Finance Division
Customer and Support Services Directorate
Stage 1
Pre Qualification Questionnaire
[Expression of Interest]
SALFORD CITY COUNCIL IS INVITING TENDERS FOR (Contract Name)
Duration
xxxxxxxxxxxxxxxxxxxxx
If you require assistance in completing the Pre-Qualification Questionnaire, please
contact:
Name
:
Position
:
Tel/Email
:
Should you require a copy of the Salford City Council’s Standing Orders, these can be obtained by
accessing the Councils web site as follows:www.salford.gov.uk/constitution - Council constitution - full document (Part 4 Section 7 – January 2010)
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
Instructions: [Please read carefully]
1.
Preparation
i.
Please complete the questionnaire by inserting your answers in the space provided following each question (the table
will expand as required), thereby ensuring that all documents are returned in the same format.
ii.
Please answer the questions as written in the questionnaire and do not include general marketing, promotional material
or company policies as responses to any of the questions unless specifically requested to do so as we will only consider
and evaluate attached documents where the question expressly asks for them.
iii.
All requested enclosures and supporting documents should be clearly marked with the sections and questions to which
they relate and be submitted at the end of the questionnaire in numeric sequence.
iv.
Please ensure that all documents requiring signature are signed as requested.
v.
Please ensure you do not exceed the maximum word count limit for each question as the evaluation panel will only
consider answers provided within the word limit i.e. if your answer to a 250 word limit question is 350 words, we will not
consider the last 100 words of your submission.
vi.
All questions asked are intended to elicit sufficient information to determine which tenderers should be selected to
provide the requirements of the tender. Therefore it is important that you answer all of the questions as fully as
possible, giving supporting examples , within the word limit imposed. Your application will be prejudiced if questions are
not answered, or if documents requested are not supplied. The appraisal panel reserves the right to reject as ineligible
any incomplete submissions.
vii.
Existing and previous suppliers to the Council, or any other authority party to this contract, must note that evaluation of
this questionnaire will be based upon the information submitted only and any prior contract performance and knowledge
of the supplier will not be taken into account. You must complete the documents as if you are unknown to the Council.
viii.
W here a supplier is not currently registered in the UK, the questions should still be answered, substituting any
law, code of practice or appropriate professional, commercial or other register within their domestic
jurisdiction.
ix.
If it is found that any successful supplier has provided information in support of their bid which is later found to be false
and/or misleading the Council reserves the right to cancel the contract and claim reimbursement of any additional costs
incurred.
x.
All information supplied by the Council in connection with the tender shall be treated as confidential by tenderers
except that such information may be disclosed so far as is necessary for the purpose of obtaining sureties, guarantees
and quotations to assist in the preparation and submission of tenders.
xi.
These documents shall remain the property of the Council and shall be returned with the tender.
xii.
In the event that you choose not to submit a completed questionnaire and tender, please complete the enclosed
‘Decline to Tender’ form and return to the address highlighted below.
xiii.
Tenderers are asked to confirm whether any of the conditions relating to their personal situation, listed in the
Annex A, Grounds for Exclusion apply to them. Failure at this point may exclude suppliers from the tender
process.
i.
Queries
i.
It is the responsibility of the tenderer to ensure they understand the requirement of the contract and request
clarification where necessary prior to submission of their tender.
ii.
If you have any queries regarding the requirements please contact: xxxxxxxxxxxxxxxxxxxxxxxxxxxx
iii.
Any questions or requests for clarification must be received no later than ( 1 week prior to close date)
iv.
All responses received and any communication from the tenderer will be treated in confidence.
v.
If the Authority considers any question or request for clarification to be of material significance, both the
query and the response will be communicated, in a suitably anonymous form, to all potential suppliers.
[contract name]
[month / year]
Page 2 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
3.
Submission
i.
The preferred method for submission of the completed questionnaire and tender is via http://www.thechest.nwce.gov.uk
as instructed on the portal.
If a hard copy is required then - You should submit, one hard copy and one soft copy of your offer on CD.
The completed tender must be submitted in a plain envelope marked (contract name) as per the
attached template, Appendix A to reach:The Strategic Director Customer and Support Services,
Law and Administration Division,
Salford Civic Centre,
Chorley Road,
Swinton,
Salford M27
no later than 2pm on (day / date).
Envelopes and other packaging used to return the tender must not bear any mark (including any franked
postal mark or courier’s information) that could lead to the identification of the Supplier as this will result in
the tender being declared invalid..
ii.
Please note that it is the responsibility of the tenderer to ensure that adequate time is allowed to ensure all documents
are uploaded to meet the deadline date and time. The portal automatically closes at the required time and there is a
fully auditable time tracking function which ensures that no documents uploaded after the time can be accepted.
iii.
To assist you in any submitting your tender to meet the timelines please find the attached link to a rough
upload speed calculator, which can be used as a guide when uploading
documents. http://www.dslzoneuk.net/calculator.php Please bear in mind that these figures produced would
be an estimate only.
4.
Evaluation
i.
Scores will be allocated, in line with the scoring mechanism stated below based upon the response given
within the questionnaire and any supporting information which has been indexed to the relevant section.
ii.
Each section will be weighted as shown within the questionnaire.
iii.
Scoring Mechanism:
INADEQUATE
POOR
LESS THAN
SATISFACTORY
SATISFACTORY
GOOD
EXCELLENT
Irrelevant content / not answered
Relevant but lacked any depth of content
Relevant but superficial and / or failed to demonstrate depth of understanding
required.
Relevant and showed some understanding and / or meets base requirements for
adequate performance with scope for further development
Answered the question and showed depth of understanding and knowledge / full
possession of the requirements for effective performance
A comprehensive response which demonstrates in-depth knowledge and
understanding of the subject, full possession of the requirement, an innovative
approach and flexibility for superior performance.
0
1
2
3
4
5
5.
General
i.
All applicants who submit a completed Questionnaire and Tender will be informed as to the outcome of their
submission.
ii.
In the event of a satisfactory tender not being received the Salford City Council reserves the right to consider
alternative procurement options.
Should the Council find that information given by the tenderer/supplier in their submission is found to be
false, any ensuing contract could be cancelled and a claim for consequent costs made.
[contract name]
[month / year]
Page 3 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
ORGANISATION DETAILS
Company Information:
Organisation/Trading name:
Registered office address
Address for correspondence relating to this application:
Details of person dealing with this tender:
Name:
Designation:
Telephone number:
Fax number:
E-mail:
Should this tender prove successful, state the name of person to contact on all matters relating to the administration
and smooth operation of the contract:
[a] Name
Designation:
[b] Name
Designation:
Do any of the persons named above; have relatives(s) who are senior employees of
Salford City Council, or councillors? (Possible risk)
Yes / No
If ‘yes’, please provide details below (max 250 words):
Do any of the staff employed in your organisation that would be engaged on this contract
have relatives(s) who are senior employees of Salford City Council, or councillors?
(Possible risk)
Yes / No
If ‘yes’, please provide details below (max 250 words):
Have any of the persons named above, ever been employed by Salford City Council or
ever been a councillor of Salford City Council? (Possible risk)
Yes / No
If ‘yes’, please provide details below (max 250 words):
[contract name]
[month / year]
Page 4 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
PRIOR TO COMPLETING THE PRE QUALIFICATION QUESTIONNARE, BIDDERS SHOULD EVALUATE AND
RESPOND TO THE QUESTION BELOW:
Organisations are asked to confirm whether any of the conditions relating to their personal situation,
listed in the Annex A, apply to them.
Yes / No
If ‘yes’, please provide details below (max 250 words):
ANNEX A
Organisations should note that the Council is obliged to exclude from this tender process any organisation or its
directors or any other person who has the powers of representation, decision or control of the organisation if it has
been convicted of any of the conditions (h) to (k) below, and that the Council may exclude an organisation which
falls within conditions (a) to (g) below.
(a) is bankrupt or is being wound up, where his affairs are being administered by the court, where he has entered
into an arrangement with creditors, where he has suspended business activities or is in any analogous situation
arising from a similar procedure under national laws and regulations;
(b) is the subject of proceedings for a declaration of bankruptcy, for an order for compulsory winding up or
administration by the court or of an arrangement with creditors or of any other similar proceedings under national
laws and regulations;
(c) has been convicted by a judgment which has the force of res judicata in accordance with the legal provisions
of the country of any offence concerning his professional conduct;
(d) has been guilty of grave professional misconduct proven by any means which the contracting authorities can
demonstrate;
(f) has not fulfilled obligations relating to the payment of taxes in accordance with the legal provisions of the
country in which he is established or with those of the country of the contracting authority;
(g) is guilty of serious misrepresentation in supplying the information required under this Section or has not
supplied such information;
(h) has been the subject of a conviction for participation in a criminal organisation, as defined in Article 2(1) of
Council Joint Action 98/733/JHA;
(i) has been the subject of a conviction for corruption, as defined in Article 3 of the Council Act of 26 May 1972
and Article 3(1) of Council Joint Action 98/742/JHA3 respectively;
(j) has been the subject of a conviction for fraud within the meaning of Article 1 of the Convention relating to the
protection of the financial interests of the European Communities;
(k) has been the subject of a conviction for money laundering, as defined in Article 1 of Council Directive
91/308/EEC of 10 June 1991 on prevention of the use of the financial system for the purpose of money
laundering
[contract name]
[month / year]
Page 5 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
Pre Qualification Questionnaire
To enable Salford City Council to fully evaluate your completed questionnaire, please complete the following
questions
SECTION A.
THE ORGANISATION
For information only
Salford City Council reserves the right in the future to request further information in connection to the response given
in this section.
1.
Status of Organisation
1.1
Is the applicant:
1.2
a.
A sole trader?
Yes / No
b.
A partnership?
Yes / No
c.
A private limited company?
Yes / No
d.
A public limited company?
Yes / No
e.
Other – please specify
Yes / No
f
A Registered Charity?
Yes / No
g
An Industrial and Provident Society?
Yes / No
h
A Charitable Trust?
Yes / No
i
An Unincorporated Organisation/Society?
Yes / No
j
Other – please specify
Yes / No
Please state the company’s date of registration and number under the Companies Act
1985 (or equivalent registration if a company outside the UK)
dd/mm/yy
Registration no:
1.3
Is the company a member of a group of companies/a subsidiary of another company
as defined by Section 736 (1) of the Companies Act 1985?
Yes / No
If ‘yes’ state the following details in respect of the Holding Parent company:
Name:
Registration number:
Registered Office Address:
1.4
Would the ultimate holding company be prepared to guarantee your contract
performance, as it’s subsidiary
1.5
How long has your company been trading / operating?
Yes / No
Link to
Risks 1.6 &
1.7
1.6
Has your organisation ever suffered a deduction for liquidated and ascertained
damages in respect of any contract within the last five years?
Flag for risk
and
If ‘yes’, please provide details below (max 250 words): Please note the Council reserves the right to
[contract name]
[month / year]
Yes / No
Page 6 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
investigate
seek further information if necessary
1.7
Has your organisation ever had a contract terminated or not been offered a contract
extension due to failure to perform to the terms of contract within the last five years?
Flag for risk
and
investigate
If ‘yes’, please provide details below (max 250 words): Please note the Council reserves the right to
seek further information if necessary.
SECTION B. FINANCE
2.
Yes / No
Weighting 5%
Financial Information
Any score given against 2.2, 2.3 &/or 2.4 at this stage will be in principle only and may still be subject to the outcome
of a full financial appraisal prior to award. We may seek evidence relating to the questions and use the services of
an independent third party to assess your financial standing suitability.
2.1
Applicants may be required to submit audited accounts for their last 3 financial years.
Please state your acceptance of this.
2.2
Please state below your overall turnover for the last three financial years:
Year 2006 / 2007
£
2.3
Year 2007 / 2008
£
Yes / No
Year 2008 / 2009
£
Please state below your overall turnover in respect of business relevant to the contract for the last
three financial years if applicable:
Year 2006 / 2007
£
Year 2007 / 2008
£
Year 2008 / 2009
£
2.4
In the case of a newly formed business who are unable to provide details of annual
turnover for the previous 3 financial years, please provide supporting information i.e.
Business Plan, to assist in the evaluation process.
2.5
If the applicant is called upon to provide a bond, who will provide a surety (e.g. bank or insurance
company)?
Name:
2.6
RISK
consider
with
above
Enclosed /
not enclosed
Address:
Are there any outstanding claims or litigation against your organisation with regard to
systems and/or service delivery?
Yes / No
If ‘yes’, please provide details below (max 250 words):
[contract name]
[month / year]
Page 7 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
figures
2.7
Please supply your VAT registration number (if applicable):
Not
scored
2.8
Please give details of your organisation’s Employers Liability Insurance (£10 million minimum). Please
attach your policy document.
Insurer
Score
5 if all
policies
in place
and doc
attached
Address of
insurer/broker
Policy No.
Expire Date
Limit of indemnity
3 if not
high
enough
value but
state will
increase.
3. If docs
not
attached
and flag
for risk
2.9
Score
Ditto
Please give details of your organisation’s Public Liability (third party) Insurance (£5 million minimum).
Please attach your policy document.
Insurer
Address of
insurer/broker
Policy No.
Expire Date
Limit of indemnity
2.10
Score
Ditto
Please give details of your Professional Indemnity insurance (£2 million minimum). Please attach your
policy document.
Insurer
Address of
insurer/broker
Policy No.
Expire Date
Limit of indemnity
2.11
Score
Ditto
Please give details of other relevant insurances your organisation holds. Please attach your policy
document.
Insurer
Address of
[contract name]
[month / year]
Page 8 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
insurer/broker
Policy No.
Expire Date
Limit of indemnity
2.12
If your organisations current insurance policy does not meet the required level, please
indicate if you would be willing to increase the level of cover.
No score
but link
to above
Yes / No
SECTION C. BUSINESS STRUCTURE, CAPABILITY & PAST EXPERIENCE
3.1
Weighting 25%
Applicants are required to provide a brief description of the business structure. Applicants
must also append a ‘family tree’ to illustrate the structure.
Enclosed /
not enclosed
Please provide details below (max 250 words):
3.2
Change
according
to
contract
Delete if
necessary
Not
scored
3.3
Look at
scoring
mechanism
on case by
case basis
ensuring
no
discriminat
ion. If
scoring
mech other
than 0-5
explain
Please state the number of persons employed in relevant services:
Full Time Equivalent
Management
Supervisory
Technical
Administrators
Direct Support Staff
Others (please state) eg specialist roles – agency staff, in
house trainers etc.,
Has your organisation undertaken like services on behalf of local government or similar organisations
during the past 5 years? YES/N0
Please provide a detailed list of relevant contracts which should ideally be other than Salford City Council
contracts. Please complete the table below:
[contract name]
[month / year]
Commissioner /
Purchase
Type of service
Contract period
including start and end
dates
Service user group (if
applicable)
Page 9 of 21
Salford City Council
Corporate Procurement
3.4
Pre Qualification Questionnaire
Restricted Tender Procedure
The Council will require two references from clients in the Public Sector, other than Salford City Council
clients, with whom contracts are currently, or have recently been held. Nominated references for
comparable / similar services will score higher marks.
References will be taken up from these referees if you are selected to be taken through to the final
tender stage. You must therefore ensure that you have the referee’s permission and up to date contact
details before completing this document. The authority also reserves the right to choose additional
reference sites form the list provided in point 3.3 above.
i.
Name of organisation:
Address:
Contact person:
Designation:
Telephone no:
Email address:
Nature of contract:
Contract period:
Contract value:
ii.
Name of organisation:
Address:
Contact person:
Designation:
Telephone no:
Email address:
Nature of contract:
Contract period:
Contract value:
4.
Quality Assurance
[contract name]
[month / year]
Page 10 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
Evidence should be supplied of satisfactory processes and procedures to enable the Council to be assured that the
services can be delivered to the required standards
4.1
Will
score 5
Please indicate whether you organisation is registered under the ISO 9000 Scheme(s) for
Quality Assurance or equivalent accreditation appropriate to the services.
If ‘yes’ please enclose a copy of certificate.
Enclosed /
not enclosed
Score
either 4.1
or 4.2
4.2
Look at
IIP or
external
verificati
on
(audited
system)
for score
of 5.
Please provide details of quality assurance procedures and processes you have implemented that are
relevant to this type of activity and any certificates obtained.
Please provide details below (max 250 words):
SECTION D. ENVIRONMENTAL
5.1
Score 5
if yes
and up
to date
Yes / No
Weighting 5%
Please indicate if your organisation is registered under ISO 14001 Environmental
Management Systems.
If ‘yes’ please enclose a copy of the certificate
Yes / No
Enclosed /
not enclosed
Score
either 5.1
or 5.2
5.2
Have a
look at
points in
CHAS for
score
5.3
CHECKLIST
FOR ISO
14001
The Council has adopted a positive stance with regard to the protection of the environment
and considers environmentally positive approaches to service delivery a part of quality
assurance. Has your organisation an environmental policy?
Yes / No
If ‘yes’ please enclose a copy of your environmental policy.
Enclosed /
not enclosed
What are your arrangements for recycling, waste disposal and any other approach that
your company undertakes that has a positive effect on protection of the environment?
Please provide details below (max 250 words):
[contract name]
[month / year]
Page 11 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
SECTION E EQUALITY AND DIVERSITY IS SET BY THE COUNCIL AND WE
HAVE EVIDENCE MATRIX TO SUPPORT THIS – PLEASE NOTE 6.1 up to 6.6
QUESTIONS ARE MANDATORY FOR PQQ
SECTION E. EQUALITY & DIVERSITY
6.1
Score 6.1
or 6.2
6.2
Weighting 10%
Please provide details of your organisations policy that supports the different (up to date) legislation in
relation to the six diversity strands (race, religion/belief, age, gender, disability and sexual orientation)
and Human Rights.
Please provide details below (max 250 words):
For non EU based applicants it is permissible to give details of equivalent equal
opportunities policies operated by your organisation based on your own national
legislation.
Please provide detail of your organisations policies that support European Law in relation to the six
diversity strands highlighted above? (If relevant)
Please provide details below (max 250 words):
6.3
Please give details of how you have adapted as a company to address the six strands (age, disability,
gender, sexual orientation, race or religion/belief) and if you have had a problematic situation around
one or more of the six strands over the last five years the solution that came out of the experience.
Scoring
problem
atic
Please provide details below (max 250 words):
6.4
How do you ensure that all your staff are fully aware of up to date legislation?
Please provide details below (max 250 words):
Sub Contractors
6.5
How do you ensure your sub contractors (where feasible) fit into the diversity strands?
Follow
up for
risk
Please provide details below (max 250 words):
6.6
If currently this is not carried out, how do you envisage addressing this?
[contract name]
[month / year]
Page 12 of 21
Salford City Council
Corporate Procurement
Follow
up for
risk
Pre Qualification Questionnaire
Restricted Tender Procedure
Please provide details below (max 250 words):
SECTION F. CORPORATE HEALTH & SAFETY LEGISLATION
Weighting 5%
7.1
Please indicate if your organisation is currently accredited with the Contractor’s Health
and Safety Assessment Scheme.(CHAS)
Check
on line if
up to
date full
marks.
Out of
date no
score
If “yes”, please provide details of your registration and a copy of your valid certificate and move to
question 7.6.
7.2
Please provide copies of the following documents.
If “no” please answer the following questions
a.
Score 7.1
or 7.2 to
7.5
7.3
Yes / No
An up-to-date copy of your Health and Safety Policy/Statement, signed and dated by
your Chairman, Chief Executive, Managing Director or Company Secretary.
Enclosed /
not enclosed
This should have been reviewed and signed off within the last 2 years.
Enclosed /
not enclosed
b.
Details of your organisations structure, roles and responsibility with regards to
Health and Safety.
c.
Details of your organisation’s safety arrangements for the type of work covered within this tender
document, including:i.
Risk assessment procedures
Enclosed /
not enclosed
ii.
Examples of relevant methods of safe working
Enclosed /
not enclosed
iii.
First aid provision
Enclosed /
not enclosed
iv.
Health and Safety monitoring procedures
Enclosed /
not enclosed
v.
Procedures in case of emergencies, fire and evacuation
Enclosed /
not enclosed
vi.
Procedures for reporting and investigating accidents. How would you notify
the relevant enforcement authority where necessary.
Enclosed /
not enclosed
vii
Consultation with the workforce
Enclosed /
not enclosed
Please identify the person in your company who is responsible for co-ordinating safety matters:
Name:
Contact tel/e-mail:
[contract name]
[month / year]
Page 13 of 21
Salford City Council
Corporate Procurement
7.4
Pre Qualification Questionnaire
Restricted Tender Procedure
Who is your organisations’ “Competent Person” for provision of health and safety advice, as required by
the Management of Health and Safety at Work Regulations 1992?
Name:
Contact tel/e-mail:
(If this is an external consultant, please provide full details)
7.5
7.6
Specification data and product safety:- In accordance with the requirements of the Control
of Substances Hazardous to Health Regulations 1994 (C.O.S.H.H.), product safety data
sheets if appropriate to this tender, must be submitted with your completed tender
documentation. (if applicable)
Enclosed /
not enclosed
Please provide details of the ways in which you ensure that your workers are aware of
general Health and Safety related matters.
Would
expect to
see
policy,
website
etc and
updates
7.7
Have you had any prosecutions served on your company by the Health and Safety
Executive, Environmental Health, Fire Authority or CQC during the past three years.
Yes
score 0
No score
5
If yes please provide details including any corrective action
Yes with
corrective
action 2
7.8
Have you had any notices served on your company by the Health and Safety Executive,
Environmental Health, Fire Authority or CQC during the past three years.
Yes
score 0
No score
5
If yes please provide details including any corrective action
Yes with
corrective
action 3
[contract name]
[month / year]
Page 14 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
CONTRACT SPECIFIC TO BE LOOKED AT INDIVIDUALLY.
MAY BE AS PART OF PQQ OR ITT.
Remember in a restricted process we are only looking for
Selection criteria at PQQ stage –i.e. Economic & Financial
standing and Technical & Professional Ability (backward
looking). Anything relevant to how the contract will be
performed to meet Salford’s needs is Award Criteria
(forward looking) and should be included in the ITT.
SOME EXAMPLES SHOWN BELOW – (think about where
they should appear)
Please ensure the questions asked are open enough to
allow you to score the resulting answers and if you are
scoring other than 0-5 declare at the beginning of the
section.
Please try to insert with sub headings in all cases and
number accordingly.
SECTION G. CONTRACT SPECIFIC
8
Weighting 50%
Payment & Discounts (Must be asked either Contract specific or Stage 2)
The Council’s standard payment terms are 30 days following date of receipt of invoice. A purchasing card payment
system is also in operation which may be utilise in respect of this contract
8.1
Will your organisation offer discounts to the Council for payment in less than 30 days
following date of receipt of invoice.
8.2
If yes, please provide the level of discount(s) offered and state the number of days at which point they
will be applied
No. Days .....................
8.3
Yes / No
Level of Discount ..........................%
Please state the level of discount offered to the Council for payment utilising Purchase
Cards.
……….%
8.3.1
Do you accept MasterCard purchasing cards? (if no, please go to section 8.3.3)
Yes / No
8.3.2
At what level?
Level 3 - Full VAT and line item detail breakdown
Yes / No
Level 2 - Summary VAT info provided
Yes / No
Level 1 - Standard credit card transaction
Yes / No
Please go to section 8.3.4
8.3.3
8.3.4
[contract name]
[month / year]
Would you be willing to get set up to accept MasterCard purchasing cards at
level 3 upon successful award of this contract?
Yes / No
Please state any additional comments or details regarding purchasing cards:
Page 15 of 21
Salford City Council
Corporate Procurement
8.4
Pre Qualification Questionnaire
Restricted Tender Procedure
Website, electronic orders and invoices
Yes / No
8.4.3
Do you have a website that can be used to place orders? (if no please go to
8.4.6)
Can the website be configured to display the Councils’ tendered prices and
products?
Are you able to provide a ‘punch out’ website? (if no please go to 8.4.6)
8.4.4
Are you able to accept orders from your punch out site by cXML?
Yes / No
8.4.5
Are you able to send cXML invoices?
Yes / No
8.4.6
Yes / No
Do you have images of your products that can be used by the Council to ‘host’ in
their own product catalogue?
Please state any additional comments or details regarding websites, electronic orders and
invoices:
8.4.1
8.4.2
8.4.7
Yes / No
Yes / No
Management Information (May be Contract specific at PQQ or ITT)
Please provide details of the standard management information you would provide which is relevant to
the product / service requirement.
Provide full details (max 250 words):
Please indicate the systems utilised by your company to record the data and product / service reports.
Provide full details (max 250 words):
A sample copy of a data report must be enclosed with your submission.
Enclosed /
not enclosed
All management information must be provided in a format which is acceptable to the
Council on an agreed periodical basis. The format will be predominantly Excel unless
otherwise agreed.
The information required may be in respect of contract specific Key Performance
Indicators (KPI’s), individual sites, usage, related costs and any other applicable
information.
Yes / No
Organisations must confirm commitment to providing management information as
described above.
ENVIRONMENTAL Make this relevant to the contract
Have a
look at
points in
CHAS for
score
What are your arrangements for recycling, waste disposal and any other approach that your company
undertakes that has a positive effect on protection of the environment?
Please provide details below (max 250 words):
CHECKLI
ST FOR
[contract name]
[month / year]
Page 16 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
ISO
14001
POLICIES AND PROCEDURES
CRB Checks
Customer Services
Complaints procedure
Safeguarding policies
Please provide details of how your organisation engages in monitoring & management of employees to
ensure continued personal development and training.
How do you ensure policies / procedures are communicated to agency staff as well as your own
QUALITY ACCREDITATION
Required accreditation/qualification to undertake the specified requirement
CQC /OFSTED
CSCI
NATIONAL AGENDA
Personalisation
Promoting independence
Dignity
[contract name]
[month / year]
Page 17 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
BUSINESS CONTINUITY (More likely to be ITT when specification designed)
DELIVERY LEAD TIMES (More likely to be ITT when specification designed)
ADDITIONAL HEALTH AND SAFETY (May be contract specific PQQ or ITT)
Health and safety training see CHAS
Maintenance of premises e.g Gas, Electric, PAT, Fire extinguishers within homes etc., see CHAS
Risk assessments leading to safe method of work e.g lone working see CHAS
TUPE
Control of infection
Care Planning
Nutrition
Medication
SUB CONTRACTING (May be Stage 2/Quality questionnaire)
Do you propose to sub-contract any part of the delivery of this service?
Yes / No
If “yes” please provide details below of the elements of the services detailed in the background
information that you anticipate may be sub-contracted.(max 250 words):
How do you ensure your sub contractors maintain the appropriate type and level of insurance cover
associated to the work they undertake on you behalf?
Provide details below (max 250 words):
[contract name]
[month / year]
Page 18 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
EQUALITY AND DIVERSITY (MUST E INSERTED IN ITT)
6.7 TO 6.10 ARE MANDATORY FOR STAGE 2 / ITT /OPEN PLUS TWO
FURTHER QUESTIONS FROM 6.11 TO 6.20 MUST BE ASKED
Compulsory questions 6.7 to 6.10 for Stage 2 / ITT and Open
Employees & Customers
How do you ensure that employees are treated fairly in the recruitment, training, retention, promotion
6.7
and other employment processes?
Please provide details below (max 250 words):
6.8
What changes / alterations have you made to your working practices to accommodate staff and / or
customers with disabilities?
Please provide details below (max 250 words):
6.9
What are the diversity strands within your local community? How are they represented within your
workforce, please give examples of job roles (officer to senior) and make up of staff within the Diversity
Strands. Have you identified a shortfall in any particular diversity strand and if so how do you intend to
overcome this?
Please provide details below (max 250 words):
6.10
Please detail what actions your staff or customers should take if they feel they are being bullied or
harassed?
Please provide details below (max 250 words):
TWO FURTHER QUESTIONS FROM 6.11 TO 6.20 MUST BE ASKED IN STAGE
TWO /ITT OR OPEN
6.11
5 if no –
assess
according
to
complaint
rectificatio
n
Has your organisation (in the past four years) had any complaints around diversity (race,
age, gender, disability, sexual orientation, religion or belief) with customers or staff.
Yes / No
If yes please provide details below , showing how as a result of this how you have amended any
working practices (max 250 words):
Staff in the workplace
[contract name]
[month / year]
Page 19 of 21
Salford City Council
Corporate Procurement
6.12
Do you have supervision, regular meetings appraisals with staff?
Pre Qualification Questionnaire
Restricted Tender Procedure
Yes / No
If no- how do you ensure diversity is embedded into processes with staff?
6.13
How do you respect people from the diversity strands within the workplace; environment, shop floor,
locker room etc?
Please provide details below (max 250 words):
6.14
How do staff find out about diversity issues within the workplace?
Please provide details below (max 250 words):
6.15
If you and/or staff have found out about diversity issues through attending a conference what changes
have been made to the business to accommodate the issues?
Please provide details below (max 250 words):
Agency Staff
6.16
How often do you use agency staff and what is the breakdown of agency staff over the last 12 months?
Please provide details below (max 250 words):
6.17
What diversity strands do you currently ask for?
Please provide details below (max 250 words):
6.18
What is the shortfall in diversity strands and how will you overcome this?
Please provide details below (max 250 words):
[contract name]
[month / year]
Page 20 of 21
Salford City Council
Corporate Procurement
Pre Qualification Questionnaire
Restricted Tender Procedure
Sub Contractors
6.19
When you tender for materials/services how do you ensure that a diverse range of suppliers are:_

Aware of opportunities to tender and

Able to compete efficiently?
Please provide details below (max 250 words):
Customers
6.20
How do you ensure that your organisation has the capacity to provide a service to a diverse range of
customers?
Please provide details below (max 250 words):
Declaration
I declare that the details submitted in this form, and as part of my application are correct.
I can confirm that the following information has been included:

Please indicate:
The last three years’ company turnover
Details of insurance cover
Details of quality assurance procedures
A copy of the Environmental policy/statement
A copy of the health & safety policy/statement, signed and dated
Any other procedures, examples and logs requested
Brief details of all relevant contracts.
The applicant is the organisation, which it is proposed will enter into a formal contract with the Council if
awarded the contract.
I understand that the information disclosed in this application form will be used in the evaluation process
to assess my organisation’s financial stability and competence to conduct the service being tendered by
the Council.
Signed:
Print Name:
Position:
Date:
Note: A director or other senior representative of the organisation must sign this form.
[contract name]
[month / year]
Page 21 of 21