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Warning Text %XTableStyleMedium2PivotStyleLight16`%MAppendix-5-Supplier-Questions, IDSupplier GuidanceQuestion Is Mandatory Is Pass/FailPass/Fail DetailsAnswerYesNoEOGen001a01v02In the last three years " has any finding of unlawful discrimination been made against your organisation by an Employment Tribunal, an Employment Appeal Tribunal or any other court (or in comparable proceedings in any jurisdiction other than the UK) and/or " has your organisation had a complaint upheld following an investigation by the Equality and Human Rights Commission or its predecessors (or a comparable body in any jurisdiction other than the UK), on grounds of alleged unlawful discrimination?EOGen001b01v020If you answered "yes" to EO.GEN.01a provide a summary of the nature of the investigation and an explanation of the outcome to date. If the investigation upheld the complaint against your organisation, please explain what action (if any) you have taken to prevent unlawful discrimination from reoccurring.EOGen002a01v01If you use subcontractor(s) or are bidding on behalf of a consortium, do you have processes in place to check whether any of the below circumstances apply to these other organisations? In the last three years: " has any finding of unlawful discrimination been made against the organisation by an Employment Tribunal, an Employment Appeal Tribunal or any other court (or in comparable proceedings in any jurisdiction other than the UK) and/or " has the organisation had a complaint upheld following an investigation by the Equality and Human Rights Commission or its predecessors (or a comparable body in any jurisdiction other than the UK), on grounds of alleged unlawful discrimination?SUGen001a01v02Has your organisation been convicted of breaching environmental legislation, or had any notice served upon it, in the last three years by any environmental regulator or authority (including local authority)?SUGen001b01v02If your answer to SU.GEN.01a is "yes" please provide details of any of the conviction or notice and details of any remedial action or changes you have made as a result of conviction or notices served.If you use subcontractor(s), or are bidding on behalf of a consortium, do you have processes in place to check whether any of these organisations have been convicted or had a notice served upon them for infringement of environmental legislation?SUGen005a01v02{Please confirm that you will pay all suppliers and sub-contractors within agreed timescales, which will not exceed 30 days.Suppliers who fail to confirm that they pay all suppliers and sub-contractors within agreed timescales, which will not exceed 30 days, will be eliminated from the tender process.HSGen001a01v025The buyer will not select you to tender if your company has been prosecuted or served notice under health and safety legislation unless there is clear evidence that decisive and comprehensive action has been taken to remedy the situation. The buyer may check the HSE database to confirm the accuracy of the information provided. Failure to provide accurate information may result in you not being selected to tender. If you are bidding on behalf of a consortium please include data from all consortium members. Select "Yes" if this applies to any consortium member.Has your organisation or any of its Directors or Executive Officers been in receipt of enforcement/remedial orders in relation to the Health and Safety Executive (or equivalent body) in the last 3 years?HSGen001b01v02If your answer to HS.GEN.01a is "yes" provide details of the enforcement/remedial orders served and give details of any remedial action or changes to procedures you have made as a result.HSGen002a01v026If you use subcontractor(s), or are bidding on behalf of a consortium, do you have processes in place to check whether any of the above circumstances apply to these other organisations? If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay.HSGen002b01V02If your answer to HS.GEN.02a is "yes", you may wish to provide evidence of the procedures you use to monitor subcontractors' or consortium members' Health and Safety arrangements.HSGen006a01v02PDo you have a nominated competent person responsible for Health & Safety advice?HSGen006b01v02aIf your answer to HS.GEN.06a is "yes" please provide the name and contact details of this person.{The buyer will not select you to tender if you have been found to have unlawfully discriminated in the last three years, unless you have provided adequate evidence that you have taken appropriate action to stop it happening again. If you are bidding on behalf of a consortium please include data from all consortium members. Select "Yes" if this applies to any consortium member.The buyer will not select you to tender if you do not have in place adequate vetting processes to check your subcontractors' and consortium members' record on compliance with equalities legislation.The buyer will not select you to tender if you have been convicted or served notice under environmental legislation in the last three years unless you provide adequate evidence of action taken to stop similar incidences from happening again. If you are bidding on behalf of a consortium please include data from all consortium members. Select "Yes" if this applies to any consortium member. The buyer will not select a bidding organisation to tender unless it has a nominated competent person who is responsible for Health & Safety. You may also be asked to ensure that you can provide evidence in support of your answer, for example CVs and copies of qualification certificates relevant to the role of H&S advisor. If you are successful you must be in a position to provide evidence, if required, prior to contract award, and without delay. If you are bidding on behalf of a consortium please include data from all consortium members.The buyer will only select you to tender if you agree to pay your suppliers and subcontractors on time. This is in line with legislation on late commercial payments.xDoes your organisation s turnover in the last financial year exceed the threshold set in the guidance to this question? If you are bidding as, or on behalf of a consortium please base your answer on consolidated data from relevant consortium members. If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay.CCGen003a01v02Questionnaire 0Title: SECTION A - ECONOMIC / FINANCIAL STANDINGFSGen001a01v02Are you registered for VAT?FSGen001b01v01< )If so, please provide registration numberFSGen002a01v02Is your organisation (please indicate the option that applies): i) a public limited company ii) a limited company iii) a limited liability partnership (LLP) iv) other partnership v) a sole trader vi) a consortium vii) other (please specify). If your organisation is a consortium please provide the following information (if not please state Not Applicable): i) Company names and registration numbers (if applicable), of all consortium members ii) The lead member of the consortium who will be contractually responsible for delivery of the contract (if a separate legal entity is not being created) iii) If the consortium is not proposing to form a legal entity please give details of the proposed arrangements. FSGen002a02v01FSGen002b01v01@Provide your company or LLP registration number (if applicable).Provide your Dun & Bradstreet (DUNS) registration number. If you are not currently registered you must obtain a free DUNS number for your business by visiting http://www.dnb.co.uk/Forms/DUNS_Request.asp. SIf you do not have a DUNS number already please confirm that you have requested oneFSGen002d01v01FSGen002c01v02FSGen003a01v01Provide the name and contact details of the person you would like the Buyer to liaise with regarding any queries about the financial position of your organisation.This is for information only, and will not be scored. If you are bidding as, or on behalf of, a consortium, you must provide all relevant contact details, or ensure that you know who to contact in the event of financial queries about other consortium members. If your organisation is a wholly-owned subsidiary or a larger trading or holding company provide the registration number of the parent company. Provide this information for all members of a consortium where you are bidding as a consortium. FSGen007c01v01FSGen008a01v01!If analysis of your financial position shows that further measures are necessary to provide adequate assurance of your financial strength, could you provide at least one of the following? " A parent company guarantee " A performance guarantee bond " Bank guarantee " Advance payment bond (Title: SECTION B - CAPACITY & CAPABILITY{Please confirm that you currently meet, or will meet if you are successful, the requirements of the Welsh language measure.CCGen008a01v02Title: SECTION C - MANAGEMENTMAGen001a01v022Do you operate in accordance with a Quality Management System that is certified by a UKAS-accredited (or national equivalent) third party against ISO 9001 or an equivalent standard? If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay.The buyer will use your answer to determine if you have an appropriate system for making sure that the quality of the product or service you deliver is consistent. If you answer  no you may not qualify to tender for some requirements. If you are bidding as a consortium it may be adequate for one consortium member to hold certification on behalf of the consortium, provided that this covers all the goods, services or works to be delivered by the consortium. See www.ukas.com for more information. \If you answered  yes to MA.GEN.01a you may wish to provide the following details now: " Standard certified against " Certification body, date and validity of certificate " Scope of certification If you are bidding as a consortium, please explain which of the members has the certification in place, and how this covers the work of the consortium. MAGen001b01v03XMA.GEN02 asks you to describe your quality management system, and deals with the main areas covered by the international standard ISO9001. If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay. If you answered  yes to question MA.GEN.01 you do not need to also answer this question. If you answer  no to this question you may be excluded from tendering. If you are bidding as a consortium please ensure that, in answering this question, your system covers all consortium members. Please ZIP documents together if necessary. MAGen002a01v01qDo you have a documented process designed to ensure that the quality of your products or services is consistent. Do you have a formal quality management policy, linked to your business plan and customer needs, that is understood and followed by all employees? MAGen002b01v02Do you record how and where raw materials and products are processed, and have documented procedures for dealing with non-conformance? MAGen002c01v01MAGen002d01v01lDo you regularly review performance through internal audits and meetings, and keep a record of the results? WIf you wish you may provide a copy of your quality management policy and process here. MAGen002e01v02&Title: SECTION D - EQUAL OPPORTUNITIESDo all employees (including those from your consortium members where relevant) that come into contact with the public, or with a client s staff members, receive equalities training?EOGen003a01v02If equalities and diversity awareness/training are a core part of the tender requirement, the buyer may only select you to tender if you train relevant staff appropriately. If you are bidding on behalf of a consortium please include data from all consortium members. Only select  Yes if this applies to all consortium members. If you are successful you may be required to provide evidence to support this answer. SUGen002a01v01The buyer may only select you to tender if you have an accredited environmental management system in place. (e.g. EMAS, ISO 14001, Green Dragon or BS8555) See www.ukas.com for more information. If you are bidding as a consortium it may be adequate for one consortiu< m member to hold certification on behalf of the consortium, provided that it covers all goods, works or services to be delivered by the consortium if it were successful. Do you operate in accordance with an Environmental Management System that is certified by a UKAS-accredited (or national equivalent) organisation? If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay. If you are bidding as a consortium, you will be required to explain which of the members has the certification in place, and how this covers the work of the consortium. SUGen003a01v03dIf your answer to SU.GEN.03a is  yes you may attach a copy of your certificate here, if you wish . SUGen003b01v02jDo you have an environmental policy statement committing your organisation to a programme of improvement? SUGen004a01v01GDo you identify and review your organisation s environmental impacts? SUGen004b01v01hDo you set environmental objectives and targets against which your performance is measured or audited? SUGen004c01v01WIf you wish you may provide a copy of your environmental management policy and process SUGen004d01v02All companies with more than five employees must have a Health and Safety Policy. The buyer may also require you to include a copy of your Health and Safety policy to ensure that you adequately cover your statutory obligations. If your company has fewer than five employees the buyer may also require you to have a Health and Safety Policy. A completed example, and template, can be obtained from the Health and Safety Executive website at: www.hse.gov.uk/risk/health-and-safety-policy-example.doc www.hse.gov.uk/risk/risk-assessment-and-policy-template.doc or by calling 01787 881165 The buyer may require you to confirm that you have reviewed your Health and Safety Policy within the past two years. Failure to provide the adequate information may result in you not being selected to tender. If you are bidding on behalf of a consortium please include data from all consortium members. Only select  Yes if this applies to all consortium members. Please ZIP documents together if necessary. Please confirm that your company has a Health and Safety Policy? If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay. HSGen004a01v02Please confirm that your Health and Safety Policy includes the following: " a Policy Statement - signed and dated. " The Organisation and Responsibilities - how Health and Safety requirements are implemented. " The Arrangements  standards and procedures adopted in practice. HSGen004b01v01_Please confirm that your Health and Safety Policy has been reviewed within the past two years. HSGen004c01v02DIf you wish you may attach a copy of your Health and Safety Policy. HSGen004d01v02HSGen005a01v01RDo your staff receive induction and / or safety training before undertaking work? <Do you use subcontractors to carry out work on your behalf? HSGen005b01v01If your answer to HS.GEN.05b is yes, do you ensure that all staff of any subcontractors receive induction and / or safety training before undertaking work? HSGen005c01v01JThe buyer may not select a bidding organisation to tender unless it provides evidence of suitable arrangements for the management of chemicals under the COSHH regulations. Failure to do so may mean that you are not selected to tender. If you are bidding on behalf of a consortium please include data from all consortium members. Please confirm that you have arrangements in place to manage chemicals used under the Control of Substances Hazardous to Health (COSHH) Regulations? If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay. HSGen007a01v02!Title: SECTION E - SUSTAINABILITY"Title: SECTION F - HEALTH & SAFETYThis information will be used by the buyer or a third party in order to analyse your financial strength. The buyers should give as much information as possible about the sources of information used and methodology applied. Accounts should be provided in English unless the buyer has stipulated that they can be submitted in Welsh. Please ZIP documents together where necessary. NOTE: you will be notified of any thresholds or tests to be applied to the accounts. If you answer  no to this question and it is determined that your financial strength is not adequate you will not qualify to tender. If you answer  yes the Buyer may need to explore these options with you before determining whether you will qualify to tender. The buyer will only select you to tender if you confirm that you will comply with requirements to deliver services in the Welsh language. If you are successful the buyer may require you to provide evidence to support your answer. This information is for verification only but the buyer will exclude you if you provide incorrect information. If you are not registered for VAT this will not necessarily preclude you from bidding. If you are bidding as, or on behalf of, a consortium, you should either provide the lead member s details here, or state that, if selected, the body will register and comply with relevant VAT legislation. This information will be used for identification purposes only but the buyer will exclude you if you provide incorrect information. If you are bidding as, or on behalf of, a consortium, please select this option and describe your organisation as requested. The buyer will not select you to tender if you do not have in place adequate vetting processes to check your subcontractors' and/or consortium members record on compliance with environmental legislation. Select "Yes" if this applies to any consortium me<mber. In some cases this may include the need for your suppliers to have an externally-accredited environmental management system in place.SU.GEN03 asks you to describe your environmental management system, and deals with the main areas covered by the international standard ISO14001. If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay. If you answered  yes to question SU.GEN.03 you do not need to answer this question. The buyer may only select you to tender if you can demonstrate your commitment to managing your environmental impact by identifying, reviewing and improving your performance. If you are bidding as a consortium please ensure that, in answering this question, your system covers all consortium members. The buyer will not select you to tender if you do not have in place adequate vetting processes to check your subcontractors record and compliance with Health and Safety legislation. If you are bidding on behalf of a consortium please include data from all consortium members. Evidence used to support your answer should include any questionnaires used, and details of communication and monitoring methods.If relevant, the buyer will only select a bidding organisation to tender if it ensures that all staff (and those of subcontractors) receive induction and / or safety training before undertaking work. The buyer may also ask to see training records as evidence of compliance. If you are successful you must be in a position to provide evidence, if required, prior to contract award, and without delay. If you are bidding on behalf of a consortium please include data from all consortium members. You must either have a DUNS number, or have requested a DUNS number in order to bid. You will be obliged to have a DUNS number for verification purposes. The DUNS number will be used to obtain a  failure score in order to assess the financial viability of your company. Any companies receiving a score of 3 or 4 may be eliminated from the process unless sufficient justification can be provided. 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DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm Oh+'0@Hl Appendix-A-Questionnaire$Williams David H.Q.Bunkham, Lee@Fg@WnXSummaryInformation( $DocumentSummaryInformation8(CompObj5l ՜.+,D՜.+, HP X`hp x  Appendix-5-Supplier-Questions  Worksheets@ _dlc_DocId_dlc_DocIdItemGuid_dlc_DocIdUrlNeeds TranlsationSecurity Classification6W3F7QH3ZWMT-1924538481-488(f813439c-6a96-4bf2-b0f8-7d6cfaa9f274https://mawwfire365.sharepoint.com/sites/dms/Procurement/Wales-Fire-and-Rescue-Procurement-Service/_layouts/15/DocIdRedir.aspx?ID=6W3F7QH3ZWMT-1924538481-488, 6W3F7QH3ZWMT-1924538481-488NoNot Protectively Marked F Microsoft Excel 2003 WorksheetBiff8Excel.Sheet.89q