ࡱ> k bjbj:: :XubXubaxZZ,,,,,,,,8"-d/4,@^4 >?(f?f?f?@HnLOQQQQQQ$Tbu,O@@OOu,,f?f?H```O,f?,f?O`OO``if? PZ;0@_NsQ,{BNZN@`N4OBNBNBNuuEYZBNBNBN@OOOOBNBNBNBNBNBNBNBNBNZB +:  INVITATION TO TENDER SUPPORTED LIVING SERVICES TENDER REF: LD/59 Submission Date: 9thJune 2023 (12 oclock) Tender Submission 1. Basic Information 3 2. Subcontracting and Consortia . 4 3. Financial .. 5 4. Insurance ..... 6 5. Previous Experience and Specialist Skills . 7 6. Capacity and Commercial Aspects . 9 7. Service Specific Information . 11 8. Presentations .... 13 9. Quality Assurance . 13 10.Other Information Required . 14 11.Price Schedule ... 17 Appendix 1. Reference Proforma Appendix 2. Form of Tender Appendix 3. Declaration Appendix 4. Anti Collusion Certificate Appendix 5. Contract conditions acceptance TENDER SUBMISSION PLEASE NOTE: All sections must be completed unless otherwise identified. Basic Information about your organisation Name of Organisation:  FORMTEXT       Address to which correspondence should be sent:  FORMTEXT       Name and contact details of person applying on behalf of the Organisation: Name:  FORMTEXT      Position:  FORMTEXT      Tel No:  FORMTEXT      Fax No:  FORMTEXT      E-mail Address:  FORMTEXT       Registered address of organisation (if different from 1.2):  FORMTEXT       Company Registration Number:  FORMTEXT       VAT registration number:  FORMTEXT       1.7 Status of Organisation (tick as appropriate): Sole Trader FORMTEXT      Partnership FORMTEXT      Private Limited Company FORMTEXT      Public Limited Company FORMTEXT      Co-operative FORMTEXT      Charity FORMTEXT      Other (please specify)  FORMTEXT       1.8 Date Incorporated  FORMTEXT       1.9 Is your organisation an affiliate or subsidiary of another organisation or holding organisation? If yes, please provide details.  FORMTEXT       1.10 Please provide the address of the office, branch or premises from which the management activities would be undertaken in respect of the Service (if different from 1.2). Address  FORMTEXT      Postcode FORMTEXT       2. Subcontracting and Consortia All service Providers should answer question 2.1. Where a service Provider at this stage of the process intends to sub-contract they should also answer questions 2.2 and 2.3 below. Where a service Provider becomes aware of the intention to subcontract at later stages in the procurement they are required to notify the Authority of this and provide the information requested below at that time. Where a service Provider is a consortium they should indicate which members are proposing to deliver the service. Please tick the box below which applies a) Your organisation is bidding to provide the services required itself (if ticked, go to Section 3 - Financial) FORMCHECKBOX b) Your organisation is bidding in the role of Prime Contractor and intends to use third parties to provide some services FORMCHECKBOX c) Your organisation is part of a consortium FORMCHECKBOX  2.2 If your answer to 2.1 is (b) or (c) please indicate in the table below (by inserting the relevant company / organisation name) the composition of the supply chain, indicating which member of the supply chain (which may include the service Provider itself) will be responsible for the elements of the requirement. Please be advised that any consortium or sub-contracting arrangements must be an established long-term partnership. Please outline the professional history of the partnership. Company / OrganisationRequirementHow much of the requirement and what will they directly deliver (%) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       If your answer to 2.1 is (b) and you are unable to confirm all sub-contractors (complete supply chain) at this stage, you will need to demonstrate a satisfactory methodology and track record of delivery. Please give a brief outline on policy regarding the use of sub-contractors and, if applicable, the extent to which it is envisaged they may be used in any contract. Methodology for delivery and use of sub-contractors ([300] words or fewer) (if applicable) FORMTEXT        3. Financial For Providers on the North Wales Supported Living Framework, there is no requirement to complete this part of the tender, however the Authority may review the financial status of the organisation through Equifax and/or Dunn and Bradstreet or other credit system to determine the financial standing which will be risk assessed. Please detail the D-U-N-S number (if available) for your Organisation for Electronic Trading (e-trading)  3.1 What was your organisations turnover in the last three years (if this period applies)? TurnoverYear EndedTurnoverYear EndedTurnoverYear Ended FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       3.2 What was your organisation s net profit (or loss) after tax in the last 3 years (if this period applies)? Net Profit (Loss)Year EndedNet Profit (Loss)Year EndedNet Profit (Loss)Year Ended FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      RefQuestionYesNo3.3If asked, would you be able to provide the following: a) A copy of your organisations most recent audited accounts (for the last three years if this period applies), or if audited accounts are not available, a copy of your organisations accounts for the last three years.  FORMCHECKBOX  FORMCHECKBOX 3.4Has your organisation met all its obligations to pay its creditors and staff during the past year? If No, please explain why not:  FORMTEXT       FORMCHECKBOX  FORMCHECKBOX  3.5 Parent company and / or other guarantees of performance and financial standing may be required if considered appropriate as well as confirmation of the organisation s willingness to arrange for a guarantee or a performance bond. Where the service Provider is dependant financially on a parent company to support its application for this procurement, it must indicate in the box below whether a Parent Guarantee is available if requested. Where required, is a Parent Guarantee available? FORMCHECKBOX YES  FORMCHECKBOX NO  FORMCHECKBOX N/A (please select one) 3.6 Has your organisation, at any time during the last 3 years, been in a state of bankruptcy, insolvency, compulsory winding up, administration, receivership, composition with creditors or any analogous state, or subject to relevant proceedings where the proceedings were commenced for valid reasons? Yes / No If the response is yes please provide details  4 Insurance For Providers on the North Wales Supported Living Framework, there is no requirement to complete this section, however copies of the insurance certificates may be requested from the successful Provider following completion of the tender. Please provide evidence of the employers' liability, public liability insurance [and professional liability or indemnity if appropriate] held by the service Provider. The evidence should include the name of the insurers, policy numbers, expiry dates and limits for any one incident and annual aggregate capsand the excesses under the policies. It will be a condition of the award of contract that the successful organisations shall agree to the below required minimum levels of insurance and indemnify the Authority against all claims arising from the commission, whether caused by negligence or otherwise during the lifetime of the contract. Confirmation of such insurance shall be required at Contract Award. 4.1 Employers Liability Insurance (10m each and every claim; unlimited in any one year): Name of insurer FORMTEXT      Address  FORMTEXT        FORMTEXT      Type of insurance FORMTEXT      Policy numbers FORMTEXT      Expiry date FORMTEXT      Limits of indemnity (per occurrence and aggregate) FORMTEXT      Excess (if any) FORMTEXT      4.2 Public Liability Insurance (10m each and every claim; unlimited in any one year): Name of insurer FORMTEXT      Address  FORMTEXT        FORMTEXT      Type of insurance FORMTEXT      Policy numbers FORMTEXT      Expiry date FORMTEXT      Limits of indemnity (per occurrence and aggregate) FORMTEXT      Excess (if any) FORMTEXT       4.3 Other insurance as applicable e.g. Medical malpractice cover (10m each and every claim; unlimited in any one year) or equivalent (please provide details) Name of insurer FORMTEXT      Address  FORMTEXT        FORMTEXT      Type of insurance FORMTEXT      Policy numbers FORMTEXT      Expiry date FORMTEXT      Limits of indemnity (per occurrence and aggregate) FORMTEXT      Excess (if any) FORMTEXT      5. Previous Experience and Specialist Skills Providers on the North Wales Supported Living Framework are not required to complete this information, however they may wish to identify specific experience to this requirement due to the complex nature of this service on a voluntary basis for information purposes. All other Providers must satisfy their experience to meet the needs of people with severe learning disabilities as detailed below and demonstrate that they are able to work positively with Parents as key partners. Please complete this information as requested below. There is no requirement to provide information in respect of general experience of supporting people with learning disabilities, however the experience below should focus on the Providers experience of supporting people with severe learning disabilities, autism, epilepsy, low level communication abilities, extensive overall support needs including mobility issues with anxiety levels and challenging behaviour. 5.1 Please demonstrate your experience, expertise and specialism specific to this requirement  FORMTEXT       Please outline your organisation s experience of working very closely with parents who are fully involved in the care and support of their son or daughter, outlining any issues and how these have been overcome.  FORMTEXT        References Please provide below a name of at least one referee. Service Providers should ensure that the companies/organisations are willing to discuss the service Providers performance with the Authority. The Authority reserves the right to contact any or all of these companies to seek clarification. ReferenceOrganisation NameContact1. FORMTEXT       FORMTEXT       6. Capacity & Commercial Aspects. It is required to complete this section for all Providers to provide an updated position regarding capacity and staffing. 6.1 What is the current total number of personnel regularly and permanently employed by your organisation? (This criteria is for information purposes only). Type of JobNo of EmployeesType of JobNo of EmployeesExecutive/Managerial FORMTEXT      Administrative/Clerical FORMTEXT      Design & Development FORMTEXT      Support FORMTEXT      service / Project workers FORMTEXT      Other FORMTEXT      Please provide a brief explanation of the geographical area where your staff are located (For Information only) 6.2 Please detail your organisation staff turnover for the last 12 months. If there has been a high turnover of staff, you may wish to provide an explanation and the measures taken to promote staff retention. (For information purposes only). 6.3 Please list below the experience, qualifications and length of service of any existing personnel including Care Workers/ Manager/Co-ordinator that you would consider for this specific contract. Please expand the list as required and use bullet points where possible. Staff TitleExperienceMain qualifications FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       7. SERVICE SPECIFIC INFORMATION It is required to complete this section for all Providers. No word count applies to the responses below, however Providers should be consider the quality of their responses to the specific questions. Any supporting information may be included as part of the submission or included as a separate document. 7.1 Please outline the overall ethos of the proposed service and how this will foster positive partnership, working closely with Mr JH and his parents. The response should include how the organisation will include Mr JHs parents in the overall service delivery as a key partner, taking on board the level of current and future role in Mr JHs care. The response should also include how the organisation will embrace the parents recommendations, knowledge and guidance and overall joint working.  FORMTEXT       7.2 Please describe your understanding of the importance of routines and protocols that would be required for Mr JH and how your organisation will ensure that Mr JHs service is delivered by fully trained and skilled staff, working consistently as a cohesive team in order to achieve Mr JHs well being outcomes. An example of a protocol is provided with the tender to assist with the tender response.  FORMTEXT       7.3 Please provide a clear concise description of the team structure that would be in place for Mr JH s support including staffing approach to cover day and night support, length of shifts, any supervisory/senior or key worker role as well as overall management and out of hours support. The response should provide clear indication of the overall team including the number of suitably trained staff, senior support staff that would be dedicated to this Service, flow of communication, management of staff absences, sickness and how staff retention will be assured.  FORMTEXT       Please outline what training and support will be provided to staff by the Provider, how the Provider aims to work with parents to ensure the necessary period of shadowing. The response should outline the measures that will be in place to promote staff s competence, ensuring that staff maintain their knowledge, skills and expertise in order to miminise Mr JH anxieties.  FORMTEXT       7.5 Please detail your proposal for recruitment of staff and consultation under tupe, taking account of workforce pressures across the sector. Based on the Tender Specification the response should also outline how the organisation will work with parents in respect of new staff shadowing to ensure all staff are skilled and fully competent to work independently with JH and work with the existing Provider / staff in respect of tupe transfer to minimise disruption for JH.  FORMTEXT       7.6 Please confirm your earliest possible timescales for the commencement of this service taking into account your existing commitments to other services, capacity and/or staff recruitment. Please provide a transitional plan outlining how your organisation proposes to transition the service from the existing Provider, identifying key milestones and activities that need to be undertaken as well as the timescales involved and how the organisation will ensure that these timescales are met as well as progress communicated to all parties in a timely manner.  FORMTEXT       7.7 Please outline the arrangements that will be in place to ensure the service is operating smoothly and effectively with an established team, avoiding risks of breakdown. The Care and Support Plan and the Tender Specification aims to assist Providers with their tender submission.  FORMTEXT       8. PRESENTATION There is no requirement for a presentation, however the Local Authority reserves the right to hold an interview meeting during the process of evaluation to clarify any aspect of the tenderers written submission. 9. SOCIAL VALUE To be completed by all Providers. Please detail below how your organisation aims to make improvements to the social, economic and environmental well-being of Conwy e.g. help others in the community, opportunities for disadvantaged individuals, creating job opportunities / apprenticeships, protecting and preserving the local environment, measures taken to reducing the carbon footprint and protecting the environment etc. (The wording should be no more than maximum 500 words)  10. OTHER INFORMATION Not applicable for this tender For Providers on the North Wales Supported Living Framework, there is no requirement to complete this section. RefQuestionYesNo1As an employer, do you have an Equal Opportunities Policy that complies with all current legislation as set out in the Equality Act 2010? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 2As an employer, do you comply with the requirements set out in the Equality Act 2010 and if appropriate, the Statutory Duties (Wales) Regulations 2011 (relevant to public sector Organisations)? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 3As an employer, do you comply with the requirements placed on you to make reasonable adjustments for disabled people under the Equality Act 2010? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 4In the last 3 years, has your Organisation been investigated by the Equality and Human Rights Commission because of allegations of unlawful discrimination? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 5In the last 3 years, has any Court or Employment Tribunal found that your Organisation has discriminated against someone because of their identity connected with a protected characteristic (sex, race, disability, age, religion or belief, gender reassignment, sexual orientation, marriage / civil partnership or pregnancy / maternity) under the Equality Act 2010 or previous equality legislation? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 6In the last 3 years, has any Court or Employment Tribunal found that your Organisation has discriminated against someone in relation to the level of pay you gave them because of a protected characteristic under the Equality Act 2010 or previous equality legislation? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 7Is your Organisation able to provide evidence of monitoring and promoting Equal Opportunities and adhering to Equality and Human Rights Legislation? Ifyes, would you be able to provide examples of any monitoring undertaken if requested?  FORMCHECKBOX  FORMCHECKBOX 8In the last three years, has your Organisation been investigated by the Employment Agencies Standards Inspectorate? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 9Has your Organisation, or any subsidiary, been the subject of a successful Employer Liability or Public Liability claim against you, whether settled privately or through your insurers within the last three years? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 10Do both your Employers and Public Liability Insurance Policies include a Principals clause that would indemnify the Council in the event of claims arising from your activities whilst providing this service? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 11Have any of your contracts been terminated for poor performance in the last three years? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 12In the last three years, has your Organisation not had a contract renewed due to failure to perform the terms of the contract? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 13In the last three years, has your Organisation become involved in any litigation in respect of a contract or its delivery? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 14Do any of the following apply to your Organisation: Been committed for an act of gross misconduct in the course of delivering services? 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? If yes, to any answer, please supply details.  FORMCHECKBOX  FORMCHECKBOX 15Is there any business, establishment or person who has, or may have, any right(s) of veto over your Organisations decision-making whether operational or financial? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 16Does your Organisation have a documented Health and Safety Policy? If yes, would you be able to provide a copy if required?  FORMCHECKBOX  FORMCHECKBOX 17Does your Organisation have a recognised Health and Safety Manager or a nominated person with responsibility for Health and Safety? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 18Does your Organisation have the following documents: Risk Assessment and Method Statement or Safe Systems of Work document? If yes, would you be able to provide a copy if required?  FORMCHECKBOX  FORMCHECKBOX 19Is your Organisation accredited by, or is your Organisation working towards, a Contractor Assessment scheme that is a member of the Safety Scheme in Procurement (SSIP)? Please supply details:  FORMCHECKBOX  FORMCHECKBOX 20Does your Organisation have a documented Environmental policy? If yes, would you be able to provide a copy if required?  FORMCHECKBOX  FORMCHECKBOX 21Does your Organisation have any association (either directly or indirectly) with any Member or employee of Conwy County Borough Council? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 22Do you have the facility or experience of being able to engage with people in the Welsh language? If yes, please supply details.  FORMCHECKBOX  FORMCHECKBOX 23Do have a data protection policy and procedures that is compliance with the General Data Protection Regulations and the Data Protection Act 2018? If yes, would you be able to provide a copy if required?  FORMCHECKBOX  FORMCHECKBOX 24Does your Organisation comply with the requirements of General Data Protection Regulations (GDPR)? If asked, can you provide evidence of compliance, policy, employee training for GDPR, etc? Please supply details:  FORMCHECKBOX  FORMCHECKBOX 25Does your Organisation comply with the principles of the Well-being of Future Generations (Wales) Act 2015? If yes, could you provide a statement to confirm your compliance with this Act. Please supply details:  FORMCHECKBOX  FORMCHECKBOX 26Does your Organisation comply with the requirements set out in the Code of Practice Ethical Employment in the Supply Chain? Please supply details:  FORMCHECKBOX  FORMCHECKBOX 27Does your Organisation have a Safeguarding policy? Please supply details FORMCHECKBOX  FORMCHECKBOX 28Does your Organisation have or working to have a Carbon Reduction Plan? Please supply details FORMCHECKBOX  FORMCHECKBOX  11. Price Schedule This Contract shall be formed on the basis of the Price submitted which will represent a three year contract price and will be thereafter reviewed annually in accordance with the Local Authoritys budget setting process. Service Providers are required to set out the all inclusive three year Price at which they are willing to provide the service. The tender price submitted shall be deemed to be the all inclusive values of the service. A breakdown of the tender price is required per annum and as minimum shall provide clear indication of the direct and indirect costs associated with the contract. The Provider will be required to clearly set out the hourly rates paid to staff including compliance with the Real Living Wage. All monetary values shall be in Pounds Sterling (to two decimal places) excluding VAT. Service Providers is required to include an all inclusive three year service associated with the service. These total figures must be inserted in the Form of Tender. APPENDIX 1 abcde REQUEST FOR REFERENCE Ref: Due to the urgency of the tender there is no obligation for the Provider to seek and return this reference as part of the tender. However, the Authority may approach the proposed referee as part of the tender exercise. Please answer the questions to the best of your knowledge. The information will be shared with members of the Tender Evaluation Panel. To be completed by the Applicant requesting a reference: Name of Organisation: Address of Organisation: Date of request submitted: Please provide comments in respect of the following:1. The nature of your relationship with the above Organisation  2. The service delivery of the organisation, supporting individuals with learning disabilities 3. Your relationship and partnership working with this Organisation 4. The quality of service provision of this Organisation within your area and outcomes achieved for individuals  5. Any complaints or other issues which have not been resolved in respect of this Organisation? If yes, please give details. 6. Have there been any compliments or achievements in the last 3 years that you wish to raise in support of the Organisations tender application? If yes please give details. 7. Have you identified any areas for improvement in the last 3 years that is relevant in respect of the operation and running of the services by this Organisation? If yes please give details. 8. Based on your experience, would you recommend this Organisation to deliver a service for individuals with high needs including challenging behaviour? Please select accordingly: Please answer and comment accordingly: Yes................................................................................................................................................. ....................................................................................................................................................... No................................................................................................................................................... ....................................................................................................................................................... Unsure............................................................................................................................................ ....................................................................................................................................................... This reference was completed by: DateName and Designation/Job title:Organisation:Contact Telephone No: Contact Email Address: Please return this Reference to: Anita Williams, Contracts and Procurement Officer Conwy County Borough Council, Bodlondeb, Bangor Road, Conwy Email address at  HYPERLINK "mailto:anita.williams@conwy.gov.uk" anita.williams@conwy.gov.uk Please telephone 01492 574114 if you wish to discuss the reference request Thank you for your support and co-operation Date:  FORMTEXT       APPENDIX 2 Form of Tender To: Conwy County Borough Council TENDER FOR THE SUPPLY OF SERVICES 1. I / we have read the information provided in your Invitation to Tender and, subject to and upon the terms and conditions contained therein, I / we offer to supply the above as described in the said tender documents in such manner as may be required. 2. Terms and Conditions: I / we agree that this tender and any contract which may result there from shall be based upon the Local Authorities General and Specific Conditions of Purchase available. 3. The prices quoted in this Tender are valid for acceptance for 60 days from the final day for submission of Tenders and I / we confirm that the terms of the Tender will remain binding upon me / us and may be accepted by you at any time before that date. 4. I / we agree that the construction, validity, performance and execution of any contract that may result from this Tender shall be governed by and interpreted in accordance with English Law and shall be subject to the exclusive jurisdiction of the Courts of England and Wales. 5. I / we agree to bear all costs incurred by me / us in connection with the preparation and submission of this Tender and to bear any further costs incurred by me / us prior to the award of any contract. 6. I / we agree that any other terms or conditions of the agreement or any general reservation which may be printed on any correspondence emanating from me / us in connection with this tender, shall not be applicable to this Tender or Contract. 7. I / we hereby propose and undertake to deliver the Contract required to be performed in accordance with the Tender Specification, at a cost of _ FORMTEXT      ________________________________ three year tender price (excluding VAT) Please confirm the variation rates for any increase or decrease in service: Hourly day Hourly waking night Sleep In rate per night Please provide (using your own format) a breakdown of the three year tender price. 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H^`a$gd|ȠPRT~ȡʡܡޡ*Emq٢׽׮׽znznznznc[chqB1^JaJh0hqB1^JaJh:CJOJQJaJhx!jCJOJQJaJh"CJOJQJaJhqB1CJOJQJaJh0hqB15CJOJQJaJh|5>*CJOJQJaJ3h|h|5>*CJOJQJaJehr-h|5>*CJOJQJaJehr"h|h|5>*CJOJQJaJ ¤  `B`D`X`Z`\`f`ﮦﮦ~rp\&jأhC?h>*U^JaJUh0hqB16^JaJ&j`hC?h>*U^JaJ&jhC?h>*U^JaJhqB1^JaJh0hqB1^JaJ+jhC?hqB1>*U^JaJmHnHu&jphC?h>*U^JaJhC?hqB1>*^JaJ jhC?h>*U^JaJ$ers on behalf of: Company Name:  FORMTEXT      _ Address:  FORMTEXT      _ Appendix 3 Declaration In this certificate, any reference to person or persons shall mean and include businesses, associations or corporations and any reference to arrangements or agreements shall mean any and all transactions, formal or informal, lawful or otherwise. I / We certify that: We have not been convicted of nor are currently under investigation for any acts of conspiracy, corruption, bribery, fraud, money laundering, such acts as defined by the relevant UK law, nor any other offence within the meaning of Article 45(1) of the Public Sector Directive. We are not bankrupt nor have had a receiving order or administration order or bankruptcy restrictions order made against us nor are in the process of or about to commence any composition or arrangement with or for the benefit of our creditors or, if registered as a partnership under Scots law, have not been granted a trust deed or is subject of a petition for sequestration of our estate. We have not, nor are about to, be subject of a resolution or order for winding up, nor have has a receiver, manager or administrator. We have not been convicted of a criminal offence relating to the conduct of our business or (being an individual) not been guilty of grave misconduct in the course of its business. We have fulfilled our obligations relating to the payment of social security contributions and the payment of taxes in accordance with the legal provisions of the country in which it is established and / or the United Kingdom. We have not been found guilty of serious misrepresentation in providing any information under Regulation 57 of the Public Contract Regulations 2015. We have not suffered a deduction for liquidated or ascertained damages in respect of any contract nor had a contract cancelled, or not renewed, for failure to perform nor been the subject of a claim (contractual or otherwise) based upon a failure of quality in design, work, materials or services within the last three years. None of the senior personnel of the Organisation have been involved (in a similar position) in any company which has gone into insolvent liquidation, voluntary arrangement, receivership or administration or been declared bankrupt. We comply with the requirements of the Equality Act 2010 and previous equality legislation and, if appropriate, the Statutory Duties (Wales) Regulations 2011. We promote Equal Opportunities and adhere to Equality and Human Rights Legislation. I / We confirm and attest that the foregoing information and declarations are accurate to the best of my / our knowledge and that I / We acknowledge and accept that any false information could result in our application being rejected, or, in the event that any false declaration is discovered after the award of any contract, may lead to the rescission of any contract awarded. Signature: _____________________________________________________________________ Name (printed): _________________________________________________________________ Dated: ________________________________________________________________________ Capacity / Title: _________________________________________________________________ For and on behalf of: _____________________________________________________________ Address: _______________________________________________________________________ Appendix 4 ANTI COLLUSION CERTIFICATE I/we certify that this tender is made in good faith, and that we have not fixed or adjusted the amount of the tender by or under or in accordance with any agreement with any other person. I/we also certify that we have not and I/we undertake that we will not before the award of any contract for the work: (i) disclose the tender price or any other figures or other information in connection with the tender to any other party (including any other company or part of a company forming part of a group of companies of which I am/we are a part) nor to any sub-contractor (whether nominated or domestic) nor supplier (whether nominated or domestic) or any other person to whom such disclosure could have the effect of preventing, restricting or distorting competition in this tendering exercise (ii) enter into any agreement or arrangement with any person that they shall refrain from tendering, that they shall withdraw any tender once offered or vary the amount of any tender to be submitted (iii) otherwise collude with any person with the intent of preventing, restricting or distorting competition; (iv) pay, give or offer to pay or give any sum of money or other valuable consideration directly or indirectly to any person for doing or having done or causing or having caused to be done in relation to any other tender or proposed tender for the work any act or thing of the sort described at (i), (ii) or (iii) above. I/we further declare that I/we have no knowledge either of the sum quoted or of any other particulars of any other tender for this contract by any other party. We further certify that the principles described above have been, or will be, brought to the attention of all sub-contractors, suppliers and associated companies providing services or materials connected with the tender and any contract entered into with such sub-contractors, suppliers or associated companies will be made on the basis of compliance with the above principles by all parties. I/we acknowledge that any breach of the foregoing provisions shall lead automatically to this tender being disqualified and may lead to criminal or civil action. Conwy County Borough Council shall treat any tender received in confidence but reserves the right to make same available to any relevant Department of the Council, other Local Authority Trading Standards Department, the Director General of Fair Trading, and/or any other statutory regulatory authority either having jurisdiction over the work or who may now or at any time in the future have statutory power to require disclosure of this tender. In this certificate, the word person includes a body of persons corporate or unincorporated and any undertaking for the purposes of The Competition Act 1998; any agreement includes any transactions, formal or informal and whether legally binding or not; and the work means the work or goods or services in relation to which this tender is made. Signature: _____________________________________________________________________ Name (printed): _________________________________________________________________ In the capacity of (e.g. Director, Secretary, etc.): ________________________________________ Date: _________________________________________________________________________ Duly authorised to sign tenders and acknowledge the contents of the Anti-Collusion Certificate for and on behalf of: - Name of Company: ______________________________________________________________ Full postal address: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Telephone Number: ______________________________________________________________ Fax Number: ___________________________________________________________________ E-mail: ________________________________________________________________________ APPENDIX 5 CONTRACT CONDITIONS ACCEPTANCE Please sign and return with the tender proposal Contract for Provision of Supported Living Services/Contract Ref: LD/59 I/we is/are in agreement to provide the Service subject to the terms and conditions set out in terms and conditions of the contract for supported living services including the Service Specification, the Tender Specification, Providers tender proposal and other schedules, which may be reviewed from time to time Signature ............................................................... Duly authorised by the Service Provider Position held ............................................................... Name and Address of Supplier ............................................................... ............................................................... ............................................................... ............................................................... Dated ............................................................... APPENDIX 6 PROCESSING OF PERSONAL INFORMATION (to be completed following Contract Award) The Provider shall comply with any further written instructions given by the Commissioner in respect to the processing of Personal Information.. Subject matter of the processing Service User personal information Duration of the processing 3 years in accordance with the terms of the contract or its extended period. 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