fire escape window to all habitable rooms, new entrance communal door, five resistant doorsets to all entrance doors to maisonettes, repainting to metal fire escape stairs and upgrade to existing communal lighting.
The estimated value of the proposed works is £121,638
The duration will be 16 weeks and the proposed date of commencement is November 2012.
Applicants MUST:
a) Demonstrate that they meet the minimum financial criteria of:
(1) In each of the past 3 years have an turnover of at least £300,000 and
(2) Have a Category Value for Building General, Building General (Social Housing) or Building Refurbishment of at lease equal to, or greater than the estimated cost of the works.
Applicants registered with Constructionline, and have an ‘Active’ status should complete the application on the next page.
Applicants not registered with Constructionline should request a financial questionnaire from quoting the Project No. above. The Financial questionnaire must be completed in full and returned with supporting documentation by the closing date.
b) Demonstrate that they meet the technical criteria:
a valid 3rd party certification of the Health and Safety (H&S) Management System satisfying the requirements of the Buildsafe N.I. Initiative; and
a valid health and safety competence assessment certificate issued by an organisation that is a member of the Safety Systems in Procurement Forum (SSIP)
Ø Provide, on the application attached, details of works of a similar nature, value & complexity undertaken within the past 5 years to domestic housing.
Complete and return the Application and Health and Safety Declaration below
to no later than 3.00 pm on Wednesday 5th September 2012
Head of Procurement
NORTHERN IRELAND HOUSING EXECUTIVE
Complete and return to: by 3.00 pm on Wednesday 5th September 2012
Project No. 11.78.073 Title: Special Revenue and Health & Safety Works to
Brookmount Lodge
Applicant: Name:
Address:
Email:
Constructionline: Registration No.
Applicants not registered with Constructionline, or equivalent, should request a financial questionnaire from
Health and Safety Certificate
All applicants are required to complete and return the Health and Safety Declaration below.
I confirm that I hold and will maintain 3rd party certification of my documented health and safety management system / [---]Yes[Select from drop down]
Name of Certification Body: / [Enter name here]
Name of Certification Scheme
(if applicable): / [Enter name here]
Expiry Date of Certificate: / [Enter date here] dd/mm/yyyy
Copy of Certificate attached at Appendix 1: / [---]YesNo
This Certification Body is registered with SSIPS: / [---]YesNo
I hold a COPE Certificate numbered
If your Certification Body is not registered with SSIPS and you do not hold a COPE Certificate please request a Health and Safety Questionnaire from
Applicants are required to submit details of Schemes of a similar nature and Value undertaken within the last 5 years:
Each of the schemes submitted will be marked out of a maximum of 9 as follows:
1) Value equal to or greater than estimated cost 3 marks :
Not more than 10% lower value 2 marks
Greater than 10% less than 20% lower value 1 mark:
Greater than 20% Lower
2) Similar Health & Safety Works & Working above
5 storeys 3 marks:
Similar Health & Safety Works & Working above
3 storeys 2 marks:
Similar Health & Safety Works 1 mark:
Other 0 marks:
3) Experience of working in occupied premises
including Domestic Properties 3 marks:
Experience of working in occupied premises 2 marks:
Other 0 marks:
1 Title of Scheme: Ref.
Nature of Works:
Address of Works:
Client: email:
Value: £ Duration weeks Completion date:
(brief comment)
2 Title of Scheme: Ref.
Nature of Works:
Address of Works:
Client: email:
Value: £ Duration weeks Completion date:
(brief comment)
3 Title of Scheme: Ref.
Nature of Works:
Address of Works:
Client: email:
Value: £ Duration weeks Completion date:
(brief comment)
NOTE:
There is no requirement to submit any documentation other than that requested in this PQQ but the Housing Executive reserves the right to clarify any information and seek evidence of same or require further explanation from applicants.
DECLARATION
I certify that the information supplied is accurate to the best of my knowledge. I understand and accept that false information could result in exclusion from this procurement competition.
I undertake to notify the Contracting Authority of any changes to the information given in answer to questions in this PQQP that may arise during this procurement process.
I 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. I also understand that any such action will empower the Contracting Authority to cancel any contract currently in force and will result in exclusion from this procurement competition.
I confirm that I have not canvassed or solicited any officer or employee of the Contracting Authority/CoPE in connection with this pre-qualification process and that no person employed by me or acting in my/our behalf has done any such act.
I undertake that I will not in the future canvass or solicit any office or employee of the Contracting Authority/CoPE in connection with this pre-qualification process and that no person employed by me or acting on my/our behalf will do any such act.
I undertake that I will not offer or agree to pay or give, or pay or give any sum of money, inducement of valuable consideration directly or indirectly to any person or have done so or cause or have caused to be done in relation to any other response to this pre-qualification process any act or omission.
I undertake that I will not enter into any agreement or arrangement with any other person that he/she shall refrain from participating in this pre-qualification process.
I also undertake that I will not at any time discuss with any other person any aspect of our submission, save for the Subcontractors being part of my submission, and will procure this same undertaking from those Subcontractors.
I confirm that I have read and understand all the documentation contained within this competition.
I confirm that I have highlighted any perceived shortcomings in this procurement process to the CoPE. Any part of the documentation, or any other aspect of this procurement process, which I considered to be unclear, or not compliant with relevant legislation has been highlighted to the CoPE in an email.
For and on behalf of Economic Operator;
I the under named hereby confirm that I have read and accept to abide by the terms of this PQQP and that I have all requisite corporate authority to authorise this warranty.
Print Name: / [Enter name here]Position in Firm: / [Enter position here]
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