SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
SKEGNESS TOWN COUNCIL
Pre Qualification Questionnaire (PQQ) for the
CONTRACT FOR THE MAINTENANCE OF
SKEGNESS TOWN COUNCIL CEMETERY
AND CLOSED BURIAL GROUNDS
.
Page 1 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
NOTES FOR SUPPLIERS
Introduction
The purpose of this questionnaire is to enable Skegness Town Council to satisfy
itself that the supplier has the resources and ability to perform the contract
satisfactorily. The information that you provide will assist the Town Council in
deciding which suppliers to short-list to invite to tender for the Contract to maintain
the Council’s Cemetery and closed Burial Grounds.
Overview of Process
A two stage procurement process is being used.
Stage one of this process comprises this pre-qualification process, designed to
identify and shortlist suitable potential suppliers. Stage two will be the formal tender
process involving those organisations identified and selected from stage one.
Indicative Procurement Timetable
1.
2.
3.
4.
5.
6.
7.
8.
Stage / Activity
Publication of local advertisement
Closing date for receipt of PQQ
Selected suppliers invited to tender
Date for receipt of Tenders
Tender evaluation
Council decision
Contract awarded
Contract start
Date
September 2012
12th October 2012
24th October 2012
23rd November 2012
December
9 January 2013
31 January 2013
1st April 2013
19th
Evaluation of the Pre-Qualification Questionnaire
All completed Pre-Qualification Questionnaires received will be evaluated by the
Town Clerk and a selection of Councillors appointed by Council, in order to compile
and agree a select list of tenderers.
Applicants are further advised that any contract(s) resulting from this procurement
exercise will be subject to conditions which require the contractor, as an employer, to
comply with all statutory obligations to staff (and to applicants for employment) under
all equality and non-discrimination laws (and amendments thereto) and with any
statutory instruments, orders, guidance and codes of practice made thereunder.
Page 2 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
The requirement
This overview is provided to assist potential suppliers in deciding whether to proceed
with their application, and to assist them in completing the Pre-Qualification
Questionnaire. Please note, this is not an invitation to tender (ITT) and competitive
bids are not yet sought.
The Council reserves the right to change the specification or stop the tender process
at any time up until the award of contract.
The Contract to mark and dig graves is expected to encompass the following
elements:








Liaison with the Town Clerk’s office to identify reserved and new grave plots
and to physically mark out graves in accordance with cemetery regulations
and procedures.
Liaison with Funeral Directors as required ensuring a smooth funeral process.
Dig or supervise the digging of graves (if undertaken by third parties) ensuring
compliance with laws and regulations.
Ensure all health and safety regulations relating to grave digging are met.
Attend to the refilling of graves after funerals.
Identifying existing graves as required
Meeting and showing prospective purchasers of reserved graves the location
of plots
Mark graves for monument and memorial installation, liaising with
Monumental Masons and supervising the installation to ensure it complies
with the Cemetery Regulations.
Regularly report back to the Town Clerk’s office, grave ground conditions,
memorial installation information and other information relating to each grave.
It is anticipated that each year there will be approx:50-75 full interments
20-30 ashes interments
20-30 grave reservations
50-100 monument installation/changes
.
Please note: This contract may be let as part of the Cemetery Maintenance Contract
if the Council deem this to be the most appropriate way forward following the
response to the expressions of interest.
Completing the Pre-Qualification Questionnaire
To enable the Council to assess your organisation's suitability to become a prospective
contractor, it requires you to provide all of the information requested in this PreQualification Questionnaire.
Page 3 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
In order to simplify this process, you do not need to provide supporting
documents, for example, accounts, certificates, statements or policies with this
questionnaire, unless specifically requested to do so. You may also be asked to
further clarify your answers or provide more details.
Failure to complete the Pre-Qualification Questionnaire in full may result in
your application being rejected and not being considered for inclusion in the
list of organisations or persons invited to tender. The questionnaire must be
completed even if your organisation has previously submitted a Pre-Qualification
Questionnaire to Skegness Town Council.
Do not assume that those evaluating the Pre-Qualification Questionnaire will know
details of your organisation and so ensure your answers fully answer the questions.
Please endeavour to keep your answers concise and contained within the space
provided. Where insufficient space has been provided in this document, the applicant
may append additional pages, although this should be supplied only where
unavoidable or where we have specifically requested it. Separate sheets and
supporting documents should be clearly marked with the contract title and the number
of the question to which it relates.
If you are completing this document in electronic format you may enlarge the answer
boxes to ensure you have sufficient space to respond. Please do not alter or amend
the Pre-Qualification Questionnaire in any other way.
Any information and/or documents submitted in response to this questionnaire must
relate to the applicant only, the applicant being the organisation which it is proposed
will enter into a formal contract with Skegness Town Council if awarded the contract.
The information that you give forms part of the legal representations of your
organisation during this tender process. Any findings of misrepresentation may
result in any subsequent contract being terminated.
Prospective tenderers should be aware that canvassing will lead to disqualification.
Confidentiality
All information provided to the supplier by the Council shall be regarded as
confidential and used only to prepare a response to any clarification questions. The
questionnaire remains the property of the Council and must be returned or destroyed
upon demand.
Freedom of Information
The supplier acknowledges that the Council is obliged under the Freedom Of
Information Act (FOIA) to disclose information, including information relating to this
opportunity, to third parties, subject to certain exemptions. The supplier further
accepts and acknowledges that the decision to disclose information and the
application of any such exemptions under the FOIA will be at the Council’s sole
discretion PROVIDED THAT the Council shall act reasonably and proportionately in
Page 4 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
exercising its obligations under the FOIA as to whether any exemptions under
section 43 of the FOIA may be applied to protect the supplier’s legitimate commercial
and trade secrets.
Questions about the Pre-Qualification Questionnaire
We may be contacted in order to seek clarification or guidance. Questions should be
asked by contacting Skegness Town Council on:
Name: Steve Larner
Email townclerk@skegness.gov.uk
Tel: 01754 766113
Page 5 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
Submitting the Pre-Qualification Questionnaire
Please return this Pre-Qualification Questionnaire via email to:
Steve Larner (Town Clerk)
………………………….………………………….………………….........................
Organisation: Skegness Town Council
Email: townclerk@skegness.gov.uk
…………………………………………………………………………………………..
OR
Address if the PQQ is not being returned electronically:
Skegness Town Council, Town Hall, North Parade, Skegness PE25 1DA
…………………….……………………………………………....................................
………………………………………………………………………………...................
Not later than: 4pm 12th October 2012………..………………………………….
Responses to the questionnaire must be clearly marked with the title of the contract.
Page 6 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
1. Organisation Identify and Information
The questions in this section are designed to ensure that we know exactly who we
may be entering into contracts with. If there are any significant changes to this
information after you have submitted your Pre-Qualification Questionnaire you must
inform us.
1
ORGANISATION IDENTITY AND INFORMATION
1.1
Name of the organisation in whose name the tender would be submitted:
1.2
Contact name for enquiries about this bid:
1.3
Contact position (Job Title):
1.4
Address:
Post Code:
1.5
Telephone number:
1.6
E-mail address:
NOTE: Questions 1.1 – 1.7 – These details will be used to send tender
documents, enquiries, etc if your organisation is invited to tender
1.7
Website address (if any):
1.8
Company Registration number (if this applies):
1.9
Charities or Housing Association or other Registration number (if this
applies). Please specify registering body:
1.10
Date of Registration / formation:
1.11
Registered address if different from the above:
Post Code:
Page 7 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
1.12
Is your organisation:
i) a public limited
company?
(Please tick one)
ii) a limited company?
iii) a company limited by
guarantee?
NOTE: ‘other’ would include co-operatives, other
iv) a partnership
local authority organisations, nationalised
industries or other public sector organisations,
v) a sole trader
joint venture company, not for profit
organisation, etc.
vi) a charity
vii) a franchise
v) other (please specify)
1.13
Are you applying as the lead organisation in a consortium of
organisations?
If “Yes” please give details of the member organisations, their respective
roles and state when the consortium was formed.
1.14
Name of (ultimate) parent company (if this applies):
1.15
Companies House Registration number of parent company (if this applies):
1.16
Please give details of any changes in ownership in the last 3 years (if
applicable)
Page 8 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
2. Financial Information
This section asks for some financial facts about your organisation (and the ultimate
holding company if there is one). We will use this information to assess the financial
position and stability of your organisation. We do not require you to submit
copies of accounts at this stage.
2
FINANCIAL INFORMATION
2.1
VAT Registration number (if applicable):
2.2
What was your turnover in the
last two years (if this applies)?
2011
2010
£
£
£
£
£
£
£
£
NOTE: Turnover means - Sales
and Revenue volume measured
in currency values
Parent Company consolidated
turnover for the last two years
(if applicable)
2.3
What was your pre-tax profit (or
loss) in the last two years (if this
applies)?
Parent Company consolidated
pre-tax profit (or loss) for the last
two years (if applicable)
2.4
What is your present cash and credit position?
2.5
What are your current borrowings?
Page 9 of 25
£
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
2.6
If asked, would you be able to provide at least one of the following?
A copy of your most recent audited accounts (for the last two
years if this applies)
A statement of your turnover, profit & loss account and cash
flow for the most recent year of trading
A statement of your cash flow forecast for the current year
and a bank letter outlining the current cash and credit position
Interim accounts showing your current financial position
If “No” please state the reason why in no more than 100 words.
2.8
Are your accounts externally audited?
If “No” please state the reason why in no more than 100 words.
2.9
Has your organisation met the terms of its banking facilities
and loan agreements (if any) during the past year?
If “No” what were the reasons, and what has been done to put things right in
no more than 150 words?
2.10
Has your organisation met all its obligations to pay its
creditors and staff during the past year?
If “No” please explain why not in no more than 100 words:
Page 10 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
3. Insurance
We will use this information to ensure that you can meet your responsibilities in
respect of any liabilities that may arise.
3
INSURANCE
Please provide details of your current insurance cover
Value
3.1
Employer’s Liability
3.2
Public Liability
3.3
If you do not currently have cover how does your organisation propose to
cover any liabilities that may arise in no more than 150 words?
3.4
Do you have any outstanding insurance claims
against your organisation (other than for routine
matters)
If “Yes” please provide brief details in no more than 250 words:
Page 11 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
4. Experience, Resources and References
We will use this information to assess your organisations expertise and experience,
and if your organisation is appropriately resourced for carrying out the types of work
or providing the supplies or services relating to this contract.
4
4.1
EXPERIENCE, RESOURCES AND REFERENCES
What are the main business activities of your organisation (in no more than
250 words)?
NOTE: We do not require a copy of any documentation at this stage
4.2
How many staff does your organisation have and how many of them will be
involved in this contract?
(If you are a sole trader, please re-state that you are a sole trader)
4.3
Please provide details of three recent contracts that are relevant to the
Council’s requirement. We reserve the right to approach any of the
references listed for the purpose of obtaining information on the performance
of your organisation.
In the “description” please explain how these
references relate to the contract you are interested in. Please ensure that
an email address is provided, as references will be requested
electronically.
It is the responsibility of the Applicant to ensure that all referees are current
and able and willing to provide references on request. We will endeavour to
expedite any unfulfilled requests for references, but any further action to
secure this information is at our discretion.
Please note: Skegness Town Council staff or Councillors should not be put
down as a reference.
If you cannot provide three references, please explain why:
Page 12 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
a)
Organisation name
Contact name
Telephone no.
E mail address
Address
Date of contract
award and length of
contract
Date of Award
Title and Brief
description of
contract undertaken
Contract value per
annum
b)
£
Organisation name
Contact name
Telephone no.
E mail address
Address
Date of contract
award and length of
contract
Date of Award
Title and Brief
description of
contract undertaken
Contract value per
annum
£
Page 13 of 25
Length of Contract
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
c)
Organisation name
Contact name
Telephone no.
E mail address
Address
Date of contract
award and length of
contract
Date of Award
Title and Brief
description of
contract undertaken
Contract value per
annum
4.4
£
Please use the space below to provide details of contracts for similar
requirements to this contract that your organisation has provided over the last
three years
Name of Organisation
Contract
Value
Contract
Start date
and
length
£
£
£
£
£
Page 14 of 25
Nature of work and relevance
to this contract
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
5. Contract Performance
We will use this information to assess your previous contract performance and your
suitability for working with the council. Please be honest and open so that we can
assess if there is a reasonable explanation in the event that you answer “Yes” to any
of the questions.
5
5.1
CONTRACT PERFORMANCE
In the last three years, have you had any contracts:
Terminated for poor performance?
That have incurred contract penalties, default notices or
payment of liquidated damages?
Terminated by the client earlier than the originally intended
date?
If “Yes” to any of the above, please give details and explain in no more than
150 words what has been rectified in order to avoid this situation in the
future.
That you have withdrawn from after award, either before or
after the commencement of the contract?
If “Yes” please explain in no more than 150 words why.
Page 15 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
6. Quality Procedures and Accreditation
We will use this information to assess your approach to quality within your
organisation and how you ensure that work is consistently carried out to required
standards. We do not require a copy of your documented quality systems at
this stage.
6
6.1
QUALITY PROCEDURES AND ACCREDITATION
Is your organisation a corporate member of, or accredited by
a recognised industry association
NOTE: This does not include qualifications by individuals
within the organisation (e.g. individual member of RICS,
CIPD, etc)
If “Yes” please give details of membership or accreditation and dates
6.2
Does your organisation have a documented quality system?
NOTE: this means processes, procedures and policies in place to ensure
robust management. This includes ensuring that legal requirements are met
where appropriate
If you have a documented quality system or where this is not formally
documented please describe below in no more than 250 words your
approach to quality management.
NOTE: We do not require a copy of any documentation at this stage
Page 16 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
7. Health & Safety
We will use the information you supply here to assess your organisations approach
to the management of Health and Safety (H&S) in respect of your staff and others
carrying out work on your behalf. Section 2(3) of the Health & Safety At Work Act
1974 requires that all organisations employing more that 5 persons shall have a
written H&S statement (or policy) and that staff are made aware of it’s contents.
Whilst the contents of the policy will vary according to the size and type of
organisation, we will look to ensure that key pieces of information are contained
within it. The contents should included:
General Policy Statement – a short statement outlining the organisation’s
commitment to Health and Safety, signed and dated by the senior organisation
official (for example, the Managing Director).
Organisation – how the organisation addresses health and safety; lines of
communication
between
managers
and
staff;
and
any
specific
duties/responsibilities assigned within the organisation - this should be relatively
straightforward for smaller organisations.
Arrangements – the systems and procedures in place for ensuring employees’
health and safety at work
We do not require copies of your H&S documentation at this stage.
7
7.1
HEALTH & SAFETY
Does your organisation have a written health and safety at
work policy?
If “No” please explain why not in no more than 100 words
7.2
Does your organisation have a health and safety at work
system?
NOTE: this means processes, procedures and policies in
place to ensure robust management. This includes ensuring
that legal requirements are met where appropriate
If “No”, please explain why in no more than 100 words:
Page 17 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
7.3
Have any H&S Executive / Local authority actions (e.g.
prosecution or issue of improvement or prohibition notices)
been taken against your organisation in the past three years
If “Yes” please give details and what action has been taken by the
organisation to remedy enforcing actions and prevent similar occurrences in
the future in no more than 150 words
7.4
Who is your “Competent Person” for provision of health and safety advice,
as required by the Management of Health and Safety at Work Regulations
1992? If external consultants, please provide the name and address of the
organisation and the name of the consultant):
Name:
Position:
Telephone number:
E-mail address:
To whom does this person report to within your organisation?
NOTE: We do not require copies of your H&S documentation at this stage.
Page 18 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
8. Equality & Diversity
Public bodies have a responsibility to make sure that all members of the community
are treated fairly and equally. We will use this information to assess your approach
to equality and diversity issues and that the legal requirements of Race relations Act,
Disability Discrimination Act, Sex Discrimination Act, etc are met. We do not
require a copy of your equality and diversity documentation at this stage
8
8.1
EQUALITY & DIVERSITY
Does your organisation have a written Equality and Diversity
policy or statement covering race, disability, gender, sexual
orientation, religion, social class, age, etc to avoid
discrimination?
If “Yes” please describe in no more than 250 words its main aims and
characteristics
8.2
In the last three years have any findings of unlawful
discrimination been made against your organisation by any
court or tribunal?
If “Yes” please give details and explain what action has been taken by the
organisation to remedy and prevent similar occurrences in the future in no
more than 250 words.
NOTE: We do not require a copy of your equality and diversity documentation
at this stage
Page 19 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
9. Environmental & Sustainability Management
We will use this information to assess your approach to reducing your organisations
impact on the environment and achieving sustainability. We do not require a copy
of your environmental documentation at this stage.
9
9.1
ENVIRONMENTAL & SUSTAINABILITY MANAGEMENT
Does your organisation have a written environmental
management policy
If “Yes” please describe its main aims and characteristics and your approach
to managing the environment (e.g. what your organisation has done or is
planning to do to improve environmental performance such as saving fuel
and reducing emissions, in no more than 250 words.
NOTE: We do not require a copy of any documentation at this stage
If “No” please give reasons in no more than 100 words
NOTE: We do not require a copy of your environmental or sustainability
documentation at this stage
Page 20 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
10. Business Continuity / Risk Management / Disaster Recovery
Public bodies have a duty to maintain a high standard of service to the community.
We will use this information to assess the procedures that you have in place to
ensure that the council receives a continuous service in the event of an emergency
or other situation that may not be within the control of your organisation. Should
your arrangements be assessed to be inadequate, it will be a condition of the
contract that you implement business continuity arrangements or adopt the councils
own policy. We do not require a copy of your business continuity / risk
management documentation at this stage
10
10.1
BUSINESS CONTINUITY
Does your organisation have a Business Continuity / Disaster
Recovery / Risk Management plan that ensures that the
services you provide are delivered in the event of a disruption
affecting your business and ensures continuity from your
critical suppliers?
If “Yes” please describe its main aims and characteristics in no more than
250 words
NOTE: We do not require a copy of any documentation at this stage
If “No” please give reasons in no more than 100 words
10.2
Have there been any occasions when your business operation
has been disrupted within the last 3 years?
If “Yes” what were the circumstances, what was the effect on your customers
and how did you overcome it in no more than 250 words?
NOTE: We do not require a copy of your business continuity / risk
management documentation at this stage
Page 21 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
11. Professional & Business Standing
We have a duty to maintain high standards of professional behaviour, integrity and
honesty and will use this information to assess your suitability to working with the
council
11
PROFESSIONAL & BUSINESS STANDING
Has your organisation or any of it’s directors or any other person who has
powers of representation, decision or control of the organisation been
convicted of any of the following offences:
Conspiracy within the meaning of Section 1 of the Criminal
Law Act 1977 (where that conspiracy relates to participation in
a criminal organisation as defined in Article 2(1) of the Council
Joint Action 98/733.JHA.
Corruption within the meaning of Section 1 of the Public
Bodies Corrupt Practices Act 1889, Section 1 of the
Prevention of Corruption Act 1906; corruption as defined in
Article 3 of the Council Act of 26 May 1997 and Article 3(1) of
Council Joint Action 98.742/JHA.
The offence of bribery
Fraud, where the offence relates to fraud affecting the financial interests of
the European Communities as defined by Article 1 of the Convention relating
to the protection of the financial interests of the European Union, within the
meaning of:
(i)
The offence of cheating the Revenue
(ii)
The offence of conspiracy to defraud
(iii)
Fraud or theft within the meaning of the Theft Act
1968 and the Theft Act 1978
(iv)
Fraudulent trading within the meaning of Section
458 of the Companies Act 1985
(v)
Defrauding HM Revenue & Customs within the
meaning of the Customs & Excise Management
Act 1979 and the Value Added Tax Act 1994
(vi)
An offence in connection with taxation in the
European community within the meaning of
section 71 of the Criminal Justice Act 1968
(vii)
Destroying defacing or concealing of documents or
procuring the extension of a valuable security
Page 22 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
within the meaning of Section 20 of the Theft Act
1968
(viii)
Money laundering within the meaning of the
Money Laundering Regulations 2003 and 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
(ix)
Any other office within the meaning of Article 45(1)
of the Public Sector Directive
For anywhere where the answer is “Yes”, please give brief details below in
no more than 250 words
11.2
Do any of the following apply to your organisation, or to (any of) the
director(s) / partners / proprietor(s)?
Is in a state of bankruptcy, insolvency, compulsory winding
up, receivership, composition with creditors, or subject to
relevant proceedings
Has been convicted of a criminal offence related to business
or professional conduct
Has committed an act of grave misconduct in the course of
business
Has not fulfilled obligations related to payment of social
security contributions
Has not fulfilled obligations related to payment of taxes
Is guilty of serious misrepresentation in supplying information
Is not in possession of relevant licences or membership of an
appropriate organisation where required by law
Has personal or financial connection with any elected member
or senior officer of the authority
If the answer to any of these is “Yes” please give brief details below in no
more than 250 words, including what has been done to put things right.
Page 23 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
12. Declaration
This section will confirm to us that the information that has been provided is valid and
correct.
12
12.1
DECLARATION
I declare that to the best of my knowledge the answers submitted in this
Questionnaire are accurate and that I accept the conditions and undertakings
requested in the questionnaire.
I understand that it is a criminal offence, punishable by imprisonment, to give
or offer any consideration whatsoever as an inducement or reward to any
servant of a public body and that any such action will empower the council to
cancel any contract currently in force and will result in exclusion from the
tender process.
I understand that the information will be used in the evaluation process to
assess my organisation’s suitability to be invited to tender for the authority’s
requirement.
I understand that the information given forms part of the legal representations
from my organisation during this tender process and that any findings of
misrepresentation may result in any subsequent contract being terminated
NOTE: This declaration must be signed by a director, partner or authorised
representative in their own name on behalf of the organisation
Name:
Position (Job Title):
Date:
Telephone number:
Signature:
12.2
FORM COMPLETED BY
Name:
Position (Job Title):
Date:
Telephone number:
Signature:
Page 24 of 25
SKEGNESS TOWN COUNCIL
PRE QUALIFICATION QUESTIONNAIRE
CEMETERY GRAVE MARKING AND DIGGING
NOTE: FAILURE TO COMPLETE AND SIGN THE DECLARATION WILL MEAN
THAT YOUR APPLICATION WILL BE UNSUCCESSFUL. ELECTRONIC COPIES
SIGNATURES ARE ACCEPTABLE AT THIS STAGE ON ELECTRONIC
SUBMISSIONS
13. Checklist
When you have completed the questionnaire please check to ensure that : You have answered all the questions
You have enclosed all the documents requested
You have read and signed the declaration above
Page 25 of 25