ࡱ>  loabcdefghijkk !bjbjZ Z I8cb8cbLv&v&v&v&v&4&&&h') &|4F;LL;L;L;@BDDD$X+v&DHA|A|DD+v&v&L;L;@JJJDRv&L;v&L;JDJJB L;j0EE^hV0AzE>v&qDDJDDDDD++GJDDDDDDDDDDDDDDDDB <%:    INVITATION TO TENDER Supply of Individual Portion Ice Cream Tubs toVenue Cymru and Theatr Colwyn Project Reference: TCVC/ICE/2022/04 Submission Receipt Deadline: 12:00 (midday) on Friday 28 October 2022  CONTENTS Notes for Completion .301.Potential Supplier Information and Contact Details ....402.Sub-contracting and Consortia .............603.Economic and Financial Standing .....904.Insurance .......1205.Technical and Professional Ability .....1406.Proficiency and Contingency ..1607.Health and Safety .....1708.Other Information .....1809.Exclusion Grounds ...2010.Project Specific Information ....2411.References ....2912.Price Schedule ..31Appendix 1.Form of Tender .....35Appendix 2.Anti-Collusion Certificate .36Appendix 3.Commercially Sensitive Information in Relation to Freedom of Information Notification  38Appendix 4.Conflict of Interest Notification ...39Checklist ..40 NOTES FOR COMPLETION The Authority means Conwy County Borough Council as the contracting authority, or anyone acting on behalf of the contracting authority, that is seeking to invite suitable candidates to participate in this procurement process. You, Your, your Organisation and the Supplier refers to the potential supplier completing this Invitation to Tender, for example, the legal entity responsible for the information provided. The term potential supplier is intended to cover any economic operator as defined by the Public Contracts Regulations 2015 and could be a registered company, the lead contact for a group of economic operators, charitable organisation, Voluntary Community and Social Enterprise (VCSE), Special Purpose Vehicle or other form of entity. Please ensure that all questions are completed in full and in the format requested. If the question does not apply to your Organisation, please state N/A in the response section of the question. Do not leave any response section blank. Should you need to provide additional information in response to the questions, please submit a clearly identified annex. The Authority recognises that arrangements set out in section 2 Sub-contracting and Consortia in relation to a group of economic operators (for example, a consortium) and / or use of sub-contractors, may be subject to change and, therefore, may not be finalised until a later date. The lead contact should notify the Authority immediately of any change in the proposed arrangements. The Authority will make a revised assessment of the submission based on the updated information. 5. If you are bidding on behalf of a group (for example, a consortium) or you intend to use sub-contractors, you should complete all of the questions on behalf of the consortium and / or any sub-contractors, providing one composite response and declaration. PLEASE NOTE: Please answer the following questions in full and expand the response boxes accordingly. All sections must be completed. Please refer to section 27 Invitation to Tender Submission Appraisal onwards of the Instructions that accompany this Invitation to Tender for the descriptions of the evaluation criteria weightings. 01. POTENTIAL SUPPLIER INFORMATION AND CONTACT DETAILS (Evaluation Criteria Weighting: For Information Purposes) Full name of your Organisation:  Address of your Organisation:  Registered office address of your Organisation (if different from question 1.2):  Contact details of person applying on behalf of your Organisation: Contact name: Position / job title: Telephone number:E-mail address / addresses: (correspondence will be sent electronically to the e-mail addresses listed here) Website address of your Organisation (if applicable):  Trading status of your Organisation (select as appropriate): Please select the appropriate trading status:a)Public limited companyb)Private limited company c)Limited liability partnershipd)Other partnershipe)Sole traderf)Third sectorg)Social enterpriseh)Other (please specify your trading status) Your Organisations company registration number:  Date of registration:  Value Added Tax (VAT) registration number:  1.10 Charities or Housing Association or other Registration number (if this applies). Please specify registering body: Registering body:Registration number: 1.11 D-U-N-S number for your Organisation for Electronic Trading (e-trading) ( HYPERLINK "http://www.dnb.co.uk/dandb-duns-number" http://www.dnb.co.uk/dandb-duns-number): - If your Organisation has, or is working towards, e-trading which enables Suppliers to receive electronic purchase orders from the Authority and enables Suppliers to provide e-invoices to the Authority, please supply your Organisations D-U-N-S number below:  1.12 Is your Organisation an affiliate or subsidiary of another Organisation or holding Organisation? If yes, please provide details:  1.13 Is your Organisation a Small, Medium or Micro Enterprise (SME) (see EU definition of SME here:  HYPERLINK "https://ec.europa.eu/growth/smes/business-friendly-environment/sme-definition_en" https://ec.europa.eu/growth/smes/business-friendly-environment/sme-definition_en):  02. SUB-CONTRACTING AND CONSORTIA (Evaluation Criteria Weighting: For Information Purposes) All Suppliers must answer question 2.1. Where a Supplier or consortium at this stage of the process intends to sub-contract they must also answer questions 2.2, 2.3 and 2.4. Where a Supplier or consortium becomes aware of the intention to sub-contract at later stages in the procurement process, you are required to notify the Authority of this and provide the information requested below at that time. Where a Supplier is a group of economic operators (a consortium), you must indicate which members are proposing to deliver the services. 2.1 Please select yes to identify which approach is applicable to your Organisation for this procurement / Contract opportunity: Please select:YesNo2.1(a)Is your Organisation bidding to provide all the services required itself?2.1(b) Is your Organisation is bidding in the role of main contractor and intends to use third parties (sub-contractors) to provide some of the services required?2.1(c) Is your Organisation bidding as the lead contact for a group of economic operators to provide all the services required as a consortium without the use of third parties (sub-contractors)?2.1(d)Is your Organisation bidding as the lead contact for a group of economic operators to provide the services required as a consortium with the use of third parties (sub-contractors) to provide some of the services required? 2.2 If you have answered yes to question 2.1(b) or 2.1(d), your Organisation is required to state below which part or parts of the service / work your Organisation intends to sub-contract to any other third party (including associate, subsidiary or Parent Organisations), whether or not customary in the trade. Where the identity of a sub-contractor is not known, a list of companies from whom the Supplier proposes to choose the sub-contractor(s) will need to be given in the table below. Any proposed change or extension to the sub-contracting arrangements shown in the table below either during the procurement process or after Contract award must be immediately notified to the Authority. The Authority reserves the right to make further assessments of the Supplier on the basis of the new information provided. Once a Contract has been entered in to, the Authority is entitled to withhold consent to the change on the basis of the terms contained in the Contract: Sub-contractor 1Sub-contractor 2Sub-contractor 3Sub-contractor company nameRegistered addressTrading status (list of options provided in question 1.6)Company registration numberD-U-N-S numberRegistered VAT numberType of organisationRole each sub-contractor will take in providing the services / workApproximate % of contractual obligations assigned to the sub-contractorOutline of the professional history of the partnership with this sub-contractor Sub-contractor 4Sub-contractor 5Sub-contractor 6Sub-contractor company nameRegistered addressTrading status (list of options provided in question 1.6)Company registration numberD-U-N-S numberRegistered VAT numberType of organisationRole each sub-contractor will take in providing the services / workApproximate % of contractual obligations assigned to the sub-contractorOutline of the professional history of the partnership with this sub-contractor 2.3 If you have answered yes to question 2.1(b) or 2.1(d) and you are unable to confirm all the sub-contractors (complete supply chain) at this stage, you will need to demonstrate how you have previously maintained healthy supply chains with your sub-contractors. Evidence will need to include, but is not limited to, details of your supply chain management tracking systems to ensure performance of the Contract and including prompt payment or membership of the United Kingdom (UK) Prompt Payment Code (or equivalent schemes in other countries):  2.4 Please detail the methodology of how you assess and select suitable sub-contractors to perform services required:  2.5 If you have answered yes to question 2.1(c) or 2.1(d), please provide the name of group of economic operators (consortium) (if applicable):  2.6 If you have answered yes to question 2.1(c) or 2.1(d), please detail the proposed legal structure if the group of economic operators (consortium) intends to form a named single legal entity prior to signing a Contract, if awarded. If you do not propose to form a single legal entity, please explain the legal structure:  03. ECONOMIC AND FINANCIAL STANDING (Evaluation Criteria Weighting: Financial Risk Assessment) This financial section shall determine whether the financial position of the Organisation will present the Authority with potential financial risks. As such, evaluation of this section shall be undertaken on a Financial Risk Assessment Criteria basis. The Authority may undertake checks with publicly available sources to determine the financial standing of the Supplier, for example via Companies House, in order to validate information declared by the Supplier. This is not a contribution from a third party but serves as a means of confirming accuracy / verifying the information submitted by Suppliers if required. Where a Supplier has a valid reason for being unable to provide the information requested in relation to economic and financial standing, for example, your organisation is a new start-up or has not yet been operating for more than two (2) years, then please provide an explanation for this and the Authority may consider another document it considers appropriate to prove the Suppliers economic and financial standing. 3.1 What was your Organisations turnover in the last two (2) years (if this period applies)?: TurnoverYear EndedTurnoverYear Ended 3.2 What was your Organisations net profit or loss after tax in the last two (2) years (if this period applies?: Net Profit (Loss)Year EndedNet Profit (Loss)Year Ended 3.3 If the information provided in response to questions 3.1 and 3.2 demonstrates your Organisation is loss-making in either or both of the last two (2) financial years, please explain why this should not be seen as representing a significant risk to the financial stability of your Organisation:  3.4 Can your Organisation provide a copy of your most recent audited accounts for the last two (2) years (if this period applies) or, if audited accounts are not available, a copy of your Organisations accounts for the last two (2) years if required?: YesNo FORMCHECKBOX  FORMCHECKBOX  3.5 If you have answered no to question 3.4, can your Organisation provide one of the following: Please select:YesNo3.5(a)A statement of the turnover, Profit and Loss Account / Income Statement, Balance Sheet / Statement of Financial Position and Statement of Cash Flow for the most recent year of trading for this Organisation3.5(b)A statement of the cash flow forecast for the current year and a bank letter outlining the current cash and credit position3.5(c)Alternative means of demonstrating financial status if any of the above are not available (for example, forecast of turnover for the current year and a statement of funding provided by the owners and / or the bank, charity accruals accounts or an alternative means of demonstrating financial status) 3.6 If you have answered no to questions 3.4 and 3.5, please explain why this should not be seen as representing a significant risk:  3.7 Has your Organisation met all its obligations to pay its creditors and staff during the past year? If no, please explain why not and why this should not be seen as representing a significant risk:  3.8 What is the average number of days your Organisation takes to pay its creditors? If longer than 45 days, please explain why this should not be seen as representing a significant risk:  3.9 Is your Organisations current ratio equal to or exceeding 0.8? If no, please explain why this should not be seen as representing a significant risk:  3.10 Parent company and / or other guarantees of performance and financial standing may be required if considered appropriate as well as confirmation of the Organisations willingness to arrange for a guarantee or a performance bond. Where the Supplier is relying on a parent company to meet the financial and economic standing requirements above, must indicate in the box below whether a Parent Guarantee is available if requested. The Supplier may also be required to provide parent company accounts if requested to do so. Where required, is a Parent Guarantee available? Please select: YesNoNot Applicable FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  3.11 If yes, please provide details of the parent company providing Parent Guarantee (please enter N/A if not applicable): Full name of the immediate parent company:Registered office address (if applicable):Registration number (if applicable):Head office DUNS number (if applicable):Head office VAT number (if applicable): 3.12 If no, would your Organisation be able to obtain a guarantee elsewhere (for example, from a bank)?: Please select and detail:YesNoNot Applicable 04. INSURANCE (Evaluation Criteria Weighting: Pass / Fail Grade) It will be a condition of appointment that the successful Supplier 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, for the duration of the Contract. If your Organisation does not already have the required levels of insurance, your Organisation must commit to obtain the required levels of insurance cover indicated below prior to the commencement of the Contract. Evidence of insurance will be required prior to Contract award. Any Supplier who does not have, or will not obtain, the required levels of insurance cover for the duration of the Contract will achieve a Fail score. Evidence to confirm such insurance will be required from the appointed Supplier to commence the Contract. The evidence to confirm insurance will need to include the names of the insurers, policy numbers, expiry dates and limits of liability for any one (1) incident and annual aggregate capsand the excesses payable under the policies as well as providing a copy of the insurance policies to verify the information. The required insurance for this Contract includes: - Insurance TypeRequired Minimum LevelsEmployers' Liability InsuranceMust be 10million minimum each and every claim, unlimited in any one (1) yearPublic Liability InsuranceMust be 10million minimum each and every claim, unlimited in any one (1) yearProduct Liability Insurance (if not already included within your Organisations Public Liability Insurance)Must be 10million minimum each and every claim, unlimited in any one (1) year 4.1 Does your Organisation commit to obtaining the required insurance to the stipulated minimum levels for each specified insurance and maintain it for the duration of this Contract?: Please select:YesNo 4.2 Does your Organisation commit to providing the required valid insurance policies to the Authority when requested to confirm and verify the required insurance details? It will be a condition of appointment to provide evidence of the required insurances including the policies: Please select:YesNo 4.3 Has 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 (3) years? If yes, please supply details:  4.4 Do / will both your Employers Liability Insurance and Public Liability Insurance Policies include a Principals clause that would indemnify the Authority in the event of claims arising from your activities whilst providing this service?:  05. TECHNICAL AND PROFESSIONAL ABILITY (Evaluation Criteria Weighting: Risk Assessment Pass / Fail) Please provide details of three (3) contracts, particularly within local government or from public sector organisations or private sector or voluntary, charity or social enterprise (VCSE) that are relevant to demonstrate experience of contracts similar to this requirement. Contracts for supplies or services should have been performed during the past three (3) years. Works contracts may be from the past five (5) years. VCSEs may include samples of grant-funded work. The named contact provided should be able to provide written evidence to confirm the accuracy of the information provided below. Consortia bids must provide relevant examples of where the consortium has delivered similar requirements. If this is not possible (for example, the consortium is newly formed or a Special Purpose Vehicle is to be created for this Contract) then three (3) separate examples should be provided between the principal member(s) of the proposed consortium or Special Purpose Vehicle (three (3) examples are not required from each member). Where the Supplier is a Special Purpose Vehicle, or a managing agent not intending to be the main provider of the supplies or services, the information requested should be provided in respect of the main intended provider(s) or sub-contractor(s) who will deliver the Contract. If you cannot provide examples, see question 5.4: 5.1Contract 1Name of customer organisation:Point of contact in the organisation:Position in the organisation:E-mail address:Description of contract: Contract start date:Contract completion date:Estimated contract value:Name of customer organisation:Point of contact in the organisation:Position in the organisation:E-mail address: 5.2Contract 2Name of customer organisation:Point of contact in the organisation:Position in the organisation:E-mail address:Description of contract: Contract start date:Contract completion date:Estimated contract value:Name of customer organisation:Point of contact in the organisation:Position in the organisation:E-mail address: 5.3Contract 3Name of customer organisation:Point of contact in the organisation:Position in the organisation:E-mail address:Description of contract: Contract start date:Contract completion date:Estimated contract value:Name of customer organisation:Point of contact in the organisation:Position in the organisation:E-mail address: 5.4 If you cannot provide at least one (1) example for question 6.1, please provide an explanation for this, for example, your organisation is a new start-up or you have provided services in the past but not under a contract:  06. PROFICIENCY AND CONTINGENCY (Evaluation Criteria Weighting: Risk Assessment Pass / Fail) 6.1 Please detail your Organisations understanding, experience and specialist skills in providing supply and delivery type contracts to ensure the business operations of clients remain optimised:  6.2 Please describe the contingency plans / service continuity plans your Organisation has in place to ensure the provision of supplies and service is maintained with minimal disruption throughout the duration of the Contract:  6.3 Please provide an example of how your Organisation works collaboratively and productively with clients:  07. HEALTH AND SAFETY (Evaluation Criteria Weighting: Risk Assessment Pass / Fail) 7.1 Does your Organisation have a documented Health and Safety Policy that complies with current legislative requirements?:  7.2 If yes to question 7.1, are you able to provide a copy of your Health and Safety Policy if requested to?:  7.3 Does your Organisation have a recognised Health and Safety Manager or a nominated person with responsibility for Health and Safety? Please detail your arrangements:  7.4 Does your Organisation have the following documents: Risk Assessment and Method Statement or Safe Systems of Work document?:  7.5 If yes to question 7.4, are you able to provide a copy of your Risk Assessment and Method Statement or Safe Systems of Work document if requested to?:  7.6 Is 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)?:  7.7 Has your Organisation been in receipt of enforcement / remedial orders in relation to the Health and Safety Executive (or equivalent body) in the last three (3) years? If yes, please 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:  7.8 Does your Organisation have a process in place to check if health and safety and enforcement / remedial order circumstances apply to any sub-contractors used?:  08. OTHER INFORMATION (Evaluation Criteria Weighting: Risk Assessment Pass / Fail) QuestionYesNo8.1As 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 8.2As 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 8.3As 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 8.4In the last three (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 8.5In the last three (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 8.6In the last three (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 8.7Is your Organisation able to provide evidence of monitoring and promoting Equal Opportunities and adhering to Equality and Human Rights Legislation? If yes, would you be able to provide examples of any monitoring undertaken if requested?:  FORMCHECKBOX  FORMCHECKBOX 8.8In the last three (3) years, has your Organisation been investigated by the Employment Agencies Standards Inspectorate? If yes, please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.9Have any of your contracts been terminated for poor performance in the last five (5) years? If yes, please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.10In the last three (3) 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 8.11In the last three (3) years, has your Organisation become involved in any litigation in respect of a contract or its delivery? If yes, please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.12Do 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, please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.13Is 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 8.14Does 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 8.15Does your Organisation comply with the principles of the Well-being of Future Generations (Wales) Act 2015? If yes, could you provide evidence to confirm your compliance with this Act? Please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.16Does your Organisation, along with sub-contractors utilised for the delivery of this contract (if applicable), agree to comply with Authoritys Corporate Safeguarding Policy?  HYPERLINK "http://www.conwy.gov.uk/en/Resident/Social-Care-and-Wellbeing/Im-worried-about-somebody/Corporate-Safeguarding-Policy.aspx" http://www.conwy.gov.uk/en/Resident/Social-Care-and-Wellbeing/Im-worried-about-somebody/Corporate-Safeguarding-Policy.aspx Please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.17Does your Organisation comply with the requirements set out in the Code of Practice Ethical Employment in the Supply Chain?  HYPERLINK "https://gov.wales/ethical-employment-supply-chains-code-practice-guidance-and-training" https://gov.wales/ethical-employment-supply-chains-code-practice-guidance-and-training Please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.18It is of paramount importance to the Authority to ensure that the equal treatment of all Suppliers is maintained. Does your Organisation have any association, either directly or indirectly, with any Member or employee of Conwy County Borough Council, or service provider or proposed service provider acting on behalf of Conwy County Borough Council, that could constitute a conflict of interest (such as a financial, economic or personal interest)? If yes, please complete Appendix 4 to provide details.  FORMCHECKBOX  FORMCHECKBOX 8.19Do you have the facility or experience of being able to engage with people in the Welsh language? If yes, please supply details:  FORMCHECKBOX  FORMCHECKBOX 8.20Is your Organisation a relevant commercial organisation as defined by section 54 (Transparency in supply chains etc.) of the Modern Slavery Act 2015 (the Act)? FORMCHECKBOX  FORMCHECKBOX 8.21If yes to question 8.20, is your Organisation compliant with the annual reporting requirements contained within Section 54 of the Act 2015? If no, please provide an explanation:  FORMCHECKBOX  FORMCHECKBOX  09. EXCLUSION GROUNDS (Evaluation Criteria Weighting: Pass / Fail Grade) In this Exclusion Grounds section, any reference to person, persons, you, your, your Organisation, the Organisation or the Supplier(s) shall mean and include the persons of the Organisation, any other person who has powers of representation, decision or control in the Organisation, the Organisation, businesses, associations or corporations. Any reference to arrangements or agreements shall mean any and all transactions, formal or informal, lawful or otherwise: - QuestionYesNo9.1Within the last five (5) years, has your Organisation been convicted of, or is currently under investigation for, any acts of: Conspiracy Corruption Bribery Fraud Terrorism or offences linked to terrorist activities Serious crime offences Money laundering Offences in connection with proceeds relating to criminal conduct Child labour and any form of human trafficking Asylum and immigration offences Sexual offences Offences related to slavery, servitude or forced or compulsory labour Drug trafficking Any such acts as defined by the relevant UK law, or any other offence within the meaning of Regulation 57 of the Public Contract Regulations 2015 (as amended)? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details including date of conviction or when the current investigation commenced, which of the above grounds the conviction was for, identify in which role the person convicted held in your Organisation and include any measures taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion?:9.2Has your Organisation fulfilled its 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 UK within the last five (5) years? FORMCHECKBOX  FORMCHECKBOX If no, please provide details. Please also confirm if you have paid or have entered in to a binding arrangement with a view to paying the outstanding sum including any accrued interest or fines (where applicable):9.3Has your Organisation breached any environmental, social or labour law obligations within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.4Is your Organisation bankrupt or had a receiving order or administration order or bankruptcy restrictions order made against it, or are in the process of, or about to, commence any composition or arrangement with or for the benefit of your 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 your estate within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion: 9.5Has your Organisation been, or is about to be, subject of a resolution or order for winding up, or had a receiver, manager or administrator within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.6Have any of the senior personnel of your Organisation been involved (in a similar position) in any company which has gone in to insolvent liquidation, voluntary arrangement, receivership or administration or been declared bankrupt within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.7Has your Organisation been convicted of a criminal offence relating to the conduct of your business or (being an individual) been guilty of grave misconduct in the course of its business within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.8Has your Organisation entered in to agreements with other parties aimed at distorting competition or has competition has been distorted in any way within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.9Has your Organisation had any prior involvement in the preparation of this procurement procedure that could be construed as a distortion of competition? FORMCHECKBOX  FORMCHECKBOX If your Organisation has had prior involvement in the preparation of this procurement procedure, please detail your involvement and to what capacity: 9.10Has your Organisation suffered a deduction for liquidated or ascertained damages in respect of any contract, or had a contract cancelled, terminated or not renewed for failure to perform, or 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 (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.11Has your Organisation been found guilty of serious misrepresentation or withheld information required under Regulation 59 of the Public Contract Regulations 2015 (as amended) within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.12Has your Organisation attempted to influence, or have unduly influenced, any decision making processes within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.13Your Organisation must not attempt to obtain any confidential information in relation to this procurement procedure. Has your Organisation obtained, or attempted to obtain, any confidential information in relation to this procurement procedure within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.14Has your Organisation provided misleading information that may have a material influence on the decision concerning exclusion, selection or award within the last three (3) years? FORMCHECKBOX  FORMCHECKBOX If yes, please provide details and explain what measures have been taken to demonstrate the reliability of your Organisation despite the existence of a ground for exclusion:9.15Does your Organisation comply with the requirements of the Equality Act 2010 and previous equality legislation and, if appropriate, the Statutory Duties (Wales) Regulations 2011?  FORMCHECKBOX  FORMCHECKBOX If no, please provide details: 9.16Does your Organisation promote Equal Opportunities and adhere to Equality and Human Rights Legislation? FORMCHECKBOX  FORMCHECKBOX Please provide details:  I / We confirm and attest that the Exclusion Grounds information and declarations are accurate to the best of my / our knowledge. I / We acknowledge and accept that any false information could result in our Invitation to Tender response 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. Date: _________________________________________________________________________ Signature: _____________________________________________________________________ Print Full Name: _________________________________________________________________ In the capacity of: ________________________________________________________________ (Please state official position e.g. Director, Sales Manager, etc.) being a person duly authorised to sign Invitation to Tender responses and this Exclusion Grounds declaration on behalf of: Company Name: ________________________________________________________________ Company Address: ______________________________________________________________ Contact E-mail Address: __________________________________________________________ Contact Telephone Number: _______________________________________________________ 10. PROJECT SPECIFIC INFORMATION (Evaluation Criteria Weighting: Percentage weighted questions equate to 60% Quality (condensed from 100%) and Pass / Fail questions will be evaluated in accordance with the Risk Assessment Pass / Fail Criteria) 10.1 Food Health and Safety Accreditations and Controls and Legislative Requirements (Evaluation Criteria: Risk Assessment Pass / Fail Criteria) The below information is required to demonstrate that your Organisation has taken the necessary steps to address quality assurance and food safety and have the required systems in place to control this and to ensure your Organisation complies with legislative requirements. 10.1.1 Has your Organisation achieved any United Kingdom Accreditation Service (UKAS) or International Organisation for Standardisation (ISO) 22000 Food Safety Management accreditations? If yes, please attach copies of your current certificates: Yes No  10.1.2 If you have answered no to question 10.1.1, it may be that you operate your own in-house quality assurance / food safety management system based on Hazard Analysis and Critical Control Points (HACCP) that has not been externally accredited. Do you operate your own in-house food safety / quality assurance system? If yes, please attach full documentation detailing the system you operate: Yes No  10.1.3 Do all the proposed ice cream tub products supplied by your Organisation comply with the UK labelling and allergen / intolerance legalisation? Please detail how the products comply:  10.1.4 Do the proposed ice cream tub products you supply comply with all relevant UK and EC Food Regulations (including food for compositional and labelling requirements)? Please detail how the products comply:  10.1.5 Are the ice cream tub products you supply produced, distributed and supplied through premises which comply with all relevant UK and EC Food Regulations? Please provide details:  10.1.6 Has your Organisation received any of the following from the Enforcement Authority (Trading Standards or Environmental Health) in the past three (3) years or had to undertake any of the below? If yes, please provide further details and what has been done to make an improvement in the Details of Improvement section of the table below: YesNoDetails of ImprovementHygiene Improvement NoticesHygiene Emergency Prohibition Notices and OrdersProsecutions or any formal cautionsRecall incidences that the Supplier has been involved 10.1.7 Please identify quality assurance measures to ensure ice cream tub products are produced, treated, stored and transported safely:  10.1.8 Please detail what procedures your Organisation has in place should spoiled products be discovered by your Organisation after delivery has been made to your clients or if products are discovered as spoiled by your clients after taking receipt of delivery of the products or if your clients customers discover spoiled products at time of purchase / consumption:  10.2 Methods of Ordering 10.2.1 Please provide information for all methods of ordering stock that Venue Cymru and TheatrColwyn will be able to use to place an order for the required ice cream tub products (0%):  10.3 Order and Delivery Schedule 10.3.1 Please identify the time frame between Venue Cymru and Theatr Colwyn placing an order and the order being delivered to the site that placed the order (please select one (1) response as appropriate in the Select column of the table below) (15%): Select:All orders placed can be delivered to Venue Cymru or Theatr Colwyn within two (2) working days (scores 100% of the marks)All orders placed can be delivered to Venue Cymru or Theatr Colwyn within two (2) to three (3) working days (scores 80% of the marks)All orders placed can be delivered to Venue Cymru or Theatr Colwyn within three (3) to four (4) working days (scores 60% of the marks)All orders placed can be delivered to Venue Cymru or Theatr Colwyn within four (4) to five (5) working days (scores 40% of the marks)All orders placed can be delivered to Venue Cymru or Theatr Colwyn within five (5) to six (6) working days (scores 20% of the marks)All orders placed would be delivered to Venue Cymru or Theatr Colwyn seven(7) working days or more after placing the order (scores 0% of the marks) 10.3.2 Your Organisation will be required to provide short notice deliveries to Venue Cymru and Theatr Colwyn during any busy periods experienced or in cases of urgent need. Please identify the short notice delivery time frame in which your Organisation can deliver the required products to the site that placed the order (please select one (1) response as appropriate in the Select column of the table below) (15%): Select:Short notice order can be delivered to Venue Cymru or Theatr Colwyn the same day as the order is placed (scores 100% of the marks)Short notice order can be delivered to Venue Cymru or Theatr Colwyn within 24 hours of the short notice order being placed (scores 80% of the marks)Short notice order can be delivered to Venue Cymru or Theatr Colwyn over 24 hours but within 48hours of the short notice order being placed (scores 60% of the marks)Short notice order can be delivered to Venue Cymru or Theatr Colwyn over 48 hours but within 72hours of the short notice order being placed (scores 40% of the marks)Short notice order can be delivered to Venue Cymru or Theatr Colwyn over 72 hours but within 96hours of the short notice order being placed (scores 20% of the marks)No short notice delivery options available (scores 0% of the marks) 10.3.3 Please identify any order and delivery restrictions such as no delivery restrictions of any kind, deliveries limited to week days only, deliveries limited to only certain days of the week, deliveries only possible at certain times of the day, if public holiday deliveries are available, etc. Please also declare if deliveries can take place on any day of the week (5%):  10.4 Temperature Controlled Delivery 10.4.1 How will the products be delivered to Venue Cymru and Theatr Colwyn to ensure the products remain frozen and do not melt or spoil? (10%):  10.5 Stock Condition and Best Before / Use by Dates 10.5.1 Please detail the process for reporting damaged stock, your Organisation re-issuing stock as replacements and if stock has been refused by Venue Cymru or Theatr Colwyn, for example, if the stock has an unacceptably short date. Please also include information relating to timescales (10%):  10.6 Substitutions or Stock Issues 10.6.1 Please detail your Organisations stock management processes, particularly in relation to communications with your customers about any short term or major stock issues, to ensure there is minimal disruption to both sales and the supply of products to VenueCymru and Theatr Colwyn (10%)  10.7 Equipment 10.7.1 Can your Organisation provide temperature controlled equipment for the ice cream tub products to be stored in at both VenueCymru and Theatr Colwyn? If yes, please state what equipment can be provided for the duration of the Contract and what the maintenance arrangements would be for the temperature controlled equipment. Suppliers are asked to provide prices in the Cost Option section of the Price Schedule (0%):  10.8 Marketing and Point of Sale 10.8.1 Please detail all marketing support such as marketing strategies, point of sale items, discounted offers, patio furniture, calorie content indicators, etc., to support the sale of the ice cream tub products at VenueCymru and Theatr Colwyn (10%):  10.9 Retrospective Discounts 10.9.1 Please provide information relating to any retrospective discounts linked to turnover (0%):  10.10 Packaging and Environmental Impact 10.10.1 From the packaging that the ice cream tub products are contained in to spoons and the outer / delivery packaging, how much of the product packaging is recyclable and / or reusable by your Organisation? (10%):  10.10.2 How does your Organisation consider the environment and your Organisations environmental impact during the product manufacturing journey and process, the supply chain, the product packaging, product storage and distribution of ice cream tub products? Or if your Organisation is a wholesaler establishment and not a direct manufacturer, how does your Organisation ensure it considers the manufacturing, packaging and distribution of products from your supply chain as part of your environmental considerations and how do these environmental considerations then follow through to your packaging or re-packaging and distribution of the products to your clients? (15%):  10.10.3 Does your Organisation have a documented Environmental policy? If yes, are you able to provide a copy if requested? (Evaluation Criteria Weighting: Risk Assessment Pass / Fail):  10.11 Carbon Emissions (Evaluation Criteria Weighting: Risk Assessment Pass / Fail) 10.11.1 The Authority is working towards becoming a carbon net zero Council by 2030 as part of its Climate Challenge Programme:  HYPERLINK "https://www.conwy.gov.uk/en/Council/Strategies-Plans-and-Policies/Climate-Change/Climate-Challenge-Programme.aspx" https://www.conwy.gov.uk/en/Council/Strategies-Plans-and-Policies/Climate-Change/Climate-Challenge-Programme.aspx Is your Organisation actively working towards reducing its carbon emissions? If yes, please state what your Organisation has achieved so far and state your future plans for reducing carbon emissions. If no, please state what your plans are for addressing your Organisations carbon emissions in the near future:  10.11.2 If successful, your Organisation will be required to provide the Authority with carbon emission data relating to the delivery of this Contract when required. Is your Organisation willing to provide the Authority with any carbon emission related data it may require in relation to this Contract?: Please selectYes No  10.11.3 Is your Organisation aware of its carbon emissions for the fulfilment of this Contract, for example, the carbon emissions generated from the goods production process, ingredient harvesting emissions, related farming activity emissions, any import activity emissions, storage warehouse and office space emissions, delivery miles emissions, etc. and the volume of carbon emissions generated in each applicable area?: Please selectYes No  10.11.4 Is your Organisation able to detail what areas emit carbon emissions in the fulfilment of this Contract yet? If yes, please state the areas (carbon emission volumes not yet required). If no, please detail what your Organisation intends to do to be able to report on its carbon emissions when the Authority requests it:  11. REFERENCES (Evaluation Criteria Weighting: For information / verification purposes) Please provide details for three (3) Referees that your Organisation has undertaken services for with reference to similar types of contracts such as for other Local Authorities / Government, similar value, similar requirements. Suppliers must ensure that Referees are prepared to provide a written statement of evidence to verify the accuracy of the information your Organisation has provided in relation to the relevant contract. For contact purposes, please provide the details of the Referees to provide your references: Referee 1Full Name of RefereeJob TitleCompany / Authority NameAddressE-mail AddressTelephone NumberDescription of the works carried out of a similar nature for this Referee Referee 2Full Name of RefereeJob TitleCompany / Authority NameAddressE-mail AddressTelephone NumberDescription of the works carried out of a similar nature for this Referee Referee 3Full Name of RefereeJob TitleCompany / Authority NameAddressE-mail AddressTelephone NumberDescription of the works carried out of a similar nature for this Referee 12. Price Schedule (Evaluation Criteria Weighting: 40% Price) 12.1 The Contract price will be formed on the basis of the costs submitted in the successful Suppliers completed Price Schedule and Form of Tender (Appendix 1). 12.2 The Authority requires Suppliers to provide a fully inclusive price for your Organisation to supply the Goods and perform the Services based on the requirements contained in the Specification and as outlined in the PriceSchedule. All of the requirements must be referenced in your Organisations Price Schedule response. 12.3 The Price Schedule includes a Basket of Goods which is not an exhaustive list of requirements but on which the Price Schedule and Form of Tender price shall be based. 12.4 The costs / rates submitted in the Price Schedule and Form of Tender (Appendix 1) must include the unit cost for each item and all associated costs covered by the Specification for this Contract. 12.5 A unit cost for each core item is required as the Authority does not bind itself to purchase any fixed quantity of Goods or any Goods at all, therefore, one overall Contract price is not applicable on this occasion and unit costs are sought in lieu of this. 12.6 A full breakdown of the price submitted in the Form of Tender (Appendix 1) is required in the Price Schedule. Each line of the Price Schedule must be priced independently of other items identified in the Price Schedule and should not be consolidated to just one lump sum cost. 12.7 Prices will be fixed for the duration of the Contract on an annual basis. The Authority will review the pricing with the successful Supplier annually to ensure value for money from the onset of the Contract and prices will be fixed for that year with no further revisions. Any annual price increases from the Supplier will only be considered by the Authority in line with the Bank of England Base Rate / Bank Rate increases and price increases will not be considered or permitted by the Authority for Supplier profiteering, suspected unethical profit margin increases or unfounded price increases by the Supplier. Therefore, Suppliers are asked to provide unit costs and a total for year one (1) of the Contract term only in this Invitation to Tender response. Prices for subsequent years of the Contract term will be reviewed annually between the Authority and Supplier. The Authority will also review the pricing annually if any of optional two (2) one (1) year Contract extension periods become applicable. 12.8 All monetary values must be in Pounds Sterling to two (2) decimal places, excluding VAT. 12.9 Suppliers should not leave any line of the Price Schedule blank. Suppliers are advised to insert N/A if a line of the Price Schedule is not applicable to their Invitation to Tender submission. If a line of the Price Schedule is left blank by the Supplier or contains 0 or a similar negative value, it will be considered that there is no cost for that element. 12.10 Suppliers must insert the Core Requirements total cost from the Price Schedule in to the Form of Tender (Appendix 1) at the space provided in paragraph7. The Variable Flavour Option unit costs must not be included in the Form of Tender costs. 12.11 Please ensure you thoroughly check all costs submitted in to the Price Schedule tables to avoid any arithmetical errors in your Organisations unit costs, total costs and Form of Tender price. 12.12 Please complete the following tables: - Core Requirements ItemProduct SpecificationBrand InformationFlavour DescriptionActual Unit Size / WeightNumber of Units Per CaseUnit Cost ()CR-1120g 130g Vanilla flavour ice cream in a tub with disposable spoonCR-2120g 130g Strawberry flavour ice cream in a tub with disposable spoonCR-3120g 130g Variable flavour ice cream in a tub with disposable spoonCR-4120g 130g Variable flavour ice cream in a tub with disposable spoonCR-5120g 130g Variable flavour ice cream in a tub with disposable spoonCR-6Any other costs considered applicable by the Supplier to the specified Contract requirements (please detail below, if applicable):-CR-6 ACR-6 BCR-6 CTotal for Contract Year 1 (One) (to be carried forward to Appendix 1 Form of Tender) Please provide a summary of what is included within the CR-6 any other costs considered applicable by the Supplier to the specified Contract requirements section above that makes the requirement essential in line with the Contract requirements set out in the Specification / tender documentation (if applicable): -  Variable Flavour Options Please note, the additional Variable Flavour Option options below should not be carried forward to the Appendix 1 Form of Tender. The product information is requested as alternative variable flavours for Venue Cymru and Theatr Colwyn to select from for the variable flavour ice cream in a tub with disposable spoon core requirement product (identified as CR-5 in the Core Requirement Price Schedule table above). Please detail the variable flavour individual portion ice cream tubs available for the same price that can be provided by your Organisation: - ItemProduct SpecificationBrand InformationFlavour DescriptionActual Unit Size / WeightNumber of Units Per CaseUnit Cost ()VFO 1-1120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-2120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-3120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-4120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-5120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-6120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-7120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-8120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-9120g 130g Variable flavour ice cream in a tub with disposable spoonVFO 1-10120g 130g Variable flavour ice cream in a tub with disposable spoon Cost Options: Please note, the Cost Option costs below should not be carried forward to the Appendix 1 Form of Tender. The Cost Option costs are for information purposes and are sought should the additional requirements arise at any point in the Contract duration: - ItemCost Option Item Cost ()B1Temperature controlled refrigerated equipment to store and display the ice cream tub products in at Venue Cymru and Theatr Colwyn (please detail the equipment below and associated costs):B2Any associated equipment maintenance (please detail the arrangements below and associated costs):B3Any other cost options considered applicable by the Supplier in association with the requirements for this Contract (please detail below, if applicable):-B3AB3BB3C Appendix 1 Form of Tender To: Conwy County Borough Council Dear Sir / Madam Supply of Individual Portion Ice Cream Tubs to Venue Cymru and Theatr Colwyn 1. I / we have read the information provided in your tender documentation / 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 documentation in such manner as may be required. 2. I / we accept and agree to Conwy County Borough Councils terms and conditions of Contract. 3. The prices quoted in this Invitation to Tender response are valid for acceptance for 90 days from the final day for submission of Invitation to Tender responses and I / we confirm that the terms of the Tender and procurement process 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 Invitation to Tender response 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 Invitation to Tender response and to bear any further costs incurred by me / us prior to the award of any Contract. 6. I / we confirm that the information provided to you and forming part of my / our Invitation to Tender response is accurate to the best of my / our knowledge in all respects and that if any such information becomes untrue or misleading that I / we will notify you immediately and update such information as required or as applicable. I / we understand that false information and / or misrepresentation could result in my / our exclusion from the procurement process. 7. I / we hereby propose and undertake to deliver the Contract required to be performed in accordance with the Specification, tender documentation and this Invitation to Tender response at a cost of: - Year 1 (One) Unit Cost Total excluding VAT Date: _________________________________________________________________________ Signature: _____________________________________________________________________ Print Full Name: _________________________________________________________________ In the capacity of: ________________________________________________________________ (Please state official position e.g. Director, Sales Manager, etc) being a person duly authorised to sign Invitation to Tender responses on behalf of: Company Name: ________________________________________________________________ Company Address: ______________________________________________________________ Contact E-mail Address: __________________________________________________________ Contact Telephone Number: _______________________________________________________ Appendix 2 ANTI-COLLUSION CERTIFICATE I / we certify that this Invitation to Tender response is made in good faith and that we have not fixed or adjusted the amount of the Invitation to Tender response 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 Invitation to Tender response price or any other figures or other information in connection with the Invitation to 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 procurement exercise. (ii) Enter in to any agreement or arrangement with any person that they shall refrain from tendering, that they shall withdraw any Invitation to Tender response once offered or vary the amount of any Invitation to Tender response 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 Invitation to Tender response or proposed Invitation to Tender response 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 Invitation to Tender response 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 Invitation to Tender response 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 Invitation to Tender response being disqualified and may lead to criminal or civil action. Conwy County Borough Council shall treat any Invitation to Tender response received in confidence but reserves the right to make information 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 Invitation to Tender response. 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 Invitation to Tender response is made. Date: _________________________________________________________________________ Signature: _____________________________________________________________________ Print Full Name: _________________________________________________________________ In the capacity of: ________________________________________________________________ (Please state official position e.g. Director, Sales Manager, etc) being a person duly authorised to sign Invitation to Tender responses and acknowledges the contents of this Anti-Collusion Certificate on behalf of: Company Name: ________________________________________________________________ Company Address: ______________________________________________________________ Contact E-mail Address: __________________________________________________________ Contact Telephone Number: _______________________________________________________ APPENDIX 3 COMMERCIALLY SENSITIVE INFORMATION IN RELATION TO FREEDOM OF INFORMATION NOTIFICATION Please identify below any aspects of your Invitation to Tender submission that your Organisation deems to be commercially sensitive, if applicable. Explain the potential implications of the disclosure of such information under a Freedom of Information request and provide an estimate of the period of time during which your Organisation believes the identified information will remain commercially sensitive. If you Organisation considers no part of your Invitation to Tender submission to be commercially sensitive, please state N/A below:  Date: _________________________________________________________________________ Signature: _____________________________________________________________________ Print Full Name: _________________________________________________________________ In the capacity of: ________________________________________________________________ (Please state official position e.g. Director, Sales Manager, etc) being a person duly authorised to sign Invitation to Tender responses and this Commercially Sensitive Information in relation to Freedom of Information Notification on behalf of: Company Name: ________________________________________________________________ Company Address: ______________________________________________________________ Contact E-mail Address: __________________________________________________________ Contact Telephone Number: _______________________________________________________ APPENDIX 4 CONFLICT OF INTEREST NOTIFICATION If your Organisation has recorded a Yes response to question 8.18 (conflict of interest), please detail below any conflicts of interest as outlined in Regulation 24 of the Public Contract Regulations 2015 (as amended). Please state N/A if your Organisation considers there to be no conflict of interest: -  Date: _________________________________________________________________________ Signature: _____________________________________________________________________ Print Full Name: _________________________________________________________________ In the capacity of: ________________________________________________________________ (Please state official position e.g. Director, Sales Manager, etc) being a person duly authorised to sign Invitation to Tender responses and this Conflict of Interest Notification on behalf of: Company Name: ________________________________________________________________ Company Address: ______________________________________________________________ Contact E-mail Address: __________________________________________________________ Contact Telephone Number: _______________________________________________________ Checklist Please use the following Checklist to help you ensure that all requested information is enclosed with your completed Invitation to Tender submission: ChecklistYesHave you completed all questions in all sections fully and honestly? FORMCHECKBOX Have you included any relied upon supporting documents / additional information to support any applicable question responses clearly labelled to identify which question response it relates to? FORMCHECKBOX Have you completed the Price Schedule with all costs and checked all costs? FORMCHECKBOX Have you completed and signed the Form of Tender (Appendix 1)? FORMCHECKBOX Have you signed the Anti-Collusion Certificate (Appendix 2)? FORMCHECKBOX Have you completed and signed the Commercially Sensitive Information in Relation to Freedom Of Information Notification (Appendix 3)? FORMCHECKBOX Have you declared if any conflicts of interest are present and signed the Conflict of Interest Notification (Appendix 4)? FORMCHECKBOX Have you enclosed a copy of your Organisations current certificates for UKAS or ISO 22000 Food Safety Management accreditation? FORMCHECKBOX Have you enclosed a copy of your Organisations documentation detailing any in-house food safety / quality assurance system based on HACCP in lieu of a UKAS or ISO accreditation? FORMCHECKBOX Have you enclosed copies of any relevant certificates / policies if requested at this stage? FORMCHECKBOX  Failure to provide a complete Invitation to Tender submission response which contains all of the above listed items may lead to your Organisations exclusion from the procurement process. The successful Supplier will be required to complete, sign and submit the Processing of Personal Information (GDPR Schedule A) to the Authority at the time of Contract award, not with this Invitation to Tender submission. It is a policy of the Authority to keep an electronic record of this information. 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