St Helens Chamber Ltd Additional Information for Video Production Organisation Details Organisation Name: Address (including postcode): Website: Contact Name: Position: Telephone: E-mail Address: Please give a brief description of your organisation: Page 1 of 12 1. General Organisation Information Organisation Registration No: Date of Incorporation: Total number of employees: Number of management staff: Numbers of supervisors: Number of professional/technical staff: Number of admin/clerical staff: What is the type of your organisation: o o o o o o Public Limited Company Private Limited Company Charity/Not for Profit Partnership Sole Trader Other, please specify Trading name(s): Holding organisation(if applicable): Organisation name: Registered Address (including postcode): Telephone: Website: Page 2 of 12 2. FINANCIAL INFORMATION Please confirm you have attached copies of last three years financial accounts: YES NO VAT number : Turnover for the last three years Most recent year: Most recent -1 year: Most recent -2 years: Page 3 of 12 3. QUALITY STANDARDS INFORMATION Do you operate formal Quality Management Systems? o o o Yes No Working Towards Please supply details of the 3 most relevant standards achieved below: Standard 1 Standard: Certifying body: Registration number: Approval date: Expiry date: Status: o o Working towards Achieved Documentation attached? o o Yes No Page 4 of 12 Standard 2 Standard: Certifying body: Registration number: Approval date: Expiry date: Status: o o Working towards Achieved Documentation attached? o o Yes No Status: o o Working towards Achieved Documentation attached? o o Yes No Does your quality system cover sub-contractors, if applicable? o o o Yes Not applicable No Are you a member of any relevant recognised trade or professional associations? o o o Yes Not applicable No Standard 3 Standard: Certifying body: Registration number: Approval date: Expiry date: If “Yes” to the above, please give details: Page 5 of 12 4. Organisation Testimonials Please supply testimonials for two relevant organisations you worked with which are relevant to this contract. Testimonial 1 Organisation Name: Address (including postcode): Contact name: Email: Telephone: Website: Nature of agreement/contract and overall value: Starting date of agreement/contract: Ending date of agreement/contract: Page 6 of 12 Testimonial 2 Organisation Name: Address (including postcode): Contact name: Email: Telephone: Website: Nature of agreement/contract and overall value: Starting date of agreement/contract: Ending date of agreement/contract: Page 7 of 12 5. Organisation Insurance Details Employer’s Liability Insurance indemnity limit (£): Expiry date: Public Liability Insurance indemnity limit (£): Expiry date: Product Liability Insurance indemnity limit (£): Expiry date: Professional Indemnity Insurance indemnity (£): Expiry date : Are there any special exclusions from your insurance? Page 8 of 12 6. Health & Safety Information Do you have a formal health and safety policy? If “Yes” please attach o o o o Yes No Not applicable Working towards o o o Yes No Not applicable If “No” or “Not Applicable” to the above, please state why: Does your organisation comply with OHSAS 18001? If “Yes” to the above, please supply your certificate number: Who within your organisation is responsible for Health & Safety? Name: Position: Please supply details of any health and safety training given to your staff and operatives: Do you supply risk assessments and method statements? o o o Yes No Not applicable Do you review/audit your safety policy and procedures? o o o Yes No Not applicable Page 9 of 12 o o o Yes No Not applicable o o o Yes No Not applicable o o o o Yes No Not applicable Working towards Is your Environmental Management System certified to ISO 14001? o o o Yes No Not applicable Has your organisation or any employees been prosecuted under environmental legislation? o o o Yes No Not applicable Has your organisation or any employees been prosecuted under Health and Safety legislation within the past 5 years? If “Yes” to the above, please give details: Has your organisation had any improvement or prohibition notice services on it in the last 5 years? If “Yes” to the above, please give details : 7. Environmental information Do you have a formal environmental policy statement? If “Yes” please attach. If “No” to the above, please state why? If “Yes” to the above, please give details: Page 10 of 12 Is there a Senior Manager in your organisation formally nominated to be responsible for Environmental Matters? o o Yes No o o o o Yes No Not applicable Working towards o o o Yes No Not applicable Name : Position : 8. Equality & Diversity Does your organisation have a formal Equality and Diversity policy? If “Yes” please attach If “No” to the above, please state why: In the last 5 years, has your organisation been subject to formal investigation on grounds of alleged unlawful discrimination of any type? 9. Examples of Previous Work Please supply examples of previous work produced for contracts of a similar size and nature. These can be supplied on DVD or via hyperlink to Youtube. Page 11 of 12 10. Additional Information Please provide any additional information which you believe will set you apart from other suppliers. Page 12 of 12